JP7570382B2 - Infusion set for intravenous drip infusion with an air vent-equipped infusion filter - Google Patents
Infusion set for intravenous drip infusion with an air vent-equipped infusion filter Download PDFInfo
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- JP7570382B2 JP7570382B2 JP2022147203A JP2022147203A JP7570382B2 JP 7570382 B2 JP7570382 B2 JP 7570382B2 JP 2022147203 A JP2022147203 A JP 2022147203A JP 2022147203 A JP2022147203 A JP 2022147203A JP 7570382 B2 JP7570382 B2 JP 7570382B2
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- isavuconazole
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- 238000001802 infusion Methods 0.000 title claims description 239
- 238000001990 intravenous administration Methods 0.000 title claims description 54
- DDFOUSQFMYRUQK-RCDICMHDSA-N isavuconazole Chemical compound C=1SC([C@H](C)[C@](O)(CN2N=CN=C2)C=2C(=CC=C(F)C=2)F)=NC=1C1=CC=C(C#N)C=C1 DDFOUSQFMYRUQK-RCDICMHDSA-N 0.000 claims description 56
- 229960000788 isavuconazole Drugs 0.000 claims description 54
- 239000012528 membrane Substances 0.000 claims description 49
- LWXUIUUOMSMZKJ-KLFWAVJMSA-M isavuconazonium sulfate Chemical compound OS([O-])(=O)=O.CNCC(=O)OCC1=CC=CN=C1N(C)C(=O)OC(C)[N+]1=CN(C[C@@](O)([C@@H](C)C=2SC=C(N=2)C=2C=CC(=CC=2)C#N)C=2C(=CC=C(F)C=2)F)N=C1 LWXUIUUOMSMZKJ-KLFWAVJMSA-M 0.000 claims description 37
- 239000003795 chemical substances by application Substances 0.000 claims description 32
- 229960003384 isavuconazonium sulfate Drugs 0.000 claims description 30
- 229920002492 poly(sulfone) Polymers 0.000 claims description 28
- WQZGKKKJIJFFOK-GASJEMHNSA-N Glucose Chemical compound OC[C@H]1OC(O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-GASJEMHNSA-N 0.000 claims description 25
- 229940093181 glucose injection Drugs 0.000 claims description 19
- 239000003978 infusion fluid Substances 0.000 claims description 19
- 239000000243 solution Substances 0.000 claims description 18
- 239000004480 active ingredient Substances 0.000 claims description 10
- 229940002612 prodrug Drugs 0.000 description 27
- 239000000651 prodrug Substances 0.000 description 27
- 238000002360 preparation method Methods 0.000 description 15
- 238000011156 evaluation Methods 0.000 description 13
- 238000000034 method Methods 0.000 description 12
- 239000002245 particle Substances 0.000 description 10
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- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 9
- 239000010419 fine particle Substances 0.000 description 8
- 239000011780 sodium chloride Substances 0.000 description 8
- 239000000203 mixture Substances 0.000 description 7
- 238000001914 filtration Methods 0.000 description 6
- 238000009472 formulation Methods 0.000 description 6
- 239000008103 glucose Substances 0.000 description 6
- 229960004922 isavuconazonium Drugs 0.000 description 6
- 239000000463 material Substances 0.000 description 6
- 208000031888 Mycoses Diseases 0.000 description 5
- 238000004519 manufacturing process Methods 0.000 description 5
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- 239000004033 plastic Substances 0.000 description 5
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- 201000009085 invasive aspergillosis Diseases 0.000 description 4
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- 238000012360 testing method Methods 0.000 description 4
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Chemical compound O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 4
- 239000008215 water for injection Substances 0.000 description 4
- 241000894006 Bacteria Species 0.000 description 3
- 206010017533 Fungal infection Diseases 0.000 description 3
- 150000001875 compounds Chemical class 0.000 description 3
- 208000024386 fungal infectious disease Diseases 0.000 description 3
- 244000005700 microbiome Species 0.000 description 3
- 230000003204 osmotic effect Effects 0.000 description 3
- 238000011045 prefiltration Methods 0.000 description 3
- 239000000047 product Substances 0.000 description 3
- 230000000007 visual effect Effects 0.000 description 3
- 241000233866 Fungi Species 0.000 description 2
- 229920002302 Nylon 6,6 Polymers 0.000 description 2
- 239000004695 Polyether sulfone Substances 0.000 description 2
- KAESVJOAVNADME-UHFFFAOYSA-N Pyrrole Chemical compound C=1C=CNC=1 KAESVJOAVNADME-UHFFFAOYSA-N 0.000 description 2
- QAOWNCQODCNURD-UHFFFAOYSA-N Sulfuric acid Chemical compound OS(O)(=O)=O QAOWNCQODCNURD-UHFFFAOYSA-N 0.000 description 2
- 239000000706 filtrate Substances 0.000 description 2
- 238000010253 intravenous injection Methods 0.000 description 2
- 239000007788 liquid Substances 0.000 description 2
- 239000012931 lyophilized formulation Substances 0.000 description 2
- 229910052751 metal Inorganic materials 0.000 description 2
- 239000002184 metal Substances 0.000 description 2
- 235000016709 nutrition Nutrition 0.000 description 2
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- 229920006393 polyether sulfone Polymers 0.000 description 2
- 239000004800 polyvinyl chloride Substances 0.000 description 2
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- 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 description 1
- 229930195725 Mannitol Natural products 0.000 description 1
- 239000007798 antifreeze agent Substances 0.000 description 1
- 239000003963 antioxidant agent Substances 0.000 description 1
- 230000007416 antiviral immune response Effects 0.000 description 1
- LFYJSSARVMHQJB-QIXNEVBVSA-N bakuchiol Chemical compound CC(C)=CCC[C@@](C)(C=C)\C=C\C1=CC=C(O)C=C1 LFYJSSARVMHQJB-QIXNEVBVSA-N 0.000 description 1
- WQZGKKKJIJFFOK-VFUOTHLCSA-N beta-D-glucose Chemical compound OC[C@H]1O[C@@H](O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-VFUOTHLCSA-N 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 210000000601 blood cell Anatomy 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 239000000872 buffer Substances 0.000 description 1
- 239000002775 capsule Substances 0.000 description 1
- 230000000052 comparative effect Effects 0.000 description 1
- 238000011109 contamination Methods 0.000 description 1
- 238000007796 conventional method Methods 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 238000007599 discharging Methods 0.000 description 1
- 229940079593 drug Drugs 0.000 description 1
- 239000003814 drug Substances 0.000 description 1
- 229940126534 drug product Drugs 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 239000000835 fiber Substances 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 239000011521 glass Substances 0.000 description 1
- 230000005484 gravity Effects 0.000 description 1
- 238000001727 in vivo Methods 0.000 description 1
- 230000007794 irritation Effects 0.000 description 1
- 239000000594 mannitol Substances 0.000 description 1
- 235000010355 mannitol Nutrition 0.000 description 1
- -1 pH regulators Substances 0.000 description 1
- 239000000546 pharmaceutical excipient Substances 0.000 description 1
- 239000000825 pharmaceutical preparation Substances 0.000 description 1
- 239000004014 plasticizer Substances 0.000 description 1
- 229920000036 polyvinylpyrrolidone Polymers 0.000 description 1
- 239000001267 polyvinylpyrrolidone Substances 0.000 description 1
- 235000013855 polyvinylpyrrolidone Nutrition 0.000 description 1
- 229940071643 prefilled syringe Drugs 0.000 description 1
- 230000037452 priming Effects 0.000 description 1
- 150000003839 salts Chemical class 0.000 description 1
- 239000008137 solubility enhancer Substances 0.000 description 1
- 239000003381 stabilizer Substances 0.000 description 1
- 150000005846 sugar alcohols Chemical class 0.000 description 1
- 125000000472 sulfonyl group Chemical group *S(*)(=O)=O 0.000 description 1
- 229920001059 synthetic polymer Polymers 0.000 description 1
- 206010052366 systemic mycosis Diseases 0.000 description 1
- 238000010998 test method Methods 0.000 description 1
- 229940126585 therapeutic drug Drugs 0.000 description 1
- 239000012905 visible particle Substances 0.000 description 1
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
-
- 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
- A61K31/435—Heterocyclic 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
- A61K31/44—Non condensed pyridines; Hydrogenated derivatives thereof
- A61K31/4427—Non condensed pyridines; Hydrogenated derivatives thereof containing further heterocyclic ring systems
- A61K31/4439—Non condensed pyridines; Hydrogenated derivatives thereof containing further heterocyclic ring systems containing a five-membered ring with nitrogen as a ring hetero atom, e.g. omeprazole
-
- 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
- A61P—SPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
- A61P31/00—Antiinfectives, i.e. antibiotics, antiseptics, chemotherapeutics
- A61P31/10—Antimycotics
-
- 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
- A61K9/14—Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles
- A61K9/19—Particulate form, e.g. powders, Processes for size reducing of pure drugs or the resulting products, Pure drug nanoparticles lyophilised, i.e. freeze-dried, solutions or dispersions
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/75—General characteristics of the apparatus with filters
- A61M2205/7527—General characteristics of the apparatus with filters liquophilic, hydrophilic
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M2205/00—General characteristics of the apparatus
- A61M2205/75—General characteristics of the apparatus with filters
- A61M2205/7545—General characteristics of the apparatus with filters for solid matter, e.g. microaggregates
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
- A61M5/00—Devices for bringing media into the body in a subcutaneous, intra-vascular or intramuscular way; Accessories therefor, e.g. filling or cleaning devices, arm-rests
- A61M5/14—Infusion devices, e.g. infusing by gravity; Blood infusion; Accessories therefor
- A61M5/165—Filtering accessories, e.g. blood filters, filters for infusion liquids
Landscapes
- Health & Medical Sciences (AREA)
- Veterinary Medicine (AREA)
- Life Sciences & Earth Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Chemical & Material Sciences (AREA)
- Medicinal Chemistry (AREA)
- Pharmacology & Pharmacy (AREA)
- Epidemiology (AREA)
- Oncology (AREA)
- Vascular Medicine (AREA)
- Dermatology (AREA)
- Chemical Kinetics & Catalysis (AREA)
- General Chemical & Material Sciences (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Organic Chemistry (AREA)
- Communicable Diseases (AREA)
- Engineering & Computer Science (AREA)
- Anesthesiology (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Hematology (AREA)
- Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
- Infusion, Injection, And Reservoir Apparatuses (AREA)
Description
本発明は、エアベント付き輸液フィルタを備える点滴静脈投与用輸液セット等に関する。 The present invention relates to an infusion set for intravenous drip administration that is equipped with an infusion filter with an air vent.
