Page 324 - Chiral Separation Techniques
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Chiral Separation Techniques: A Practical Approach, Second, completely revised and updated edition
                                                                   Edited by G. Subramanian
                                                       Copyright © 2001 Wiley-VCH Verlag GmbH
                                           ISBNs: 3-527-29875-4 (Hardcover); 3-527-60036-1 (Electronic)
             13 International Regulation of Chiral Drugs                        1


                  Sarah K. Branch












             13.1 Introduction


             The regulation of chiral drugs provides a good demonstration of the mutual rela-
             tionship between progress in scientific methodology and the development of regula-
             tory guidelines. It is also an example of international debate between regulatory
             authorities and the pharmaceutical industry leading to a consensus in recognition of
             the global nature of pharmaceutical development. The significance of optical iso-
             merism in drug action is well-established; for example, it was known in 1926 that
             the biological activity of atropine resided in only one stereoisomer [1]. However, the
             absence of suitable methods for either the large-scale preparation of pure enan-
             tiomers or for stereoselective analysis meant that the majority of stereochemically
             pure drugs on the market were of natural origin. That drug metabolism could be
             stereoselective was already acknowledged by the 1970s [2], but it was only in the
             following decade that the wider implications of chirality in clinical pharmacokinet-
             ics and drug safety began to be recognized and then only after some vigorous cam-
             paigning, for example, by Ariëns [3, 4]. The “enantiomer-versus-racemate” debate
             will not be reiterated here as the published literature is quite extensive and has been
             previously reviewed [e.g., 5–8]. A summary, however, is given in Table 13-1 of the
             different scenarios, illustrated by single examples, associated with the administration
             of a racemate which might need be taken into account during development of new
             drug substances.
               Historically, synthetic chiral drugs were mainly presented as the racemate due to
             the technical difficulties of either synthesizing the pure enantiomers or separating
             them to yield the individual isomers. The 1980s saw the introduction of new meth-
             ods for the preparation of single enantiomers accompanied by advances in chiral
             analytical procedures. The field of asymmetric synthesis in organic chemistry bur-
             geoned and a wide range of chiral precursors and reagents are now commercially
             available as a result. There has also been exploitation of biosynthetic pathways in
             micro-organisms to produce drug substances, either employing chiral starting mate-


             1  The views expressed in this chapter are those of the author and do not necessarily represent the views or the opin-
             ions of the Medicines Control Agency, other regulatory authorities or any of their advisory committees.
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