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Khanolkar A, Patil B, Thorat V, Samanta G. Development of Inline Near-Infrared Spectroscopy Method for Real-Time Monitoring of Blend Uniformity of Direct Compression and Granulation-Based Products at Commercial Scales. AAPS PharmSciTech 2022; 23:235. [PMID: 36002672 DOI: 10.1208/s12249-022-02392-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2022] [Accepted: 08/08/2022] [Indexed: 11/30/2022] Open
Abstract
Blending is a critical intermediate unit operation for all solid oral formulations. For blend uniformity testing, API content in the blend must be quantified precisely. A detailed study was conducted to demonstrate the suitability of inline NIR (near-infrared) spectroscopy for blend uniformity testing of two solid oral formulations: existing direct compression (DC) product with a multistep blending process and granulation-based product with API granules. Both qualitative and quantitative methods were developed at a laboratory scale using statistical moving block standard deviation (MBSD) and multivariate data analysis such as principal component analysis (PCA) and partial least squares (PLS) regression. The qualitative MBSD method demonstrated that there was no need for multiple steps for the existing DC product. Hence, a simplified single-step process was developed for blending. Quantitative PLS models for blending processes of both the products were developed, validated, and successfully implemented at a commercial scale for the real-time release of blends. Results obtained from the validated model were in good agreement with the current method of sampling and chromatography.
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Affiliation(s)
- Aruna Khanolkar
- QbD Department, Integrated Product Development, Cipla Ltd., Maharashtra, Mumbai, India
| | - Bhaskar Patil
- QbD Department, Integrated Product Development, Cipla Ltd., Maharashtra, Mumbai, India
| | - Viraj Thorat
- QbD Department, Integrated Product Development, Cipla Ltd., Maharashtra, Mumbai, India
| | - Gautam Samanta
- QbD Department, Integrated Product Development, Cipla Ltd., Maharashtra, Mumbai, India.
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Joshi R, Sathasivam R, Jayapal PK, Patel AK, Nguyen BV, Faqeerzada MA, Park SU, Lee SH, Kim MS, Baek I, Cho BK. Comparative Determination of Phenolic Compounds in Arabidopsis thaliana Leaf Powder under Distinct Stress Conditions Using Fourier-Transform Infrared (FT-IR) and Near-Infrared (FT-NIR) Spectroscopy. PLANTS 2022; 11:plants11070836. [PMID: 35406816 PMCID: PMC9003000 DOI: 10.3390/plants11070836] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/27/2022] [Revised: 03/14/2022] [Accepted: 03/19/2022] [Indexed: 11/29/2022]
Abstract
The increasing interest in plant phenolic compounds in the past few years has become necessary because of their several important physicochemical properties. Thus, their identification through non-destructive methods has become crucial. This study carried out comparative non-destructive measurements of Arabidopsis thaliana leaf powder sample phenolic compounds using Fourier-transform infrared and near-infrared spectroscopic techniques under six distinct stress conditions. The prediction analysis of 600 leaf powder samples under different stress conditions (LED lights and drought) was performed using PLSR, PCR, and NAS-based HLA/GO regression analysis methods. The results obtained through FT-NIR spectroscopy yielded the highest correlation coefficient (Rp2) value of 0.999, with a minimum error (RMSEP) value of 0.003 mg/g, based on the PLSR model using the MSC preprocessing method, which was slightly better than the correlation coefficient (Rp2) value of 0.980 with an error (RMSEP) value of 0.055 mg/g for FT-IR spectroscopy. Additionally, beta coefficient plots present spectral differences and the identification of important spectral signatures sensitive to the phenolic compounds in the measured powdered samples. Thus, the obtained results demonstrated that FT-NIR spectroscopy combined with partial least squares regression (PLSR) and suitable preprocessing method has a solid potential for non-destructively predicting phenolic compounds in Arabidopsis thaliana leaf powder samples.
