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The Use of Amplified ATP Bioluminescence for Rapid Sterility Testing of Drug Product Formulations. 扩增ATP生物发光在药品配方快速无菌检测中的应用。
Q3 Medicine Pub Date : 2023-09-01 Epub Date: 2023-06-15 DOI: 10.5731/pdajpst.2022.012762
Miriam Guest, Benjamin Pickard, Benjamin Smith, Sophie Drinkwater

The use of amplified adenosine trisphosphate (ATP) bioluminescence has been established within AstraZeneca as a technique for assessing the sterility of drug product formulations. A platform validation was generated that challenged the technology with a range of organisms and inoculum levels, and the approach to onboarding additional drug products has been designed to maximize the understanding of the drug product behavior when samples may be limited during the development phases of the life cycle of a drug product. Many activities to support sterility assurance take place during product development. However, sterile material manufactured under Good Manufacturing Practice (GMP) conditions may not always be available, for example, during studies to understand the bacterial retention of sterilizing grade filters. In cases of bactericidal products, the use of surrogates may be justified if they are suitably representative of the final drug product formulation. It may not be possible to secure GMP facility access to prepare such surrogate formulations; in those cases, the principles of GMP may be applied in a controlled laboratory setting. The rapid sterility test was used to provide the sterility assurance of the prepared surrogate material. In this case study, the application of amplified ATP bioluminescence sterility testing enabled a fast response to ensure mitigations could be executed in a timely manner. This meant that overarching project plans could be met. The case study also provides information on the rapid identification technique used to identify the slow growing and difficult to recover organism, which allowed faster indication of a nonsterile material. The example also highlights some of the aspects of the challenges of culturing microorganisms and the value of modern techniques in their ability to indicate a quality drift. Dermacoccus nishinomiyaensis was isolated from the test article, and throughout the investigation, it was not possible to culture this organism on standard tryptic soya agar.

扩增三磷酸腺苷(ATP)生物发光的使用已在阿斯利康内部确立,作为评估药品配方无菌性的技术。产生了一个平台验证,该验证在一系列生物体和接种物水平上对该技术提出了挑战,并且设计了引入额外药物产品的方法,以在药物产品生命周期的开发阶段,当样品可能受到限制时,最大限度地了解药物产品的行为。许多支持无菌保证的活动在产品开发过程中进行。然而,在良好生产规范(GMP)条件下生产的无菌材料可能并不总是可用的,例如,在了解灭菌级过滤器的细菌滞留的研究过程中。在杀菌产品的情况下,如果替代品能够适当地代表最终的药物产品配方,那么使用替代品可能是合理的。可能无法确保GMP设施进入以制备此类替代制剂;在这些情况下,GMP的原则可以应用于受控的实验室环境中。快速无菌检测用于为制备的替代材料提供无菌保证。在本案例研究中,扩增ATP生物发光无菌检测的应用能够快速响应,以确保及时执行缓解措施。这意味着可以实现总体项目计划。该案例研究还提供了有关快速鉴定技术的信息,该技术用于鉴定生长缓慢且难以回收的生物体,从而能够更快地发现非无菌物质。该示例还强调了培养微生物的挑战的一些方面,以及现代技术在指示质量漂移的能力方面的价值。从供试品中分离出西宫Dermacoccus nishinomiyansis,在整个研究过程中,不可能在标准胰蛋白酶大豆琼脂上培养这种生物。
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引用次数: 0
Vaccine Disparities and Sustainable Development Goals. 疫苗差异与可持续发展目标。
Q3 Medicine Pub Date : 2023-09-01 DOI: 10.5731/pdajpst.2023.001623
Shanker Gupta
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引用次数: 0
Applying Machine Learning to the Visual Inspection of Filled Injectable Drug Products. 将机器学习应用于填充注射药品的视觉检测。
Q3 Medicine Pub Date : 2023-09-01 Epub Date: 2023-06-15 DOI: 10.5731/pdajpst.2022.012796
Romain Veillon, John Shabushnig, Lars Aabye-Hansen, Matthieu Duvinage, Christian Eckstein, Zheng Li, Andrea Sardella, Manuel Soto, Jorge Delgado Torres, Brian Turnquist

