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A Discussion of Relevant and Meaningful Extraction Solvents for Extractables Testing of Implanted Medical Devices. 植入式医疗器械可提取物检测中相关且有意义的提取溶剂的讨论。
Q3 Medicine Pub Date : 2025-11-24 DOI: 10.5731/pdajpst.2025-000056.1
Dennis Jenke

During their clinical use, medical devices contact, directly or indirectly, tissue of the person (patient) whose medical condition is being treated or monitored by the device. During contact, substances present in or on the medical device can be leached from the device. Medical devices are chemically characterized to establish the patient's actual exposure to leachables.Establishing actual leachables from implanted methodical devices is problematic as so doing would require sampling of the in vivo environment in which the device is implanted. Thus, leachables from implanted medical devices are estimated by performing extraction studies. Often, such extraction studies use extraction solvents of multiple polarities to establish the device's total extractables profile (all possible extractables at their highest possible levels).As the potential range of extractables' polarities is large, using a small number of extraction solvents with widely different polarities can produce polarity gaps, where an extractable is either not revealed by the selected extraction solvents (an omission gap) or is underestimated in the extraction solvents (a magnitude gap). In either circumstance, the patient's exposure to extractables (as potential leachables) is underestimated.Furthermore, extraction studies which use extraction solvents with polarities outside of the polarity range of in vivo environments are inefficient, as they reveal extractables that cannot possibly be leachables at levels that cannot possibly be achieved during clinical use.After discussing these challenges from a thermodynamic and conceptual perspective, this author proposes that extraction studies for implanted medical devices use extraction solvents whose polarities bracket the polarity of the implanted in vivo environment and that a non-polar solvent never be used for bracketing purposes. To accomplish bracketing, this author introduces the polarity range termed seminon- polar" establishes the polarity of in vivo environments, and specifies polarity brackets.

在其临床使用期间,医疗设备直接或间接地接触其医疗状况正在被设备治疗或监测的人(患者)的组织。在接触过程中,存在于医疗器械内部或表面的物质可以从器械中滤出。医疗设备的化学特性是为了确定患者实际暴露于可浸出物的程度。从植入的系统设备中建立实际的可浸出性是有问题的,因为这样做需要对植入设备的体内环境进行采样。因此,通过进行提取研究来估计植入医疗装置的可浸出物。通常,这种提取研究使用多极性的提取溶剂来建立设备的总可提取物概况(所有可能的最高可能水平的可提取物)。由于可萃取物极性的潜在范围很大,使用少量极性差异很大的萃取溶剂会产生极性间隙,其中可萃取物要么不被所选的萃取溶剂显示(遗漏间隙),要么在萃取溶剂中被低估(幅度差距)。在任何一种情况下,患者暴露于可提取物(作为潜在的浸出物)都被低估了。此外,使用在体内环境极性范围之外的萃取溶剂的萃取研究是低效的,因为它们揭示的萃取物不可能达到临床使用中不可能达到的浸出水平。在从热力学和概念的角度讨论了这些挑战之后,作者提出,植入医疗器械的提取研究应使用极性与植入体内环境极性相匹配的提取溶剂,而非极性溶剂绝不能用于夹持目的。为了实现括号划分,作者引入了半极性的极性范围,建立了体内环境的极性,并指定了极性括号。
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引用次数: 0
Variability Assessment Methods for Lyophilized Drug Product, A Case Study. 冻干药品可变性评估方法的案例研究。
Q3 Medicine Pub Date : 2025-11-24 DOI: 10.5731/pdajpst.2025-000046.1
Ajay Babu Pazhayattil, Marzena Ingram, Prasanna Sagar, Kishorkumar Kotini, Abhijit Bodhe, Mallinath Harwalkar, Satish Joshi, Subrata Chakraborty, Rajesh Sreedharan Nair, Ahmed Shaaban Elsaid

