JP2024072717A - Ophthalmologic composition - Google Patents
Ophthalmologic composition Download PDFInfo
- Publication number
- JP2024072717A JP2024072717A JP2022183722A JP2022183722A JP2024072717A JP 2024072717 A JP2024072717 A JP 2024072717A JP 2022183722 A JP2022183722 A JP 2022183722A JP 2022183722 A JP2022183722 A JP 2022183722A JP 2024072717 A JP2024072717 A JP 2024072717A
- Authority
- JP
- Japan
- Prior art keywords
- eye
- ophthalmic composition
- chondroitin sulfate
- salts
- sodium
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
- 239000000203 mixture Substances 0.000 title claims abstract description 78
- 150000003839 salts Chemical class 0.000 claims abstract description 41
- 210000001508 eye Anatomy 0.000 claims abstract description 40
- 229920001287 Chondroitin sulfate Polymers 0.000 claims abstract description 30
- SQDAZGGFXASXDW-UHFFFAOYSA-N 5-bromo-2-(trifluoromethoxy)pyridine Chemical compound FC(F)(F)OC1=CC=C(Br)C=N1 SQDAZGGFXASXDW-UHFFFAOYSA-N 0.000 claims abstract description 29
- 229940059329 chondroitin sulfate Drugs 0.000 claims abstract description 29
- 230000035807 sensation Effects 0.000 claims abstract description 21
- 206010047513 Vision blurred Diseases 0.000 claims abstract description 20
- 208000024891 symptom Diseases 0.000 claims abstract description 17
- 206010015915 eye discharge Diseases 0.000 claims description 17
- 239000003889 eye drop Substances 0.000 claims description 13
- 210000003097 mucus Anatomy 0.000 abstract 2
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- -1 alkali metal salts Chemical class 0.000 description 38
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- KXKPYJOVDUMHGS-OSRGNVMNSA-N chondroitin sulfate Chemical compound CC(=O)N[C@H]1[C@H](O)O[C@H](OS(O)(=O)=O)[C@H](O)[C@@H]1O[C@H]1[C@H](O)[C@@H](O)[C@H](O)[C@@H](C(O)=O)O1 KXKPYJOVDUMHGS-OSRGNVMNSA-N 0.000 description 12
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- LVYLCBNXHHHPSB-UHFFFAOYSA-N 2-hydroxyethyl salicylate Chemical compound OCCOC(=O)C1=CC=CC=C1O LVYLCBNXHHHPSB-UHFFFAOYSA-N 0.000 description 2
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- HTTJABKRGRZYRN-UHFFFAOYSA-N Heparin Chemical compound OC1C(NC(=O)C)C(O)OC(COS(O)(=O)=O)C1OC1C(OS(O)(=O)=O)C(O)C(OC2C(C(OS(O)(=O)=O)C(OC3C(C(O)C(O)C(O3)C(O)=O)OS(O)(=O)=O)C(CO)O2)NS(O)(=O)=O)C(C(O)=O)O1 HTTJABKRGRZYRN-UHFFFAOYSA-N 0.000 description 2
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- CSNNHWWHGAXBCP-UHFFFAOYSA-L Magnesium sulfate Chemical compound [Mg+2].[O-][S+2]([O-])([O-])[O-] CSNNHWWHGAXBCP-UHFFFAOYSA-L 0.000 description 2
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- 229960005055 sodium ascorbate Drugs 0.000 description 1
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- 229940079839 sodium dehydroacetate Drugs 0.000 description 1
- AJPJDKMHJJGVTQ-UHFFFAOYSA-M sodium dihydrogen phosphate Chemical compound [Na+].OP(O)([O-])=O AJPJDKMHJJGVTQ-UHFFFAOYSA-M 0.000 description 1
- HRZFUMHJMZEROT-UHFFFAOYSA-L sodium disulfite Chemical compound [Na+].[Na+].[O-]S(=O)S([O-])(=O)=O HRZFUMHJMZEROT-UHFFFAOYSA-L 0.000 description 1
- 235000010262 sodium metabisulphite Nutrition 0.000 description 1
- RYYKJJJTJZKILX-UHFFFAOYSA-M sodium octadecanoate Chemical class [Na+].CCCCCCCCCCCCCCCCCC([O-])=O RYYKJJJTJZKILX-UHFFFAOYSA-M 0.000 description 1
- 235000010265 sodium sulphite Nutrition 0.000 description 1
- AKHNMLFCWUSKQB-UHFFFAOYSA-L sodium thiosulfate Chemical compound [Na+].[Na+].[O-]S([O-])(=O)=S AKHNMLFCWUSKQB-UHFFFAOYSA-L 0.000 description 1
- 235000019345 sodium thiosulphate Nutrition 0.000 description 1
- PPASLZSBLFJQEF-RXSVEWSESA-M sodium-L-ascorbate Chemical compound [Na+].OC[C@H](O)[C@H]1OC(=O)C(O)=C1[O-] PPASLZSBLFJQEF-RXSVEWSESA-M 0.000 description 1
- DSOWAKKSGYUMTF-GZOLSCHFSA-M sodium;(1e)-1-(6-methyl-2,4-dioxopyran-3-ylidene)ethanolate Chemical compound [Na+].C\C([O-])=C1/C(=O)OC(C)=CC1=O DSOWAKKSGYUMTF-GZOLSCHFSA-M 0.000 description 1
- GEYJUFBPCGDENK-UHFFFAOYSA-M sodium;3,8-dimethyl-5-propan-2-ylazulene-1-sulfonate Chemical compound [Na+].CC(C)C1=CC=C(C)C2=C(S([O-])(=O)=O)C=C(C)C2=C1 GEYJUFBPCGDENK-UHFFFAOYSA-M 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
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- 150000003431 steroids Chemical class 0.000 description 1
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- 150000005846 sugar alcohols Chemical class 0.000 description 1
- 239000004094 surface-active agent Substances 0.000 description 1
- 239000008399 tap water Substances 0.000 description 1
- 235000020679 tap water Nutrition 0.000 description 1
- 229960003080 taurine Drugs 0.000 description 1
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- 239000002562 thickening agent Substances 0.000 description 1
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- OGIDPMRJRNCKJF-UHFFFAOYSA-N titanium oxide Inorganic materials [Ti]=O OGIDPMRJRNCKJF-UHFFFAOYSA-N 0.000 description 1
- 229940042585 tocopherol acetate Drugs 0.000 description 1
- GYDJEQRTZSCIOI-LJGSYFOKSA-N tranexamic acid Chemical compound NC[C@H]1CC[C@H](C(O)=O)CC1 GYDJEQRTZSCIOI-LJGSYFOKSA-N 0.000 description 1
- 229960000401 tranexamic acid Drugs 0.000 description 1
- NZHGWWWHIYHZNX-CSKARUKUSA-N tranilast Chemical compound C1=C(OC)C(OC)=CC=C1\C=C\C(=O)NC1=CC=CC=C1C(O)=O NZHGWWWHIYHZNX-CSKARUKUSA-N 0.000 description 1
- 229960005342 tranilast Drugs 0.000 description 1
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- NWONKYPBYAMBJT-UHFFFAOYSA-L zinc sulfate Chemical compound [Zn+2].[O-]S([O-])(=O)=O NWONKYPBYAMBJT-UHFFFAOYSA-L 0.000 description 1
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Landscapes
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Abstract
Description
本発明は、眼科組成物に関する。 The present invention relates to an ophthalmic composition.
角膜は、外界から順に、角膜上皮、ボーマン膜、角膜実質、デスメ膜及び角膜内皮の5層で形成された、眼球最表面に構成された組織であり、外界と直接接することから、角膜には抗原、微生物及び砂埃等、種々の異物が侵入しやすい。 The cornea is the outermost tissue of the eyeball, and is made up of five layers: corneal epithelium, Bowman's membrane, corneal stroma, Descemet's membrane, and corneal endothelium. Because the cornea is in direct contact with the outside world, it is susceptible to the intrusion of various foreign substances, such as antigens, microorganisms, and dust.
