№ lp_2_3_57142
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Scientific case study presenting comparative spray characterization and statistical equivalence data supporting the use of USP Purified Water acceptance testing for release of a finished nasal spray combination drug product under FDA guidance.
Authors:
Ruixin Zhou; Carolyn Jordan; Justin Lygrisse; Adrian Raiche
Organization:
Kindeva Drug Delivery, Lexington, KY, USA
Address:
1513 Bull Lea Road, Lexington, KY 40511, USA
Regulatory Authority Referenced:
U.S. Food and Drug Administration (FDA)
Regulatory Document Referenced:
FDA Guidance for Industry: Nasal Spray and Inhalation Solution, Suspension, and Spray Drug Products – Chemistry, Manufacturing, and Controls Documentation (July 2002)
Drug Product:
RezenopyTM
Dosage Form:
Nasal spray drug product
Study Type:
Comparative spray characterization and statistical equivalence study
Testing Parameters:
Spray pattern; Droplet size distribution (DV10, DV50, DV90, Span, %Volume < 10 µm); Delivered dose (% of label claim)
Media Compared:
USP Purified Water (USP-PW); Placebo formulation; Drug product formulation
Sample Size:
n=90 per test (30 samples per group)
Statistical Method:
Two-sample equivalence test; 95% confidence interval
Software Used:
Viota® Software; Minitab Statistical Software (version 22.1)
Equipment:
SprayVIEW® measurement system; Spraytec® system
Components Evaluated:
Incoming actuator (pump) lots; Finished combination product
Regulatory Context:
NDA filing; FDA-approved nasal spray product
Price: 8 / 10 USD
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
2024
Region / City:
United States
Topic:
Medical Appeal Letter
Document Type:
Template
Organization / Institution:
OptiNose, Inc.
Author:
OptiNose, Inc.
Target Audience:
Healthcare providers, medical professionals
Period of Validity:
Indefinite
Approval Date:
05/2024
Date of Changes:
None
Year:
2025
Region / city:
United Kingdom
Topic:
Immunization, Influenza Vaccine
Document Type:
Addendum
Organization / Institution:
UK Health Security Agency (UKHSA)
Author:
Suki Hunjunt, Alex Allen, Greta Hayward
Target Audience:
Health professionals, Immunization Programs
Effective Period:
1 September 2025 - 1 April 2026
Approval Date:
6 August 2025
Modification Date:
23 July 2025
Background:
Live attenuated influenza vaccine nasal spray suspension (Fluenz®) updated formula
Contextual Description:
Addendum to UKHSA PGD v15.0 detailing updates to the influenza vaccine composition and active strains.
Year:
2025
Region / city:
England
Topic:
Influenza Vaccination
Document Type:
Patient Group Direction (PGD)
Authority / institution:
UK Health Security Agency (UKHSA)
Author:
Suki Hunjunt, Jamie Lopez-Bernal, Greta Hayward
Target Audience:
Healthcare practitioners, immunisation staff
Period of validity:
From 1 September 2025 to 1 April 2026
Approval Date:
1 July 2025
Amendment Date:
25 June 2025
Year:
2024
Region / City:
EMEA
Therapeutic Area:
Allergic rhinitis
Document Type:
Product Information
Organization / Institution:
European Medicines Agency
Author:
Not specified
Target Audience:
Healthcare professionals
Validity Period:
Not specified
Approval Date:
Not specified
Amendment Date:
Not specified
Year:
2024-2025
Region / City:
Washington State
Topic:
Medical authorization form
Document Type:
Medical Authorization
Organization:
Washington State School for the Blind
Author:
Licensed Health Professional
Target Audience:
Parents/Guardians, School Staff
Effective Period:
07/01/2024 - 08/31/2025
Approval Date:
Not specified
Modification Date:
Not specified
Year:
2022
Note:
Region / city
Topic:
Nasal valve collapse, radiofrequency treatment
Document type:
Medical Procedure Description
Organization / institution:
HERC
Target audience:
Medical professionals
Approval date:
November 2022
Contextual description:
A medical document outlining the procedure code 30469 for repairing nasal valve collapse using low-energy, temperature-controlled radiofrequency treatment, detailing evidence and payer policies.
