WO2004069263A1 - Analgesic composition - Google Patents

Analgesic composition Download PDF

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Publication number
WO2004069263A1
WO2004069263A1 PCT/KR2004/000259 KR2004000259W WO2004069263A1 WO 2004069263 A1 WO2004069263 A1 WO 2004069263A1 KR 2004000259 W KR2004000259 W KR 2004000259W WO 2004069263 A1 WO2004069263 A1 WO 2004069263A1
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WIPO (PCT)
Prior art keywords
extract
radix
analgesic
preparation
pkw
Prior art date
Application number
PCT/KR2004/000259
Other languages
French (fr)
Inventor
Song Bae Kim
Byeong Jun Ahn
Hye Young Kim
Jong Seok Kim
Jong Uk Kim
Original Assignee
Song Bae Kim
Byeong Jun Ahn
Hye Young Kim
Jong Seok Kim
Jong Uk Kim
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Application filed by Song Bae Kim, Byeong Jun Ahn, Hye Young Kim, Jong Seok Kim, Jong Uk Kim filed Critical Song Bae Kim
Priority to CA002513932A priority Critical patent/CA2513932A1/en
Priority to AU2004210284A priority patent/AU2004210284A1/en
Publication of WO2004069263A1 publication Critical patent/WO2004069263A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/71Ranunculaceae (Buttercup family), e.g. larkspur, hepatica, hydrastis, columbine or goldenseal
    • FMECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16KVALVES; TAPS; COCKS; ACTUATING-FLOATS; DEVICES FOR VENTING OR AERATING
    • F16K51/00Other details not peculiar to particular types of valves or cut-off apparatus
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/25Araliaceae (Ginseng family), e.g. ivy, aralia, schefflera or tetrapanax
    • A61K36/258Panax (ginseng)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/48Fabaceae or Leguminosae (Pea or Legume family); Caesalpiniaceae; Mimosaceae; Papilionaceae
    • A61K36/484Glycyrrhiza (licorice)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K36/00Medicinal preparations of undetermined constitution containing material from algae, lichens, fungi or plants, or derivatives thereof, e.g. traditional herbal medicines
    • A61K36/18Magnoliophyta (angiosperms)
    • A61K36/185Magnoliopsida (dicotyledons)
    • A61K36/71Ranunculaceae (Buttercup family), e.g. larkspur, hepatica, hydrastis, columbine or goldenseal
    • A61K36/716Clematis (leather flower)
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P25/00Drugs for disorders of the nervous system
    • A61P25/04Centrally acting analgesics, e.g. opioids
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P29/00Non-central analgesic, antipyretic or antiinflammatory agents, e.g. antirheumatic agents; Non-steroidal antiinflammatory drugs [NSAID]
    • FMECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16KVALVES; TAPS; COCKS; ACTUATING-FLOATS; DEVICES FOR VENTING OR AERATING
    • F16K31/00Actuating devices; Operating means; Releasing devices
    • F16K31/02Actuating devices; Operating means; Releasing devices electric; magnetic
    • FMECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F16ENGINEERING ELEMENTS AND UNITS; GENERAL MEASURES FOR PRODUCING AND MAINTAINING EFFECTIVE FUNCTIONING OF MACHINES OR INSTALLATIONS; THERMAL INSULATION IN GENERAL
    • F16KVALVES; TAPS; COCKS; ACTUATING-FLOATS; DEVICES FOR VENTING OR AERATING
    • F16K7/00Diaphragm valves or cut-off apparatus, e.g. with a member deformed, but not moved bodily, to close the passage ; Pinch valves
    • F16K7/12Diaphragm valves or cut-off apparatus, e.g. with a member deformed, but not moved bodily, to close the passage ; Pinch valves with flat, dished, or bowl-shaped diaphragm
    • F16K7/14Diaphragm valves or cut-off apparatus, e.g. with a member deformed, but not moved bodily, to close the passage ; Pinch valves with flat, dished, or bowl-shaped diaphragm arranged to be deformed against a flat seat

Definitions

  • the present invention relates to the analgesic composition
  • tissue by metastasis, blood circulation of virulent material, etc., to induce of severe pain to host to come to death.