炎症性サイトカインと抗炎症性サイトカインは細胞同士の情報を伝達し免疫機能を調節しているが、角膜への異物の侵入等により炎症性サイトカインが過剰に分泌され免疫機能のバランスが崩れると、目の異物感、目ヤニ、かすみ目及び涙目等の症状が惹起される。これらの症状を緩和するために、抗炎症剤等を配合した眼科組成物が提案されている。 Inflammatory and anti-inflammatory cytokines transmit information between cells and regulate immune function. However, if a foreign body enters the cornea, causing excessive secretion of inflammatory cytokines and upsetting the balance of immune function, symptoms such as a foreign body sensation in the eye, eye discharge, blurred vision, and watery eyes are induced. In order to alleviate these symptoms, ophthalmic compositions containing anti-inflammatory agents have been proposed.
コンドロイチン硫酸又はその塩は、エネルギー代謝、新陳代謝、及び細胞呼吸の促進作用、並びに保水作用等を有しており、眼科組成物に配合されることがある(例えば、特許文献1)。 Chondroitin sulfate or its salts have the effect of promoting energy metabolism, metabolism, and cellular respiration, as well as water retention, and are sometimes incorporated into ophthalmic compositions (for example, Patent Document 1).
しかしながら、コンドロイチン硫酸又はその塩が、目の異物感、目ヤニ、かすみ目及び涙目に及ぼす影響はもちろん、角膜上皮細胞における炎症性サイトカインの発現に及ぼす影響について何ら知られていない。 However, nothing is known about the effects of chondroitin sulfate or its salts on the ocular foreign body sensation, eye discharge, blurred vision, and watery eyes, as well as the effects on the expression of inflammatory cytokines in corneal epithelial cells.
本発明の目的は、目の異物感、目ヤニ、かすみ目及び涙目等の症状を改善することのできる眼科組成物を提供することにある。 The object of the present invention is to provide an ophthalmic composition that can improve symptoms such as foreign body sensation in the eye, eye discharge, blurred vision, and watery eyes.
本発明者らは、コンドロイチン硫酸及びその塩からなる群より選択される少なくとも1種を特定量含有する眼科組成物が、意外にも角膜上皮細胞における炎症性サイトカインの遺伝子発現を抑制すること、並びに目の異物感、目ヤニ、かすみ目及び涙目等の症状を改善することを見出した。 The present inventors have unexpectedly discovered that an ophthalmic composition containing a specific amount of at least one selected from the group consisting of chondroitin sulfate and its salts suppresses gene expression of inflammatory cytokines in corneal epithelial cells and improves symptoms such as foreign body sensation in the eye, eye discharge, blurred vision, and watery eyes.
本発明は、例えば、以下の各発明を提供する。
[1]
コンドロイチン硫酸及びその塩からなる群より選択される少なくとも1種を含有する、目の異物感、目ヤニ、かすみ目及び涙目からなる群より選択される少なくとも1種の症状の改善、緩和、治療、又は予防用眼科組成物であって、該コンドロイチン硫酸及びその塩からなる群より選択される少なくとも1種の総含有量が該眼科組成物の総量を基準として1w/v%である、眼科組成物。
[2]
前記コンドロイチン硫酸及びその塩からなる群より選択される少なくとも1種の重量平均分子量が8000~60000である、[1]記載の眼科組成物。
[3]
点眼剤である、[1]又は[2]に記載の眼科組成物。
The present invention provides, for example, the following inventions.
[1]
An ophthalmic composition for improving, alleviating, treating, or preventing at least one symptom selected from the group consisting of foreign body sensation in the eye, eye discharge, blurred vision, and watery eyes, comprising at least one member selected from the group consisting of chondroitin sulfate and its salts, wherein the total content of the at least one member selected from the group consisting of chondroitin sulfate and its salts is 1 w/v % based on the total amount of the ophthalmic composition.
[2]
The ophthalmic composition according to [1], wherein the weight average molecular weight of at least one selected from the group consisting of chondroitin sulfate and its salts is 8,000 to 60,000.
[3]
The ophthalmic composition according to [1] or [2], which is an eye drop.
本発明によれば、目の異物感、目ヤニ、かすみ目及び涙目等の症状を改善することのできる眼科組成物を提供することができる。 The present invention provides an ophthalmic composition that can improve symptoms such as foreign body sensation in the eye, eye discharge, blurred vision, and watery eyes.
以下、本発明を実施するための形態について詳細に説明する。ただし、本発明は以下の実施形態に限定されるものではない。本明細書において、特に記載のない限り、含有量の単位「%」は「w/v%」を意味し、「g/100mL」と同義である。 The following describes in detail the embodiments of the present invention. However, the present invention is not limited to the following embodiments. In this specification, unless otherwise specified, the unit of content "%" means "w/v%" and is synonymous with "g/100 mL."
本実施形態に係る眼科組成物は、コンドロイチン硫酸及びその塩からなる群より選択される少なくとも1種(単に「(A)成分」とも表記する。)を含有する。 The ophthalmic composition according to this embodiment contains at least one component selected from the group consisting of chondroitin sulfate and its salts (also referred to simply as "component (A)").
コンドロイチン硫酸及びその塩は、医薬上、薬理学的に(製薬上)又は生理学的に許容されるものであれば、特に制限されない。 There are no particular limitations on chondroitin sulfate and its salts, so long as they are medicamentally, pharmacologically (pharmaceutical), or physiologically acceptable.
コンドロイチン硫酸の塩としては、例えば、アルカリ金属塩、アルカリ土類金属塩が挙げられる。アルカリ金属塩としては、例えば、ナトリウム塩、カリウム塩が挙げられる。アルカリ土類金属塩としては、例えば、マグネシウム塩、カルシウム塩が挙げられる。 Examples of salts of chondroitin sulfate include alkali metal salts and alkaline earth metal salts. Examples of alkali metal salts include sodium salt and potassium salt. Examples of alkaline earth metal salts include magnesium salt and calcium salt.
コンドロイチン硫酸及びその塩としては、コンドロイチン硫酸及びコンドロイチン硫酸のアルカリ金属塩が好ましく、コンドロイチン硫酸及びコンドロイチン硫酸ナトリウムがより好ましく、コンドロイチン硫酸ナトリウムが更に好ましい。 As chondroitin sulfate and its salts, chondroitin sulfate and alkali metal salts of chondroitin sulfate are preferred, chondroitin sulfate and sodium chondroitin sulfate are more preferred, and sodium chondroitin sulfate is even more preferred.
コンドロイチン硫酸及びその塩を配合する場合、有効成分として配合してもよく、目の異物感、目ヤニ、かすみ目及び涙目等の症状を改善する他の成分の効果を高めるものであってもよい。 When chondroitin sulfate and its salts are included, they may be included as an active ingredient, or they may enhance the effects of other ingredients that improve symptoms such as a foreign body sensation in the eye, eye discharge, blurred vision, and watery eyes.
本明細書において「重量平均分子量」は、多角度光散乱検出器(MALS検出器)と示差屈折率検出器(RI検出器)をオンライン接続したゲル浸透クロマトグラフィーを使用することによって求めることができる。具体的には、下記の条件が提示される。
<標準試料調製>
コンドロイチン硫酸又はその塩5mgに、0.1M硝酸ナトリウム水溶液10mLを加え、室温で緩やかに攪拌し、完全に溶解させたもの。
<重量平均分子量の測定条件>
装置 :ゲル浸透クロマトグラフ-多角度光散乱計
検出器 :示差屈折率検出器(Wyatt Technology製 Optilab rEX)
多角度光散乱検出器(Wyatt Technology製 DAWN HELEOS)
カラム :Shodex OHpak SB-806M HQ 2本(φ7.8mm×30cm、昭和電工製)
溶媒 :0.1M硝酸ナトリウム水溶液
流速 :0.7mL/min
カラム温度 :23℃
検出器温度 :23℃
注入量 :0.2mL
データ処理 :Wyatt Technology製データ処理システム(ASTRA)
In this specification, the "weight average molecular weight" can be determined by using gel permeation chromatography in which a multi-angle light scattering detector (MALS detector) and a differential refractive index detector (RI detector) are connected online. Specifically, the following conditions are presented.
<Standard sample preparation>
10 mL of 0.1 M aqueous sodium nitrate solution was added to 5 mg of chondroitin sulfate or a salt thereof, and the mixture was gently stirred at room temperature until completely dissolved.
