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Collaborative study on influenza vaccine clinical trial serology - part 1: CHMP compliance study. 流感疫苗临床试验血清学的合作研究-第一部分:CHMP依从性研究。
Q4 Medicine Pub Date : 2011-06-01
J M Wood, R W Newman, A Daas, E Terao, K-H Buchheit

The Quality of Medicines & HealthCare (EDQM, Council of Europe) and the European Union (EU) Commission to evaluate the reproducibility of clinical serology results for seasonal influenza vaccines and to assess the impact of technical differences between laboratories on the compliance with the Committee for Human Medicinal Products (CHMP) criteria set by the European Medicines Agency (EMA). The study was run in 2 phases. The present article reports the 1st phase of the study, which aimed at evaluating the variability of the results obtained by 11 laboratories (5 national control laboratories and 6 influenza vaccine manufacturers) using their routine haemagglutination inhibition (HI) assay to test a common panel of clinical trial sera. The results confirmed the limited inter-laboratory reproducibility of the HI testing of influenza vaccine clinical trial samples. In some cases a good agreement was found between laboratories, while a systematic bias or a random scatter of results was observed in other cases. Analysis of estimated systematic bias confirmed that differences between laboratories can be significant (up to 16-fold) in some cases. Correction for this bias resulted in limited improvement. Differences between laboratories were found to result in discrepant decisions on marketing acceptance of vaccines or to decisions based on compliance to different criteria. The study showed that the seroconversion (SC) and mean fold increase (MFI) criteria are more robust against systematic over- or under-estimation of titres whereas the protection rate (PR) is very sensitive to this effect. The fundamental issues with the PR criteria are discussed.

欧洲理事会药品与卫生保健质量委员会(EDQM)和欧盟委员会(EU)将评估季节性流感疫苗临床血清学结果的可重复性,并评估实验室之间的技术差异对符合欧洲药品管理局(EMA)制定的人用药品委员会(CHMP)标准的影响。这项研究分两个阶段进行。本文报告了该研究的第一阶段,其目的是评估11个实验室(5个国家对照实验室和6个流感疫苗制造商)使用常规血凝抑制(HI)测定法检测一组常见临床试验血清所获得结果的可变性。结果证实流感疫苗临床试验样本的HI检测在实验室间的可重复性有限。在某些情况下,在实验室之间发现了良好的一致性,而在其他情况下,观察到系统偏差或随机分散的结果。对估计的系统偏倚的分析证实,在某些情况下,实验室之间的差异可能是显著的(高达16倍)。对这一偏差的纠正导致了有限的改善。研究发现,实验室之间的差异导致对疫苗的市场接受程度作出不同的决定,或根据遵守不同标准作出不同的决定。研究表明,血清转化率(SC)和平均倍数增加(MFI)标准对系统高估或低估滴度更为可靠,而保护率(PR)对这种影响非常敏感。讨论了PR标准的基本问题。
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引用次数: 0
Collaborative study for the establishment of the second international standard for gramicidin. gramicidin第二版国际标准制定的合作研究。
Q4 Medicine Pub Date : 2010-10-01
G Rautmann, A Daas, K-H Buchheit

An international collaborative study was organised by the European Directorate for the Quality of Medicines & HealthCare (EDQM) to establish the WHO second International Standard (IS) for gramicidin as the stocks of the 1st IS, established in 1964, were close to depletion. The candidate material did not show any sign of potency loss when kept at elevated temperatures of + 4 °C, + 20 °C, + 37 °C and + 45 °C for 3 months. Six laboratories from 5 countries as well as the EDQM laboratory participated in the collaborative study. Potencies of the candidate material were estimated by microbiological assays with sensitive micro-organisms. To ensure continuity between consecutive batches, the 1st IS for gramicidin was used as standard. Based on the results of the study, the 2nd IS for gramicidin was adopted at the meeting of the WHO Expert Committee on Biological Standardization (ECBS) in 2008 with an assigned potency of 1070 International Units per mg (IU/mg). The 2nd IS for gramicidin is available from the EDQM.