患者に穿刺する静脈針等をロックコネクターに接続し、一方、びん針を輸液剤へ穿刺することによって輸液ルートを確保し、輸注することができる輸液セットが公表されている(非特許文献7)。 An infusion set has been published that connects the intravenous needle to be inserted into the patient to a lock connector, while the vial needle is inserted into the infusion solution to secure an infusion route and allow infusion (Non-Patent Document 7).
輸液フィルターは、輸液をろ過する親水性膜と輸液中に混入した空気のみを除去する疎水性膜からなることが報告されている(非特許文献10)。輸液フィルターの主な使用目的は、輸液に混入する微生物除去、微粒子除去、空気除去であることが報告されている(非特許文献10)。 It has been reported that infusion filters consist of a hydrophilic membrane that filters the infusion and a hydrophobic membrane that removes only the air that has become mixed in with the infusion (Non-Patent Document 10). It has been reported that the main uses of infusion filters are to remove microorganisms, particles, and air that have become mixed in with the infusion (Non-Patent Document 10).
実際の臨床現場で使用されている輸液フィルターとして、ポジダインナイロン66を材質とする親水性膜を有する輸液フィルターセットが公表されている(非特許文献8,11)。 An infusion filter set with a hydrophilic membrane made of Posidyne nylon 66 has been published as an infusion filter used in actual clinical settings (Non-Patent Documents 8, 11).
海外において、新規アゾールであるイサブコナゾールが侵襲性アスペルギルス症(IA)をはじめとする深在性真菌症に対して有効であることが報告されており(非特許文献2)、イサブコナゾニウム硫酸塩を含有する製剤が真菌症治療剤として海外で臨床応用されている(非特許文献3~5)。 It has been reported overseas that the new azole isavuconazole is effective against deep mycoses including invasive aspergillosis (IA) (Non-Patent Document 2), and preparations containing isavuconazonium sulfate are being used clinically overseas as a treatment for mycoses (Non-Patent Documents 3-5).
イサブコナゾニウム硫酸塩を含有する製剤として、静脈投与用である、イサブコナゾニウム硫酸塩をイサブコナゾール換算で200mg含有する凍結乾燥製剤が知られている(非特許文献4)。 A freeze-dried formulation containing isavuconazonium sulfate for intravenous administration that contains 200 mg of isavuconazonium sulfate in isavuconazole equivalents is known (Non-Patent Document 4).
しかし、イサブコナゾニウム硫酸塩をイサブコナゾール換算で200mg含有する点滴静脈投与用製剤輸液に用いられるエアベント付き輸液フィルターセットであって、輸液フィルター内に備わる親水性フィルタ膜の材質がポリスルホン又はポジダインであるエアベント付き輸液フィルターセットは知られておらず、その特性も不明であった。 However, there was no known infusion filter set with an air vent for use in infusion of a drug product for intravenous administration containing 200 mg of isavuconazonium sulfate calculated as isavuconazole, in which the hydrophilic filter membrane inside the infusion filter is made of polysulfone or posidyne, and the characteristics of the filter were also unknown.
本発明の課題は、イサブコナゾール又はそのプロドラッグを有効成分として1回投与量あたりイサブコナゾール換算で200mg含有する点滴静脈投与用輸液セットに用いられる、ろ過機能に優れたエアベント付き輸液フィルタ等を提供することである。 The object of the present invention is to provide an infusion filter with an air vent and excellent filtering function for use in an infusion set for intravenous drip administration containing isavuconazole or a prodrug thereof as an active ingredient, in an amount of 200 mg per dose calculated as isavuconazole.
本発明の一態様は、イサブコナゾール又はそのプロドラッグを有効成分として1回投与量あたりイサブコナゾール換算で200mg含有する点滴静脈投与用輸液セットであって、少なくとも、イサブコナゾール又はそのプロドラッグを含有する輸液剤、びん針、点滴筒、クランプ、エアベント付き輸液フィルタ、及び、輸液チューブを備え、前記輸液チューブは、前記びん針、前記点滴筒、及び、前記エアベント付き輸液フィルタを連結しているチューブであり、前記エアベント付き輸液フィルタ内に備わる親水性フィルタ膜の材質はポリスルホン又はポジダインである、点滴静脈投与用輸液セットである。 One aspect of the present invention is an infusion set for intravenous drip administration containing isavuconazole or a prodrug thereof as an active ingredient at a dose of 200 mg in terms of isavuconazole, the infusion set comprising at least an infusion agent containing isavuconazole or a prodrug thereof, a bottle needle, a drip tube, a clamp, an infusion filter with an air vent, and an infusion tube, the infusion tube being a tube connecting the bottle needle, the drip tube, and the infusion filter with an air vent, and the material of the hydrophilic filter membrane provided in the infusion filter with an air vent is polysulfone or posidyne.
本発明の別の態様は、イサブコナゾール又はそのプロドラッグを有効成分として1回投与量あたりイサブコナゾール換算で200mg含有する点滴静脈投与用輸液セットに用いられるエアベント付き輸液フィルタであって、輸液フィルタに備わる親水性フィルタ膜の材質はポリスルホン又はポジダインである、エアベント付き輸液フィルタである。 Another aspect of the present invention is an infusion filter with an air vent for use in an infusion set for intravenous drip administration containing isavuconazole or a prodrug thereof as an active ingredient in an amount of 200 mg per dose calculated as isavuconazole, the infusion filter having a hydrophilic filter membrane made of polysulfone or posidyne.
また、本発明のさらに別の態様は、前記輸液セットを用いることを特徴とするイサブコナゾール又はそのプロドラッグの患者への点滴静脈投与方法、前記輸液セットからなる真菌症治療用製剤、前記輸液セットが備える輸液剤に含まれる又はその可能性がある微粒子及び/又はイサブコナゾール又はそのプロドラッグの類縁体を前記輸液セットが備える前記エアベント付き輸液フィルタによりろ過する方法である。 Still another aspect of the present invention is a method for intravenously administering isavuconazole or a prodrug thereof to a patient, characterized by using the infusion set, a preparation for treating mycosis comprising the infusion set, and a method for filtering fine particles and/or analogues of isavuconazole or a prodrug thereof that are or may be contained in the infusion solution provided in the infusion set, using the infusion filter with air vent provided in the infusion set.
