NZ625350B2 - Protective agent for keratoconjunctiva or suppressive agent for keratoconjunctival disorder - Google Patents

Protective agent for keratoconjunctiva or suppressive agent for keratoconjunctival disorder Download PDF

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Publication number
NZ625350B2
NZ625350B2 NZ625350A NZ62535012A NZ625350B2 NZ 625350 B2 NZ625350 B2 NZ 625350B2 NZ 625350 A NZ625350 A NZ 625350A NZ 62535012 A NZ62535012 A NZ 62535012A NZ 625350 B2 NZ625350 B2 NZ 625350B2
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New Zealand
Prior art keywords
acid
agent
keratoconjunctiva
keratoconjunctival
keratoconjunctival disorder
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NZ625350A
Other versions
NZ625350A (en
Inventor
Kyo Aizawa
Kazuhisa Doi
Yoshihisa Iida
Koushi Iwata
Yasuhiro Kotani
Takashi Shimoida
Original Assignee
Otsuka Pharmaceutical Factory Inc
Toyo Sugar Refining Co Ltd
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Application filed by Otsuka Pharmaceutical Factory Inc, Toyo Sugar Refining Co Ltd filed Critical Otsuka Pharmaceutical Factory Inc
Priority claimed from PCT/JP2012/080391 external-priority patent/WO2013077433A1/en
Publication of NZ625350A publication Critical patent/NZ625350A/en
Publication of NZ625350B2 publication Critical patent/NZ625350B2/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K2121/00Preparations for use in therapy
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/70Carbohydrates; Sugars; Derivatives thereof
    • A61K31/7028Compounds having saccharide radicals attached to non-saccharide compounds by glycosidic linkages
    • A61K31/7032Compounds having saccharide radicals attached to non-saccharide compounds by glycosidic linkages attached to a polyol, i.e. compounds having two or more free or esterified hydroxy groups, including the hydroxy group involved in the glycosidic linkage, e.g. monoglucosyldiacylglycerides, lactobionic acid, gangliosides
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0048Eye, e.g. artificial tears
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/08Solutions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P27/00Drugs for disorders of the senses
    • A61P27/02Ophthalmic agents
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P27/00Drugs for disorders of the senses
    • A61P27/02Ophthalmic agents
    • A61P27/04Artificial tears; Irrigation solutions

Abstract

Disclosed is the use of glucosylglycerol for the manufacture of a pharmaceutical for protecting a keratoconjunctiva or suppressing a keratoconjunctival disorder. The protection of the keratoconjunctiva or the suppression of the a keratoconjunctival disorder may include a protection of the keratoconjunctiva against an endogenous disease of Sjogren's syndrome, Stevens-Johnson syndrome, or dry eye syndrome (dry eye) or an exogenous disease due to post-surgery, a drug, an injury, or the wearing of a contact lens or the suppression of the keratoconjunctival disorder due to said diseases. unctiva against an endogenous disease of Sjogren's syndrome, Stevens-Johnson syndrome, or dry eye syndrome (dry eye) or an exogenous disease due to post-surgery, a drug, an injury, or the wearing of a contact lens or the suppression of the keratoconjunctival disorder due to said diseases.

Description

PTION Title of the Invention: TIVE AGENT FOR KERATOCONJUNCTIVA OR SUPPRESSIVE AGENT FOR KERATOCONJUNCTIVAL DISORDER Technical Field The present invention relates to a protective agent for the keratoconjunctiva or a suppressive agent for a keratoconjunctival disorder, and more partiCularly relates to a protective agent for the conjunctiva or a suppressive agent for a keratoconjunctival disorder, which suppresses a keratoconjunctival disorder caused by drying or the like and protects the keratoconjunctiva.
Background Art The lacrimal fluid is spread across the surface of the eye made up of the cornea and the conjunctiva (keratoconjunctiva) so as to keep the eye wet and prevent drying of the surface of the eye. Further, the lacrimal fluid serves as a lubricant for protecting the keratoconjunctiva from stimulation by blinking and contributes to the maintenance of smoothness of the surface of the keratoconjunctiva. In addition, the al fluid has a bacteriostatic effect so as to prevent ion with bacteria, fiangi, Viruses, etc., and also provides the keratoconjunctiva with oxygen and various nutrients and removes carbon dioxide and metabolites. ly, the number of patients with dry eye (keratoconjunctival xerosis) increases, and the cause of this dry eye is considered to be a decrease in the amount of secreted nal fluid. Due to the abnormality of lacrimal fluid in terms of quality and quantity, a er is caused in the keratoconjunctiva to cause discomfort in the eye such as dryness, pain, or red eye, infection in the eye such as conjunctivitis, or the like. If dry eye is exacerbated, the keratoconjunctiva may be damaged to reduce visual acuity in some cases.
As a treatment of dry eye, the instillation of an artificial Iacrimal fluid containing a lastic nce such as hyaluronic acid and a protein such as sericin is mainly performed, and for example, a protective agent for the keratoconjunctiva or an improving agent for a keratoconjunctiva] disorder containing a silk protein, sericin, as an active ingredient is known (see, for example, Patent Document 1).