欧洲药品和卫生保健质量理事会(EDQM)组织了一项国际合作研究,以建立世卫组织的第二个革兰杀菌素国际标准(IS),因为1964年建立的第一个IS的库存接近枯竭。候选材料在+ 4°C、+ 20°C、+ 37°C和+ 45°C的高温下保存3个月,没有表现出任何效力损失的迹象。来自5个国家的6个实验室以及EDQM实验室参与了合作研究。候选材料的效价通过敏感微生物的微生物测定来估计。为保证连续批次间的连续性,以革兰杀菌素第1批IS为标准。根据研究结果,世卫组织生物标准化专家委员会(ECBS)会议于2008年通过了gramicidin的第二份国际标准,指定效力为每毫克1070国际单位(IU/mg)。gramicidin的第二份IS可从EDQM获得。
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引用次数: 0
Calibration of human coagulation factor VIII concentrate Ph. Eur. BRP Batch 4 for use in potency assays. 人凝血因子VIII浓缩液Ph. Eur的校准。BRP第4批用于效价测定。
Q4 Medicine Pub Date : 2010-10-01
S Raut, A Costanzo, S Daniels, A Heath, K-H Buchheit

The European Pharmacopoeia Biological Reference Preparation (Ph. Eur. BRP) Batch 4 was established as an international common working standard for potency determination of human coagulation factor VIII (FVIII) preparations to replace the dwindling stocks of the BRP Batch 3, the current European standard. Similarly, stocks of the current World Health Organisation 7th International Standard (WHO 7th IS) were also running low. Therefore a project was jointly organised by the European Directorate for the Quality of Medicines & HealthCare (EDQM, Council of Europe) and the National Institute for Biological Standards and Control (NIBSC, UK) in order to replace both standards concomitantly. The potency of the BRP Batch 4 was assigned during an international collaborative study involving 38 laboratories with reference to the WHO 7th IS and the BRP Batch 3. Four candidate materials, 2 plasma-derived (samples A and C) and 2 recombinant (samples B and D) have been evaluated, sample C being the specific candidate for the replacement of the BRP Batch 3. Participants were instructed to perform 8 independent assays following their own routine validated methods, by either the one-stage clotting assay or the chromogenic assay, or both. Laboratories returned 22 data sets for the clotting assay and 30 data sets for the chromogenic assay. This publication reports the results obtained with both assays but only the results of the chromogenic assay are highlighted in the conclusions, as it is the assay prescribed by the European Pharmacopoeia. Data were analysed separately for both assays. The consensus potency value was calculated as the unweighted geometric mean of the unweighted geometric means of each individual laboratory. For sample C, there was a significant difference in potency estimate between the chromogenic and the clotting assay. It was therefore not possible to reconcile both results. The chromogenic potencies however were in very good agreement being 10.4 IU/ampoule (n = 30), when assessed against both standards. The inter-laboratory geometric coefficient of variation (GCV) was 4.8 % and 7.1 % against the WHO 7th IS and the BRP Batch 3 respectively. The Ph. Eur. BRP Batch 4 is a freeze-dried, plasma-derived concentrate. The material was filled in approximately 20,000 ampoules and lyophilised. The final residual water content is 0.33 %. Based on accelerated degradation studies, the stability of the material is suitable for a reference preparation. The candidate Ph. Eur. BRP Batch 4 was adopted at the 136th session of the European Pharmacopoeia Commission in March 2010. The standard will be available from the EDQM with the catalogue number H0920000 upon exhaustion of the current batch.

