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Filmdragerad tablett 25 mg
(Tillhandahålls ej) (Rund, rosa filmdragerad tablett märkt ”221” på ena sidan.)

Diabetesmedel, Dipeptidylpeptidas-4 (DPP-4)-hämmare.

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ATC-kod: A10BH01
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Miljöinformation

Miljöpåverkan

Sitagliptin

Miljörisk: Användning av sitagliptin har bedömts medföra försumbar risk för miljöpåverkan.
Nedbrytning: Sitagliptin är potentiellt persistent.
Bioackumulering: Sitagliptin har låg potential att bioackumuleras.


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Detaljerad miljöinformation

Environmental Risk Classification


Predicted Environmental Concentration (PEC)

PEC is calculated according to the following formula:


PEC (μg/L) = (A*109*(100-R))/(365*P*V*D*100) = 1.37*10-6*A(100-R)


PEC = 0.28 μg/L


Where:

A = 2 011.1551 kg (49.0658 kg sitagliptin, 1.5972 kg sitagliptinfumarat, 1 628.3372 kg sitagliptinfosfatmonohydrat and 332.1549 kg sitagliptinhydrokloridmonohydrat) (total sold amount API in Sweden year 2022, data from IQVIA) (Ref I)

R = 0 % removal rate (worst case assumption)

P = number of inhabitants in Sweden = 10 *106

V (L/day) = volume of wastewater per capita and day = 200 (ECHA default) (Ref. II)

D = factor for dilution of waste water by surface water flow = 10 (ECHA default) (Ref. II)


Predicted No Effect Concentration (PNEC)

Ecotoxicological studies


Green Algae (Pseudokirchneriella subcapitata) (OECD 201) (Ref. III):

EC50 72 h (growth rate) > 39 mg/L

NOEC = 2.2 mg/L


Crustacean, water flea (Daphnia magna):

Acute toxicity

EC50 48 h (immobility) = 60 mg/L (OECD 202) (Ref. IV)

NOEC = 25 mg/L


Chronic toxicity

NOEC 21 day (survival, reproduction, and growth) = 9.8 mg/L (OECD 211) (Ref. V)

No effects seen up to highest concentration tested


Fish, fathead minnow (Pimephales promelas):

Acute toxicity

LC50 96 h (mortality) > 100 mg/L (OECD 203) (Ref. VI)

NOEC = 100 mg/L

No effects seen up to highest concentration tested


Chronic toxicity

NOEC 33 days (percent live normal fry, total length and dry weight) = 9.2 mg/L (OECD 210) (Ref. VII)

No effects seen up to highest concentration tested


PNEC = 220 μg/L (2200 μg/L/ 10 based on the most sensitive chronic NOEC for the green algae with an assessment factor (AF) of 10)


Environmental risk classification (PEC/PNEC ratio)

PEC/PNEC = 0.28/220 =0.0013, i.e. PEC/PNEC ≤ .1 which justifies the phrase "Use of sitagliptin has been considered to result in insignificant environmental risk."


Degradation


Biotic degradation

Inherent Biodegradation (OECD 302B) (Ref. VIII)

7% loss of parent in 28 days


Sludge Biodegradation (OECD 314) (Ref. IX):

75% elimination (loss of parent) at Day 28, 40% evolved as CO2

DT50 for loss of parent = 21.1 hours

DT50 for CO2 production = 108 days


Sediment Transformation (OECD 308) (Ref. X):

DT50: 139 – 169 days


The aerobic and anaerobic water/sediment metabolism of MK-0431 (butaneamine-14C]L-000224715-004B006) was studied in two water/sediment systems under laboratory conditions using [14C]MK-0431. The two aerobic and two anaerobic sediments varied in textural characteristics, organic matter content and microbial content (Taunton River aerobic, Taunton River anaerobic, Weweantic River aerobic and Weweantic River anaerobic sediments). The untreated flooded sediment samples (50 g dry weight sediment plus 150 mL water) were incubated under aerobic and anaerobic conditions for at least one week. Following incubation, [14C]MK-0431 was applied to the water layers of each of the systems to achieve a final nominal concentration of approximately 1 mg/L in the water layer. A flow-through test system was used in order to determine the aerobic rate and route of degradation of [14C]MK-0431 at a temperature of 20 ± 2ºC continuously in the dark. For the aerobic test systems, the aerobic environment was maintained by continuously bubbling hydrated air through the water layer for 103 days. The anaerobic test systems were prepared in a nitrogen atmosphere and tightly sealed throughout the study to ensure anaerobic test conditions. All test systems used potassium hydroxide (KOH) and ethylene glycol organic volatile traps to collect 14CO2 and any volatile components that evolved during the study. Water and sediment samples from all test systems were assayed at 0, 4, 12, 26, 60 and 103 days after application of the test substance. The test conditions outlined in the study protocol were maintained throughout the study.