  • Ulmi cortex is a bark of Ulmus species or a bark of root of the Ulmus species and is
  • reaction time is most desirable at about 30 ° C .
  • anticancer agent or analgesic of the present invention or can be used as basic ingredient for
  • PKWG-0.3 PKWG-0.6, PKWG-0.8 and PKWG-1.0.
  • the following prescriptions are composed with 3 kinds of extracts based upon animal experiments.
  • acetic acid is injected into abdominal cavity of the animals. After the
  • test materials of the prescriptions are administered to volunteers of cancer patients and
  • Each 5ml of preparation example 11 are injected intraperitoneally to 10 ICR mice of 25-30g of body weight. No animals are died.

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  • Health & Medical Sciences (AREA)
  • Natural Medicines & Medicinal Plants (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Chemical & Material Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Medicinal Chemistry (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Pharmacology & Pharmacy (AREA)
  • General Engineering & Computer Science (AREA)
  • Mycology (AREA)
  • Botany (AREA)
  • Medical Informatics (AREA)
  • Microbiology (AREA)
  • Biotechnology (AREA)
  • Alternative & Traditional Medicine (AREA)
  • Epidemiology (AREA)
  • Mechanical Engineering (AREA)
  • Organic Chemistry (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Chemical & Material Sciences (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Pain & Pain Management (AREA)
  • Neurosurgery (AREA)
  • Neurology (AREA)
  • Biomedical Technology (AREA)
  • Bioinformatics & Cheminformatics (AREA)
  • Rheumatology (AREA)
  • Medicines Containing Plant Substances (AREA)
  • Acyclic And Carbocyclic Compounds In Medicinal Compositions (AREA)
  • Medicinal Preparation (AREA)

Abstract

The present invention relates to an analgesic composition comprising extract of Pulsatillae Radix as active ingredient. Specifically, the present invention relates to the analgesic composition which alleviates pain of cancer patient and has low side effects. The object of the present invention is to provide an analgesic composition comprising an extract of Pulsatillae Radix as active ingredient and one or more ingredient(s) selected from the group consisting extract of Ginseng Radix, extract of Glycyrrhizae, extract of Radix Pericarp of Akebia quinata and extract of Ulmi cortex as auxiliary ingredient(s).

Description

ANALGESIC COMPOSITION
[Technical Field]
The present invention relates to an analgesic composition comprising extract of Pulsatillae Radix as active ingredient. Specifically, the present invention relates to the
analgesic composition which alleviates pain of cancer patient and has low side effects.
More specifically, the present invention relates to the analgesic composition
comprising extract of Pulsatillae radix as active main ingredient and if necessary, more
comprising one or more extracts selected from the group consisting extract of Ginseng Radix,
extract of Glycyrrhizae Radix, extract of pericarp of Akebia quinata and extract of the bark of
Cortex Ulmi as auxiliary ingredient(s).
Various cancer cells which grow in cancer patients affect various influences to hosts.
Growing cancer induces hyperthermia, anorexia, loss of weight, microbiosis, anemia, destruction of hormone balance, neurosis, pressure to marginal tissue or organ, occlusion of
intestinal tract or blood vessel, indifferent invasion, destruction of tissue, influence to ter-
tissue by metastasis, blood circulation of virulent material, etc., to induce of severe pain to host to come to death.
Therefore, the pain of cancer patient is commonly very severe and difficult to be
controlled and clinically intensive toxic analgesic should be used. An example of pain by
destruction of tissue is ostalgia. The ostalgia is induced by an irritation which induced by
cancer cell which is irrupted or transferred into bone tissue or by fracture. A cancer patient is very sensitive to microbiosis by loss of protective power of the patient, by destruction of
protective mechanism through cancer therapy and by retention of fluid through obstruction. An example of obstruction of blood vessel by tumor occurred in limited tissue is
brain tumor and pain is induced by pressing blood vessel and meninx because of occurrence
of tumor in brain blood vessel.
