Evidence map›Paper›PMID 38557191›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2024

Crystal size, shape, and conformational changes drive both the disappearance and reappearance of ritonavir polymorphs in the mill.

Pietro Sacchi, Sarah E Wright, Petros Neoptolemou, Giulio I Lampronti, Ashwin Kumar Rajagopalan, Weronika Kras, Caitlin L Evans, Paul Hodgkinson, Aurora J Cruz-Cabeza

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–field-weighted citation impact
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

17 citing papers in PubMed.

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  5. How Crystal Size and Number Steer Asymmetric Crystallization.The journal of physical chemistry letters · 2026
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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

9 authors.

Pietro Sacchi *Department of Chemical Engineering, University of Manchester, Manchester M13 9PL, United Kingdom.ORCID 0000-0001-5066-4508
Sarah E Wright *Department of Chemical Engineering, University of Manchester, Manchester M13 9PL, United Kingdom.ORCID 0000-0002-5547-4567
Petros NeoptolemouDepartment of Chemical Engineering, University of Manchester, Manchester M13 9PL, United Kingdom.ORCID 0000-0003-2930-5038
Giulio I LamprontiDepartment of Earth Sciences, University of Cambridge, Cambridge CB2 3EQ, United Kingdom.ORCID 0000-0002-1430-3446
Ashwin Kumar RajagopalanDepartment of Chemical Engineering, University of Manchester, Manchester M13 9PL, United Kingdom.ORCID 0000-0001-8306-455X
Weronika KrasDepartment of Chemical Engineering, University of Manchester, Manchester M13 9PL, United Kingdom.
Caitlin L EvansDepartment of Chemistry, Durham University, Durham DH1 3LE, United Kingdom.ORCID 0000-0002-4326-5207
Paul HodgkinsonDepartment of Chemistry, Durham University, Durham DH1 3LE, United Kingdom.ORCID 0000-0003-0327-3349
Aurora J Cruz-CabezaDepartment of Chemical Engineering, University of Manchester, Manchester M13 9PL, United Kingdom.ORCID 0000-0002-0957-4823

Funding

Eli Lilly NARoyal Society (The Royal Society) NAThe Cambridge Crystallographic Data Centre NAUKRI | Engineering and Physical Sciences Research Council (EPSRC) NA
6 · The paper itself

Abstract

Organic compounds can crystallize in different forms known as polymorphs. Discovery and control of polymorphism is crucial to the pharmaceutical industry since different polymorphs can have significantly different physical properties which impacts their utilization in drug delivery. Certain polymorphs have been reported to 'disappear' from the physical world, irreversibly converting to new ones. These unwanted polymorph conversions, initially prevented by slow nucleation kinetics, are eventually observed driven by significant gains in thermodynamic stabilities. The most infamous of these cases is that of the HIV drug ritonavir (RVR): Once its reluctant form was unwillingly nucleated for the first time, its desired form could no longer be produced with the same manufacturing process. Here we show that RVR's extraordinary disappearing polymorph as well as its reluctant form can be consistently produced by ball-milling under different environmental conditions. We demonstrate that the significant difference in stability between its polymorphs can be changed and reversed in the mill-a process we show is driven by crystal size as well as crystal shape and conformational effects. We also show that those effects can be controlled through careful design of milling conditions since they dictate the kinetics of crystal breakage, dissolution, and growth processes that eventually lead to steady-state crystal sizes and shapes in the mill. This work highlights the huge potential of mechanochemistry in polymorph discovery of forms initially difficult to nucleate, recovery of disappearing polymorphs, and polymorph control of complex flexible drug compounds such as RVR.

Indexed as

crystal polymorphismmechanochemistryparticle size and shapepharmaceuticals

Identifiers

PMID38557191
PMCPMC11009673

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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.