すなわち、本発明は、以下の発明等に関する。 That is, the present invention relates to the following inventions, etc.
[1]イサブコナゾール又はそのプロドラッグを有効成分として1回投与量あたりイサブコナゾール換算で200mg含有する点滴静脈投与用輸液セットであって、少なくとも、イサブコナゾール又はそのプロドラッグを含有する輸液剤、びん針、点滴筒、クランプ、エアベント付き輸液フィルタ、及び、輸液チューブを備え、前記輸液チューブは、前記びん針、前記点滴筒、及び、前記エアベント付き輸液フィルタを連結しているチューブであり、前記エアベント付き輸液フィルタ内に備わる親水性フィルタ膜がポリスルホン膜又はポジダイン膜である、点滴静脈投与用輸液セット。 [1] An infusion set for intravenous drip administration containing isavuconazole or a prodrug thereof as an active ingredient at a dose of 200 mg calculated as isavuconazole per dose, comprising at least an infusion agent containing isavuconazole or a prodrug thereof, a bottle needle, a drip tube, a clamp, an infusion filter with an air vent, and an infusion tube, the infusion tube being a tube connecting the bottle needle, the drip tube, and the infusion filter with an air vent, and the hydrophilic filter membrane provided in the infusion filter with an air vent is a polysulfone membrane or a posidyne membrane.
[2]イサブコナゾール又はそのプロドラッグを有効成分として1回投与量あたりイサブコナゾール換算で200mg含有する点滴静脈投与用輸液セットに用いられるエアベント付き輸液フィルタであって、前記輸液フィルタに備わる親水性フィルタ膜がポリスルホン膜又はポジダイン膜である、エアベント付き輸液フィルタ。 [2] An infusion filter with an air vent for use in an infusion set for intravenous drip administration containing isavuconazole or a prodrug thereof as an active ingredient, in an amount equivalent to 200 mg of isavuconazole per dose, wherein the hydrophilic filter membrane of the infusion filter is a polysulfone membrane or a posidyne membrane.
[3]前記親水性フィルタ膜の材質がポリスルホンであり、前記輸液剤に含まれる可能性があるイサブコナゾール又はそのプロドラッグの類縁体を低減することができる、前記[1]記載の点滴静脈投与用輸液セット。 [3] The infusion set for intravenous drip administration described in [1] above, in which the material of the hydrophilic filter membrane is polysulfone, and the amount of isavuconazole or its prodrug analogues that may be contained in the infusion solution can be reduced.
[4]イサブコナゾール又はそのプロドラッグを含有する前記輸液剤がブドウ糖注射液を含む、前記[1]記載の点滴静脈投与用輸液セット。 [4] The infusion set for intravenous administration described in [1] above, wherein the infusion solution containing isavuconazole or a prodrug thereof includes a glucose injection solution.
[5]前記[1]、[3]、又は[4]のいずれか記載の点滴静脈投与用輸液セットを用いることを特徴とする、イサブコナゾール又はそのプロドラッグの患者への点滴静脈投与方法。 [5] A method for intravenously administering isavuconazole or a prodrug thereof to a patient, comprising using an infusion set for intravenous administration according to any one of [1], [3], or [4] above.
[6]前記[1]、[3]、又は[4]のいずれか記載の点滴静脈投与用輸液セットからなる真菌症治療用製剤。 [6] A preparation for treating mycosis comprising an infusion set for intravenous administration according to any one of [1], [3], or [4] above.
本発明によれば、ろ過機能に優れたエアベント付き輸液フィルタ及び同フィルタを備えた点滴静脈投与用輸液セット等が提供される。 The present invention provides an infusion filter with an air vent that has excellent filtering capabilities, and an infusion set for intravenous drip administration that is equipped with the same filter.
以下、本発明を具体的な実施の形態に即して詳細に説明する。但し、本発明は以下の実施の形態に束縛されるものではなく、本発明の趣旨を逸脱しない範囲において、任意の形態で実施することが可能である。 The present invention will be described in detail below with reference to specific embodiments. However, the present invention is not limited to the following embodiments, and can be implemented in any form without departing from the spirit of the present invention.
1.有効成分
本発明において、イサブコナゾールとは、下記式(I)で示される化合物を意味する。
1. Active Ingredient In the present invention, isavuconazole means a compound represented by the following formula (I):
イサブコナゾールは、Isavuconazoleやアイサブコナゾールと称されることもある。イサブコナゾールのCAS番号は241479-67-4である。米国において、イサブコナゾールのプロドラッグであるイサブコナゾニウム硫酸塩を含有する製剤が臨床応用されている(非特許文献3~5)。イサブコナゾニウム硫酸塩は、下記式(II)で示される化合物である。イサブコナゾニウム硫酸塩は、生体内で加水分解され、イサブコナゾールとなり得る。イサブコナゾニウム硫酸塩のCAS番号は946075-13-4である。 Isavuconazole is also called Isavuconazole or Aisavuconazole. The CAS number of isavuconazole is 241479-67-4. In the United States, preparations containing isavuconazonium sulfate, a prodrug of isavuconazole, are used clinically (Non-Patent Documents 3-5). Isavuconazonium sulfate is a compound represented by the following formula (II). Isavuconazonium sulfate can be hydrolyzed in vivo to become isavuconazole. The CAS number of isavuconazonium sulfate is 946075-13-4.
イサブコナゾール又はそのプロドラッグは自体公知の方法で製造又は調製できる(特許文献1、非特許文献3~5等)。イサブコナゾールのプロドラッグとして、イサブコナゾニウム硫酸塩を好ましく挙げることができる。 Isavuconazole or a prodrug thereof can be manufactured or prepared by a method known per se (Patent Document 1, Non-Patent Documents 3 to 5, etc.). A preferred example of a prodrug of isavuconazole is isavuconazonium sulfate.
2.エアベント付き輸液フィルタ
ここで、輸液フィルタとは、輸液に混入した異物(ガラス片、ゴム片、繊維片)などの微粒子や輸液に混入した微生物(細菌、真菌(カビ)等)を除去又は低減することを主な目的とする濾過器を意味する。
2. Infusion filter with air vent Here, the infusion filter refers to a filter whose main purpose is to remove or reduce fine particles such as foreign matter (glass pieces, rubber pieces, fiber pieces) that have become mixed in the infusion, and microorganisms (bacteria, fungi (mold), etc.) that have become mixed in the infusion.
輸液フィルタは、少なくとも、ハウジング、液流入口、液流出口、親水性フィルタ膜を備える。エアベント付きとは、輸液に混入したエア(気体成分)を排出又は低減する部品であって、一般的には、疎水性フィルタ膜とエアを排出するためのハウジング上の空隙から構成される。疎水性フィルタ膜と接触したエアは同空隙を通って外部へ排出され得る。 An infusion filter has at least a housing, a liquid inlet, a liquid outlet, and a hydrophilic filter membrane. An air vent is a component that discharges or reduces air (gaseous components) mixed in the infusion, and generally consists of a hydrophobic filter membrane and a gap on the housing for discharging air. Air that comes into contact with the hydrophobic filter membrane can be discharged to the outside through the gap.
本発明において、輸液フィルタ内に備わる親水性フィルタ膜がポリスルホン膜又はポジダイン膜である点に1つの特徴がある。 One feature of the present invention is that the hydrophilic filter membrane in the infusion filter is a polysulfone membrane or a posidyne membrane.
ポジダインフィルタ膜は、ナイロン6,6を電荷的に修飾したフィルタ膜であって、一般的に溶液中において正に荷電したゼータ電位を示す。ポジダインはポール社の登録商標である。 Posidyne filter membranes are electrically modified nylon 6,6 filters that generally exhibit a positively charged zeta potential in solution. Posidyne is a registered trademark of Pall Corporation.
ポリスルホン膜に用いられるポリスルホン素材はスルホニル基を含む繰返し構造をもった合成高分子化合物であって疎水性素材である。ポリスルホン素材の親水性を高める目的で親水化剤(例:ポリビニルピロリドン)によって処理されることで親水性のポリスルホン膜を製造し得る。 The polysulfone material used in polysulfone membranes is a synthetic polymer compound with a repeating structure containing sulfonyl groups, and is a hydrophobic material. In order to increase the hydrophilicity of the polysulfone material, it can be treated with a hydrophilizing agent (e.g., polyvinylpyrrolidone) to produce a hydrophilic polysulfone membrane.
