(12) Patent Application Publication (10) Pub. No.: US 2017/0173267 A1 Ashmead Et Al

Total Page:16

File Type:pdf, Size:1020Kb

(12) Patent Application Publication (10) Pub. No.: US 2017/0173267 A1 Ashmead Et Al US 20170173267A1 (19) United States (12) Patent Application Publication (10) Pub. No.: US 2017/0173267 A1 Ashmead et al. (43) Pub. Date: Jun. 22, 2017 (54) SILICONE FREE DRUG DELIVERY Publication Classification DEVICES (51) Int. Cl. A6M 5/35 (2006.01) (71) Applicant: W. L. Gore and Associates, Inc., A6M 5/32 (2006.01) Newark, DE (US) A6M 5/34 (2006.01) (72) Inventors: Edgar G. Ashmead, Lincoln A638/48 (2006.01) University, PA (US); Edward C. A6II 35/12 (2006.01) Gunzel, Oxford, PA (US); Michael P. (52) U.S. Cl. Moritz, Media, PA (US) CPC ..... A61M 5/31513 (2013.01); A61K 38/4846 (2013.01); A61K 35/12 (2013.01); A61M 5/34 (2013.01); A61M 5/3202 (2013.01); A61M (21) Appl. No.: 15/425,082 2205/0238 (2013.01) (57) ABSTRACT (22) Filed: Feb. 6, 2017 A pre-filled Syringe having containing therein at least one therapeutic is provided. The Syringe contains a silicone free Related U.S. Application Data barrel and an elastomeric Syringe stopper that is covered with an expanded polytetrafluoroethylene barrier layer. The (63) Continuation-in-part of application No. 13/117,573, presence of a barrier layer that is at least partially porous on filed on May 27, 2011, now Pat. No. 9,597,458, which the outside of the Syringe stopper improves the seal between is a continuation-in-part of application No. 12/915, the stopper and Syringe barrel and minimizes the sliding 850, filed on Oct. 29, 2010, now Pat. No. 8,722,178. force. In some embodiments, the barrel is formed of a glass (60) Provisional application No. 61/256,156, filed on Oct. material Such as a borosilicate glass, that is free of silicone 29, 2009. or other lubricants. Patent Application Publication Jun. 22, 2017. Sheet 1 of 10 US 2017/0173267 A1 Patent Application Publication Jun. 22, 2017 Sheet 2 of 10 US 2017/0173267 A1 2828 2838 283 Patent Application Publication Jun. 22, 2017 Sheet 3 of 10 US 2017/0173267 A1 - 3. Patent Application Publication Jun. 22, 2017 Sheet 4 of 10 US 2017/0173267 A1 Patent Application Publication Jun. 22, 2017 Sheet 5 of 10 US 2017/0173267 A1 FG 1 OB Patent Application Publication Jun. 22, 2017 Sheet 6 of 10 US 2017/0173267 A1 Sixx: x:x: 38 388 f s & Patent Application Publication Jun. 22, 2017 Sheet 7 of 10 US 2017/0173267 A1 Patent Application Publication Jun. 22, 2017 Sheet 8 of 10 US 2017/0173267 A1 s x s s Patent Application Publication Jun. 22, 2017 Sheet 9 of 10 US 2017/0173267 A1 3. Patent Application Publication Jun. 22, 2017. Sheet 10 of 10 US 2017/0173267 A1 3. US 2017/0173267 A1 Jun. 22, 2017 SILICONE FREE DRUG DELIVERY barrier material may serve as a barrier between the product DEVICES contained in the container and the environment. BACKGROUND BRIEF DESCRIPTION OF THE DRAWINGS 0001 Syringes used for delivery of medicaments are 0007 FIG. 1 is a schematic illustration of exemplary principally constructed of a barrel and a stopper. The stopper thermoforming equipment used to make most barrier film is slidably fitted within the syringe barrel and may have a preforms in accordance with one or more embodiment; stopper rod affixed to it for actuation of the Syringe and 0008 FIG. 2A is a schematic illustration of the top view delivery of medicament. The stopper is generally con of a 4-cavity mold used in the thermoforming equipment of structed of an elastomer, with silicone oil applied. The FIG. 1 in accordance with at least one embodiment; silicone oil is applied to reduce sliding friction between the 0009 FIG. 2B is a schematic illustration of the side view stopper and barrel and to improve the seal between them. of a 4-cavity mold used in the thermoforming equipment of The oil allows for ease of sliding