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Sample Chapter
Sample Chapter

... For example, by measuring plasma concentrations, it appears that digoxin distributes in approximately 440 L in an adult. Because digoxin binds extensively to muscle tissue, plasma levels are fairly low relative to concentrations in muscle tissue. For other drugs, tissue concentrations may not be as ...
AusPAR: Eltrombopag
AusPAR: Eltrombopag

... A number of significant deficiencies in the application data were identified during the initial assessment, as follows: Drug substance ...
part2 nr4 Jean-Marc Vidal
part2 nr4 Jean-Marc Vidal

Lilly A.  Johnson 4041  Lauri Jo  Drive
Lilly A. Johnson 4041 Lauri Jo Drive

... on the new product. An accelerated aging process may be used to test a new formulation; however, if the stability testing is not successful, and if further reformulation is required, there could be a further delay in having a new product available for manufacture. The agency wishes to establish a re ...
03/11/11 - Magellan Rx Management
03/11/11 - Magellan Rx Management

... The dosage and administration information, per the manufacturer’s package insert information, states “the recommended starting dose of Kuvan is 10 mg/kg/day taken once daily. Response to therapy is determined by change in blood Phe following treatment with Kuvan at 10 mg/kg/day for a period of up to ...
Poison
Poison

... references to plant poisons in De Historia Plantarum (is also  considered "the father" of toxicology) Mathieu Orfila is considered to be the modern father of  toxicology, having given the subject its first formal treatment in  1813 in his Traité des poisons, also called Toxicologie générale. ...
Low Molecular Weight Heparins : Basic and Applied Considerations
Low Molecular Weight Heparins : Basic and Applied Considerations

... to standardize LMWHs based on their biologic and physiochemical properties have failed. Each LMWH has distinct properties which are largely dependent on the molecular composition. Each LMWH differs in its biochemical, physicochemical, clinical and pharmacological profile and thus these products are ...
Sample Chapter
Sample Chapter

... Birth defects, together with deformations and chromosomal abnormalities, are a leading cause of neonatal and postneonatal deaths and carry a high social and economic impact. According to the most recent analysis in 1992, the estimated lifetime cost for all infants with one or more of the 18 most c ...
New benchmarks are needed: The experience with completing confirmatory trials... cancer drug indications that received accelerated approval by the Food...
New benchmarks are needed: The experience with completing confirmatory trials... cancer drug indications that received accelerated approval by the Food...

... enroll in phase III subpart H commitment trials where there is a high probability that they will not receive a drug that has recently received AA from the FDA. Similarly, after a novel drug is commercially available, physicians often view confirmatory trials as violations of equipoise, and are there ...
Bayer Aspirin Complex 500mg/30mg Granules for Oral Suspension
Bayer Aspirin Complex 500mg/30mg Granules for Oral Suspension

... The limited data on pseudoephedrine in pregnancy does not show evidence for an increased risk for malformations. Nevertheless, pseudoephedrine should not be taken during pregnancy. In animal studies both active substances have shown reproductive toxicity (see section 5.3). Fertility There is some ev ...
Preparation, Optimization and In Vivo Evaluation of Eletriptan Hbr
Preparation, Optimization and In Vivo Evaluation of Eletriptan Hbr

Estimating the “First in human” dose – a revisit with particular
Estimating the “First in human” dose – a revisit with particular

... the default safety factor is 10. This is a historically accepted value, but should be evaluated based on available information. For instance, the safety factor should be increased in situations in which steep dose– response curve, severe/irreversible toxicities, unexplained mortality, variability in ...
The Family Practice Newsletter
The Family Practice Newsletter

... furthering this problem. In the US alone, this primarily affects the utilization of albuterol inhalers, of which 52 million prescriptions are filled annually. However, all inhalers which contain CFCs are affected by this ruling. HFA inhalers will not only be more expensive, but the new devices may b ...
Drug-Associated Disease: Cytochrome P450 Interactions
Drug-Associated Disease: Cytochrome P450 Interactions

9th International Workshop on Clinical
9th International Workshop on Clinical

... including first-order absorption with and without lag time as well as using an absorption transit compartment model. Inter-individual variability was explored in all parameters. Inter-occasion variability was explored in all parameters except the parameters relating to the auto-induction. Results: T ...
Drugs and the Drug Laws: Historical and Cultural Contexts
Drugs and the Drug Laws: Historical and Cultural Contexts

