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  • Xiao-meng CHONG, Ye TIAN, Shang-chen YAO, Li-hui YIN, Ying LIU, Ming-zhe XU
    Chinese Journal of New Drugs. 2021, 30(14): 1334-1339.
    Objective:

    To analyze polymer impurities in cefathiamidine for injection by different methods, and compare the advantages and disadvantages of the specificity of different methods.

    Methods:

    By using Sephadex G-10 System, high performance gel chromatography and column switching-LC-MSn method, the polymers in cefathiamidine for injection from 11 manufacturers were analyzed.

    Results:

    No polymer was detected by Sephadex G10 System, high performance gel chromatography could detect polymer impurities, the structure of the components separated by high performance gel chromatography system was confirmed by the column switching-LC-MSn method.

    Conclusion:

    It was proved that there were some polymer impurities in cefathiamidine for injection, the Sephadex G10 System and high performance gel chromatography had poor specificity, and macromolecular polymers and small molecular impurities could not be separated and qualitatively analyzed. This study laid the foundation to further establish a better specificity method.

  • Yang LIU, Yao WANG, Chang-hong MENG, Yi-hong LU
    Chinese Journal of New Drugs. 2021, 30(14): 1340-1344.
    Objective:

    To verify the method of bacterial endotoxin test for octreotide acetate microspheres for injection.

    Methods:

    According to the bacterial endotoxin test method of Chinese Pharmacopoeia (2020 edition), octreotide acetate microspheres for injection was dissolved by DMSO and diluted with water. Interference test and endotoxin recovery test were carried out with two manufacturers' gel limulus amebocyte lysate.

    Results:

    There was no interference between bacterial endotoxin and limulus reagent when the concentration of octreotide acetate microspheres for injection was diluted to 0.007 mg·mL-1. The recovery of bacterial endotoxin in DMSO solution was between 50% and 200%. DMSO can be used for dissolving octreotide acetate microsphere to perform bacterial endotoxin test.

    Conclusion:

    Bacterial endotoxin test is suitable for the detection of octreotide acetate microspheres for injection.

  • Jian-zhou YAN, Jia-wen ZHU, Yan-yun CHEN, Jia-yuan LIU
    Chinese Journal of New Drugs. 2021, 30(13): 1153-1159.

    The purpose of this paper is to provide reference for improving the incentive policies of innovative drug research and development in China. Taking Takeda Pharmaceutical Co., Ltd. as an empirical research object, and on the basis of combing Japan's innovative drug R&D incentive policies in terms of R&D support, registration review and approval, intellectual property rights and drug pricing, this paper analyzes how relevant policies encourage enterprises to innovate and develop from the aspects of mechanism and implementation effect. The results show that Takeda Pharmaceutical has achieved innovation transformation under a series of supports of innovative drug research and development incentive policies in Japan. In order to improve the related incentive policy in China, our country should learn from Japan's experience and take incentive measures, such as enhancing the commercial development of scientific research achievements, perfecting the intellectual property financing system, establishing and perfecting the drug data protection system and perfecting the price formation mechanism of innovative drugs.

  • Wan-ting LI, Jia-hui QIAO, Ling-quan MENG, Gui-yu LIAN, Zhe HUANG, Yu-wen CHEN
    Chinese Journal of New Drugs. 2021, 30(13): 1160-1163.

    Traditional clinical trials that are randomized and controlled have exposed some deficiencies in the process of long-term use, prompting a growing number of researchers to look at real-world evidence (RWE). As an important basis of real-world study (RWS), real-world data (RWD) determine whether the RWS is qualified for supervision and review of institutions with reliable RWE. There are some problems about RWD, including unstructured and fragmented data, poor accessibility, lack of standards to standardize data, research design that is not rigorous, failure to control the applicability of RWD, etc. These problems will greatly affect the quality of RWD. Aiming to resolve the above problems, this paper provides six suggestions in order to provide a reference to improve the quality of RWD, including strengthening the management of RWD in medical institutions, improving RWD sharing mechanism, standardizing RWD according to data standards in RWS, collecting RWD according to rigorous research design, defining the responsibilities of personnel related to RWD quality and strictly controlling the applicability of RWD.