when administering a dose FIG. 1 in accordance with an embodiment; which may ensure the full dose can be administered. Partial 0010 FIG. 3 is a schematic illustration of a lay-up in the dosing is of particular concern in the case of pens and press for compression molding in accordance with at least so-called auto injecting Syringes. In Such applications, the one embodiment; oil is also critical to prevent jamming of the device which 0011 FIG. 4 is a schematic illustration of the a single can lead to trauma at the site of injection. The improved cavity mold used to make the stopper described in Example sealing provided by silicone oil also may ensure that no 8 in accordance with at least one embodiment; foreign contaminants like bacteria enter the Syringe. 0012 FIG. 5 is a cross sectional illustration of a syringe 0002 Recently there has developed a trend favoring stopper according to one embodiment; pre-filled syringes which function to both store and deliver 0013 FIG. 6 is a cross sectional illustration of a syringe medicaments. Such pre-filled Syringes may offer cost sav stopper according to another embodiment; ings to the pharmaceutical industry and may improve safety, 0014 FIG. 7 is a cross sectional illustration of a syringe convenience and efficacy of medicament delivery. Biophar stopper according to another embodiment; maceuticals are an important class of pharmaceuticals that 0015 FIG. 8 is a cross-sectional illustration of a syringe may increase the use of pre-filled Syringes and related stopper in accordance with at least one embodiment; devices (pens, auto injectors and the like). Such biopharma 0016 FIG. 9 is a cross-sectional illustration of a syringe ceuticals may include insulin, vaccines, antibodies, blood stopper in accordance with an embodiment: products, hormones, cytokines, and the like. As more phar 0017 FIG. 10A is a cross-sectional illustration of a maceuticals and particularly biopharmaceuticals utilize Syringe stopper in accordance with an embodiment; delivery in pre-filled Syringe and similar devices, the chal 0018 FIG. 10B is a cross-sectional illustration of a lenges of conventional Syringe technology become apparent. Syringe stopper in accordance with at least one embodiment; 0003. Several aspects of traditional syringe construction 0019 FIG. 11 is a cross-sectional illustration of a syringe present a challenge for their use as pre-filled Syringes. The stopper in accordance with an embodiment; use of silicone oil is a concern, because the oil may degrade 0020 FIG. 12 represents a cross-sectional illustration of the medicament and because a small amount of silicone may a syringe stopper in accordance with an embodiment; be injected with it. The oil may also be of particular concern 0021 FIG. 13 represents a cross-sectional illustration of with regard to biopharmaceuticals because it may cause a syringe stopper in accordance with an embodiment; aggregation of certain proteins. 0022 FIG. 14 is a schematic illustration of the test 0004 Another issue that arises in prefilled syringes is that apparatus for accessing the barrier properties of a stopper in the elastomer of the stopper may contain leachable and accordance with an embodiment; extractable contaminants. These may also contaminate the medicament upon long term storage in Syringes. Trace 0023 FIG. 15 is a schematic illustration of a test appa amounts of residual monomer or plasticizer or other impu ratus to determine the durability of a stopper in accordance rities from the stopper can adversely affect the therapeutic or with an embodiment; can have an adverse impact on the patient once injected. 