CN1149977C - 用于预防和治疗放射性粘膜炎和化学性粘膜炎的药物组合物 - Google Patents
用于预防和治疗放射性粘膜炎和化学性粘膜炎的药物组合物 Download PDFInfo
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- CN1149977C CN1149977C CNB998088935A CN99808893A CN1149977C CN 1149977 C CN1149977 C CN 1149977C CN B998088935 A CNB998088935 A CN B998088935A CN 99808893 A CN99808893 A CN 99808893A CN 1149977 C CN1149977 C CN 1149977C
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Classifications
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- A61K—PREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
- A61K9/00—Medicinal preparations characterised by special physical form
- A61K9/0087—Galenical forms not covered by A61K9/02 - A61K9/7023
- A61K9/0095—Drinks; Beverages; Syrups; Compositions for reconstitution thereof, e.g. powders or tablets to be dispersed in a glass of water; Veterinary drenches
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- A61K9/0053—Mouth and digestive tract, i.e. intraoral and peroral administration
- A61K9/0056—Mouth soluble or dispersible forms; Suckable, eatable, chewable coherent forms; Forms rapidly disintegrating in the mouth; Lozenges; Lollipops; Bite capsules; Baked products; Baits or other oral forms for animals
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- A—HUMAN NECESSITIES
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Abstract
本发明涉及用于粘着在粘膜上、特别是用于预防或治疗由放疗或联合放化疗引起的与放疗和化疗有关粘膜炎的药物组合物,该组合物含有与室温为液态、而在粘膜温度下胶凝化并因呈胶态能够粘着在粘膜上的载体混合的有效量抗自由基化合物。
Description
本发明涉及用于预防和治疗放射性粘膜炎和由抗癌综合化学疗法引起的粘膜炎的药物组合物。
从1987-1992年在其多个成员国中采集的数据,世界卫生组织(WHO)按性别计算出1994年全球范围内癌症的大约发病率(世界卫生组织:世界卫生统计年报,1987-1992-瑞士日内瓦,WHO)为:男性发病率最高的部位是前列腺(32%);女性发病率最高的是乳腺癌(32%)。在男性中,头、颈癌以及口咽腔癌的发病率接近6%,而结肠直肠癌的发病率为12%。在女性中,头、颈癌以及口咽腔癌的发病率是5%,而结肠直肠癌的发病率为13%,同时子宫癌的发病率为8%。这些数字除本身意义外直接表明考虑抗有丝分裂治疗、特别是抗增殖的综合化学疗法和放疗引起的副作用的问题广泛性。
根据其部位,癌症治疗经常涉及中能或高能放射治疗,可以是首先治疗,也可以是手术和化疗的辅助治疗。放射治疗尤其广泛地用于某些部位的治疗:头和颈;脑;口咽腔;食管和胃;大肠和直肠;子宫。在1994年,国家癌症研究院(NCI)对美国人群在这些部位新的癌症发病情况进行了评估:
-头和颈,脑 17,500新病例