Lyophilization is a critical process, removing water and or solvent through sublimation to ensure the stability and longevity of injectable drug products. The complexity of the lyophilization process, involving multiple stages such as freezing, primary drying, and secondary drying, necessitates a robust approach to ensure product quality and consistency. Along with applying Quality by Design (QbD) principles in lyo process development, robust statistical and risk-based methodologies are essential for assessing process variability. This paper presents a risk-based and statistically sound sampling methodology for assessing variability in lyophilized drug products during Continued Process Verification (Stage 3a) of Process Validation. Sampling plans are strategically designed, ensuring representative data collection from lyophilizer shelves. By integrating variance analysis, capability indices, and probability, the methodology provides a comprehensive understanding of both intra-batch and inter-batch variability. The assessment enables estimation of future batch performance concerning critical quality attributes, including water content, assay, pH, and impurities. Identifying and controlling both intra-batch (within-shelf and between-shelf) and inter-batch variability ensures robustness. The study highlights the importance of statistically rigorous sampling plans, justification of the plans and data analysis to ensure process control. A case study is presented, demonstrating the application of the approach in a lyophilization process. The methodology supports regulatory compliance and enhances process understanding, enabling tighter process control and continuous improvement. The risk-based Stage 3a framework provides a structured method for post-commercialization variability assessment, bridging process design and continued verification.

冻干是一个关键的过程,通过升华去除水和/或溶剂,以确保注射药品的稳定性和寿命。冻干过程的复杂性,涉及多个阶段,如冷冻,一次干燥和二次干燥,需要一个强大的方法来确保产品的质量和一致性。随着在lyo过程开发中应用设计质量(QbD)原则,健壮的统计和基于风险的方法对于评估过程可变性是必不可少的。本文提出了一种基于风险和统计合理的抽样方法,用于在工艺验证的持续工艺验证(阶段3a)期间评估冻干药品的可变性。取样计划是战略性设计的,确保从冻干机货架上收集有代表性的数据。通过整合方差分析、能力指数和概率,该方法提供了对批内和批间可变性的全面理解。该评估可用于评估涉及关键质量属性的未来批次性能,包括含水量、测定值、pH值和杂质。识别和控制批次内(货架内和货架之间)和批次间的可变性确保了鲁棒性。该研究强调了统计严谨的抽样计划、计划的合理性和数据分析对确保过程控制的重要性。提出了一个案例研究,展示了该方法在冻干过程中的应用。该方法支持法规遵从性并增强过程理解,从而实现更严格的过程控制和持续改进。基于风险的3a阶段框架为商业化后的可变性评估、桥接过程设计和持续验证提供了结构化的方法。
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引用次数: 0
AI and ATMP: Patients First. 人工智能和ATMP:患者至上。
Q3 Medicine Pub Date : 2025-11-24 DOI: 10.5731/pdajpst.2025-000052.1
Toni Manzano, William Whitford

This review article explores the application of artificial intelligence (AI) within Advanced Therapy Medicinal Products (ATMP) analysis, specifically focusing on challenges related to chemistry, manufacturing, and controls (CMC) and manufacturing processes. The inherent complexity and variability in ATMPs necessitate innovative solutions for potency testing, real-time process monitoring, and stability assessment. We examine how AI tools can contribute to these areas while navigating increasingly stringent regulatory landscapes. This work acknowledges the growing importance of data protection regulations worldwide, including frameworks such as HIPAA, GDPR, PIPEDA, POPIA, and LGPD, highlighting the need for secure data handling and patient privacy considerations within ATMP development and analysis. The integration of AI also necessitates attention to explainability and transparency, potentially leveraging techniques like SHAP values and physics-informed neural networks to ensure regulatory compliance and build trust in AI-driven insights.