0024 FIG. 16 is a scanning electron micrograph (SEM) 0005 Among the many other considerations affecting showing a cross-section a stopper in accordance with an prefilled Syringe devices and similar devices and their com embodiment; ponents are the need to be sterilized, stability with transport 0025 FIG. 17A is a schematic illustration of a portion of and storage for up to a few years, optical clarity, the need to the container formed in Example 11: integrate into existing filling equipment (including the dura 0026 FIG. 17B is a schematic illustration of a cross bility requirements for stopper cleaning and insertion into sectional view of the container formed in Example 11; and the syringe barrel), leachables and extractables of all com 0027 FIG. 18 is a schematic illustration of an exemplary ponents of the Syringe, and the need to maintain sterility Syringe according to one embodiment. from filling through administering of the contents, and finally user preferences and ergonomic considerations. For a DETAILED DESCRIPTION variety of reasons the prefilled syringe market uses both 0028. The present invention provides a syringe stopper glass and plastic barrels. that is suitable for use in Syringes without silicone oil or 0006. The foregoing considerations apply in similar man other liquid lubricants. In one aspect, the invention provides ner to other containers, particularly containers Suitable for a low friction barrier between an elastomeric stopper mate medicaments. For example, rigid tip caps and other con rial and a therapeutic in the syringe. The barrier may inhibit tainer closures as well as Syringe barrels may benefit from materials from leaching from the elastomer material or from barrier materials. In some such applications, the improved extraction of compounds from medicants by the elastomer. US 2017/0173267 A1 Jun. 22, 2017 A process is also described that allows for molding thin extractables and leachables, good barrier properties as they barrier layers while allowing adequate bonding with the relate to extractables and leachables from the elastomer elastomer. It is to be noted that the terms “stopper” and body. “syringe stopper may be used interchangeably herein. 0034. In an embodiment, the barrier 20 may comprise a 0029. In another aspect, the inventive barrier material single layer of densified ePTFE.
Recommended publications
  • Supplementary Data
    Supplementary Data for Quantitative Changes in the Mitochondrial Proteome from Subjects with Mild Cognitive Impairment, Early Stage and Late Stage Alzheimer’s disease Table 1 - 112 unique, non-redundant proteins identified and quantified in at least two of the three analytical replicates for all three disease stages. Table 2 - MCI mitochondrial samples, Protein Summary Table 3 - MCI mitochondrial samples, Experiment 1 Table 4 - MCI mitochondrial samples, Experiment 2 Table 5 - MCI mitochondrial samples, Experiment 3 Table 6 - EAD Mitochondrial Study, Protein Summary Table 7 - EAD Mitochondrial Study, Experiment 1 Table 8 - EAD Mitochondrial Study, Experiment 2 Table 9 - EAD Mitochondrial Study, Experiment 3 Table 10 - LAD Mitochondrial Study, Protein Summary Table 11 - LAD Mitochondrial Study, Experiment 1 Table 12 - LAD Mitochondrial Study, Experiment 2 Table 13 - LAD Mitochondrial Study, Experiment 3 Supplemental Table 1. 112 unique, non-redundant proteins identified and quantified in at least two of the three analytical replicates for all three disease stages. Description Data MCI EAD LAD AATM_HUMAN (P00505) Aspartate aminotransferase, mitochondrial precursor (EC Mean 1.43 1.70 1.31 2.6.1.1) (Transaminase A) (Glutamate oxaloacetate transaminase 2) [MASS=47475] SEM 0.07 0.09 0.09 Count 3.00 3.00 3.00 ACON_HUMAN (Q99798) Aconitate hydratase, mitochondrial precursor (EC 4.2.1.3) Mean 1.24 1.61 1.19 (Citrate hydro-lyase) (Aconitase) [MASS=85425] SEM 0.05 0.17 0.18 Count 3.00 2.00 3.00 ACPM_HUMAN (O14561) Acyl carrier protein, mitochondrial
    [Show full text]
  • Depatuxizumab Mafodotin (ABT-414)
