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Monitoring Regulatory Compliance within the Pharmaceutical Industry 监测制药行业的合规情况
Pub Date : 2024-06-03 DOI: 10.2174/0126673371317148240529112603
Md Moidul Islam, Sarjana Raikwar
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引用次数: 0
Regulation of Nanomaterials and Nanomedicines for Clinical Application 对临床应用纳米材料和纳米药物的监管
Pub Date : 2024-03-05 DOI: 10.2174/0126673371276087240129102832
Razi Ahmed, Vikash Maurya, Anurag Dwivedi, Manoj Kumar Mishra
Treatment of complicated fatal diseases was difficult when nanotechnology was notmore popular. The incorporation of nanomedicine has increased in the last 13 years, even thoughregulatory guidelines regarding nanomaterials and nanomedicine weren't sufficient. Hence, itwas tough to decide valid inevitability for the manufacturers, administrators, health professionals,primary care providers, and rest of the public that could ultimately have a negative impact onthe financing system, research, and development of such items, affecting the approval of the publicand acceptance of nano-products. This review includes coverage across the therapeutic valueof nanomaterials, problems in the regulation, regulatory challenges, synthesis, physicochemicalproperties, and clinical application. The hurdles to using nanotechnology, particularly in thepharmaceutical development of novel medicinal products and respective regulatory issues, arecritically explored, considering the characteristics offered by the nanomaterials.
在纳米技术尚未普及时,治疗复杂的致命性疾病十分困难。在过去的 13 年中,尽管有关纳米材料和纳米医学的监管准则还不够充分,但纳米医学的应用却在不断增加。因此,对于制造商、管理者、卫生专业人员、初级保健提供者和其他公众来说,很难决定有效的必然性,这可能最终会对这些项目的融资系统、研究和开发产生负面影响,影响公众对纳米产品的认可和接受程度。本综述涵盖纳米材料的治疗价值、监管问题、监管挑战、合成、理化特性和临床应用。考虑到纳米材料的特性,对使用纳米技术的障碍,尤其是在新型医药产品的制药开发中的障碍以及相应的监管问题进行了认真探讨。
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引用次数: 0
Qualitative Analysis and Anti-oxidant Potential of Ethanolic Extract ofManilkara zapota (L.) P. Royen Leaves 罗延叶乙醇提取物的定性分析和抗氧化潜力
Pub Date : 2024-01-29 DOI: 10.2174/0126673371270962240104071232
Priyanka Sharma, A. Deep, Harish Kumar, Devendar Chaudhary, Neha Thakur, Shubham Batra
The normal metabolic functioning of aerobic cells is related to freeradical formation. The oxygen utilized in the cell growth gives rise to a number of oxygen freeradicals. Further, these oxygen free radicals interact with lipidic molecules to produce hydroxyperoxidesand various other peroxides also, radicals like superoxide, hydroxyls, and lipoidperoxides, which lead to cytotoxicity due to their interaction with biological systems. The uncontrolledgeneration of free radicals may lead to various diseases and disorders like prostatecancer, coronary heart disease and also ageing. The therapeutic potential of the plant M. zapotahas been demonstrated in various diseases, such as cancers (e.g., breast, prostate, cervical, andhepatocellular cancer), diabetes mellitus, arthritis, bacterial infections, and gastrointestinal disorders(e.g., diarrhea and ulcers) and many medical conditions. The main phytocomponents ofthis plant are polyphenols, alkaloids, glycosides, flavonoids, saponins, triterpenoids, carbohydrates,tannins, and sterols.The objective of this study is to investigate qualitative analysis and anti-oxidant potentialof ethanolic extract of Manilkara zapota (L.) P. Royen Leaves. In demand to minimizethe damage caused by free radicals. It is very essential to develop such antioxidants which protectthe body from the effect of free radicals and also do not cause much harm to the humanbody. The main phytocomponents of the plant are polyphenols, alkaloids, glycosides, flavonoids,saponins, triterpenoids, carbohydrates, tannins and sterols which are responsible for antioxidantactivity.Phytochemical screening methods, Gas chromatography–mass spectrometry(GC-MS), Fourier transform infrared (FTIR), and Hydrogen Peroxide scavenging assayfor analysis of an ethanolic extract of plant leaves.Antioxidant activity was determined by a hydrogen peroxide assay.Plant extract was examined using phytochemical screening, GC-MS analysis, and FTIR spectra.The plant extract showed hydrogen peroxide scavenging activity (IC50 = 16.45 μg/ml)compared to the IC50 values of standard ascorbic acid (IC50 = 9.079 μg/ml).The present study concluded the antioxidant and phytochemical assessment of theethanolic extract of the leaves of Manilkara zapota. The results of the present research studydemonstrated that the antioxidant activity of the plant extract was strong as compared to ascorbicacid.
