Applied Drug Research, Clinical Trials and Regulatory Affairs - Volume 10, Issue 1, 2024
Volume 10, Issue 1, 2024
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Compliance with Regulatory Standards: A Comprehensive Review on Ocimum sanctum (Tulsi)
More LessAuthors: Sanyam Sharma, Subh Naman, Jayesh Dwivedi, Mahendra Singh Ashawat, Arun Chandan and Ashish BaldiIn response to the surging global demand for medicinal products, the herbal industry faces significant challenges in ensuring the quality of herbal formulations. Regulatory bodies, actively set wanted acceptance limits to different parameters and tries to uphold quality standards. However, the complexities of herbal manufacturing, characterized by batch-to-batch variations and heavy metal residues, pose formidable obstacles. This article also focuses on Ocimum sanctum as a model plant, revealing its cultural, medicinal, ecological, and economic significance in brief. The primary objective of this work is to consolidate diverse quality standards prescribed by different regulatory agencies and to create an empowering resource for farmers to adhere to regulatory parameters for cultivating quality produce. The research employs detailed evaluations, covering macroscopic, microscopic, physicochemical, and toxicity assessments to address the challenges encountered by stakeholders in herbal sector. The study emphasizes the in depth research of verify regulatory standards set by entities such as the Indian Pharmacopoeia, Ayurvedic Indian Pharmacopoeia, Food Safety and Standards Authority of India and World Health Organization to ensure the quality and safety of medicinal products. It underscores the difficulties in maintaining consistent quality with herbal products, including batch variations and exceeding permissible limits of contaminants etc. Despite regulatory efforts, the scattered nature of data necessitates assimilation for effective quality control. Focused on the model plant Ocimum sanctum, the research highlights the imperatives for farmers to adhere to regulatory parameters from inception of cultivation. Additionally, it seeks to consolidate information aiming to bridge the knowledge gap and empower farmers for quality cultivation. In conclusion, the research emphasizes collaborative efforts among regulatory bodies, scientific research, and the agricultural sector to sustain consistent quality standards in the herbal industry and present a comprehensive compilation of quality standards of Ocimum sanctum as a model herb for further commercial exploration in simplified manner.
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Assessment and Monitoring of Adverse Drug Reactions at a Tertiary Care Hospital
More LessAuthors: Manvi Sharma, Prince P. George, Ranjeet Kumar, Amit Sharma and Rojin G. RajBackgroundIncidences of adverse drug reactions were reported through spontaneous reporting at an ADR monitoring unit in a tertiary care hospital.
AimsThis study was conducted to describe the distribution pattern of adverse drug reaction (ADR).
ObjectiveThe objective of this study was to monitor and report the adverse drug reactions (ADRs) occurring in a tertiary care hospital and to evaluate the incidence, causality, severity, and preventability of adverse drug reactions.
MethodsA prospective, observational study was conducted at a tertiary care hospital in Punjab for 6 months. All patients admitted to the hospital above 18 years of age were included in the study.
ResultsA total of 103 ADRs were observed over the study period of 6 months. The majority of them were females (60), comprising of 58.25%. The therapeutic class of drug associated with most of the ADRs was antibiotics 18 (17.5%). Maximum number of ADRs occurred in the general medicine ward with frequency of 27 (26.2%) and were of type b 58 (56.3%). Causality was assessed using the Naranjo scale, and most of the ADRs came out to be probable 64 (62.1%) in nature. Severity was assessed using Hartwig’s severity assessment scale, and most of the cases, 66 (64.1%), were moderate in intensity. ADR preventability was assessed using the Schumock and Thornton preventability scale, and it was observed that most of the cases, 82 (79.6%), were not preventable.
ConclusionThis study seeks to strengthen the ADR database through analysis of spontaneous reporting patterns of ADRs from various clinical departments of a tertiary care teaching hospital, thereby increasing awareness and improving the reporting culture among health care practitioners. It can be concluded that continuous medication monitoring and a well-organized and committed pharmacovigilance system led by a clinical pharmacist in a hospital setting would undoubtedly lower the incidence of adverse drug reactions.