<Conditions for measuring weight average molecular weight>
Apparatus: Gel permeation chromatography - multi-angle light scattering meter Detector: Differential refractive index detector (Optilab rEX, manufactured by Wyatt Technology)
Multi-angle light scattering detector (DAWN HELEOS, manufactured by Wyatt Technology)
Column: Shodex OHpak SB-806M HQ x 2 (φ7.8 mm x 30 cm, Showa Denko)
Solvent: 0.1 M sodium nitrate aqueous solution Flow rate: 0.7 mL/min
Column temperature: 23°C
Detector temperature: 23°C
Injection volume: 0.2 mL
Data processing: Wyatt Technology data processing system (ASTRA)
コンドロイチン硫酸及びその塩の分子量は、医薬上、薬理学的に(製薬上)又は生理学的に許容されることを限度として特に制限されないが、上記の方法で算出された重量平均分子量の下限値としては、8000以上、10000以上、15000以上、及び20000以上が例示される。また、上記の方法で算出された重量平均分子量の上限値としては、60000以下、50000以下、45000以下、40000以下、35000以下、及び30000以下が例示される。好ましい重量平均分子量の範囲としては、8000~60000、20000~45000、及び20000~30000が例示される。 The molecular weight of chondroitin sulfate and its salts is not particularly limited as long as it is medicamentarily, pharmacologically (pharmaceutical), or physiologically acceptable, but examples of lower limits of the weight average molecular weight calculated by the above method include 8,000 or more, 10,000 or more, 15,000 or more, and 20,000 or more. Examples of upper limits of the weight average molecular weight calculated by the above method include 60,000 or less, 50,000 or less, 45,000 or less, 40,000 or less, 35,000 or less, and 30,000 or less. Examples of preferred weight average molecular weight ranges are 8,000 to 60,000, 20,000 to 45,000, and 20,000 to 30,000.
コンドロイチン硫酸及びその塩は、市販のものを用いることもできる。コンドロイチン硫酸及びその塩は、1種を単独で使用してもよく、又は2種以上を組み合わせて使用してもよい。コンドロイチン硫酸及びその塩は、様々な重量平均分子量のコンドロイチン硫酸及びその塩を組み合わせて使用することができる。例えば、重量平均分子量56000のコンドロイチン硫酸ナトリウムと重量平均分子量25000のコンドロイチン硫酸ナトリウムとを組み合わせて使用することができる。そのように組み合わせて使用する場合には、重量平均分子量が8000~60000、好ましくは9000~45000、より好ましくは10000~40000のコンドロイチン硫酸及びその塩を原料として含有することが好ましい。 Chondroitin sulfate and its salts can be commercially available. Chondroitin sulfate and its salts can be used alone or in combination of two or more. Chondroitin sulfate and its salts can be used in combination with chondroitin sulfates and their salts having various weight-average molecular weights. For example, sodium chondroitin sulfate having a weight-average molecular weight of 56,000 can be used in combination with sodium chondroitin sulfate having a weight-average molecular weight of 25,000. When using such a combination, it is preferable to use chondroitin sulfate and its salts having a weight-average molecular weight of 8,000 to 60,000, preferably 9,000 to 45,000, more preferably 10,000 to 40,000 as raw materials.
本実施形態に係る眼科組成物における(A)成分の総含有量は特に限定されず、他の配合成分の種類及び含有量、眼科組成物の製剤形態等に応じて適宜設定される。(A)成分の総含有量の下限値は、本発明による効果をより顕著に奏する観点から、例えば、0.7w/v%以上であることが好ましく、0.9w/v%以上であることがより好ましい。(A)成分の総含有量の上限値は本発明による効果をより顕著に奏する観点から、例えば1.2w/v%以下であってよく、1.1w/v%以下であることが好ましい。また、本実施形態に係る眼科組成物における(A)成分の総含有量は、眼科組成物の総量を基準として、1.0w/v%であることが特に好ましい。 The total content of the component (A) in the ophthalmic composition according to this embodiment is not particularly limited, and is appropriately set according to the type and content of other blended components, the formulation form of the ophthalmic composition, etc. The lower limit of the total content of the component (A) is, for example, preferably 0.7 w/v% or more, and more preferably 0.9 w/v% or more, from the viewpoint of more significantly achieving the effects of the present invention. The upper limit of the total content of the component (A) may be, for example, 1.2 w/v% or less, and preferably 1.1 w/v% or less, from the viewpoint of more significantly achieving the effects of the present invention. In addition, the total content of the component (A) in the ophthalmic composition according to this embodiment is particularly preferably 1.0 w/v% based on the total amount of the ophthalmic composition.
本実施形態に係る眼科組成物は、緩衝剤を更に含有してもよい。眼科組成物が緩衝剤を更に含有することで、本発明による効果がより顕著に奏される。緩衝剤としては、ホウ酸緩衝剤(例えば、ホウ酸とホウ砂の組み合わせ等)、リン酸緩衝剤(例えば、リン酸水素二ナトリウムとリン酸二水素ナトリウムの組み合わせ等)、トリス緩衝剤(例えば、トロメタモール)が好ましく、ホウ酸緩衝剤、リン酸緩衝剤がより好ましく、ホウ酸及びその塩が更に好ましく、ホウ酸とホウ砂の組み合わせが更により好ましい。 The ophthalmic composition according to this embodiment may further contain a buffering agent. When the ophthalmic composition further contains a buffering agent, the effect of the present invention is more pronounced. As the buffering agent, boric acid buffering agents (e.g., a combination of boric acid and borax, etc.), phosphate buffering agents (e.g., a combination of disodium hydrogen phosphate and sodium dihydrogen phosphate, etc.), and tris buffering agents (e.g., trometamol) are preferred, boric acid buffering agents and phosphate buffering agents are more preferred, boric acid and its salts are even more preferred, and a combination of boric acid and borax is even more preferred.
本実施形態に係る眼科組成物における緩衝剤の含有量は特に限定されず、緩衝剤の種類、他の配合成分の種類及び含有量、眼科組成物の用途及び製剤形態等に応じて適宜設定される。緩衝剤の含有量は、本発明による効果をより顕著に奏する観点から、眼科組成物の総量を基準として、緩衝剤の総含有量が、0.01~10w/v%であることが好ましく、0.05~5w/v%であることがより好ましく、0.1~3w/v%であることが更に好ましい。 The content of the buffering agent in the ophthalmic composition according to this embodiment is not particularly limited, and is set appropriately depending on the type of buffering agent, the type and content of other blended ingredients, the intended use of the ophthalmic composition, the formulation form, etc. From the viewpoint of more significantly achieving the effects of the present invention, the content of the buffering agent is preferably 0.01 to 10 w/v%, more preferably 0.05 to 5 w/v%, and even more preferably 0.1 to 3 w/v%, based on the total amount of the ophthalmic composition.
本実施形態に係る眼科組成物における、(A)成分に対する緩衝剤の含有比率は特に限定されず、(A)成分及び緩衝剤の種類、他の配合成分の種類及び含有量、眼科組成物の用途及び製剤形態等に応じて適宜設定される。(A)成分に対する緩衝剤の含有比率としては、本発明による効果をより一層高める観点から、例えば、本実施形態に係る眼科組成物に含まれる(A)成分の総含有量1質量部に対して、緩衝剤の総含有量が、0.01~10質量部であることが好ましく、0.05~5質量部であることがより好ましく、0.1~3質量部であることが更に好ましい。 The content ratio of the buffering agent relative to the component (A) in the ophthalmic composition according to this embodiment is not particularly limited, and is set appropriately depending on the type of the component (A) and the buffering agent, the type and content of other blended components, the intended use of the ophthalmic composition, the formulation form, etc. From the viewpoint of further enhancing the effect of the present invention, for example, the content ratio of the buffering agent relative to the component (A) is preferably 0.01 to 10 parts by mass, more preferably 0.05 to 5 parts by mass, and even more preferably 0.1 to 3 parts by mass, of the total content of the component (A) contained in the ophthalmic composition according to this embodiment.
本実施形態に係る眼科組成物のpHは、医薬上、薬理学的に(製薬上)又は生理学的に許容される範囲内であれば特に限定されるものではない。本実施形態に係る眼科組成物のpHとしては、例えば、4.0~9.5であってよく、4.0~9.0であることが好ましく、4.5~9.0であることがより好ましく、4.5~8.5であることが更に好ましく、5.0~8.5であることが更により好ましく、5.0~8.0であることが特に好ましく、5.5~8.0であることがさらに特に好ましい。また、6.0~8.0、6.5~8.0、6.0~8.5、又は6.5~8.5であってもよい。 The pH of the ophthalmic composition according to this embodiment is not particularly limited as long as it is within a medicamentously, pharmacologically (pharmaceutical) or physiologically acceptable range. The pH of the ophthalmic composition according to this embodiment may be, for example, 4.0 to 9.5, preferably 4.0 to 9.0, more preferably 4.5 to 9.0, even more preferably 4.5 to 8.5, even more preferably 5.0 to 8.5, particularly preferably 5.0 to 8.0, and even more particularly preferably 5.5 to 8.0. It may also be 6.0 to 8.0, 6.5 to 8.0, 6.0 to 8.5, or 6.5 to 8.5.