这篇综述文章探讨了人工智能(AI)在先进治疗药物(ATMP)分析中的应用,特别关注与化学、制造和控制(CMC)和制造过程相关的挑战。atmp固有的复杂性和可变性需要效价检测、实时过程监测和稳定性评估的创新解决方案。我们将研究人工智能工具如何在应对日益严格的监管环境的同时为这些领域做出贡献。这项工作承认全球数据保护法规日益重要,包括HIPAA、GDPR、PIPEDA、POPIA和LGPD等框架,强调在ATMP开发和分析中需要安全数据处理和患者隐私考虑。人工智能的整合还需要关注可解释性和透明度,潜在地利用SHAP值和物理信息神经网络等技术来确保合规性,并建立对人工智能驱动的见解的信任。
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引用次数: 0
PAT Implementation - Managing the Transition from Traditional Environmental Monitoring to In-Process Control of Aseptically Filled Products. PAT实施-管理无菌灌装产品从传统环境监测到过程控制的转变。
Q3 Medicine Pub Date : 2025-11-24 DOI: 10.5731/pdajpst.2025-000044.1
Tony Cundell

Managing the transition from the new paradigm of in-process control using continuous biofluorescent particle counters from the traditional growth-based air monitoring is a difficult challenge requiring a comprehensive regulatory strategy. This is best approached within confines of the concept of process analytical technology. A five-stage approach to the evaluation, validation, test runs and data analysis, regulatory approval, and implementation is recommended. Critical to the implementation is the application of the safe harbor concept to avoid non-compliance issues.

从传统的基于生长的空气监测到使用连续生物荧光粒子计数器的过程控制的新范式,管理过渡是一项艰巨的挑战,需要一个全面的监管战略。这是在过程分析技术的概念范围内最好的方法。建议采用评估、验证、测试运行和数据分析、监管批准和实施的五阶段方法。实施的关键是安全港概念的应用,以避免不合规问题。
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引用次数: 0
Challenges for Visual Inspection and Particle Control in Cell Therapy Products. 细胞治疗产品视觉检测和颗粒控制的挑战。
Q3 Medicine Pub Date : 2025-10-16 DOI: 10.5731/pdajpst.2025-000021.1
Roman Mathaes, Antonio Burazer, Satish K Singh, John G Shabushnig, Atanas Koulov

Cell therapy products represent a transformative class of advanced medicinal products with unique manufacturing and quality control challenges. Unlike conventional parenteral products, cell therapies consist of living cells-typically delivered as turbid, non-filterable suspensions-which inherently complicates the control and detection of visible (VP) and subvisible particles (SvP). This review outlines the distinctive risks associated with particle generation in autologous and allogeneic cell therapies and highlights limitations of existing pharmacopeial methods for particle testing.We identify three major sources of particles in cell therapy products: the manufacturing process with often several manual manipulation steps, the single use manufacturing components, and the container closure systems. The complexity of the process is compounded by small batch sizes, short shelf-life, and complex formulations, and thus traditional sampling and visual inspection approaches have limitations in their utility. Therefore, cell therapy products often require tailored inspection strategies and supplemental process simulations.We review the current global regulatory requirements (USP <790>, Ph. Eur. 2.9.20, JP 6.06), contrast US and EU definitions for particle types, and discusses practical gaps in harmonization. We further evaluate emerging technologies like flow imaging microscopy for SvP characterization and propose optimized visual inspection strategies tailored for turbid cell suspensions. However, preventative or preemptive control, rather than end-stage inspection, is recommended as the most effective strategy. This requires systematic risk assessment, raw material control, process simulations, and supplier collaboration.The authors advocate for the development of cell therapy-specific inspection standards and call for regulatory alignment to support consistent global development and patient access.