  • Dong LI, Hong-jin DU, Yu ZHOU, Dong LIU, Yi-lin LIU, Li-li HA, Fang LI, Jin-bo YANG
    Chinese Journal of New Drugs. 2021, 30(13): 1164-1167.

    Generic drug has made a large contribution to our medical security system; however, the pharmaceutical industry starts late in China and there still exists a wide gap between generic drugs and original drugs. Given this situation, the generic drug consistency evaluation is extremely meaningful to ensure the efficacy and safety of generic drugs, and it is impressive for improving the integral level of pharmaceutical industry. This article discusses the relevant policies of the generic drug consistency evaluation in China, such as ensuring the consistency between generic drugs and original drugs, establishment of the strict review and supervision system, etc. At the same time, this article also outlines the relevant drug policies and their development process in US Food and Drug Administration (FDA) and Japan Pharmaceuticals and Medical Devices Agency (PMDA). We expect that the comparison and analysis would be benefit to the generic drug consistency evaluation in our country.

  • Ting WANG, Wen-xiao WU, Zhi LIN, Chao WANG, Yan-wei YANG, Yu-fa MIAO, Xing-chao GENG, Bo LI
    Chinese Journal of New Drugs. 2021, 30(13): 1168-1175.
    Objective:

    To explore the potential hepatocarcinogenic effect of aristolochic acid I (AAI) on 2-week-old C3H/HeN suckling mice and its possible mechanism.

    Methods:

    Two-week-old C3H/HeN suckling mice were randomly divided into 3 groups, i.e., the vehicle control group (0.5% CMC-Na), the liver cancer positive agent model group (DEN 20 mg·kg-1) and the AAI group (AAI 10 mg·kg-1). After 9 months of observation after a single administration, the organs were taken for gross pathological and histopathological examination, and the levels of serum biochemical indicators such as ALT, AST and AFP in mice were detected. At the same time, the contents of IL-1β and IL-6, the expression of Ki67, CK19, NF-κB P65, Ras, Raf, and caspase-3 in mouse liver were detected.

    Results:

    In this experiment, AAI caused liver cancer in C3H/HeN suckling mice. The incidence of liver cancer in male and female mice were 78.57% and 41.67%, respectively. Compared with the vehicle control group, the levels of ALT, AST, AFP, IL-1β and IL-6 in the AAI group were significantly increased, and the expression of Ki67 and CK19 in liver were positive. The results of Western blot showed that AAI significantly increased the expression of NF-κB P65, P-AKT, Ras, C-Jun, C-Fos, C-MYC and Bcl-2, and significantly decreased the expression of IKBα, Bax and Caspase-3.

    Conclusion:

    In this experiment, AAI caused liver cancer in 2-week-old C3H/HeN suckling mice. The mechanism may be related to the activation of PI3K/AKT inflammatory pathway in hepatocytes, Ras/AP1/C-MYC proliferation pathway and the inhibition of Bax/Bcl-2/Caspase-3 Mitochondrial apoptosis pathway.

  • Xiao-hang LIU, Liang ZHANG, Xin-rong LI, Yu SHAN, Xiao-li GAO
    Chinese Journal of New Drugs. 2021, 30(13): 1176-1183.
    Objective:

    Taking major components of conjugated estrogen (CE), sodium equilin sulfate (EqS) and sodium estrone sulfate (ES), as examples to investigate their absorption characteristics in the rat intestine, and to evaluate two intestinal models.

    Methods:

    Determination method of EqS and ES using atenolol as an internal standard by HPLC was delevloped. Models of in situ single-pass intestinal perfusions (SPIP) and Ussing Chamber rat intestine were applied for this study. The samples of intestinal sac fluid and receiving fluid at different time points after dosages of EqS+ES and atenolol. The parameters of effective permeability (Peff) and apparent permeability (Papp) were calculated and compared with that of atenolol.