... them” mentality frames the public debate, eventually singling out certain psychoactive substances more for their perceived relationship to unpopular social groups than for any deleterious effects of the drugs themselves.23 Thus, drug prohibition has been a means through which dominant cultural or so ...
TAG Mail 2 December 2015 The purpose of TAG Mail is to assist
TAG Mail 2 December 2015 The purpose of TAG Mail is to assist

... unresectable or metastatic gastrointestinal stromal tumours (GIST) who progressed on or are intolerant to prior treatment with imatinib and sunitinib. https://www.tga.gov.au/auspar/auspar-regorafenib-0 - AusPAR added: Certolizumab pegol (Cimzia R) extension of indication. Approved for rheumatoid art ...
MICROSPONGE DELIVERY SYSTEM (MDS): A UNIQUE
MICROSPONGE DELIVERY SYSTEM (MDS): A UNIQUE

Department of Family and Protective Services - 2013 Psychotropic Medication Utilization Parameters
Department of Family and Protective Services - 2013 Psychotropic Medication Utilization Parameters

... associated with being a child in foster care, psychotherapy should generally begin before or concurrent with prescription of a psy­ chotropic medication. Referral for traumainformed, evidence based psychotherapy should be considered when available and appropriate. Patient and caregiver educa­ tion s ...
Drug-like properties and the causes of poor solubility
Drug-like properties and the causes of poor solubility

525_09_lecture2
525_09_lecture2

... •Long history of use •The mechanism was thought to be urine acidification •Now E. coli (other pathogens also) adhesion inhibitors are known to be present but not in other juices. Several proanthocyanidins are likely the active compounds •Need about 8-16 oz (240-480ml) of juice (not drink or cocktail ...
Notes of the design of bioequivalence study: emtricitabine/tenofovir
Notes of the design of bioequivalence study: emtricitabine/tenofovir

... Notes on the design of bioequivalence studies with products invited for submission to the WHO Prequalification Team: medicines (PQTm) are issued to aid manufacturers with the development of their product dossier. Deviations from the approach suggested below may be considered acceptable if justified ...
Human Research Seminar Series  Humanitarian Devices and Emergency Use Procedures
Human Research Seminar Series Humanitarian Devices and Emergency Use Procedures

... d. Obtain CCI/IRB acknowledgement prior to the use of the drug or biologic when required by the manufacturer/sponsor. i. In such instances the physician must submit to the CCI/IRB the Request for Emergency Use of Investigational Drug or Biologic Form. The IRB Chair or designee will provide the physi ...
2012 פברואר ה
2012 פברואר ה

... preparations may decrease the effectiveness of latex contraceptive agents. Therefore, GYNO-DAKTARIN products should not be used concurrently with a latex condom or latex diaphragm. ...
Understanding Physicochemical Properties for
Understanding Physicochemical Properties for

... Acid/base dissociation is a simple concept, yet has significant influences on almost all other physicochemical properties. Salt formation is well built upon the dissociation concept, which has been extensively exploited during active pharmaceutical ingredient (API) manufacture for purpose of purific ...
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Biosimilar

A biosimilar (also known as follow-on biologic or subsequent entry biologic) is a biologic medical product which is a copy of an original product that is manufactured by a different company. Biosimilars are officially approved versions of original ""innovator"" products, and can be manufactured when the original product's patent expires. Reference to the innovator product is an integral component of the approval.Unlike the more common small-molecule drugs, biologics generally exhibit high molecular complexity, and may be quite sensitive to changes in manufacturing processes. Follow-on manufacturers do not have access to the originator's molecular clone and original cell bank, nor to the exact fermentation and purification process, nor to the active drug substance. They do have access to the commercialized innovator product.Drug related authorities such as European Medicines Agency (EMA), Food and Drug Administration (FDA), and Health Canada hold their own guidance on requirements for demonstration of the similar nature of two biological products in terms of safety and efficacy. According to them, analytical studies that demonstrate that the biological product is highly similar to the reference product notwithstanding minor differences in clinically inactive components; animal studies (including the assessment of toxicity); and a clinical study or studies (including the assessment of immunogenicity and pharmacokinetics or pharmacodynamics) that are sufficient to demonstrate safety, purity, and potency in one or more appropriate conditions of use for which the reference product is licensed and intended to be used and for which licensure is sought for the biological product.In case of a monoclonal antibody-containing medicinal product, such as Remsima, extensive physicochemical and biological characterization for it and its reference product Remicade was conducted in order to demonstrate their highly similar properties. Consequently, EMA have granted a marketing authorisation for only a few numbers of biosimilars since 2006 including a monoclonal antibody which is recently approved. Meanwhile, on March 6, 2015, the FDA approved the United States's first biosimilar product, the biosimilar filgrastim Zarxio.
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