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Published in: Clinical Drug Investigation 10/2009

01-10-2009 | Original Research Article

Quality and Stability of Ramipril Generics/Copies versus Reference Ramipril (Tritace®)

Authors: Depalmo Galli Angeli, Carlo Trezza

Published in: Clinical Drug Investigation | Issue 10/2009

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Abstract

Objective: This study aimed to evaluate the quality and stability over time of marketed ramipril generics/copies, in terms of Sanofi-Aventis specifications, relative to that of the reference ramipril product Tritace®.
Methods: The quality and dissolution profiles of 22 marketed generic/copy tablet formulations of ramipril (2.5 mg) were compared with the reference ramipril tablet (2.5 mg; Tritace®). Samples were analysed for levels of ramipril and impurities (as determined by the level of the major metabolite ramipril-diketopiperazine) before and after storage under temperature-stressed conditions (40°C and 75% relative humidity) for 1.5 and 3 months. Dissolution analyses were performed before and after 3 months’ temperature-stressed storage. All analytical results were compared with Sanofi-Aventis specifications for the manufacture of the reference ramipril product. One batch per generic/copy drug was analysed.
Results: In terms of the level of ramipril, 24% (4/17) of generics/copies failed to meet reference ramipril specifications (90–105% of label claim) at baseline, increasing to 47% (8/17) after 3 months under stressed conditions. At baseline, the dissolution profiles of 24% (5/21) of generics/copies failed to meet the reference ramipril product specifications (≥80% dissolved in 30 minutes), with the failure rate increasing to 57% (12/21) after storage for 3 months. Total levels of impurities were above reference ramipril product specifications (≤5.0%) in 32% (7/22) of generics/copies at baseline, increasing to 68% (15/22) at 3 months. Overall, only 24% (5/21) of the generics/copies were of equivalent quality and showed similar dissolution profiles to that of the reference ramipril product.
Conclusions: A significant percentage of ramipril generics/copies evaluated showed reduced quality, stability and solubility compared with the reference ramipril product (Tritace®), thereby confirming the need for vigilance regarding the evaluation of generics/copies.
Literature
1.
go back to reference Videau JY. Making medicines safe. Bull World Health Organ 2001; 79(2): 87PubMed Videau JY. Making medicines safe. Bull World Health Organ 2001; 79(2): 87PubMed
2.
go back to reference Gomez-Alonso J, Kanner AM, Herranz JL, et al. Risks and benefits of generic antiepileptic drugs. Neurologist 2008; 14(6S): S66–72PubMedCrossRef Gomez-Alonso J, Kanner AM, Herranz JL, et al. Risks and benefits of generic antiepileptic drugs. Neurologist 2008; 14(6S): S66–72PubMedCrossRef
3.
go back to reference Videau JY. Quality of medicines in least developed countries. Med Trop (Mars) 2006 Dec; 66(6): 533–7 Videau JY. Quality of medicines in least developed countries. Med Trop (Mars) 2006 Dec; 66(6): 533–7
4.
go back to reference Veronin MA, Nguyen NT. Comparison of simvastatin tablets from the US and international markets obtained via the Internet. Ann Pharmacother 2008 May; 42(5): 613–20PubMedCrossRef Veronin MA, Nguyen NT. Comparison of simvastatin tablets from the US and international markets obtained via the Internet. Ann Pharmacother 2008 May; 42(5): 613–20PubMedCrossRef
5.
go back to reference Vial J, Cohen M, Sassiat P, et al. Pharmaceutical quality of docetaxel generics versus originator drug product: a comparative analysis. Curr Med Res Opin 2008 Jul; 24(7): 2019–33PubMedCrossRef Vial J, Cohen M, Sassiat P, et al. Pharmaceutical quality of docetaxel generics versus originator drug product: a comparative analysis. Curr Med Res Opin 2008 Jul; 24(7): 2019–33PubMedCrossRef
6.
go back to reference Attorrese G, Massi-Benedetti M. Quality and behavior of glimepiride generics versus Amaryl under stressed conditions. Diabetes Technol Ther 2007 Jun; 9(3): 287–96PubMedCrossRef Attorrese G, Massi-Benedetti M. Quality and behavior of glimepiride generics versus Amaryl under stressed conditions. Diabetes Technol Ther 2007 Jun; 9(3): 287–96PubMedCrossRef
7.
go back to reference Petan JA, Undre N, First MR, et al. Physiochemical properties of generic formulations of tacrolimus in Mexico. Transplant Proc 2008 Jun; 40(5): 1439–42PubMedCrossRef Petan JA, Undre N, First MR, et al. Physiochemical properties of generic formulations of tacrolimus in Mexico. Transplant Proc 2008 Jun; 40(5): 1439–42PubMedCrossRef
8.
go back to reference Fujimura S, Watanabe A, Fuse K, et al. In vitro susceptibility of clinical isolates of methicillin-resistant Staphylococcus aureus (MRSA) to manufactured generic drugs compared with the brand vancomycin. Int J Antimicrob Agents 2008 Apr; 31(4): 391–2PubMedCrossRef Fujimura S, Watanabe A, Fuse K, et al. In vitro susceptibility of clinical isolates of methicillin-resistant Staphylococcus aureus (MRSA) to manufactured generic drugs compared with the brand vancomycin. Int J Antimicrob Agents 2008 Apr; 31(4): 391–2PubMedCrossRef
9.
