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  • Ming-ke YIN, Yu-qin HE, Jian FENG, Yu-rong TAN, Jia-jia WANG, Meng-yu QIAN, Xia-lin CHEN, Liang CAO, Xia GAO, Zhen-zhong WANG
    Chinese Journal of New Drugs. 2026, 35(19): 2096-2107.
    Objective:

    To establish an ultra-performance liquid chromatography-tandem triple quadrupole mass spectrometry (UPLC-TQ-MS/MS) method for simultaneous quantification of 10 components in rat plasma samples and investigate the pharmacokinetic characteristics of the main components after oral administration of Sanjie Zhentong Capsules (SZC).

    Methods:

    Healthy SD rats were administered the contents of SZC at single doses of 1.73, 2.59, and 3.89 g·kg-1 by oral gavage. Plasma concentrations of 10 components were measured at different time points and pharmacokinetic parameters were analyzed by using non-compartmental model.

    Results:

    After systematic method validation, the 10 components exhibited good linearity (r>0.99). The intra-batch and inter-batch accuracy ranged from 85.3% to 113.8% and 91.6% to 109.9%, respectively. The relative standard deviations (RSDs) of extraction recovery and matrix effects were both below 15%. These results met the requirements of biological sample analysis, demonstrating that the method is specific, sensitive, accurate, and stable, thus suitable for quantifying the target components in plasma. Pharmacokinetic analysis revealed that the plasma exposure of loureirin D and pterostilbene was higher than that of other components, and five components (loureirin C, loureirin D, 7,4′-dihydroxyflavone, resveratrol, and pterostilbene) exhibited strong positive correlations (R2>0.91) between dosage and both AUC(0-t) and Cmax. Except for ginsenoside Rd, which exhibited prolonged retention in vivo, the other nine components demonstrated rapid absorption and fast elimination.

    Conclusion:

    This study established a quantitative analysis method for 10 components of SZC in rat plasma. Within the dose range of 1.73~3.89 g·kg-1, five components of SZC exhibited linear pharmacokinetic characteristics in rats. These findings further clarify the pharmacodynamic material basis of this preparation and support its clinical use, providing data to improve the quality standards.

  • Yi-wen XU, Xiao-yu LIN, RU-xin YUAN, Qing WANG, Hui-ying YANG, Xian-fu WU
    Chinese Journal of New Drugs. 2026, 35(19): 2108-2112.
    Objective:

    To establish a quantitative fluorine nuclear magnetic resonance (qFNMR) method for the determination the content of reference standards of moxifloxacin hydrochloride and its three impurities.

    Methods:

    The fluorine nuclear magnetic resonance spectra of the reference standards of moxifloxacin hydrochloride and its three impurities (Impurity Ⅰ, Impurity Ⅲ, and Impurity Ⅳ) were collected using a Bruker Avance NEO 600 MHz spectrometer with 4,4′-difluorobenzophenone as the internal standard and DMSO-d6 as the solvent. The spectra were acquired with the zgig pulse program, 32 scans (NS), an acquisition time of 2.88 s, and a relaxation delay time (D1) of 10 s, and quantitative analysis was performed.

    Results:

    The quantitative peaks of moxifloxacin hydrochloride and its three impurities were well separated from that of the internal standard 4,4′-difluorobenzophenone on the fluorine NMR spectra. Good linear relationships were obtained for moxifloxacin hydrochloride, Impurity Ⅰ, Impurity Ⅲ and Impurity Ⅳ in the ranges of 2.988~14.70, 3.012~15.17, 3.149~15.26, 2.857~14.58 mg·mL-1, respectively (r>0.999 4). The precision and repeatability of the method were good. The content results determined by the qFNMR method were basically consistent with those obtained from the mass balance method.

    Conclusion:

    The established qFNMR method for the content determination of reference standards of moxifloxacin hydrochloride and its three impurities is simple, rapid, and highly accurate, thus providing a reference for the establishment and content determination of these reference standards.

  • Jia-ning ZHANG, Bu-fang MA, Bin LI, Yong-xiang LIU, An-ni DONG, Min YU, Ye TIAN
    Chinese Journal of New Drugs. 2026, 35(19): 2113-2119.
    Objective:

    This study successfully developed the first batch of national reference standards of caspofungin acetate to ensure quality control of related raw materials and finished products.

    Methods:

    The structure of the caspofungin acetate reference standard was confirmed by comprehensive analytical techniques including high-resolution mass spectrometry (HRMS), nuclear magnetic resonance (NMR), and infrared spectroscopy (IR), and the NMR signals of the compound were assigned. The content of caspofungin acetate was determined by the mass balance method (MBM), and the results were corroborated by quantitative nuclear magnetic resonance (qNMR) and the external standard method (ESM).

