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Showing posts with label Regulations. Show all posts
Showing posts with label Regulations. Show all posts

Thursday, March 3, 2022

Pharma’s Active Pharmaceutical Ingredient Manufacturing: Their Environmental Impact and Opportunities

Chemists and chemical engineers have their own perspectives when it comes to developing a process and commercializing it. It is interesting to note that same family fine/specialty chemicals and active pharmaceutical ingredients (API, a subset of fine/specialty family) have different techniques and strategies. Their development methodologies could be parallel but the pathways and results can be very different. Each could be quite simple and equally complex in their efforts to commercialize an economic process. 

Every company has to chart its own course, they feel comfortable with, for their profitability. However, with the recent limelight on “climate change” pharma companies will have to think and act differently from their practices when it comes to developing and commercializing a product. 

Purpose of this review is not to be critical or pick or choose what is the right product/process development strategy but to identify the opportunities that pharma could adopt and include to be proactive toward “climate change”. It well known that pharma has the highest emission factor among the chemical and related industries (1, 2)

 

Process Development:

 

Through analysis of a product’s chemistry existing landscape of an API is reviewed. Observations might not apply across the landscape but can be used as an example to improve the development of APIs. It is expected that this analysis will plant the seeds for the needed change that could lower pharma’s environmental impact (2). Change process and theri impact is not going to be instant. Considerable and ongoing effort will be needed. There is no financial relationship with any profit making and non-profit organization. 

I randomly selected molecule patented in US 10,669,279 B2 (3) and US 10,077,269 (4) for review. This molecule reduces the side effects (nausea, emesis, headaches and diarrhea) caused by COPD treatment using Roflumilat (Daliresp ®) and by Apremilast (Otzela ®) used for psoriatic arthritis (PA). Daily recommended dosage of this drug is 500 micrograms (COPD) and 60 milligrams (PA) respectively per day per year. COPD drug usage is in micrograms and that suggests that a separate tablet would have to be taken to counter the side effects. Same most likely would be true for Otezla. Since the invented drug will be new, based on pharma’s tradition of high pricing of any new drug, it is going to be multi folds expensive (5) compared to any existing drug that could be used to curb similar side effects. My expectation is that the company will do its best to expand market usage beyond these two diseases but the selling price can intervene wide spread usage.  

 

In the following example 1 of [USP ‘269 (3) and USP ‘279 (4) every chemist and chemical engineer will see that the process described is a laboratory synthesis and its translation to a commercial operation will be a challenge. Execution or scale up details are not discussed. Observations are made on solvent use and yield as they have environmental impact.


Fig. 1: Synthesis of Azetidin-1-yl[3-(4-chlorophenyl)imidazo[1,2-b]pyridazin-2-yl]methanone (3) (3, 4)

 

Step 1. Synthesis of ethyl imidazo[1,2-b]pyridazine-2-carboxylate (C1) 

A mixture of pyridazin-3-amine (20 g, 210 mmol) and ethyl 3-bromo-2-oxopropanoate (82 g, 420 mmol) in ethanol (300 mL) was heated at reflux for 16 hours. After removal of solvent via distillation, the residue was taken up in 2 M hydrochloric acid (100 mL) and washed with ethyl acetate. The aqueous layer was basified to a pH of approximately 8 via addition of aqueous sodium bicarbonate solution and then extracted with chloroform; this organic layer was dried over sodium sulfate, filtered, and concentrated in vacuo. Silica gel chromatography (Eluent: 20% ethyl acetate in petroleum ether) afforded the product as a brown solid. Yield: 8.0 g, 42 mmol, 20%. LCMS m/z 192.0 [M+H].sup.+. .sup.1H NMR (400 MHz, CDCl3) .delta. 8.53 (s, 1H), 8.39 (dd, J=4.4, 1.6 Hz, 1H), 8.01-8.04 (m, 1H), 7.12 (dd, J=9.3, 4.4 Hz, 1H), 4.48 (q, J=7.1 Hz, 2H), 1.45 (t, J=7.1 Hz, 3H). 

