抗利尿激素潜在的过程控制问题。

James T Isaacs, Philip J Almeter, Aaron N Hunter, Thomas A Lyman, Stephanie P Zapata, Bradley S Henderson, Seth A Larkin, Ashton R Plymale, Lindsey M Long, Megan N Bossle, Smaran A Bhaktawara, Matthew F Warren, Austin M Lozier, Joshua D Melson, Savannah R Fraley, Eunice Hazzel L Relucio, Margaret A Felix, Jeffrey W Reynolds, Ryan W Naseman, Derek A Puerto, Robert A Lodder
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引用次数: 0

摘要

肯塔基大学的药物质量工作组(DQTF)进行了一项研究,以执行消费者水平的质量保证筛选在他们的医疗保健药房使用的抗利尿激素注射剂。主要目标是通过使用拉曼光谱法和统计分析检查批次内和批次间的可变性来识别潜在的质量缺陷。使用Thermo Scientific Smartraman DXR3分析仪无创、无损地采集抗利尿激素小瓶(n=51)的拉曼光谱。采用三次样条平滑和乘法散射校正(MSC)等数据处理技术制备分析用光谱。统计分析采用Bootstrap误差调整单样本技术(BEST)、主成分分析(PCA)和子聚类检测来评估变异性和检测异常样本。该研究揭示了抗利尿激素样本中显著的体内和体内变异性。对批次22040L1C0小瓶的拉曼光谱图分析显示,单个批次中存在多个亚群,表明化学成分存在差异。对整个光谱库的检查,包括来自两个不同批号的小瓶,揭示了四个不同的组,不对应于批号。子聚类检测测试证实了两批样品中至少存在两种不同的化学成分,拒绝了组具有相同规模和位置的零假设。虽然这些光谱分析结果并不能最终证明杂质或掺假水平过高,但它们表明,制造过程可能在过程控制状态之外运行。这些发现强调需要进一步调查潜在的过程控制问题,以确保生产过程的一致性并保持药物质量和疗效。
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Potential Process Control Issues with Vasopressin.

The University of Kentucky's Drug Quality Task Force (DQTF) conducted a study to perform consumer-level quality assurance screening of vasopressin injections used in their healthcare pharmacies. The primary objective was to identify potential quality defects by examining intralot and interlot variability using Raman spectrometry and statistical analyses. Raman spectra were collected noninvasively and nondestructively from vasopressin vials (n=51) using a Thermo Scientific Smartraman DXR3 Analyzer. Data processing techniques, including smoothing with cubic splines and Multiplicative Scatter Correction (MSC), were applied to prepare the spectra for analysis. Statistical analyses employed included the Bootstrap Error-Adjusted Single-sample Technique (BEST), Principal Component Analysis (PCA), and subcluster detection to assess variability and detect unusual samples. The study revealed significant intralot and interlot variability in the vasopressin samples. Analysis of Raman spectral graphs from vials in lot 22040L1C0 showed multiple subgroups within a single lot, indicating variability in chemical composition. Examination of the entire spectral library, which included vials from two different lot numbers, revealed four distinct groups that did not correspond to lot numbers. A subcluster detection test confirmed the presence of at least two distinct chemical compositions in samples from both lots, rejecting the null hypothesis that the groups have the same scale and location. While these spectrometric results do not conclusively prove an excess level of impurities or adulteration, they suggest that the manufacturing process may have been operating outside of a state of process control. These findings highlight the need for further investigation into potential process control issues to ensure consistent manufacturing processes and maintain drug quality and efficacy.

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