细胞治疗产品代表了具有独特制造和质量控制挑战的先进医药产品的变革类。与传统的肠外产品不同,细胞疗法由活细胞组成——通常以浑浊的、不可过滤的悬浮液形式递送——这本身就使可见(VP)和亚可见颗粒(SvP)的控制和检测变得复杂。本综述概述了在自体和异体细胞治疗中与颗粒产生相关的独特风险,并强调了现有药典颗粒检测方法的局限性。我们确定了细胞治疗产品中颗粒的三个主要来源:通常有几个手动操作步骤的制造过程,一次性制造组件和容器封闭系统。工艺的复杂性由于小批量、短保质期和复杂的配方而变得复杂,因此传统的抽样和目视检查方法在其实用性方面存在局限性。因此,细胞治疗产品通常需要量身定制的检查策略和补充过程模拟。我们回顾了当前的全球监管要求(USP, Ph. Eur. 2.9.20, JP 6.06),对比了美国和欧盟对颗粒类型的定义,并讨论了协调方面的实际差距。我们进一步评估了用于SvP表征的流动成像显微镜等新兴技术,并针对浑浊细胞悬浮液提出了优化的视觉检测策略。然而,预防或先发制人的控制,而不是最后阶段的检查,被推荐为最有效的策略。这需要系统的风险评估、原材料控制、过程模拟和供应商协作。作者主张制定细胞治疗特异性检查标准,并呼吁监管机构协调一致,以支持一致的全球发展和患者获取。
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引用次数: 0
Opportunities for improvement in managing pre-PPQ biologic product knowledge. 在ppq前生物产品知识管理方面有改进的机会。
Q3 Medicine Pub Date : 2025-10-16 DOI: 10.5731/pdajpst.2024-003032.1
Beth Fulton, Theo Zacharatos, Igor Gorsky, Angelica Welch, James Vesper

Knowledge management (KM) is vital for supporting product quality throughout a biologic drug product's lifecycle. This paper presents suggestions for management of pre-PPQ (Process Performance Qualification) knowledge management for biologic manufacturing organizations. This topic was presented at the 2024 PDA Annual conference, with subjective audience survey questions that were employed in real time to customize the talking points for the presentation of KM suggestions.This paper presents a lifecycle knowledge management concept called the CQA (Critical Quality Attribute) Knowledge Accessibility Maintenance Loop (CQA-KAML). This lifecycle has been created to help organizations effectively find and manage CQA-relevant knowledge starting in the pre-PPQ phase of biologic product development to align with ICH (International Council for Harmonization of Technical Requirements for Pharmaceuticals for Human Use) Q10 and other regulatory guidances.

知识管理(KM)对于支持生物药品整个生命周期的产品质量至关重要。本文提出了对生物制剂生产企业进行过程性能确认(ppq)前知识管理的建议。该主题是在2024年PDA年会上提出的,通过实时使用主观受众调查问题来定制展示KM建议的谈话要点。本文提出了一种生命周期知识管理的概念——关键质量属性知识可及性维护循环(CQA- kaml)。创建此生命周期是为了帮助组织有效地发现和管理生物产品开发前ppq阶段的cqa相关知识,以符合ICH(国际人用药品技术要求协调委员会)Q10和其他监管指南。
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引用次数: 0
The Emerging Role of Regulatory Intelligence in Biotechnology: An Integrated Literature Review of Strategic Compliance and Innovation Framework. 监管智能在生物技术中的新兴作用:战略合规与创新框架的综合文献综述。
Q3 Medicine Pub Date : 2025-10-14 DOI: 10.5731/pdajpst.2025-000034.1
Jason Kerr, Mara Girgis, Immanuel Jason Victor, Leonardo Tavormina, Nigel D Reed

Regulatory intelligence (RI) is an emerging and increasingly fundamental function within regulatory affairs, particularly in the biotechnology sector. Defined by its focus on the systematic collection, analysis, and dissemination of regulatory information, RI supports informed decision-making and strategic planning in a complex and rapidly evolving regulatory landscape. Despite its growing significance, regulatory intelligence remains underrepresented in academic literature. This paper seeks to provide a foundational understanding of the discipline by examining the evolving regulatory landscape, the processes involved in regulatory intelligence, and future considerations for its advancement. Data sources include peer-reviewed publications, regulatory authority documents, web-based articles, and industry blog posts. An integrated literature review identified three core components of regulatory intelligence: (1) information collection, (2) information analysis, and (3) information dissemination. The effectiveness of these components is closely linked to the maturity and integration of systems employed by biotechnology organizations. As regulatory frameworks become more dynamic and digital technologies advance, the role of RI will become increasingly central to proactive compliance, innovation strategy, and global market access.

