a Drugs and Medicines Quality Control Laboratory , School of Pharmaceutical Sciences University Estadual Paulista , Araraquara , Brazil.
Crit Rev Anal Chem. 2014;44(1):16-22. doi: 10.1080/10408347.2013.826573.
Darunavir is a synthetic non-peptidic protease inhibitor that has been shown to be extremely potent against wild-type HIV, and it is an important component of highly active antiretroviral treatment (HAART), which is considered as one of the most significant advances in the field of HIV therapy. However, there are some concerns about darunavir quality control. Darunavir shows pseudo-polymorphism: in different ambient conditions one pseudo-polymorphic form can change to another. This behavior of darunavir is problematic because the dosage form is exposed to different ambient conditions around the world, since HIV/AIDS is prevalent globally. Issues around differences in the solubility and effects that different forms of darunavir can cause are of concern, and a more stable form is preferable. Important investigations of darunavir such as dissolution behavior, polymorphism, stability and degradation studies, and the impact of that on the quality of the product are being conducted by our working group. A cure for HIV/AIDS remains a long-term commitment, and there is much yet to achieve. This article discusses, by a critical review of the literature, the impact of the use of darunavir in the treatment of HIV-infected patients, its physical-chemical properties, the analytical methods to determine it, and challenges that remain in order to ensure the quality and stability of darunavir.
达芦那韦是一种合成的非肽类蛋白酶抑制剂,对野生型 HIV 具有极强的抑制作用,它是高效抗逆转录病毒治疗(HAART)的重要组成部分,被认为是 HIV 治疗领域的最重要进展之一。然而,人们对达芦那韦的质量控制存在一些担忧。达芦那韦表现出假多晶型现象:在不同的环境条件下,一种假多晶型可以转变为另一种。达芦那韦的这种行为存在问题,因为该剂型在全球范围内都暴露于不同的环境条件下,而 HIV/AIDS 在全球范围内普遍存在。不同形式的达芦那韦的溶解度和效果差异所引起的问题令人关注,因此更稳定的形式是优选的。我们的工作组正在对达芦那韦进行重要的研究,包括溶解行为、多晶型性、稳定性和降解研究,以及这些对产品质量的影响。治愈 HIV/AIDS 仍然是一个长期的承诺,还有很多工作要做。本文通过对文献的批判性回顾,讨论了达芦那韦在治疗 HIV 感染患者中的应用、其物理化学性质、用于测定它的分析方法,以及为确保达芦那韦的质量和稳定性而仍然存在的挑战。