Evidence map›Paper›PMID 40075515›Full record

ArticleDrug testing and analysis2025

Quantitative Investigation of Nitrosamine Drug Substance-Related Impurities (NDSRIs) Under Artificial Gastric Conditions by Liquid Chromatography-Tandem Mass Spectrometry and Structure-Activity Relationship Analysis.

Matthias Vogel, Sylvia E Escher, Emanuel Weiler, Anke Londenberg, Uwe Deppenmeier, Rhys Whomsley

Abstract read
In one paragraph

Article in Drug testing and analysis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
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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

6 authors.

Matthias VogelFederal Institute for Drugs and Medical Devices, Bonn, Germany.ORCID https://orcid.org/0000-0003-4814-3900
Sylvia E EscherFraunhofer Institute for Toxicology and Experimental Medicine, Hannover, Germany.
Emanuel WeilerFederal Institute for Drugs and Medical Devices, Bonn, Germany.
Anke LondenbergFraunhofer Institute for Toxicology and Experimental Medicine, Hannover, Germany.
Uwe DeppenmeierInstitute of Microbiology and Biotechnology, University of Bonn, Bonn, Germany.
Rhys WhomsleyEuropean Medicines Agency, Amsterdam, The Netherlands.

Funding

European Medicines Agency (EMA) EMA/2020/46/L1.02
6 · The paper itself

Abstract

The presence of nitrosamines in numerous human medicinal products (HMP) has recently emerged as a cause for concern. Following the initial discovery of carcinogenic low molecular weight nitrosamines such as nitrosodimethylamine (NDMA) in HMP, regulatory authorities worldwide requested marketing authorization holders to perform risk assessments for the presence of nitrosamines in their products. The initially observed contaminations-mainly low molecular weight nitrosamines-were generated by organic solvent impurities or by-products from synthesis and nitrite carried over to finished products (FP). More recently, complex nitrosamine drug substance-related impurities (NDSRIs) have been reported arising from direct nitrosation of active pharmaceutical ingredients (APIs) at secondary amine groups in the presence of nitrite derived from excipients. In addition, an alternative route of API nitrosation is conceivable due to interaction with gastric acid and physiological nitrite after drug intake. Within this study, 13 secondary amine bearing APIs were selected to individually identify susceptibilities for nitrosation by using high physiological limit values in terms of pH and nitrite. Therefore, artificial gastric media were fortified with 200 μM sodium nitrite and increasing concentrations of APIs at pH 3.15 and 37°C for 2 h. All NDSRI concentrations were quantitatively determined via validated liquid chromatography-tandem mass spectrometry (LC-MS/MS) methodology. Additionally, time-dependent nitrosations of selected APIs were monitored to kinetically assess the proportion of NDSRIs after the gastric passage. All results and observations were further processed by means of structure activity relationship (SAR) predictions to identify highly susceptible compounds in the group of concern.

Indexed as

Drug ContaminationNitrosaminesTandem Mass SpectrometryChromatography, LiquidHumansHydrogen-Ion ConcentrationNitrosationPharmaceutical PreparationsSodium NitriteStructure-Activity RelationshipNitrosaminesPharmaceutical PreparationsSodium Nitriteanalysisliquid chromatographymass spectrometryNDSRIsnitrosaminesvalidation

Identifiers

PMID40075515
PMCPMC12401632

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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.