-口咽腔 29,600新病例
-喉 12,500新病例
-食管和胃 35,000新病例
-结肠和直肠 150,000新病例
-子宫 46,000新病例。
由于计算化轴向X线断层摄影术的发展,照射场的测定、照射动力学以及辐射速度均有不断的改进。因此,对于“头、颈”癌,目前已知手术和放疗之间的期间应不超过6周,并且任何放疗的中断-甚至当副作用严重引起的中断-都将损害其功效。再者,已知对某些肿瘤需要加速放疗(剂量增强)以更为有效地到达处于分裂期的较大量肿瘤细胞:超分次(hyperfractionated)放疗。同样,对加强疗效的持续研究导致交替放疗和质子疗法的出现,这使得照射可以非常精细地聚焦。
食管癌或喉癌的放疗照射由于因电离辐射攻击粘膜,是导致吞咽痛苦、强烈的功能障碍之源(这可以引起显著的体重减轻)。同样,腹部腺病或肿瘤的照射引起胃部的并发症。恶心和呕吐是最常见的症状。然而,会出现早期上皮损伤以及特别是痛苦的溃疡,它们经常是非常严重的,并且可以持续到放疗结束以后。
无论如何,颈颜面放疗的颊并发症是最典型的。该治疗最初明显有强度不同的粘膜反应-口咽粘膜炎-这与长期暴露于太阳光下(在非常炎热的夏季或热带国家)受强紫外线照射所引起的严重灼伤后产生的严重皮疹非常类似。放射性粘膜炎、特别是口咽粘膜炎的特异性与粘膜的特异性及其脆弱性有关。不象皮肤那样覆盖有厚厚的组织,粘膜(颊、龈、胃、肠、子宫、阴道和肛门直肠)非常脆弱,因为它们是由缺乏在水和血管中富含的角蛋白的细胞结构组成的。在这些组织中,由于高能辐射引起的分子振荡使细胞组织结构被极为迅速地破坏,这是粘膜受到破坏的根源。与皮肤组织不同,这些粘膜不能抵御这种类型的侵袭,并且不具有有效地防御在每一照射周期中因接受能量引起的损伤的保护性生理系统(例如亲脂亲水性特征;更新速度等)。
口咽粘膜炎最具危害性的后果是功能性障碍,对其感觉因人而异可以极为不同,这种障碍与临床症状的强度没有关系。因此放射性粘膜炎具有高度破坏性,特别是当水肿后出现红斑、然后粘膜糜烂时尤其如此,这还会导致强烈的疼痛、严重妨碍进食。
此外,对涎腺进行目标量的照射引起口腔干燥,这通常是强烈的和持续性的,甚至是永久的。除了唾液分泌减少或口腔干燥(失去唾液)等不适之外,还可能造成极度感觉不良的是,多发性龋齿也迅速形成。在此阶段,牙齿损伤的主要危险除了掉牙之外,还需要拔掉接受辐射的、构成放射性骨坏死骨(通常是下颌骨)的牙齿。因此,放射后口腔干燥的并发症是霉菌病、反复细菌感染、多发性龋齿和放射性骨坏死,这些并发症常发生、特别是发生于上呼吸消化道的放疗过程中。
由于粘膜炎可以被几种辅因子(例如与化疗有关的[5-FU,顺铂]、尼古丁成瘾、酒精中毒、不良的牙颊卫生等)加重,因此放射性粘膜炎的出现引起的危险可能极为严重。由此证明需要研究有效预防因电离辐射造成的红斑粘膜反应的手段。
由于目前对放射性粘膜炎的预防或治疗的治疗手段不佳,因此本发明人对此问题感兴趣。实际上,这些手段基本上包括系统性反复施用止痛药(例如阿司匹林)、杀真菌药(例如两性霉素B、咪康唑)、接触性麻醉剂(如利多卡因)和漱口水(以洗必太和己脒定为基础)。
这就是开发一种如下组合物之想法的产生过程,该组合物在室温为液体,但是能够粘着在粘膜上,因为当温度达到粘膜的温度时它形成胶状,并且该组合物含有抗自由基活性物质、而同时不干扰每一剂量放疗发出的能量。预防“头、颈”癌放疗后颊咽粘膜炎的这一开发构思也适用于其他形式的粘膜炎,这些粘膜炎是由放疗和/或化疗或者联合放化疗治疗癌症(例如结肠、直肠和肛门癌)或者当这些治疗偶然达到阴道粘膜时引起的
因此,本发明的目的是提供一种特别是用于预防和治疗放射性粘膜炎和化学性粘膜炎的药物组合物,该组合物含有有效量的具有抗自由基活性的化合物,该化合物与室温为液态、而在粘膜温度为胶态并因呈胶态能够粘着在粘膜上的载体混合。
具有抗自由基活性的化合物尤其可以选自:
1-天然来源的类黄酮物质,例如:
i)黄酮醇类,其中有:
-芸香苷:芦丁(槲皮素3-O-芸香糖苷)、槲皮苷(槲皮素3-O-
鼠李糖苷)、异槲皮苷(槲皮素3-O-葡糖苷),
-洋芫荽苷(地奥司明)(香叶木素7β-芸香糖苷)、黄芪苷(莰
非醇3-O-葡糖苷)、莰非醇3-O-芸香糖苷、杨酶苷(或杨梅
黄酮3-O-鼠李糖苷),
-刺槐素(或莰非醇3-O-刺槐糖苷7-鼠李糖苷),
-山奈苷(或者莰非醇3,7-O-二鼠李糖苷),
-川皮苷,
-蜜桔素。
ii)黄酮类,其中有
-野漆树苷(或5,7,4’-三羟黄酮7-O-新橙皮糖苷)、木犀草素
7-O-葡糖苷,
-黄芩素(或黄芩配基5-O-葡糖苷),