    Results:

    The content of this batch of caspofungin acetate reference standard, calculated as C52H88N10O15·2CH3COOH, was 97.0%.

    Conclusion:

    The first batch of national reference standards of caspofungin acetate was successfully developed.

  • Fang-xian SHAO, Li LU, Chao-yu HUANG, Hui XU, Rui LI, Fei YAN
    Chinese Journal of New Drugs. 2026, 35(19): 2120-2128.
    Objective:

    To establish a risk assessment and control system for nitrosamine impurities in chemical drugs and apply it to the study of nitrosamine impurities in propranolol hydrochloride tablets.

    Methods:

    Information was retrieved from various national drug regulatory agencies, PubMed, Elsevier and Wiley websites, and the formation mechanisms, toxicity assessment, and control measures of nitrosamine impurities were analyzed and summarized. Guidelines for risk assessment and control of nitrosamine impurities in pharmaceuticals were systematically reviewed.

    Results:

    A risk assessment and control system for nitrosamine impurities was constructed, covering four key aspects: risk assessment elements, determination of impurity limits, confirmatory testing, and process control factors. This system was applied to evaluate nitrosamine impurities in propranolol hydrochloride tablets. Using fishbone diagram analysis, risk factors for nitrosamine impurities were identified from aspects such as active ingredients, excipients, manufacturing processes, and storage conditions of the tablets. Samples from market surveillance and their raw materials were tested. Factors influencing the formation of nitrosamine impurities were preliminarily investigated through excipient compatibility studies, stress testing, and accelerated stability testing, and corresponding control measures were proposed.

    Conclusion:

    The established risk assessment and control system for nitrosamine impurities in pharmaceuticals will aid in the development of strategies for managing these impurities. It also provides technical references for regulatory authorities and pharmaceutical companies to implement precise control of nitrosamine-related risks.

  • Shuo CHEN, Lin-xiang ZHAO, Wu ZHONG, Wen GUO
    Chinese Journal of New Drugs. 2026, 35(18): 1905-1914.

    Rare diseases are typically characterized by low prevalence, a wide variety, and severe conditions, most closely related to gene mutations. With the rapid development of biotechnology and artificial intelligence, advanced therapies such as gene therapy and cell therapy have brought new breakthroughs in the research and development of drugs for rare diseases. This article systematically reviews 15 orphan drugs approved by the CBER under the FDA in 2024—2025 from two dimensions: indications and treatment modalities, with a focus on the application, challenges, and future trends of advanced therapies such as CRISPR-Cas9 gene editing technology and organoid models in the field of rare disease drug development. Additionally, the current status of China's rare disease drug research and development is discussed.

  • Qian-qian QIN, Yun-xia ZHANG, Rui-ling ZHAO, Zhi-gang ZHAO
    Chinese Journal of New Drugs. 2026, 35(18): 1915-1924.
    Objective:

    To conduct a comparative analysis of oral dosage forms listed in the Pharmacopoeia of the People's Republic of China 2025 (ChP) and the International Pharmacopoeia 12th edition (Ph.Int.) to generate foundational evidence for optimizing dosage form monographs in the Chinese Pharmacopoeia, facilitating the inclusion of pediatric-appropriate formulations, and enhancing harmonization with international standards.

    Methods:

    A systematic literature review and side-by-side comparison were conducted to examine how each compendium names medicinal products and describes oral dosage forms; pediatric suitability was then scored against international and domestic quality criteria for child-appropriate formulations.

    Results:

    Compared with the ChP, the Ph.Int. embeds a formal nomenclature rule for drug products and appends explicit guidance on pediatric-appropriate formulations as well as minimum labelling/package-insert requirements-elements entirely absent from the current ChP. The ChP includes nine first-level categories encompassing 34 secondary oral dosage forms except traditional Chinese medicine preparations, whereas the Ph.Int. includes four first-level categories with 17 secondary oral dosage forms. Harmonization analysis revealed 12 dosage forms with concordant nomenclature and definitions; five with identical names but divergent definitions; 15 exclusively in ChP (7 with Ph.Int. mappings); and four exclusively in Ph.Int. (all mapped to ChP counterparts). When judged against international pediatric-usability criteria, 47% (8/17) of Ph.Int. oral monographs and 44% (15/34) of ChP entries are suitable for pre-school children or younger. Strikingly, three of the four Ph.Int.-only formulations demonstrate good acceptability for infants and toddlers, underscoring a ready opportunity for ChP expansion.