Step 2. Synthesis of ethyl 3-iodoimidazo[1,2-b]pyridazine-2-carboxylate (C2) 

N-Iodosuccinimide (24.6 g, 109 mmol) was added to a solution of C1 (19 g, 99 mmol) in acetonitrile (250 mL), and the reaction mixture was stirred at room temperature for 24 hours. Additional N-iodosuccinimide (1 equivalent after every 24 hours) was introduced and stirring continued for a further 48 hours (72 hours overall), until complete consumption of starting material was indicated via thin layer chromatographic analysis. After removal of solvent in vacuo, the residue was taken up in dichloromethane and washed with 1 M hydrochloric acid and with water. The organic layer was dried over sodium sulfate, filtered, and concentrated under reduced pressure; silica gel chromatography (Eluent: 20% ethyl acetate in petroleum ether) provided the product as an off-white solid. Yield: 14.5 g, 45.7 mmol, 46%. LCMS m/z 318.0 [M+H].sup.+. .sup.1H NMR (300 MHz, DMSO-d6) .delta. 8.74 (dd, J=4.3, 1.3 Hz, 1H), 8.18 (dd, J=9.2, 1.4 Hz, 1H), 7.41 (dd, J=9.3, 4.4 Hz, 1H), 4.35 (q, J=7.0 Hz, 2H), 1.36 (t, J=7.1 Hz, 3H). 

Step 3. Synthesis of ethyl 3-(4-chlorophenyl)imidazo[1,2-b]pyridazine-2-carboxylate (C3) 

Aqueous sodium carbonate solution (3 M, 8.4 mL, 25 mmol) was added to a mixture of C2 (2.00 g, 6.31 mmol), (4-chlorophenyl)boronic acid (1.48 g, 9.46 mmol), and [1,1'-bis(dicyclohexylphosphino)ferrocene]dichloropalladium(II) (382 mg, 0.505 mmol) in 1,4-dioxane (32 mL). The reaction mixture was heated at 90º C. overnight, whereupon it was partitioned between ethyl acetate (150 mL) and water (50 mL). The aqueous layer was extracted with ethyl acetate (3.times.150 mL), and the combined organic layers were dried over magnesium sulfate, filtered, and concentrated in vacuo. Purification via silica gel chromatography (Gradient: 0% to 100% ethyl acetate in heptane) afforded the product. Yield: 1.25 g, 4.14 mmol, 66%. LCMS m/z 302.0, 304.0 [M+H].sup.+. .sup.1H NMR (400 MHz, CDCl3) .delta. 8.39 (dd, J=4.3, 1.5 Hz, 1H), 8.09 (dd, J=9.3, 1.5 Hz, 1H), 7.65 (br d, J=8.5 Hz, 2H), 7.50 (br d, J=8.5 Hz, 2H), 7.17 (dd, J=9.3, 4.3 Hz, 1H), 4.42 (q, J=7.1 Hz, 2H), 1.38 (t, J=7.1 Hz, 3H). 

Step 4. Synthesis of 3-(4-chlorophenyl)imidazo[1,2-b]pyridazine-2-carboxylic Acid, Sodium Salt (C4) 

A solution of C3 (1.75 g, 5.80 mmol) in methanol (25 mL) and tetrahydrofuran (25 mL) was added to an aqueous solution of sodium hydroxide (2 M, 25 mL), and the reaction mixture was stirred at room temperature for 4 hours. The resulting solid was collected via filtration and washed with cold water (2.times.25 mL) to provide the product as a solid. Yield: 1.50 g, 5.07 mmol, 87%. LCMS m/z 274.0, 276.0 [M+H].sup.+. 

Step 5. Synthesis of azetidin-1-yl[3-(4-chlorophenyl)imidazo[1,2-b]pyridazin-2-yl]methanone (3) 

Compound C4 (1.40 g, 4.74 mmol) was combined with O-(benzotriazol-1-yl)-N,N,N',N'-tetramethyluronium hexafluorophosphate (HBTU, 2.92 g, 7.70 mmol) and N,N-diisopropylethylamine (3.56 mL, 20.4 mmol) in N,N-dimethylformamide (75 mL). After 2 minutes, azetidine hydrochloride (957 mg, 10.2 mmol) was added, and the reaction mixture was stirred at 50º C. overnight. After removal of solvent in vacuo, the residue was subjected to chromatography on silica gel (Gradient: 0% to 100% ethyl acetate in heptane) followed by trituration with ethyl acetate (30 mL) at 50º C.; this mixture was cooled to 0º C. and filtered. The collected solid was washed with diethyl ether (50 mL) and with cold ethyl acetate (15 mL). Subsequent recrystallization from ethyl acetate provided the product as an off-white solid. Yield: 980 mg, 3.13 mmol, 66%. LCMS m/z 313.2, 315.2 [M+H].sup.+. .sup.1H NMR (400 MHz, CDCl3) .delta. 8.41 (dd, J=4.4, 1.6 Hz, 1H), 8.10 (br d, J=9.2 Hz, 1H), 7.75 (br d, J=8.6 Hz, 2H), 7.48 (br d, J=8.6 Hz, 2H), 7.19 (dd, J=9.2, 4.3 Hz, 1H), 4.46-4.57 (m, 2H), 4.17-4.28 (m, 2H), 2.28-2.39 (m, 2H). 