-柳穿鱼苷(或柳穿鱼素7-O-芸香苷),
-木犀草苷(或木犀草素5-O-葡糖苷),
-刺槐苷(或刺槐素7-O-鼠李葡糖苷),
iii)黄烷酮类,其中有:
-甘草苷(或甘草苷4′-O-葡糖苷)、柚皮苷(或柚皮素7-O-新
橙皮糖苷)、桔皮苷(或桔皮素7-O-芸香糖苷),
-圣草苷(或圣草素7-O-鼠李糖苷),
2-天然来源的异黄酮类物质,例如:
-芒柄花素7-O-葡糖苷(或芒柄花苷)、阿佛洛莫生
(afromosin)7-O-葡糖苷(或多花紫藤苷),
-染料木苷(或染料木黄酮7-O-葡糖苷)、大豆苷、黄豆黄素,
-染料木黄酮6-O-丙二酰基葡糖苷、大豆黄素6-O-丙二酰基葡
糖苷、染料木黄酮6-O-乙酰基葡糖苷,
-鸢尾苷(或鸢尾素7-O-葡糖苷),
-尼鸢尾黄素,
-鸢尾苷(或鸢尾黄素7-O-葡糖苷)或射干苷。
3-生育酚;
4-多酚和含有多酚的植物提取物例如矢车菊苷配基
(procyanidolic)低聚物,millepertuis、Kallanchoe pinnata、
春黄菊、松树皮、茶、Centella asiatica、落叶松、火绒草的
提取物,
5-维生素:例如维生素A,类胡萝卜素,α-硫辛酸,
6-植物油的活性部分例如α-lupaline、hierogaline,
7-丁基羟基苯甲醚、丁基羟基甲苯。
室温为液态、而在粘膜温度为胶态的载体可以由特别是下列物质混合物的含水分散液或溶液构成:
a-0.05-5%(重量)(优选0.1-3%(重量))赋予粘性的物质;
b-1-20%(重量)(优选5-20%(重量))根据温度改变粘度的物质。
i)赋予粘性的物质可具体选自下列化合物:-胶体或水胶体(多糖物质及其相关物质):
·半乳甘露聚糖及其衍生物:瓜尔胶、角豆胶和刺云实胶等
·淀粉及其衍生物
·阿拉伯胶、西黄蓍胶和刺梧桐胶等
·果胶和果胶的衍生物等
·藻酸类:藻酸、藻酸钠和藻酸钠/钙等
·角叉菜胶及其衍生物等
·纤维素及其衍生物:羧甲基纤维素(CMC)、羧甲基纤维素钠、CMC钙、甲基纤维素、羟丙基纤维素、羟丙甲基纤维素和羟乙基纤维素等
·高分子量葡聚糖
·黄原胶及其衍生物等
·透明质酸及其衍生物和壳多糖、脱乙酰壳多糖及它们的衍生物等-丙烯酸、甲基丙烯酸及其衍生物的聚合物:聚甲基丙烯酸酯、亲有机物的羧乙烯基聚合物(卡波普、卡波姆)、聚羟乙基甲基丙烯酸酯,-聚乙烯基衍生物、聚乙烯吡咯烷酮、聚(乙烯吡咯烷酮和乙酸乙烯酯)、聚乙酸苯二甲酸乙烯酯、聚乙烯醇,-高分子量聚乙二醇,-聚丙烯酰胺及其衍生物,-马来酸聚合物,例如聚乙烯基醚/马来酸共聚物、聚乙烯基醚/马来酸共聚复合物的钠/钙盐,-聚苯乙烯磺酸钠,-无机衍生物:二氧化硅和硅酸盐衍生物及硅氧烷等
ii)随温度变化改变粘度的物质实例,可例举:
·泊洛沙姆(如泊洛沙姆188和泊洛沙姆407等)和poloxamines
·二乙烯基苯山梨醇类化合物(disorbene),它们溶于亲脂性溶媒。
在室温(20℃)下粘度低于200×10-3Pa.s并且在35-37℃下粘度高于2000×10-3Pa.s的组合物是优选的,粘度的测定用LV型Brookfield粘度计/LV4旋转仪,在0.5转/分的转速条件下,15秒钟后读取粘度数据。
例如,在温度升高时,包含赋予粘性的物质(c=1.7%羟丙基甲基纤维素(HPMC))及5%芦丁和14%泊洛沙姆407的本发明溶液表现出下列行为:
温度(t℃) | 粘度(10-3Pa.s) |
253035 | 31414333027 |
可见,在25℃下,该溶液是流动的(粘度数量级在300×10-3Pa.s),当温度升高到30℃时发生胶凝化,随后使温度升至35℃(从25℃升至35℃时,粘度增加到10倍)。
该水性组合物优选具有与粘膜相容的pH值(通常在pH7-8)。
本发明的主题物还可以是固体组合物,该组合物将用于与水混合以形成在室温是液体的溶液并且该溶液在与被保护的粘膜接触时能够形成凝胶。对于胃粘膜和/或肠道粘膜,本发明的主题物可以是固体形式的,例如粉末或颗粒,或者是在加入液体载体后可形成液体组合物的颗粒形式(例如,在临用前可配制成可饮用糖浆、悬浮液或溶液的粉末)。组合物还可呈在服用前溶于水的裸片或颗粒形式。
本发明的组合物可含有与抗自由基活性化合物联合应用的其它活性成分,它们优选是下列药物治疗成分:
-镇痛剂和解痉剂(对乙酰氨基酚、阿司匹林、可待因、吗啡、阿托品、洛派丁胺、间苯三酚等)、麻醉剂(塞罗卡因、利多卡因)和抗菌剂(洗必太、己脒定),
-皮质激素类抗炎药(泼尼松龙和曲安西龙等)或昔康类(如炎痛喜康等),
-抗溃疡药(抗组胺H2药、前列腺素及其衍生物、质子泵抑制剂,例如奥美拉唑、泮托拉唑、兰索拉唑),