Tumor growing in intestinal tract stretches and/or presses and/or obstructs the tract
and induces pain. However, tumor gradually growing in the tract is sometimes already
progressed before complaint of pain. For example, stomach cancer, pancreas cancer, rectal cancer and liver cancer, etc. often do not induce pain until considerable progress of the
cancers. In another case, pain does not arise at the very site of the cancer but arise at another site. For example, in the case of cancer occurred in the intestinal tract, because irritation
transfer enters tlirough sympathetic nerve into spiral marrow, pain sometimes occurred a very
distant area from the site of the cancer.
As for analgesic for the treatment of the pain of cancer or tumor, a very intensive analgesic is used sometimes together with auxiliary ingredient. The mostly used analgesic is
morphine or derivative derived from morphine. As for such auxiliary material, calcium
channel agonist and antagonist including N-methyl-D-aspartate(NMDA) antagonist and
topical and general anesthetics are used.
However, analgesics used until now can not reduce 100% of pain of cancer patient and have drug tolerances and side effects. Therefore, In order to treat pain of cancer, it is ideal
that an analgesic which has antitumor activity and less side effect and analgesic effect at the
same time is developed.
[Background Art]
The development of analgesic based upon roots' of plants (Pulsatillae Radix) of
Pulsatillae species has merit that Pulsatillae Radix is a powerful anticancer material. In fact, in case any cancer or tumor is treated, pain is naturally disappeared. According to experiences of
the inventors, patients who were administered preparation of Pulsatillae Radix felt reductions of pains and even though cancers were not treated perfectly and became to death, during the
state that patients were not treated with Pulsatillae preparation, the patients declared that pains were reduced substantially.
Pulsatillae Radix is the root of Pulsatillae species which belong to Ranunculaceae
plant. All the roots can be used in the present invention. In oriental medicine, Pulsatillae Radix is used for the purpose of treating child bed fever, detoxification, antidiarhea,
bactericide, amebicide, fungicide (Chinese medicine encyclopedia).
Recently, the Pulsatillae Radix is reported to have antitumor activity and is now
under clinical trial. Prior arts are illustrated as follows:
1. Hsu et al.,: Oriental Materia Medica pp 226-227, Oriental Healing Art Institute.
1986, CA, USA,
2. Korea Patent Nos. 72,982 and 312,622.
Panax Ginseng has various pharmaceutical activities such as anti-stress and anti-
diabetes activities. Specifically, according to mouse writhing test, ginsenoside Rf among
ginsenosides which Ginseng Radix has was reported to have analgesic activity(l). In addition,
though US Patent No. 5,417,979 teaches that a raw plant drug composition comprising
Glycyrrhizae Radix as main component has analgesic activity, the said patent only teaches that the composition can be used as auxiliary. However, the selectivity of main plant drug,
specialty of anticancer analgesic or preparation method thereof is different from the present
invention. 1. Mogil JS, Shin YH, McCleskey EW, Kim SC, Na Sy, Brain Res 792, 218-
228(1998).
2. US Patent No. 5,417,979.
Glycyrrhizae Radix is used as tonic, neutralization, analgesic, detoxification, cough
medicine or resolutive in oriental medicine. Various studies for protection of liver, anticancer property etc. were carried out.
Pericarp of Akebia quinata is a fruit of Akebia quinata and is used as lumbago,
intercostal neuralgia, gastralgia, urethra calculosis, menoxenia or diarrhea. The Pericarp of
Akebia quinata has akebia saponin. But, no literatures that Pericarp of Akebia quinata is used
as analgesic have published until now.
Ulmi cortex is a bark of Ulmus species or a bark of root of the Ulmus species and is
used resolutive in oriental medicine. Recently, a literature reports that extract of the Ulmi
cortex prevents local or systemic anaphylaxis (1).