 

On review of the five process steps few things are very obvious. Excessive volumes and multiple solvents are being used at every step of each reaction along with low overall yield of Example 1 [about 3.48% = 0.2X0.46x0.66x0.87x0.66]. Such a low yield processes would be considered economically unviable process in fine/specialty chemical market. To every astute chemist and chemical engineer such yield numbers tell LOUD AND CLEAR that “the chemistry and the process needs help”. 

 

However, based on pharma’s practices of the last 70+ years, one can easily conjecture that the process chemistry developed in these patents has no consideration for their impact on climate change (1, 2), yield  (2), cost or pricing (5). Since the invented drug will be new, based on pharma’s tradition of high pricing of any new drug, it is going to be multi folds expensive compared to any existing drug that could be used to curb similar side effects. Drug based on this API might have features above and beyond what is currently on the market but unless the drug is acquired through a mutually subsidized healthcare system, it will be prohibitively expensive (5, 6) and on the verge of being unaffordable to large population. Actually selling prices of API and their formulations are a small percentage of the drug selling prices. 

 

In addition, for a pharmaceutical product, cGMP practices will have to be followed and that means extensive cleaning will be required for each step/batch. Volume of solvent used in most processes can make the process simplification and their reduction a challenge. High solvent use also results in poor asset utilization (7)

 

Patents USP ‘269 (3) and USP ‘279 (4) and every other API patent (brand or generic) present the following distinct opportunities. They can be considered and applied for every API synthesis. However, based on pharma’s tradition any such effort could be a challenge as process optimization is not an industry norm especially when the drug already has regulatory approval. 

 

1.     Yield improvement

2.     Solvent reduction

3.     Efficient asset utilization

 

If the average yield of each processing step in Example 1 of USP ‘269 (3) and USP ‘279 (4) is raised to 95% for each step, the overall process yield will be about 77.4% [0.95*0.95*0.95*0.95*0.95*= 0.774]. This will be about ~22 times higher than the overall yield from Example 1 of the reviewed patents. This would translate to significantly lower waste and reduction in number of solvents and their volume used in each step. All this will significantly improve the asset utilization and batch cycle times. Thus, there are opportunities for a green and economic process. Still, significant effort would be needed. 

 

For a low solvent use and higher overall yield process, every step of these patents will have to be redeveloped and optimized. These patents might be an extreme case but the thought can be extended to every brand and generic product API. Review of global patents could show many similar cases.  

 

Unless drastic changes are made to the USP ‘269 (3) and USP ‘279 (4) processes, my conjecture is that the process outlined if commercialized as is would exceed emission factor of 100 kg/kg (1, 2) for the product. Emission factor of 10 kg/kg of API could be set as a target across the board for API processes and formulations. Many camps could say that such a goal is impossible but unless we try it everything is impossible. Yoda has said it right “Do or do not, There is no try” (8). If pharma does not make an effort to do its part for climate change, its legacy for human health improvement would be irreparably tarnished. 

 

Effort has to be made from the onset of process development (9, 10, 11)  and has to be applied to every brand and generic API process development, their manufacture and formulations. If pharma does not include solvent reduction and yield improvement from inception of the process development, it is extremely difficult for the API manufacturer to do anything especially if the formulated API has been approved by regulatory bodies. No company wants to go through the expense and the time needed for re-approval. 