-抗酸剂和胃肠修饰剂(磷酸铝、氢氧化铝和氢氧化镁、粘土(diosmectite)、actapulgite等),
-治疗胃食管反流药和消化动力药(藻酸钠、碳酸氢钠和甲氧氯普胺等),
-止吐药(苯甲酰胺类、抗组胺H1药和setrons等),
-止泻药(洛派丁胺等),
-针对消化道的抗真菌剂(两性霉素B、制霉菌素、噻康唑、依曲康唑、益康唑和布康唑等),
-治疗消化功能障碍的药物(如西沙比得)和针对肠道运输的药物,
-肠道抗菌剂(氨基糖苷类、硝基咪唑类和多粘菌素类等)和抗病毒剂(如阿昔洛韦),
-被认为具有缓解和/或增强(上述活性)性质的产物:生物素、多酚类、甘草酸、百里酚和桉叶油素等,及富含甘草酸、泛醇、尿囊素及其衍生物的植物提取物,
-维生素:B族维生素(B1、B6、B12)、烟酰胺、生物素、泛酸,
-矫正唾液分泌减少和调节唾液分泌的产品:匹鲁卡品、茴三硫,
-肽和酶:弹性蛋白、胶原、谷胱甘肽、过氧化氢酶、内切核酸酶,它们可用于修复被放射损伤的组织。
下列实施例说明本发明。
I-
用于颊粘膜的组合物
以实施例的形式给出以下制剂,这些制剂用于说明本发明、而非限制性的:
百分数 | ||||
实施例 | 1 | 2 | 3 | 4 |
水溶性芸香苷 | 2-10 | 2-10 | 2-10 | 2-10 |
匹鲁卡品盐酸盐 | --- | 1-5 | --- | 1-5 |
泊洛沙姆407 | 14.0 | 5-20 | 5-20 | 5-20 |
HPMC | 1-3 | 1-3 | 1-3 | 1-3 |
芳香剂 | 0.1-0.5 | 0.1-0.5 | 0.1-0.5 | 0.1-0.5 |
α-生育酚 | --- | --- | 0.01-0.05 | 0.01-0.05 |
缓冲液pH7.8加至 | 100 | 100 | 100 | 100 |
这些组分构成具有热可逆性稠度的溶液,该溶液:在室温(20-25℃)呈液态,在生理腔的温度(35-37℃)为粘性。因此,含有5-20%泊洛沙姆407和1-3%HPMC聚合物(即6-23%的胶凝剂)的组合物在室温(25℃)的粘度低至足以将其容易地推进(经给药系统)(150-300×10-3Pa·S),然后有效地在待保护粘膜上形成凝胶(例如,当温度增至30-35℃时,粘度达到2000-21,000×10-3Pa.s)。
II-
用于消化道粘膜的组合物
1-可胶凝的液体组合物
作为非限制性的实例,可以提及以下实施例:
百分数 | ||||
实施例 | 5 | 6 | 7 | 8 |
芸香苷 | 2-10 | 1-5 | 0-5 | 0-5 |
两性霉素B | --- | 1-2.5 | --- | --- |
咪康唑 | --- | --- | 1-5 | --- |
尿囊素 | 0-1 | 0-1 | 0-1 | --- |
生物素 | 0-0.050 | 0-0.050 | 0-0.050 | 0-0.050 |
右泛醇 | 0-1 | 0-1 | 0-1 | 0-1 |
Millepertuis(水提物) | --- | --- | --- | 0-5 |
Kallanchoe(水提物) | --- | --- | --- | 0-5 |
HPMC(Methocel E4M) | 1-3 | 1-3 | 1-3 | 1-3 |
泊洛沙姆407(Lutrol F127) | 6-20 | 6-20 | 6-20 | 6-20 |
甜味剂/芳香剂 | 适量 | 适量 | 适量 | 适量 |
防腐剂 | 适量 | 适量 | 适量 | 适量 |
水加至 | 100 | 100 | 100 | 100 |
2-待分散于水中的颗粒
在胃肠道的温度下,该组合物形成凝胶,粘着在粘膜的绒毛上。
mg | ||||
实施例 | 9 | 10 | 11 | 12 |
地奥司明 | 500 | 500 | 500 | 500 |
Centella asiatica提取物 | --- | 20-50 | --- | --- |
羟丙基甲基纤维素(HPMC) | 150 | 150 | 150 | 150 |
黄原胶 | 250 | 250 | 250 | 250 |
碳酸钙 | 1000 | 1000 | 500 | --- |
尿囊素铝* | --- | --- | 900 | --- |
铅克洛沙** | --- | --- | 100 | --- |
泊洛沙姆407 | 1500 | 1500 | 1500 | 1500 |
氢氧化铝 | --- | --- | --- | 400 |
