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Criteria for Evaluation of Clinical Efficacy of Anticancer Medicines 抗癌药物临床疗效评价标准
Pub Date : 2019-03-25 DOI: 10.30895/1991-2919-2019-9-1-34-40
A. V. Tikhomirova
Criteria for evaluation of clinical efficacy make it possible to assess the risk-benefit ratio of anticancer medicines that patients receive, in particular, for the treatment of solid malignant tumors. A medicine’s efficacy is assessed using special criteria called the endpoints of clinical efficacy, allowing most objective assessment of study results. It was demonstrated that nowadays clinical efficacy of anticancer drugs is assessed using «patient-centered» (overall survival and quality of life) and «tumor-centered» (response to therapy, progression-free survival, disease-free survival) endpoints. «Patient-centered» endpoints make it possible to evaluate the direct clinical benefit of chemotherapy in patients, while «tumor-centered» endpoints allow for evaluation of efficacy at earlier stages, without directly reflecting the clinical benefit. The analysis of the most suitable endpoints with the aim of making them interchangeable with the primary outcome measure – overall survival – is becoming more and more relevant in oncology. The choice of criteria of efficacy should be made taking into account the specific features of a particular oncological disease, study population and duration of therapy. The authors of the study analysed Russian and foreign literary sources containing information on criteria of efficacy of anticancer medicines and highlighted the advantages and disadvantages of these criteria. The study showed that clinical endpoints should be clinically significant, sensitive to therapy, easy to measure and interpret. It was demonstrated that comprehensive evaluation of outcome measures makes it possible to adequately assess the risk-benefit ratio of anticancer medicines.
临床疗效评价标准使评估患者接受的抗癌药物的风险-效益比成为可能,特别是用于治疗实体恶性肿瘤。一种药物的疗效是用称为临床疗效终点的特殊标准来评估的,这允许对研究结果进行最客观的评估。研究表明,目前抗癌药物的临床疗效是使用“以患者为中心”(总生存期和生活质量)和“以肿瘤为中心”(治疗反应、无进展生存期、无疾病生存期)终点来评估的。“以患者为中心”的终点使得评估化疗对患者的直接临床获益成为可能,而“以肿瘤为中心”的终点允许在早期阶段评估疗效,而不直接反映临床获益。对最合适的终点进行分析,目的是使其与主要结局指标(总生存期)可互换,这在肿瘤学中变得越来越重要。疗效标准的选择应考虑到特定肿瘤疾病的具体特征、研究人群和治疗时间。该研究的作者分析了包含抗癌药物疗效标准信息的俄罗斯和外国文献来源,并强调了这些标准的优点和缺点。研究表明,临床终点应具有临床意义,对治疗敏感,易于测量和解释。结果指标的综合评价可以充分评估抗癌药物的风险-收益比。
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引用次数: 1
Conceptualisation of an Information Analytical Database of Reference Standards 参考标准信息分析数据库的概念
Pub Date : 2019-03-25 DOI: 10.30895/1991-2919-2019-9-1-49-53
D. P. Andreev, A. V. Kozlovich
The article summarises the main results of a study investigating integrated development and implementation of an information analytical database of reference standards in the Federal State Budgetary Institution «Scientific Centre for Expert Evaluation of Medicinal Products» of the Ministry of Health of Russia (FSBI «SCEEMP»). The subject of the research is an information analytical database of reference standards designed to assess the quality, efficacy and safety of medicines. The aim of the study was to create the concept of an information analytical database of reference standards based on object-oriented approaches. The database was created in response to the need for improving the efficiency of certain types of activities of the FSBI «SCEEMP» which has already automated some of its processes. The paper discusses the key prerequisites for the creation of an integrated specialised information technology product as a way to improve overall performance. A general procedure for the development of an information and analytical database is presented, taking into account the tasks set and the established requirements for the functionality of the information and analytical system. The paper describes the implemented solutions, as well as strategies for their improvement. The operation algorithms of the information-analytical database of reference materials allow for its further modernisation, as well as greater automation of actions with documents and data, incorporation of new standardised reference books, ready-made templates, as well as modification  in case any changes are made to business processes, legislation or technical and technological aspects of using reference standards.