ポジダインフィルタ膜やポリスルホン膜の孔径は特に限定されないが、0.2~1.2μmであることが好ましい。真菌やグラム陰性菌による汚染の危険性を実質的に完全に除去する目的においては、孔径は0.2μmであることが望ましい。なお、ここで、孔径の大きさは物理的に計測される数値ではなく、その指標菌を除去できるか否かで判断され得る数値として理解される。例えば、0.2μmのフィルタ膜とは、指標菌であるBrevundimonas diminutaを除去できることを評価することによって決められる。このような評価は当業者であれば容易に実施可能である。 The pore size of the posidyne filter membrane or polysulfone membrane is not particularly limited, but is preferably 0.2 to 1.2 μm. For the purpose of substantially completely eliminating the risk of contamination by fungi or gram-negative bacteria, the pore size is preferably 0.2 μm. Note that the size of the pore size is not a physically measured value, but is understood as a value that can be determined based on whether or not the indicator bacteria can be removed. For example, a 0.2 μm filter membrane is determined by evaluating whether it can remove the indicator bacteria Brevundimonas diminuta. Such an evaluation can be easily performed by a person skilled in the art.
その他、ポジダインフィルタ膜やポリスルホン膜は、できるだけ均一の孔径を有することや一体化して膜の離脱が乏しい性質を有することが望ましい。 In addition, it is desirable for the pozidyne filter membrane and polysulfone membrane to have as uniform a pore size as possible and to be integrated to reduce the tendency for the membrane to come off.
3.輸液剤、びん針、点滴筒、クランプ、輸液チューブ
ここで、輸液剤とは、輸注される輸液を収容する容器に充填される輸液であり、特に限定されないが、プラスチック製ボトルやプラスチック製バックなどに充填される輸液であることができる。
3. Infusion agent, bottle needle, drip tube, clamp, infusion tube Here, the infusion agent refers to an infusion agent filled in a container that contains the infusion agent to be infused, and can be, but is not limited to, an infusion agent filled in a plastic bottle, a plastic bag, or the like.
ここで、びん針とは、輸液チューブに輸液を通す目的に使用され得る輸液剤と輸液チューブの結合部品であり、一般的には、針状の形状を有し、輸液剤の所定位置(ゴム栓等)に針通されることで輸液チューブに輸液を通し得る。びん針は導入針と呼ばれることもある。びん針の種類は、特に限定されず、横穴針、ツボミ針、シボリ針などであってよく、金属針だけでなく、プラスチック針であってもよい。コアリングの観点において、びん針はプラスチック針であることが好ましい。 Here, a bottle needle is a connecting part between an infusion agent and an infusion tube that can be used for the purpose of passing an infusion through an infusion tube, and generally has a needle-like shape, and can pass an infusion through the infusion tube by passing the needle through a predetermined position of the infusion agent (rubber stopper, etc.). A bottle needle is sometimes called an introduction needle. The type of bottle needle is not particularly limited, and may be a side hole needle, a bud needle, a shibori needle, etc., and may be not only a metal needle but also a plastic needle. From the viewpoint of coring, it is preferable that the bottle needle is a plastic needle.
ここで、点滴筒(ドリップチャンバーとも呼ばれることもある)とは、輸液ラインにおける液ためと理解され得る。点滴筒の主な役割は、輸液が流れていることを確認し易くする、点滴速度を推し量る、エア抜きをするなどである。 Here, the drip tube (sometimes called a drip chamber) can be understood as a reservoir for the infusion line. The main role of the drip tube is to make it easier to confirm that the infusion is flowing, to estimate the drip rate, and to remove air.
ここで、クランプとは、一般的に、輸液ラインの途中におかれ、液量を調節するなどの目的で使用される部品である。クランプはクレンメと称されることもある。クランプの種類は特に限定されず、ローラークランプ、Vクランプ、ねじクランプなどであってもよい。 The term "clamp" as used herein generally refers to a part that is placed midway along an infusion line and is used for purposes such as adjusting the amount of fluid. Clamps are also sometimes called "clamps." There are no particular limitations on the type of clamp, and it may be a roller clamp, a V clamp, a screw clamp, etc.
ここで、輸液チューブとは、輸液の導管であって、例えば、ポリ塩化ビニル(PVC)などの素材でできた柔らかい透明様のチューブを意味する。輸液チューブの種類は特に限定されないが、輸液チューブに使用される塩化ビニル(PVC)はやや硬化性を有するため、可塑剤を用いて硬化性を緩和させたものであることが望ましい。 Here, an infusion tube is a conduit for infusion, and refers to a soft, transparent tube made of a material such as polyvinyl chloride (PVC). There are no particular limitations on the type of infusion tube, but since polyvinyl chloride (PVC) used in infusion tubes is somewhat hardening, it is preferable to use one whose hardening property is reduced by using a plasticizer.
3.本発明の輸液剤の調製・入手
本発明の点滴静脈投与用輸液セットに含まれる有効成分の1回投与当たりの用量が、イサブコナゾール換算量で200mgである点に1つの特徴を有する。有効成分としてイサブコナゾニウム硫酸塩を用いる場合、イサブコナゾール換算で200mgは、イサブコナゾニウム硫酸塩の372.6mgに相当する。単にイサブコナゾニウム硫酸塩の372mgに相当すると記載することもある。例えば、本発明の点滴静脈投与用輸液セットが備える輸液剤に含まれるイサブコナゾール又はそのプロドラッグの含有量がイサブコナゾール換算量で200mgであり得る。例えば、イサブコナゾニウム硫酸塩がイサブコナゾール換算で200mg(イサブコナゾニウム硫酸塩として372.6mg)含有される輸液剤や同輸液剤を備える点滴静脈投与用輸液セットが例示される。
3. Preparation and acquisition of the infusion solution of the present invention One feature is that the dose of the active ingredient contained in the infusion set for intravenous drip administration of the present invention per administration is 200 mg in isavuconazole equivalent. When isavuconazonium sulfate is used as the active ingredient, 200 mg in isavuconazole equivalent is equivalent to 372.6 mg of isavuconazonium sulfate. It may also be described simply as equivalent to 372 mg of isavuconazonium sulfate. For example, the content of isavuconazole or a prodrug thereof contained in the infusion solution provided in the infusion set for intravenous drip administration of the present invention may be 200 mg in isavuconazole equivalent. For example, an infusion solution containing 200 mg of isavuconazonium sulfate in isavuconazole equivalent (372.6 mg as isavuconazonium sulfate) and an infusion set for intravenous drip administration provided with the infusion solution are exemplified.
本発明の輸液剤にイサブコナゾール又はそのプロドラッグを1回投与当たりの用量として200mgせしめる場合、例えば、予めイサブコナゾール又はそのプロドラッグを1回投与当たりの用量として200mg含有せしめた凍結乾燥製剤を調製しておき、本発明の点滴静脈投与用輸液セットの使用時、同凍結乾燥製剤を生理食塩水や注射用水などで用時溶解させ、その再溶解液を市販の輸液剤などに含ませることもできる。より具体的には、例えば、海外で臨床応用されているイサブコナゾニウム硫酸塩凍結乾燥製剤(CRESEMBA(登録商標);非特許文献6)を注射用水などで用時溶解させ、その再溶解液を市販の輸液剤などに含ませることもできる。 When the infusion solution of the present invention is to contain 200 mg of isavuconazole or a prodrug thereof per administration, for example, a freeze-dried preparation containing 200 mg of isavuconazole or a prodrug thereof per administration may be prepared in advance, and when using the infusion set for intravenous drip administration of the present invention, the freeze-dried preparation may be dissolved in physiological saline or water for injection when needed, and the reconstituted solution may be included in a commercially available infusion solution. More specifically, for example, a freeze-dried preparation of isavuconazonium sulfate (CRESEMBA (registered trademark); Non-Patent Document 6), which is used in clinical applications overseas, may be dissolved in water for injection when needed, and the reconstituted solution may be included in a commercially available infusion solution.
このような市販の輸液剤として、「日本薬局方 生理食塩液(テルモ株式会社)」(非特許文献13、Terumo TP―A03NS)又は「日本薬局方 ブドウ糖注射液(5w/v%)(テルモ株式会社)」(非特許文献14、Terumo TP―A03G05V)を好ましく挙げることができる。 Preferable examples of such commercially available infusion solutions include "Japanese Pharmacopoeia Physiological Saline (Terumo Corporation)" (Non-Patent Document 13, Terumo TP-A03NS) or "Japanese Pharmacopoeia Glucose Injection (5 w/v%) (Terumo Corporation)" (Non-Patent Document 14, Terumo TP-A03G05V).