欧洲药典生物参考制剂(Ph. Eur。BRP第4批被建立为测定人凝血因子VIII (FVIII)制剂效价的国际通用工作标准,以取代目前欧洲标准BRP第3批日益减少的库存。同样,目前世界卫生组织第7国际标准(世卫组织第7 IS)的库存也很低。因此,欧洲药品和保健质量理事会(EDQM,欧洲委员会)和英国国家生物标准和控制研究所(NIBSC,英国)联合组织了一个项目,以同时取代这两个标准。在一项涉及38个实验室的国际合作研究期间,参照世卫组织第7号指南和第3批BRP确定了第4批BRP的效力。已经评估了4种候选材料,2种血浆衍生材料(样品A和C)和2种重组材料(样品B和D),样品C是替代第3批BRP的特定候选材料。参与者被指示按照他们自己的常规验证方法进行8项独立检测,通过单阶段凝血检测或显色检测,或两者兼有。实验室返回了22组凝血测定数据和30组显色测定数据。本出版物报告了两种测定法的结果,但结论中只强调了显色测定法的结果,因为它是欧洲药典规定的测定法。两项试验的数据分别进行分析。一致效价值计算为每个实验室的未加权几何平均数的未加权几何平均数。对于样品C,显色法和凝血法在效价估计上有显著差异。因此,不可能调和这两种结果。然而,当对两种标准进行评估时,显色效价非常一致,为10.4 IU/安瓿(n = 30)。实验室间几何变异系数(GCV)与WHO第7版和BRP第3批的差异分别为4.8%和7.1%。博士学位。BRP第4批是冻干血浆衍生浓缩物。将该材料装入大约20,000安瓿中并进行冻干。最终残余含水量为0.33%。基于加速降解研究,该材料的稳定性适合作为参考制剂。博士候选人。BRP第4批于2010年3月在欧洲药典委员会第136届会议上通过。该标准将在当前批次用完后从EDQM提供,目录号为H0920000。
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引用次数: 0
Collaborative study for the establishment of replacement batches of heparin low- molecular-mass for assay biological reference preparations. 建立低分子质量肝素检测生物参比制剂替代批次的合作研究。
Q4 Medicine Pub Date : 2010-10-01
E Terao, A Daas, G Rautmann, K-H Buchheit

A collaborative study was run by the European Directorate for the Quality of Medicines & HealthCare (EDQM) in the context of the Biological Standardisation Programme (BSP), under the aegis of the Council of Europe and the European Commission, to establish replacement batches for the dwindling stocks of the Heparin low-molecular-mass for assay European Pharmacopoeia Biological Reference Preparation (BRP). The replacement batches of BRP are intended to be used in the assays for anti-Xa and anti-IIa activities, as described in the European Pharmacopoeia (Ph. Eur.) monograph Heparins, low-molecular-mass (0828). Three freeze-dried candidate batches were calibrated against the current International Standard (IS) for Heparin, lowmolecular- weight (2nd IS, 01/608). For the purpose of the continuity check between subsequent BRP batches, the current Heparin low-molecular-mass for assay BRP (batch 5) was also included in the test panel. Thirteen official medicines control and manufacturers laboratories from European and non-European countries contributed data. A central statistical analysis of the datasets was performed at the EDQM. On the basis of the results, the 3 candidate materials were assigned a potency of 104 IU/vial for the anti-Xa activity and 31 IU/vial for the anti-IIa activity. Taken into account the preliminary stability data and the results of this collaborative study, the 3 batches of candidate BRP were adopted in June 2010 by the Commission of the Ph. Eur. as Heparin low-molecular-mass for assay BRP batches 6, 7 and 8.

在欧洲理事会和欧盟委员会的支持下,欧洲药品和卫生保健质量理事会(EDQM)在生物标准化计划(BSP)的背景下开展了一项合作研究,以建立用于测定欧洲药典生物参比制剂(BRP)的肝素低分子质量库存的替代批次。替代批次的BRP用于抗xa和抗iia活性的测定,如欧洲药典(Ph. Eur.)专著《低分子质量肝素》(0828)中所述。三个冻干候选批按照现行的低分子量肝素国际标准(IS) (2nd IS, 01/608)进行校准。为了后续BRP批次之间的连续性检查,当前用于BRP测定的肝素低分子质量(第5批)也包括在测试面板中。来自欧洲和非欧洲国家的13个官方药物控制和制造商实验室提供了数据。在EDQM上对数据集进行中央统计分析。根据实验结果,3种候选材料的抗xa活性分别为104 IU/瓶和31 IU/瓶。考虑到初步的稳定性数据和本次合作研究的结果,3批候选BRP于2010年6月被欧盟药典委员会采用。作为肝素低分子质量用于BRP第6、7和8批的测定。
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引用次数: 0
Possible ambiguities when testing viscosity in compendial monographs - characterisation of grades of cellulose ethers. 在药典专论中测试粘度时可能出现的歧义。纤维素醚等级的表征。
Q4 Medicine Pub Date : 2010-10-01
E Doelker