go back to reference Jones RN, Fritsche TR, Moet GJ. In vitro potency evaluations of various piperacillin/tazobactam generic products compared with the contemporary branded (Zosyn, Wyeth) formulation. Diagn Microbiol Infect Dis 2008 May; 61(1): 76–9PubMedCrossRef Jones RN, Fritsche TR, Moet GJ. In vitro potency evaluations of various piperacillin/tazobactam generic products compared with the contemporary branded (Zosyn, Wyeth) formulation. Diagn Microbiol Infect Dis 2008 May; 61(1): 76–9PubMedCrossRef
10.
go back to reference Mastoraki E, Michalopoulos A, Kriaras I, et al. Incidence of postoperative infections in patients undergoing coronary artery bypass grafting surgery receiving antimicrobial prophylaxis with original and generic cefuroxime. J Infect 2008 Jan; 56(1): 35–9PubMedCrossRef Mastoraki E, Michalopoulos A, Kriaras I, et al. Incidence of postoperative infections in patients undergoing coronary artery bypass grafting surgery receiving antimicrobial prophylaxis with original and generic cefuroxime. J Infect 2008 Jan; 56(1): 35–9PubMedCrossRef
11.
go back to reference Lonn E, Yusuf S, Dzavik V, et al. Effects of ramipril and vitamin E on atherosclerosis: the Study to Evaluate Carotid Ultrasound changes in patients treated with Ramipril and vitamin E (SECURE). Circulation 2001 Feb 20; 103(7): 919–25PubMedCrossRef Lonn E, Yusuf S, Dzavik V, et al. Effects of ramipril and vitamin E on atherosclerosis: the Study to Evaluate Carotid Ultrasound changes in patients treated with Ramipril and vitamin E (SECURE). Circulation 2001 Feb 20; 103(7): 919–25PubMedCrossRef
12.
go back to reference Scholkens BA, Landgraf W. ACE inhibition and atherogenesis. Can J Physiol Pharmacol 2002 Apr; 80(4): 354–9PubMedCrossRef Scholkens BA, Landgraf W. ACE inhibition and atherogenesis. Can J Physiol Pharmacol 2002 Apr; 80(4): 354–9PubMedCrossRef
13.
go back to reference Yusuf S, Sleight P, Pogue J, et al. Effects of an angiotensin-converting-enzyme inhibitor, ramipril, on cardiovascular events in high-risk patients. The Heart Outcomes Prevention Evaluation Study Investigators. N Engl J Med 2000 Jan 20; 342(3): 145–53PubMedCrossRef Yusuf S, Sleight P, Pogue J, et al. Effects of an angiotensin-converting-enzyme inhibitor, ramipril, on cardiovascular events in high-risk patients. The Heart Outcomes Prevention Evaluation Study Investigators. N Engl J Med 2000 Jan 20; 342(3): 145–53PubMedCrossRef
14.
go back to reference Trezza C, Galli AD. P136. An investigation of the quality and performance of ramipril generics versus Tritace [abstract]. Basic Clin Pharmacol Toxicol 2007; 101Suppl. 1: 103 Trezza C, Galli AD. P136. An investigation of the quality and performance of ramipril generics versus Tritace [abstract]. Basic Clin Pharmacol Toxicol 2007; 101Suppl. 1: 103
15.
go back to reference EMEA. European Medicines Agency. ICH Topic Q6A. Specifications: test procedures and acceptance criteria for new drug substances and new drug products: chemical substances. 1999 [online]. Available from URL: http://www.emea.europa. eu/pdfs/human/ich/036796en.pdf [Accessed 2009 Aug 1] EMEA. European Medicines Agency. ICH Topic Q6A. Specifications: test procedures and acceptance criteria for new drug substances and new drug products: chemical substances. 1999 [online]. Available from URL: http://​www.​emea.​europa.​ eu/pdfs/human/ich/036796en.pdf [Accessed 2009 Aug 1]
16.
17.
go back to reference European pharmacopoeia. 6th ed. Strasbourg: Council of Europe, 2007 European pharmacopoeia. 6th ed. Strasbourg: Council of Europe, 2007
18.
go back to reference United States pharmacopeia. Rockville (MD): United States Pharmacopeia Convention Inc., 1979 United States pharmacopeia. Rockville (MD): United States Pharmacopeia Convention Inc., 1979
19.
go back to reference Warner GT, Perry CM. Ramipril: a review of its use in the prevention of cardiovascular outcomes. Drugs 2002; 62(9): 1381–405PubMedCrossRef Warner GT, Perry CM. Ramipril: a review of its use in the prevention of cardiovascular outcomes. Drugs 2002; 62(9): 1381–405PubMedCrossRef
20.
go back to reference Genazzani AA, Pattarino F. Difficulties in the production of identical drug products from a pharmaceutical technology viewpoint. Drugs R D 2008; 9(2): 65–72PubMedCrossRef Genazzani AA, Pattarino F. Difficulties in the production of identical drug products from a pharmaceutical technology viewpoint. Drugs R D 2008; 9(2): 65–72PubMedCrossRef
21.
go back to reference Amidon GL, Lennernas H, Shah VP, et al. A theoretical basis for a biopharmaceutic drug classification: the correlation of in vitro drug product dissolution and in vivo bioavailability. Pharm Res 1995 Mar; 12(3): 413–20PubMedCrossRef Amidon GL, Lennernas H, Shah VP, et al. A theoretical basis for a biopharmaceutic drug classification: the correlation of in vitro drug product dissolution and in vivo bioavailability. Pharm Res 1995 Mar; 12(3): 413–20PubMedCrossRef
Metadata
Title
Quality and Stability of Ramipril Generics/Copies versus Reference Ramipril (Tritace®)
Authors
Depalmo Galli Angeli
Carlo Trezza
Publication date
01-10-2009
Publisher
Springer International Publishing
Published in
Clinical Drug Investigation / Issue 10/2009
Print ISSN: 1173-2563
Electronic ISSN: 1179-1918
DOI
https://doi.org/10.2165/11315270-000000000-00000

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