 

Analysis of patents of the most pharmaceutical companies suggest use of multiple solvents and recommend isolating intermediates for reuse. Isolation of solids adds to processing time and use of multiple solvents adds to what I call “separation complexity and anxiety”. Solvents have to be separated for re-use. Most process and product developers (chemists and chemical engineers) understand these scenarios but live with traditions. They have to challenge the current practices. They have to think that product being developed is their product and they have to manage the process in the plant. They would opt for simpler processes for manufacturing ease. Principles of chemistry and chemical engineering have to be applied for every process step. Unless the developers understand the operating challenges created by their processes not much progress will be made in the pharma product development. They have to adopt and rely on “nondestructive creation” practices (9)

 

API processes related to brand drugs are the most complex. Generics do simplify them but still not enough to minimize the environmental footprint. Pharma has to minimize its footprint and Emission Factor (1, 2). A total overhaul of its product development practices (9, 10, 11) is needed. Pharma will have to be mindfulness to its contribution to global warming which it has grossly neglected (1, 2). With emphasis being placed on “global warming”, it is time for the pharmaceutical industry to do its part and take on the responsibility lower its impact on climate change. Pharma will have also have to be mindful of the ecotoxicity of its effluent (12, 13). It has not paid much attention to it. It is time. There will be significant internal resistance. Regulators will be in a tizzy as they will lose the current stranglehold they have. 

 

Girish Malhotra, PE

 

EPCOT International 

 

1.   Malhotra, Girish: Active Pharmaceutical Ingredient Manufacturing (API) and Formulation Drive to NET ZERO (Carbon Neutral)? Profitability through Simplicity, April 29, 2021 Accessed January 24, 2022 

2.     Malhotra, Girish: Climate Change and Greening of Pharmaceutical Manufacturing, Profitability through Simplicity, January 24, 2022 accessed February 22, 2022

3.     Chapple et. al. US 10,669,279 B2 Pfizer Inc., Imidazopyridazine Compounds, Sept. 18, 2018 accessed Feb 22, 2022  

4.     Chapple et. al. US 10,077,269 B2 Pfizer Inc., Imidazopyridazine Compounds, June 2, 2020 accessed Feb 22, 2022

5.     Malhotra, Girish: Systematic Demystification of Drug Price Mystique and the Needed Creative Destruction, Profitability through Simplicity, October 2, 2019 Accessed February 25, 2022

6.     Malhotra, Girish: Opportunities to Lower Drug Prices and Improve Affordability: From Creation (Manufacturing) to Consumption (Patient), Profitability through Simplicity, March 9, 2018 Accessed February 28, 2022

7.     Benchmarking Shows Need to Improve Uptime, Capacity Utilization, Pharma Manufacturing, Sep 20, 2007 Accessed January 18, 2022

8.     Yoda:  https://www.starwars.com/video/do-or-do-not Accessed February 27, 2022

9.     Malhotra, Girish K.: Active Pharmaceutical Ingredient Manufacturing: Nondestructive Creation, https://www.degruyter.com/document/isbn/9783110702842/html April 2022

10. Malhotra, Girish: Chemical Process Simplification: Improving Productivity and Sustainability John Wiley & Sons, February 2011

11. Malhotra, Girish: Chapter 4 “Simplified Process Development and Commercialization” in “ Quality by Design-Putting Theory into Practice” co-published by Parenteral Drug Association and DHI Publishing© February 2011

12.   Larsson, D.G. Joakim et al. Effluent from drug manufactures contains extremely high levels of pharmaceuticals; Journal of Hazardous Materials, Volume 148, Issue 3, 30 September 2007,Pages 751-755 Accessed November 2007

13.  Malhotra, Girish: Pharmaceuticals, Their Manufacturing Methods, Ecotoxicology, and Human Life Relationship, Pharmaceutical Processing, November 2007, pgs. 24-26, Accessed August 10, 2009



Thursday, April 29, 2021

Active Pharmaceutical Ingredient Manufacturing (API) and Formulation Drive to NET ZERO (Carbon Neutral)?

“Net Zero” (1) [emissions produced = emissions removed] is in vogue. It has significant value and will huge impact on the planet if we do nothing. Speculated target dates to achieve the goal are 2025, 2045, 2050 or thereafter. There will be a firm date soon. 

 

For the pharmaceutical industry “thereafter” might be the target to meet. This is based on magnitude of E Factor (environmental factor) from 2017 illustrated in Table 1 (2). It is difficult to say how much effort to date has been put in to reduce this factor. Based on the current status and the following analysis, it is most likely pharma has not done much. Thus, the task is going to be formidable. 