The European Pharmacopoeia (Ph. Eur.) monographs for the water-soluble cellulose ethers require viscosity determination, either in the "Tests" section or in the non-mandatory "Functionality-related characteristics" section. Although the derivatives are chemically closely related and used for similar applications, the viscosity tests strongly differ. Some monographs generically speak of the rotating viscometer method (2.2.10) and a fixed shear rate (e.g. 10 s-1), which would necessitate an absolute measuring system, while others recommend the capillary viscometer method for product grades of less than 600 mPa∙s and the rotating viscometer method and given operating conditions for grades of higher nominal viscosity. Viscometer methods also differ between the United States Pharmacopeia/National Formulary (USP/NF) and the Japanese Pharmacopoeia (JP) monographs. In addition, for some cellulose ethers the tests sometimes diverge from one pharmacopoeia to the other, although the three compendiums are in a harmonisation process. But the main issue is that the viscometer methods originally employed by the product manufacturers are often not those described in the corresponding monographs and generally vary from one manufacturer to the other. The aim of this study was therefore to investigate whether such a situation could invalidate the present pharmacopoeial requirements. 2 per cent solutions of several viscosity grades of hydroxyethylcellulose, hypromellose and methylcellulose were prepared and their (apparent) viscosity determined using both relative and absolute viscometer methods. The viscometer method used not only affects the measured viscosity but experimental values generally do not correspond to the product nominal viscosities. It emerges that, in contrast to Newtonian solutions (i.e. those of grades of up to ca. 50 mPa∙s nominal viscosity), some of the viscometer methods currently specified in the monographs are not able unambiguously to characterise the grades exhibiting non-Newtonian behaviour. It is also concluded that, unless the various manufacturers redefine their product viscosity grades using a single compendial test, two strategies could be adopted, both based on the operating conditions specified in the labeling (i.e those of the manufacturer), the test appearing either in the mandatory section if this is acceptable to the pharmacopoeia (like in some USP/NF monographs) or, for the Ph. Eur., in the "Functionality-related characteristics" section.

欧洲药典(Ph. Eur.)水溶性纤维素醚专著要求在“测试”部分或非强制性“功能相关特性”部分进行粘度测定。虽然这些衍生物在化学上密切相关,并用于类似的应用,但粘度测试有很大的不同。一些专著一般使用旋转粘度计方法(2.2.10)和固定剪切速率(例如10 s-1),这将需要一个绝对的测量系统,而另一些专著则推荐小于600 mPa∙s的产品等级使用毛细管粘度计方法,对于标称粘度更高的等级使用旋转粘度计方法并给出操作条件。粘度计方法在美国药典/国家药典(USP/NF)和日本药典(JP)专著之间也有所不同。此外,对于一些纤维素醚,虽然三个药典正处于协调过程中,但测试有时会从一个药典偏离到另一个药典。但主要问题是,最初由产品制造商采用的粘度计方法往往不是在相应的专著中描述的,并且通常因制造商而异。因此,本研究的目的是调查这种情况是否会使现行药典要求无效。制备了几种粘度等级的羟乙基纤维素、羟甲纤维素和甲基纤维素的2%溶液,并使用相对粘度计和绝对粘度计方法测定了它们的(表观)粘度。所用的粘度计方法不仅影响测量的粘度,而且实验值通常与产品的标称粘度不符。结果表明,与牛顿溶液(即高达约50 mPa∙s标称粘度的等级)相反,专著中目前规定的一些粘度计方法不能明确地表征表现出非牛顿行为的等级。还得出结论,除非各制造商使用单一药典测试重新定义其产品粘度等级,否则可以采用两种策略,两种策略都基于标签中规定的操作条件(即制造商的操作条件),如果药典可接受(如在某些USP/NF专著中),则测试出现在强制性部分中;,在“与功能相关的特征”一节中。
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引用次数: 0
Quality control of metoprolol extended-release formulations in the presence of ethanol. 乙醇存在下美托洛尔缓释制剂的质量控制。
Q4 Medicine Pub Date : 2010-10-01
A Amini, A Dawood, A-M Hesselgren, H Thor, S Jönsson, T Arvidsson, G Ragnarsson, M Johansson