    Published OnlineFirst May 5, 2020; DOI: 10.1158/1535-7163.MCT-19-0609 MOLECULAR CANCER THERAPEUTICS | CANCER BIOLOGY AND TRANSLATIONAL STUDIES Depatuxizumab Mafodotin (ABT-414)-induced Glioblastoma Cell Death Requires EGFR Overexpression, but not EGFRY1068 Phosphorylation Caroline von Achenbach1, Manuela Silginer1, Vincent Blot2, William A. Weiss3, and Michael Weller1 ABSTRACT ◥ Glioblastomas commonly (40%) exhibit epidermal growth factor Exposure to ABT-414 in vivo eliminated EGFRvIII-expressing receptor EGFR amplification; half of these tumors carry the EGFR- tumor cells, and recurrent tumors were devoid of EGFRvIII vIII deletion variant characterized by an in-frame deletion of exons expression. There is no bystander killing of cells devoid of EGFR 2–7, resulting in constitutive EGFR activation. Although EGFR expression. Surprisingly, either exposure to EGF or to EGFR tyrosine kinase inhibitors had only modest effects in glioblastoma, tyrosin kinase inhibitors reduce EGFR protein levels and are thus novel therapeutic agents targeting amplified EGFR or EGFRvIII not strategies to promote ABT-414–induced cell killing. Further- continue to be developed. more, glioma cells overexpressing kinase-dead EGFR or EGFR- Depatuxizumab mafodotin (ABT-414) is an EGFR-targeting vIII retain binding of mAb 806 and sensitivity to ABT-414, antibody–drug conjugate consisting of the mAb 806 and a toxic allowing to dissociate EGFR phosphorylation from the emer- payload, monomethyl auristatin F. Because glioma cell lines and gence of the “active” EGFR conformation required for ABT-414 patient-derived glioma-initiating cell models expressed too little binding. EGFR in vitro to be ABT-414–sensitive, we generated glioma The combination of EGFR-targeting antibody–drug conju- sublines overexpressing EGFR or EGFRvIII to explore determinants gates with EGFR tyrosine kinase inhibitors carries a high risk of ABT-414–induced cell death.
    [Show full text]
  • Predictive QSAR Tools to Aid in Early Process Development of Monoclonal Antibodies
    Predictive QSAR tools to aid in early process development of monoclonal antibodies John Micael Andreas Karlberg Published work submitted to Newcastle University for the degree of Doctor of Philosophy in the School of Engineering November 2019 Abstract Monoclonal antibodies (mAbs) have become one of the fastest growing markets for diagnostic and therapeutic treatments over the last 30 years with a global sales revenue around $89 billion reported in 2017. A popular framework widely used in pharmaceutical industries for designing manufacturing processes for mAbs is Quality by Design (QbD) due to providing a structured and systematic approach in investigation and screening process parameters that might influence the product quality. However, due to the large number of product quality attributes (CQAs) and process parameters that exist in an mAb process platform, extensive investigation is needed to characterise their impact on the product quality which makes the process development costly and time consuming. There is thus an urgent need for methods and tools that can be used for early risk-based selection of critical product properties and process factors to reduce the number of potential factors that have to be investigated, thereby aiding in speeding up the process development and reduce costs. In this study, a framework for predictive model development based on Quantitative Structure- Activity Relationship (QSAR) modelling was developed to link structural features and properties of mAbs to Hydrophobic Interaction Chromatography (HIC) retention times and expressed mAb yield from HEK cells. Model development was based on a structured approach for incremental model refinement and evaluation that aided in increasing model performance until becoming acceptable in accordance to the OECD guidelines for QSAR models.