 

High “E-Factor” numbers (2) present an excellent opportunity to reduce emissions and waste quickly. Effort will be needed. This is my perspective. There is no financial or any other obligation with any educational/commercial or regulatory body. 

  

 

Tonnes per year

E Factor (Kg waste/kg product)

Total Annual Waste Tonnage

Oil Refining

106-108

<0.1

10,000,000

Bulk Chemicals

104-106

<1-5

5,000,000

Fine Chemicals

102-104

5-50

500,000

Pharmaceuticals

10-103

25->100

100,000

 

Table 1: “E Factor” in the Chemical Industry (2)

 

Reasons for Pharma’s High E-Factor:


To get to “Net Zero” in pharmaceuticals, which has the highest “E-Factor”, we need to understand the reasons. They will facilitate in implementing the right solution/s.

 

Pharmaceuticals have two distinct components API (active pharmaceutical ingredients) and their finished dose form (FDF) that are produced by blending API with inert excipients. Discussion here is focused on small molecule drugs that like fine/specialty chemicals, are similarly synthesized. Pharma’s highest “E-Factor” is due to its manufacturing practices. Improved manufacturing will lower the “E-Factor” and drive to “Net Zero”. 

 

One interesting fact for the pharmaceutical industry which has been least understood by the world at large is that a small quantity of API is needed to produce large number of tablets. Table 2 is an illustration of relationship between API needed and the produced tablets per year. 

 

Patients

Milligrams

# of Tablets/ person/yr.

API, Kilograms/year

Tablets/yr.

    50,000,000 

1

365

    18,250 

18,250,000,000

50,000,000 

50

365

  912,500 

18,250,000,000

 

Table 2: API and Tablets per year Relationship (3)

 

Using best estimates, annual global need of these randomly three selected drugs are illustrated in Table 3. Based on annual need, each API can be produced at a single plant. Multiple formulation plants would be needed to convert this plant’s output into solid dosage. However, at present these, API and finished dosages, are being produced at multiple API and formulation plants (4). Processes for each drug most likely are not the most efficient and have a high “E Factor”.

 

Omeprazole

Metoprolol

Modafinil

Population

7,800,000,000

7,800,000,000

7,800,000,000

Global need, %

14

1

0.06

# people

 1,092,000,000 

 78,000,000 

4,680,000

mg needed/day

  40 

50 

 200 

Tablets used # days/yr.

50

365

365

Total mg needed/day

43,680,000,000

3,900,000,000

 936,000,000 

API need Kg/Yr.  

 2,184,000 

1,423,500

 341,640 

Current Number of API Sites

94

29

51

Current Number of FDF Sites

768

70

338

 

Table 3: Annual API Need for the illustrated drugs

 

Why so many sites are producing the same API and their formulations? There has to be some rationale. The only explanation can be combination of high profitability of each producer, no external pressure to reduce their manufacturing related emissions and regulatory requirements and hinderances.

 

Large number of plants for API production and their formulations (4) tell us that each lacks value of economies of scale. Lower number of plants will use better technologies and should have significantly reduced waste. Fundamentals of chemical engineering teach that. Need to improve and lower pharma’s “E-Factor” has been well recognized (5,6,7,8, 9) but not much progress has been made to remedy the situation. Lack of progress suggests that the producer companies see ZERO or very low return in manufacturing technology innovation. 

 

What is Needed to Lower Pharma’s E-Factor:

 

In reality, API manufacturing and formulator companies don’t have to innovate much to lower their “E-Factor”. They are practicing all of the necessary manufacturing technologies. They have to repurpose and re-invent these technologies, unit processes and unit operations (10) and the knowledge that has existed and been practiced since the beginning of the twentieth century. Pharmaceutical manufacturing has to relinquish its “mortar pestle” mode and proactively apply the principles of science and engineering differently. In this effort pharma cannot forgo and has to practice FDA’s cGMP (11) requirements as their way of life.

 

Companies don’t have to rely on the regulators and the equipment vendors leading them as to how and what to do to innovate and produce quality products. Actually FDA have made innovation and continuous improvement more difficult by prolonged approval times (12,13) and meaninglessly suggesting what and how manufacturing should be done. Review and repurpose of the existing practices has to be the modus operandi. Nondestructive creativity is needed (14,15) if the companies want to repurpose and reinvent. Some of the methods (16, 17) have been reviewed. 

