Clapham David, Belissa Emilie, Inghelbrecht Sabine, Pensé-Lhéritier Anne-Marie, Ruiz Fabrice, Sheehan Liz, Shine Margaret, Vallet Thibault, Walsh Jennifer, Tuleu Catherine
Independent Researcher, Bishop's Stortford CM23 4FQ, UK.
UCB Pharma, 1420 Braine l'Alleud, Belgium.
Pharmaceutics. 2023 Sep 14;15(9):2319. doi: 10.3390/pharmaceutics15092319.
It is well established that treatment regime compliance is linked to the acceptability of a pharmaceutical formulation, and hence also to therapeutic outcomes. To that end, acceptability must be assessed during the development of all pharmaceutical products and especially for those intended for paediatric patients. Although acceptability is a multifaceted concept, poor sensory characteristics often contribute to poor patient acceptability. In particular, poor taste is often cited as a major reason for many patients, especially children, to refuse to take their medicine. It is thus important to understand and, as far as possible, optimise the sensory characteristics and, in particular, the taste/flavour/mouthfeel of the formulation throughout the development of the product. Sensory analysis has been widely practiced, providing objective data concerning the sensory aspects of food and cosmetic products. In this paper, we present proposals concerning how the well-established principles of sensory analysis can best be applied to pharmaceutical product development, allowing objective, scientifically valid, sensory data to be obtained safely. We briefly discuss methodologies that may be helpful in reducing the number of samples that may need to be assessed by human volunteers. However, it is only possible to be sure whether or not the sensory characteristics of a pharmaceutical product are non-aversive to potential users by undertaking sensory assessments in human volunteers. Testing is also required during formulation assessment and to ensure that the sensory characteristics remain acceptable throughout the product shelf life. We provide a risk assessment procedure to aid developers to define where studies are low risk, the results of a survey of European regulators on their views concerning such studies, and detailed guidance concerning the types of sensory studies that can be undertaken at each phase of product development, along with guidance about the practicalities of performing such sensory studies. We hope that this guidance will also lead to the development of internationally agreed standards between industry and regulators concerning how these aspects should be measured and assessed throughout the development process and when writing and evaluating regulatory submissions. Finally, we hope that the guidance herein will help formulators as they seek to develop better medicines for all patients and, in particular, paediatric patients.
众所周知,治疗方案的依从性与药物制剂的可接受性相关,因此也与治疗效果相关。为此,在所有药品的研发过程中都必须评估可接受性,尤其是针对儿科患者的药品。尽管可接受性是一个多方面的概念,但不良的感官特性往往会导致患者接受度较低。特别是,不良口味常被许多患者(尤其是儿童)拒绝服药的主要原因。因此,在产品的整个研发过程中,了解并尽可能优化感官特性,尤其是制剂的味道/风味/口感非常重要。感官分析已被广泛应用,可提供有关食品和化妆品感官方面的客观数据。在本文中,我们提出了有关如何将成熟的感官分析原则最佳地应用于药品研发的建议,以便安全地获得客观、科学有效的感官数据。我们简要讨论了有助于减少人类志愿者可能需要评估的样品数量的方法。然而,只有通过在人类志愿者中进行感官评估,才能确定药品的感官特性对潜在用户是否无厌恶感。在制剂评估期间也需要进行测试,以确保在产品保质期内感官特性保持可接受。我们提供了一种风险评估程序,以帮助研发人员确定哪些研究风险较低,介绍了欧洲监管机构对其对此类研究看法的调查结果,以及有关在产品开发的每个阶段可以进行的感官研究类型的详细指导,以及进行此类感官研究的实际操作指导。我们希望本指南还将促使行业和监管机构就如何在整个开发过程中测量和评估这些方面以及在撰写和评估监管申报时制定国际认可的标准。最后,我们希望本文中的指南将有助于配方设计师为所有患者,尤其是儿科患者开发更好的药物。