有氧细胞的正常代谢功能与自由基的形成有关。细胞生长过程中使用的氧气会产生大量的氧自由基。此外,这些氧自由基还与脂质分子相互作用,产生羟基过氧化物和其他各种过氧化物,如超氧自由基、羟基自由基和类脂过氧化物,这些自由基与生物系统相互作用,导致细胞毒性。自由基的失控生成可能会导致各种疾病和失调,如前列腺癌、冠心病和衰老。植物 M. zapotah 的治疗潜力已在多种疾病中得到证实,如癌症(如乳腺癌、前列腺癌、宫颈癌和肝细胞癌)、糖尿病、关节炎、细菌感染、肠胃疾病(如腹泻和溃疡)以及许多内科疾病。该植物的主要植物成分包括多酚、生物碱、苷类、黄酮类、皂苷、三萜类、碳水化合物、单宁和甾醇。本研究的目的是调查 Manilkara zapota (L.) P. Royen 叶乙醇提取物的定性分析和抗氧化潜力。为了最大限度地减少自由基造成的损害,开发这种抗氧化剂非常重要。开发既能保护人体免受自由基影响,又不会对人体造成太大伤害的抗氧化剂非常重要。植物化学筛选方法、气相色谱-质谱法(GC-MS)、傅立叶变换红外光谱法(FTIR)和过氧化氢清除测定法对植物叶片的乙醇提取物进行了分析。与标准抗坏血酸的 IC50 值(IC50 = 9.079 μg/ml)相比,植物提取物显示出过氧化氢清除活性(IC50 = 16.45 μg/ml)。本研究的结果表明,与抗坏血酸相比,该植物提取物的抗氧化活性更强。
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引用次数: 0
The Current Regulatory Environment for Software Used in Medical Devices: A Need for Refined International Strategies 当前医疗器械所用软件的监管环境:完善国际战略的必要性
Pub Date : 2024-01-24 DOI: 10.2174/0126673371279532240102113651
N. S. Patil, Animesh Ranjan, Gaurav, Amandeep Singh
In the fast-evolving landscape of healthcare technology, Software as a Medical Device(SaMD) has emerged as a transformative force, redefining how medical functionalities are deliveredand accessed. From diagnostic algorithms to treatment monitoring applications, SaMDhas ushered in a new era of innovation and patient care[1]. As this field continues to burgeon,regulatory frameworks play a pivotal role in ensuring the safety, efficacy, and reliability of thesedigital health solutions[2]. In this editorial, we delve into the dynamic regulatory landscapeof SaMD in both the BRICS (Brazil, Russia, India, China, and South Africa) nations and the United States (US), exploring thenuances and challenges that underscore the need for more refined strategies. By examining the regulatory intricacies and aligningthem with technological advancements, we aim to shed light on the imperative of adaptive regulatory approaches that canharness the full potential of SaMD while safeguarding public health. A remarkable role of "software as a medical device"(SaMD) in contemporary healthcare software that is intended to be used for medical purposes but is not a component of ahardware medical device is referred to as "software as a medical device" (SaMD)[3]. SaMD is essential to contemporaryhealthcare since it makes it possible to use software applications for a variety of medical functions, diagnoses, treatments, andmonitoring [4].