With machine learning (ML), we see the potential to better harness the intelligence and decision-making abilities of human inspectors performing manual visual inspection (MVI) and apply this to automated visual inspection (AVI) with the inherent improvements in throughput and consistency. This article is intended to capture current experience with this new technology and provides points to consider for successful application to AVI of injectable drug products. The technology is available today for such AVI applications. Machine vision companies have integrated ML as an additional visual inspection tool with minimal upgrades to existing hardware. Studies have demonstrated superior results in defect detection and reduction in false rejects, when compared with conventional inspection tools. ML implementation does not require modifications to current AVI qualification strategies. The utilization of this technology for AVI will accelerate recipe development by use of faster computers rather than by direct human configuration and coding of vision tools. By freezing the model developed with artificial intelligence tools and subjecting it to current validation strategies, assurance of reliable performance in the production environment can be achieved.

通过机器学习(ML),我们看到了更好地利用人工视觉检查(MVI)的人类检查员的智能和决策能力的潜力,并将其应用于自动化视觉检查(AVI),从而提高吞吐量和一致性。本文旨在获取这项新技术的当前经验,并为成功应用于注射药物产品的AVI提供考虑要点。该技术目前可用于此类AVI应用程序。机器视觉公司已经将ML集成为一种额外的视觉检查工具,对现有硬件的升级最小。研究表明,与传统的检查工具相比,在缺陷检测和减少虚假拒收方面取得了优异的结果。ML实现不需要修改当前的AVI资格策略。将这项技术用于AVI将通过使用更快的计算机而不是通过视觉工具的直接人工配置和编码来加速配方开发。通过冻结使用人工智能工具开发的模型,并对其进行当前的验证策略,可以确保在生产环境中的可靠性能。
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引用次数: 0
Headache in Hemangioblastomas: A Histopathology and Structural 血管母细胞瘤引起的头痛:组织病理学和结构
Q3 Medicine Pub Date : 2023-07-06 DOI: 10.11648/j.pst.20230701.12
Ali Reza Arabestanino, Arman Ai, Sina Naghibi Irvani, Mahdiar Mahmoodi, Mohammad Matin Chaboki, Bita Dinarvand
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引用次数: 0
Comparison of Vanco Ready® Vancomycin Injection Premix with Lyophilized Vancomycin Products in a Simulated Compounding & Clinical Setting Vanco Ready®万古霉素注射预混剂与冻干万古霉素产品在模拟配伍和临床环境中的比较
Q3 Medicine Pub Date : 2023-07-06 DOI: 10.11648/j.pst.20230701.13
Alexander James Sperry, J. Cruikshank, H. Hoang, Kato Nichols, George Edward MacKinnon III, Nashaat Zakaria Gerges, Abhay Singh Chauhan
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引用次数: 0
Characterization of a Novel Particle in a Pharmaceutical Drug Product. 医药产品中新颗粒的表征。
Q3 Medicine Pub Date : 2023-07-01 DOI: 10.5731/pdajpst.2021.012686
Stephanie Moore, Peter Masatani, Yasser Nashed-Samuel, Gianni Torraca, Michael Akers, Jeremy Gastwirt, Chakradhar Padala, David Semin

A previously unreported particle type was observed during routine visual vial inspection of a liquid drug product and suspected to be the result of vial delamination. Delamination is the corrosive attack on the interior surface of a glass container resulting in the release of thin flake-like glass particles, lamellae, into solution. It is a major concern for pharmaceutical companies, especially for parenteral solutions, and drug programs with a high risk for delamination are typically monitored for lamellae formation through long-term stability studies. Although these particles observed resembled lamellae (i.e., thin, reflecting light, buoyant) they were not the result of glass delamination. In this study, the authors describe a previously unreported particle type and provide a detailed comparison with known lamellae exposed to the same drug formulation. The chemical, elemental, and morphological characteristics of the particles and respective vials are described in detail. Overall, the particles' high organic and low silica elemental signature, along with no signs of delamination on the glass vial inner surface demonstrate that this lamellae-like observation is a novel particle form that can be distinguished from lamellae formed from vial glass delamination.