监管情报(RI)是监管事务中一个新兴的、日益重要的功能,特别是在生物技术部门。RI专注于系统地收集、分析和传播监管信息,支持在复杂和快速发展的监管环境中做出明智的决策和战略规划。尽管监管情报越来越重要,但在学术文献中仍未得到充分代表。本文旨在通过研究不断发展的监管格局、监管情报所涉及的过程以及对其发展的未来考虑,提供对该学科的基本理解。数据源包括同行评审的出版物、监管机构文档、基于web的文章和行业博客文章。综合文献综述确定了监管情报的三个核心组成部分:(1)信息收集,(2)信息分析,(3)信息传播。这些组成部分的有效性与生物技术组织所采用的系统的成熟度和一体化密切相关。随着监管框架变得更具活力和数字技术的进步,RI在积极合规、创新战略和全球市场准入方面的作用将变得越来越重要。
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引用次数: 0
Assessment of the Microbiological Quality of a Preservative-Free Multidose System following a Mixed Culture Microbial Immersion Challenge. 混合培养微生物浸泡挑战后无防腐剂多剂量系统的微生物学质量评估。
Q3 Medicine Pub Date : 2025-10-03 DOI: 10.5731/pdajpst.2025-000018.1
Ian D Perry, Lutz Kroehne, Ioannis Koutsamanis, Deanna Webster, Michael J Schoene, Patrick J McCormick

Current guidance on the microbiological qualification testing of preservative-free multidose ophthalmic systems is limited and lacking in detail with respect to methodology. This study describes the testing performed to assess the potential for biofilm formation on the tip of a preservative-free multidose device and the microbiological quality of the delivered dose following a mixed culture microbial immersion challenge, simulating a severe, repeated microbial exposure event. Biofilm was assayed quantitatively through viable microbial recovery, semi-quantitatively by staining the biomass in conjunction with ImageJ analysis, and qualitatively by microscopy. The study demonstrated the utility of the immersion challenge as a relevant means of modeling biofilm growth on the preservative-free multidose device nozzle as well as the capability to reliably assess biofilm through a variety of measurements. The study further demonstrated the efficacy of the liner cap as a means of maintaining the microbiological quality of the delivered dose and significantly mitigating biofilm formation following a series of severe microbial immersion challenges.

目前关于不含防腐剂的多剂量眼科系统的微生物鉴定测试的指导是有限的,并且缺乏关于方法学的细节。本研究描述了在模拟严重、重复的微生物暴露事件的混合培养微生物浸泡挑战后,为评估无防腐剂多剂量装置尖端形成生物膜的可能性和所递送剂量的微生物质量而进行的测试。生物膜通过活菌回收进行定量分析,通过结合ImageJ分析对生物量进行染色进行半定量分析,并通过显微镜进行定性分析。该研究证明了浸泡挑战作为模拟无防腐剂多剂量装置喷嘴上生物膜生长的相关手段的实用性,以及通过各种测量可靠地评估生物膜的能力。该研究进一步证明了内衬帽作为一种维持所给剂量微生物质量的手段的有效性,并在一系列严重的微生物浸泡挑战后显著减轻生物膜的形成。
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引用次数: 0
Automated Surface Swab Sampling: A Statistical Comparison of a Novel Approach to Existing Methods. 自动表面拭子取样:一种新方法与现有方法的统计比较。
Q3 Medicine Pub Date : 2025-10-03 DOI: 10.5731/pdajpst.2025-000005.1
Nicole Collier, Michael Lund, Keith Bader, Rick Mineo

