Abstract

Globally, it is estimated that about 10–30% of pharmaceuticals are of poor quality. Poor-quality drugs lead to long-term drug resistance, create morbidity, and strain the financial structure of the health system. The current technologies for substandard drug detection either are too expensive for low-resource regions or only provide qualitative results. To address the current limitations with point-of-care technologies, we have developed an affordable and robust assay to quantify the amount of active pharmaceutical ingredients (APIs) to test product quality. Our novel assay consists of two parts: detection reagent (probe) and a microfluidic testing platform. As antimalarials are of high importance in the global fight against malaria and are often substandard, they are chosen as the model to validate our assay. As a proof-of-concept, we have tested the assay with artesunate pure and substandard samples (Arsuamoon tablets) from Africa and compared with the conventional 96-well plate with spectrophotometer to demonstrate the quantitative efficacy and performance of our system.

Highlights

  • The World Health Organization (WHO) estimates that about 10–30% of pharmaceuticals in the world are of poor quality, counterfeit, falsified or broadly speaking, substandard.[1]

  • To address the current limitations with point-of-care technologies, we have developed an affordable and robust assay to quantify the amount of active pharmaceutical ingredients (APIs) to test product quality

  • There are three broad classes or methods used for the detection of substandard pharmaceuticals: high-performance liquid chromatography (HPLC), handheld Raman spectroscopy (RS) or near-infrared spectroscopy instruments, and thin-layer chromatography (TLC)-based systems

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Summary

Introduction

The World Health Organization (WHO) estimates that about 10–30% of pharmaceuticals in the world are of poor quality, counterfeit, falsified or broadly speaking, substandard.[1]. There are three broad classes or methods used for the detection of substandard pharmaceuticals: high-performance liquid chromatography (HPLC), handheld Raman spectroscopy (RS) or near-infrared spectroscopy instruments, and thin-layer chromatography (TLC)-based systems. HPLC is the gold standard method used for the analysis of different active pharmaceutical ingredients (APIs) and impurities within the drug tablets.[3] HPLC is a powerful tool for quantitative analysis of pharmaceuticals and its impurities. That makes a complete system’s cost too expensive (often upwards of $100,000) for low-resources settings and field testing.[4] appropriate maintenance and storage for the advanced devices are required. Trained personnel are required for maintenance and operation of HPLC

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