本文总结了一项研究的主要结果,该研究调查了俄罗斯卫生部联邦国家预算机构“药品专家评价科学中心”(FSBI«SCEEMP»)参考标准信息分析数据库的综合开发和实施情况。这项研究的主题是一个参考标准的信息分析数据库,旨在评估药物的质量、疗效和安全性。这项研究的目的是建立基于面向对象方法的参考标准信息分析数据库的概念。该数据库是为了响应提高FSBI“SCEEMP”某些类型活动效率的需要而创建的,该活动已经实现了一些程序的自动化。本文讨论了创建集成的专业信息技术产品以提高整体绩效的关键先决条件。考虑到所设定的任务和对信息和分析系统功能的既定要求,提出了开发信息和分析数据库的一般程序。本文描述了实现的解决方案,以及改进的策略。参考资料信息分析数据库的操作算法使其能够进一步现代化,使文件和数据的操作更加自动化,纳入新的标准化参考书,现成的模板,以及在使用参考标准的业务流程,立法或技术和技术方面发生变化时进行修改。
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引用次数: 2
Application of HPLC for Evaluation and Standardisation of Hawthorn Flower Herbal Substance 高效液相色谱法在山楂花药材评价与标准中的应用
Pub Date : 2019-01-01 DOI: 10.30895/1991-2919-2019-9-3-177-183
N. Antonova, E. Shefer, N. E. Semenova, A. Kalinin, S. S. Prokhvatilova, I. M. Morgunov
The process of harmonisation of Russian and foreign approaches and requirements in the field of medicines quality assurance calls for revision of quality control procedures included in various regulations and guidelines. The monograph FS.2.5.0062.18 “Hawthorn flowers” of the State Pharmacopoeia of the Russian Federation XIV edition includes a test procedure for determination of flavonoids by a chromatospectrophotometric method. This procedure does not take into account current scientific capabilities and has a number of shortcomings, therefore it was necessary to revise the existing test procedure and develop a new approach to the standardisation of the hawthorn flower herbal substance.The objectiveof the studywas to develop an assay method for standardisation and evaluation of hawthorn flower using high performance liquid chromatography (HPLC).Materials and methods:the study was performed using samples of hawthorn flowers by Russian manufacturers. Quercetin (USP RS) and Hyperoside (HWI, primary standard) were used as the reference standards. The HPLC analysis was performed using an Infinity II 1260 DAD LC system (Agilent), and the UV spectra were recorded on a Cary 100 Varian spectrophotometer. A TLC Visualizer (CAMAG) was used to obtain digital images of thin layer chromatography plates.Results:the authors developed an HPLC test procedure for quantitative determination of total flavonoids, expressed as hyperoside, in hawthorn flowers. The developed procedure gives reliable and reproducible results and is characterised by high sensitivity and selectivity. The results of quantitative determination of the total flavonoid content in hawthorn flowers were used to propose the standard for the total content of flavonoids, expressed as hyperoside, of “not less than 0.5%”.Conclusions:the developed assay method for determination of active pharmaceutical ingredients in hawthorn flower products by HPLC can be recommended for inclusion into the Assay part of the “Hawthorn Flowers” monograph of the State Pharmacopoeia of the Russian Federation.