1. Kim HM, Shin HY, Choi IY, Lee EH, Lee EJ, Action of Ulmi radicis cortex
extract on systemic and local anaphylaxis on rats. Gen. Pharmacol. 31, 483-488 (1998).
[Disclosure of Invention]
One object of the present invention is to provide an analgesic composition
comprising an extract of Pulsatillae Radix as active ingredient.
The other object of the present invention is to provide an analgesic composition
comprising an extract of Pulsatillae Radix as active ingredient and one or more ingredient(s) selected from the group consisting extract of Ginseng Radix, extract of Glycyrrhizae, extract of Radix Pericarp of Akebia quinata and extract of Ulmi cortex as auxiliary ingredient(s).
It is not known until now which compound of Pulsatillae Radix has analgesic effect.
In spite of that, in case any preparation comprising the Pulsatillae Radix has good anticancer
effect, it is natural that pain reduces. Accordingly, the present inventors determined that it is
important that raising of concentration of anticancer material of the Pulsatillae Radix is
important.
Korean Patent Nos. 72,982 and 312,622 teach that solvent fractions were prepared
from Pulsatillae Radix in order to prepare anticancer preparations. However, there were some uncertainties of establishment of formation conditions of anticancer materials and were used
mainly first fractions of extracts. Hederagenin-3-0-α-L-rhamnopyraιιosyl(l→-2)-[β-D-
glucopyranosyl(l→4]-α-L-arabinopyranoside(Code No. SB365) was isolated as anticancer
material from the Pulsatillae Radix. The inventors tried to improve analgesic effect of the
Pulsatillae Radix by preparing preparation in which SB365 is accumulated in high
concentration.
The extracting procedures are as follows: To certain parts of powder of the
Pulsatillae Radix is added a certain parts of solvent and the mixture is extracted at a certain
temperature for various hour(s) and measures the contents of SB365. The extracting temperature is under 60 °C, desirably 20-50 °C, more desirably 25-35°C . 2-10 parts of solvent,
desirably 2-3 parts are used per 1 part of the Pulsatillae Radix. Maintaining paste state of the
mixture is desirable method, for the sides of kinetics or easiness of work up method because
chemical reaction is comparative to concentrations of substrates and catalysis (enzymes) (under the condition that hydrolysis by hydrolase). Based upon the change with the passage of time, reaction time is most desirable at about 30 °C .
As for work up method after extraction, common evaporation of solvent, drying method or lyophilization can be used. Lyophilization is most desirable. As for solvent for extracting plant substances, water, methanol, ethanol, propanol,
butanol, methylenechloride, acetone or mixture thereof can be used. Water, methanol, ethanol or mixture thereof is more desirable. Water or 50 % (V/V) alcoholic solution is most desirable.
The composition of the present invention can be prepared in the form of solution,
injection, powder, tablet, capsule with vehicle commonly used in the pharmaceutical field.
[Brief Description of the Drawing]
Fig. 1 shows TLC of extract of Pulsatillae Radix (PKW).
[Best Mode for Carrying Out the Invention]
The present invention is explained in more detail with the examples and experiments
below.
General examples
General example 1
Preparation of basic extract from Pulsatillae Radix
1) 1 weight part of Pulsatillae Radix is mixed with 1 - 100 weight part(s) of water or lower alcohol solution of water of 50%(v/v) and the mixture is covered with gauze or filter paper and with cover. The mixture is reacted at or under 60 °C for about 30min and the
mixture is filtered. Filtrate is stored and remaining residue is mixed with 2-10 weight parts of
lower alcohol of 20-80 % (v/v). The mixture is stirred for about 15 min and filtered. The
combined filtrate is evaporated under reduced pressure to obtain residue. To the residue is
added 2-10 weight parts of methanol or ethanol and the mixture is stand for about 10 min.
Insolubles are filtered to obtain a solution. The solution is evaporated to obtain an extract of
yellowish brown (PKW fraction).