    Conclusion:

    ChP should draw on Ph.Int. experience to expand its general monographs, rationalize dosage-form classification, and expedite the inclusion of pediatric-friendly oral formulations for children under six. It is suggested to establish a joint working group composed of functional departments to enhance harmonization between the Pharmacopoeia and guidance policies/formularies for clinically commonly used medicines, improve public accessibility to drugs, and concurrently strengthen alignment with the International Pharmacopoeia.

  • Zhao LIU, Yang ZHENG, Jun FANG, Lin YUAN
    Chinese Journal of New Drugs. 2026, 35(18): 1925-1931.

    With the rapid advancement of stem cell therapy, its application in clinical medicine has expanded significantly, posing new challenges to existing regulatory frameworks. This article systematically reviews the regulatory models for stem cell therapy across multiple countries, and based on a comparative analysis of regulatory policies, technical guidelines, and peer-reviewed literature, summarizes the major approaches and common trends regarding risk stratification, access pathways, and lifecycle quality management. The analysis highlights the widespread adoption of risk-based classification and accelerated access mechanisms to balance efficacy and safety. Through comparative analysis, the article details the evolution of China's regulatory system for stem cell therapy, emphasizing the characteristics of the "dual-track" model-parallel management through drug-based regulation and clinical research filing. In response to current issues such as unclear classification, fragmented oversight, and insufficient international alignment, the article proposes five key strategies: establishing scientific classification standards, improving quality control systems, facilitating clinical translation, strengthening ethical oversight and information transparency, and deepening international cooperation. These recommendations aim to support the development of a scientific, standardized, and efficient regulatory framework with Chinese characteristics, while also offering insights for global regulatory practices.

  • Ming-lan ZHENG, Xiao-fen LI, Zi-wei LI, Meng-ran ZHANG, Hui-fang YIN, Yi FAN
    Chinese Journal of New Drugs. 2026, 35(18): 1932-1938.

    mRNA therapeutics have emerged as a promising platform in treating a wide range of diseases, including cancers, infections, genetic disorders, and autoimmune diseases. This article reviews the current development status of mRNA vaccines, existing challenges, relevant guidelines for nonclinical evaluation, and key focuses of nonclinical safety evaluation. Nonclinical research should focus on proof of concept, administration routes, species selection, and toxicity characteristics (such as inflammatory responses, hepatosplenic toxicity, and immune responses). This article systematically summarizes the research progress and safety evaluation strategies of mRNA vaccines, providing important references for future studies.

  • Yu-ting WANG, Xin-ge LÜ, Chen PAN, Yi WU, Xiang-li CUI
    Chinese Journal of New Drugs. 2026, 35(18): 1939-1943.

    Immune checkpoint inhibitors (ICIs) are the core of tumour immunotherapy, but they are prone to induce immune-associated adverse events (irAEs). ICIs-associated enterocolitis is the most common and important irAE in the gastrointestinal tract, accounting for 37% of the fatal irAEs, which seriously affects the treatment and prognosis of patients. The incidence varies by drug: 7.7%~15% for cytotoxic T-lymphocyte-associated antigen 4 (CTLA-4) inhibitors, 1%~2% for programmed death-ligand 1(PD-1/PD-L1) inhibitors single therapy, rising to 13.9%~40% for combination therapy. The time of onset is earlier for CTLA-4 inhibitors (1~3 months) and later for PD-1/PD-L1 inhibitors (3~6 months). Risk factors include high-dose ICIs, combination therapy, previous history of IBD, intestinal dysbiosis, NSAIDs use, and genetic polymorphisms. Clinical manifestations are centered on diarrhiea, which can lead to complications such as intestinal perforation. The diagnosis is multifactorial, with biomarkers such as fecal calproteatin being important. The treatment is graded, with biologics improving difficult-to-treat cases, and the majority of patients with enterocolitis have a better prognosis.

  • Zhe-feng SUN
    Chinese Journal of New Drugs. 2026, 35(18): 1944-1951.
    Objective:

    To summarize the information-based initiatives for collaborative medical products administration promoted by international organizations, with the aim of further clarifying internationally accepted administration rules, supporting the expansion of openness and cooperation in the pharmaceutical industry, and further advancing the empowerment of regulation through information technology.

    Methods:

    A combination of website and literature research was used to review the policies and actions of international medical products administration organizations, including the Identification of Medicinal Products (IDMP) and Pharmaceutical Quality Knowledge Management (PQKM).

    Results:

    Two core initiatives of international collaborative information-based administration for medical products: the IDMP standard and its application scenarios, and the IDMP-based PQKM system, were identified. The implementation progress in the countries and regions such as the United States and the European Union was also summarized, as well as the pilot outcomes of the International Coalition of Medicines Regulatory Authorities (ICMRA).

    Conclusion:

    The study proposes implications and recommendations for the informationization department of national medical products administration, including continuous attention to international development, coordinated management of development and data security.