Year:
2021
Region / City:
Hatfield, United Kingdom
Topic:
Computational Fluid Dynamics, Nasal Delivery Devices, Fluid Mechanics
Document Type:
Research Article
Institution:
University of Hertfordshire, University College London, Bespak
Authors:
Hessam Rasooli Nia, Darragh Murnane, Michael Cook, Adam Gibbons, Sabrina Falloon
Target Audience:
Researchers, Engineers, Pharmaceutical Scientists
Period of Effectiveness:
N/A
Approval Date:
N/A
Modification Date:
N/A
Title:
Supplement to “Broadening the Berlin Definition of ARDS to Patients Receiving High–flow Nasal Oxygen”
Study type:
Observational study
Document type:
Supplement including statistical analysis plan, tables and figures
Study population:
Patients with acute hypoxemic respiratory failure due to COVID–19
Clinical focus:
Acute respiratory distress syndrome according to the Berlin definition
Interventions compared:
High–flow nasal oxygen and invasive ventilation
Severity classification:
Mild, moderate and severe ARDS
Outcomes reported:
ICU discharge, hospital discharge, 28–day mortality, 90–day all–cause mortality
Statistical methods:
Hazard ratios with centre as random effect
Corresponding author:
Fleur–Stefanie L.I.M. van der Ven
Institution:
Department of Intensive Care, Amsterdam University Medical Centers, location ‘AMC’
Country:
The Netherlands
Collaborating group:
PRoAcT–COVID study investigators
Year:
2026
Region / City:
Nottingham, UK
Topic:
Nasal drug delivery, spray drying technology
Document type:
Research paper
Institution:
Upperton Pharma Solutions
Authors:
Lara C. Penn, Shailesh K. Mistry, Richard Johnson
Target Audience:
Pharmaceutical scientists, researchers in drug delivery systems
Date of approval:
2026
Date of amendments:
None
Year:
2026
Region / City:
Not specified
Topic:
Burn Patient Clinical Study
Document Type:
Research Report
Institution:
Not specified
Author:
Not specified
Target Audience:
Medical professionals, researchers
Study Period:
Not specified
Sample Size:
56 participants
Patient Grouping:
Study group and control group
Clinical Intervention:
Inspiratory muscle training
Burn Severity:
Severe (>30% body surface area, 2nd/3rd degree)
Primary Burn Causes:
Fire, hot liquids
Data Analysis Methods:
Descriptive statistics, normality tests, variance tests
Field:
Pharmaceutics and Biopharmaceutics
Topic:
Nasal drug delivery and aerosol particle size assessment
Type of document:
Scientific research article
Authors:
Niklas Baltz; Regina Scherließ
Affiliation:
Department of Pharmaceutics and Biopharmaceutics, Kiel University
Institution:
Kiel University
City:
Kiel
Country:
Germany
Research focus:
Determination of inhalable mass fraction below 10 micron in nasal spray formulations
Studied formulations:
Commercial nasal spray for allergy treatment
Analytical methods discussed:
Impactor analysis; HPLC with UV-Vis detection; comparison with laser diffraction
Tested equipment:
Fast Screening Impactor (FSI); Next Generation Impactor (NGI); reduced NGI (rNGI)
Regulatory context:
EMA and FDA recommendations on nasal product development
Measured parameter:
Mass fraction of droplets or particles less than 10 micron
Application context:
Safety evaluation of intranasal drug administration and potential pulmonary exposure
Related therapeutic area:
Intranasal treatments including therapies targeting the central nervous system
Note:
Year
Organization / Institution:
Centers for Disease Control and Prevention (CDC)
Target Audience:
Research Participants
Lung Function Test Type:
Spirometry
Sample Storage Location:
CDC, Chamblee Campus
Context:
This document provides guidelines for collecting urine samples and performing lung function tests (spirometry) as part of a health study, including sample handling, transportation, and testing protocols.
