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After Ten Issues Our Journal Has Found Its Audience and Main Topics 十期过后,本刊找到了自己的读者群和主旋律
Pub Date : 2018-07-31 DOI: 10.1515/PTHP-2018-0024
F. Lagarce
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引用次数: 0
Qualification and Performance Evaluation of an Automated System for Compounding Injectable Cytotoxic Drugs 可注射细胞毒性药物自动配制系统的鉴定与性能评价
Pub Date : 2018-07-27 DOI: 10.1515/PTHP-2018-0012
L. Carrez, V. Martin, A. Verrey, P. Furrer, L. Bouchoud, L. Falaschi, P. Bonnabry
Abstract Background Use of automated systems for the production of chemotherapy will increase in answer to hospitals’ needs to rationalise production. The aim of the study was to evaluate the performance of a PharmaHelp® automated system for compounding chemotherapy. Methods Viable and non viable particles in air and liquid were measured by particle counter. Surface chemical contamination was simulated with a quinine solution. Microbiological contamination and aseptic processes were studied using media-fill tests. Dose accuracy was evaluated using a gravimetric method, in simulation studies and with real products in daily practice. Productivity was calculated by batch of ten IV-bags. Results No particles or microbiological contamination were detected. Filling was accurate for all the volumes of non-viscous solution studied (97–103 %). Minimum volumes which could be prepared accurately were 2 mL and 5 mL for the non-viscous and viscous solutions, respectively. For 2–5 mL volumes, the robot was less accurate than average, and 0–2 % of bags were rejected (deviation>10 %). Average fill deviations were from 0–3 % for 2–5 mL volumes and<1 % for volumes above 5 mL. Average production time for ten bags was 61±11 min. Conclusions The automated system was able to produce chemotherapy effectively, delivering appropriate quality with productivity comparable to manual preparations. These results confirmed that such automated systems have the potential to guarantee optimal safety for patients and technicians.
背景:自动化系统用于化疗的生产将会增加,以满足医院合理化生产的需要。本研究的目的是评估PharmaHelp®自动化系统用于复合化疗的性能。方法采用粒子计数法测定空气和液体中的活粒子和非活粒子。用奎宁溶液模拟表面化学污染。用培养基填充试验研究了微生物污染和无菌过程。在模拟研究和日常实践中的实际产品中,使用重量法评估剂量准确性。生产率以每批10个iv袋计算。结果未检出颗粒和微生物污染。对于所研究的所有体积的非粘性溶液(97 - 103%),填充是准确的。对于非粘性溶液和粘性溶液,可以精确制备的最小体积分别为2ml和5ml。对于2-5 mL的体积,机器人的准确性低于平均水平,0 - 2%的袋子被拒绝(偏差bbb10 %)。2-5 mL体积的平均填充偏差为0 - 3%,5 mL以上体积的平均填充偏差为< 1%。10袋的平均生产时间为61±11分钟。结论自动化系统能够有效地生产化疗药物,提供适当的质量,生产效率与手工制剂相当。这些结果证实,这种自动化系统有可能保证患者和技术人员的最佳安全。
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引用次数: 7
Environmental and Product Contamination during the Preparation of Antineoplastic Drugs with Robotic Systems 机器人系统制备抗肿瘤药物过程中的环境和产品污染
Pub Date : 2018-07-26 DOI: 10.1515/PTHP-2018-0018
I. Krämer, M. Federici, R. Schierl
Abstract Background Robotic systems are designed to minimize the exposure to antineoplastic drugs during automated preparation. However, contamination cannot be completely excluded. The aim of the study was to evaluate the contamination with antineoplastic drugs on the working surfaces and on the outer surface of the ready-to-use products (infusion bags and syringes) during automated preparation with different versions of a robot and manual preparation. Methods Surface contamination with platinum (Pt) and 5-fluorouracil (5-FU) was measured by wipe sampling and quantified by voltammetry for Pt and GC-MS for 5-FU. Sampling was performed on pre-defined locations in the working areas before and after preparation of standardized test products. The outer surfaces of Pt- or 5-FU-containing infusion bags and 5-FU-containing syringes were sampled without and after manual capping. Results Overall, the surface contamination in the working areas of the robotic system ranged from 0.4 to 114 pg/cm2 for Pt and from 1.3 to 1,250,000 pg/cm2 for 5-FU. The highest contamination levels were detected after preparation on the gripper of the robotic arm and on the surface beneath the dosing device. In most cases, measured concentrations were higher after preparation. Outer surfaces of infusion bags prepared with the robotic system were less contaminated than manually prepared bags. Contamination on the outer surface of syringes varied depending on the procedure adopted. Conclusions The risk of contamination is localised inside the working area of the robot. The outer surfaces of products were only marginally contaminated. Cleaning procedures of the working area are to be further investigated. An effective decontamination procedure for the working area of the robot and automated capping of filled syringes should be developed to further minimize the occupational risk.