Analytical testing and an appropriate sampling method are instrumental in confirming that equipment surfaces have been adequately cleaned during cleaning validation or verification activities. The sampling method is critical to generating accurate results. Regulatory Health Authorities (RHAs) expect manufacturers to employ rinse, surface swab, or a combination of the two, with one favoring swab sampling methods. Surface swab sampling is performed manually by directly holding the swab (hand swabbing) or attaching the swab to the end of an extension pole (remote swabbing). Remote swabbing is an alternative for cases in which the equipment surfaces to be sampled are not readily accessible and would otherwise require confined space entry. This study evaluated the performance of a prototype automated swabbing device constructed from configurable microcontrollers, microelectronics, and electromechanical components against representative manual sampling methodologies. The automated swabbing device was designed and built to automate the swabbing work process for surfaces exhibiting various accessibility issues and challenges. Automated swab sampling of pharmaceutical manufacturing equipment offers several advantages over hand swabbing or remote swabbing, including decreased variability, the necessity for swab qualification of operators, increased accuracy versus remote swabbing, and decreased risk to personnel. To determine if automated swabbing can replace the current state of the art in manual swabbing, Hyde Engineering + Consulting performed a comparative analysis of manual swabbing methods, hand and remote, and an automated swabbing method using a prototype device developed by Swabbot Solutions. This case study evaluated the three swabbing methods using multiple replicates, concentrations, representative soils, and controls to gauge the relative recovery performance of the accuracy and variability of each method. The study showed that the automated swabbing device achieved recovery levels comparable to those of the hand swabbing method but with lower variability. The remote swabbing method exhibited higher variability and lower recovery levels statistically dissimilar to both the hand and automated swabbing methods. Based on these performance results, we concluded that an automated swabbing method is an acceptable alternative to hand swabbing and outperforms the remote swabbing method.

分析测试和适当的取样方法有助于确认在清洁确认或验证活动中设备表面已被充分清洁。采样方法是产生准确结果的关键。卫生监管机构(RHA)希望制造商采用漂洗、表面拭子或两者的结合,其中一种倾向于使用拭子取样方法。通过直接拿着拭子(手拭子)或将拭子附着在延长杆的末端(远程拭子),手动进行表面拭子采样。当设备表面不易接近或需要进入密闭空间时,远程擦拭是一种替代方法。本研究评估了由可配置微控制器、微电子元件和机电元件构成的自动取样装置原型的性能,并与典型的手动取样方法进行对比。自动抽吸装置的设计和制造是为了自动抽吸具有各种可达性问题和挑战的表面。与手动拭子或远程拭子相比,制药设备的自动拭子取样具有几个优点,包括减少可变性,对操作人员进行拭子资格认证的必要性,与远程拭子相比提高了准确性,并降低了人员风险。为了确定自动擦除是否可以取代目前的人工擦除技术,Hyde工程咨询公司对手动擦除方法、手动和远程擦除方法以及使用Swabbot Solutions开发的原型设备的自动擦除方法进行了比较分析。本案例研究通过多次重复、浓度、代表性土壤和对照来评估三种抽拭方法,以衡量每种方法的准确性和可变性的相对恢复性能。研究表明,自动拭子装置与手工拭子方法的回收率相当,但变异性较低。与手动和自动拭子方法相比,远程拭子方法表现出更高的变异性和更低的恢复水平。基于这些性能结果,我们得出结论,自动拭子方法是一种可接受的替代手工拭子方法,并且优于远程拭子方法。
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引用次数: 0
Vaccines and Public Health? 疫苗和公共卫生?
Q3 Medicine Pub Date : 2025-10-03 DOI: 10.5731/pdajpst.2025.001945
Shanker Gupta
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引用次数: 0
期刊
PDA Journal of Pharmaceutical Science and Technology
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