Yield of the PKW fraction is 28-35 weight %. The PKW fraction can be used as
anticancer agent or analgesic of the present invention or can be used as basic ingredient for
further composition. The PKW fraction has much SB365 contents than that which is extracted
from any other solvent such as organic solvent, water-containing organic solvent.
2) The combined solution of 1) of the general example 1 is instantly lyophilized to
obtain an extract of yellowish brown.
General example 2
Preparation of extract of Ginseng Radix (PKG)
1) 1 weight part of Ginseng Radix is mixed with 5 - 100 weight parts of water and
extracted at room temperature for about 2hrs and the mixture is filtered. Filtrate is stored and
remaining residue is mixed with alcoholic water of 20-80 % (v/v) and filtered. The combined
solution is evaporated to obtain an extract. The extract is titled to PKG.
2) The combined solution of 1) of the general example is instantly lyophilized to
obtain an extract of Ginseng Radix.
General example 3 Preparation of extract of Glycyrrhizae Radix (PKly)
1) 1 weight part of powder of Glycyrrhizae Radix is mixed with 2-500 weight parts
of water and extract at room temperature for 2hours, filtered and dried to obtain extract of Glycyrrhizae Radix (PKly).
2) The filtrate obtained from 1) is instantly lyophilized to obtain an extract of
Glycyrrhizae Radix (PKly).
General example 4
Preparation of extract of Pericarp of Akebia quinata (PKake) 1) 1 weight part of powder of Pericarp of Akebia quinata is mixed with 10-50 weight
parts of alcoholic water of 20-50%(V/V) and extracted at room temperature for 2hours,
filtered and evaporated under reduced pressure to obtain extract of Pericarp of Alcebia
quinata(PKake).
2) The filtrate obtained from 1) is lyophilized to obtain an extract of Pericarp of
Akebia quinata(PKake).
General example 5
Preparation of extract of Ulmi cortex (PKu)
1) 1 weight part of powder of Glycyrrhizae Radix is mixed with 5-50 weight parts
of water or alcoholic ethanon of 20-80%(V/V) and extracted at room temperature for 2hours,
filtered and dried to obtain extract of extract of Ulmi cortex(PKu).
2) The filtrate obtained from 1) is instantly lyophilized to obtain an extract of Ulmi
cortex (PKu). Examples
Example 1
Preparation of extract from Pulsatillae Radix(PKW)
1) In a beaker of 100ml, there added 30g of powder of Pulsatillae Radix and 60ml of
water and is mixed to obtain a paste. The paste is covered with gauze which is wetted with water and the paste is stand at 30°C for lhour. The paste is added to a beaker of 300ml and
240ml of methanol is added thereto and stirred with magnetic stirrer. After stirring, the mixture is filtered and the remaining on the filter is added to the beaker and 300ml of
alcoholic water of 50% (V/V) is added thereto and the mixture is stin-ed for 20min., filtered.
The combined filtrate evaporated under reduced pressure to dryness. To the dried residue
there added 200ml of methanol, stirred, stood for lhour and filtered. The obtained filtrate is dried to obtain 11.3g of pale yellow residue which is titled to PKW of which TLC is shown to
Fig. 1. In the Fig. 1, left is developed with methanol solution (PKE), center is developed with
Methanol insoluble material and right is developed with SB 365.
2) The last filtrate is immediately lyophilized to obtain the same contents of extract
of which TLC is the same with that of Fig.1.
Example 2
Preparation of extract of Ginseng Radix (PKG)
1) 15g of powder of dried fine roots of Ginseng Radix is mixed with 100ml of water
and the mixture is stirred at room temperature for about lhr and filtered. To the filter cake
there added 100ml of ethanolic water of 50% (V/N), stirred for 1 hr and filtered. The
combined filtrate is evaporated to obtain 5.4g of brown tar (PKG). 2) The combined solution of 1) of the example 2 is instantly lyophilized to obtain the
same amount of extract of Ginseng Radix.
Example 3 Preparation of extract of Glycyrrhizae Radix (PKly)
1) 4.5g of powder of Glycyrrhizae Radix is dispersed with 50ml of water and
extract at room temperature for lhour, filtered and dried to obtain 1.9g of extract of
Glycyrrhizae Radix (PKly).