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Affiliation(s)
- Rahul Joshi
- Department of Biosystems Machinery Engineering, College of Agricultural and Life Science, Chungnam National University, Daejeon 34134, Korea; (R.J.); (P.K.J.); (A.K.P.); (M.A.F.); (S.H.L.)
| | - Ramaraj Sathasivam
- Department of Crop Science, Chungnam National University, 99 Daehak-ro, Yuseong-gu, Daejeon 34134, Korea; (R.S.); (B.V.N.); (S.U.P.)
| | - Praveen Kumar Jayapal
- Department of Biosystems Machinery Engineering, College of Agricultural and Life Science, Chungnam National University, Daejeon 34134, Korea; (R.J.); (P.K.J.); (A.K.P.); (M.A.F.); (S.H.L.)
| | - Ajay Kumar Patel
- Department of Biosystems Machinery Engineering, College of Agricultural and Life Science, Chungnam National University, Daejeon 34134, Korea; (R.J.); (P.K.J.); (A.K.P.); (M.A.F.); (S.H.L.)
| | - Bao Van Nguyen
- Department of Crop Science, Chungnam National University, 99 Daehak-ro, Yuseong-gu, Daejeon 34134, Korea; (R.S.); (B.V.N.); (S.U.P.)
| | - Mohammad Akbar Faqeerzada
- Department of Biosystems Machinery Engineering, College of Agricultural and Life Science, Chungnam National University, Daejeon 34134, Korea; (R.J.); (P.K.J.); (A.K.P.); (M.A.F.); (S.H.L.)
| | - Sang Un Park
- Department of Crop Science, Chungnam National University, 99 Daehak-ro, Yuseong-gu, Daejeon 34134, Korea; (R.S.); (B.V.N.); (S.U.P.)
- Department of Smart Agriculture Systems, College of Agricultural and Life Science, Chungnam National University, 99 Daehak-ro, Yuseong-gu, Daejeon 34134, Korea
| | - Seung Hyun Lee
- Department of Biosystems Machinery Engineering, College of Agricultural and Life Science, Chungnam National University, Daejeon 34134, Korea; (R.J.); (P.K.J.); (A.K.P.); (M.A.F.); (S.H.L.)
- Department of Smart Agriculture Systems, College of Agricultural and Life Science, Chungnam National University, 99 Daehak-ro, Yuseong-gu, Daejeon 34134, Korea
| | - Moon S. Kim
- Environmental Microbial and Food Safety Laboratory, Agricultural Research Service, United States Department of Agriculture, Powder Mill Road, BARC-East, Bldg 303, Beltsville, MD 20705, USA; (M.S.K.); (I.B.)
| | - Insuck Baek
- Environmental Microbial and Food Safety Laboratory, Agricultural Research Service, United States Department of Agriculture, Powder Mill Road, BARC-East, Bldg 303, Beltsville, MD 20705, USA; (M.S.K.); (I.B.)
| | - Byoung-Kwan Cho
- Department of Biosystems Machinery Engineering, College of Agricultural and Life Science, Chungnam National University, Daejeon 34134, Korea; (R.J.); (P.K.J.); (A.K.P.); (M.A.F.); (S.H.L.)
- Department of Smart Agriculture Systems, College of Agricultural and Life Science, Chungnam National University, 99 Daehak-ro, Yuseong-gu, Daejeon 34134, Korea
- Correspondence: ; Tel.: +82-42-821-6715
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Kim EJ, Kim JH, Kim MS, Jeong SH, Choi DH. Process Analytical Technology Tools for Monitoring Pharmaceutical Unit Operations: A Control Strategy for Continuous Process Verification. Pharmaceutics 2021; 13:919. [PMID: 34205797 PMCID: PMC8234957 DOI: 10.3390/pharmaceutics13060919] [Citation(s) in RCA: 29] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2021] [Revised: 05/31/2021] [Accepted: 06/16/2021] [Indexed: 11/16/2022] Open
Abstract
Various frameworks and methods, such as quality by design (QbD), real time release test (RTRT), and continuous process verification (CPV), have been introduced to improve drug product quality in the pharmaceutical industry. The methods recognize that an appropriate combination of process controls and predefined material attributes and intermediate quality attributes (IQAs) during processing may provide greater assurance of product quality than end-product testing. The efficient analysis method to monitor the relationship between process and quality should be used. Process analytical technology (PAT) was introduced to analyze IQAs during the process of establishing regulatory specifications and facilitating continuous manufacturing improvement. Although PAT was introduced in the pharmaceutical industry in the early 21st century, new PAT tools have been introduced during the last 20 years. In this review, we present the recent pharmaceutical PAT tools and their application in pharmaceutical unit operations. Based on unit operations, the significant IQAs monitored by PAT are presented to establish a control strategy for CPV and real time release testing (RTRT). In addition, the equipment type used in unit operation, PAT tools, multivariate statistical tools, and mathematical preprocessing are introduced, along with relevant literature. This review suggests that various PAT tools are rapidly advancing, and various IQAs are efficiently and precisely monitored in the pharmaceutical industry. Therefore, PAT could be a fundamental tool for the present QbD and CPV to improve drug product quality.