On the other hand, glucosylglycerol (glyceryl glucoside) is a component contained in a brewed product such as refined sake (Japanese rice wine), and has sweetness, thermal stability, low reactivity in the Maillard reaction, water-retaining preperties, non-cariogenic preperties, indigestible preperties, etc., and also has a ing effect on the proliferation of vascular endothelial cells, a suppressive effect on an increase in blood e level, an antimicrobial effect, etc., and has been used in foods, cosmetics, pharmaceuticals, and so on. For example, a whitening agent containing ucopyranosyl glycerol (a—glucosylglycerol) as an active ingredient (see, for example, Patent nt 2), an agent for accelerating the production of dermal matrix ning a—D-glucopyranosyl glycerol (oz-glucosylglycerol) as an active ingredient (see, for example, Patent nt 3), and so on are known.
As described above, a-glucosylglycerol has various effects, and therefore is applied in various ways, however, the compound is used mainly as an al preparation for the skin, and the effect thereof on the keratoconjunctiva of the eye has not been known so far.
Background Art Document Patent Document
[0007] Patent Document 1: JP-A—2010—83 829 Patent Document 2: IRA—200483 l 581 Patent nt 3: JP—A—2004-33 1 579 Any discussion of the prior art throughout the specification should in no way be considered as an admission that such prior art is widely known or forms part of common general knowledge in the field. 3O Summary ofthe Invention Problems that the Invention is to Solve As described above, an eye drop which exhibits more potent effect for suppressing the symptoms has been demanded for patients who suffer from dry eye.
In such a circumstance, an object of the invention is to provide a protective agent for the keratoconjunctiva or a ssive agent for a keratoconjunctival disorder, which has an excellent effect of suppressing a keratoconjunctival er caused by drying or the like and protecting the keratoconjunctiva.
It is an object of the present invention to overcome or rate at least One of the disadvantages of the prior art, or to provide a useful alternative.
Means for Solving the Problems The present inventors made intensive studies for achieving a protective agent for the keratoconjunctiva which exhibits a suppressive effect on a keratoconjunctivai disorder, and as a result, they found that glyceryl gtucoside exhibits an excellent suppressive effect on a keratoconjunctival disorder, and thus completed the invention.
That is, in order to achieve the above object, the invention provides the following (1) Use of glucosylglycerol in the preparation of a pharmaceutical for protecting a keratoconjunctiva or suppressing a keratoconjunctival er, wherein the pharmaceutical is in the form of an eye drop. (2) The use as described in the above (1), n the protection of the keratoconjunctiva or the suppression of the a keratoconjunctivai disorder is protection of the keratoconjunctiva against an endogenous disease of n's syndrome, Stevens- Johnson syndrome, or dry eye syndrome (dry eye) or an exogenous disease due to postsurgery, a drug, an , or the wearing of a contact lens or the suppression of the keratoconjunctival disorder due to said diseases.
Advantageous Effect of the Invention [001 1] According to the invention, a protective agent for the keratoconjunctiva and a suppressive agent for a keratoconjunctival er which have an excellent suppressive effect on a keratoconjunctival disorder can be provided.
Brief Description of the Drawings [Fig 1] Fig. 1 is a graph showing the ement s of absorbance measured in Examples of the invention.
Mode for Carrying Out the Invention Hereinafter, the tive agent for the keratoconjunctiva and the ssive agent for a conjunctival disorder of the invention will be described in detail.
In the invention, the “protection of the keratoconjunctiva” refers to the protection of keratoconjunctival tissue from a keratoconjunctival disorder which can be caused by any of various factors. Specifically, the “protection of the keratoconjunctiva” can be roughly divided into the protection from a keratoconjunctival disorder caused by an ous factor and the protection from a keratoconjunctival disorder caused by an endogenous factor. es of the exogenous factor e an injury, a burn injury, a chemical substance, a drug, UV light, the wearing of a contact lens, a foreign substance, an eyelash, outside air drying, and infection. Further, surgical stress in the cornea such as keratorefractive surgery or cataract surgery is also ed in the exogenous factor. On the other hand, examples of the endogenous factor include Sjogren's syndrome, dry eye syndrome (dry eye), and diabetic keratopathy.
Further, in the invention, the “keratoconjunctiva” refers to the cornea and the conjunctiva, and the comea is made up of five layers including a comeal lial layer, a Bowman's membrane, a corneal stromal layer, a Descemet's ne, and a corneal endothelial layer, and the conjunctiva is made up of a conjunctival epithelial layer and a lamina propria layer. Among these, the l epithelial layer and the conjunctiva] epithelial layer are located on the outermost surfaces of the cornea and the ctiva, respectively, and each comprises a set of epithelial cell layers in which the cells migrate one another, and is likely to be d by an effect from the outside.
