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多元接受限(保护带)在药物等效性评价中的定义。

Definition of multivariate acceptance limits (guard-bands) applied to pharmaceutical equivalence assessment.

机构信息

Departamento de Farmácia, Faculdade de Ciências Farmacêuticas, Universidade de São Paulo, Av. Prof. Lineu Prestes, 580 - Bloco 15, CEP 05508-000 São Paulo, SP, Brazil.

Departamento de Farmácia, Faculdade de Ciências Farmacêuticas, Universidade de São Paulo, Av. Prof. Lineu Prestes, 580 - Bloco 15, CEP 05508-000 São Paulo, SP, Brazil.

出版信息

J Pharm Biomed Anal. 2023 Jan 5;222:115080. doi: 10.1016/j.jpba.2022.115080. Epub 2022 Sep 28.

Abstract

The quality assessment of medicines involves multiple compliance parameters, such as identity, dosage, purity, potency, content uniformity, disintegration time, dissolution rate, among others. The measurement uncertainty associated with a measured value can affect the conformity assessment and, consequently, it impacts decision-making. Even if the particular risks are acceptable, the total risk may be significantly high. Thus, the aim of this work was to develop a procedure for the definition of acceptance (or rejection) limits applied to multiple compliance assessments, that ensure acceptable particular and total risks. The multiple compliance assessments were performed and applied in the pharmaceutical equivalence studies for cisplatin injectable solution, carboplatin injectable solution, ranitidine tablets, and acetaminophen oral solution from several manufacturers. Pharmaceutical equivalence studies were performed adopting pharmacopeial analytical procedures. All chromatographic system suitability results complied with the requirements regarding the resolution between peaks, the capacity factor, the tailing factor, the theoretical plates, and the relative standard deviation for replicate injections. Univariate and multivariate guard-bands (g and g', respectively) were calculated by multiplying the standard uncertainty (u) by an appropriate univariate and multivariate coverage factor (k and k', respectively).The values of multivariate guard band (g') were higher than the values of univariate guard bands (g), which leads to more restrictive acceptance intervals. Measured values between the conventional and the multivariate acceptance limits will ensure particular risk values below the maximum acceptable value, however, the total risk may be significantly high. On the other hand, measured values within the multivariate acceptance limits ensure that particular risk values and total risk value are below the maximum acceptable value The application of multivariate guard bands is a simple way to ensure reduced particular and total risks of false conformity decisions, which is of great interest to regulatory agencies and the manufactures of the medicines.

摘要

药品质量评估涉及多个合规参数,如身份、剂量、纯度、效力、含量均匀度、崩解时间、溶出率等。与测量值相关的测量不确定度会影响合格性评估,从而影响决策。即使特定风险是可接受的,总风险也可能显著较高。因此,本工作的目的是开发一种用于定义适用于多个合规性评估的接受(或拒绝)限值的程序,以确保可接受的特定和总风险。对来自多个制造商的顺铂注射液、卡铂注射液、雷尼替丁片和对乙酰氨基酚口服溶液进行了多个合规性评估,并将其应用于这些药物的药学等效性研究。药学等效性研究采用了药典分析程序。所有色谱系统适用性结果均符合关于峰分离度、容量因子、拖尾因子、理论板数和重复进样的相对标准偏差的要求。通过将标准不确定度(u)乘以适当的单变量和多变量覆盖因子(k 和 k',分别)计算了单变量和多变量警戒限(g 和 g',分别)。多变量警戒限(g')的值高于单变量警戒限(g)的值,这导致更严格的接受区间。在传统和多变量接受限之间的测量值将确保特定风险值低于最大可接受值,但是,总风险可能显著较高。另一方面,在多变量接受限内的测量值确保特定风险值和总风险值低于最大可接受值。多变量警戒带的应用是一种确保错误符合性决策的特定和总风险降低的简单方法,这对监管机构和药品制造商具有重要意义。

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