 

For the pharma to lower its “E-Factor” or achieve high “green chemistry” marks, they not only have to adopt “good chemistry” but also practice “good chemical engineering” as their way of life (8). Pharma manufacturers have the command and the knowledge of their patient’s needs and what is expected by the regulators. Pharma has to relinquish fitting different processes in the available equipment (18, 19). Many may not believe but fitting processes in the existing equipment requires use of excessive amount of solvent use, a major cause of high “E-Factor”. Though recovered and re-used, it still is a major contributor to pharma’s “E- Factor”. Formulation practices have to reconsidered as the existing technology applied properly can lower “E-Factor” significantly.

 

Each product illustrated in Table 3 can be produced using continuous synthesis (20) process. Thereby minimizing emissions from each synthesis plant. Solid dosage for these products can be similarly produced in minimum number of formulation plants. “E-Factor” from these continuous production plants would be magnitudes lower than over 1,350 plants currently being used. 

 

If the waste numbers from Table 1 are applied to the three drugs in Table 3 and “E-Factor” from Table 1 are applied numbers illustrated in Table 4 would be the waste for each of the API. Actual emissions for these drugs may be different but the industry average are used to illustrate their impact. Bold numbers are the emission numbers if they were reduced. 

 

E-Factor

Omeprazole

Metoprolol

Modafinil

Total Waste,

Kilogram/yr.

Kg. Waste per Kg. Product

Waste for each drug at different levels, Kilogram/yr. 

100

218,400,000

142,350,000

34,164,000

394,914,000

50

109,200,000

71,175,000

17,082,000

197,457,000

25

54,600,000

35,587,500

8,541,000

98,728,500

E-Factor numbers if emissions are reduced. 

5

10,920,000

7,117,500

1,708,200

19,475,700

 

Table 4: Waste Generated for the APIs (Table 3) using Table 1 Waste numbers

 

Pharma has the tools and means (16, 17). Additional tools and means are reviewed in a manuscript under preparation (21).

 

Pharma while keeping its “market centricity” has to adopt “process centricity” (22) from the onset rather than believe that the manufacturing processes will be improved tomorrow. It would be like believing that tomorrow will come, if it ever will come. Any changes made in manufacturing processes after regulatory approval can influence the drug performance and are a major cause of lack of most process improvements.  

 

Global effort is needed to lower pharma’s “E-Factor”. Adopting uniform global effluent standards (23) would significantly reduce “E-Factor”. Regulators rather than becoming an encumbrance would have to actively change their “modus operandi” for reducing the approval time for brand and generic drugs (12, 13). Today the speculated ANDA (abbreviated new drug application) approval time is between 36-48 months as official approval times are not available. NDA (new drug application) approval time, unless emergency use authorization, are anyone’s guess. 

 

Overall task is not going to be easy. If it was, it would have been accomplished long time ago. In addition, there will be significant resistance from the involved businesses, regulators/governments and even patient communities. 

 

Minimizing/reducing the “E-Factor” is a multiple win. They lower manufacturing costs, protect public health and the environment and also lower the drug costs to the public.  

 

We need to ask ourselves “What would be our legacy for the generations to come?” Let us write it. 

 

Girish Malhotra, PE

 

EPCOT International

 

[1].           Burke, J. What does net zero mean? https://www.greenbiz.com/article/what-does-net-zero-mean, May 2, 2019 Accessed April 27, 2021

[2].           Sheldon R.A. The E factor 25 years on: the rise of green chemistry and sustainability, Green Chemistry https://pubs.rsc.org/en/content/articlelanding/2017/gc/c6gc02157c/unauth#!divAbstract , 2017, 19, 18-43 Accessed February 17, 2021

[3].           Malhotra, Girish: Pharmaceutical Quality: Concepts, Misconceptions, Realities and Remedies, Profitability through Simplicity, https://pharmachemicalscoatings.blogspot.com/2019/11/pharmaceutical-quality-concepts.html, November 4, 2019

[4].           https://www.pharmacompass.com

[5].           Larsson, D.G. Joakim et al. Effluent from drug manufactures contains extremely high levels of pharmaceuticals; Journal of Hazardous Materials, Volume 148, Issue 3, 30 September 2007,Pages 751-755 Accessed November 2007