    [Show full text]
  • DRUGS REQUIRING PRIOR AUTHORIZATION in the MEDICAL BENEFIT Page 1
    Effective Date: 08/01/2021 DRUGS REQUIRING PRIOR AUTHORIZATION IN THE MEDICAL BENEFIT Page 1 Therapeutic Category Drug Class Trade Name Generic Name HCPCS Procedure Code HCPCS Procedure Code Description Anti-infectives Antiretrovirals, HIV CABENUVA cabotegravir-rilpivirine C9077 Injection, cabotegravir and rilpivirine, 2mg/3mg Antithrombotic Agents von Willebrand Factor-Directed Antibody CABLIVI caplacizumab-yhdp C9047 Injection, caplacizumab-yhdp, 1 mg Cardiology Antilipemic EVKEEZA evinacumab-dgnb C9079 Injection, evinacumab-dgnb, 5 mg Cardiology Hemostatic Agent BERINERT c1 esterase J0597 Injection, C1 esterase inhibitor (human), Berinert, 10 units Cardiology Hemostatic Agent CINRYZE c1 esterase J0598 Injection, C1 esterase inhibitor (human), Cinryze, 10 units Cardiology Hemostatic Agent FIRAZYR icatibant J1744 Injection, icatibant, 1 mg Cardiology Hemostatic Agent HAEGARDA c1 esterase J0599 Injection, C1 esterase inhibitor (human), (Haegarda), 10 units Cardiology Hemostatic Agent ICATIBANT (generic) icatibant J1744 Injection, icatibant, 1 mg Cardiology Hemostatic Agent KALBITOR ecallantide J1290 Injection, ecallantide, 1 mg Cardiology Hemostatic Agent RUCONEST c1 esterase J0596 Injection, C1 esterase inhibitor (recombinant), Ruconest, 10 units Injection, lanadelumab-flyo, 1 mg (code may be used for Medicare when drug administered under Cardiology Hemostatic Agent TAKHZYRO lanadelumab-flyo J0593 direct supervision of a physician, not for use when drug is self-administered) Cardiology Pulmonary Arterial Hypertension EPOPROSTENOL (generic)
    [Show full text]
  • Deciphering Molecular Mechanisms and Prioritizing Therapeutic Targets in Cardio-Oncology
    Figure 1. This is a pilot view to explore the potential of EpiGraphDB to inform us about proteins that are linked to the pathophysiology of cancer and cardiovascular disease (CVD). For each cancer type (pink diamonds), we searched for cancer related proteins (light blue circles) that interact with other proteins identified as protein quantitative trait loci (pQTLs) for CVD (red diamonds for pathologies, orange triangles for risk factors). These pQTLs can be acting in cis (solid lines) or trans-acting (dotted lines). Proteins can interact either directly, a protein-protein interaction (dotted blue edges), or through the participation in the same pathway (red parallel lines). Shared pathways are represented with blue hexagons. We also queried which of these proteins are targeted by existing drugs. We found that the cancer drug cetuximab (yellow circle) inhibits EGFR. Other potential drugs are depicted in light brown hexagonal meta-nodes that are detailed below. Deciphering molecular mechanisms and prioritizing therapeutic targets in cardio-oncology Pau Erola1,2, Benjamin Elsworth1,2, Yi Liu2, Valeriia Haberland2 and Tom R Gaunt1,2,3 1 CRUK Integrative Cancer Epidemiology Programme; 2 MRC Integrative Epidemiology Unit, University of Bristol; 3 The Alan Turing Institute Cancer and cardiovascular disease (CVD) make by far the immense What is EpiGraphDB? contribution to the totality of human disease burden, and although mortality EpiGraphDB is an analytical platform and graph database that aims to is declining the number of those living with the disease shows little address the necessity of innovative and scalable approaches to harness evidence of change (Bhatnagar et al., Heart, 2016).
    [Show full text]
  • RECENT MAJOR CHANGES------­ Age
    HIGHLIGHTS OF PRESCRIBING INFORMATION These highlights do not include all the information needed to use ---------------------DOSAGE FORMS AND STRENGTHS---------------------­ CRYSVITA safely and effectively. See full prescribing information Injection: 10 mg/mL, 20 mg/mL, or 30 mg/mL in a single-dose vial (3) for CRYSVITA. -------------------------------CONTRAINDICATIONS-----------------------------­ ® CRYSVITA (burosumab-twza) injection, for subcutaneous use • With oral phosphate and/or active vitamin D analogs. (4) Initial U.S. Approval: 2018 • When serum phosphorus is within or above the normal range for -------------------------RECENT MAJOR CHANGES-----------------­ age. (4) Indications and Usage (1) 6/2020 • In patients with severe renal impairment or end stage renal Dosage and Administration, disease. (4) Tumor-induced Osteomalacia (2.4) 6/2020 ------------------------WARNINGS AND PRECAUTIONS----------------------­ Dosage and Administration, 25-Hydroxy Vitamin D • Hypersensitivity: Discontinue CRYSVITA if serious hypersensitivity Supplementation (2.7) 9/2019 reactions occur and initiate appropriate medical treatment. (5.1) • Hyperphosphatemia and Risk of Nephrocalcinosis: For patients -----------------------------INDICATIONS AND USAGE-------------------------­ already taking CRYSVITA, dose interruption and/or dose reduction CRYSIVTA is a fibroblast growth factor 23 (FGF23) blocking antibody may be required based on a patient’s serum phosphorus levels. indicated for: (5.2, 6.1) • The treatment of X-linked hypophosphatemia (XLH) in adult and • Injection Site Reactions: Administration of CRYSVITA may result in pediatric patients 6 months of age and older. (1.1) local injection site reactions. Discontinue CRYSVITA if severe • The treatment of FGF23-related hypophosphatemia in tumor- injection site reactions occur and administer appropriate medical induced osteomalacia (TIO) associated with phosphaturic treatment. (5.3, 6.1) mesenchymal tumors that cannot be curatively resected or localized in adult and pediatric patients 2 years of age and older.