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Navigating Biosimilar Regulatory Pathways in Emerging Markets: Insights from BRICS Nations
More LessAuthors: Niraj Patil, Animesh Ranjan, Gaurav1, Debanjan Mukherjee, Brajesh Kumar Panda, Diksha . , Komal . , Raj Kumar Narang and Amandeep SinghThis comprehensive review delves into the intricate landscape of biosimilars, offering a nuanced exploration of their background, pivotal role in emerging markets like BRICS, and the multifaceted considerations spanning regulatory, quality, manufacturing, pricing, reimbursement, intellectual property, pharmacovigilance, and future trends. The backdrop on biosimilars unravels their significance as a transformative force in healthcare, providing cost-effective alternatives to biologics. The focus then shifts to the emerging markets encapsulated by BRICS, where economic and healthcare landscapes are pivotal determinants in shaping the biosimilar ecosystem. Navigating the regulatory landscape becomes imperative for biosimilar developers, and an overview of regulatory agencies within BRICS underscores the need for harmonized guidelines. Delving deeper, the paper outlines the intricate registration requirements, providing insights into key considerations pivotal for successful biosimilar submissions. Quality, manufacturing, and marketing of biosimilars form a critical triad. Quality attributes and similarity assessments, coupled with analytical methods and characterization, emerge as focal points ensuring the safety and efficacy of these biologic counterparts. Pricing, reimbursement, and market access, the linchpin for successful biosimilar integration, are dissected comprehensively. Pricing policies and strategies, reimbursement considerations, and the plethora of challenges and opportunities associated with market access are examined, offering a holistic understanding of the economic dynamics at play. The intellectual property landscape, delineated through patent regulations, data exclusivity, challenges, and litigation, adds a layer of complexity to biosimilar development and market entry. Pharmacovigilance and post-marketing surveillance emerge as crucial pillars ensuring the ongoing safety of biosimilars. Safety monitoring, risk management plans, and post-marketing surveillance requirements are essential components in this ever-evolving field. The exploration culminates in case studies and market insights, providing tangible examples of successful biosimilar submissions and approvals within the BRICS nations. This segment unveils the current market dynamics, competitive landscapes, and the intricacies of navigating these diverse markets. Looking forward, the paper outlines potential growth prospects and anticipates future trends and opportunities in the biosimilar landscape. It concludes by addressing the evolving policy and regulatory developments, offering stakeholders a comprehensive guide for navigating the dynamic and promising future of biosimilars within the BRICS nations. This work serves as a vital resource for industry professionals, policymakers, and researchers involved in the intricate journey of biosimilar development and market access.
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Pharmaceutical Market Access in Latin America: Analyzing Approval Requirements in Three Key Nations: Ecuador, Dominican Republic and Nicaragua
More LessAuthors: Jhanvi Thakkar, Ayush Patel, Jagruti Desai, Mehul Patel, Umang Shah, Ashish Patel, Krishi Patel and Swayamprakash PatelThis article presents a comprehensive and comparative analysis of the regulatory frameworks governing the approval of pharmaceuticals in the Dominican Republic, Ecuador, and Nicaragua. It delves into the intricate scientific terminology and complex procedures inherent in these regulatory systems, shedding light on the demanding requirements that pharmaceutical companies must fulfil to secure market access in these countries. Employing a comparative approach, the article explores both the analogy and differences in the approval processes, focusing on factors such as safety standards, efficacy assessments, clinical trial prerequisites, post-marketing surveillance, and overall transparency. The findings contribute to a deeper understanding of the scientific accuracy and ongoing efforts towards regulatory harmonisation within the pharmaceutical industry across these countries. Furthermore, this study aims to define the regulatory requirements for drug approval in the LATAM region, explicitly emphasising the Dominican Republic, Ecuador, and Nicaragua. It provides insights into the current pharmaceutical market landscape in Latin America, compares the regulatory requirements for drug approval in these three countries, and offers guidance on preparing dossiers for obtaining authorisation of pharmaceutical drug products. By examining the similarities and differences in regulatory standards, this article facilitates a comprehensive understanding of the stringency ratios between these countries and assists companies in navigating the specific regulatory landscapes to achieve successful drug approvals.