机器人系统的设计是为了在自动化制备过程中最大限度地减少抗肿瘤药物的暴露。然而,污染不能完全排除。本研究的目的是评估在使用不同版本的机器人和手动制备的自动制备过程中,抗肿瘤药物对工作表面和即用产品(输液袋和注射器)外表面的污染。方法采用擦拭取样法测定铂(Pt)和5-氟尿嘧啶(5-FU)的表面污染,用伏安法测定铂(Pt),用气相色谱-质谱法测定5-FU。在标准化测试产品制备之前和之后,在工作区域的预定义位置进行采样。对含铂或含5- fu的输液袋和含5- fu的注射器的外表面进行取样,取样后分别进行手动盖盖。结果总体而言,机器人系统工作区域的表面污染范围为Pt为0.4至114 pg/cm2, 5-FU为1.3至1,250,000 pg/cm2。在制备后,在机械臂的抓手和计量装置下面的表面检测到最高的污染水平。在大多数情况下,制备后的测量浓度更高。与人工制备的输液袋相比,机器人制备的输液袋外表面污染较少。注射器外表面的污染因所采用的程序而异。结论污染风险集中在机器人的工作区域内。产品的外表面仅受到轻微污染。工作区域的清洁程序有待进一步调查。应制定机器人工作区域的有效去污程序和灌装注射器的自动封盖,以进一步减少职业风险。
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引用次数: 8
Physico-Chemical Stability of Sodium Thiosulfate Infusion Solutions in Polyolefin Bags at Room Temperature over a Period of 24 Hours 室温下聚烯烃袋装硫代硫酸钠输液溶液24小时的物理化学稳定性
Pub Date : 2018-06-09 DOI: 10.1515/PTHP-2018-0015
E. D’huart, J. Vigneron, F. Ranchon, N. Vantard, C. Rioufol, B. Demoré
Abstract Background Many publications described sodium thiosulfate used to prevent the renal toxicity induced by cisplatin hyperthermic intraperitoneal chemotherapy. After around 60 or 90 minutes of hyperthermic chemotherapy, cisplatin was drained and then, sodium thiosulfate was infused by intravenous route. Sodium thiosulfate is used in two steps: a first step, at 9 g/m2 in 250 mL of 0.9 % sodium chloride over 10 minutes followed by a second step, at 12 g/m2 in 1000 mL of 0.9 % sodium chloride over 6 hours. The purpose of this work was to study the stability of sodium thiosulfate at 16 mg/mL in 0.9 % sodium chloride polyolefin bags 1000 mL and at 72 mg/mL in 0.9 % sodium chloride polyolefin bags 250 mL, at 25 °C, protected or unprotected from light. Methods Chemical stability was analysed by high performance liquid chromatography (HPLC) coupled to a photodiode array detector after preparation and after 6-hour or 24-hour storage. The method was validated according to the International Conference on Harmonisation (ICH). Physical stability was evaluated by visual and subvisual inspection (turbidimetry by UV spectrophotometry at 550 nm). Three bags for each condition were prepared. On each time of the analysis, three samples were prepared for each bag and analysed by HPLC. pH values were evaluated on each moment of the analysis. Results Sodium thiosulfate solutions diluted in 0.9 % sodium chloride at 16 and 72 mg/mL retained more than 95 % of the initial concentration during 24 hours. Concerning pH measurements, the maximum variation was 0.24 pH unit. No visual modification such as colour change, precipitation or gas formation was observed. The absorbance at 550 nm obtained for each sample was less than 0.010 AU. Conclusions Sodium thiosulfate solutions at 16 mg/mL in 1000 mL 0.9 % sodium chloride and at 72 mg/mL in 250 mL 0.9 % sodium chloride are stable physically and chemically over a period of 24 hours at 25 °C, with or without protection from light. This stability study allows the use of sodium thiosulfate in renal protection protocols during cisplatin hyperthermic intraperitoneal chemotherapy.