[6].           Malhotra, Girish: Pharmaceuticals, Their Manufacturing Methods, Ecotoxicology, and Human Life Relationship, Pharmaceutical Processing, November 2007, pgs. 24-26, Accessed August 10, 2009

[7].           Malhotra, Girish: A Fine Chemical Version of Chernobyl? Patancheru, India: An opportunity for Quality by Design and Environmental Sustainability, Profitability through Simplicityhttps://pharmachemicalscoatings.blogspot.com/2009/02/patancheru-india-opportunity-for.html February 25, 2009 Accessed April 24, 2010

[8].           Scott. A.: Good Chemistry” Chemical Week March 15, 2010 Accessed April 2, 2010

[9].           Anastas P. et. al., Green Chemistry: Principles and Practice, Chem. Soc. Rev. https://doi.org/10.1039/1460-4744/1972 , 2010, 39, 301-312, Accessed April 21, 2021

[10].        Unit Processes and Unit Operations: https://encyclopedia2.thefreedictionary.com/Unit+processes Accessed November 5, 2020

[11].    Current Good Manufacturing Practice (cGMP) Regulations, US FDAAugust 21, 2020 Accessed March 10, 2021

[12].        Malhotra, Girish: Can the Review and Approval Process for ANDA at USFDA be Reduced from Ten Months to Three Months?, Profitability through Simplicity, https://pharmachemicalscoatings.blogspot.com/2017/03/can-review-and-approval-process-for.html March 25, 2017

[13].        Malhotra, Girish: Simplified Roadmap for ANDA/NDA Submission and Approval will change Pharma Landscape, Profitability through Simplicityhttps://pharmachemicalscoatings.blogspot.com/2018/11/simplified-roadmap-for-andanda.html November 25, 2018

[14].        Kim et al. Nondisruptive Creation: Rethinking Innovation and Growth, MIT Sloan Review, February 21, 2019  Accessed March 6, 2019,  

[15].        HUBBARD, G. Nondestructive Construction, TECH & INNOVATION https://www.strategy-business.com/article/07203?gko=dad6dMay 29, 2007 Accessed January 26, 2021

[16].        Malhotra, Girish:  Chemical Process Simplification: Improving Productivity and Sustainability John Wiley & Sons, February 2011

[17].     Malhotra, Girish: Strategies for Improving Batch or Creating Continuous Active Pharmaceutical Ingredient (API) Manufacturing Processes, Profitability through Simplicity https://pharmachemicalscoatings.blogspot.com/2017/03/strategies-for-enhancing-active.htmlMarch 20, 2017 Accessed April 25, 2021

[18].        Malhotra, Girish: Square Plug in A Round Hole: Does This Scenario Exist in Pharmaceuticals?, Profitability through Simplicityhttps://pharmachemicalscoatings.blogspot.com/2010/08/square-peg-in-round-hole-does-this.html August 17, 2010 Accessed March 31, 2021

[19].        Malhotra, Girish: Why Fitting a Square Plug in a Round hole is Profitable for Pharma and Most Likely Will Stay?, Profitability through Simplicityhttps://pharmachemicalscoatings.blogspot.com/2014/08/why-fitting-square-plug-in-round-hole.html August 1, 2014 Accessed March 31, 2021

[20].        Malhotra, Girish: Batch, Continuous or "Fake/False" Continuous Processes in Pharmaceutical Manufacturing, Profitability through Simplicity https://pharmachemicalscoatings.blogspot.com/2017/07/batch-continuous-or-fakefalse.html July 20, 2017 Accessed February 20, 2021

[21].        Malhotra, Girish: Book "Active Pharmaceutical Ingredient Manufacturing" Manuscript under preparation. Expected publication 2022

[22].     Malhotra, Girish: Process Centricity is the Key to Quality by Design, Profitability through Simplicity,  https://pharmachemicalscoatings.blogspot.com/2010/04/process-centricity-is-key-to-quality-by.html April 6, 2010 Accessed March 20, 2021

[23].        Malhotra, Girish: Can Uniform Safety, Health and Effluent and Manufacturing Standards Create Process Technology Innovation and Competition in Pharmaceuticals? Profitability through Simplicity, https://pharmachemicalscoatings.blogspot.com/2017/01/can-uniform-safety-health-and-effluent.html January 10, 2017 Accessed April 10, 2021