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Qualitative Analysis and Anti-oxidant Potential of Ethanolic Extract of Manilkara zapota (L.) P. Royen Leaves
More LessAuthors: Priyanka Sharma, Aakash Deep, Harish Kumar, Devendar Chaudhary, Neha Thakur and Shubham BatraBackgroundThe normal metabolic functioning of aerobic cells is related to free radical formation. The oxygen utilized in the cell growth gives rise to a number of oxygen free radicals. Further, these oxygen free radicals interact with lipidic molecules to produce hydroxyperoxides and various other peroxides also, radicals like superoxide, hydroxyls, and lipoid peroxides, which lead to cytotoxicity due to their interaction with biological systems. The uncontrolled generation of free radicals may lead to various diseases and disorders like prostate cancer, coronary heart disease and also ageing. The therapeutic potential of the plant M. zapota has been demonstrated in various diseases, such as cancers (e.g., breast, prostate, cervical, and hepatocellular cancer), diabetes mellitus, arthritis, bacterial infections, and gastrointestinal disorders (e.g., diarrhea and ulcers) and many medical conditions. The main phytocomponents of this plant are polyphenols, alkaloids, glycosides, flavonoids, saponins, triterpenoids, carbohydrates, tannins, and sterols.
ObjectiveThe objective of this study is to investigate qualitative analysis and anti-oxidant potential of ethanolic extract of Manilkara zapota (L.) P. Royen Leaves. In demand to minimize the damage caused by free radicals. It is very essential to develop such antioxidants which protect the body from the effect of free radicals and also do not cause much harm to the human body. The main phytocomponents of the plant are polyphenols, alkaloids, glycosides, flavonoids, saponins, triterpenoids, carbohydrates, tannins and sterols which are responsible for antioxidant activity.
Materials and MethodsPhytochemical screening methods, Gas chromatography–mass spectrometry (GC-MS), Fourier transform infrared (FTIR), and Hydrogen Peroxide scavenging assay for analysis of an ethanolic extract of plant leaves.
Results and DiscussionAntioxidant activity was determined by a hydrogen peroxide assay. Plant extract was examined using phytochemical screening, GC-MS analysis, and FTIR spectra. The plant extract showed hydrogen peroxide scavenging activity (IC50 = 16.45 µg/ml) compared to the IC50 values of standard ascorbic acid (IC50 = 9.079 µg/ml).
ConclusionThe present study concluded the antioxidant and phytochemical assessment of the ethanolic extract of the leaves of Manilkara zapota. The results of the present research study demonstrated that the antioxidant activity of the plant extract was strong as compared to ascorbic acid.
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Regulation of Nanomaterials and Nanomedicines for Clinical Application
More LessAuthors: Razi Ahmed, Vikash Maurya, Anurag Dwivedi and Manoj Kumar MishraTreatment of complicated fatal diseases was difficult when nanotechnology was not more popular. The incorporation of nanomedicine has increased in the last 13 years, even though regulatory guidelines regarding nanomaterials and nanomedicine weren't sufficient. Hence, it was tough to decide valid inevitability for the manufacturers, administrators, health professionals, primary care providers, and rest of the public that could ultimately have a negative impact on the financing system, research, and development of such items, affecting the approval of the public and acceptance of nano-products. This review includes coverage across the therapeutic value of nanomaterials, problems in the regulation, regulatory challenges, synthesis, physicochemical properties, and clinical application. The hurdles to using nanotechnology, particularly in the pharmaceutical development of novel medicinal products and respective regulatory issues, are critically explored, considering the characteristics offered by the nanomaterials.
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Financial Dynamics in Cell and Gene Therapy Development: Navigating Valuation and Fundraising Challenges
More LessAuthors: Joab Williamson, Alexander Spicer and Pierre-Albert ColcombCell and gene therapy, offering unprecedented solutions for complex diseases, have attracted significant attention in both the scientific and financial communities. This article explores the tumultuous financial journey of companies specializing in these advanced therapeutic modalities. The discussion illuminates the volatility of share prices, challenges in valuation, and complexities in fundraising while delving into the inherent risks of the cell and gene therapy development pathway. Through an examination of various strategies, the article underscores the importance of diverse investment sources, robust collaborations, risk-sharing models, and portfolio diversification in ensuring financial stability. As the field burgeons, understanding these financial dynamics is paramount for stakeholders aiming to harness the transformative potential of cell and gene therapies.
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Steering through Regulatory Currents: The Journey of India’s Pharma Industry with the USFDA
More LessAuthors: Raj Kamal, Diksha, Priyanka Paul and Ankit AwasthiIntroduction and ObjectiveIndia's pharmaceutical industry faces challenges in meeting USFDA quality standards, impacting exports and reputation. This review examines the causes of non-compliance and proposes strategies to enhance compliance, predicting future trends.
MethodsThis study conducts an analysis of USFDA warning letters to Indian manufacturers, an assessment of non-compliance issues, and an exploration of technological advancements in compliance, such as automation and AI.