背景许多文献描述了硫代硫酸钠用于预防顺铂腹腔热化疗引起的肾毒性。热化疗60 ~ 90分钟后,排出顺铂,经静脉滴注硫代硫酸钠。硫代硫酸钠分为两步使用:第一步,在250毫升0.9%氯化钠中以9g /m2的速度使用10分钟,第二步,在1000毫升0.9%氯化钠中以12g /m2的速度使用6小时。本研究的目的是研究硫代硫酸钠在0.9%氯化钠聚烯烃袋(1000 mL)中浓度为16 mg/mL、在0.9%氯化钠聚烯烃袋(250 mL)中浓度为72 mg/mL、在25℃、遮光或不遮光条件下的稳定性。方法制备后及贮存6小时、24小时后,采用高效液相色谱法(HPLC)耦合光电二极管阵列检测器分析其化学稳定性。该方法根据国际协调会议(ICH)进行了验证。通过目视和亚目视检查(550 nm紫外分光光度浊度法)评估物理稳定性。每种情况准备3袋。每次分析时,每袋取3个样品,用高效液相色谱法进行分析。在分析的每个时刻评估pH值。结果硫代硫酸钠溶液经0.9%氯化钠16、72 mg/mL稀释后,24h内保留浓度大于95%。在pH测量方面,最大变化为0.24 pH单位。没有观察到视觉上的变化,如颜色变化、沉淀或气体形成。每个样品在550 nm处的吸光度小于0.010 AU。结论在1000 mL 0.9%氯化钠溶液中浓度为16 mg/mL的硫代硫酸钠溶液和在250 mL 0.9%氯化钠溶液中浓度为72 mg/mL的硫代硫酸钠溶液在25℃下,无论是否有遮光保护,在24小时内物理和化学上都是稳定的。这项稳定性研究允许在顺铂热腹腔化疗期间使用硫代硫酸钠作为肾保护方案。
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引用次数: 1
Frontmatter
Pub Date : 2018-05-31 DOI: 10.1515/pthp-2018-frontmatter2
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引用次数: 0
HPLC – Quality by Design Approach for Simultaneous Detection of Torsemide, Spironolactone and Their Degradant Impurities HPLC -质量设计法同时检测托尔塞米、螺内酯及其降解杂质
Pub Date : 2018-05-15 DOI: 10.1515/PTHP-2018-0011
Unnati Bihola, P. Prajapati, Y. K. Agrawal
Abstract A simple, highly robust (quality by design (QbD) approach), precise and accurate method using high performance liquid chromatography coupled to mass spectrometry has been established for the simultaneous separation, identification and quantitation of a Torsemide (TOR), spironolactone (SPI) and their degradant impurities. The chromatographic separations of drugs and impurities were achieved on a inertsil ODS-3 µm C18, 150 mm × 4.6 mm, while the isocratic elution using a ternary mobile phase mixture of methanol, acetonitrile and water (5:3:2 v/v/v) at a flow rate of 0.2 mL/min was adopted for achieving optimum separations. The quantitation of torsemide and spironolactone was accomplished by UV detection at 254 nm and identification of the degradants were done by comparing identical mass in mass spectrometer. The recoveries of the torsemide and spironolactone were obtained higher than 98 % with good validation parameters; linearity (r2>0.994), LOD and LOQ was 10 and 33 ng for TOR and 75 and 248 ng for SPI respectively. The quality by design (QbD) approach has been successfully utilized to prove the method is robust even deliberate changes in critical parameters.