Therefore, according to a preferred embodiment of the invention, the keratoconjunctiva in the “protection of the keratoconjunctiva” refers to the keratoconjunctival epithelium (the corneal epithelium and the conjunctiva] epithelium).
Further, in the invention, the “suppression of a keratoconjunctival disorder” refers to the inclusion of improvement of a keratoconjunctival disorder caused by any of the described factors, alleviation of the symptoms, reduction of the symptoms, mitigation of the symptoms, and also treatment, healing, acceleration of healing, and so 011.
[0016] The protective agent for the keratoconjunctiva and the ssive agent for a keratoconjunctival disorder (hereinafter sometimes referred to collectively as pharmaceutical agents) of the invention comprises glucosylglycerol as an active ingredient. As the glucosylglycerol to be used as the active ingredient, l-oa-glyceryl glucoside (Formula 1), lycery1 glucoside (Formula 2), yceryl glucoside (Formula 3), and Z-B-glyeeryl glucoside (Formula 4), which are represented by the following formulae (1) to (4), are known, and among these compounds, one type can be used alone or a plurality of types can be used in combination.
[Chemical Formula 1] HO HO ‘ ‘ ' ("l ) HO OH\ O:>'OH [Chemical a 2] 100% ...(2) 0%:OHOH
[0019] [Chemical Formula 3] 0 >—0H HO (3) HO OH [Chemical Fonnula 4] O“ 5’“ HO OH The method of obtaining such glucosylglycerol is not particularly limited, and for example, a method of allowing glycerine derived from palm to act on a substrate of a saccharide derived from com, a method of allowing fungal a—glucosidase, cyclodextrin glucanotransferase, or sucrose phosphorylase to act on a substrate of a carbohydrate in 3 glycerol solution, a method of ming extraction and purification from a brewed product such as refined sake (Japanese rice wine), miso (fermented soybean paste), or nririn (sweet sake for seasoning), a method of treating isomaltose, maltitol, or the like with lead tetraacetate or a periodate to split glycol, followed by reduction, a method of subjecting B-glucoside synthesized by Koenigs—Knorr reaction to anornerization, ed by hydrolysis of oside with B—glucosidase, or the like can be used. However, a method of allowing glycerine derived from palm to act on a substrate of a carbohydrate derived from com, a method of allowing cyclodextrin glucanotransferase to act on a substrate of a carbohydrate in a ol solution (see, for example, JP-A—2004-099472), or a method of allowing sucrose phosphorylase to act on a substrate of a carbohydrate in a glycerol solution (see, for example, 8) is particularly preferred from the viewpoint of cost and safety.
The glucosy]glycerol can be used as such, but may be used after being diluted with water or a polar solvent, or after being subjected to a ation treatment of decoloring and deodorization within a range which does not cause denaturation or osition, or after being subjected to a fractionation ent using column chromatography or the like. Further, the glucosylglycerol can be used after being encapsulated in a vesicle such as a me, a microcapsule, or the like.
The amount of the ylglycerol to be added to the protective agent for the keratoconjunctiva or the suppressive agent for a keratoconjunctival disorder in the invention varies depending on the dosage form or type of the pharmaceutical agent, the severity of the keratoconjunctival disorder, etc., and cannot be uniformly ied, however, for example, the glucosylglycerol is preferably contained in the pharmaceutical agent in an amount of preferably from 0.01 to 80% by mass, more preferably from 0.05 to 50% by mass, r more ably from 0.01 to 10% by mass. If the glucosylglycerol is contained in the pharmaceutical agent in an amount of 0.01% by mass or more, the desired effect of the invention of this application is ently obtained, and therefore, such an amount is preferred, and if the amount thereof is 80% by mass or less, an increase in viscosity of the pharmaceutical agent due to the glucosylglycerol falls within a desired range, and therefore, such an amount is preferred.
In the case Where the protective agent for the keratoconjunctiva and the suppressive agent for a keratoconjunctival disorder of the invention are prepared as ceutical preparations for ophthalmic topical administration, the pH and c pressure thereof are not particularly limited as long as they fall within a range that is acceptable as a pharmaceutical preparation for ophthalmic topical administration.
However, the pH thereof is preferably from 5 to 9.5, more preferably from 6 to 9, further more preferably from 7 to 9. The ratio of the osmotic pressure of the phannaceutical preparation (except for an ophthalmic ointment) to that of physiological saline is, for example, from 0.3 to 4.3, preferably fi'om 0.3 to 2.2, particularly preferably from about 0.5 to 1.5. The pH and c pressure thereof can be adjusted by a ,, method known in this technical field using a pH adjusting agent, an isotonizing agent, a «MM, . salt, or the like.