This paper presents in-vitro metoprolol release from four different extended-release (ER) formulations, i.e. Metoprolol GEA® Retard, Logimax® forte, Metoprolol Sandoz® and Seloken ZOC® in the presence of 10 to 40% (v/v%) ethanol at pH 1.2 and pH 6.8. The assay of metoprolol in the dissolution media was performed by reversed phase liquid chromatography (RP-LC) using a mixture of methanol and 100 mM phosphate buffer (pH 3.5) in 40:60 ratio as eluent. The dissolution data showed that the metoprolol contents of Metoprolol Sandoz® and Seloken ZOC® were released fast in the presence of 20% ethanol at the investigated conditions, while the other products demonstrated much more stability against ethanol. Unexpectedly it was discovered that the release of metoprolol from Metoprolol GEA® Retard and to some extent also from Logimax® forte decreased in the ethanol containing media.

本文研究了美托洛尔GEA®Retard、Logimax®forte、美托洛尔山德士®和Seloken ZOC®四种不同缓释制剂在pH 1.2和pH 6.8条件下,在10% ~ 40% (v/v%)乙醇存在下的体外释放。采用反相液相色谱法(RP-LC)测定溶出介质中美托洛尔的含量,以甲醇与100 mM磷酸盐缓冲液(pH 3.5)以40:60的比例混合为洗脱液。结果表明,在此条件下,美托洛尔山德士®和Seloken ZOC®的美托洛尔在20%乙醇的存在下释放速度较快,而其他产品对乙醇的释放稳定性较好。出乎意料的是,在含乙醇培养基中,metoprolol GEA®Retard和Logimax®forte的美托洛尔释放量在一定程度上有所下降。
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引用次数: 0
Collaborative study for the establishment of the third international standard for nystatin. 制霉菌素第三个国际标准的联合研究。
Q4 Medicine Pub Date : 2010-10-01
G Rautmann, E Charton, A Daas, K-H Buchheit

Due to the depletion in stocks of the World Health Organization (WHO) 2nd International Standard (IS) for nystatin, an international collaborative study was organised by the European Directorate for the Quality of Medicines & HealthCare (EDQM) to establish a replacement batch. Seventeen laboratories participated in the collaborative study, performing the microbiological diffusion assay to estimate the potency of the candidate 3rd International Standard for nystatin. The 2nd International Standard for nystatin was used as a standard to ensure the continuity of the unitage. Follow-up accelerated degradation studies demonstrated that the IS is stable when at the customary storage temperature of - 20 °C. The 3rd IS for nystatin was adopted by the WHO Expert Committee on Biological Standardization (ECBS) in 2006 with an assigned potency of 5710 International Units per mg (IU/mg). The 3rd IS for nystatin is available from the EDQM.

由于世界卫生组织(世卫组织)制霉菌素第二国际标准(IS)的库存耗尽,欧洲药品和保健质量理事会(EDQM)组织了一项国际合作研究,以建立替代批次。17个实验室参与了合作研究,进行微生物扩散试验以估计制霉菌素候选第三国际标准的效价。以制霉菌素第二版国际标准为标准,保证单位的连续性。随后的加速降解研究表明,在- 20℃的常规储存温度下,IS是稳定的。2006年,世卫组织生物标准化专家委员会(ECBS)通过了制霉菌素第三版标准,指定效价为每毫克5710国际单位(IU/mg)。制霉菌素的第三个IS可从EDQM获得。
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引用次数: 0
Collaborative study for validation of a serological potency assay for rabies vaccine (inactivated) for veterinary use. 兽医用狂犬疫苗(灭活疫苗)血清学效价测定验证的合作研究。
Q4 Medicine Pub Date : 2010-10-01
B Krämer, L Bruckner, A Daas, C Milne

