在WFI鉴定过程中选择遗传毒性杂质分析以控制大容量静脉注射的癌变

M. Ullah
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摘要

注射用水(WFI)是大容量静脉注射(LVPs)的主要载体,应不含微量的遗传毒性杂质。本文对lvp生产单位WFI鉴定过程中基因毒性微量金属的定量进行了综述。根据ICH指南,与原料药相关的杂质主要分为三大类:有机杂质、无机(元素)杂质和残留溶剂。在这些类别中,基因毒性杂质构成一种特殊情况,即使在低浓度下也会造成重大安全风险,因为它们可能具有诱变性,因此可能对DNA造成损害。因此,它们可能导致突变或致癌。化学致癌物通常直接或经过外源代谢,作为基因毒性引起DNA损伤。微量金属(其中一些具有遗传毒性或非遗传毒性)在癌症发生和抑制中的作用具有复杂的特征,并因其对人们健康的重要和毒性作用而引起了许多问题。镉、镍、砷、铍、铬等微量金属已被国际癌症研究机构(IARC)认定为人类或动物致癌物。药物中有几种遗传毒性化学物质,如残留溶剂、杂质和微量金属,会形成致癌物。像FDA和EMEA这样的监管机构已经确定了这些元素杂质的具体限制。元素杂质的毒性与其暴露程度(生物利用度)有关。从这个意义上说,肠外剂型比其他剂型更有可能具有生物利用度,美国药典(USP)规定的遗传毒性杂质限量比口服剂型低10倍。本文阐述了在大剂量注射用水(LVP)的生产过程中,对注射用水(WFI)中痕量金属遗传毒性杂质进行鉴定和定量作为控制其生产和分配的预防措施的重要性。
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Selected Genotoxic Impurities Profiling During WFI Qualification to Control Carcinogenesis in Large Volume Parenterals
Water For Injections (WFI) which is the main vehicle of Large Volume Parenterals (LVPs) should be free from trace amount of genotoxic impurities. This review gives emphasis on quantification of genotoxic trace metals during qualification of WFI in LVPs manufacturing unit. According to ICH guidelines, impurities related to drug substances are classified into three main categories: Organic impurities, inorganic (elemental) impurities and residual solvents. Within these categories, genotoxic impurities form a special case that poses a significant safety risk, even at low concentrations, because they may be mutagenic and are therefore potentially damaging to DNA. As a result they can lead to mutations or cause cancer. Chemical carcinogens most often directly or after xenobiotic metabolism, act as genotoxic causes to induce DNA damage. The roles of trace metals (some of which are either genotoxic or non-genotoxic) in cancer development and inhibition have a complex character and have raised many questions because of their essential and toxic effects on people's health. Trace metals such as cadmium, nickel, arsenic, beryllium and chromium (VI) have been recognized as human or animal carcinogens by International Agency for Research on Cancer (IARC). There are several genotoxic chemicals like residual solvent, impurities and trace metals present in Pharmaceuticals to form carcinogens. Regulatory body like FDA and EMEA has fixed up specific limits for these elemental impurities. The toxicity of an elemental impurity is related to its extent of exposure (bioavailability). In that sense, parenteral dosage forms has its most possibility to be bioavailable than the other dosage forms, the limit of genotoxic impurities are 10 times lower than that of oral dosage forms by United States Pharmacopoeia (USP). The present article is for the importance of identification and quantification of the trace amount of the metal genotoxic impurities in Water For Injection (WFI) during qualification (IQ, OQ, PQ) as a preventive measure to control the production and distribution of WFI for Large Volume Parenteral (LVP) production.
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