Evidence map›Paper›PMID 39713721›Full record

ArticleContact in context2024

Potential Process Control Issues with Vasopressin.

James T Isaacs, Philip J Almeter, Aaron N Hunter, Thomas A Lyman, Stephanie P Zapata, Bradley S Henderson, Seth A Larkin, Ashton R Plymale, Lindsey M Long, Megan N Bossle and 11 more

Abstract read
In one paragraph

Article in Contact in context, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

21 authors.

James T IsaacsDepartment of Pharmacy Services, University of Kentucky Healthcare, Lexington, KY 40536.
Philip J AlmeterDepartment of Pharmacy Services, University of Kentucky Healthcare, Lexington, KY 40536.
Aaron N HunterDepartment of Pharmacy Services, University of Kentucky Healthcare, Lexington, KY 40536.
Thomas A LymanDepartment of Pharmacy Services, University of Kentucky Healthcare, Lexington, KY 40536.
Stephanie P ZapataDepartment of Pharmacy Services, University of Kentucky Healthcare, Lexington, KY 40536.
Bradley S HendersonDepartment of Pharmacy Services, University of Kentucky Healthcare, Lexington, KY 40536.
Seth A LarkinDepartment of Pharmacy Services, University of Kentucky Healthcare, Lexington, KY 40536.
Ashton R PlymaleDepartment of Pharmacy Services, University of Kentucky Healthcare, Lexington, KY 40536.
Lindsey M LongDepartment of Pharmacy Services, University of Kentucky Healthcare, Lexington, KY 40536.
Megan N BossleDepartment of Pharmacy Services, University of Kentucky Healthcare, Lexington, KY 40536.
Smaran A BhaktawaraDepartment of Pharmacy Services, University of Kentucky Healthcare, Lexington, KY 40536.
Matthew F WarrenDepartment of Pharmacy Services, University of Kentucky Healthcare, Lexington, KY 40536.
Austin M LozierDepartment of Pharmacy Services, University of Kentucky Healthcare, Lexington, KY 40536.
Joshua D MelsonDepartment of Pharmacy Services, University of Kentucky Healthcare, Lexington, KY 40536.
Savannah R FraleyDepartment of Pharmacy Services, University of Kentucky Healthcare, Lexington, KY 40536.
Eunice Hazzel L RelucioDepartment of Pharmacy Services, University of Kentucky Healthcare, Lexington, KY 40536.
Margaret A FelixDepartment of Pharmacy Services, University of Kentucky Healthcare, Lexington, KY 40536.
Jeffrey W ReynoldsDepartment of Finance, University of Kentucky Healthcare, Lexington, KY.
Ryan W NasemanDepartment of Pharmacy Services, University of Kentucky Healthcare, Lexington, KY 40536.
Derek A PuertoDepartment of Chemistry, University of Kentucky, Lexington, KY 40506.
Robert A LodderDepartment of Pharmaceutical Sciences, University of Kentucky, Lexington, KY 40536.ORCID http://orcid.org0000-0001-6133-7561

Funding

Kentucky Center for Clinical and Translational ScienceUL1TR001998 · NCATS · UNIVERSITY OF KENTUCKY · PI HARTMANN, KATHERINE E, KERN, PHILIP A · 2016 to 2025
$34.2M
NCATS NIH HHS UL1 TR001998
6 · The paper itself

Abstract

The University of Kentucky's Drug Quality Task Force (DQTF) conducted a study to perform consumer-level quality assurance screening of vasopressin injections used in their healthcare pharmacies. The primary objective was to identify potential quality defects by examining intralot and interlot variability using Raman spectrometry and statistical analyses. Raman spectra were collected noninvasively and nondestructively from vasopressin vials (n=51) using a Thermo Scientific Smartraman DXR3 Analyzer. Data processing techniques, including smoothing with cubic splines and Multiplicative Scatter Correction (MSC), were applied to prepare the spectra for analysis. Statistical analyses employed included the Bootstrap Error-Adjusted Single-sample Technique (BEST), Principal Component Analysis (PCA), and subcluster detection to assess variability and detect unusual samples. The study revealed significant intralot and interlot variability in the vasopressin samples. Analysis of Raman spectral graphs from vials in lot 22040L1C0 showed multiple subgroups within a single lot, indicating variability in chemical composition. Examination of the entire spectral library, which included vials from two different lot numbers, revealed four distinct groups that did not correspond to lot numbers. A subcluster detection test confirmed the presence of at least two distinct chemical compositions in samples from both lots, rejecting the null hypothesis that the groups have the same scale and location. While these spectrometric results do not conclusively prove an excess level of impurities or adulteration, they suggest that the manufacturing process may have been operating outside of a state of process control. These findings highlight the need for further investigation into potential process control issues to ensure consistent manufacturing processes and maintain drug quality and efficacy.

Identifiers

PMID39713721
PMCPMC11661826

What OpenQuestion holds

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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.