本実施形態に係る眼科組成物は、必要に応じて、生体に許容される範囲内の浸透圧比に調節することができる。適切な浸透圧比は、眼科組成物の用途、製剤形態、使用方法等に応じて適宜設定され得るが、例えば、0.4~5.0とすることができ、0.6~3.0とすることが好ましく、0.8~2.2とすることがより好ましく、0.8~2.0とすることが更に好ましい。また、0.7~2.0、又は0.7~1.5であってもよい。浸透圧比は、第十七改正日本薬局方に基づき、286mOsm(0.9w/v%塩化ナトリウム水溶液の浸透圧)に対する試料の浸透圧の比とし、浸透圧は日本薬局方記載の浸透圧測定法(凝固点降下法)を参考にして測定する。なお、浸透圧比測定用標準液(0.9w/v%塩化ナトリウム水溶液)は、塩化ナトリウム(日本薬局方標準試薬)を500~650℃で40~50分間乾燥した後、デシケーター(シリカゲル)中で放冷し、その0.900gを正確に量り、精製水に溶かし正確に100mLとして調製するか、市販の浸透圧比測定用標準液(0.9w/v%塩化ナトリウム水溶液)を用いることができる。 The ophthalmic composition according to this embodiment can be adjusted to an osmotic pressure ratio within a range acceptable to the living body, if necessary. The appropriate osmotic pressure ratio can be appropriately set depending on the purpose, formulation, and method of use of the ophthalmic composition, and can be, for example, 0.4 to 5.0, preferably 0.6 to 3.0, more preferably 0.8 to 2.2, and even more preferably 0.8 to 2.0. It may also be 0.7 to 2.0, or 0.7 to 1.5. The osmotic pressure ratio is the ratio of the osmotic pressure of the sample to 286 mOsm (the osmotic pressure of a 0.9 w/v% sodium chloride aqueous solution) based on the 17th Revised Japanese Pharmacopoeia, and the osmotic pressure is measured with reference to the osmotic pressure measurement method (freezing point depression method) described in the Japanese Pharmacopoeia. The standard solution for measuring osmolality ratios (0.9 w/v% sodium chloride aqueous solution) can be prepared by drying sodium chloride (Japanese Pharmacopoeia standard reagent) at 500-650°C for 40-50 minutes, allowing it to cool in a desiccator (silica gel), and then accurately weighing out 0.900 g of it and dissolving it in purified water to make exactly 100 mL, or a commercially available standard solution for measuring osmolality ratios (0.9 w/v% sodium chloride aqueous solution) can be used.
本実施形態に係る眼科組成物の粘度は、医薬上、薬理学的に(製薬上)又は生理学的に許容される範囲内であれば、特に限定されるものではない。本実施形態に係る眼科組成物の粘度としては、例えば、回転粘度計(TV-20型粘度計、東機産業社製、ローター;1°34’×R24)で測定した20℃における粘度が1~10000mPa・sであることが好ましく、1~8000mPa・sであることがより好ましく、1~1000mPa・sであることが更に好ましく、1~100mPa・sであることが更により好ましく、1~20mPa・sであることが特に好ましく、1.5~10mPa・sであることが最も好ましい。 The viscosity of the ophthalmic composition according to this embodiment is not particularly limited as long as it is within a medicamentarily, pharmacologically (pharmaceutical) or physiologically acceptable range. The viscosity of the ophthalmic composition according to this embodiment is preferably 1 to 10,000 mPa·s, more preferably 1 to 8,000 mPa·s, even more preferably 1 to 1,000 mPa·s, even more preferably 1 to 1000 mPa·s, even more preferably 1 to 100 mPa·s, particularly preferably 1 to 20 mPa·s, and most preferably 1.5 to 10 mPa·s, as measured at 20°C using a rotational viscometer (TV-20 type viscometer, manufactured by Toki Sangyo Co., Ltd., rotor: 1°34'×R24).
本実施形態に係る眼科組成物は、本発明の効果を損なわない範囲であれば、上記成分の他に種々の薬理活性成分及び生理活性成分から選択される成分を組み合わせて適当量含有していてもよい。当該成分は特に制限されず、例えば、一般用医薬品製造販売承認基準2017年版(一般社団法人 レギュラトリーサイエンス学会 監修)に記載された眼科用薬における有効成分が例示できる。眼科用薬において用いられる成分として、具体的には、例えば、次のような成分が挙げられる。
抗アレルギー剤:例えば、クロモグリク酸又はその塩(例えば、クロモグリク酸ナトリウム)、トラニラスト、ペミロラストカリウム、アシタザノラスト、アンレキサノクス、イブジラスト等。
抗ヒスタミン剤:例えば、クロルフェニラミン又はその塩(例えば、マレイン酸クロルフェニラミン)、ジフェンヒドラミン又はその塩(例えば、塩酸ジフェンヒドラミン)、イプロヘプチン又はその塩(例えば、塩酸イプロヘプチン)、レボカバスチン又はその塩(例えば、塩酸レボカバスチン)、ケトチフェン又はその塩(例えば、フマル酸ケトチフェン)、ペミロラストカリウム、オロパタジン又はその塩(例えば、オロパタジン塩酸塩)、エピナスチン又はその塩(例えば、エピナスチン塩酸塩)等。
ステロイド剤:例えば、プロピオン酸フルチカゾン、フランカルボン酸フルチカゾン、フランカルボン酸モメタゾン、プロピオン酸ベクロメタゾン、フルニソリド等。
充血除去剤:例えば、エピネフリン、塩酸エピネフリン、塩酸エフェドリン、塩酸フェニレフリン、dl-塩酸メチルエフェドリン等。
眼筋調節薬剤:例えば、アセチルコリンと類似した活性中心を有するコリンエステラーゼ阻害剤、具体的にはトロピカミド、ヘレニエン、硫酸アトロピン、塩酸ピロカルピン等。
消炎剤:例えば、サリチル酸メチル、サリチル酸グリコール、アラントイン、トラネキサム酸、リゾチーム、塩化リゾチーム、インドメタシン、プラノプロフェン、イブプロフェン、イブプロフェンピコノール、ケトプロフェン、フェルビナク、ベンダザック、ピロキシカム、ブフェキサマク、フルフェナム酸ブチル、イプシロン-アミノカプロン酸、塩化ベルベリン、硫酸ベルベリン、アズレンスルホン酸ナトリウム、グリチルリチン酸又はその塩(例えば、グリチルリチン酸二カリウム、グリチルリチン酸モノアンモニウム)、硫酸亜鉛、乳酸亜鉛等。
ビタミン類:例えば、酢酸レチノール、パルミチン酸レチノール、酢酸トコフェロール、フラビンアデニンジヌクレオチドナトリウム、ピリドキシン塩酸塩、パンテノール、パントテン酸カルシウム、アスコルビン酸、アスコルビン酸ナトリウム等。
アミノ酸類:例えば、L-アルギニン、グルタミン酸、グリシン、アラニン、リジン、γ-アミノ酪酸、γ-アミノ吉草酸、トリメチルグリシン、タウリン、アスパラギン酸及びそれらの塩等。
収斂剤:例えば、亜鉛華等。
The ophthalmic composition according to the present embodiment may contain an appropriate amount of a combination of various pharmacologically active ingredients and physiologically active ingredients in addition to the above-mentioned ingredients, as long as the effect of the present invention is not impaired. The ingredients are not particularly limited, and examples thereof include active ingredients in ophthalmic drugs listed in the 2017 edition of the General Drug Manufacturing and Sales Approval Standards (supervised by the Japan Society of Regulatory Science). Specific examples of ingredients used in ophthalmic drugs include the following ingredients.
Antiallergic agents: for example, cromoglycic acid or a salt thereof (for example, sodium cromoglycate), tranilast, pemirolast potassium, ashitazanolast, amlexanox, ibudilast, etc.