在对液体药品进行常规目视小瓶检查时观察到一种以前未报告的颗粒类型,怀疑是小瓶分层的结果。分层是玻璃容器内部表面的腐蚀,导致薄片状玻璃颗粒(片层)释放到溶液中。这是制药公司关注的主要问题,特别是对于非注射溶液,并且具有分层高风险的药物项目通常通过长期稳定性研究来监测片层的形成。虽然观察到的这些颗粒类似于片层(即薄,反射光,浮力),但它们不是玻璃分层的结果。在这项研究中,作者描述了一种以前未报道的颗粒类型,并提供了与暴露于相同药物制剂的已知薄片的详细比较。详细描述了颗粒和各自小瓶的化学、元素和形态特征。总的来说,颗粒的高有机和低硅元素特征,以及玻璃小瓶内表面没有分层的迹象表明,这种片状状的观察是一种新的颗粒形式,可以与小瓶玻璃分层形成的片状区分开来。
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引用次数: 0
Design, Development, and Validation of a Culture-Independent Nucleic Acid Diagnostics Method for the Rapid Detection and Quantification of the Burkholderia cepacia Complex in Water with an Equivalence to ISO/TS 12869:2019. 用于快速检测和定量水中洋葱伯克霍尔德菌复合物的非培养基核酸诊断方法的设计、开发和验证,等效于ISO/TS 12869:2019。
Q3 Medicine Pub Date : 2023-07-01 Epub Date: 2023-02-23 DOI: 10.5731/pdajpst.2021.012728
Huong Thu Duong, Shannon Fullbrook, Kate Reddington, Elizabeth Minogue, Thomas Barry

In the wake of a series of outbreaks of finished pharmaceutical product-related Burkholderia cepacia complex (Bcc) human infections worldwide, the United States Food and Drug Administration (FDA) in 2017, and subsequently in 2021, issued advisory notifications to the pharmaceutical industry for stringent Bcc testing requirements for pharmaceutical manufacturing processes and for finished pharmaceutical products prior to release to the marketplace. The advisory notifications highlight non-sterile aqueous finished pharmaceutical products as being a major culprit associated with many of these human infection events. As such, there has been a significant number of Bcc-contaminated finished product recalls resulting in company revenue losses, delayed finished product release, finished product shortages for patients, and manufacturing plant shutdowns coupled with company reputational damage. With many of the finished product recall events, pharmaceutical grade water and/or manufacturing facility water distribution systems were identified as the primary origin source of Bcc contamination. Testing and monitoring regimes currently employed to identify Bcc contamination of water associated with pharmaceutical manufacturing are often limited by costly, laborious, lengthy, and nonspecific traditional microbial culture-based methodologies. Presently FDA approved, European Conformity (CE) marked, and International Organization for Standardization (ISO) standard microbial culture-independent rapid, quantitative, specific, and sensitive nucleic acid diagnostics (NAD) methodologies are now gaining greater widespread acceptance in their routine usage in testing laboratories. Here we present the development of a rapid (<4 hours from sample in to result out) single test culture-independent Bcc NAD method, incorporating a quantitative real-time polymerase chain reaction (qPCR) assay. This method can be used for the detection and simultaneous identification of all 24 Bcc species currently assigned, directly from water samples. This culture-independent Bcc NAD method is validated to the testing method equivalent of the ISO/TS 12869:2019 standard, which is a widely used rapid culture-independent NAD method for detecting Gram-negative Legionella species in water.