When the protective agent for the keratoconjunctiva and the ssive agent for a keratoconjunctival disorder of the invention are formulated into pharmaceutical preparations, various components (including a pharmacologically active ent and a ically active component) to be used in a pharmaceutical preparation for ophthalmic topical administration can be added as needed within a range that does not inhibit the effect of the invention. The type of such a component is not particularly limited, and for example, a decongestant component, an ocular accommodation agent component, an anti-inflammatory agent component or an astringent component, an antihistamine agent component or an llergic agent component, a vitamin, an amino acid, an antimicrobial agent component, a microbicidal agent component, a saccharide, a polysaccharide or a tive thereof, cellulose or a derivative thereof or a salt thereof, a soluble polymer other than the above-described components, a local etic component, a steroid component, a therapeutic component for ma, a therapeutic component for cataract, etc. can be exemplified. Among these components, one component may be used alone or two or more components may be 3O used in combination.
Examples of the decongestant component include energic agonists, imidazoline derivatives (such as naphazoline and ydrozoline), B-phenylethylamine derivatives (such as phenylephrine, epinephrine, ine, and methylephedrine), and pharmaceutically or physiologically acceptable salts thereof (for example, inorganic acid salts such as naphazoline hydrochloride, naphazoline nitrate, tetrahydrozoline hydrochloride, tetrahydrozoline nitrate, phenyleplirine hydrochloride, epinephrine hydrochloride, ephedrine hydrochloride, and methylephedrine hydrochloride; organic acid salts such as epinephrine hydrogen tartrate, etc.).
Examples of the ocular muscle odation agent ent include cholinesterase inhibitors having an active center similar to acetylcholine and quaternary ammonium compounds and salts thereof such as neostigmine methylsulfate. es of the anti-inflammatory agent component or astringent component include celecoxib, rofecoxib, indomethacin, diclofenac, diclofenac , piroxicam, meloxicam, aspirin, mefenamic acid, indomethacin famesil, acemetacin, ibuprofen, fenic acid, loxoprofen sodium, tiaramide hydrochloride, epsilon-aminocaproic acid, berb crime and phannacologically acceptable salts thereof (such as ine Mum‘ chloride and berberine sulfate), azulene sulfonic acid and pharmacologically acceptable salts thereof (such as azulene sulfonate sodium), zinc salts (such as zinc sulfate and zinc lactate), lysozyme, lysozyme chloride, methyl salicylate, allantoin, and glycyrrhizic acid and pharmacologically acceptable salts thereof (such as dipotassium glycyrrhizinate and ammonium glycyn'hizinate).
Examples of the antihistamine agent component or anti—allergic agent component include chlorpheniramine, diphenhydramine, ptine, fen, emedastine, clemastine, azelastine, levocabastine, olopatadine, lycic acid, tranilast, amlexanox, azine, loratadine, fexofenadine, zine, ibudilast, suplatast, pemirolast, nast, tazanolast, oxatomide, terfenadine, epinastine, astemizole, ne, and salts thereof (such as chlorpheniramine maleate, hydramine hydrochloride, iproheptine hydrochloride, ketotifen fumarate, emedastine fumarate, clemastine fumarate, azelastine hydrochloride, levocabastine hydrochloride, olopatadine hydrochloride, and sodium cromoglicate).
Examples of the vitamin include A vitamins [such as retinal, l, retinoic acid, carotene, dehydroretinal, lycopene, and pharmacologically acceptable salts thereof (such as retinol acetate and retinol palmitatefl, B vitamins [such as thiamine, dicethiamine, thiamine hydrochloride, thiamine nitrate, bisthiamine e, thiamine disulfide, thiamine dicetyl nitrate ester salts, dicethiamine hydrochloride, thiamine hloride, octothiamine, cycothiamine, bisibuthiamine, bisbenthiamine, fursultiamine, prosulthiamine, benfothiamine, riboflavin, flavin adenine dinucleotide, flavin adenine dinucleotide sodium, riboflavin, riboflavin sodium ate, riboflavin butyrate, pyridoxine, pyridoxine hydrochloride, pyridoxal, pyridoxal phosphate, pyridoxal calcium phosphate, hydroxocobalamin hydrochloride, ocobalamin acetate, cyanocobalamin, hydroxocobalamin, methylcobalamin, deoxyadenocobalamin, folic acid, tetrahydrofolic acid, dihydrofolic acid, nicotinic acid, nicotinic-acid amide, nicotinic alcohol, panthenol, pantothenic acid, calcium pantothenate, sodium pantothenate, biotin, choline, and inositol], C vitamins [such as ascorbic acid and derivatives thereof, erythorbic acid and derivatives thereof, and cologically acceptable salts thereof (such as sodium ascorbate and sodium erythorbate)], D vitamins [such as ergocalciferol, cholecalciferol, hydroxycholecalciferol, dihydroxycholecalciferol, dihydrotachysterol, and pharmacologically acceptable salts thereof], B ns [such as toc0pherol and derivatives thereof, ubiquinone derivatives, and pharmacologically able salts thereof (such as toc0pherol acetate, toc0pherol nicotinate, tocopherol succinate, and tocopherol calcium succinate)], and other vitamins [such as carnitine, ferulic acid, y-oryzanol, orotic acid, cyanocobalamin, rutin, eriocitrine, hesperidin, and pharmacologically acceptable salts thereof (such as camitine chloride).
