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亚硝胺生物等效性方法-Kaur.pdf

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1、Bioequivalence Approaches for Nitrosamine Impacted ANDA Applications:Case StudiesParamjeet Kaur,Ph.D.Division of Bioequivalence II,Office of BioequivalenceOffice of Generic Drugs,CDER/FDA SBIA Generic Drug Forum April 10,20252DisclaimerThe opinions and information in this presentation are those of t

2、his presenter and does not necessarily represent views and/or policies of the U.S.Food and Drug Administration3Topics for DiscussionBackgroundBioequivalence(BE)Approaches for Drug Products Impacted by Nitrosamine ImpuritiesCase StudiesSummary4BackgroundSince 2018,several commonly prescribed drug pro

3、ducts have been found to contain unacceptable levels of nitrosamines,with some classified as probable human carcinogens.Nitrosamine issues impact a wide range of drug products and dosage forms,including both New Drug Applications(NDAs)and Abbreviated New Drug Applications(ANDAs)(the majority).The in

4、dustry may need to adopt various strategies to mitigate nitrosamine impurities,including but not limited to changes to active pharmaceutical ingredient(API),drug product manufacturing process,excipient/formulation.5BE Approaches for Drug Products Impacted by Nitrosamine Impurities Guidance for Indus

5、try:Control of Nitrosamine Impurities in Human Drugs(Revision 2;Sept 2024)includes a recommendation for an alternative BE approach that could be utilized for reformulated products of nitrosamine impacted applications.The recommendation is based on FDA research results Addition of certain antioxidant

6、s or pH modifiers to formulations may significantly inhibit nitrosamine formation1 Addition of small amounts of four antioxidants(ascorbic acid,-tocopherol,propyl gallate,or cysteine)do not affect permeability of BCS Class III model drugs2 Addition of small amounts of antioxidants do not affect inte

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本文主要探讨了硝基胺杂质对药物应用的影响以及生物等效性(BE)评估方法。自2018年以来,多种药物被发现含有不可接受的硝基胺杂质,这对药物产品的影响涉及广泛。文中提到了FDA针对此问题发布的指导原则,建议通过添加抗氧化剂或pH调节剂来控制硝基胺杂质。案例研究部分详细介绍了四个案例,展示了如何应用这些建议来解决实际问题。关键点包括:1)对于受硝基胺杂质影响的药物产品,建议采用替代的BE评估方法;2)添加某些抗氧化剂或pH调节剂可以显著抑制硝基胺的形成;3)这些替代方法不适用于窄治疗指数(NTI)药物、舌下或口腔溶解制剂;4)案例研究展示了如何通过替代BE方法来解决特定产品的硝基胺杂质问题。最后,文中强调了在未涵盖在指导原则中的情况下,申请者应与FDA积极沟通,以确定适当的BE评估方法。
"如何控制药物中的亚硝胺杂质?" "亚硝胺杂质对药物影响的具体案例分析" "FDA针对受亚硝胺杂质影响的药品申请的最新指导原则是什么?"
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