在快速发展的医疗保健技术领域,软件即医疗设备(SaMD)已成为一股变革力量,重新定义了医疗功能的交付和获取方式。从诊断算法到治疗监测应用,SaMD 开启了创新和患者护理的新时代[1]。随着这一领域的不断发展,监管框架在确保数字医疗解决方案的安全性、有效性和可靠性方面发挥着举足轻重的作用[2]。在这篇社论中,我们将深入探讨金砖五国(巴西、俄罗斯、印度、中国和南非)和美国在 SaMD 方面的动态监管情况,探讨当时的机遇和挑战,这些机遇和挑战凸显了制定更完善战略的必要性。通过研究错综复杂的监管问题并将其与技术进步相结合,我们旨在阐明适应性监管方法的必要性,这种方法既能充分发挥大规模毁灭性武器的潜力,又能保障公众健康。软件作为医疗设备"(SaMD) 在当代医疗保健软件中发挥着重要作用,这些软件旨在用于医疗目的,但并非硬件医疗设备的组成部分,因此被称为 "软件作为医疗设备"(SaMD)[3]。SaMD 对当代医疗保健至关重要,因为它使软件应用程序用于各种医疗功能、诊断、治疗和监测成为可能[4]。
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引用次数: 0
A comparative study on approval of follow-on version of Sevelamer Carbonate and Glatiramer Acetate (GA) in US, EU 碳酸舍维拉默和醋酸格拉替拉默(GA)后续产品在美国、欧盟获批的比较研究
Pub Date : 2023-04-28 DOI: 10.2174/2667337109666230428094012
V. Shukla, Nisha Sankhwar
Many non-biological drugs, different in terms of their structure and mode of action, pharmacological classification, and therapeutic indication, have a common factor of structural complexity and are grouped as non-biological complex drugs (NBCDs). When an innovator drug nears the time of off-patent, different manufacturers attempt to produce its subsequent version, so the patients will have a cost-effective therapeutic equivalent. Since the innovator molecule is complex, its follow-on drug can be called its true generic version, if its bioavailability, bioequivalence and therapeutic equivalence to the innovator drug are demonstrated. However, it is observed that a case-to-case basis approach is implemented by European Medicines Agency (EMA) and Food and Drug Administration, US (USFDA) in the approval of such drugs and there is no uniformity observed between the two. In this study, an attempt is made to study the complexity of molecules compare and understand the data requirements, and procedures adopted for the review and approval of such complex products. Therefore, drug sevelamer carbonate and glatiramer acetate are selected for the study. A methodical approach was followed. European assessment reports and drug approvals available in the orange book database of the former two regulatory agencies were studied. It is observed that the generic version of glatiramer acetate is approved as an abbreviated new drug application (ANDA) by Food and Drug Administration whereas the same was approved as the hybrid application by European Medicines Agency requiring the applicant to generate and submit more data. Thus, harmonization of the regulatory requirements for the approval of follow-on versions of such complex drugs is essential for better understanding, predictability of the regulatory process, and acceleration of the drug approval process, in the interest of patients. This will help the faster access of the drugs to the patients and allow interchangeability of the innovator drugs with its cost-effective generic version.