建立了高效液相色谱-质谱联用技术同时分离、鉴定和定量Torsemide (TOR)、螺内酯(SPI)及其降解杂质的简便、可靠的质量设计(QbD)方法。药物和杂质的色谱分离采用ODS-3µm C18,尺寸为150 mm × 4.6 mm,采用甲醇、乙腈和水的三元流动相(5:3:2 v/v/v)等容洗脱,流速为0.2 mL/min,达到最佳分离效果。采用254 nm紫外分光光度法测定torsemide和螺内酯的含量,用质谱仪比较相同质量对降解物进行鉴定。在良好的验证参数下,旋塞米和螺内酯的回收率均大于98%;TOR的LOD和LOQ分别为10和33 ng, SPI的LOD和LOQ分别为75和248 ng。设计质量(QbD)方法的成功应用证明了该方法的鲁棒性,即使故意改变关键参数。
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引用次数: 5
Paediatric Needs: Challenge and Opportunities for Hospital Pharmacists 儿科需求:医院药师的挑战与机遇
Pub Date : 2018-05-01 DOI: 10.1515/PTHP-2018-0016
F. Marçon
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引用次数: 0
Physicochemical and Microbiological Stability of a New Oral Clonidine Solution for Paediatric Use 一种新型小儿口服可乐定溶液的理化和微生物稳定性
Pub Date : 2018-04-27 DOI: 10.1515/PTHP-2018-0006
C. Verlhac, D. Lannoy, F. Bourdon, M. Titécat, E. Fréalle, C. Nassar, C. Berneron, P. Odou
Abstract Background As many drugs are unavailable for paediatric use, hospital pharmacies are often required to develop suitable formulations themselves. Clonidine is commonly used in paediatrics (in severe hypertension, in opiate withdrawal syndrome, in tics and Gilles de la Tourette syndrome or in anaesthetic premedication) but no appropriate formulation has been drawn up. The aims of this work were to develop an oral solution of clonidine dedicated to children and to assess its physicochemical and microbiological stability. Methods Formulation of an oral solution of clonidine hydrochloride suitable for neonates and paediatrics was developed using the active pharmaceutical ingredient (API), with as few excipients as possible and without any complex excipient vehicle. A stability study was made according to GERPAC-SFPC guidelines. At each point in time (D0, D1, D7, D15, D29, D60 and D90), visual aspect (limpidity), pH and osmolality were established. Clonidine concentration was quantified using a stability-indicating HPLC-UV-DAD method previously developed from a forced degradation study and validated according to SFSTP Pharma. Microbiological stability was also tested according to the European Pharmacopeia monograph with the best adapted method (by comparing membrane filtration and inclusion). Solutions were stored in amber glass bottles with an oral adapter for up to 3 months in two different conditions: 5 °C +/– 3 °C and at 25 °C +/– 2 °C with 60 % residual humidity (climatic chamber). Results The formulated oral solution is composed of API at a concentration of 10 µg/mL and of potassium sorbate (0.3 %), citric acid, potassium citrate (pH 5 buffer) and sodium saccharine (0.025 %). Forced degradation highlighted six degradation products and the method was validated in the acceptance limits of ± 5 %. On D29, the mean percentages of the initial clonidine concentrations (+/–standard deviation) were 92.95+/–1.28 % in the solution stored at 25 °C +/– 2 °C and 97.44+/–1.21 % when stored at 5 °C +/– 3 °C. On D90, means were respectively 81.82+/–0.41 % and 93.66+/–0.71 %. The visual aspect did not change. Physical parameters remained stable during the study: pH varied from 4.94 to 5.09 and osmolality from 82 to 92 mOsm/kg in the two conditions tested here. Membrane filtration appeared to be the more sensitive method. Whatever the storage conditions,<1 micro-organism/mL was identified (only environmental) with no detected E.coli. Conclusions This formulation is stable for at least 3 months at 5 °C +/– 3 °C in amber glass bottles and for one month when stored at room temperature. Microbiological stability was proven in accordance with the European Pharmacopeia.