イサブコナゾール又はそのプロドラッグを1回投与当たりの用量として200mg含有する製剤(例:凍結乾燥製剤、プレフィルドシリンジ溶液剤)を調製する際、適宜、賦形剤、安定化剤、pH調節剤、防腐剤、溶解性増強剤、抗酸化剤、緩衝剤、保存剤、凍結防止剤などを添加することで調製することができる。例えば、イサブコナゾニウム硫酸塩(372.6mg)、マンニトールなどの糖アルコール(10~200mg)、及びpH調節剤(硫酸など)を含む溶液を調製し、同溶液をバイアルに充填し、慣用の方法により凍結乾燥することなどにより、イサブコナゾール又はそのプロドラッグを1回投与当たりの用量として200mg含有する凍結乾燥製剤を製造することができる。 When preparing a formulation (e.g., lyophilized formulation, prefilled syringe solution) containing 200 mg of isavuconazole or a prodrug thereof per administration, it can be prepared by adding excipients, stabilizers, pH regulators, preservatives, solubility enhancers, antioxidants, buffers, preservatives, antifreeze agents, etc. as appropriate. For example, a lyophilized formulation containing 200 mg of isavuconazole or a prodrug thereof per administration can be produced by preparing a solution containing isavuconazonium sulfate (372.6 mg), a sugar alcohol such as mannitol (10 to 200 mg), and a pH regulator (sulfuric acid, etc.), filling the solution into a vial, and lyophilizing it by a conventional method.
本発明の輸液剤には、塩化ナトリウム、ブドウ糖を適宜に含有せしめることができる。本発明の輸液剤の浸透圧は、特に限定されないが、血液や生理食塩液を基準としてその浸透圧に対する比率(浸透圧比)が、1~3程度であることが好ましい。本発明の輸液剤のpHも特に限定されないが、血管や血球への刺激等を考慮し、概ね、6~8程度であることが望ましい。 The infusion solution of the present invention may contain sodium chloride and glucose as appropriate. The osmotic pressure of the infusion solution of the present invention is not particularly limited, but the ratio to the osmotic pressure of blood or physiological saline (osmotic pressure ratio) is preferably about 1 to 3. The pH of the infusion solution of the present invention is also not particularly limited, but taking into consideration irritation to blood vessels and blood cells, it is preferably about 6 to 8.
4.本発明のエアベント付き輸液フィルタの製造・入手
本発明のエアベント付き輸液フィルタは、自体公知の方法により容易に製造又は入手され得る(特許文献3、非特許文献7~11)。親水性フィルタ膜がポジダイン膜である、親水性フィルタ膜を備えるエアベント付き輸液フィルタとして、株式会社ジェイ・エム・エス社が製造販売する製品「JMS 輸液セット(JMS JR-PF06)」(非特許文献8)に備わる「輸液フィルタ(ELD)」を好ましく挙げることができる。親水性フィルタ膜がポリスルホン膜である、親水性フィルタ膜を備えるエアベント付き輸液フィルタとして、テルモ株式会社が製造販売する製品「テルフュージョン輸液セット」(非特許文献7、「TI-J352P」)に備わる「エアーベント付きフィルター」を好ましく挙げることができる。
4. Production and Acquisition of the Air Vent-Equipped Infusion Filter of the Present Invention The air vent-equipped infusion filter of the present invention can be easily produced or obtained by a method known per se (Patent Document 3, Non-Patent Documents 7 to 11). As an air vent-equipped infusion filter having a hydrophilic filter membrane in which the hydrophilic filter membrane is a posidyne membrane, a preferred example is the "infusion filter (ELD)" provided in the product "JMS infusion set (JMS JR-PF06)" (Non-Patent Document 8) manufactured and sold by JMS Co., Ltd. As an air vent-equipped infusion filter having a hydrophilic filter membrane in which the hydrophilic filter membrane is a polysulfone membrane, a preferred example is the "air vent-equipped filter" provided in the product "Terufusion infusion set" (Non-Patent Document 7, "TI-J352P") manufactured and sold by Terumo Corporation.
5.本発明の点滴静脈投与用輸液セットの製造・入手・使用等
本発明の点滴静脈投与用輸液セットは自体公知の方法により容易に製造又は入手され得る(特許文献3、非特許文献7~11)。本発明の点滴静脈投与用輸液セットは、少なくとも、イサブコナゾール又はそのプロドラッグを含有する輸液剤、びん針、点滴筒、クランプ、エアベント付き輸液フィルタ、及び、輸液チューブを備えるが、前述の通り、輸液剤や輸液フィルタは当業者であれば容易に製造又は入手され得、その他の部品については、少なくとも、びん針、点滴筒、クランプ、輸液チューブを備える市販の輸液セットを購入して利用され得る。
5. Production, Procurement, Use, etc. of the Infusion Set for Intravenous Drip Infusion of the Present Invention The infusion set for intravenous drip infusion of the present invention can be easily produced or obtained by a method known per se (Patent Document 3, Non-Patent Documents 7 to 11). The infusion set for intravenous drip infusion of the present invention comprises at least an infusion agent containing isavuconazole or a prodrug thereof, a bottle needle, a drip cylinder, a clamp, an infusion filter with an air vent, and an infusion tube, but as described above, the infusion agent and the infusion filter can be easily produced or obtained by a person skilled in the art, and the other parts can be purchased and used from a commercially available infusion set comprising at least a bottle needle, a drip cylinder, a clamp, and an infusion tube.
このような市販の輸液セットとして、テルモ株式会社が製造販売する製品「テルフュージョン輸液セット」(非特許文献7、「TI-J352P」)や株式会社ジェイ・エム・エス社が製造販売する製品「JMS輸液セット」(非特許文献9、「JMS JY-PB343L」)を挙げることができる。「JMS輸液セット」(非特許文献9、「JMS JY-PB343L」)を利用する際、輸液フィルタを本発明の輸液フィルタと置換して使用することが必要であり、交換フィルターの例として、「JMS 輸液セット(非特許文献8、「JMS JR-PF06」)」に備わる「輸液フィルタ(ELD)」を好ましく例示することができる。 Examples of such commercially available infusion sets include the "Terufusion Infusion Set" (Non-Patent Document 7, "TI-J352P") manufactured and sold by Terumo Corporation and the "JMS Infusion Set" (Non-Patent Document 9, "JMS JY-PB343L") manufactured and sold by JMS Co., Ltd. When using the "JMS Infusion Set" (Non-Patent Document 9, "JMS JY-PB343L"), it is necessary to replace the infusion filter with the infusion filter of the present invention, and a preferred example of a replacement filter is the "infusion filter (ELD)" provided in the "JMS Infusion Set (Non-Patent Document 8, "JMS JR-PF06")."
前述の通りに、本発明の輸液剤を入手又は製造し、さらに、「テルフュージョン輸液セット」に備わるびん針を同輸液剤に穿刺することによって、本発明の点滴静脈投与用輸液セットの実施品を製造することができる。 As described above, an embodiment of the infusion set for intravenous drip administration of the present invention can be manufactured by obtaining or producing the infusion agent of the present invention, and then inserting the needle of the "Terfusion infusion set" into the infusion agent.
前述の通りに、本発明の輸液剤を入手又は製造し、さらに「JMS輸液セット」に備わるびん針を同輸液剤に穿刺することによって、本発明の点滴静脈投与用輸液セットの実施品を製造することができる。 As described above, an embodiment of the infusion set for intravenous drip administration of the present invention can be manufactured by obtaining or producing the infusion agent of the present invention and then inserting the needle of the "JMS infusion set" into the infusion agent.
本発明の点滴静脈投与用輸液セットの好ましい実施品として、1)又は2)を本発明の輸液剤に穿刺して連結させて得られる輸液セットを挙げることができる。
1)「テルフュージョン輸液セット」(非特許文献7、「TI-J352P」)
2)「JMS輸液セット(非特許文献9、「JMS JY-PB343L」)
(ただし、輸液セットに備わる輸液フィルタは、「JMS 輸液セット(非特許文献8、「JMS JR-PF06」)」等と置換される)
A preferred embodiment of the infusion set for intravenous drip administration of the present invention is an infusion set obtained by inserting 1) or 2) into the infusion agent of the present invention and connecting it thereto.