在药品质量保证领域协调俄罗斯和外国方法和要求的过程要求修订各种法规和指南中包含的质量控制程序。俄罗斯联邦国家药典第十四版专著FS.2.5.0062.18“山楂花”包括用色谱分光光度法测定黄酮类化合物的测试程序。该程序没有考虑到当前的科学能力,并且有许多缺点,因此有必要修改现有的测试程序并开发一种新的方法来标准化山楂花草药物质。建立了一种高效液相色谱法测定山楂花质量的方法。材料与方法:采用俄罗斯厂家山楂花样品进行研究。以槲皮素(USP RS)和金丝桃苷(HWI,一级标准品)为对照品。HPLC分析采用Infinity II 1260 DAD LC系统(Agilent),紫外光谱记录在Cary 100 Varian分光光度计上。采用TLC可视化仪(CAMAG)获得薄层色谱板的数字图像。结果:建立了测定山楂花中金丝桃苷总黄酮含量的高效液相色谱方法。该方法结果可靠,重现性好,灵敏度高,选择性好。利用山楂花中总黄酮含量的定量测定结果,提出了山楂花中总黄酮含量“不低于0.5%”的标准,以金丝桃苷表示。结论:所建立的高效液相色谱法测定山楂花制品中有效药物成分的方法可推荐纳入俄罗斯联邦国家药典《山楂花》专著的测定部分。
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引用次数: 0
MODERN ASPECTS OF HOMEOPATHIC MEDICINES STANDARDISATION 顺势疗法药物标准化的现代方面
Pub Date : 2018-09-26 DOI: 10.30895/1991-2919-2018-8-3-145-150
E. I. Sakanyan, N. Tereshina, M. N. Lyakina
The article describes the status of homeopathic medicines standardisation in the leading world pharmacopoeias. It reviews main requirements for raw materials of plant, animal, and mineral origin, which are used in the production of homeopathic medicines. It also considers requirements for homeopathic pharmaceutical substances, including technologies of obtaining homeopathic mother tinctures, homeopathic dilutions, triturations, etc., mono- and multi-component homeopathic medicines, as well as quality control of homeopathic substances and homeopathic medicines. The article analyses the nomenclature of homeopathic raw materials and homeopathic substances used by the leading world pharmacopoeias. It dwells upon the results of work devoted to the development of requirements for the following homeopathic dosage forms: homeopathic granules, homeopathic eye drops, homeopathic ointments, homeopathic infusions and decoctions,  homeopathic mother tinctures,  homeopathic solutions for injection,  homeopathic solutions and liquid dilutions,  homeopathic syrups, homeopathic mixtures,  homeopathic suppositories, homeopathic tablets, homeopathic triturations.  The article illustrates significant potential of using vibrational spectroscopy and Raman spectroscopy for the detection of distinctive features of homeopathic medicines at ultra-high dilutions. The article presents methodology for structuring pharmacopoeial standards for raw materials used in the production of pharmaceutical substances, for pharmaceutical substances that are used in homeopathic medicines, and for dosage forms, including specific aspects of production and standardisation of homeopathic medicines, which was implemented during preparation of draft monographs for the State Pharmacopoeia of the Russian Federation.
本文介绍了世界主要药典中顺势疗法药物标准化的现状。它回顾了用于顺势疗法药物生产的植物、动物和矿物原料的主要要求。它还考虑了顺势疗法药物物质的要求,包括获得顺势疗法母酊剂、顺势疗法稀释剂、研磨剂等技术,单组分和多组分顺势疗法药物,以及顺势疗法物质和顺势疗法药物的质量控制。本文分析了世界主要药典中顺势疗法原料和顺势疗法物质的命名法。它详细介绍了致力于以下顺势疗法剂型发展要求的工作结果:顺势疗法颗粒,顺势疗法滴眼液,顺势疗法软膏,顺势疗法输液和煎剂,顺势疗法母酊剂,顺势疗法注射溶液,顺势疗法溶液和液体稀释剂,顺势疗法糖浆,顺势疗法混合物,顺势疗法栓剂,顺势疗法片剂,顺势疗法制剂。本文说明了使用振动光谱和拉曼光谱在超高稀释度下检测顺势疗法药物的显著特征的重大潜力。本文介绍了构建用于生产原料药、用于顺势疗法药物的原料药和剂型的药典标准的方法,包括顺势疗法药物的生产和标准化的具体方面,这是在编制俄罗斯联邦国家药典各论草案期间实施的。
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引用次数: 2
CURRENT REQUIREMENTS FOR THE QUALITY OF HERBAL MEDICINAL PRODUCTS 现行中草药产品质量要求
Pub Date : 2018-09-26 DOI: 10.30895/1991-2919-2018-8-3-170-178
E. I. Sakanyan, E. L. Kovaleva, L. N. Frolova, V. V. Shelestova