    Results:

    The linearity of the HPLC analysis methods for the two intestinal models is well correlated within a certain concentration range (r>0.999), the intra-day and inter-day precisions are both below 15%, the accuracy is between 85%~115%, and the recovery is greater than 70%. In SPIP rat model, no statistical difference was found between the Peff of EqS+ES (jejunum: 0.22±0.07×10-4, cm·s-1; ileum: 0.24±0.08×10-4, cm·s-1) and atenolol (jejunum: 0.18±0.11×10-4, cm·s-1; ileum: 0.32±0.15×10-4, cm·s-1) in jejunum and ileum (P空=0.373; P回=0.128). In Ussing Chamber rat intestine model, EqS+ES and atenolol were absorbed in all intestinal segments of rats (duodenum: 1.83±0.77×10-6, cm·s-1, 5.46±0.80×10-6, cm·s-1; jejunum: 6.93±1.43×10-6, cm·s-1, 10.04±1.16×10-6, cm·s-1; ileum: 6.96±1.28×10-6, cm·s-1, 6.28±0.82×10-6; colon: 10.03±2.07×10-6, cm·s-1, 11.09±1.08×10-6, cm·s-1). There was no statistical difference between Papp of EqS+ES and atenolol in the ileum and colon (Pileum=0.251; Pcolon=0.263). Atenolol is a alkaline compound, the permeability of which in ileum was higher than that in Jejunum theoretically. The in vitro model differs from the theory.

    Conclusion:

    CE can be considered as a drug with moderate permeability. SPIP rat model among the two models seems more accurate and reliable.

  • Bo LIU, Si-da RUAN, Ting CAI
    Chinese Journal of New Drugs. 2021, 30(13): 1184-1191.

    Glucagon-like peptide-1 (GLP-1), considered as an effective peptide for the treatment of diabetes, can stimulate insulin secretion in response to rising glucose. Moreover, the novel peptide is becoming a new choice to treat type II diabetes. Nevertheless, the half-life of GLP-1 (approximately 1~2 min) is short, limiting its clinical application in diabetes. GLP-1-loaded PLGA microspheres have drawn more attentions in recent years. In this article, we introduces the preparation methods for encapsulation of GLP-1 in preparing PLGA microspheres. In order to solve the shortcomings of large burst release and drug degradation of traditional microspheres, some novel microsphere formulations (double-wall microspheres, self-healing microspheres and other new formulations of microspheres) are summarized. The new formulations effectively enhance protein stability and long-acting efficiency is achieved, providing new strategies for developing protein-loaded microspheres.

  • Fang-ming ZHU, Xiao-qing CAI, Chang CUI, Hong-xi GUO, Ting-ting LU, Dao-jun XU
    Chinese Journal of New Drugs. 2021, 30(13): 1192-1199.

    Universal CAR-T cell technology belongs to the universal T cell technology based on gene editing in general CAR-T. It knocks out the signal receptor factor of T cell through gene editing, and produces CAR-T cell by using modified T cell from healthy volunteers; therefore it will not cause immune rejection such as graft versus host disease (GvHD) and host versus graft reaction (HvGR) after infusion. In animal experiments and early clinical trials, UCAR-T technology shows significant anti-tumor effect, wide applicability and tremendous application potentials. In terms of industrialization, UCAR-T cell technology is expected to solve the problems of high cost in designing and culturing autologous CAR-T preparations, of long preparation cycle, difficult quality control, insufficient cell quantity and expansion capacity, because of its unique features such as quality controllable, off-the-shelf, and easy for large-scale preparation, etc. This paper introduces the current research progress and existing problems of UCAR-T cells, and conducts a preliminary analysis of the existing problems, providing a reference for the fundamental research and clinical trials of UCAR-T cells.

  • Yan-ting WANG, Yuan-yuan DAI, Yang-chun SUN, Guo-hui LI
    Chinese Journal of New Drugs. 2021, 30(13): 1200-1206.

    Poly ADP ribose polymerase (PARP) inhibitors are anti-tumor drugs targeting PARP enzymes. They have been approved by the US Food and Drug Administration (FDA) for the treatment of ovarian cancer, breast cancer, prostate cancer and pancreatic cancer. Additionally, National Medical Products Administration of China has also approved them for ovarian cancer. So far, PARP inhibitors have changed the traditional treatment mode for ovarian cancer. This article conducts literature review for PARP inhibitors in aspects of mechanisms of action, indications, pharmacokinetics, clinical application, and key points for pharmaceutical care, so as to provide reference to clinicians for rational use in clinical and pharmacy service for PARP inhibitors.