但是mRNA-LNP制剂的状态算是混悬液吗?一直被这个问题困扰
《中国药典》0102 注射剂:除另有规定外,混悬型注射液中原料药物粒径应控制在15μm以下,含15~20μm(间有个别20~50μm)者不应超过10%,若有可见沉淀,振摇时应容易分散均匀。乳状液型注射液不得有相分离现象;静脉用乳状液型注射液中90%的乳滴粒径应在1μm以下,除另有规定外,不得有大于5μm的乳滴。除另有规定外,输液应尽可能与血液等渗。
从这个描述中看,我觉得更像是乳状液,因为mRNA-LNP溶液是一个均一的分散体系,不会沉淀,也不会相分离。
欢迎同行讨论。
中国药典和法规未明确,但是国外法规明确了,如下:
1、USP <1151> PHARMACEUTICAL DOSAGE FORMS
Suspensions
A suspension is a biphasic preparation consisting of solid particles dispersed throughout a liquid phase. Suspension dosage forms may
be formulated for specific routes of administration such as oral, topical, inhalation, ophthalmic, otic, and injection.
Suspensions are generally not injected intravenously, epidurally, or intrathecally unless the product labeling clearly specifies these routes of administration.
Some liposomal drug products are referred to as suspensions because they can settle and require resuspension prior to administration
(see 〈1〉, In Vitro Release Test Methods for Parenteral Drug Preparations 〈1001〉, and Drug Products Containing Nanomaterials 〈1153〉).
Other suspensions can include:
•Lipid nanoparticles (LNP)
•Viral vectored vaccines and gene therapies (e.g., adenovirus and adeno-associated virus, respectively)
因此,在美国,就叫做suspension(混悬液)。
2、Ph.Eur. 5.36 mRNA VACCINES FOR HUMAN USE (Draft)
2-3. FINAL LOT (mRNA-LNP VACCINE)
The mRNA-LNP formulation is a dispersion.
Ph.Eur. 0520 Parenteral preparations
Liquid preparations for injection or infusion are solutions, colloidal dispersions, emulsions or suspensions.
Emulsions for injection do not show any evidence of phase separation.
Suspensions for injection may show a sediment that is readily dispersed on shaking to give a suspension that remains sufficiently stable to enable the correct dose to be delivered.
欧洲药典中说注射液包括四种:solutions(溶液), colloidal dispersions(胶束分散液), emulsions(乳状液) or suspensions(混悬液)
也就是说dispersion和suspension还是有区别的,欧洲药典明确 mRNA-LNP制剂叫dispersion,这一点在欧盟上市的mRNA产品说明书上可以得到证实。
3、建议
可以看到中国是不明确的,USP和EP意见不一致,我个人认为dispersion是更贴切的,翻译成中文可能词不达意,可以叫分散体系或分散液。
在中国注册申报,你就叫注射液就行了,在性状描述中可以模糊处理,比如:白色或类白色液体。
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