The article provides the results of a comparative analysis of requirements laid out in the State Pharmacopoeia of the USSR, XI ed. (SPh XI) and the State Pharmacopoeia of the Russian Federation, XIII ed. (SPh XIII) concerning  quality evaluation and standardization of herbal substances, herbal medicines and other herbal products. The article discusses requirements  for the criteria of herbal substances and herbal medicines quality control described in general chapters and monographs that were previously in force and that have recently been adopted. The article mentions new herbal substances that were included into the State Pharmacopoeia of the Russian Federation for the first time as well as herbal substances included into the State Pharmacopoeia of the USSR, X ed., not included into SPh XI, but included into SPh XIII. The article analyses the requirements described in the new general chapters that were recently included into SPh XIII: “Herbal substances. Herbal preparations”, “Determination of heavy metals and arsenic content in herbal substances and herbal medicinal  products”, “Determination of water absorption  factor for herbal substances”,  “Buds”, “Cut-pressed granules”. The article suggests ways to improve methods of analysis of herbal substances and herbal medicinal products in view of recent advances in pharmacopoeial analysis and the increasing requirements for its quality.
本文讨论了以前有效和最近通过的通论和专著中描述的草药物质和草药质量控制标准的要求。本文分析了最近纳入SPh XIII的新通则章节中描述的要求:“草药物质。《中草药制剂》、《中草药和中草药制品中重金属和砷含量的测定》、《中草药吸水系数的测定》、《芽》、《切压颗粒》。本文结合近年来药典分析的发展和对药材质量要求的提高,提出了改进中药材和中药材分析方法的途径。
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引用次数: 6
ELIMINATION OF FALSE RESULTS OF MEDICINES MICROBIOLOGICAL TESTING 消除药物微生物检测的错误结果
Pub Date : 2018-09-26 DOI: 10.30895/1991-2919-2018-8-3-187-192
I. A. Buylova, N. Sakhno, G. M. Bulgakova, O. Gunar
The validity of medicines microbial quality testing relies on the adequacy of the test procedure employed. The aim of the study was to analyse factors triggering false results during microbial quality testing of non-sterile  medicinal products, as well as to find ways of their elimination.  Materials and methods: the study was focused on non-sterile  medicinal products tested for microbial quality: N-methylglucamine, L-Malic  acid, Xeroform, Fingolimod hydrochloride, Succinic  acid, Streptocide,  Aripiprazole, Doxazosin, Clopidogrel,  Moxonidine, Tilorone,  Mycophenolic acid, Folic acid, Gabapentin, Dutasteride, Imatinib,  Temozolomide. The study involved the use of the following test strains: Bacillus subtilis, Bacillus cereus, Candida albicans, Escherichia coli, Aspergillus brasiliensis, as well as of reagents and growth media. The methods  used were determination of antimicrobial  activity under conditions of microbial quality testing, and modified in-depth  testing of microbial quality of medicinal products according to the requirements of the State Pharmacopoeia of the Russian Federation, 13th edition. Results: the analysis of literature sources helped reveal the main factors causing false results of microbiological  testing and determine  ways of their elimination.  The article sets forth the results of experimental comparison of two ways of sample preparation  for solid formulations: the standard one described in the State Pharmacopoeia of the Russian Federation, 13th edition, and the one involving the use of a laboratory shaker. The article provides experimental data on specific aspects of elimination of antimicrobial activity against B. subtilis and B. cereus and the use of specific inactivators for particular medicinal products. Conclusions: a set of measures aimed at prevention of false-positive and false-negative testing results should include: sterility control of the growth media and reagents used, monitoring  of facilities; control of growth promotion  properties and selectivity of the growth media; selection of adequate incubation  conditions  and inoculation procedure with due regard to the dosage form; justification of the amount of sample, diluents and dilution factor used; consideration  of the antimicrobial activity of a medicinal product.
