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FDA Approved Drugs: Changes to Approved Drugs01:26

FDA Approved Drugs: Changes to Approved Drugs

275
Post-approval, manufacturers may modify an approved new or generic drug product. Such modifications can encompass alterations in the Active Pharmaceutical Ingredient (API), manufacturing process, formulation, batch size, manufacturing site, and container closure system (FDA Guidance for Industry, April 2004). Often, a drug product may undergo multiple changes.These modifications require careful evaluation to determine their potential impact on the drug product's identity, strength, quality,...
275
Pharmaceutical Equivalents01:26

Pharmaceutical Equivalents

208
As defined by regulatory standards, pharmaceutical equivalents require generic drug products to have identical dosage forms and chemically identical active pharmaceutical ingredients (APIs). They must adhere to compendial or applicable standards for potency, content uniformity, disintegration times, and dissolution rates. In the case of modified-release dosage forms, variations in drug content are permissible as long as the delivered amount remains consistent with the innovator drug product.
208
Pharmaceutical Alternatives: Stability-Related Therapeutic Nonequivalence01:22

Pharmaceutical Alternatives: Stability-Related Therapeutic Nonequivalence

203
Generic intravenous (IV) drugs are considered bioequivalent to their branded counterparts due to their 100% bioavailability upon administration. However, variations in stability among different drug products can significantly influence their therapeutic performance, even if they are pharmaceutically equivalent.Cefuroxime, a prophylactic antimicrobial, is often used as a single-dose IV injection for patients undergoing coronary artery bypass grafting surgery. A 3 g dose typically provides...
203
Pharmaceutical Alternatives: Excipients and Impurities-Related Therapeutic Nonequivalence01:19

Pharmaceutical Alternatives: Excipients and Impurities-Related Therapeutic Nonequivalence

189
Pharmaceutical products contain more than just the active drug; they also contain various excipients such as binders, solubilizers, stabilizers, preservatives, and other elements. In some cases, impurities or contaminants might be present. Traditionally, quality control in pharmaceuticals has primarily focused on the analysis of the active drug, often overlooking the impact of these additional components. The recent issue with heparin contamination by over-sulfated chondroitin sulfate, a...
189
Factors Influencing Drug Absorption: Pharmaceutical Parameters01:28

Factors Influencing Drug Absorption: Pharmaceutical Parameters

572
Solid dosage forms such as tablets and capsules undergo rigorous manufacturing processes to ensure stability and effectiveness. Their dissolution and absorption properties are influenced significantly by the choice of excipients (inactive ingredients that serve various roles in the formulation), and the methodology applied during production. The manufacturing parameters, such as compression force and granulation techniques, significantly affect dissolution rates. Elevated compression forces...
572
Pharmaceutical Alternatives: Polymorphic Form-Related and Particle Size-Related Therapeutic Nonequivalence01:27

Pharmaceutical Alternatives: Polymorphic Form-Related and Particle Size-Related Therapeutic Nonequivalence

179
Changes in polymorphic forms can significantly influence the bioavailability of poorly soluble drugs. Although the FDA defines pharmaceutical equivalence based on having the same active ingredient, dosage form, and route of administration, it does not automatically disqualify products with different polymorphic forms. This means two products with different polymorphs can still be deemed pharmaceutically equivalent. However, polymorphic differences can affect properties like wettability,...
179

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Related Experiment Video

Updated: Feb 12, 2026

Failure of Cleaning Verification in Pharmaceutical Industry Due to Uncleanliness of Stainless Steel Surface
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Pharmaceutical Approval Update.

Mary Choy

    P & T : a Peer-Reviewed Journal for Formulary Management
    |April 7, 2018
    PubMed
    Summary
    This summary is machine-generated.

    Three novel therapies offer new hope for patients. Netarsudil ophthalmic solution targets elevated intraocular pressure, ertugliflozin aids type-2 diabetes management, and lutetium lu 177 dotatate treats specific neuroendocrine tumors.

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    Area of Science:

    • Pharmacology and Therapeutics
    • Oncology
    • Endocrinology

    Background:

    • Elevated intraocular pressure (IOP) is a significant risk factor for glaucoma.
    • Type-2 diabetes mellitus affects millions globally, requiring effective glycemic control.
    • Gastroenteropancreatic neuroendocrine tumors (GEP-NETs) represent a challenging group of rare cancers.

    Purpose of the Study:

    • To review the therapeutic applications of three recently approved or investigated drugs.
    • To highlight advancements in treating elevated intraocular pressure, type-2 diabetes, and GEP-NETs.

    Main Methods:

    • Review of clinical trial data and regulatory submissions for Netarsudil, Ertugliflozin, and Lutetium Lu 177 Dotatate.
    • Analysis of efficacy and safety profiles for each therapeutic agent.

    Main Results:

    • Netarsudil ophthalmic solution demonstrates efficacy in reducing intraocular pressure.
    • Ertugliflozin (Steglatro) provides a new option for glycemic control in adults with type-2 diabetes.
    • Lutetium Lu 177 Dotatate (Lutathera) shows promise in treating certain gastroenteropancreatic neuroendocrine tumors.

    Conclusions:

    • These agents represent significant therapeutic progress in ophthalmology, endocrinology, and oncology.
    • Further research and clinical experience will continue to define the roles of these important new treatments.