    [Show full text]
  • Modifications to the Harmonized Tariff Schedule of the United States to Implement Changes to the Pharmaceutical Appendix
    United States International Trade Commission Modifications to the Harmonized Tariff Schedule of the United States to Implement Changes to the Pharmaceutical Appendix USITC Publication 4208 December 2010 U.S. International Trade Commission COMMISSIONERS Deanna Tanner Okun, Chairman Irving A. Williamson, Vice Chairman Charlotte R. Lane Daniel R. Pearson Shara L. Aranoff Dean A. Pinkert Address all communications to Secretary to the Commission United States International Trade Commission Washington, DC 20436 U.S. International Trade Commission Washington, DC 20436 www.usitc.gov Modifications to the Harmonized Tariff Schedule of the United States to Implement Changes to the Pharmaceutical Appendix Publication 4208 December 2010 (This page is intentionally blank) Pursuant to the letter of request from the United States Trade Representative of December 15, 2010, set forth at the end of this publication, and pursuant to section 1207(a) of the Omnibus Trade and Competitiveness Act, the United States International Trade Commission is publishing the following modifications to the Harmonized Tariff Schedule of the United States (HTS) to implement changes to the Pharmaceutical Appendix, effective on January 1, 2011. Table 1 International Nonproprietary Name (INN) products proposed for addition to the Pharmaceutical Appendix to the Harmonized Tariff Schedule INN CAS Number Abagovomab 792921-10-9 Aclidinium Bromide 320345-99-1 Aderbasib 791828-58-5 Adipiplon 840486-93-3 Adoprazine 222551-17-9 Afimoxifene 68392-35-8 Aflibercept 862111-32-8 Agatolimod
    [Show full text]
  • BLA 761125 Page 7
    BLA 761125 Page 7 HIGHLIGHTS OF PRESCRIBING INFORMATION -----------------------WARNINGS AND PRECAUTIONS----------------------­ These highlights do not include all the information needed to use BEOVU Endophthalmitis and retinal detachments may occur following intravitreal safely and effectively. See full prescribing information for BEOVU. injections. Patients should be instructed to report any symptoms suggestive of endophthalmitis or retinal detachment without delay (5.1). BEOVU® (brolucizumab-dbll) injection, for intravitreal injection Increases in intraocular pressure (IOP) have been seen within 30 minutes of Initial U.S. Approval: 2019 an intravitreal injection (5.2). ----------------------------INDICATIONS AND USAGE-------------------------­ There is a potential risk of arterial thromboembolic events (ATE) following BEOVU is a human vascular endothelial growth factor (VEGF) inhibitor intravitreal use of VEGF inhibitors (5.3). indicated for the treatment of Neovascular (Wet) Age-Related Macular ------------------------------ADVERSE REACTIONS-----------------------------­ Degeneration (AMD) (1). The most common adverse reactions (≥ 5%) reported in patients receiving ----------------------DOSAGE AND ADMINISTRATION----------------------­ BEOVU are vision blurred (10%), cataract (7%), conjunctival hemorrhage BEOVU is administered by intravitreal injection. The recommended dose for (6%), eye pain (5%), and vitreous floaters (5%) (6.1). BEOVU is 6 mg (0.05 mL of 120 mg/mL solution) monthly (approximately To report SUSPECTED ADVERSE REACTIONS, contact Novartis every 25-31 days) for the first three doses, followed by one dose of 6 mg (0.05 Pharmaceuticals Corporation at 1-888-669-6682 or FDA at 1-800-FDA­ mL) every 8-12 weeks (2). 1088 or www.fda.gov/medwatch. ---------------------DOSAGE FORMS AND STRENGTHS--------------------­ See 17 for PATIENT COUNSELING INFORMATION. Injection: 6 mg/0.05 mL solution for intravitreal injection in a single-dose vial (3).