1) "Terufusion Infusion Set" (Non-Patent Document 7, "TI-J352P")
2) "JMS infusion set (Non-patent document 9, "JMS JY-PB343L")
(However, the infusion filter provided in the infusion set will be replaced with the "JMS infusion set (Non-Patent Document 8, "JMS JR-PF06")" etc.)
後述の静脈針を入手又は製造し、適宜に本発明の点滴静脈投与用輸液セットに備わるびん針と逆の端に備わる連結コネクタに対して静脈針をはめ込むことで、本発明の点滴静脈投与用輸液セットを用いたプライミングや点滴静注を実施することができる。点滴静注のための輸液供給には大きく2種類存在し、一方は重力(自然落下)による輸液供給であり、他方は輸液ポンプ又は装置を用いた輸液供給である。当業者は輸液供給方式を容易に選択し得る。 By obtaining or manufacturing the venous needle described below and fitting the venous needle into the connecting connector at the opposite end of the infusion set for intravenous drip administration of the present invention, priming and intravenous drip administration can be performed using the infusion set for intravenous drip administration of the present invention. There are two main types of infusion supply for intravenous drip administration: one is infusion supply by gravity (natural fall), and the other is infusion supply using an infusion pump or device. Those skilled in the art can easily select the infusion supply method.
静脈針とは、腕などの静脈に挿入する針であり、特に限定されないが、輸液針、翼状針、末梢静脈留置針であることができる。一般的には、静脈針として、数時間程度の点滴静注であれば輸液針や翼状針を用い、それ以上の期間にわたる場合には末梢静脈留置針を用いることが好ましい。末梢静脈留置針は、腕などの静脈に挿入するプラスチック製のカテーテルであり、一般的には、患者に末梢静脈留置針を穿刺した後に、末梢静脈留置針に内包される金属針を抜き、カテーテルを留置させる。 A venous needle is a needle that is inserted into a vein in the arm, etc., and can be, but is not limited to, an infusion needle, a butterfly needle, or a peripheral venous indwelling needle. In general, an infusion needle or butterfly needle is used as a venous needle for intravenous infusion for a few hours, and a peripheral venous indwelling needle is preferably used for a longer period. A peripheral venous indwelling needle is a plastic catheter that is inserted into a vein in the arm, etc., and generally, after the peripheral venous indwelling needle is inserted into the patient, the metal needle contained within the peripheral venous indwelling needle is removed and the catheter is left in place.
6.本発明の点滴静脈投与用輸液セットの性能評価
前述の通り、輸液フィルタとは、輸液に混入した異物などの輸液に含まれる微粒子、又は、輸液に混入した微生物を除去又は低減することを主な目的とする濾過器を意味する。これら輸液フィルタの性能評価は、当業者であれば、容易に実施可能である。
6. Performance Evaluation of the Infusion Set for Intravenous Drip Administration of the Present Invention As described above, an infusion filter refers to a filter whose main purpose is to remove or reduce fine particles contained in the infusion, such as foreign matter, or microorganisms contained in the infusion. Those skilled in the art can easily evaluate the performance of these infusion filters.
1)本発明の輸液剤の分析結果と2)本発明の点滴静脈投与用輸液セットを介してろ過処理された本発明の輸液剤の分析結果を対比させることによって、本発明の点滴静脈投与用輸液セットを評価することができる。 The infusion set for intravenous drip administration of the present invention can be evaluated by comparing 1) the analytical results of the infusion solution of the present invention with 2) the analytical results of the infusion solution of the present invention that has been filtered through the infusion set for intravenous drip administration of the present invention.
評価項目として、肉眼観察、微粒子除去又は低減、イサブコナゾール又はそのプロドラッグの類縁体除去又は低減を好ましく挙げることができる。肉眼観察項目として、澄明性と着色性を例示することができる。微粒子除去又は低減の評価項目として、粒径10μm以上の微粒子除去率、粒径25μm以上の微粒子除去率を挙げることができる。イサブコナゾール又はそのプロドラッグの類縁体等の除去又は低減の項目として、イサブコナゾールを挙げることができる。これら評価は自体公知の方法によって当業者であれば容易に実施可能である。 Preferred evaluation items include visual observation, removal or reduction of fine particles, and removal or reduction of isavuconazole or its prodrug analogues. Examples of evaluation items include clarity and coloration. Evaluation items for fine particle removal or reduction include the removal rate of fine particles with a particle size of 10 μm or more, and the removal rate of fine particles with a particle size of 25 μm or more. An example of the removal or reduction of isavuconazole or its prodrug analogues, etc., isavuconazole. Those skilled in the art can easily perform these evaluations using methods known per se.
評価の際、本発明のイサブコナゾール又はそのプロドラッグ含有の凍結乾燥製剤(例:CRESEMBA(登録商標);非特許文献6)を生理食塩水や注射用水などで用時溶解させ、その再溶解液を市販の輸液剤に混合して本発明の輸液剤を製造するにあたって、市販の輸液剤は生理食塩液又はブドウ糖注射液とすることが好ましい。 When evaluating, the lyophilized preparation containing isavuconazole or a prodrug thereof of the present invention (e.g., CRESEMBA (registered trademark); Non-Patent Document 6) is dissolved in saline or water for injection at the time of use, and the reconstituted solution is mixed with a commercially available infusion to produce the infusion of the present invention. The commercially available infusion is preferably saline or glucose injection.
7.投与法、治療薬、点滴静注法
本発明の実施態様として、本発明の点滴静脈投与用輸液セットを用いることを特徴とする、イサブコナゾール又はそのプロドラッグの患者への点滴静脈投与方法を挙げることができる。投与経路、投与部位、投与頻度などは、医療従事者であれば適宜に設定できる。1回当たりの投与量はイサブコナゾール換算で200mg(イサブコナゾニウム硫酸塩を使用する際、イサブコナゾニウム硫酸塩372.6mgに相当する)である。
7. Method of administration, therapeutic drug, intravenous drip infusion method An embodiment of the present invention is a method of intravenously administering isavuconazole or a prodrug thereof to a patient, characterized by using an infusion set for intravenous drip infusion of the present invention. The route of administration, site of administration, frequency of administration, etc. can be appropriately determined by medical professionals. The dose per administration is 200 mg in terms of isavuconazole (equivalent to 372.6 mg of isavuconazonium sulfate when isavuconazonium sulfate is used).
本発明の実施態様として、本発明の点滴静脈投与用輸液セットからなる真菌症治療用製剤を挙げることができる。真菌症として、侵襲性アスペルギルス症(IA)をはじめとする深在性真菌症を好ましく例示できる。 An embodiment of the present invention is a preparation for treating mycoses comprising the infusion set for intravenous drip administration of the present invention. Preferred examples of mycoses include deep mycoses such as invasive aspergillosis (IA).
本発明の実施態様として、本発明の点滴静脈投与用輸液セットを用いることを特徴とする真菌症治療方法を挙げることができる。投与経路、投与部位、投与頻度などは、医療従事者であれば適宜に設定できる。1回当たりの投与量はイサブコナゾール換算で200mgである。 An embodiment of the present invention is a method for treating mycosis, characterized by using an infusion set for intravenous drip administration of the present invention. The route of administration, site of administration, frequency of administration, etc. can be appropriately determined by medical professionals. The dosage per administration is 200 mg in isavuconazole equivalent.
以下、実施例を挙げて本発明を更に詳細に説明する。但し、本発明は以下の実施例に束縛されるものではなく、本発明の趣旨を逸脱しない範囲において、任意の形態で実施することが可能である。 The present invention will be described in more detail below with reference to examples. However, the present invention is not limited to the following examples, and can be implemented in any form without departing from the spirit of the present invention.
[実施例1]点滴静脈投与用輸液セットの製造
(1)本発明の輸液剤の製造
4種類の輸液剤を製造した。
Example 1: Production of an infusion set for intravenous drip administration (1) Production of the infusion agent of the present invention Four types of infusion agents were produced.
