Evidence map›Paper›PMID 33082444›Full record

ArticleScientific reports2020

A retrospective cross-sectional study to determine chirality status of registered medicines in Tanzania.

Kissa W Mwamwitwa, Raphael M Kaibere, Adam M Fimbo, Wilber Sabitii, Nyanda E Ntinginya, Blandina T Mmbaga, Danstan H Shewiyo, Morven C Shearer, Andrew D Smith, Eliangiringa A Kaale

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.1field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Pharmacokinetics and tissue distribution of vigabatrin enantiomers in rats.Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical Society · 2024
    Article
  3. Article
  4. Analytical Separation of Closantel Enantiomers by HPLC.Molecules (Basel, Switzerland) · 2021
    Article
  5. Lipase Assisted (Pharmaceuticals (Basel, Switzerland) · 2021
    Article
  6. Review
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Kissa W MwamwitwaPharm R&D Lab and Department of Medicinal Chemistry, School of Pharmacy, Muhimbili University of Health and Allied Sciences, P. O. Box 65545, Dar es Salaam, Tanzania. ki313ssa@yahoo.com.
Raphael M KaiberePharm R&D Lab and Department of Medicinal Chemistry, School of Pharmacy, Muhimbili University of Health and Allied Sciences, P. O. Box 65545, Dar es Salaam, Tanzania.
Adam M FimboTanzania Medicines and Medical Devices Authority, P. O. Box 77150, Dar es Salaam, Tanzania.
Wilber SabitiiSchool of Medicine, University of St, Andrews, Fife, KY16 9TF, Scotland, UK.
Nyanda E NtinginyaNational Institute of Medical Research - Mbeya Medical Research Centre, P. O. Box 2410, Mbeya, Tanzania.
Blandina T MmbagaKilimanjaro Clinical Research Institute, P. O. Box 2236, Moshi, Kilimanjaro, Tanzania.
Danstan H ShewiyoTanzania Medicines and Medical Devices Authority, P. O. Box 77150, Dar es Salaam, Tanzania.
Morven C ShearerSchool of Medicine, University of St, Andrews, Fife, KY16 9TF, Scotland, UK.
Andrew D SmithSchool of Chemistry, University of St, Andrews, Fife, KY16 9TF, Scotland, UK.
Eliangiringa A KaalePharm R&D Lab and Department of Medicinal Chemistry, School of Pharmacy, Muhimbili University of Health and Allied Sciences, P. O. Box 65545, Dar es Salaam, Tanzania.
Muhimbili University of Health and Allied Sciences · TZUniversity of St Andrews · GBKilimanjaro Christian Medical Centre · TZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Medicines with a stereogenic center (asymmetric carbon) are mainly present as racemates with a mixture of equal amounts of enantiomers. One enantiomer may be active while the other inactive, alternatively one may produce side-effects and even toxicity. However, there is lack of information on the chirality status (either racemates, single active enantiomer or achiral) of medicines circulated on the market particularly in African countries. We established the chirality status of registered medicines in Tanzania by conducting a retrospective cross-sectional study. Registration data for the past 15 years from 2003 to 2018 were extracted from TMDA-IMIS database to Microsoft excel for review and analysis. A total of 3,573 human medicines had valid registration. Out of which 2,150 (60%) were chiral and 1,423 (40%) achiral. Out of the chiral medicines, 1,591 (74%) and 559 (26%) were racemates and single active enantiomers, respectively. The proportion of racemates within chiral medicines was considerably higher than single enantiomer medicines. The use of racemates may cause harm to the public and may contribute to antimicrobial resistance due to potential existence of inactive and toxic enantiomers. In order to protect public health, regulatory bodies need to strengthen control of chiral medicines by conducting analysis of enantiomeric impurity.

Identifiers

PMID33082444
PMCPMC7575591
OpenAlexW3093815749

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.