药品微生物质量检测的有效性取决于所采用的检测程序的充分性。本研究的目的是分析在非无菌药品微生物质量检测中导致错误结果的因素,并找到消除错误结果的方法。材料与方法:以微生物质量检测的非无菌药品为研究对象:n-甲基葡萄糖胺、l -苹果酸、Xeroform、盐酸芬戈莫德、琥珀酸、链霉素、阿立哌唑、Doxazosin、氯吡格雷、Moxonidine、Tilorone、霉酚酸、叶酸、加巴喷丁、杜他雄胺、伊马替尼、替莫唑胺。该研究涉及使用以下试验菌株:枯草芽孢杆菌、蜡样芽孢杆菌、白色念珠菌、大肠杆菌、巴西曲霉,以及试剂和生长培养基。所采用的方法是微生物质量检测条件下抗菌活性的测定,以及根据俄罗斯联邦国家药典第13版的要求对药品微生物质量的深度检测进行修改。结果:通过文献来源分析,揭示了导致微生物检测结果错误的主要因素,并确定了消除方法。本文阐述了固体制剂两种样品制备方法的实验比较结果:俄罗斯联邦国家药典第13版中描述的标准方法和使用实验室摇床的方法。本文提供了消除枯草芽孢杆菌和蜡样芽孢杆菌抗菌活性的具体方面的实验数据以及在特定药品中使用特定灭活剂的实验数据。结论:一套旨在防止假阳性和假阴性检测结果的措施应包括:使用的生长介质和试剂的无菌控制,设施的监测;生长介质促生长特性和选择性的控制;选择适当的孵育条件和接种程序,并适当考虑剂型;样品、稀释剂和稀释因子用量的证明;考虑药品的抗菌活性。
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引用次数: 2
ANALYSIS OF THE RESULTS OF USING AMINO, AMIDE AND NITRILE SORBENTS IN HYDROPHILIC INTERACTION LIQUID CHROMATOGRAPHY 氨基、酰胺和腈吸附剂在亲水性相互作用液相色谱中的应用结果分析
Pub Date : 2018-09-26 DOI: 10.30895/1991-2919-2018-8-3-162-170
A. S. Osipov, O. Popova, S. G. Larionova
The article summarises the results of studies of hydrophilic  interaction  liquid chromatography performed  from 2013 until 2017. The analysis of results obtained  during separation  of a number  of model mixtures of compounds  having different nature  helped to compare  the characteristics  of columns  packed with amino,  amide and nitrile sorbents. It was demonstrated that columns packed with amino sorbents could be used for the analysis of both hydrophilic compounds  and some hydrophobic compounds  containing acidic (4-hydroxybenzoic acid) and potentially acidic groups (nitro groups of nitro compounds;  phenolic hydroxyl groups of butylhydroxyanisole isomers and parabens). It was discovered that chromatographic columns packed with nitrile and amide sorbents have common properties and can be used for the analysis of hydrophilic compounds (hydroxycarbamide) and platinum coordination compounds, but cannot be used for the analysis of butylhydroxyanisole isomers, esters of p-hydroxybenzoic acid and nitrate  esters of isosorbide. The article offers hypotheses about possible mechanisms  of interaction  between test substances and sorbents. It was concluded  that the increase in the acetonitrile  content  in mobile phases, which increases the retention time of the test substances and results in better resolution between their peaks, illustrates the mechanism  of hydrophilic interaction  liquid chromatography.