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Affiliation(s)
- Eun Ji Kim
- Department of Pharmaceutical Engineering, Inje University, Gimhae-si, Gyeongnam 621-749, Korea; (E.J.K.); (J.H.K.)
| | - Ji Hyeon Kim
- Department of Pharmaceutical Engineering, Inje University, Gimhae-si, Gyeongnam 621-749, Korea; (E.J.K.); (J.H.K.)
| | - Min-Soo Kim
- College of Pharmacy, Pusan National University, Busandaehak-ro 63 heon-gil, Geumjeong-gu, Busan 46241, Korea;
| | - Seong Hoon Jeong
- College of Pharmacy, Dongguk University-Seoul, Dongguk-ro-32, Ilsan-Donggu, Goyang 10326, Korea;
| | - Du Hyung Choi
- Department of Pharmaceutical Engineering, Inje University, Gimhae-si, Gyeongnam 621-749, Korea; (E.J.K.); (J.H.K.)
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Application of miniaturized near-infrared spectroscopy for quality control of extemporaneous orodispersible films. J Pharm Biomed Anal 2017; 150:191-198. [PMID: 29247960 DOI: 10.1016/j.jpba.2017.11.068] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2017] [Revised: 11/27/2017] [Accepted: 11/28/2017] [Indexed: 11/23/2022]
Abstract
Extemporaneous oral preparations are routinely compounded in the pharmacy due to a lack of suitable formulations for special populations. Such small-scale pharmacy preparations also present an avenue for individualized pharmacotherapy. Orodispersible films (ODF) have increasingly been evaluated as a suitable dosage form for extemporaneous oral preparations. Nevertheless, as with all other extemporaneous preparations, safety and quality remain a concern. Although the United States Pharmacopeia (USP) recommends analytical testing of compounded preparations for quality assurance, pharmaceutical assays are typically not routinely performed for such non-sterile pharmacy preparations, due to the complexity and high cost of conventional assay methods such as high performance liquid chromatography (HPLC). Spectroscopic methods including Raman, infrared and near-infrared spectroscopy have been successfully applied as quality control tools in the industry. The state-of-art benchtop spectrometers used in those studies have the advantage of superior resolution and performance, but are not suitable for use in a small-scale pharmacy setting. In this study, we investigated the application of a miniaturized near infrared (NIR) spectrometer as a quality control tool for identification and quantification of drug content in extemporaneous ODFs. Miniaturized near infrared (NIR) spectroscopy is suitable for small-scale pharmacy applications in view of its small size, portability, simple user interface, rapid measurement and real-time prediction results. Nevertheless, the challenge with miniaturized NIR spectroscopy is its lower resolution compared to state-of-art benchtop equipment. We have successfully developed NIR spectroscopy calibration models for identification of ODFs containing five different drugs, and quantification of drug content in ODFs containing 2-10mg ondansetron (OND). The qualitative model for drug identification produced 100% prediction accuracy. The quantitative model to predict OND drug content in ODFs was divided into two calibrations for improved accuracy: Calibration I and II covered the 2-4mg and 4-10mg ranges respectively. Validation was performed for method accuracy, linearity and precision. In conclusion, this study demonstrates the feasibility of miniaturized NIR spectroscopy as a quality control tool for small-scale, pharmacy preparations. Due to its non-destructive nature, every dosage unit can be tested thus affording positive impact on patient safety.