Examples of the amino acids include leucine, isoleucine, valine, methionine, threonine, alanine, alanine, tryptophan, lysine, glycine, asparagine, aspartic acid, serine, glutamine, glutamic acid, proline, tyrosine, ne, ine, ornithine, hydroxyproline, hydroxylysine, glycylglycine, aminoethylsulfonic acid (taurine), and salts thereof (such as potassium aspartate, magnesium ate, and cysteine hydrochloride).
Examples of the antimicrobial agent component or microbicidal agent ent e sulfonamides (such as sulfamethoxazole, sulfisoxasol, sulfisomidine, and pharmacologically acceptable salts thereof (such as sodium ethoxazole and sodium sulfisomidine)), acrinol, quaternary ammonium compounds (such as benzalkonium, benzethonium, cetylpyridinium, and phannacologically acceptable salts thereof (such as konium chloride, benzethonium chloride, cetylpyridinium chloride, and cetylpyridinium bromide), alkylpolyaminoethylglycine, newquinolone agents (such as lomefloxacin, levofloxacin, ciprofloxacin, ofloxacin, norfloxacin and ciprofloxacin chloride), berberine and salts thereof (such as berberine e), fi-lactam crobial agents (such as sulbern'cillin and cefinenoxime), aminoglycoside crobial agents (such as kanamycin, gentamicin, tobramycin, sisomicin, and micronomicin), tetracycline antimicrobial agents (such as oxytetracycline), macrolide antimicrobial agents (such as omycin), chloramphenicol antimicrobial agents (such as chloramphenicol), and polypeptide antimicrobial agents (such as colistin), and additional examples thereof include antiviral agents (such as idoxuridine, acyclovir, adenine arabinoside, ganciclovir, foscarnet, valacyclovir, trifluorothymidine, cidofovir, and carbocyclic oxetanocin G), and antifungal agents (such as pimaricin, fluconazole, nazole, miconazole, flucytosine, and amphotericin B).
Examples of the saccharide e monosaccharides (such as glucose), disaccharides (such as ose, lactose, and fructose), oligosaccharides (such as lactulose, raffmose, and pullulan), and sugar alcohols (such as mannitol, xylitol, and IO sorbitol).
Examples of the ccharide or derivative thereof include gum arabic, karaya gum, n gum, carob gum, guar gum, guaiac resin, quince seed, Dammar gum, tragacanth, benzoin gum, locust bean gum, casein, agar, alginic acid, dextrin, dextran, carrageenan, gelatin, collagen, pectin, , polygalacturonic acid (alginic acid), chitin and derivatives thereof, chitosan and derivatives thereof, elastin, heparin, noid, heparin sulfate, heparan sulfate, hyaluronic acid, chondroitin sulfate, and salts thereof (such as sodium alginate, sodium hyaluronate, and sodium chondroitin sulfate).
[0035] Examples of the cellulose or derivative thereof or salt f include cellulose, methyl cellulose, ethyl cellulose, hydroxyethyl cellulose, hydroxypropyl cellulose, ypropylmethyl cellulose, carboxymethyl cellulose, carboxyethyl cellulose, and nitro cellulose. [003 6] Examples of the water-soluble polymer other than the above-described ents include polyvinyl alcohols (completely or partially fied compounds) and polyvinylpyirolidone.
Examples of the local anesthetic component include lidocaine, oxybuprocaine, dibucaine, procaine, ethyl aminobenzoate, meprylcaine, mepivacaine, bupivacaine, ***e, and salts thereof (such as lidocaine hydrochloride and oxybuprocaine hydrochloride).
Examples of the steroid compOnent include ortisone, prednisolone, cortisol, prednisolone, triamcinolone, paramethasone, betamethasone, and salts thereof.
Examples of the therapeutic component for glaucoma include timolol maleate, carteolol hydrochloride, betaxolol hydrochloride, latanoprost, unoprostone, dipivefiin hydrochloride, hrine, apraclonidine hydrochloride, rpine hloride, carbachol, dorzolamide hloride, olamide, methazolamide, and salts thereof. es of the therapeutic component for cataract include pirenoxine, glutathione, salivary glands hormone, tiopronin, dihydroazapentacene disulfonate, and salts f (such as sodium 5,12—dihydroazapentacene disulfonate).
[0041] In the invention, in order to prepare pharmaceutical preparations in various desired forms, various components or additives are appropriately selected in a tional manner according to the intended use or form thereof Within a range that does not impair the effect of the ion, and one or more ents or additives may be added in combination. As such a component or additive, for example, various additives which are generally used for the preparation of a phannaceutical preparation for ophthalmic topical administration, a semi-solid preparation, a liquid preparation, etc., such as a carrier (such as water, an aqueous solvent, or an aqueous or oily base), a ning agent, a surfactant, a preservative, an microbicidal agent or an antimicrobial agent, a pH adjusting agent, an isotonizing agent, a flavor or a refreshing agent, a chelating agent, and a buffer can be exemplified.