2) The filtrate obtained from 1) is instantly lyophilized to obtain the same amount of
extract of Glycyrrhizae Radix (PKly).
Example 4
Preparation of extract of Pericarp of Akebia quinata (PKake)
1) lOg of powder of Pericarp of Akebia quinata is mixed with 100ml of alcoholic
water of 50%(V/V) and extract at room temperature for 2hours and filtered. The residue is
extracted with the same way and filtered. The combined filtrate is evaporated to obtain 3.2g of extract of Pericarp of Akebia quinata(PKake) of brown color.
2) The combined filtrate obtained from 1) is instantly lyophilized to obtain the same
amount of extract of Pericarp of Akebia quinata (PKake).
Example 5
Preparation of extract of Ulmi cortex (PKu)
1) lOg of powder of Ulmi cortex is mixed with 100ml of methanolic water of 50%
(V/N) and is extracted for lhour and filtered. The residue is extracted with the same way and filtered. The combined filtrate is evaporated to obtain 2.5g of extract of extract of Ulmi cortex (PKu).
2) The combined filtrate obtained from 1) is instantly lyophilized to obtain the same amount of the extract of Ulmi cortex (PKu).
Prescriptions
General Prescription 1
Prescription composed with 2 kinds of extracts 0.3, 0.6, 0.8 and 1.0 weight parts of PKG are respectively added to 1 weight part of
PKW and mixed to obtain respective compositions. The compositions are respectively titled
to PKWG-0.3, PKWG-0.6, PKWG-0.8 and PKWG-1.0.
General Prescription 2
Prescription composed with 2 kinds of extracts
0.1, 0.2, 0.3, 0.4 and 0.5 weight parts of PKgly are respectively added to 1 weight
part of PKW and mixed to obtain respective compositions. The respective compositions are respectively titled to PKgly 0.1, PKgly 0.2, PKgly 0.3, PKgly 0.4 and PKgly 0.5.
General Prescription 3
Prescription composed with 2 kinds of extracts
0.1, 0.3, 0.5, 0.7 and 0.9 weight parts of PKake are respectively added to 1 weight
part of PKW and mixed to obtain respective compositions. The respective compositions are
respectively titled to PKake 0.1, PKake 0.3, PKake 0.5, PKake 0.7 and PKake 0.9. General Prescription 4
Prescription composed with 2 kinds of extracts
0.2, 0.5, 0.8, 1.1 and 1.5 weight parts of PKu are respectively added to 1 weight part of PKW and mixed to obtian respective compositions. The respective compositions are
respectively titled to PKu 0.2, PKu 0.5, PKu 0.8, PKu 1.1 and PKu 1.5.
Prescriptions composed with 3 kinds of extract
The following prescriptions are composed with 3 kinds of extracts based upon animal experiments.
General prescription 5
Prescriptions composed with PKW, PKG and PKgly(Prescription PGgly)
0.8 weight part of PKG and 0.4 weight part of PKgly are added to 1 weight part of
PKW and mixed to obtain prescription PGgly.
General prescription 6
Prescriptions composed with PKW, PKG and PKake(Prescription PGake) 0.8 weight part of PKG and 0.5 weight part of PKake are added to 1 weight part of
PKW and mixed to obtain prescription PGake.
General prescription 7
Prescriptions composed with PKW, PKG and PKu(Prescription PGu) 0.8 weight part of PKG and 1.1 weight part of PKu are added to 1 weight part of
PKW and mixed to obtain prescription PGu.
In fact, in the case of prescriptions composed of 2 kinds of extracts, all eight parts of PKG, PKgly, PKake and PKu to 1 weight part of PKW can be composed based on the above
prescriptions. In the same way, various prescriptions composed of 3 kinds of extracts can be composed based on the above prescriptions. In fact, all weight parts are based on lOg of PKW.
Preparation Examples are illustrated as follows.