许多非生物药物在结构和作用方式、药理学分类、治疗指征等方面不同,但具有结构复杂性这一共同因素,被归为非生物复杂药物(NBCDs)。当一种创新药物接近非专利期时,不同的制造商试图生产其后续版本,因此患者将获得具有成本效益的等效治疗。由于创新分子是复杂的,如果证明其生物利用度,生物等效性和治疗等效性,其后续药物可以称为真正的仿制药。然而,据观察,欧洲药品管理局(EMA)和美国食品药品监督管理局(USFDA)在批准此类药物时采用了个案对个案的方法,两者之间没有一致性。在本研究中,试图研究分子的复杂性,比较和了解这些复杂产品的数据要求,以及审查和批准所采用的程序。因此,我们选择碳酸西维拉默和醋酸格拉替雷默作为研究对象。采取了有条不紊的办法。研究了前两个监管机构的橙皮书数据库中提供的欧洲评估报告和药物批准。据观察,醋酸格拉替雷默的仿制药被美国食品和药物管理局批准为简化新药申请(ANDA),而同样的仿制药被欧洲药品管理局批准为混合申请,要求申请人生成和提交更多数据。因此,为了患者的利益,协调批准此类复杂药物后续版本的监管要求对于更好地理解、监管过程的可预测性和加速药物批准过程至关重要。这将有助于患者更快地获得药物,并允许创新药物与其具有成本效益的仿制药物的互换性。
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引用次数: 0
Misery of Long Haulers of COVID-19 - A Review COVID-19长途运输工人的痛苦-综述
Pub Date : 2023-03-01 DOI: 10.2174/2667337109666230301145233
Pragi, Varun Kumar, Deepak Garg
Early in December 2019, Wuhan City, Hubei Province, China, had an epidemic of the Coronavirus illness 2019 (COVID-19), which was brought on by a brand-new severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2). The epidemic was deemed a Public Health Emergency of International Concern by the World Health Organization on January 30, 2020. Many governments have implemented a range of control measures as a result of perceived illness risk.The pandemic revealed that COVID-19 affects a variety of organs in addition to the lungs, including the heart and brain, raising the risk of long-term health consequences. The illness can affect someone's health even after recovery in a variety of ways. The long-term effects of COVID-19 on locals are still being researched. The objective is to compile knowledge regarding the virus and the present Post pandemic complications in Long Haulers.We reviewed the body of publicly available literature. To discover publications published between December 2019 and October 2020, we conducted a systematic search utilizing the keywords in online databases such as Pub Med, Scopus, Science Direct, Up to Date, and Web of Science. The review includes peer-reviewed original publications published that matched the qualifying requirements.Although the majority of patients recovered quickly after receiving COVID-19, the possibility of long-term issues induced by COVID-19 necessitates the search for and research of its late consequences. This article aims to provide a comprehensive assessment of COVID-19 late complications in order to determine how prevalent these symptoms are and who is most likely to be impacted.There are a number of difficulties with the COVID-19 pandemic that has yet to be resolved. Review of the literature reported several long-lasting clinical problems that affect different phases of health, including chronic fatigue, reduced physical capacity, muscle weakness, increased depression, anxiety, post-traumatic stress disorder and sleep problems. A complete turndown in quality of life has been observed even one year after major Coronavirus outbreaks. The pandemic revealed that COVID-19 affects a variety of organs in addition to the lungs, including the heart and brain, raising the risk of long-term health consequences even after years making them to be “Long Haulers”.The causal agent, pathogenesis, immunological responses, epidemiology, diagnosis, therapy, and management of the disease, as well as control and preventive efforts, are all included in this review of the literature.