Examples of the thickening agent include polysaccharides and derivatives thereof (such as gum arabic, karaya gum, n gum, carob gum, guar gum, guaiac resin, quince seed, Dammar gum, tragacanth gum, benzoin gum, locust bean gum, casein, agar, alginic acid, dextrin, dextran, carrageenan, gelatin, collagen, pectin, starch, polygalacturonic acid, chitin and derivatives f, chitosau and derivatives thereof, elastin, heparin, heparinoid, heparin sulfate, heparan sulfate, hyaluronic acid, and chondroitin sulfate), ceramide, cellulose derivatives (such as methyl cellulose, ethyl cellulose, hydroxyethyl cellulose, hydroxypropyl cellulose, hydroxypropylmethyl cellulose, carboxymethyl cellulose, carboxyethyl cellulose, cellulose, and nitro cellulose), polyvinyl alcohols (completely or partially saponified compounds), polyvinylpyrrolidone, macrogol, nyl methacrylate, polyacrylic acid, carboxyvinyl polymers, polyethyleneimine, polyethylene oxide, polyethylene glycol, ribonucleic acids, ibonucleic acids, methyl vinyl ether—maleic anhydride mers, and pharmacologically acceptable salts thereof (such as sodium alginate).
Examples of the surfactant include non~ionic surfactants such as polyoxyethylene polyoxypropylene (POP) block copolymers, (such as poloxamer 407, poloxamer 235, and poloxamer 188), polyoxyethylene— polyoxypropylene block copolymer adducts of ethylene diamine (such as poloxamine), POE sorbitan fatty acid esters such as POE (20) sorbitan monolaurates (polysorbate 20), POE (20) sorbitan monooleates (polysorbate 80), and polysorbate 60, POE enated castor oils such as POE (60) enated castor oil, POE alkyl ethers such as POE (9) lauryl ether, POE-POP alkyl ethers such as POE (20) POP (4) cetyl ether, POE alkylphenyl ethers such as POE (10) nonylphenyl ether, and POE alkylphenyl ethers such as POE (10) nonylphenyl ether; amphoteric surfactants such as glycine surfactants such as alkyl diamino ethyl glycine, betaine acetate surfactants such as lauryl dimethyl amino acetate betaine, and imidazoline surfactants; anionic surfactants such as POE alkyl ether phosphates such as sodium POE (10) lauryl ether ate and salts thereof, salts of N—acylamino acid such as sodium lauroyl methyl alanine, alkyl ether carboxylate salts, N-acyltaurine salts such as sodium N- cocoylmethyltaurine, sulfonate salts such as sodium tetradecene sulfonate, alkyl e salts such as sodium lauryl sulfate, POE alkyl ether sulfate salts such as sodium POE (3) lauryl ether sulfate, and a—olefin sulfonate salts; cationic surfactants such as alkyl amine salts, alkyl nary ammonium salts (such as benzalkonium chloride and benzethonium chloride), and alkylpyn'dinium salts (such as cetylpyridinium chloride and cetylpyridiniurn e).
Examples of the preservative, microbicidal agent or antimicrobial agent include sorbic acid and salts thereof (such as sorbic acid, potassium sorbate, sodium sorbate, and triclocarban sorbate), p-hydroxybenzoate esters (such as methyl p—hydroxybenzoate, ethyl p-hydroxybenzoate, propyl p-hydroxybenzoate, and butyl p—hydroxybenzoate), l, methylrosaniline chloride, benzalkonium chloride, honium chloride, cetylpyridinium chloride, cetylpyridinium e, chlorhexidine and salts thereof, polyhexamethylene biguanide, olyaminoethylglycine, benzyl alcohol, phenethyl 3O alcohol, chlorobutanol, isopropanol, ethanol, yethanol, silver-loaded zirconium ate, mercurochrome, materials loaded with povidone iodine or the like, osal, dehydroacetic acid, chlorxylenol, chlorophen, resorcin, orthophenyl phenol, isopropyl methylphenol, thymol, hinokitiol, sulfamine, lysozyme, lactoferrin, triclosan, 8-hydroxyquinoline, undecylenic acid, capric acid, propionic acid, benzoic acid, nic acid, halocarban, thiabendazole, polymyxin B, 5—chloromethyl-4— isothiazolinone, 2-methylisothiazolin—3—one, polylysine, hydrogen peroxide, polidronium chloride, Glokill (trade name, for example, Glokill PQ, manufactured by , Inc), polydiallyidimethyl ammonium chloride, poly[oxyethylene(dimethyliminio)ethylene-(dimethyliminio)ethylenedichloride], polycondensation products of hylenepolyamine—dimethylamine epichlorohydrin (trade name: for example, Busan 1157, manufactured by Buckman Laboratories, Inc.), ide compounds (Cosmocil CQ (trade name, containing p01y(hexamethylene biguanide) hydrochloride in an amount of about 20% by weight, manufactured by Avecia, Inc), and pharmacologically acceptable salts thereof.