Antihistamines: for example, chlorpheniramine or a salt thereof (e.g., chlorpheniramine maleate), diphenhydramine or a salt thereof (e.g., diphenhydramine hydrochloride), iproheptine or a salt thereof (e.g., iproheptine hydrochloride), levocabastine or a salt thereof (e.g., levocabastine hydrochloride), ketotifen or a salt thereof (e.g., ketotifen fumarate), pemirolast potassium, olopatadine or a salt thereof (e.g., olopatadine hydrochloride), epinastine or a salt thereof (e.g., epinastine hydrochloride), and the like.
Steroids: for example, fluticasone propionate, fluticasone furoate, mometasone furoate, beclomethasone propionate, flunisolide, etc.
Decongestants: for example, epinephrine, epinephrine hydrochloride, ephedrine hydrochloride, phenylephrine hydrochloride, dl-methylephedrine hydrochloride, and the like.
Ocular muscle regulating drugs: for example, cholinesterase inhibitors having an active center similar to that of acetylcholine, specifically, tropicamide, helenien, atropine sulfate, pilocarpine hydrochloride, etc.
Anti-inflammatory agents: for example, methyl salicylate, glycol salicylate, allantoin, tranexamic acid, lysozyme, lysozyme chloride, indomethacin, pranoprofen, ibuprofen, ibuprofen piconol, ketoprofen, felbinac, bendazac, piroxicam, bufexamac, butyl flufenamate, epsilon-aminocaproic acid, berberine chloride, berberine sulfate, sodium azulene sulfonate, glycyrrhizic acid or a salt thereof (for example, dipotassium glycyrrhizinate, monoammonium glycyrrhizinate), zinc sulfate, zinc lactate, etc.
Vitamins: for example, retinol acetate, retinol palmitate, tocopherol acetate, flavin adenine dinucleotide sodium, pyridoxine hydrochloride, panthenol, calcium pantothenate, ascorbic acid, sodium ascorbate, etc.
Amino acids: for example, L-arginine, glutamic acid, glycine, alanine, lysine, γ-aminobutyric acid, γ-aminovaleric acid, trimethylglycine, taurine, aspartic acid, and salts thereof.
Astringents: for example, zinc oxide.
本実施形態に係る眼科組成物には、本発明の効果を損なわない範囲であれば、その用途及び製剤形態に応じて、常法に従い、様々な添加物を適宜選択し、1種又はそれ以上を併用して適当量含有させてもよい。このような添加物として、例えば、医薬品添加物事典2021(日本医薬品添加剤協会編集)に記載された各種添加物が例示できる。代表的な成分として次の添加物が挙げられる。
担体:例えば、水、含水エタノール等の水性溶媒。
キレート剤:例えば、(EDDA)、エチレンジアミン三酢酸、N-(2-ヒドロキシエチル)エチレンジアミン三酢酸(HEDTA)、ジエチレントリアミン五酢酸(DTPA)等。
基剤:例えば、オクチルドデカノール、酸化チタン、臭化カリウム、プラスチベース等。
pH調節剤:例えば、塩酸、酢酸、水酸化ナトリウム、水酸化カリウム、水酸化カルシウム、水酸化マグネシウム、トリエタノールアミン、モノエタノールアミン、ジイソプロパノールアミン等。
界面活性剤:例えば、チロキサポール、ポリオキシエチレンソルビタン脂肪酸エステル類、ステアリン酸ポリオキシル、ポリオキシエチレンヒマシ油、ポリオキシエチレン硬化ヒマシ油、ポロクサマー類等の非イオン界面活性剤;ポリオキシエチレンアルキルエーテルリン酸塩、ポリオキシエチレンアルキルエーテル硫酸塩、アルキルベンゼンスルホン酸塩、アルキル硫酸塩、N-アシルタウリン塩等の陰イオン界面活性剤;ラウリルジメチルアミノ酢酸ベタイン等の両性イオン界面活性剤等。
香料又は清涼化剤:例えば、メントール、メントン、カンフル、ボルネオール、ゲラニオール、シネオール、シトロネロール、カルボン、アネトール、オイゲノール、リモネン、リナロール、酢酸リナリル、チモール、シメン、テルピネオール、ピネン、カンフェン、イソボルネオール、フェンチェン、ネロール、ミルセン、ミルセノール、酢酸リナロール、ラバンジュロール、ユーカリ油、ベルガモット油、ペパーミント油、クールミント油、スペアミント油、ハッカ油、ウイキョウ油、ケイヒ油、ローズ油、樟脳油等。これらは、d体、l体又はdl体のいずれでもよい。
増粘剤:例えば、メチルセルロース、エチルセルロース、ヒドロキシプロピルメチルセルロース、カルボキシメチルセルロースナトリウム等のセルロース系高分子化合物;グアーガム;ヒドロキシプロピルグアーガム;アラビアゴム;カラヤガム;キサンタンガム;寒天;アルギン酸及びその塩(ナトリウム塩等);ヘパリン類似物質、ヘパリン、ヘパリン硫酸、ヘパラン硫酸、ヘパリノイド、ヒアルロン酸及びその塩(ナトリウム塩等)のムコ多糖類;デンプン;キチン及びその誘導体;キトサン及びその誘導体;カラギーナン;ブドウ糖等の単糖類等。
緩衝剤:例えば、ホウ酸緩衝剤、リン酸緩衝剤、クエン酸緩衝剤、炭酸緩衝剤、酢酸緩衝剤、乳酸緩衝剤、コハク酸緩衝剤、トリス緩衝剤、AMPD緩衝剤等。
安定化剤:例えば、ナトリウムホルムアルデヒドスルホキシレート(ロンガリット)、モノステアリン酸アルミニウム、モノステアリン酸グリセリン、シクロデキストリン、モノエタノールアミン、ジブチルヒドロキシトルエン、亜硫酸水素ナトリウム、ピロ亜硫酸ナトリウム等。
防腐剤:例えば、アルキルポリアミノエチルグリシン類第四級アンモニウム塩(例えば、塩化ベンザルコニウム、塩化ベンゼトニウム等)、グルコン酸クロルヘキシジン、塩化ポリドロニウム、安息香酸ナトリウム、エタノール、クロロブタノール、ソルビン酸、ソルビン酸カリウム、デヒドロ酢酸ナトリウム、パラオキシ安息香酸メチル、パラオキシ安息香酸エチル、パラオキシ安息香酸プロピル、パラオキシ安息香酸ブチル、硫酸オキシキノリン、フェネチルアルコール、ベンジルアルコール、ビグアニド化合物(具体的には、塩酸ポリヘキサニド(ポリヘキサメチレンビグアニド)、アレキシジン等)、グローキル(ローディア社製 商品名)等。
等張化剤:例えば、塩化カリウム、塩化カルシウム、塩化ナトリウム、塩化マグネシウム、酢酸カリウム、酢酸ナトリウム、炭酸水素ナトリウム、炭酸ナトリウム、チオ硫酸ナトリウム、硫酸マグネシウム、グリセリン、プロピレングリコール、亜硫酸水素ナトリウム、亜硫酸ナトリウム等。
糖アルコール類:例えば、キシリトール、ソルビトール、マンニトール、グリセリン等。これらはd体、l体又はdl体のいずれでもよい。
油類:例えば、ゴマ油、ヒマシ油、ダイズ油、オリーブ油等の植物油;スクワラン等の動物油;流動パラフィン、ワセリン等の鉱物油等。
In the ophthalmic composition according to the present embodiment, various additives may be appropriately selected according to the application and formulation form, and one or more additives may be used in combination in an appropriate amount according to the usual method, as long as the effect of the present invention is not impaired. Examples of such additives include various additives listed in the Pharmaceutical Additives Encyclopedia 2021 (edited by the Japan Pharmaceutical Additives Association). Representative components include the following additives.
Carrier: For example, an aqueous solvent such as water or aqueous ethanol.
Chelating agents: for example, (EDDA), ethylenediaminetriacetic acid, N-(2-hydroxyethyl)ethylenediaminetriacetic acid (HEDTA), diethylenetriaminepentaacetic acid (DTPA), and the like.
Bases: For example, octyldodecanol, titanium oxide, potassium bromide, plastibase, etc.
pH adjusters: for example, hydrochloric acid, acetic acid, sodium hydroxide, potassium hydroxide, calcium hydroxide, magnesium hydroxide, triethanolamine, monoethanolamine, diisopropanolamine, etc.