(A)生理食塩液にイサブコナゾニウム硫酸塩凍結乾燥製剤再溶解液を添加してなる本発明の輸液剤を穿刺により連結させた、エアベント付き輸液フィルタ内に備わる親水性フィルタ膜がポリスルホン膜であるエアベント付き輸液フィルタを備える点滴静脈投与用輸液セット(以降、生理食塩液―ポリスルホンタイプ輸液セットと称することもある) (A) An infusion set for intravenous drip administration, comprising an infusion filter with an air vent, the hydrophilic filter membrane of which is a polysulfone membrane, and to which an infusion agent of the present invention, which is made by adding a reconstituted solution of a freeze-dried formulation of isavuconazonium sulfate to physiological saline, is connected by puncture (hereinafter, also referred to as a physiological saline-polysulfone type infusion set)
(B)生理食塩液にイサブコナゾニウム硫酸塩凍結乾燥製剤再溶解液を添加してなる本発明の輸液剤を穿刺により連結させた、エアベント付き輸液フィルタ内に備わる親水性フィルタ膜がポジダイン膜であるエアベント付き輸液フィルタを備える点滴静脈投与用輸液セット(以降、生理食塩液―ポジダインタイプ輸液セットと称することもある) (B) An infusion set for intravenous drip administration, comprising an infusion filter with an air vent, the hydrophilic filter membrane of which is a Posidyne membrane, and to which the infusion agent of the present invention, which is made by adding a reconstituted solution of a freeze-dried formulation of isavuconazonium sulfate to physiological saline, is connected by puncture (hereinafter, also referred to as a physiological saline-Posidyne type infusion set)
(C)ブドウ糖注射液にイサブコナゾニウム硫酸塩凍結乾燥製剤再溶解液を添加してなる本発明の輸液剤を穿刺により連結させた、エアベント付き輸液フィルタ内に備わる親水性フィルタ膜がポリスルホン膜であるエアベント付き輸液フィルタを備える点滴静脈投与用輸液セット(以降ブドウ糖注射液―ポリスルホンタイプ輸液セットと称することもある) (C) An infusion set for intravenous drip administration, comprising an infusion filter with air vents, the hydrophilic filter membrane of which is a polysulfone membrane, and to which the infusion agent of the present invention, which is made by adding a reconstituted solution of a freeze-dried formulation of isavuconazonium sulfate to a glucose injection solution, is connected by puncture (hereinafter also referred to as a glucose injection-polysulfone type infusion set).
(D)ブドウ糖注射液にイサブコナゾニウム硫酸塩凍結乾燥製剤再溶解液を添加してなる本発明の輸液剤を穿刺により連結させた、エアベント付き輸液フィルタ内に備わる親水性フィルタ膜がポジダイン膜であるエアベント付き輸液フィルタを備える点滴静脈投与用輸液セット(以降、ブドウ糖注射液―ポジダインタイプ輸液セットと称することもある) (D) An infusion set for intravenous drip administration, comprising an infusion filter with air vents, the hydrophilic filter membrane of which is a Posidyne membrane, and to which the infusion agent of the present invention, which is made by adding a reconstituted solution of a freeze-dried formulation of isavuconazonium sulfate to a glucose injection solution, is connected by puncture (hereinafter, also referred to as a glucose injection solution-Posidyne type infusion set)
生理食塩液として、「日本薬局方 生理食塩液(テルモ株式会社)」(非特許文献13、Terumo TP―A03NS)を用いた。生理食塩液の容量は250mLであり、その食塩濃度は0.9%であった。生理食塩液は静脈内注射又は点滴静注用であった。 As the physiological saline solution, "Japanese Pharmacopoeia Physiological Saline Solution (Terumo Corporation)" (Non-Patent Document 13, Terumo TP-A03NS) was used. The volume of the physiological saline solution was 250 mL, and its salt concentration was 0.9%. The physiological saline solution was for intravenous injection or drip infusion.
ブドウ糖注射液として、「日本薬局方 ブドウ糖注射液(5w/v%)(テルモ株式会社)」(非特許文献14、Terumo TP―A03G05V)を用いた。ブドウ糖注射液の容量は250mLであり、ブドウ糖濃度は5%であった。ブドウ糖注射液は静脈内注射又は点滴静注用であった。 As the glucose injection, "Japanese Pharmacopoeia Glucose Injection (5 w/v%) (Terumo Corporation)" (Non-Patent Document 14, Terumo TP-A03G05V) was used. The volume of the glucose injection was 250 mL, and the glucose concentration was 5%. The glucose injection was for intravenous injection or intravenous drip infusion.
生理食塩液又はブドウ糖注射液に添加されたイサブコナゾニウム硫酸塩凍結乾燥製剤再溶解液に用いられたイサブコナゾニウム硫酸塩凍結乾燥製剤は、海外で臨床使用されている「CRESEMBA(登録商標)」(非特許文献6)であった。再溶解液は、凍結乾燥製剤「CRESEMBA(登録商標)」(非特許文献6)に注射用水5.0mLを添加し、凍結乾燥製剤容器であるバイアルを振盪させることで、調製された。 The isavuconazonium sulfate lyophilized preparation used in the reconstitution solution of the isavuconazonium sulfate lyophilized preparation added to physiological saline or glucose injection was "CRESEMBA (registered trademark)" (Non-Patent Document 6), which is used clinically overseas. The reconstitution solution was prepared by adding 5.0 mL of water for injection to the lyophilized preparation "CRESEMBA (registered trademark)" (Non-Patent Document 6) and shaking the vial, which is the container for the lyophilized preparation.
生理食塩液又はブドウ糖注射液から5mLを取り除き、245mL容量の生理食塩液又はブドウ糖注射液とし、そこに5mLのイサブコナゾニウム硫酸塩凍結乾燥製剤再溶解液を加え、40秒の間に20回振盪させることで、2種類の本発明の輸液剤(以降、生理食塩液ベース輸液剤、ブドウ糖注射液ベース輸液剤と称することもある)を製造した。 5 mL was removed from the saline or glucose injection to obtain 245 mL of saline or glucose injection, to which 5 mL of the reconstituted solution of the isavuconazonium sulfate lyophilized preparation was added, and the mixture was shaken 20 times within a period of 40 seconds to produce two types of infusions of the present invention (hereinafter sometimes referred to as saline-based infusions and glucose injection-based infusions).
本発明の輸液剤を「テルフュージョン輸液セット」(非特許文献7、「TI-J352P」)に穿刺により連結させることにより、(A)生理食塩液―ポリスルホンタイプ輸液セットおよび(C)ブドウ糖注射液―ポリスルホンタイプ輸液セットを製造した。 By connecting the infusion agent of the present invention to a "Terfusion infusion set" (Non-Patent Document 7, "TI-J352P") by puncture, (A) a saline-polysulfone type infusion set and (C) a glucose injection-polysulfone type infusion set were produced.
本発明の輸液剤を「JMS輸液セット(非特許文献9、「JMS JY-PB343L」)に穿刺により連結させることにより、(B)生理食塩液―ポジダインタイプ輸液セットおよび(D)ブドウ糖注射液―ポジダインタイプ輸液セットを製造した。ただし、輸液セットに備わる輸液フィルタは、「JMS 輸液フィルターセット(非特許文献8、「JMS JR-PF06」)」と置換された。 (B) Saline-Posidyne type infusion set and (D) Glucose injection-Posidyne type infusion set were manufactured by connecting the infusion agent of the present invention to a "JMS infusion set (Non-Patent Document 9, "JMS JY-PB343L") by puncture. However, the infusion filter provided in the infusion set was replaced with a "JMS infusion filter set (Non-Patent Document 8, "JMS JR-PF06")."
[実施例2]点滴静脈投与用輸液セットの評価試験
(1)試験方法
前述のように、本発明の輸液剤(以降、ろ過前輸液剤と称することもある)の分析結果と本発明の輸液剤を本点滴静脈投与用輸液セットに通してろ過処理された本発明の輸液剤(以降、ろ過後輸液剤と称することもある)の分析結果を対比させることによって、本発明の点滴静脈投与用輸液セットを評価した。
[Example 2] Evaluation test of the infusion set for intravenous drip administration (1) Test method As described above, the infusion set for intravenous drip administration of the present invention was evaluated by comparing the analytical results of the infusion agent of the present invention (hereinafter, also referred to as the pre-filtered infusion agent) with the analytical results of the infusion agent of the present invention (hereinafter, also referred to as the filtered infusion agent) which was filtered by passing the infusion agent of the present invention through the infusion set for intravenous drip administration.
生理食塩液ベース輸液剤又はブドウ糖注射液ベース輸液剤を本発明の点滴静脈投与用輸液セットに通じさせてろ過処理されて得られた最初の20mLのろ過液を廃棄し、その後に続くろ過液からろ過後輸液剤サンプルを採取した。再度、ろ過前輸液剤を40秒間にわたり20回振盪させ、そのろ過前輸液剤からろ過前輸液剤サンプルを採取した。 The first 20 mL of filtrate obtained by passing a saline-based infusion or a glucose injection-based infusion through the infusion set for intravenous drip administration of the present invention and filtering it was discarded, and a post-filtration infusion sample was taken from the subsequent filtrate. The pre-filtration infusion was again shaken 20 times for 40 seconds, and a pre-filtration infusion sample was taken from the pre-filtration infusion.