Examples of the pH adjusting agent include inorganic acids (such as hydrochloric acid, sulfuric acid, phosphoric acid, polyphosphoric acid, and boric acid), organic acids (such as lactic acid, acetic acid, citric acid, tartaric acid, malic acid, succinic acid, oxalic acid, gluconic acid, fumaric acid, propionic acid, acetic acid, aspartic acid, epsilon~aminocaproic acid, glutamic acid, and aminoethylsulfonic acid), gluconolactone, ammonium acetate, inorganic bases (such as sodium hydrogen carbonate, sodium carbonate, potassium hydroxide, sodium hydroxide, calcium hydroxide, and magnesium hydroxide), organic bases (such as inonoethanolamine, triethanolamine, ropanolamine, propanolamine, and lysine), borax, and pharmacologically able salts thereof.
Examples of the isotonizing agent include inorganic salts (such as sodium chloride, potassium chloride, sodium carbonate, sodium hydrogen carbonate, calcium chloride, magnesium sulfate, sodium hydrogen phosphate, disodium hydrogen phosphate, dipotassium hydrogen phosphate, sodium thiosulphate, and sodium acetate), polyhydric alcohols (such as glycerin, propylene glycol, ethylene glycol, and 1,3- butylene glycol), and saccharides (such as glucose, mannitol, and ol).
Examples of the flavor or refreshing agent include terpenes (such as menthol, camphor, , ol, cineole, anethole, limonene, and l, which may be in any form of d—, l- and ms), essential oils (such as eucalyptus oil, bergamot oil, mint oil, cool mint oil, speannint oil, fennel oil, mentha oil, cinnamon oil, and rose oil).
Examples of the chelatiug agent include edetic acid, citric acid, polyphosphoric acid, hexametaphosphoric acid, metaphOSphon‘c acid, ascorbic acid, succinic acid, trihydroxymethylaminomethane, nitrilotriacetic acid, 1-hydroxyethane-1,1- phonic acid, and phannacologically acceptable salts thereof.
Examples of the buffer include borate buffers, phosphate s, ate buffers, e buffers, acetate buffers, epsilon—aminocaproic acid, and aspartate salts.
Specific examples thereof include boric acid and salts thereof (such as sodium borate, potassium tetraborate, and potassium metaborate), phosphoric acid and salts thereof (such as sodium en phosphate, sodium dihydrogen phosphate, and potassium dihydrogen phosphate), carbonic acid and salts thereof (such as sodium hydrogen carbonate and sodium ate), and citric acid and salts thereof (such as sodium citrate and potassium citrate).
As for a method of producing the protective agent for the keratoconjunctiva or the suppressive agent for a keratoconjunctival disorder of the invention, the production can be appropriately performed by a known method, and for example, in the case where the agent is ated into an eye drOp, an eyewash, a solution for use in g contact lenses, or an agent for contact lenses, glucosylglycerol and arbitrary additive components are mixed in an appropriate diluent such as led water or purified water, the osmotic pressure and pH of the resulting mixture is adjusted to the above~described values, and then, the mixture is subjected to an autoclaving treatment or a filtration sterilization treatment in an aseptic environment. Then, the resulting mixture is aseptically filled into a container having been washed and sterilized, whereby the production can be achieved. Further, for example, in the case where the agent is formulated into an ophthalmic ointment, in a conventionally used ophthalmic ointment base, a—glucosylglycerol and ary additive components are mixed, and the preparation can be aseptically performed according to a common procedure.
The protective agent for the conjunctiva and the suppressive agent for a keratoconjunctival er of the invention can be applied for the purpose of preventing a keratoconjunctival disorder caused by a factor, for example, an endogenous disease of Sjogren‘s syndrome, Stevens—Johnson syndrome, or dry eye syndrome (dry eye), an exogenous disease due to postsurgery, a drug, an injury, or the wearing of a contact lens, or the like, alleviating such a keratoconjunctival disorder, mitigating or halting the progression of such a keratoconjunctival disorder, accelerating the healing of such a keratoconjunctival disorder, etc.
A method of applying the protective agent for the keratoconjunctiva or the suppressive agent for a keratoc0njunctival disorder of the invention is not particularly d, and can be applied on a daily basis, or the suppressive agent for a keratoconjunctival disorder may be d with ary frequency after a keratoconjunctival disorder occurs. Further, the ation amount may be appropriately adjusted according to the symptoms, etc., and the agent is generally instilled about 1 to 6 times a day at a dose of about 1 to 3 drops per instillation.
Examples Hereinafter, the invention will be more specifically described with nce to Examples, however, the invention is not d to Examples. Incidentally, the addition amount is expressed in “% by mass” unless otherwise specified.
[0054] <Examples 1 to 2 and ative Example 1> According to the ation shown in Table 1, a 3% glucosylglycerol solution (Example 1) and a 10% glucosylglycerol solution (Example 2) were prepared. Further, as Comparative Example 1, an aqueous solution of 0.1% sodium hyaluronate was used.