Surfactants: for example, nonionic surfactants such as tyloxapol, polyoxyethylene sorbitan fatty acid esters, polyoxyl stearates, polyoxyethylene castor oil, polyoxyethylene hydrogenated castor oil, and poloxamers; anionic surfactants such as polyoxyethylene alkyl ether phosphates, polyoxyethylene alkyl ether sulfates, alkylbenzene sulfonates, alkyl sulfates, and N-acyltaurine salts; and zwitterionic surfactants such as lauryl dimethylaminoacetate betaine.
Fragrances or freshening agents: for example, menthol, menthone, camphor, borneol, geraniol, cineole, citronellol, carvone, anethole, eugenol, limonene, linalool, linalyl acetate, thymol, cymene, terpineol, pinene, camphene, isoborneol, fenchene, nerol, myrcene, myrcenol, linalool acetate, lavandulol, eucalyptus oil, bergamot oil, peppermint oil, cool mint oil, spearmint oil, peppermint oil, fennel oil, cinnamon oil, rose oil, camphor oil, etc. These may be in the d-, l- or dl-form.
Thickeners: for example, cellulose-based polymer compounds such as methylcellulose, ethylcellulose, hydroxypropylmethylcellulose, sodium carboxymethylcellulose, etc.; guar gum; hydroxypropyl guar gum; gum arabic; karaya gum; xanthan gum; agar; alginic acid and its salts (sodium salt, etc.); heparinoids, heparin, heparin sulfate, heparan sulfate, heparinoids, hyaluronic acid and its salts (sodium salt, etc.); starch; chitin and its derivatives; chitosan and its derivatives; carrageenan; monosaccharides such as glucose, etc.
Buffers: for example, borate buffers, phosphate buffers, citrate buffers, carbonate buffers, acetate buffers, lactate buffers, succinate buffers, Tris buffers, AMPD buffers, and the like.
Stabilizers: for example, sodium formaldehyde sulfoxylate (Rongalit), aluminum monostearate, glycerin monostearate, cyclodextrin, monoethanolamine, dibutylhydroxytoluene, sodium hydrogensulfite, sodium pyrosulfite, etc.
Preservatives: for example, alkyl polyaminoethyl glycine quaternary ammonium salts (e.g., benzalkonium chloride, benzethonium chloride, etc.), chlorhexidine gluconate, polydonium chloride, sodium benzoate, ethanol, chlorobutanol, sorbic acid, potassium sorbate, sodium dehydroacetate, methyl parahydroxybenzoate, ethyl parahydroxybenzoate, propyl parahydroxybenzoate, butyl parahydroxybenzoate, oxyquinoline sulfate, phenethyl alcohol, benzyl alcohol, biguanide compounds (specifically, polyhexanide hydrochloride (polyhexamethylene biguanide), alexidine, etc.), Gloquil (trade name, manufactured by Rhodia), etc.
Isotonicity agents: for example, potassium chloride, calcium chloride, sodium chloride, magnesium chloride, potassium acetate, sodium acetate, sodium hydrogen carbonate, sodium carbonate, sodium thiosulfate, magnesium sulfate, glycerin, propylene glycol, sodium hydrogen sulfite, sodium sulfite, etc.
Sugar alcohols: for example, xylitol, sorbitol, mannitol, glycerin, etc. These may be in the d-, l- or dl-form.
Oils: for example, vegetable oils such as sesame oil, castor oil, soybean oil, olive oil, etc.; animal oils such as squalane, etc.; mineral oils such as liquid paraffin, Vaseline, etc.
本実施形態に係る眼科組成物が水を含有する場合、水の含有量としては、本発明による効果をより顕著に奏する観点から、例えば、眼科組成物の総量を基準として、水の含有量が、80w/v%以上100w/v%未満であることが好ましく、85w/v%以上99.5w/v%以下であることがより好ましく、90w/v%以上99.2w/v%以下であることが更に好ましい。 When the ophthalmic composition according to this embodiment contains water, the water content is, for example, preferably 80 w/v% or more and less than 100 w/v%, more preferably 85 w/v% or more and 99.5 w/v% or less, and even more preferably 90 w/v% or more and 99.2 w/v% or less, based on the total amount of the ophthalmic composition, from the viewpoint of more significantly achieving the effects of the present invention.
本実施形態に係る眼科組成物に使用される水は、医薬上、薬理学的に(製薬上)又は生理学的に許容されるものであればよい。このような水として、例えば、蒸留水、常水、精製水、滅菌精製水、注射用水及び注射用蒸留水等を挙げることができる。それらの定義は第十七改正日本薬局方に基づく。 The water used in the ophthalmic composition according to this embodiment may be any water that is medicamentally, pharmacologically (pharmaceutical) or physiologically acceptable. Examples of such water include distilled water, tap water, purified water, sterile purified water, water for injection, and distilled water for injection. These definitions are based on the 17th edition of the Japanese Pharmacopoeia.
本実施形態に係る眼科組成物は、所望量のコンドロイチン硫酸及びその塩からなる群より選択される少なくとも1種及び必要に応じて他の成分を所望の濃度となるように添加及び混和することにより調製することができる。例えば、精製水でそれらの成分を溶解又は分散させ、所定のpH及び浸透圧に調整し、濾過滅菌等により滅菌処理することで調製できる。 The ophthalmic composition according to this embodiment can be prepared by adding and mixing a desired amount of at least one selected from the group consisting of chondroitin sulfate and its salts, and other components as necessary, to a desired concentration. For example, it can be prepared by dissolving or dispersing those components in purified water, adjusting the pH and osmotic pressure to a predetermined level, and sterilizing the composition by filtration sterilization or the like.
本実施形態に係る眼科組成物は、目的に応じて種々の製剤形態をとることができる。製剤形態として、例えば、液剤、ゲル剤、半固形剤(軟膏等)等が挙げられる。 The ophthalmic composition according to this embodiment can be in various formulation forms depending on the purpose. Examples of the formulation form include a liquid, a gel, a semi-solid (ointment, etc.), etc.
本実施形態に係る眼科組成物は、例えば、点眼剤(点眼液又は点眼薬ともいう。また、点眼剤にはコンタクトレンズ装用中に点眼可能な点眼剤を含む。)、人工涙液、洗眼剤(洗眼液又は洗眼薬ともいう。また、洗眼剤にはコンタクトレンズ装用中に洗眼可能な洗眼剤を含む。)、コンタクトレンズ用組成物[コンタクトレンズ装着液、コンタクトレンズケア用組成物(コンタクトレンズ消毒剤、コンタクトレンズ用保存剤、コンタクトレンズ用洗浄剤、コンタクトレンズ用洗浄保存剤)、コンタクトレンズパッケージ液等]として用いることができる。なお、「コンタクトレンズ」は、ハードコンタクトレンズ、ソフトコンタクトレンズ(イオン性及び非イオン性の双方を包含し、シリコーンハイドロゲルコンタクトレンズ及び非シリコーンハイドロゲルコンタクトレンズの双方を包含する)を含む。 The ophthalmic composition according to the present embodiment can be used, for example, as eye drops (also called eye drops or eye drops. Eye drops include eye drops that can be applied while wearing contact lenses), artificial tears, eyewash (also called eyewash or eyewash. Eyewash includes eyewash that can be applied while wearing contact lenses), and contact lens compositions [contact lens wearing solution, contact lens care composition (contact lens disinfectant, contact lens preservative, contact lens cleaner, contact lens cleaning and preservative), contact lens packaging solution, etc.]. The term "contact lenses" includes hard contact lenses and soft contact lenses (including both ionic and non-ionic, and both silicone hydrogel contact lenses and non-silicone hydrogel contact lenses).
