Regulatory Toxicology Perspectives on the Development of Botanical Drug Products in the United States

2004 ◽  
Vol 11 (3) ◽  
pp. 213-217 ◽  
Author(s):  
Kuei-Meng Wu ◽  
James Farrelly ◽  
Debra Birnkrant ◽  
Shaw Chen ◽  
Jinhui Dou ◽  
...  
Planta Medica ◽  
2015 ◽  
Vol 81 (11) ◽  
Author(s):  
KM Wu ◽  
C Wu ◽  
J Dou ◽  
H Ghantous ◽  
S Lee ◽  
...  

2014 ◽  
Vol 40 (11) ◽  
pp. 1429-1434 ◽  
Author(s):  
Kristina Sachs-Barrable ◽  
Jocelyn Conway ◽  
Pavel Gershkovich ◽  
Fady Ibrahim ◽  
Kishor M. Wasan

Author(s):  
Qian Wu ◽  
Evgenia Kvitko ◽  
Amber Jessop ◽  
Shannon Williams ◽  
Ryan C. Costantino ◽  
...  

AbstractRecent reports of metformin drug products contaminated with unacceptable levels of the probable human carcinogen N-Nitrosodimethylamine (NDMA) prompted a national sampling of post-market metformin drug products. To most broadly sample the market and minimize supply chain bias, metformin medication samples were crowdsourced directly from individuals across many states in the United States. 128 samples were received, and liquid chromatography-high resolution mass spectrometry tests for a panel of nitrosamines revealed significant levels of NDMA that trend with labeling company. 42% of all medication samples contained detectable levels of NDMA and, when scaled to maximum daily tablet dose, 36% of all medication samples contained NDMA levels exceeding the FDA daily acceptable intake limit. The highest NDMA detection from the tested samples was 1565 ng per tablet, which, when commonly taken four times a day, is 65 times the United States Food and Drug Administration (FDA) acceptable daily intake limit. Results underscore the need for immediate product recalls of tainted medications and an overall investigation of metformin manufacturing practices.


2020 ◽  
Vol 27 (1) ◽  
pp. 23-31 ◽  
Author(s):  
Kathleen F. Edwards ◽  
Joel F. Liebman

Orphan drug products (e.g. drugs and biologics) in the United States are those that treat people with rare chronic diseases, often cancer or metabolic disease. The rare disease condition being treated by these orphan drugs must serve a patient population of less than 200,000 people in the U.S. in order to earn the orphan drug product title. Just as the disease conditions are seen as “orphans,” so, we assert is the thermochemical understanding of the drugs themselves in terms of the chemical structures that define those drugs. This article illustrates this orphan thermochemical status for a recent series of orphan drugs.


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