ResultsThe study reveals a rise in non-compliance incidents, emphasizing the need for a robust quality culture, updated regulatory knowledge, and implementation of advanced technologies to improve compliance.
ConclusionTo maintain global competitiveness, India's pharma industry must adopt comprehensive strategies, leverage technology, and prepare proactively for regulatory changes. Future compliance will rely on remote auditing and real-time monitoring.
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A Comparative Study on Approval of Follow-on Version of Sevelamer Carbonate and Glatiramer Acetate (GA) in US, EU
More LessAuthors: Nisha Sankhwar and Vikesh Kumar ShuklaMany non-biological drugs, different in terms of their structure and mode of action, pharmacological classification, and therapeutic indication, have a common factor of structural complexity and are grouped as non-biological complex drugs (NBCDs). When an innovator drug nears the time of off-patent, different manufacturers attempt to produce its subsequent version, so the patients will have a cost-effective therapeutic equivalent. Since the innovator molecule is complex, its follow-on drug can be called its true generic version, if its bioavailability, bioequivalence and therapeutic equivalence to the innovator drug are demonstrated. However, it is observed that a case-to-case basis approach is implemented by European Medicines Agency (EMA) and Food and Drug Administration, US (USFDA) in the approval of such drugs and there is no uniformity observed between the two.
In this study, an attempt is made to study the complexity of molecules compare and understand the data requirements, and procedures adopted for the review and approval of such complex products. Therefore, drug sevelamer carbonate and glatiramer acetate are selected for the study. A methodical approach was followed. European assessment reports and drug approvals available in the orange book database of the former two regulatory agencies were studied. It is observed that the generic version of glatiramer acetate is approved as an abbreviated new drug application (ANDA) by Food and Drug Administration whereas the same was approved as the hybrid application by European Medicines Agency requiring the applicant to generate and submit more data. Thus, harmonization of the regulatory requirements for the approval of follow-on versions of such complex drugs is essential for better understanding, predictability of the regulatory process, and acceleration of the drug approval process, in the interest of patients. This will help the faster access of the drugs to the patients and allow interchangeability of the innovator drugs with its cost-effective generic version.
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Misery of Long Haulers of COVID-19 - A Review
More LessAuthors: Pragi, Varun Kumar and Deepak GargBackgroundEarly in December 2019, Wuhan City, Hubei Province, China, had an epidemic of the Coronavirus illness 2019 (COVID-19), which was brought on by a brand-new severe acute respiratory syndrome Coronavirus 2 (SARS-CoV-2). The epidemic was deemed a Public Health Emergency of International Concern by the World Health Organization on January 30, 2020. Many governments have implemented a range of control measures as a result of perceived illness risk.
ObjectivesThe pandemic revealed that COVID-19 affects a variety of organs in addition to the lungs, including the heart and brain, raising the risk of long-term health consequences. The illness can affect someone's health even after recovery in a variety of ways. The long-term effects of COVID-19 on locals are still being researched. The objective is to compile knowledge regarding the virus and the present Post pandemic complications in Long Haulers.
MethodsWe reviewed the body of publicly available literature. To discover publications published between December 2019 and October 2020, we conducted a systematic search utilizing the keywords in online databases such as Pub Med, Scopus, Science Direct, Up to Date, and Web of Science. The review includes peer-reviewed original publications published that matched the qualifying requirements.
ResultsAlthough the majority of patients recovered quickly after receiving COVID-19, the possibility of long-term issues induced by COVID-19 necessitates the search for and research of its late consequences. This article aims to provide a comprehensive assessment of COVID-19 late complications in order to determine how prevalent these symptoms are and who is most likely to be impacted.
ConclusionThere are a number of difficulties with the COVID-19 pandemic that has yet to be resolved. Review of the literature reported several long-lasting clinical problems that affect different phases of health, including chronic fatigue, reduced physical capacity, muscle weakness, increased depression, anxiety, post-traumatic stress disorder and sleep problems. A complete turndown in quality of life has been observed even one year after major Coronavirus outbreaks.
The pandemic revealed that COVID-19 affects a variety of organs in addition to the lungs, including the heart and brain, raising the risk of long-term health consequences even after years making them to be “Long Haulers”.
The causal agent, pathogenesis, immunological responses, epidemiology, diagnosis, therapy, and management of the disease, as well as control and preventive efforts, are all included in this review of the literature.
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