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Alam MA, Drennen J, Anderson C. Designing a calibration set in spectral space for efficient development of an NIR method for tablet analysis. J Pharm Biomed Anal 2017; 145:230-239. [DOI: 10.1016/j.jpba.2017.06.012] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2016] [Revised: 06/08/2017] [Accepted: 06/09/2017] [Indexed: 11/16/2022]
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Recent expansion of pharmaceutical nanotechnologies and targeting strategies in the field of phytopharmaceuticals for the delivery of herbal extracts and bioactives. J Control Release 2016; 241:110-124. [DOI: 10.1016/j.jconrel.2016.09.017] [Citation(s) in RCA: 86] [Impact Index Per Article: 10.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2016] [Revised: 09/18/2016] [Accepted: 09/19/2016] [Indexed: 12/18/2022]
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Kandpal LM, Tewari J, Gopinathan N, Boulas P, Cho BK. In-Process Control Assay of Pharmaceutical Microtablets Using Hyperspectral Imaging Coupled with Multivariate Analysis. Anal Chem 2016; 88:11055-11061. [DOI: 10.1021/acs.analchem.6b02969] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Lalit Mohan Kandpal
- Department
of Biosystems Machinery Engineering, College of Agricultural and Life
Science, Chungnam National University, 99 Daehak-ro, Yuseong-gu, Daejeon 34134, South Korea
| | - Jagdish Tewari
- Process
Analytical Technology, Analytical Development, Biogen, Cambridge, Massachusetts, United States
| | | | - Pierre Boulas
- Process
Analytical Technology, Analytical Development, Biogen, Cambridge, Massachusetts, United States
| | - Byoung-Kwan Cho
- Department
of Biosystems Machinery Engineering, College of Agricultural and Life
Science, Chungnam National University, 99 Daehak-ro, Yuseong-gu, Daejeon 34134, South Korea
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Fonteyne M, Vercruysse J, De Leersnyder F, Besseling R, Gerich A, Oostra W, Remon JP, Vervaet C, De Beer T. Blend uniformity evaluation during continuous mixing in a twin screw granulator by in-line NIR using a moving F-test. Anal Chim Acta 2016; 935:213-23. [PMID: 27543030 DOI: 10.1016/j.aca.2016.07.020] [Citation(s) in RCA: 26] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/03/2016] [Accepted: 07/18/2016] [Indexed: 11/25/2022]
Abstract
This study focuses on the twin screw granulator of a continuous from-powder-to-tablet production line. Whereas powder dosing into the granulation unit is possible from a container of preblended material, a truly continuous process uses several feeders (each one dosing an individual ingredient) and relies on a continuous blending step prior to granulation. The aim of the current study was to investigate the in-line blending capacity of this twin screw granulator, equipped with conveying elements only. The feasibility of in-line NIR (SentroPAT, Sentronic GmbH, Dresden, Germany) spectroscopy for evaluating the blend uniformity of powders after the granulator was tested. Anhydrous theophylline was used as a tracer molecule and was blended with lactose monohydrate. Theophylline and lactose were both fed from a different feeder into the twin screw granulator barrel. Both homogeneous mixtures and mixing experiments with induced errors were investigated. The in-line spectroscopic analyses showed that the twin screw granulator is a useful tool for in-line blending in different conditions. The blend homogeneity was evaluated by means of a novel statistical method being the moving F-test method in which the variance between two blocks of collected NIR spectra is evaluated. The α- and β-error of the moving F-test are controlled by using the appropriate block size of spectra. The moving F-test method showed to be an appropriate calibration and maintenance free method for blend homogeneity evaluation during continuous mixing.
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Affiliation(s)
- Margot Fonteyne
- Laboratory of Pharmaceutical Process Analytical Technology, Ghent University, Ottergemsesteenweg 460, Ghent, Belgium.
| | - Jurgen Vercruysse
- Laboratory of Pharmaceutical Technology, Ghent University, Ottergemsesteenweg 460, Ghent, Belgium
| | - Fien De Leersnyder
- Laboratory of Pharmaceutical Process Analytical Technology, Ghent University, Ottergemsesteenweg 460, Ghent, Belgium
| | | | | | | | - Jean Paul Remon
- Laboratory of Pharmaceutical Technology, Ghent University, Ottergemsesteenweg 460, Ghent, Belgium
| | - Chris Vervaet
- Laboratory of Pharmaceutical Technology, Ghent University, Ottergemsesteenweg 460, Ghent, Belgium
| | - Thomas De Beer
- Laboratory of Pharmaceutical Process Analytical Technology, Ghent University, Ottergemsesteenweg 460, Ghent, Belgium.
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10
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Besseling R, Damen M, Tran T, Nguyen T, van den Dries K, Oostra W, Gerich A. An efficient, maintenance free and approved method for spectroscopic control and monitoring of blend uniformity: The moving F-test. J Pharm Biomed Anal 2015; 114:471-81. [DOI: 10.1016/j.jpba.2015.06.019] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2014] [Revised: 06/10/2015] [Accepted: 06/14/2015] [Indexed: 10/23/2022]
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Khorasani M, Amigo JM, Bertelsen P, Van Den Berg F, Rantanen J. Detecting Blending End-Point Using Mean Squares Successive Difference Test and Near-Infrared Spectroscopy. J Pharm Sci 2015; 104:2541-9. [PMID: 26094601 DOI: 10.1002/jps.24533] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2015] [Revised: 04/30/2015] [Accepted: 05/06/2015] [Indexed: 11/08/2022]
Abstract
An algorithm based on mean squares successive difference test applied to near-infrared and principal component analysis scores was developed to monitor and determine the blending profile and to assess the end-point in the statistical stabile phase. Model formulations consisting of an active compound (acetylsalicylic acid), together with microcrystalline cellulose and two grades of calcium carbonate with dramatically different particle shapes, were prepared. The formulation comprising angular-shaped calcium carbonate reached blending end-point slower when compared with the formulation comprising equant-shaped calcium carbonate. Utilizing the ring shear test, this distinction in end-point could be related to the difference in flowability of the formulations. On the basis of the two model formulations, a design of experiments was conducted to characterize the blending process by studying the effect of CaCO3 grades and fill level of the bin on blending end-point. Calcium carbonate grades, fill level, and their interaction were shown to have a significant impact on the blending process.