    [Show full text]
  • Caries Vaccine: an Overview Dr
    Saudi Journal of Oral and Dental Research Abbreviated Key Title: Saudi J Oral Dent Res ISSN 2518-1300 (Print) |ISSN 2518-1297 (Online) Scholars Middle East Publishers, Dubai, United Arab Emirates Journal homepage: https://saudijournals.com/sjodr Review Article Caries Vaccine: An Overview Dr. Charvi Gupta*, Dr. Hemant Mankel Assistant Professor, Mekelle University, Ethiopia DOI: 10.36348/sjodr.2020.v05i05.003 | Received: 13.05.2020 | Accepted: 20.05.2020 | Published: 23.05.2020 *Corresponding author: Dr. Charvi Gupta Abstract One of the most common diseases in humans is dental caries. It is an infectious disease of microbiological origin that results in localized dissolution and destruction of the calcified tissue of teeth. It is a diseased caused by multitude of factors like host, agent and environmental factors. Microbes like S. mutans, Lactobacillus acidophilus and Actinomyces viscosus are the main pathogenic species involved with initiation and progression of dental caries. Indian surveys demonstrate caries prevalence of 58% in school children. Among the U.S. Population surveys showed 45.3% children and 93.8% of adults. A large costing of dental treatments whether prevention using remineralizing agents and treatment using restorative materials can be reduced if we could eradicate dental caries completely. Thus the ultimate objective of community health is the complete elimination of this disease. Development of dental caries vaccines is a boon for eradication of this microbiological disease. Keywords: Dental caries, infectious disease, microbes, S.mutans, prevention, dental caries vaccines. Copyright @ 2020: This is an open-access article distributed under the terms of the Creative Commons Attribution license which permits unrestricted use, distribution, and reproduction in any medium for non-commercial use (NonCommercial, or CC-BY-NC) provided the original author and source are credited.
    [Show full text]
  • Keeping up with FDA Drug Approvals: 60 New Drugs in 60 Minutes Elizabeth A
    Keeping Up with FDA Drug Approvals: 60 New Drugs in 60 Minutes Elizabeth A. Shlom, PharmD, BCPS Senior Vice President & Director Clinical Pharmacy Program | Acurity, Inc. Privileged and Confidential April 10, 2019 Privileged and Confidential Program Objectives By the end of the presentation, the pharmacist or pharmacy technician participant will be able to: ▪ Identify orphan drugs and first-in-class medications approved by the FDA in 2018. ▪ List five new drugs and their indications. ▪ Identify the place in therapy for three novel monoclonal antibodies. ▪ Discuss at least two new medications that address public health concerns. Dr. Shlom does not have any conflicts of interest in regard to this presentation. Both trade names and generic names will be discussed throughout the presentation Privileged and Confidential 2018 NDA Approvals (NMEs/BLAs) ▪ Lutathera (lutetium Lu 177 dotatate) ▪ Braftovi (encorafenib) ▪ Vizimpro (dacomitinib) ▪ Biktarvy (bictegravir, emtricitabine, ▪ TPOXX (tecovirimat) ▪ Libtayo (cemiplimab-rwic) tenofovir, ▪ Tibsovo (ivosidenib) ▪ Seysara (sarecycline) alafenamide) ▪ Krintafel (tafenoquine) ▪ Nuzyra (omadacycline) ▪ Symdeko (tezacaftor, ivacaftor) ▪ Orilissa (elagolix sodium) ▪ Revcovi (elapegademase-lvir) ▪ Erleada (apalutamide) ▪ Omegaven (fish oil triglycerides) ▪ Tegsedi (inotersen) ▪ Trogarzo (ibalizumab-uiyk) ▪ Mulpleta (lusutrombopag) ▪ Talzenna (talazoparib) ▪ Ilumya (tildrakizumab-asmn) ▪ Poteligeo (mogamulizumab-kpkc) ▪ Xofluza (baloxavir marboxil) ▪ Tavalisse (fostamatinib disodium) ▪ Onpattro (patisiran)
