Romanelli Luca, Evandri Maria Grazia
Department of Physiology and Pharmacology Vittorio Erspamer, University of Rome Sapienza, Rome, Italy.
Agenzia Italiana del Farmaco (AIFA), Rome, Italy.
Toxicol Res. 2018 Apr;34(2):111-125. doi: 10.5487/TR.2018.34.2.111. Epub 2018 Apr 15.
Solvents can be used in the manufacture of medicinal products provided their residual levels in the final product comply with the acceptable limits based on safety data. At worldwide level, these limits are set by the "Guideline Q3C (R6) on impurities: guideline for residual solvents" issued by the ICH. Diisopropyl ether (DIPE) is a widely used solvent but the possibility of using it in the pharmaceutical manufacture is uncertain because the ICH Q3C guideline includes it in the group of solvents for which "no adequate toxicological data on which to base a Permitted Daily Exposure (PDE) was found". We performed a risk assessment of DIPE based on available toxicological data, after carefully assessing their reliability using the Klimisch score approach. We found sufficiently reliable studies investigating subchronic, developmental, neurological toxicity and carcinogenicity in rats and genotoxicity . Recent studies also investigated a wide array of toxic effects of gasoline/DIPE mixtures as compared to gasoline alone, thus allowing identifying the effects of DIPE itself. These data allowed a comprehensive toxicological evaluation of DIPE. The main target organs of DIPE toxicity were liver and kidney. DIPE was not teratogen and had no genotoxic effects, either or . However, it appeared to increase the number of malignant tumors in rats. Therefore, DIPE could be considered as a non-genotoxic animal carcinogen and a PDE of 0.98 mg/day was calculated based on the lowest No Observed Effect Level (NOEL) value of 356 mg/m (corresponding to 49 mg/kg/day) for maternal toxicity in developmental rat toxicity study. In a worst-case scenario, using an exceedingly high daily dose of 10 g/day, allowed DIPE concentration in pharmaceutical substances would be 98 ppm, which is in the range of concentration limits for ICH Q3C guideline class 2 solvents. This result might be considered for regulatory decisions.
如果溶剂在最终产品中的残留水平符合基于安全数据的可接受限度,则可用于药品生产。在全球范围内,这些限度由国际人用药品注册技术协调会(ICH)发布的“杂质Q3C(R6)指南:残留溶剂指南”设定。二异丙醚(DIPE)是一种广泛使用的溶剂,但在制药生产中使用它的可能性尚不确定,因为ICH Q3C指南将其列入“未找到足够毒理学数据以确定每日允许暴露量(PDE)”的溶剂类别中。我们在使用克里米施评分法仔细评估现有毒理学数据的可靠性之后,基于这些数据对DIPE进行了风险评估。我们发现了关于大鼠亚慢性、发育、神经毒性和致癌性以及遗传毒性的充分可靠的研究。最近的研究还调查了汽油/DIPE混合物与单独汽油相比的一系列毒性作用,从而能够确定DIPE本身的作用。这些数据使我们能够对DIPE进行全面的毒理学评估。DIPE毒性的主要靶器官是肝脏和肾脏。DIPE不是致畸剂,也没有遗传毒性。然而,它似乎会增加大鼠恶性肿瘤的数量。因此,DIPE可被视为非遗传毒性动物致癌物,并且根据发育大鼠毒性研究中母体毒性的最低未观察到效应水平(NOEL)值356 mg/m³(相当于49 mg/kg/天)计算出每日允许暴露量为0.98 mg/天。在最坏的情况下,使用极高的每日剂量10 g/天,药品中DIPE的浓度将为98 ppm,这在ICH Q3C指南2类溶剂的浓度限度范围内。这一结果可用于监管决策。