Duplicate samples were analyzed from the water layer and sediment extractables at each sampling interval. The sediment was extracted two times with 300 mL of acetonitrile:water:concentrated hydrochloric acid (80:20:0.5). The water layer and sediment extractables were analyzed separately by HPLC/RAM and radioassayed using LSC to determine the amount of [14C]MK-0431 (parent) and degradation products in the samples. Radioactivity in the nonextractable sediment residues (bound sediment residues) were quantified by combustion analysis and radioassay. The liquid volatile organic traps were also radioassayed.


Results of the OECD 308 study suggest that very little primary degradation of sitagliptin occurred in the aerobic and anaerobic sediment-water systems. The times of disappearance of 50 percent of the parent (DT50) from the aqueous layers were 6.5 to 20.9 days and 138.6 to 266.5 days in the aerobic and anaerobic test systems, respectively. The results of the study also indicated that sitagliptin has the potential for sorption to sediments. The mass balance results from day 103 indicated that up to 78% of the dosed radioactivity was found in the extractable sediment fraction and up to 28% was found in the bound fraction. Percent radioactivity was primarly parent molecule (~79%) with no degradates exceeding 10% total applied radioactivity at any time. Total system half-life ranged from 136 – 169 days.


Abiotic degradation

Hydrolysis:

No significant degradation (Half life = 895 days at pH 7) (OECD 111) (Ref. XI)


Photolysis:

No potential for phototransformation between 295 and 800 nm (OECD 316) (Ref. XII)


Justification of chosen degradation phrase:

Sitagliptin is slightly degradable in biological systems, however does not meet the criteria for ready degradability. In addition, the half-life in the total system exceeded 120 days, therefore the phrase “Sitagliptin is potentially persistent in the environment” was thus chosen.


Bioaccumulation

Partitioning coefficient:

Log Kow = -0.03 at pH 7 (OECD 107) (Ref. XIII)


Justification of chosen bioaccumulation phrase:

Since log Kow < 4 at pH 7, the substance has low potential for bioaccumulation.



References

I. Data from IQVIA ”Consumption assessment in kg for input to environmental classification - updated 2023 (data 2022)”.


II. ECHA, European Chemicals Agency. 2008 Guidance on information requirements and chemical safety assessment. http://guidance.echa.europa.eu/docs/guidance_document/information_requirements_en.htm


III. Wildlife International, 2009. "Sitagliptin: A 96-Hour Toxicity Test with the Freshwater Alga (Pseudokirchneriella subcapitata)," Project No., 105A-187A, WIL, Easton, MD, USA, 01 June 2009.


IV. Toxikon Corporation, 2004. "MK-0431: Acute Toxicity to the Water Flea, Daphnia magna, Under Static Conditions," Study No., 04J0005a, Jupiter, FL, USA, 08 July 2004.


V. Wildlife International, 2006. "MK-0431: A Flow-Through Life-Cycle Toxicity Test with the Cladoceran (Daphnia magna)," Project No., 105A-146, WIL, Easton, MD, USA, 27 June 2006.


VI. Toxikon Corporation, 2004. "MK-0431: Acute Toxicity to Fathead Minnow, Pimephales promelas, Under Static Conditions," Study No., 04J0005b, Jupiter, FL, USA, 29 June 2004.


VII. Wildlife International, 2006. "MK-0431: An Early Life-Stage Toxicity Test with the Fathead Minnow (Pimephales promelas)," Project No., 105A-147, WIL, Easton, MD, USA, 05 July 2006


VIII. Wildlife International, 2005. "MK-0431: An Evaluation of Inherent Biodegradability Using the Zahn-Wellens/EMPA Test," Project No., 105E-108, WIL, Easton, MD, USA, 07 December 2005.


IX. Wildlife International, 2009. "[14C] MK-0431:Biodegradation in Activated Sludge," Project No., 105E-146, WIL, Easton, MD, USA, 17 September 2009.


X. Springborn Smithers Laboratories, 2007. "[14C]MK-0431: Aerobic and Anaerobic Transformation in Aquatic Sediment Systems Following OECD Guideline 308," Study No., 359.6128, SSL, Wareham, MA, USA, 05 October 2007.


XI. Wildlife International, 2005. "MK-0431: An Evaluation of Hydrolysis as a Function of pH," Project No., 105C-102, WIL, Easton, MD, USA, 07 December 2005.


XII. Wildlife International, 2005. " Phototransformation Potential of MK-0431," Project No., 105C-103, WIL, Easton, MD, USA, 02 December 2005.


XIII. Wildlife International, 2009. "Determination of n-Octanol/Water Partition Coefficient of MK-0431 by the Shake Flask Method," Project No., 105C-118, WIL, Easton, MD, USA, 27 January 2009.