    [Show full text]
  • Classification Decisions Taken by the Harmonized System Committee from the 47Th to 60Th Sessions (2011
    CLASSIFICATION DECISIONS TAKEN BY THE HARMONIZED SYSTEM COMMITTEE FROM THE 47TH TO 60TH SESSIONS (2011 - 2018) WORLD CUSTOMS ORGANIZATION Rue du Marché 30 B-1210 Brussels Belgium November 2011 Copyright © 2011 World Customs Organization. All rights reserved. Requests and inquiries concerning translation, reproduction and adaptation rights should be addressed to [email protected]. D/2011/0448/25 The following list contains the classification decisions (other than those subject to a reservation) taken by the Harmonized System Committee ( 47th Session – March 2011) on specific products, together with their related Harmonized System code numbers and, in certain cases, the classification rationale. Advice Parties seeking to import or export merchandise covered by a decision are advised to verify the implementation of the decision by the importing or exporting country, as the case may be. HS codes Classification No Product description Classification considered rationale 1. Preparation, in the form of a powder, consisting of 92 % sugar, 6 % 2106.90 GRIs 1 and 6 black currant powder, anticaking agent, citric acid and black currant flavouring, put up for retail sale in 32-gram sachets, intended to be consumed as a beverage after mixing with hot water. 2. Vanutide cridificar (INN List 100). 3002.20 3. Certain INN products. Chapters 28, 29 (See “INN List 101” at the end of this publication.) and 30 4. Certain INN products. Chapters 13, 29 (See “INN List 102” at the end of this publication.) and 30 5. Certain INN products. Chapters 28, 29, (See “INN List 103” at the end of this publication.) 30, 35 and 39 6. Re-classification of INN products.
    [Show full text]
  • Primary and Acquired Resistance to Immunotherapy in Lung Cancer: Unveiling the Mechanisms Underlying of Immune Checkpoint Blockade Therapy
    cancers Review Primary and Acquired Resistance to Immunotherapy in Lung Cancer: Unveiling the Mechanisms Underlying of Immune Checkpoint Blockade Therapy Laura Boyero 1 , Amparo Sánchez-Gastaldo 2, Miriam Alonso 2, 1 1,2,3, , 1,2, , José Francisco Noguera-Uclés , Sonia Molina-Pinelo * y and Reyes Bernabé-Caro * y 1 Institute of Biomedicine of Seville (IBiS) (HUVR, CSIC, Universidad de Sevilla), 41013 Seville, Spain; [email protected] (L.B.); [email protected] (J.F.N.-U.) 2 Medical Oncology Department, Hospital Universitario Virgen del Rocio, 41013 Seville, Spain; [email protected] (A.S.-G.); [email protected] (M.A.) 3 Centro de Investigación Biomédica en Red de Cáncer (CIBERONC), 28029 Madrid, Spain * Correspondence: [email protected] (S.M.-P.); [email protected] (R.B.-C.) These authors contributed equally to this work. y Received: 16 November 2020; Accepted: 9 December 2020; Published: 11 December 2020 Simple Summary: Immuno-oncology has redefined the treatment of lung cancer, with the ultimate goal being the reactivation of the anti-tumor immune response. This has led to the development of several therapeutic strategies focused in this direction. However, a high percentage of lung cancer patients do not respond to these therapies or their responses are transient. Here, we summarized the impact of immunotherapy on lung cancer patients in the latest clinical trials conducted on this disease. As well as the mechanisms of primary and acquired resistance to immunotherapy in this disease. Abstract: After several decades without maintained responses or long-term survival of patients with lung cancer, novel therapies have emerged as a hopeful milestone in this research field.
    [Show full text]