European Pharmacopoeia (Ph. Eur.) monograph 0451 on Rabies vaccine (inactivated) for veterinary use describes an in vivo batch potency test that is based on the NIH test. This assay uses a large number of mice and results in a significant degree of suffering. In the interest of replacement, reduction and refinement of animal tests (3R) a serological potency assay for Rabies vaccine (inactivated) for animal use, developed and validated at the Paul-Ehrlich-Institut, has been assessed in a collaborative study organised by the EDQM (European Directorate for the Quality of Medicines & HealthCare). The goal was to demonstrate the wider transferability of the proposed assay and confirm its suitability. The study involved 13 laboratories and assessed 4 different vaccines from the EU market. Results of the study confirm that a limit test using a relatively small number of animals in a serological assay is possible, reproducible and reliable. The optimal number of animals per vaccine is product specific but may roughly be indicated to be between 8 and 10 for the products included in this study. Non-responders should be included in the analysis because they may reflect sub-potent vaccines. However, there may be a need to impose a maximum on the number of non-responders allowed for the reference vaccine as a monitor for assay validity. This assay provides a significant 3R improvement in terms of both the number of animals used and the amount of suffering entailed and provides a more reliable and reproducible assay format than the vaccination challenge assay. It also reduces the time required as compared to the vaccination challenge assay. It has been recommended to the Ph. Eur. group of experts 15V that this assay be included as an alternative to the batch potency assay in the Ph. Eur. monograph 0451.

欧洲药典(Ph. Eur.)关于兽医用狂犬病疫苗(灭活)的专著0451描述了一种基于NIH测试的体内批量效价测试。这项试验使用了大量的小鼠,结果造成了很大程度的痛苦。为了替代、减少和改进动物试验(3R),由paul - ehrlich研究所开发和验证的动物用狂犬病疫苗(灭活疫苗)的血清学效价测定已在EDQM(欧洲药品和保健质量理事会)组织的一项合作研究中进行了评估。目的是证明所提出的分析的更广泛的可转移性,并确认其适用性。这项研究涉及13个实验室,评估了来自欧盟市场的4种不同疫苗。研究结果证实,在血清学分析中使用相对较少的动物进行限度试验是可能的、可重复的和可靠的。每种疫苗的最佳动物数量是产品特定的,但对于本研究中包括的产品,可能大致表明在8到10之间。无应答者应包括在分析中,因为它们可能反映了低效力疫苗。然而,可能需要对作为测定有效性监测物的参比疫苗允许的无应答者数量施加最大限制。该试验在使用的动物数量和所带来的痛苦量方面提供了显着的3R改进,并提供了比疫苗激发试验更可靠和可重复的试验格式。与疫苗接种激发试验相比,它还减少了所需的时间。它已被推荐给欧洲博士。专家组15V建议将该检测作为批量效价检测的替代方法纳入Ph. Eur。0451年专著。
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引用次数: 0
International collaborative study to establish reference preparations to standardise haemagglutination testing for anti-A and anti-B in normal intravenous immunoglobulins by the direct method. 建立标准制剂以规范静脉注射正常免疫球蛋白抗a和抗b血凝试验的国际合作研究。
Q4 Medicine Pub Date : 2010-04-01
S J Thorpe, B Fox, G Sharp, A B Heath, M-E Behr-Gross, E Terao, M L Virata-Theimer, M W Yu

A joint project (coded BSP089) was run by the European Directorate for the Quality of Medicines & HealthCare (EDQM) of the Council of Europe, the National Institute for Biological Standards and Control (NIBSC) on behalf of the World Health Organization (WHO) and the Center for Biologics Evaluation and Research (CBER) of the U.S. Food and Drug Administration (FDA) to evaluate, in an international collaborative study, 3 lyophilised intravenous immunoglobulin (IVIG) preparations for their suitability to serve as Reference Preparations to standardise and control the highly variable haemagglutination testing for anti-A and anti-B in IVIG products. 23 laboratories tested candidate IVIG reference preparations consisting of a Positive control, a Negative control and a specifically formulated Limit test reference preparation to define the maximum (e.g., pharmacopoeial) limits of anti-A and anti-B haemagglutinins in IVIG products, where limits are applicable. Laboratories performed direct haemagglutination using papain-treated erythrocytes and/or indirect anti-globulin tests. For both methods, there was up to 16-fold variation in anti-A and anti-B titres, although there was good agreement over a 2-fold titre range for anti-A and anti-B between laboratories using the direct method for both the Positive control and Limit reference preparations. Comparative titration data for the Positive control and Limit reference preparations indicated that the use of a 'Limit' test reference preparation would facilitate identification of higher titre batches when the direct haemagglutination method is used. The Positive control, Negative control and Limit test preparations were adopted in November 2008 by the Commission of the European Pharmacopoeia (Ph. Eur.) as Biological Reference Preparations. The same preparations have been established as reference reagents by the WHO and the U.S FDA, including the maximal specifications defined by the Limit test preparation. This will facilitate global standardisation of haemagglutination tests for anti-A and anti-B, ensure that such tests are sufficiently sensitive and specific, and facilitate identification of batches that exceed maximum recommended levels of anti-A and anti-B antibodies.