The above prescriptions are prepared as injections, oral preparations, etc.
Injections: Injections are prepared by dissolving the said prescriptions in
physiological sodium chloride solution, Ringer's solution or other nutritive solution and
bacterial-filtration or any other bactericidal measures.
Oral preparations: oral preparations are prepared with the said prescriptions by conventional preparation methods.
Preparation examples
Preparation example 1
Preparation of PKW 0.8
lOg of PKW is dissolved in 1 liter of physiological sodium chloride solution and
bacteria-filtered to prepare solution.
Preparation example 2 Preparation of PKWG 0.8
lOg of PKW and 8g of PKG are dissolved in 1 liter of physiological sodium chloride solution and bacteria-filtered to prepare solution.
Preparation example 3
Preparation of PKWgly 0.4
lOg of PKW and 4g of PKgly are dissolved in 1 liter of physiological sodium chloride solution and bacteria-filtered to prepare solution.
Preparation example 4
Preparation of PKWake 0.5 lOg of PKW and 5g of PKake are dissolved in 1 liter of physiological sodium
chloride solution and bacteria-filtered to prepare solution.
Preparation example 5
Preparation of PKWu 0.8
lOg of PKW and 8g of PKu are dissolved in 1 liter of physiological sodium chloride
solution and bacteria-filtered to prepare solution.
Preparation example 6
Preparation of PGgly
lOg of PKW, 8g of PKG and 4g of PKgly are dissolved in 1 liter of physiological
sodium chloride solution and bacteria-filtered to prepare solution. Preparation example 7
Preparation of PGake
lOg of PKW, 8g of PKG and 5g of PKake are dissolved in 1 liter of physiological sodium chloride solution and bacteria-filtered to prepare solution.
Preparation example 8 Preparation of PGu
lOg of PKW, 8g of PKG and 8g of PKu are dissolved in 1 liter of physiological sodium chloride solution and bacteria-filtered to prepare solution.
Preparation example 9
0.5g of PKW and 0.2g of PKgly are mixed with conventional vehicle and pressed to
prepare tablet.
Preparation example 10
0.5g of PKW and 0.3g of PKake are mixed with conventional vehicle and
encapsulated to prepare capsule.
Preparation example 11 0.5g of PKW and 0.2g of PKu are dissolved in distilled water for injection, filled into
ampoule and sterilized to prepare injection.
Preparation example 12 0.5g of PKW, 0.4g of PKG and 0.2g of PKgly are mixed with conventional vehicle and pressed to prepare tablet.
Preparation example 13
lg of PKW, 0.2g of PKG and 0.2g of PKake are mixed with conventional vehicle
and sealed in envelope coated with polyethylene resin into prepare powder.
The present invention is explained in more detail with experimental examples as follows.
Analgesic effects for the said prescriptions were firstly screened by using animals. By representatively selecting prescriptions which show superior analgesic effects clinical
trials were carried out.
Experimental examples
Experimental example with animals
It is regarded that though measuring pains of tumor patients by using animals is
impossible, the mechanisms of reducing or eliminating pains for persons and animals are
same.
RCI mice were used as animals. After administration of composition of the present
invention to the animals, acetic acid is injected into abdominal cavity of the animals. After the
administration of the injection into abdominal cavity, the number of times of writhing is
recorded. Test results obtained with several representative prescriptions are explained below. Experimental example 1
1) Measurement of analgesic effect on mouse
17 groups including 3 mice of body weight of 20-25g per one group are divided and 1 group is used as control group. To remaining 16 groups test materials are injected into abdominal cavities of each mouse following doses and times listed on the Table 1. First from
control group, to each group each 0.2ml of acetic acid of 0.6% is injected into abdominal cavities. Number of times of writhing of each mouse of each group is measured for 10 min.
Inhibition rates are recorded as percent rate of writhing of groups administered of test
materials to those of control group. The results are shown on the Table 1.