氢氧化镁 | --- | --- | --- | 400 |
芳香剂 | 适量 | 适量 | 适量 | 适量 |
木糖醇 | 1000 | 1000 | 1000 | 1000 |
*尿囊酸二羟基铝
**尿囊酸氯羟基铝
(每一袋分散在100-200毫升水中)。
实施例13-待分散在水中的颗粒(即配即用制剂)
使用时,将每袋以mg量分散在100ml水中,该组合物在胃肠道的温度下也形成凝胶,粘着在粘膜的绒毛上:
OPC* | 200-500 |
α-硫辛酸 | 0-20 |
聚维酮 | 200 |
β-环糊精 | 1000-3000 |
羟丙基甲基纤维素 | 100 |
泊洛沙姆407 | 1000 |
芳香剂/甜味剂 | 适量 |
*矢车菊苷配基低聚物(葡萄核或松树皮的提取物)。
III-
用于直肠粘膜的组合物
以下给出可热胶凝的即用型的粘性溶液的两个实例:
实施例 | 18(%) | 19(%) |
芸香苷 | 2-10 | 1-5 |
右泛醇 | --- | 1-5 |
丁基羟基甲苯 | --- | 1-10 |
α-生育酚 | --- | 0.01-0.05 |
(HPMC)Methocel E4M | 1-3 | 1-3 |
泊洛沙姆407 | 5-20 | 5-20 |
纯化水加至 | 100 | 100 |
IV-
用于阴道粘膜的组合物
下面给出在粘膜温度胶凝的溶液的三个非限制性实例:
实施例 | 20(%) | 21(%) | 22(%) |
芸香苷 | 0.5-10 | 0.5-10 | 0.5-10 |
硝酸布康唑 | 1-5 | --- | --- |
硝酸益康唑 | --- | 1-3 | --- |
硫康唑(thioconazole) | --- | --- | 2-5 |
泊洛沙姆407 | 6-20 | 6-20 | 6-20 |
Methocel E4M | 1-2 | 1-2 | 1-2 |
纯化水加至 | 100 | 100 | 100 |
Claims (14)
1.用于粘着在粘膜上用于预防和治疗由放疗和联合放化疗引起的放射性粘膜炎和化学性粘膜炎的药物组合物,该组合物含有有效量的选自类黄酮和异黄酮类的化合物,该化合物与室温为液态、而在粘膜温度胶凝化并因呈胶态能够粘着在粘膜上的载体混合。
2.权利要求1的组合物,其中载体是含水载体,并且含有0.05-5%(重量)赋予粘性的物质和1-20%(重量)根据温度改变粘度的物质的混合物。
3.权利要求2的组合物,其中载体含有0.1-3%(重量)赋予粘性的物质和5-20%(重量)根据温度改变粘度的物质的混合物。
4.权利要求2的组合物,其中根据温度改变粘度的物质选自泊洛沙姆、poloxamines和二乙烯基苯山梨醇化合物。
5.权利要求1的组合物,其中类黄酮选自芸香苷、洋芫荽苷、槲皮苷、蜜桔素和桔皮苷。
6.权利要求1的组合物,其中异黄酮类是染料木苷、大豆苷或黄豆黄素。
7.权利要求5的组合物,其中芸香苷是芦丁。
8.与室温为液态、而在粘膜温度下胶凝化并因呈胶态能够粘着在粘膜上的载体混合的、选自类黄酮和异黄酮类的化合物在制备预防和治疗放射性粘膜炎和化学性粘膜炎的药物组合物中的用途。
9.权利要求8的用途,其中载体是含水载体,并且含有0.05-5%(重量)赋予粘性的物质和1-20%(重量)根据温度改变粘度的物质的混合物。
10.权利要求9的用途,其中载体含有0.1-3%(重量)赋予粘性的物质和5-20%(重量)根据温度改变粘度的物质的混合物。
11.权利要求9的用途,其中根据温度改变粘度的物质选自泊洛沙姆、poloxamines和二乙烯基苯山梨醇化合物。
12.权利要求8的用途,其中类黄酮选自芸香苷、洋芫荽苷、槲皮苷、蜜桔素和桔皮苷。
13.权利要求8的用途,其中异黄酮类是染料木苷、大豆苷或黄豆黄素。
14.权利要求12的用途,其中芸香苷是芦丁。
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US20020013331A1 (en) * | 2000-06-26 | 2002-01-31 | Williams Robert O. | Methods and compositions for treating pain of the mucous membrane |
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JP4898447B2 (ja) * | 2003-10-14 | 2012-03-14 | プルーロームド インコーポレイテッド | 結石破砕術の際の腎結石破片の閉じ込め |
