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参考資料２ FDA works to avoid shortage of sitagliptin followingdetection of nitrosamine impurity (1 ページ)
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| 出典情報 | 薬事・食品衛生審議会 薬事分科会医薬品等安全対策部会安全対策調査会（令和4年度第13回 9／27）《厚生労働省》 |
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FDA works to avoid shortage of sitagliptin following detection of nitrosamine impurit...
1/1 ページ
令和４年９月27日
令和４年度医薬品等安全対策部会安全対策調査会
参考資料２
FDA works to avoid shortage of sitagliptin following
detection of nitrosamine impurity
[8/9/2022] FDA recently became aware of a nitrosamine impurity, Nitroso-STG19 (known as NTTP), in certain samples of sitagliptin, a medicine used to treat type
2 diabetes mellitus. To avoid a shortage and help ensure patients have access to an
adequate supply of the medicine, FDA will not object to the temporary distribution
of sitagliptin containing NTTP above the acceptable intake limit of 37 ng per day,
and up to 246.7 ng per day.
The manufacturer of a marketed product that contains sitagliptin should contact
the Center for Drug Evaluation and Research’s Drug Shortages Staff
(mailto:drugshortages@fda.hhs.gov) when its testing shows levels of NTTP that
exceed 37 ng per day. FDA will determine on a case-by-case basis whether those
drugs should be released for distribution.
Sitagliptin is a prescription drug used to control high blood sugar in patients with
type 2 diabetes mellitus. It could be dangerous for patients with this condition to
stop taking their sitagliptin without first talking to their health care professional.
FDA recommends prescribers continue to use sitagliptin when clinically
appropriate to prevent a gap in patient treatment.
NTTP belongs to the nitrosamine class of compounds, some of which are classified
as probable or possible human carcinogens (substances that could cause cancer),
based on laboratory tests. Although there are no data available to directly evaluate
the carcinogenic potential of NTTP, FDA used information available on closely
related nitrosamine compounds to calculate lifetime exposure limits for NTTP.
Agency scientists evaluated the risk of exposure to NTTP at interim acceptable
intake levels up to 246.7 ng per day and determined that it presents minimal
additional cancer risk when compared to a lifetime of exposure to NTTP at the 37
ng per day level.
FDA continues its ongoing review, surveillance, compliance and pharmaceutical
quality efforts across every product area and will continue to work with drug
manufacturers to ensure safe, effective and high-quality drugs for the American
public.
https://www.fda.gov/drugs/drug-safety-and-availability/fda-works-avoid-shortage-sita... 2022/09/14
1/1 ページ
令和４年９月27日
令和４年度医薬品等安全対策部会安全対策調査会
参考資料２
FDA works to avoid shortage of sitagliptin following
detection of nitrosamine impurity
[8/9/2022] FDA recently became aware of a nitrosamine impurity, Nitroso-STG19 (known as NTTP), in certain samples of sitagliptin, a medicine used to treat type
2 diabetes mellitus. To avoid a shortage and help ensure patients have access to an
adequate supply of the medicine, FDA will not object to the temporary distribution
of sitagliptin containing NTTP above the acceptable intake limit of 37 ng per day,
and up to 246.7 ng per day.
The manufacturer of a marketed product that contains sitagliptin should contact
the Center for Drug Evaluation and Research’s Drug Shortages Staff
(mailto:drugshortages@fda.hhs.gov) when its testing shows levels of NTTP that
exceed 37 ng per day. FDA will determine on a case-by-case basis whether those
drugs should be released for distribution.
Sitagliptin is a prescription drug used to control high blood sugar in patients with
type 2 diabetes mellitus. It could be dangerous for patients with this condition to
stop taking their sitagliptin without first talking to their health care professional.
FDA recommends prescribers continue to use sitagliptin when clinically
appropriate to prevent a gap in patient treatment.
NTTP belongs to the nitrosamine class of compounds, some of which are classified
as probable or possible human carcinogens (substances that could cause cancer),
based on laboratory tests. Although there are no data available to directly evaluate
the carcinogenic potential of NTTP, FDA used information available on closely
related nitrosamine compounds to calculate lifetime exposure limits for NTTP.
Agency scientists evaluated the risk of exposure to NTTP at interim acceptable
intake levels up to 246.7 ng per day and determined that it presents minimal
additional cancer risk when compared to a lifetime of exposure to NTTP at the 37
ng per day level.
FDA continues its ongoing review, surveillance, compliance and pharmaceutical
quality efforts across every product area and will continue to work with drug
manufacturers to ensure safe, effective and high-quality drugs for the American
public.
https://www.fda.gov/drugs/drug-safety-and-availability/fda-works-avoid-shortage-sita... 2022/09/14