Nitrosamines are classified as probable (IARC Group 2A) or possible (IARC Group 2B) human carcinogens, capable of inducing tumors even at very low concentrations (nanogram per liter levels). Regulatory considerations specifically affect Large Volume Parenteral (LVP) products due to the high application volume combined with very low allowable intake limits. These compounds have already attracted significant attention for elastomer materials like rubber. A recent FDA communication highlighted the particular importance of infusion bags, given their unique nature. In this study, over 300 batches of plastic materials, used for LVP packaging, were tested and trace levels of nitrosamines at ng/L scale were detected in several plastic granules and films. These results indicated the importance of nitrosamine profiling during raw material qualifications for LVP products.
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Lukas Jost
Frank Sprau
Lukas Thörner
PDA Journal of Pharmaceutical Science and Technology
Johannes Gutenberg University Mainz
Fresenius Medical Care (Germany)
Trier University of Applied Sciences
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Jost et al. (Tue,) studied this question.
www.synapsesocial.com/papers/69be34886e48c4981c672b3a — DOI: https://doi.org/10.5731/pdajpst.2025-000072.1