在全球范围内爆发了一系列与成品相关的洋葱伯克霍尔德菌复合物(Bcc)人类感染事件后,美国食品药品监督管理局(FDA)于2017年和随后的2021年,向制药行业发出咨询通知,要求对制药工艺和成品在上市前进行严格的Bcc检测。咨询通知强调,非无菌水性成品药是与许多此类人类感染事件相关的罪魁祸首。因此,大量Bcc污染的成品召回导致公司收入损失、成品发布延迟、患者成品短缺、制造厂关闭以及公司声誉受损。在许多成品召回事件中,药品级水和/或生产设施配水系统被确定为Bcc污染的主要来源。目前用于识别与制药相关的水中Bcc污染的测试和监测制度通常受到昂贵、费力、漫长和非特异性的传统微生物培养方法的限制。目前,美国食品药品监督管理局批准的、带有欧洲一致性(CE)标志的和国际标准化组织(ISO)标准的微生物培养独立的快速、定量、特异和灵敏核酸诊断(NAD)方法在测试实验室的常规使用中正获得更广泛的接受。在这里,我们介绍了一种在水中快速繁殖的军团菌。
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引用次数: 0
2023 PDA Advanced Therapy Medicinal Products Conference. 2023 PDA先进治疗药物产品会议。
Q3 Medicine Pub Date : 2023-07-01 DOI: 10.5731/pdajpst.2023.001523
Shanker Gupta
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引用次数: 0
Performance Equivalence and Validation of a Rapid Microbiological Method for Detection and Quantification of Yeast and Mold in an Antacid Oral Suspension. 抗酸口服混悬液中酵母和霉菌检测和定量的快速微生物学方法的性能等效性和验证。
Q3 Medicine Pub Date : 2023-07-01 Epub Date: 2023-04-21 DOI: 10.5731/pdajpst.2021.012632
Harold Alexis Prada Ramírez, Ángela A Beltrán-Osuna, Sandra Celeita, Juan Camilo Fonseca
Alternative and rapid microbiological methods can be effective replacements for more traditional plating approaches for ensuring quality and safety in the pharmaceutical industry. This article compares the efficacy of the Soleris automated method and the traditional plate-count method for the quantitative detection of yeasts and molds at three different microbial bioburden levels. Validation testing was carried out using an antacid oral suspension (aluminum hydroxide 4% + magnesium hydroxide 4% + simethicone 0.4%). Equivalence of data between detection time and colony-forming units was established for both the alternative and the conventional methodologies. Using probability of detection, linear Poisson regression, Fisher's test, and multifactorial analysis of variance (ANOVA), all results from the rapid method were shown to be in statistical agreement with the those of the reference plating procedures. The limits of detection and quantification were statistically similar for both methods (Fisher's exact test, P > 0.05), showing that the alternative method is not inferior in performance to the reference method. Essential validation parameters such as precision (standard deviation <5, coefficient of variance <35%), accuracy (>70%), linearity (R2 >0.9025), ruggedness (ANOVA, P < 0.05), operative range, and specificity were determined. It was shown that all the test results obtained using the alternative method were in statistical agreement with the those of the standard plate-count method. Thus, this new technology was found to meet all the validation criteria needed to be considered as an alternative method for yeast and mold quantification in the antacid oral suspension tested. However, taking into account that the present validation was carried out utilizing A. brasiliensis and C. albicans as suitable models for yeasts and molds and with an antacid oral suspension as a pharmaceutical matrix, further investigation will be required to qualify Soleris technology for other environmental isolates and recovery of these isolates from production batches.
替代和快速的微生物方法可以有效地替代更传统的电镀方法,以确保制药行业的质量和安全。本文比较了Soleris自动化方法和传统平板计数方法在三种不同微生物生物负载水平下定量检测酵母和霉菌的效果。使用抗酸口服混悬液(氢氧化铝4%+氢氧化镁4%+西美酮0.4%)进行验证测试。对于替代方法和传统方法,建立了检测时间和菌落形成单位之间的数据等效性。使用检测概率、线性泊松回归、Fisher检验和多因素方差分析(ANOVA),快速方法的所有结果都显示出和参考电镀程序的结果在统计学上一致。两种方法的检测和定量限在统计学上相似(Fisher精确检验,P>0.05),表明替代方法的性能并不低于参考方法。确定了基本验证参数,如精密度(标准偏差70%)、线性度(R2>0.9025)、稳健性(ANOVA,P<0.05)、手术范围和特异性。结果表明,用该替代方法得到的所有试验结果和标准平板计数法的结果在统计学上是一致的。因此,发现这项新技术符合所有验证标准,可以作为抗酸口服悬浮液中酵母和霉菌定量的替代方法。然而,考虑到目前的验证是利用巴西乳杆菌和白色念珠菌作为酵母和霉菌的合适模型,并使用抗酸口服悬浮液作为药物基质进行的,需要进一步的研究来鉴定Soleris技术是否适用于其他环境分离物,并从生产批次中回收这些分离物。
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引用次数: 1
Assessment of Functional and Physical Performances of Pre-filled Syringes in Deep Cold Storage Conditions. 深度冷藏条件下预填充注射器的功能和物理性能评估。
Q3 Medicine Pub Date : 2023-07-01 Epub Date: 2023-04-21 DOI: 10.5731/pdajpst.2022.012746
Eloise Perrin, Nestor Rodriguez, Kylie E Van Meter, Guillaume Lehee, Brandon A Krick, Erwan Chabert