背景:由于许多药物无法用于儿科,医院药房往往需要自己开发合适的配方。可乐定通常用于儿科(严重高血压、阿片类戒断综合征、抽搐和抽动秽语综合征或麻醉前用药),但没有制定适当的配方。这项工作的目的是开发一种专用于儿童的可乐定口服溶液,并评估其物理化学和微生物稳定性。方法采用活性药物成分(API),尽可能少添加辅料,不添加复合辅料载体,研制适合新生儿和儿科使用的盐酸可乐定口服溶液。根据GERPAC-SFPC指南进行了稳定性研究。在每个时间点(D0、D1、D7、D15、D29、D60和D90)测定视觉指标(透明度)、pH和渗透压。使用稳定性指示的HPLC-UV-DAD方法定量可乐定浓度,该方法先前从强制降解研究中开发,并根据SFSTP Pharma进行了验证。根据欧洲药典各论,采用膜过滤法和包合法进行微生物稳定性试验。溶液在两种不同的条件下(5°C +/ - 3°C和25°C +/ - 2°C,剩余湿度为60%(气候室)),在带有口服适配器的琥珀色玻璃瓶中储存长达3个月。结果口服液由原料药浓度为10µg/mL、山梨酸钾(0.3%)、柠檬酸、柠檬酸钾(pH 5缓冲液)、糖精钠(0.025%)组成。强制降解突出了6种降解产物,该方法在±5%的可接受范围内进行了验证。29日,在25°C +/ - 2°C条件下,可乐定初始浓度的平均百分比(+/ -标准差)为92.95+/ - 1.28%,在5°C +/ - 3°C条件下,可乐定初始浓度的平均百分比为97.44+/ - 1.21%。在D90上,平均值分别为81.82+/ - 0.41%和93.66+/ - 0.71%。视觉方面没有改变。在研究期间,物理参数保持稳定:在这里测试的两种条件下,pH从4.94到5.09变化,渗透压从82到92 mOsm/kg。膜过滤似乎是更敏感的方法。无论保存条件如何,均检测到<1个微生物/mL(仅环境),未检测到大肠杆菌。结论该制剂在5℃+/ - 3℃琥珀色玻璃瓶中稳定保存3个月以上,室温保存1个月以上。微生物稳定性根据欧洲药典证明。
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引用次数: 1
Development and Preparation of Oral Suspensions for Paediatric Patients – a Challenge for Pharmacists 儿科患者口服混悬液的研制和制备——药师面临的挑战
Pub Date : 2018-04-27 DOI: 10.1515/PTHP-2018-0008
C. Bruns, M. Ober
Abstract The preparation of liquid oral dosage forms for paediatric patients may pose a challenge on pharmacies. Marketed ready-to-use suspension vehicles do have advantages and disadvantages. In order to overcome the disadvantages a dedicated suspension vehicle, which can be prepared by every pharmacy, was cooperatively developed by pharmacist specialists on a national level in Germany. Marketed as well as pharmacy prepared suspension vehicles provide added value for pharmacy preparations for the special need of paediatric patients of different age groups.
儿科患者口服液剂型的制备可能对药房构成挑战。市场上现成使用的悬挂车辆确实有优点和缺点。为了克服这些缺点,德国的药剂师专家在全国范围内合作开发了一种可以由每个药房准备的专用悬挂车。市售和药房配制的悬浮车辆为不同年龄组的儿科病人的特殊需要提供了额外的药房配制。
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引用次数: 4
Pharmaceutical Technology in Practice: A Personal View 实践中的制药技术:个人观点
Pub Date : 2018-04-19 DOI: 10.1515/PTHP-2018-0013
A. Florence
Abstract This opinion piece argues that the collective knowledge of drugs and medicines, their nature, formulation and manufacture, their delivery and evaluation is unique to pharmacy and it reasserts the fact that science underpins the clinical use of medicines. It argues this from a personal standpoint of an academic pharmaceutical technologist and recounts examples from the author’s own experience.
这篇评论文章认为,药物和药物的集体知识,它们的性质,配方和制造,它们的交付和评估是药学所独有的,它重申了科学支撑药物临床使用的事实。它从一个学术制药技术专家的个人立场来论证这一点,并叙述了作者自己经历的例子。
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引用次数: 1
期刊
Pharmaceutical Technology in Hospital Pharmacy
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