Incidentally, this glucosylglycerol is a composition (trade name: COSARTE-ZG, manufactured by Toyo Sugar g Co., Ltd.) containing 65.2% of glyceryl glucoside (oz-form: 65%, fi-form: 35%), 8.1% of glyceryl maltoside, 0.7% of glyceryl maltotrioside, 6.0% of glycerin, and 20.0% of water.
Table 1 Comparative Example 1 Example 2 Exam . le 1 Glucos 11 cer01(*1) 10 _ P11 siolo ~1cal saline Aqueous solution of 0.1% sodium hyaluronate (*2) *1: COSARTE-ZG (trade name, manufactured by Toyo Sugar Refining Co., Ltd.) *2: 0.1% Hyalein ophthalmic solution (trade name, manufactured by Santen ceutical Co., Ltd.) <Test Method> General anesthesia was induced with urethane in six female New Zealand white rabbits with no abnormality in eyes, and a lid speculum was placed over both eyes of each rabbit to forcibly open the eyelids. The rabbits were divided into three groups each ting of two rabbits. At 4 hours afier opening the eyelids, to each rabbit, 50 uL of physiological saline as a control was stered by instillation in the left eye, and 50 uL of each of the ophthalmic solutions of Examples 1 to 2, and Comparative e 1 was administered by instillation in the right eye. The eyelids were kept open for an additional 3 hours fter, and at 7 hours after the tion of the test (opening of the eyelids), a 2% methylene blue solution was instilled to stain a region in which a corneal lial disorder was caused due to the forced opening of the s, and then, the eyes were rinsed with physiological saline. After the rabbits were killed under anesthesia, the cornea was excised and extraction was performed ght with 2 1nL of an extraction solution (acetone/an aqueous solution of saturated sodium sulfate 2 7/3 (vol/v01». On the next day, an absorbance at a wavelength of 660 nm was measured. The same treatment was performed for the case ofphysiological saline.
An average value of the absorbance in each group is shown in Fig. 1. Incidentally, as for the case of physiological saline, an average value for 6 rabbits is shown.
Fig. 1 shows an absorbance at a wavelength of 660 nm, and a higher value indicates a higher severity of the keratoconjunctival disorder. As apparent from Fig. 1, it was found that the ophthalmic solutions of Examples 1 to 2 can significantly alleviate the keratoconjunctival disorder as compared with the ophthalmic solution of Comparative Example 1. Further, even as compared with physiological saline, the ophthalmic solutions of Examples 1 to 2 can alleviate the keratoconjunctival disorder, and fiirther, as compared with the ophthalmic solution of Example 1, the ophthalmic on of Example 2 has a higher effect of ating a keratoconjunctival disorder, and therefore, it was found that as the tration of glucosylglycerol is sed, a higher effect can be obtained.
While the present invention has been described in detail with reference to specific embodiments, it is obvious to those skilled in the art that various changes and modifications can be added without departing from the spirit and scope of the present invention. The present application is based on Japanese Patent Application No. 2011- 256516 filed on November 24, 2011, the ts of which are incorporated herein by nce.
Industrial Applicability Since the protective agent for the keratoconjunctiva and the suppressive agent for a keratoconjunctival disorder of the invention have an excellent effect of alleviating a keratoconjunctival disorder, and therefore are useful as a protective agent for the keratoconjunctiva and a suppressive agent for a keratoconjunctivai disorder for suppressing a keratoconjunctival er caused by drying or the iike and protecting the conjunctiva.

Claims (3)

  1. [Claim 1] Use of glucosylglycerol in the ation of a pharmaceutical for protecting a keratoconjunctiva or suppressing a keratoconjunctival disorder, wherein the pharmaceutical is in the form of an eye drop.
  2. [Claim 2] The use according to claim 1, wherein the protection of the keratoconjunctiva or the suppression of the a keratoconjunctival disorder is protection of the keratoconjunctiva t an endogenous disease of Sjogren's syndrome, Stevens- Johnson syndrome, or dry eye syndrome (dry eye) or an exogenous disease due to 15 rgery, a drug, an injury, or the wearing of a contact lens or the suppression of the keratoconjunctival er due to said diseases.
  3. [Claim 3] 20 Use of glucosylglycerol in the preparation of a pharmaceutical for protecting a keratoconjunctiva or suppressing a keratoconjunctival disorder, wherein the pharmaceutical is in the form of an eye drop, according to claim 1 and substantially as herein described with reference to any one of the embodiments of the invention illustrated in the accompanying gs and/or examples. wu 099) JOSQV
NZ625350A 2011-11-24 2012-11-22 Protective agent for keratoconjunctiva or suppressive agent for keratoconjunctival disorder NZ625350B2 (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
JP2011256516 2011-11-24
JP2011-256516 2011-11-24
PCT/JP2012/080391 WO2013077433A1 (en) 2011-11-24 2012-11-22 Keratoconjunctival protecting agent, or keratoconjunctival disorder inhibiting agent

Publications (2)

Publication Number Publication Date
NZ625350A NZ625350A (en) 2016-02-26
NZ625350B2 true NZ625350B2 (en) 2016-05-27

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