The recent emergence of new drug technologies such as messenger ribonucleic acid-based vaccines developed to fight the outbreak of the COVID-19 global pandemic has driven increased demand for delivery solutions capable of withstanding deep cold storage conditions down to -50°C, and even down to -80°C. Although significant data exist for deep cold storage in vials, little evidence is available for pre-filled syringes. Because pre-filled syringes serve as both the storage container and the delivery mechanism, there are additional risks to performance that must be evaluated, such as plunger gliding performance, syringe lubrication, silicone layer stability, and container closure integrity (CCI). In the present study, a comprehensive assessment of functional and physical performances of pre-filled syringes (PFS filled with water) was performed after one or multiple freeze/thaw (F/T) cycles between ambient temperature and various temperature cycles including -40°C, -50°C or -80°C for both 'staked needle' and 'luer lock' configurations. The experiments were guided by historical normative methods such as ISO 11040-4 and USP <1207> and combined with headspace gas analysis for barrel-stopper tightness testing. In addition, they were complemented with a novel approach, namely in situ real-time optical imagery, to track plunger stopper movement during the F/T cycle. The findings indicated that there is no significant impact on the functional performances from F/T down to -80°C, whereas no CCI risk was found after F/T down to -50°C.

最近出现的新药物技术,如为抗击新冠肺炎全球大流行而开发的信使核糖核酸疫苗,推动了对能够承受低温至-50°C甚至-80°C的深层冷藏条件的递送解决方案的需求增加。尽管有大量关于小瓶深度冷藏的数据,但几乎没有证据表明预填充注射器。由于预填充注射器既是储存容器又是输送机构,因此必须评估性能的额外风险,如柱塞滑动性能、注射器润滑、硅树脂层稳定性和容器闭合完整性(CCI)。在本研究中,在环境温度和各种温度循环(包括-40°C、-50°C或-80°C)之间的一个或多个冷冻/解冻(F/T)循环后,对预充注射器(注水PFS)的功能和物理性能进行了全面评估,其中包括“桩针”和“路厄锁”配置。实验以ISO 11040-4和USP等历史规范方法为指导,并结合顶部空间气体分析进行桶塞密封性测试。此外,他们还补充了一种新的方法,即现场实时光学成像,以跟踪F/T循环期间柱塞止动器的运动。研究结果表明,从F/T降至-80°C对功能性能没有显著影响,而在F/T降至-50°C后没有发现CCI风险。
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引用次数: 1
期刊
PDA Journal of Pharmaceutical Science and Technology
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