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Affiliation(s)
- Milad Khorasani
- Faculty of Health and Medical Sciences, Department of Pharmacy, University of Copenhagen, Copenhagen, Denmark
| | - José M Amigo
- Faculty of Science, Department of Food Science, University of Copenhagen, Copenhagen, Denmark
| | | | - Frans Van Den Berg
- Faculty of Science, Department of Food Science, University of Copenhagen, Copenhagen, Denmark
| | - Jukka Rantanen
- Faculty of Health and Medical Sciences, Department of Pharmacy, University of Copenhagen, Copenhagen, Denmark
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Analysis of powder phenomena inside a Fette 3090 feed frame using in-line NIR spectroscopy. J Pharm Biomed Anal 2014; 100:40-49. [DOI: 10.1016/j.jpba.2014.07.014] [Citation(s) in RCA: 60] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2014] [Revised: 07/14/2014] [Accepted: 07/17/2014] [Indexed: 11/21/2022]
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13
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Modeling strategies for pharmaceutical blend monitoring and end-point determination by near-infrared spectroscopy. Int J Pharm 2014; 473:219-31. [DOI: 10.1016/j.ijpharm.2014.06.061] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2014] [Revised: 06/06/2014] [Accepted: 06/25/2014] [Indexed: 11/21/2022]
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14
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Quiñones L, Velazquez C, Obregon L. A novel multiple linear multivariate NIR calibration model-based strategy for in-line monitoring of continuous mixing. AIChE J 2014. [DOI: 10.1002/aic.14498] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Affiliation(s)
- Leonel Quiñones
- Dept. of Chemical Engineering; University of Puerto Rico at Mayaguez; Mayaguez PR 00681
| | - Carlos Velazquez
- Dept. of Chemical Engineering; University of Puerto Rico at Mayaguez; Mayaguez PR 00681
| | - Luis Obregon
- Dept. of Chemical Engineering; Universidad del Atlántico; Barranquilla Colombia
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Application of the near-infrared spectroscopy in the pharmaceutical technology. J Pharm Biomed Anal 2012; 66:1-10. [DOI: 10.1016/j.jpba.2012.03.009] [Citation(s) in RCA: 186] [Impact Index Per Article: 15.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2011] [Revised: 03/05/2012] [Accepted: 03/07/2012] [Indexed: 11/21/2022]
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16
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Process analytical technology applied for end-point detection of pharmaceutical blending by combining two calibration-free methods: Simultaneously monitoring specific near-infrared peak intensity and moving block standard deviation. POWDER TECHNOL 2011. [DOI: 10.1016/j.powtec.2011.03.005] [Citation(s) in RCA: 40] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Affiliation(s)
- Jerome Workman
- Unity Scientific LLC, 117 Old State Rd., Brookfield, Connecticut 06804, and United States National University, 11255 North Torrey Pines Road, La Jolla, California 92037, United States
| | - Barry Lavine
- Department of Chemistry, Oklahoma State University, Stillwater, Oklahoma 74078, United States
| | - Ray Chrisman
- Atodyne Technologies, L.L.C., 4699 Pontiac Trail, Ann Arbor, Michigan 48105, United States
| | - Mel Koch
- Center for Process Analytical Chemistry (CPAC), University of Washington, Seattle, Washington 98195-1700, United States
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A new PAT/QbD approach for the determination of blend homogeneity: Combination of on-line NIRS analysis with PC Scores Distance Analysis (PC-SDA). Eur J Pharm Biopharm 2011; 78:173-82. [DOI: 10.1016/j.ejpb.2010.12.015] [Citation(s) in RCA: 44] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2010] [Revised: 11/09/2010] [Accepted: 12/09/2010] [Indexed: 11/23/2022]
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Preformulation and early phase method development. ACTA ACUST UNITED AC 2011. [DOI: 10.1016/b978-0-12-375680-0.00009-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register]
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