主要な試験評価項目として、肉眼観察、微粒子除去率、イサブコナゾール又はそのプロドラッグの類縁体除去率とした。肉眼観察は、澄明性、着色性、視認微粒子の3項目とした。微粒子除去率は、粒径10μm以上の微粒子除去率(%)、粒径25μm以上の微粒子除去率(%)の2項目とした。イサブコナゾール又はそのプロドラッグの類縁体除去率として、イサブコナゾール除去率(%)とした。類縁体除去評価は3回繰り返しその加算平均を採用する評価とした(n=3)。 The main test evaluation items were visual observation, particle removal rate, and removal rate of isavuconazole or its prodrug analogues. Visual observation was performed in three items: clarity, coloration, and visible particle. Particle removal rate was performed in two items: removal rate (%) of particles with a particle diameter of 10 μm or more, and removal rate (%) of particles with a particle diameter of 25 μm or more. The removal rate of isavuconazole or its prodrug analogues was taken as the isavuconazole removal rate (%). The analogue removal evaluation was performed by repeating three times and using the arithmetic average (n=3).
(2)試験結果
生理食塩液―ポリスルホンタイプ輸液セットの評価結果を表1に示す。
(2) Test Results The evaluation results of the saline-polysulfone type infusion set are shown in Table 1.
生理食塩液―ポリスルホンタイプ輸液セットは、微粒子のみならず意外にもイサブコナゾールを顕著に低減させ得る輸液セットであることが分かった。 The physiological saline-polysulfone type infusion set was found to be an infusion set that could not only significantly reduce particulates but also isavuconazole.
生理食塩液―ポジダインタイプ輸液セットの評価結果を表2に示す。 The evaluation results of the physiological saline-Posidyne type infusion set are shown in Table 2.
生理食塩液―ポジダインタイプ輸液セットは、顕著に粒径10μm以上の微粒子を低減し得ることが分かった。 Saline - It was found that the Posidyne type infusion set can significantly reduce fine particles with a diameter of 10 μm or more.
ブドウ糖注射液―ポリスルホンタイプ輸液セットの評価結果を表3に示す。 The evaluation results of the glucose injection - polysulfone type infusion set are shown in Table 3.
ブドウ糖注射液―ポリスルホンタイプ輸液セットは、微粒子のみならず意外にも類縁体イサブコナゾールを顕著に低減させる輸液セットであることが分かった。生理食塩液―ポリスルホンタイプ輸液セットも同様の優れた特性を有することから、輸液タイプに依存せず、エアベント付き輸液フィルタ内に備わる親水性フィルタ膜がポリスルホン膜であるエアベント付き輸液フィルタを備える輸液セットは顕著にイサブコナゾール低減効果を奏し得ると推察された。 The glucose injection-polysulfone type infusion set was found to be an infusion set that not only significantly reduced particulates but also, unexpectedly, the analogue isavuconazole. As saline-polysulfone type infusion sets also have similar excellent properties, it was inferred that infusion sets equipped with air vent infusion filters in which the hydrophilic filter membrane is a polysulfone membrane can achieve a significant isavuconazole reduction effect, regardless of the type of infusion.
ブドウ糖注射液―ポジダインタイプ輸液セットの評価結果を表4示す。 The evaluation results of glucose injection - Posidyne type infusion set are shown in Table 4.
ブドウ糖注射液―ポジダインタイプ輸液セットは、顕著な粒径10μm以上の微粒子除去率を示すことが分かった。 Glucose injection - Posidyne type infusion set was found to have a significant removal rate of particles with a diameter of 10 μm or more.
[比較例]
ポリエーテルスルホン膜(PES)を用いて実施例1と同様の試験を実施した結果を以下の表に示す。表中の数字はイサブコナゾール(%)である。
The results of a test similar to that in Example 1 was carried out using a polyethersulfone membrane (PES), and are shown in the following table, where the numbers indicate isavuconazole (%).
ろ過機能に優れたエアベント付き輸液フィルタ及び同フィルタを備えた点滴静脈投与用輸液セット等が提供される。本発明は医薬品産業において極めて有用である。
INDUSTRIAL APPLICABILITY The present invention provides an infusion filter with an air vent having excellent filtering function, and an infusion set for intravenous drip administration equipped with the filter. The present invention is extremely useful in the pharmaceutical industry.
Claims (4)
少なくとも、イサブコナゾニウム硫酸塩を含有する輸液剤、びん針、点滴筒、クランプ、エアベント付き輸液フィルタ、及び、輸液チューブを備え、
前記輸液チューブは、前記びん針、前記点滴筒、及び、前記エアベント付き輸液フィルタを連結しているチューブであり、
前記エアベント付き輸液フィルタ内に備わる親水性フィルタ膜がポリスルホン膜である、点滴静脈投与用輸液セット。 An infusion set for intravenous drip administration containing isavuconazonium sulfate as an active ingredient at a dose of 200 mg in terms of isavuconazole,
The infusion device includes at least an infusion agent containing isavuconazonium sulfate , a bottle needle, a drip tube, a clamp, an infusion filter with an air vent, and an infusion tube;
the infusion tube is a tube connecting the bottle needle, the drip tube, and the infusion filter with an air vent;
An infusion set for intravenous drip administration, wherein the hydrophilic filter membrane provided in the infusion filter with air vent is a polysulfone membrane .
前記輸液フィルタに備わる親水性フィルタ膜がポリスルホン膜である、エアベント付き輸液フィルタ。 An infusion filter with an air vent for use in an infusion set for intravenous drip administration, containing isavuconazonium sulfate as an active ingredient, in terms of isavuconazole, at a dose of 200 mg,
An infusion filter with an air vent, wherein the hydrophilic filter membrane of the infusion filter is a polysulfone membrane .
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Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5019723A (en) | 1987-12-07 | 1991-05-28 | Controlled Release Technologies, Inc. | Self-regulated therapeutic agent delivery system and method |
| JP2017505815A (en) | 2014-02-03 | 2017-02-23 | ノバルティス アーゲー | Infusion set filter |
| JP2018202126A (en) | 2017-05-31 | 2018-12-27 | アディエンヌ ファーマ アンド バイオテク ソシエテ アノニム | Multi-chamber flexible bag and methods of using the same |
| WO2019126556A2 (en) | 2017-12-20 | 2019-06-27 | Cornell University | Theranostic test for antifungal treatment of inflammatory diseases |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5634905A (en) * | 1996-02-14 | 1997-06-03 | W. L. Gore & Associates, Inc. | Apparatus for the prevention of retrograde movement of fluids during the use of air eliminating filters in intravenous therapy |
| US20040031744A1 (en) * | 1998-12-09 | 2004-02-19 | Jms Co., Ltd. | Infusion filter |
| CN1185230C (en) | 1999-11-02 | 2005-01-19 | 巴斯利尔药物股份公司 | N-substd. carbamoyloxyalkyl-azolium derivs. |
| EP2979697A4 (en) | 2013-03-26 | 2016-11-30 | Kissei Pharmaceutical | PREPARATION FOR ORAL ADMINISTRATION WITH AMERTUME OF MASKED SILODOSIN |
| JP6301104B2 (en) * | 2013-10-28 | 2018-03-28 | テルモ株式会社 | Liquid dosing device |
| US20180243501A1 (en) | 2015-09-08 | 2018-08-30 | Kobayashi & Co., Ltd. | Infusion set |
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Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5019723A (en) | 1987-12-07 | 1991-05-28 | Controlled Release Technologies, Inc. | Self-regulated therapeutic agent delivery system and method |
| JP2017505815A (en) | 2014-02-03 | 2017-02-23 | ノバルティス アーゲー | Infusion set filter |
| JP2018202126A (en) | 2017-05-31 | 2018-12-27 | アディエンヌ ファーマ アンド バイオテク ソシエテ アノニム | Multi-chamber flexible bag and methods of using the same |
| WO2019126556A2 (en) | 2017-12-20 | 2019-06-27 | Cornell University | Theranostic test for antifungal treatment of inflammatory diseases |
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| JP2023049010A (en) | 2023-04-07 |
| WO2023054310A1 (en) | 2023-04-06 |
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