As shown from the Table 1, PKW, the extract of Pulsatillae Radix its has powerful
analgesic effect on mouse model. PKWG of the combination of PKW and PKG and PGgly of the 3 combinations of PKW, PKW and PKgly show inhibition rates of 95% or over.
Table 1 : Inhibition rates of mice on writhing test based on PKW prescriptions
Figure imgf000019_0001
Acetaminophene 0.2mg/kg in saline 0.9+ 0.05
2) Analgesic effect with volunteers
By selecting prescriptions having good analgesic effects from the above animal tests,
the test materials of the prescriptions are administered to volunteers of cancer patients and
evaluated analgesic effects of the test materials. As for the test materials, we selected and used
PKW and PGake which are effect from the animal tests. Amounts of the test materials are 0.25ml/kg of PKW and 0.25ml/kg of PGgly. The test materials are administered once/day for
4 days (first injections) and evaluated through asking the degrees of pains to the volunteers. After 14 days from the first injections, the same way of administrations is carried out for 4 days (2nd injections). After 2nd injections, the degrees of pains are evaluated through asking the degrees of pains to the volunteers.
Experimental example 2
Clinical trials with cancer patients
12 patients suffering from various cancers are entered to the trials. The patients
whose cancers are already advanced are appealing cancer pains. PKW and PGgly which are
effect from the animal tests are selected and injected intravenously. Other analgesics which had been being administered to the patients are stopped. 2 days after of stopping of
administration of the other analgesics, 0.25ml/kg of the test materials are injected intravenously once a day for 4 days (first injections) and evaluated through asking the degrees
of pains to the patients. After 14 days from the first injections, the same way of
administrations is carried out(2nd injections). After the 2nd injections, analgesic effects of the test materials are evaluated tlirough asking the degrees of pains to the patients. The test results
are shown on the Table 2.
Table 2 : Evaluations of pains for cancer volunteers
PKW injections
Figure imgf000021_0001
As shown on the Table 2, all prescriptions of the extract of Pulsatillae Radix and
prescriptions based on the extract of Pulsatillae Radix show excellent analgesic effects. These prescriptions have characteristics of having analgesic effect and anti cancer effect simultaneously. For instance, it is regarded that synergistic analgesic effects of the present
compositions are achieved, because emphraxis by tumor, damage of tissue and the size of
tumor are lessened and at the same time analgesic effect are exhibited as pharmacological
effects of the composition.
Experimental example 3
Acute toxicity
Each 5ml of preparation example 11 are injected intraperitoneally to 10 ICR mice of 25-30g of body weight. No animals are died.
[Industrial Applicability]
The most excellence of the present composition shows characteristics of having
analgesic effect and anti cancer effect simultaneously. These effects are different from the
existing control methods of pain in which anticancer agent and analgesic agent are used separately. In addition, the analgesic effect of the present composition has prolonged duration
of effect. As seen from the Table 2, cancer patients do not complain from pain even though 15
days have past from the beginning. In the case of the teπninal stage of cancer, though
administration of the composition of the present invention has stopped, patients (Kim, O.G.,
Kim, D.C., and Whang, J. S.) did not complain from pains until they died. Therefore, the present composition can be used as analgesic agent in alleviating or treating pain of cancer
patient.

Claims

1. An analgesic composition comprising extract of Pulsatillae Radix as active
ingredient.
2. An analgesic composition comprising extract of Pulsatillae radix as main ingredient and more comprising one or more extracts selected from the group consisting extract of Ginseng Radix, extract of Glycyrrhizae Radix, extract of Pericarp of Akebia
quinata and extract of the bark of Cortex Ulmi as auxiliary ingredient(s).
3. An analgesic preparation comprising composition of the claim 1 or 2 as active
ingredient in that said preparation is mixed with conventional adjuvants and is prepared to a
conventional preparation.
4. An analgesic preparation according to claim 3 in which the preparation is selected
from the group consisting solution, injection, powder, tablet and capsule.
PCT/KR2004/000259 2003-02-10 2004-02-10 Analgesic composition WO2004069263A1 (en)

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