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FDA Approved Drugs: Changes to Approved Drugs01:26

FDA Approved Drugs: Changes to Approved Drugs

268
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,...
268
Pharmaceutical Equivalents01:26

Pharmaceutical Equivalents

201
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.
201
Pharmaceutical Alternatives: Stability-Related Therapeutic Nonequivalence01:22

Pharmaceutical Alternatives: Stability-Related Therapeutic Nonequivalence

198
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...
198
Pharmaceutical Alternatives: Excipients and Impurities-Related Therapeutic Nonequivalence01:19

Pharmaceutical Alternatives: Excipients and Impurities-Related Therapeutic Nonequivalence

187
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...
187
Factors Influencing Drug Absorption: Pharmaceutical Parameters01:28

Factors Influencing Drug Absorption: Pharmaceutical Parameters

525
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...
525
Pharmaceutical Alternatives: Polymorphic Form-Related and Particle Size-Related Therapeutic Nonequivalence01:27

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

175
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,...
175

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Related Experiment Video

Updated: Jan 31, 2026

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

Michele B Kaufman

    P & T : a Peer-Reviewed Journal for Formulary Management
    |December 19, 2018
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    Summary
    This summary is machine-generated.

    This summary covers three novel therapies: Mulpleta for thrombocytopenia, Ajovy for migraine, and Takhzyro for hereditary angioedema. These treatments offer new options for patients with these specific medical conditions.

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    Area of Science:

    • Pharmacology and Therapeutics
    • Immunology
    • Hematology

    Background:

    • Thrombocytopenia, migraine, and hereditary angioedema represent significant unmet medical needs.
    • Existing treatments may have limitations in efficacy or side effect profiles.
    • Advancements in targeted therapies are crucial for improving patient outcomes.

    Purpose of the Study:

    • To review the efficacy and safety of Mulpleta (lusutrombopag) in treating thrombocytopenia.
    • To evaluate the clinical utility of Ajovy (fremenezumab-vfrm) for migraine prevention.
    • To assess the effectiveness of Takhzyro (lanadelumab-flyo) in managing hereditary angioedema attacks.

    Main Methods:

    • Review of clinical trial data and real-world evidence for each therapeutic agent.
    • Analysis of pharmacokinetic and pharmacodynamic profiles.
    • Assessment of patient-reported outcomes and adverse event data.

    Main Results:

    • Mulpleta demonstrated significant increases in platelet counts in patients with thrombocytopenia.
    • Ajovy showed a reduction in monthly migraine days compared to placebo.
    • Takhzyro significantly decreased the frequency of hereditary angioedema attacks.

    Conclusions:

    • Lusutrombopag (Mulpleta) offers a valuable therapeutic option for thrombocytopenia.
    • Fremenezumab-vfrm (Ajovy) provides an effective preventive treatment for migraine.
    • Lanadelumab-flyo (Takhzyro) is a key advancement in the management of hereditary angioedema.