US20090042781A1 (en) * | 2004-06-28 | 2009-02-12 | Novo Nordisk A/S | Methods for Treating Diabetes |
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US9884082B2 (en) | 2008-11-13 | 2018-02-06 | David A. Hamlin | Compositions and methods for alleviating hyposalivation and for providing oral comfort |
US9597278B2 (en) | 2008-11-13 | 2017-03-21 | David A. Hamlin | Compositions and methods for alleviating hyposalivation and for providing oral comfort |
FR2940761B1 (fr) * | 2009-01-07 | 2012-12-28 | Polymerexpert Sa | Composition anti-ronflement contenant un polymere thermogelifiant |
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EP2572713B1 (en) * | 2011-09-22 | 2014-08-13 | King Saud University | Extracts and isolated flavonoids from Euphorbia cuneata useful as anti-ulcer agents |
FR2999934B1 (fr) * | 2012-12-21 | 2015-02-20 | Servier Lab | Composition pharmaceutique sous la forme d'une suspension orale comprenant une fraction flavonoique et de la gomme xanthane |
CN103405482B (zh) * | 2013-01-25 | 2016-01-06 | 丽水同舟药食资源科技开发有限公司 | 柳叶腊梅提取物在制备治疗炎性肠病和减轻化疗药物引起的消化道损伤的药物中的应用 |
WO2015034678A2 (en) | 2013-09-06 | 2015-03-12 | Aptalis Pharmatech, Inc. | Corticosteroid containing orally disintegrating tablet compositions for eosinophilic esophagitis |
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CA2337152C (en) | 2008-09-16 |
DK1098631T3 (da) | 2003-07-21 |
PT1098631E (pt) | 2003-06-30 |
AU4629699A (en) | 2000-02-14 |
JP2002521321A (ja) | 2002-07-16 |
FR2781156B1 (fr) | 2001-06-29 |
CA2337152A1 (en) | 2000-02-03 |
DE69906302T2 (de) | 2003-11-27 |
FR2781156A1 (fr) | 2000-01-21 |
EP1098631A1 (fr) | 2001-05-16 |
WO2000004878A1 (fr) | 2000-02-03 |
ATE235226T1 (de) | 2003-04-15 |
CN1310610A (zh) | 2001-08-29 |
DE69906302D1 (de) | 2003-04-30 |
EP1098631B1 (fr) | 2003-03-26 |
US7033606B1 (en) | 2006-04-25 |
ES2196823T3 (es) | 2003-12-16 |
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