本文综述了2013年至2017年亲水性相互作用液相色谱的研究结果。对不同性质化合物的模型混合物分离过程中获得的结果进行分析,有助于比较填充有氨基、酰胺和腈吸附剂的色谱柱的特性。结果表明,填充了氨基吸附剂的色谱柱既可用于分析亲水化合物,也可用于分析含有酸性(4-羟基苯甲酸)和潜在酸性基团(硝基化合物的硝基)的疏水化合物;丁基羟基异构体和对羟基苯甲酸酯的酚羟基)。研究发现,填充了丁腈和酰胺吸附剂的色谱柱具有共同的性质,可用于分析亲水性化合物(羟基脲)和铂配位化合物,但不能用于分析丁基羟基异构体、对羟基苯甲酸酯和异山梨酯硝酸盐酯。本文对测试物质与吸附剂相互作用的可能机制提出了假设。结果表明,流动相中乙腈含量的增加,增加了被测物质的保留时间,提高了峰间的分辨率,说明了亲水相互作用液相色谱的作用机理。
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引用次数: 0
PLANNING AND EVALUATION OF BIOEQUIVALENCE STUDIES OF ATAZANAVIR PRODUCTS 阿扎那韦产品生物等效性研究的规划和评价
Pub Date : 2018-08-20 DOI: 10.30895/1991-2919-2018-8-3-151-157
Наталия Евгеньевна Уварова, Н. Н. Еременко, Г. В. Раменская, Дмитрий Владимирович Горячев
The Government of the Russian Federation approved the State strategy of combating the spread of HIV aimed at prevention of HIV epidemic. One of the goals of the Strategy is to increase the coverage of antiretroviral therapy for people infected with HIV, which includes extensive use of generic drugs. In order for a generic drug to be authorised, the applicant has to submit a report on the results of the bioequivalence studies in which the generic product was compared to the reference product. Atazanavir is an antiretroviral drug, which is also the drug of choice for the treatment and prevention of mother-to-child transmission of HIV. The aim of this study was to analyze the protocols and reports of atazanavir products bioequivalence studies, which were submitted for expert examination  to the FSBI “SCEEMP” of the Ministry of Health of the Russian Federation, and to prepare recommendations  for planning of bioequivalence studies of atazanavir products. The analysis of a number of studies revealed significant differences in the study design and number of subjects. The main reason for these differences is the conflicting data on the intrasubject coefficient of variation of atazanavir, which means that atazanavir may be considered a highly variable drug. The analysis helped to formulate  recommendations for the design of bioequivalence  studies of atazanavir products,  including studies of the maximum dose, studies under fed conditions, and consideration  of atazanavir variation when planning the study design.
俄罗斯联邦政府批准了旨在预防艾滋病毒流行的《防治艾滋病毒蔓延国家战略》。该战略的目标之一是扩大艾滋病毒感染者抗逆转录病毒治疗的覆盖面,其中包括广泛使用非专利药物。为了使仿制药获得批准,申请人必须提交一份关于仿制药与参比药进行比较的生物等效性研究结果的报告。阿扎那韦是一种抗逆转录病毒药物,也是治疗和预防艾滋病毒母婴传播的首选药物。本研究的目的是分析提交给俄罗斯联邦卫生部FSBI " SCEEMP "进行专家审查的阿扎那韦产品生物等效性研究的方案和报告,并为阿扎那韦产品生物等效性研究的规划提出建议。对许多研究的分析揭示了研究设计和受试者数量的显著差异。产生这些差异的主要原因是阿扎那韦的受试者内变异系数的数据相互矛盾,这意味着阿扎那韦可能被认为是一种高度可变的药物。该分析有助于制定阿扎那韦产品生物等效性研究的设计建议,包括最大剂量研究、喂养条件下的研究以及在规划研究设计时考虑阿扎那韦的变异。
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引用次数: 0
EXPERIMENTAL TESTING OF AN IN VIVO METHOD OF PHOTOTOXICITY EVALUATION 体内光毒性评价方法的实验研究
Pub Date : 2018-06-22 DOI: 10.30895/1991-2919-2018-8-2-115-122
V. Vavilova, E. Shekunova, V. Kashkin, M. Makarova, V. Makarov, A. Y. Khaymenov
At present all new medicinal products and cosmetics that absorb medium-wavelength UVB, long-wavelength UVA, or visible light in the range 290–700 nm need to be tested for potential phototoxicity. phototoxicity is evaluated by both in vitro and in vivo methods. There are guidelines for in vitro phototoxicity evaluation, however, there are no formally validated protocols for in vivo phototoxicity evaluation. The purpose of this study was to test an economically viable and informative method for in vivo evaluation of tetracycline and ketorolac phototoxicity using outbred rats. Two medicinal products potentially capable of causing clinically established phototoxic reactions were used in this study: tetracycline (tablets, 200 mg/kg and 300 mg/kg) and ketorolac (gel, 13.4 mg/kg, 26.8 mg/kg and 40.3 mg/kg). The medicines were administered in both single and multiple doses. Ultraviolet irradiator OUFK-03 (OOO «Solnyshko», Russia) was used as a light source. The UV exposure (5 J/cm2 and 15 J/cm 2 ) was performed once 1 h after medicine administration. The skin reaction was evaluated 30 minutes and 24 hours after irradiation and then daily for 2 weeks. As a result, the following optimal parameters were determined for in vivo evaluation of phototoxic reactions caused by the medicines: radiation intensity — 15 J/cm 2 for single systemic administration and 5 J/cm 2 for single topical (dermal) administration; recommended period of skin reaction evaluation for outbred rats is not less than 7 days.