Year:
2026
Region / city:
Not specified
Topic:
Paediatric respiratory care, bronchiolitis, HFNC therapy
Document Type:
Interview script
Organization / institution:
Not specified
Author:
Not specified
Target Audience:
Clinicians, particularly medical and nursing staff working with infants with bronchiolitis
Period of validity:
Not specified
Approval date:
Not specified
Date of changes:
Not specified
Year:
2026
Region / City:
Lyon, France
Subject:
Nasal drug delivery, impaction force measurement
Document type:
Research article
Institution:
Nemera la Verpillière
Authors:
Laura Berard, Alain Regard
Target audience:
Pharmaceutical researchers, medical device developers
Methodology:
Experimental testing of nasal jet-based prototypes and commercial nasal sprays
Test parameters:
Impaction force, actuation speed, nozzle distance
Comparison:
Marketed nasal saline products, results from C. Guo publication
Key findings:
Jet-based prototypes’ impaction force comparable to commercial products
Device type:
Nasal spray, nasal jet-based prototypes
Year:
2026
Region / City:
Global
Subject:
Emergency treatment of opioid overdose
Document Type:
Pharmaceutical product monograph
Organization / Institution:
OPVEE™ Pharmaceuticals
Author:
OPVEE™ Research and Development Team
Target Audience:
Healthcare professionals and emergency responders
Dosage Form:
Nasal spray
Active Ingredient:
Nalmefene hydrochloride
Indications:
Treatment of known or suspected opioid overdose in patients 12 years and older
Pharmacokinetics:
Nasal administration, onset 2.5–5 minutes, duration ~6 hours above EC50
Safety Considerations:
Pregnancy, lactation, pediatric and geriatric usage, renal and hepatic impairment
Contraindications:
Hypersensitivity to nalmefene or other components
Adverse Effects:
Possible acute withdrawal in opioid-dependent patients, recurrence of respiratory depression
Year:
2022
Region:
Massachusetts
Jurisdiction:
United States
Topic:
Chlamydia infection; expedited partner therapy; sexually transmitted infections
Document type:
Clinical advisory
Issuing body:
Massachusetts Department of Public Health
Legal basis:
M.G.L. c. 111 § 121B; 105 CMR 700.003(J); 105 CMR 721.000
Target audience:
Healthcare providers and pharmacists
Standard treatment referenced:
Doxycycline; azithromycin
Population referenced:
Adolescents, young adults, men who have sex with men
Date of update:
January 28, 2022
Year:
2025
Region / city:
Massachusetts
Subject:
Tobacco product sales regulations
Document type:
Guidance Document
Organization / institution:
Massachusetts Association of Health Boards
Author:
Cheryl Sbarra, Esq., Executive Director and Senior Staff Attorney, Massachusetts Association of Health Boards; Christohper Banthin, Esq., Program Manager, Public Health Advocacy Institute; Lisa Stevens-Goodnight, Esq., Tobacco Control Director, Massachusetts Municipal Association; Sarah McColgan, Tobacco Control Director, Massachusetts Health Officers Association
Target audience:
Tobacco retailers and permit applicants
Effective period:
2025
Approval date:
12.30.25
Date of changes:
N/A
Note:
Year
Topic:
IT Project Lifecycle, GenAI
Document Type:
Glossary
Note:
Year
Topic:
Religious education, ministry
Document type:
Discussion guide
Organization:
Kairos Inside
Target audience:
Participants, volunteers, and Kairos graduates
Contextual description:
A guide designed to enhance the continuing ministry of Kairos Inside by utilizing the Kairos Bibles and separate Discussion Guides containing 52 lessons for personal and group use.
Jurisdiction:
Connecticut
Legal Basis:
Conn. Gen. Stat. §§19a-630, 19a-637, 19a-638, 19a-639, 19a-486
Document Type:
Supplemental Certificate of Need Application Form
Subject:
Acquisition of Equipment Utilizing New Technology
Applicant:
Not specified
Project Title:
Not specified
Affidavit Requirement:
Signature of CEO or CFO and notarization required
Regulatory Authority:
Connecticut General Statutes
Required Attachments:
Vendor marketing materials or proposal; letters of support from medical practitioners; peer reviewed literature; Financial Worksheet data
Financial Reporting Component:
Projected payer mix and discharge/visit volumes
Oversight and Accreditation:
Governmental and professional approval/accreditation entities to be identified