2019年12月初,中国湖北省武汉市爆发了由新型严重急性呼吸系统综合征冠状病毒2型(SARS-CoV-2)引发的2019冠状病毒病(COVID-19)疫情。2020年1月30日,世界卫生组织将新冠肺炎疫情列为国际关注的突发公共卫生事件。许多国家的政府已经实施了一系列控制措施,以应对可能出现的疾病风险。大流行表明,COVID-19除肺部外还会影响心脏和大脑等多种器官,从而增加了长期健康后果的风险。即使在康复后,这种疾病也会以各种方式影响一个人的健康。COVID-19对当地人的长期影响仍在研究中。目的是汇编关于病毒和目前长途运输者大流行后并发症的知识。我们查阅了大量的公开文献。为了发现2019年12月至2020年10月之间发表的出版物,我们利用Pub Med、Scopus、Science Direct、Up To Date和Web of Science等在线数据库中的关键词进行了系统搜索。该审查包括同行评审的原始出版物,出版符合资格要求。虽然大多数患者在感染COVID-19后很快康复,但由于COVID-19可能引发长期问题,因此需要寻找和研究其后期后果。本文旨在全面评估COVID-19晚期并发症,以确定这些症状的普遍程度以及最有可能受到影响的人群。COVID-19大流行的一些困难尚未解决。文献综述报告了影响不同健康阶段的几个长期临床问题,包括慢性疲劳、体能下降、肌肉无力、抑郁加剧、焦虑、创伤后应激障碍和睡眠问题。甚至在冠状病毒大爆发一年后,人们的生活质量也完全下降了。大流行表明,COVID-19除了影响肺部外,还会影响心脏和大脑等多种器官,即使在多年后使它们成为“长途跋涉者”,也会增加长期健康后果的风险。病因,发病机制,免疫反应,流行病学,诊断,治疗,疾病的管理,以及控制和预防措施,都包括在这篇文献综述中。
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引用次数: 0
Artificial Intelligence In Drug Regulatory Submissions In India 印度药品监管提交中的人工智能
Pub Date : 2023-02-09 DOI: 10.2174/2667337109666230209152153
V. Shukla, Manvi Mittal
Regulatory affairs are one of the most crucial connections between the pharmaceutical company and the other stakeholder’s or regulatory agencies such as FDA, EMA, etc. Strategies in drug approval and marketing to assure the quality, safety, and efficacy of the drug follow the guidelines and laws stated under the drug and cosmetic act 1940 and rules 1945. Their primary responsibility is to keep the company in compliance with changing guidelines, which necessitates constant monitoring of the most recent industry updates. Drug regulation is a complex process as every country has its own set of documentation that must be done while regulatory submissions. From drug development and drug approval to drug commercialisation, there is a large amount of documentation that must be completed with accuracy, which can be challenging for the professional to complete, therefore, this leads to the introduction of the concept of big data that can be incorporated which will map the regulations according to 5vs model of big data. Thus, to make it more efficient, we can work big data with artificial intelligence to ease the process using natural language processing. This concept will map all the rules and guidelines together and make a cluster of similar rules together. Now, users can use the tool to locate the data of interest in a single site in a more comprised universal language that can be accessed by any professional to complete the task in the given time schedule.
监管事务是制药公司与其他利益相关者或监管机构(如FDA, EMA等)之间最重要的联系之一。确保药品质量、安全性和有效性的药品批准和营销策略遵循《1940年药品和化妆品法》和《1945年规则》规定的指导方针和法律。他们的主要职责是保持公司遵守不断变化的指导方针,这就需要不断监测最新的行业更新。药物监管是一个复杂的过程,因为每个国家都有自己的一套文件,必须在提交监管文件时完成。从药物开发和药物批准到药物商业化,有大量的文件必须准确地完成,这对专业人员来说是具有挑战性的,因此,这导致引入了可以纳入的大数据概念,它将根据大数据的5vs模型来绘制法规。因此,为了提高效率,我们可以使用人工智能来处理大数据,使用自然语言处理来简化过程。这个概念将所有规则和指导方针映射在一起,并将类似的规则聚集在一起。现在,用户可以使用该工具在单个站点中定位感兴趣的数据,这些数据使用更加复杂的通用语言,任何专业人员都可以访问这些语言,以便在给定的时间表内完成任务。
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引用次数: 0
Novel Approaches of Self Emulsifying Drug Delivery Systems and recent patents: A Comprehensive Review 自乳化给药系统的新方法及近期专利综述
Pub Date : 2023-01-20 DOI: 10.2174/2667337109666230120095944
A. Deep, Rimmy, S. Tahlan
The main aim of the current work is to set up a revolutionary Self Nano-emulsifying drug delivery system to improve the necessary bio-availability and to boost clinical efficacy when administered orally.This study's main target is to develop a novel self-nano emulsifying drug delivery system (SNEDDS) for orally administered, poorly water-soluble medicines. SNEDDS is designed to intensify weakly water dissolvable or lipophilic drugs. SNEDDS is designed to intensify weakly water dissolvable or lipophilic drugs. It contains a micro- or nano-emulsion of oil carrying medicament that spontaneously agitates an aqueous medium. For enhancing the solubility of lipophilic medicines, SNEDDS is the most significantly used in biopharmaceutics classification system [BCS class] II and IV pharmaceuticals.The improved rate of dissolution and prevention of interfacial tension are clearly demonstrated by SNEDDS. In aqueous mediums, such as gastrointestinal fluid, SNEDDS produces a stable emulsion after dilution.