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引用次数: 1
EXPERIMENTAL TESTING OF THE MODIFIED METHOD OF INTRAVITREAL INJECTION IN THE RABBIT EYE 改进的兔眼玻璃体内注射方法的实验研究
Pub Date : 2018-06-22 DOI: 10.30895/1991-2919-2018-8-2-109-114
A. Kalatanova, A. Katelnikova, M. Makarova, V. Makarov
the article describes theoretical foundations and successful experimental testing of a modified method of intravitreal injection (ivi) in the rabbit eye performed in the laboratory. the method needed modification because preoperative preparation described in available guidelines on ivi requires the use of medicines that are not suitable for use in vivariums in the russian federation. the ivi procedure for rabbits was modified by using an anesthetic regime reproducible in russia and available eye preparations. the anesthetics used were Zoletil 50 («virbac», france) at a dose of 1.1 mg/kg and rometar («Bioveta, a.s.», czech republic) at a single intravenous dose of 5.6 mg/kg. additional analgesia was achieved by a single intramuscular injection of Ketonal («lek d.d.», Slovenia) at a dose of 5 mg/kg. the local anesthetic used was inokain eye drops («promed exports pvt. ltd.», india), the antiseptic used was Betadine (JSc «eGiS pharmaceutical plant», hungary) diluted with water in the proportion of 1:10. the results of clinical examination of animals following ivi performed by lab researchers during unassisted skill training were analysed, and the results of assessment of adverse reactions associated with ivi were expressed as scores and reflected in primary records. the suggested method demonstrated good reproducibility and, therefore, may be recommended for use in preclinical studies of ophthalmic drug products in russia.
本文介绍了一种改进的兔眼玻璃体内注射(ivi)方法的理论基础和成功的实验测试。该方法需要修改,因为现有ivi指南中描述的术前准备需要使用在俄罗斯联邦不适合在体内使用的药物。家兔ivi程序通过使用在俄罗斯可重复的麻醉制度和可用的眼部制剂进行修改。所使用的麻醉剂是唑来替尔50 (" virbac ",法国),剂量为1.1 mg/kg,罗米他(" Bioveta, a.s. ",捷克共和国),单次静脉注射剂量为5.6 mg/kg。通过单次肌肉注射酮酮(“lek d.d.”,斯洛文尼亚),剂量为5 mg/kg,实现了额外的镇痛。使用的局部麻醉剂为inokain滴眼液(“promed exports pvt. ltd.”,印度),使用的防腐剂为倍他定(JSc“eGiS制药厂”,匈牙利),用水按1:10的比例稀释。分析实验室研究人员在无辅助技能训练期间对ivi后动物进行的临床检查结果,并以分数表示与ivi相关的不良反应评估结果,并反映在原始记录中。所建议的方法具有良好的重复性,因此可推荐用于俄罗斯眼科药品的临床前研究。
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引用次数: 0
期刊
The Bulletin of the Scientific Centre for Expert Evaluation of Medicinal Products
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