Fixed-Dose Combinations for HIV/AIDS, Tuberculosis, and Malaria - Report of a Meeting Held 16-18 December 2003 Geneva
(2003; 199 pages) Ver el documento en el formato PDF
Índice de contenido
Abrir esta carpeta y ver su contenidoSummary: Observations and some ways forward
Abrir esta carpeta y ver su contenidoWelcome
Abrir esta carpeta y ver su contenidoFixed-dose combinations for tuberculosis: lessons learned from a clinical, formulation and regulatory perspective
Abrir esta carpeta y ver su contenidoProduct costs of fixed-dose combination tablets in comparison with separate dispensing and or co-blistering of antituberculosis drugs
Abrir esta carpeta y ver su contenidoFixed-dose combinations: artemisinin-based combination therapies for malaria treatment
Abrir esta carpeta y ver su contenidoDeveloping combinations of drugs for malaria examination of critical issues and lessons learnt
Abrir esta carpeta y ver su contenidoSafety and long-term effectiveness of generic fixed-dose formulations of nevirapine-based HAART amongst antiretroviral-naïve HIV-infected patients in India
Abrir esta carpeta y ver su contenidoEffect of introduction of fixed-dose combinations on the drug supply chain: experiences from the field
Abrir esta carpeta y ver su contenidoEffect of fixed-dose combination (FDC) medications on adherence and treatment outcomes
Abrir esta carpeta y ver su contenidoEffect of fixed-dose combination (FDC) drugs on development of clinical antimicrobial resistance: a review paper
Abrir esta carpeta y ver su contenidoFixed-dose combination (FDC) drugs availability and use as a global public health necessity: intellectual property and other legal issues
Cerrar esta carpetaPharmaceutical development and quality assurance of FDCs
Ver el documentoAbstract
Ver el documentoIntroduction
Ver el documentoPreformulation studies
Ver el documentoSome examples of the relevance of the properties of the API to product formulation!
Ver el documentoGood Manufacturing Practice (GMP)
Ver el documentoIssues that may arise in the formulation of FDCs that do not arise for single entity products include:
Ver el documentoChanges to registered products (variations)
Ver el documentoQuality control of FDCs
Ver el documentoRecommendations
Ver el documentoReferences
Ver el documentoAnnotated agenda
Ver el documentoList of participants
 

Recommendations

The following recommendations are intended to facilitate the development and quality control of the FDCs that are the subject of this meeting. They are not necessarily listed in order of priority.

Pharmaceutical development

1 Publish formulations and methods of manufacture for the FDCs in question.

2 Consider the possibility of WHO purchasing a registration package for a generic and making it publicly available. Such a package would include inter alia formulation, method of manufacture (with in- process controls and limits), methods of QC testing and limits, stability data, bioavailability data.

3 Publish preformulation information on the drugs in question, including information on stability. The format of the series Analytical profiles of drugs substances and excipients42 could serve as a model.

4 Determine whether the Biopharmaceutical Classification System3 can reliably be applied to FDCs. If yes, then ascertain the GI permeability of of the drugs in question.


Quality control

5 Develop and publish monographs on the individual APIs and finished products in question where these do not already exist.

6 Ensure that reference standards are available for the drugs in question, and at a price that is acceptable to the manufacturers and the regulatory authorities involved.

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Última actualización: le 24 abril 2012