Evidence map›Paper›PMID 36986634›Full record

ArticlePharmaceutics2023

Product Validation and Stability Testing of Pharmacy Compounded Cholic Acid Capsules for Dutch Patients with Rare Bile Acid Synthesis Defects.

Yasmin Polak, Bart A W Jacobs, Natalja Bouwhuis, Carla E M Hollak, Maurice A G M Kroon, Elles Marleen Kemper

Open access · goldAbstract read
In one paragraph

Article in Pharmaceutics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.5field-weighted citation impact, top 28% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

6 authors at 2 institutions in 1 country.

Yasmin PolakDepartment of Pharmacy and Clinical Pharmacology, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.ORCID 0009-0008-4730-354X
Bart A W JacobsDepartment of Pharmacy and Clinical Pharmacology, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.
Natalja BouwhuisDepartment of Pharmacy and Clinical Pharmacology, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.
Carla E M HollakMedicine for Society, Platform at Amsterdam UMC, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.
Maurice A G M KroonDepartment of Pharmacy and Clinical Pharmacology, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.
Elles Marleen KemperDepartment of Pharmacy and Clinical Pharmacology, University of Amsterdam, 1105 AZ Amsterdam, The Netherlands.ORCID 0000-0003-2275-1713
Amsterdam University Medical Centers · NLUniversity of Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bile acid synthesis defects (BASDs) comprise a group of rare diseases that can be severely disabling. Bile acid supplementation with 5 to 15 mg/kg cholic acid (CA) has been hypothesized to decrease endogenous bile acid production, stimulate bile secretion, and improve bile flow and micellar solubilization, thereby improving the biochemical profile and potentially slowing down disease progression. Currently, CA treatment is unavailable in the Netherlands, and CA capsules were compounded by the Amsterdam UMC Pharmacy from CA raw material. This study aims to determine the pharmaceutical quality and stability of the pharmacy compounded CA capsules. Pharmaceutical quality tests were performed on 25 mg and 250 mg CA capsules according to general monographs of the European Pharmacopoeia 10th ed. For the stability study, the capsules were stored under long-term conditions (25 °C ± 2 °C/60% ± 5% RH) and accelerated conditions (40 °C ± 2 °C/75% ± 5% RH). Samples were analyzed at 0, 3, 6, 9 and 12 months. The findings demonstrate that the pharmacy compounded CA capsules within a range of 25-250 mg that complied with the European regulations in regard to product quality and safety. The pharmacy compounded CA capsules are suitable for use in patients with BASD, as clinically indicated. With its simple formulation, pharmacies are provided a guidance on product validation and stability testing when commercial CA capsules are unavailable.

Indexed as

active pharmaceutical ingredient (API)bile acidsbile acid synthesis defects (BASD)cholic acidgood manufacturing practice (GMP)orphan drugspharmacy compoundingproduct validationstability testing

Identifiers

PMID36986634
PMCPMC10059964
OpenAlexW4322503707

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.