本実施形態に係る眼科組成物は、本発明による効果をより顕著に発揮できることから、点眼剤(コンタクトレンズ装用中に点眼可能な点眼剤を含む。)であることが好ましい。本実施形態に係る眼科組成物が点眼剤である場合、その用法・用量としては、効果を奏し、副作用の少ない用法・用量であれば特に限定されないが、例えば成人(15歳以上)及び7歳以上の小児の場合、1回1~3滴、1~2滴、又は2~3滴を1日2~4回、又は5~6回点眼して用いる方法を例示でき、1回1~2滴を1日4回点眼して用いる方法が好ましい。 The ophthalmic composition according to this embodiment is preferably an eye drop (including an eye drop that can be applied while wearing contact lenses) because it can more significantly exert the effects of the present invention. When the ophthalmic composition according to this embodiment is an eye drop, the method of use and dosage are not particularly limited as long as it is effective and has few side effects. For example, for adults (15 years or older) and children aged 7 years or older, 1 to 3 drops, 1 to 2 drops, or 2 to 3 drops are applied 2 to 4 times or 5 to 6 times a day, and 1 to 2 drops are preferably applied 4 times a day.
本実施形態に係る眼科組成物は、任意の容器に収容して提供される。本実施形態に係る眼科組成物を収容する容器については特に制限されず、例えば、ガラス製であってもよく、またプラスチック製であってもよい。好ましくはプラスチック製である。プラスチックとしては、例えば、ポリエチレンテレフタレート(PET)、ポリアリレート、ポリエチレンナフタレート、ポリカーボネート、ポリエチレン、ポリプロピレン、ポリイミド及びこれらを構成するモノマーの共重合体、並びにこれら2種以上を混合したものが挙げられる。好ましくは、ポリエチレンテレフタレートである。また、本実施形態に係る眼科組成物を収容する容器は、容器内部を視認できる透明容器であってもよく、容器内部の視認が困難な不透明容器であってもよい。好ましくは透明容器である。ここで、「透明容器」とは、無色透明容器及び有色透明容器の双方が含まれる。 The ophthalmic composition according to the present embodiment is provided in any container. The container for containing the ophthalmic composition according to the present embodiment is not particularly limited, and may be made of glass or plastic, for example. Plastic is preferable. Examples of plastic include polyethylene terephthalate (PET), polyarylate, polyethylene naphthalate, polycarbonate, polyethylene, polypropylene, polyimide, copolymers of monomers constituting these, and mixtures of two or more of these. Polyethylene terephthalate is preferable. The container for containing the ophthalmic composition according to the present embodiment may be a transparent container that allows the inside of the container to be seen, or an opaque container that makes it difficult to see the inside of the container. A transparent container is preferable. Here, the "transparent container" includes both a colorless transparent container and a colored transparent container.
本実施形態に係る眼科組成物を収容する容器には、ノズルが装着されてもよい。ノズルの材質については特に制限されず、例えば、ガラス製であってもよく、またプラスチック製であってもよい。好ましくはプラスチック製である。プラスチックとしては、例えば、ポリブチレンテレフタレート、ポリエチレン、ポリプロピレン、ポリエチレンテレフタレート、ポリエチレンナフタレート及びこれらを構成するモノマーの共重合体、並びにこれら2種以上を混合したものが挙げられる。ノズルの材質としては、本発明の効果をより一層高めるという観点から、ポリプロピレン、ポリエチレン、ポリエチレンテレフタレート、ポリブチレンテレフタレート、ポリエチレンナフタレートが好ましく、ポリエチレンテレフタレートがより好ましい。 A nozzle may be attached to the container that contains the ophthalmic composition according to this embodiment. The material of the nozzle is not particularly limited, and may be made of glass or plastic, for example. Plastic is preferable. Examples of plastic include polybutylene terephthalate, polyethylene, polypropylene, polyethylene terephthalate, polyethylene naphthalate, copolymers of monomers constituting these, and mixtures of two or more of these. From the viewpoint of further enhancing the effects of the present invention, the nozzle material is preferably polypropylene, polyethylene, polyethylene terephthalate, polybutylene terephthalate, or polyethylene naphthalate, and more preferably polyethylene terephthalate.
本実施形態に係る眼科組成物を収容する容器は、複数回の使用量が収容されるマルチドーズ型であってもよく、単回の使用量が収容されるユニットドーズ型であってもよい。 The container that holds the ophthalmic composition according to this embodiment may be a multi-dose type that holds an amount for multiple uses, or a unit-dose type that holds an amount for a single use.
本実施形態に係る眼科組成物は、内容積が4~30mLである容器に充填されてなることが好ましく、内容積が5~20mLである容器に充填されてなることがより好ましく、内容積が6~16mLである容器に充填されてなることが更に好ましく、内容積が10~15mLである容器に充填されてなることが更により好ましい。また、内容積が0.1~3mLである容器に充填されてもよく、内容積が0.2~1mLである容器に充填されてもよい。 The ophthalmic composition according to this embodiment is preferably filled in a container having an internal volume of 4 to 30 mL, more preferably filled in a container having an internal volume of 5 to 20 mL, even more preferably filled in a container having an internal volume of 6 to 16 mL, and even more preferably filled in a container having an internal volume of 10 to 15 mL. It may also be filled in a container having an internal volume of 0.1 to 3 mL, or may be filled in a container having an internal volume of 0.2 to 1 mL.
本実施形態に係る眼科組成物は、コンドロイチン硫酸及びその塩からなる群より選択される少なくとも1種を含有しており、後述の実施例において確認されているように角膜上皮細胞において炎症性サイトカイン、特にIL-1α、IL-1β、IL-6及びIL-8の遺伝子発現を顕著に抑制する。ここで、目の異物感についてはIL-1α、IL-1β(参考文献:Am J Ophthalmol. 2011 Dec;152(6):900-909.及びInvest Ophthalmol Vis Sci. 2009 Feb;50(2):597-603.)及びIL-6(参考文献:Transl Vis Sci Technol. 2021 Jun 1;10(7):17.)が関与している。また、異物感から反射性流涙が生じるため、(参考文献:解決!目と視覚の不定愁訴・不明愁訴(金原出版))、目の異物感に関与するIL-1α、IL-1β及びIL-6が涙目にも関与する。IL-8は目ヤニの発生に関与し(参考文献:J Leukoc Biol. 2019 Jun;105(6):1087-1098.)、目ヤニに関連するかすみ目といった症状の発生に関与している。これらのことから、本実施形態に係る眼科組成物は、目の異物感、目ヤニ、かすみ目及び涙目からなる群より選択される少なくとも1種の症状の改善、緩和、治療、又は予防用眼科組成物として好適に用いることができる。また、本発明の一実施形態として、コンドロイチン硫酸及びその塩からなる群より選択される少なくとも1種を含有する眼科組成物を対象に投与する、目の異物感、目ヤニ、かすみ目及び涙目からなる群より選択される少なくとも1種の症状を改善、緩和、治療、又は予防する方法が提供される。さらに、本発明の一実施形態として、目の異物感、目ヤニ、かすみ目及び涙目からなる群より選択される少なくとも1種の症状の改善、緩和、治療、又は予防用眼科組成物の製造のための、コンドロイチン硫酸及びその塩からなる群より選択される少なくとも1種の使用が提供される。 The ophthalmic composition according to this embodiment contains at least one selected from the group consisting of chondroitin sulfate and its salts, and as confirmed in the examples described below, significantly suppresses the gene expression of inflammatory cytokines, particularly IL-1α, IL-1β, IL-6 and IL-8, in corneal epithelial cells. Here, IL-1α, IL-1β (References: Am J Ophthalmol. 2011 Dec; 152(6): 900-909. and Invest Ophthalmol Vis Sci. 2009 Feb; 50(2): 597-603.) and IL-6 (References: Transl Vis Sci Technol. 2021 Jun 1; 10(7): 17.) are involved in the foreign body sensation in the eye. In addition, since reflex tearing occurs due to a foreign body sensation (Reference: Solved! Unspecified and Unknown Symptoms of Eyes and Vision (Kanehara Publishing)), IL-1α, IL-1β, and IL-6, which are involved in the foreign body sensation in the eyes, are also involved in watery eyes. IL-8 is involved in the development of eye discharge (Reference: J Leukoc Biol. 2019 Jun; 105(6): 1087-1098.), and is involved in the development of symptoms such as blurred vision associated with eye discharge. For these reasons, the ophthalmic composition according to this embodiment can be suitably used as an ophthalmic composition for improving, alleviating, treating, or preventing at least one symptom selected from the group consisting of foreign body sensation in the eyes, eye discharge, blurred vision, and watery eyes. In addition, as one embodiment of the present invention, a method for improving, alleviating, treating, or preventing at least one symptom selected from the group consisting of foreign body sensation in the eyes, eye discharge, blurred vision, and watery eyes, which comprises administering to a subject an ophthalmic composition containing at least one selected from the group consisting of chondroitin sulfate and a salt thereof, is provided. Furthermore, as one embodiment of the present invention, there is provided a use of at least one selected from the group consisting of chondroitin sulfate and its salts for the manufacture of an ophthalmic composition for improving, alleviating, treating, or preventing at least one symptom selected from the group consisting of foreign body sensation in the eye, eye discharge, blurred vision, and watery eyes.
