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Beyond Side Effect: Immuno-Ethical Risk Analysis of Animal-Derived Ingredients in Pharmaceuticals
Yedi Herdiana1, Dolih Gozali1, Norisca Aliza Putriana1
1Department of Pharmaceutics and Pharmaceutical Technology, Faculty of Pharmacy, Universitas Padjadjaran, Sumedang, West Java, Indonesia.
Animal-derived ingredients in drugs pose risks like alpha-gal syndrome (AGS) and ethical conflicts. Developing animal-free alternatives (AFAs) is crucial, but challenges in scalability and cost remain for wider adoption.
Area of Science:
- Biomedical Science
- Pharmaceutical Science
- Bioethics
Background:
- Animal-derived ingredients (ADIs) constitute a significant portion of prescription drugs, presenting risks such as alpha-gal syndrome (AGS), ethical-religious concerns, and supply chain opacity.
- The reliance on ADIs necessitates a thorough evaluation and the promotion of animal-free alternatives (AFAs) in pharmaceutical development.
Purpose of the Study:
- To critically review the persistence of ADIs in pharmaceuticals.
- To analyze the risks associated with ADIs, including biological (e.g., AGS) and religious (e.g., Halal) factors.
- To evaluate the progress and challenges of developing and implementing AFAs.
Main Methods:
- A comprehensive literature review synthesizing evidence from biomedical, regulatory, and ethical domains.
- Development of a dual risk stratification framework integrating immunological profiles (galactose-α-1,3-galactose epitope) and Halal jurisprudential criteria.
- Assessment of existing AFAs (plant-based, recombinant, synthetic) and supporting regulatory initiatives.
Main Results:
- ADIs remain prevalent due to their functional, regulatory, and biocompatibility benefits in medical products.
- A dual risk framework effectively categorizes pharmaceutical ingredients based on immunological and religious criteria.
- While AFAs are advancing, significant hurdles in scalability, cost-effectiveness, and bioequivalence persist.
Conclusions:
- The transition to AFAs is essential for patient safety, ethical considerations, and supply chain transparency.
- Overcoming challenges in AFA development and implementation requires a unified scientific, ethical, and religious framework.
- Accelerating the adoption of safe, inclusive AFAs is critical for patient autonomy and well-being.
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