欧洲委员会欧洲药品和保健质量理事会(EDQM)、代表世界卫生组织(WHO)的国家生物标准和控制研究所(NIBSC)和美国食品和药物管理局(FDA)的生物制品评价和研究中心(CBER)共同开展了一个联合项目(编号BSP089),以在一项国际合作研究中评估:冻干静脉注射免疫球蛋白制剂(IVIG)适合作为标准制剂,用于标准化和控制IVIG产品中抗a和抗b的高度可变血凝试验。23个实验室测试了候选IVIG参比制剂,包括阳性对照、阴性对照和专门制定的限量试验参比制剂,以确定IVIG产品中抗a和抗b血凝素的最高限量(如药典)。实验室使用木瓜蛋白酶处理的红细胞和/或间接抗球蛋白试验进行直接血凝。对于这两种方法,抗a和抗b滴度的差异高达16倍,尽管在阳性对照和极限参比制剂中使用直接法的实验室之间,抗a和抗b滴度的差异在2倍范围内有很好的一致性。阳性对照和限量参比制剂的比较滴定数据表明,当使用直接血凝法时,使用“限量”试验参比制剂将有助于鉴定高滴度批次。阳性对照、阴性对照和限量试验制剂于2008年11月被欧洲药典委员会(Ph. Eur.)作为生物参比制剂采用。世界卫生组织和美国食品和药物管理局已将相同的制剂确定为参考试剂,包括限量试验制剂定义的最大规格。这将促进抗a和抗b血凝试验的全球标准化,确保此类试验具有足够的敏感性和特异性,并有助于识别超过抗a和抗b抗体最大推荐水平的批次。
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引用次数: 0
Collaborative study for the establishment of the second international standard for amphotericin B. 两性霉素B第二项国际标准的制定合作研究。
Q4 Medicine Pub Date : 2010-04-01
G Rautmann, A Daas, K-H Buchheit

An international collaborative study was organised by the European Directorate for the Quality of Medicines & HealthCare (EDQM) to establish the WHO second International Standard (IS) for amphotericin B as the stocks of the 1st IS, established in 1963, were close to depletion. The candidate material did not show any sign of potency loss when kept at elevated temperatures of + 4 degrees C, + 20 degrees C, + 37 degrees C and + 45 degrees C for 3 months. Ten laboratories from 8 countries participated in the collaborative study. Potencies of the candidate material were estimated by microbiological assays with sensitive micro-organisms. To ensure continuity between consecutive batches, the 1st IS for amphotericin B was used as the standard. Based on the results of the study, the 2nd IS for amphotericin B was adopted at the meeting of the WHO Expert Committee on Biological Standardisation (ECBS) in 2007 with an assigned potency of 944 International Units per mg (IU/mg). The 2nd IS for Amphotericin B is available from the EDQM.

由于1963年建立的第一个两性霉素B国际标准库存接近枯竭,欧洲药品和卫生保健质量理事会组织了一项国际合作研究,以建立世卫组织第二个两性霉素B国际标准。候选材料在+ 4℃、+ 20℃、+ 37℃和+ 45℃的高温下保存3个月,没有表现出任何效力损失的迹象。来自8个国家的10个实验室参与了合作研究。候选材料的效价通过敏感微生物的微生物测定来估计。为保证连续批次之间的连续性,以第1个两性霉素B IS作为标准品。根据研究结果,2007年世卫组织生物标准化专家委员会(ECBS)会议通过了两性霉素B的第二份标准,指定效价为每毫克944国际单位(IU/mg)。两性霉素B的第二份IS可从EDQM获得。
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引用次数: 0
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Pharmeuropa bio & scientific notes
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