なお、本明細書における症状は、花粉やハウスダストなどによる目の症状を含む。また、本明細書において「目の異物感」はコロコロする感じを含み、「かすみ目」は目ヤニの多いときのかすみ目を含む。 Note that the symptoms referred to in this specification include eye symptoms caused by pollen, house dust, etc. Furthermore, in this specification, "foreign body sensation in the eye" includes a rolling sensation, and "blurred vision" includes blurred vision caused by a lot of eye discharge.
以下、試験例に基づいて本発明を具体的に説明するが、本発明はこれらに限定されるものではない。 The present invention will be specifically explained below based on test examples, but the present invention is not limited to these.
〔試験例1 角膜上皮細胞株に対する抗炎症作用〕
角膜上皮細胞株をラミニン511E8フラグメント(0.5μg/cm2)でコーティングした細胞培養皿上でコンフルエントになるまで培養した。培養には分化培地(2% B27 Supplement(Life Technologies)、1% penicillin-streptomycin solution(Life Technologies)、20ng/mL KGF(Keratinocyte Growth Factor)(Wako)、10μM Y-27632(Wako)を含有させたDMEM/F-12(2:1(v/v))培地(Life Technologies))を使用した。続いて、基礎培地(1% penicillin-streptomycin solutionを含有させたDMEM/F-12(2:1(v/v))培地)で一晩培養し、細胞を飢餓状態にさせた。その後、基礎培地に炎症誘発因子としてTNFを添加(10ng/mL)し、次いで、基礎培地に重量平均分子量が約25000のコンドロイチン硫酸ナトリウムを濃度が1.0w/v%となるように添加し、4時間培養後、Maxwell RSC simplyRNA Tissue Kit(プロメガ)を用いて細胞を回収した。その後RT-qPCRに供し、GAPDHに対するIL-1α、IL-1β、IL-6及びIL-8の遺伝子発現量を測定した。また、TNF及びコンドロイチン硫酸ナトリウムの何れも無添加の培養条件を陰性対照、TNFを添加しコンドロイチン硫酸ナトリウム無添加の培養条件を陽性対照とした。下記式1を用い、陰性対照に対するコンドロイチン硫酸ナトリウム処理による各遺伝子発現率(%)を算出した。
式1:陰性対照に対するTNF処理またはTNFかつコンドロイチン硫酸ナトリウム処理による各遺伝子発現率=(TNF処理並びにTNF及びコンドロイチン硫酸ナトリウム添加時のGAPDHに対する各遺伝子発現量/陰性対照のGAPDHに対する各遺伝子発現量)×100
結果を表1~表4に示す。
[Test Example 1: Anti-inflammatory effect on corneal epithelial cell line]
The corneal epithelial cell line was cultured on a cell culture dish coated with laminin 511E8 fragment (0.5 μg/cm 2 ) until it became confluent. The differentiation medium used for the culture was DMEM/F-12 (2:1 (v/v)) medium (Life Technologies) containing 2% B27 Supplement (Life Technologies), 1% penicillin-streptomycin solution (Life Technologies), 20 ng/mL KGF (Keratinocyte Growth Factor) (Wako), and 10 μM Y-27632 (Wako). Subsequently, the cells were cultured overnight in a basal medium (DMEM/F-12 (2:1 (v/v)) medium containing 1% penicillin-streptomycin solution) to starve the cells. Thereafter, TNF was added (10 ng/mL) as an inflammation-inducing factor to the basal medium, and then sodium chondroitin sulfate having a weight-average molecular weight of about 25,000 was added to the basal medium to a concentration of 1.0 w/v%, and after 4 hours of culture, the cells were recovered using Maxwell RSC simpleRNA Tissue Kit (Promega). Thereafter, the cells were subjected to RT-qPCR to measure the gene expression levels of IL-1α, IL-1β, IL-6, and IL-8 relative to GAPDH. In addition, a culture condition in which neither TNF nor sodium chondroitin sulfate was added was used as a negative control, and a culture condition in which TNF was added but sodium chondroitin sulfate was not added was used as a positive control. The expression rate (%) of each gene following sodium chondroitin sulfate treatment relative to the negative control was calculated using the following formula 1.
Formula 1: Expression rate of each gene by TNF treatment or by TNF and sodium chondroitin sulfate treatment relative to the negative control=(expression level of each gene relative to GAPDH by TNF treatment or by addition of TNF and sodium chondroitin sulfate/expression level of each gene relative to GAPDH in the negative control)×100
The results are shown in Tables 1 to 4.
表1~表4より、コンドロイチン硫酸ナトリウムを添加することで、IL-1α、IL-1β、IL-6及びIL-8のmRNA発現量が顕著に減少することが確認された。 Tables 1 to 4 confirm that the addition of sodium chondroitin sulfate significantly reduces the mRNA expression levels of IL-1α, IL-1β, IL-6, and IL-8.
〔試験例2 点眼剤の官能評価〕
〔点眼剤(処方A及びB)の調製〕
表5に記載の処方に基づき、定法に従い、点眼剤を調整した。このサンプルを点眼瓶(容器容量14‐14.5mL、ポリエチレンテレフタレート素材)に13mL充填(充填率89.7~92.9%)し、評価サンプルとした。処方Aの粘度は2.1mPa・sであった。
処方A及びBをそれぞれ表6に記載の人数の訓練されたパネラー(目ヤニ、目の異物感、かすみ目、涙目いずれかの症状がある人)に、1日4回、1回1~2滴の用法・用量で4日間右眼に投与した。評価はVAS(Visual Analogue Scale)法を用い、目ヤニ、目の異物感、かすみ目及び涙目について10cmの線分を用いて、主観的な程度を直線状に印をつけることによって評定した。そして、式2に従い、改善値を算出した。
式2:改善値=(投与前のVAS値の平均値)-(4日間投与後のVAS値の平均値)
結果を表6に示す。
[Test Example 2: Sensory evaluation of eye drops]
[Preparation of eye drops (formulations A and B)]
An eye drop was prepared according to the standard method based on the formulation shown in Table 5. This sample was filled into an eye dropper bottle (container volume 14-14.5 mL, polyethylene terephthalate material) at 13 mL (filling rate 89.7-92.9%) to prepare an evaluation sample. The viscosity of formulation A was 2.1 mPa·s.
Formulations A and B were administered to the right eye of trained panelists (those with symptoms of eye discharge, foreign body sensation in the eye, blurred vision, or watery eyes) for four days at a dosage of 1 to 2 drops four times a day. Evaluation was performed using the VAS (Visual Analogue Scale) method, with subjective levels of eye discharge, foreign body sensation in the eye, blurred vision, and watery eyes marked in a straight line using a 10 cm line. Improvement values were calculated according to formula 2.
Formula 2: Improvement score = (mean VAS score before administration) - (mean VAS score after 4 days of administration)
The results are shown in Table 6.
表6より、処方Bに対して処方Aの改善値が高く、処方Aの方が処方Bよりも有効であったことが明らかとなった。かすみ目についても、処方Bに対して処方Aの改善値が高い結果となった。これは試験例1の結果と符号し、1w/v%のコンドロイチン硫酸ナトリウムは目ヤニ、目の異物感、かすみ目及び涙目の改善に効果があることが確認された。 From Table 6, it is clear that the improvement value of Formula A was higher than that of Formula B, making Formula A more effective than Formula B. Regarding blurred vision, the improvement value of Formula A was also higher than that of Formula B. This is consistent with the results of Test Example 1, and it was confirmed that 1 w/v% sodium chondroitin sulfate is effective in improving eye discharge, foreign body sensation in the eye, blurred vision, and watery eyes.
[製剤例]
以下の表7~9に記載の処方に従い、眼科組成物を調製し、PET容器に充填した。なお、下記の表7~9において、各成分の単位は(w/v%)である。
[Formulation example]
Ophthalmic compositions were prepared and filled into PET containers according to the formulations shown in Tables 7 to 9. In Tables 7 to 9, the units of each component are (w/v %).
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