目前的主要目的是建立一种革命性的自纳米乳化给药系统,以提高必要的生物利用度,提高口服给药的临床疗效。本研究的主要目标是开发一种新型的自纳米乳化药物递送系统(SNEDDS),用于口服给药,水溶性差的药物。SNEDDS用于强化弱水溶性或亲脂性药物。SNEDDS用于强化弱水溶性或亲脂性药物。它含有一种微或纳米乳液的油携带药物,自发地搅拌水介质。为了提高亲脂性药物的溶解度,SNEDDS在生物制药分类系统[BCS类]II和IV类药物中应用最为广泛。sndds能明显提高溶解速率,防止界面张力。在含水介质中,如胃肠道液体,SNEDDS稀释后产生稳定的乳液。
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引用次数: 0
Combating childhood cancer: Paediatric patients living with Neuroblastoma - Regulatory ramifications and roadblocks 与儿童癌症作斗争:患有神经母细胞瘤的儿科患者-监管后果和障碍
Pub Date : 2022-12-07 DOI: 10.2174/2667337109666221207154414
Manfred Kurz
This paper relates to Neuroblastoma (NBL), a rare, solid cancer affecting children and aims to describe regulatory obligations to adhere to during development, marketing authorisation application (MAA) and post-authorisation stage. The focus is on European Union (EU) paediatric legislation, although essential US Food and Drug Administration (FDA) elements are briefly outlined. Practical regulatory aspects and reporting requirements, players in the therapeutic area as well as clinical management are described. The feasibility and limitations of future harmonised clinical development are pointed out.
本文涉及神经母细胞瘤(NBL),一种影响儿童的罕见实体癌症,旨在描述在开发、上市许可申请(MAA)和批准后阶段应遵守的监管义务。重点是欧盟(EU)儿科立法,尽管简要概述了美国食品和药物管理局(FDA)的基本要素。实际监管方面和报告要求,参与者在治疗领域以及临床管理进行了描述。指出了未来协调临床发展的可行性和局限性。
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引用次数: 0
Safety of Soluplus® in Pediatrics Soluplus®在儿科的安全性
Pub Date : 2022-11-16 DOI: 10.2174/2667337109666221116092457
G. Schmitt
This paper provides information on the risk and acceptability of the polymeric solubilizer Soluplus® as an excipient in pediatric formulations. The assessment was performed based on safety data available from the manufacturer and publicly available data sources. Soluplus® is virtually non-toxic in rats and dogs after oral administration, consistent with its negligible systemic exposure. The non-toxic dose levels established in animals translate into a substantial Human Equivalent Dose (>300 mg/kg). Clinical safety data in adult subjects further support the presumed safe use of Soluplus® in pediatric clinical formulations. Based on existing data, additional toxicology studies in juvenile animals are not warranted. Overall, the use of Soluplus® as an excipient in pediatric clinical formulations in 300 mg or 30 mg/kg can be considered reasonably safe.
本文提供的信息的风险和可接受性的聚合物增溶剂Soluplus®作为儿童配方辅料。评估是根据制造商提供的安全数据和公开的数据来源进行的。口服给药后,Soluplus®对大鼠和狗几乎无毒,与可忽略的全身暴露一致。在动物中确定的无毒剂量水平可转化为人体相当剂量(300毫克/公斤)。成人受试者的临床安全性数据进一步支持在儿科临床配方中使用Soluplus®的安全性。根据现有数据,没有必要对幼龄动物进行额外的毒理学研究。总的来说,在儿科临床配方中使用300 mg或30 mg/kg的Soluplus®作为赋形剂是相当安全的。
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引用次数: 0
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