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Xofluza

Roche

Filmdragerad tablett 80 mg
(Vita till ljusgula avlånga filmdragerade tabletter cirka 16,1 mm långa, präglade med ”BXM80” på ena sidan.)

Virushämmande medel för systemiskt bruk, övriga virushämmande medel.

Aktiv substans:
ATC-kod: J05AX25
Utbytbarhet: Ej utbytbar
Läkemedel från Roche omfattas av Läkemedelsförsäkringen.
  • Vad är miljöinformation?

Miljöinformation

Miljöpåverkan

Baloxavirmarboxil

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


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Detaljerad miljöinformation

Identification and characterisation

Chemical name: Baloxavir marboxil (BVM)

CAS number: 1985606-14-1 [1]

Molecular weight: 571,5547 [1]


Chemical name: Baloxavir (BV)

CAS number: 1985605-59-1 [1]

Molecular wight: 483,4931 [1]


Brand name: Xofluza


Physico-chemical properties

Aqueous solubility 5.1 mg/l (20 °C) (OECD 105) (BVM) [1]


Predicted Environmental Concentration (PEC)

PEC is calculated according to the formula:

PEC (µg/l) = (A x 1'000'000'000 x (100-R)) / (365 x P x V x D x 100) = 1.37 x 10-6 x A x (100 - R) = 0.0000008 µg/l


Where: Baloxavir marboxil (BVM) 0.00668 kg/y sales data from IQVIA /LIF - kg consumption 2022

A Sold quantity = 0.00565 kg/y as Baloxavir (BV)

R Removal Rate = 0 % Default [2]

P Population Sweden = 10 000 000

V Volume of Wastewater = 200 l/day Default [2]

D Factor for Dilution = 10 Default [2]


Predicted No Effect Concentration (PNEC)

Ecotoxicological Studies

Green alga (Raphidocelis subcapitata): [3]

72 h ErC50 (growth rate) >3.2 mg/l mean measured (MMC) (OECD 201) (BV)

72 h EyC50 (yield) = 0.46 mg/l MMC (OECD 201) (BV)

72 h NOEC = 0.092 mg/l MMC (OECD 201) (BV)


Water-flea (Daphnia magna): [4]

21 d NOEC (reproduction) = 44 mg/l MMC (OECD 211) (BV)


Fathead minnow (Pimephales promelas): [5]

35 d NOEC (hatching success) = 0.11 mg/l MMC (OECD 210) (BV)


Micro-organisms (activated sludge): [6]

3 h EC50 = 56 mg/l (OECD 209) (BV)


PNEC Derivation

The PNEC is based on the following data:

PNEC (μg/l) = lowest chronic NOEC, where 10 is the assessment factor used. A NOEC of 0.092 mg/ml (92 μg/l) for algae has been used for this calculation.

PNEC = 92 μg/l / 10 = 9.2 μg/l (BV)


Environmental Risk Classification (PEC/PNEC Ratio)

PEC Predicted Environmental Concentration = 0.0000008 μg/l

PNEC Predicted No Effect Concentration = 9.2 μg/l

Ratio PEC/PNC = 0.00000008


PEC/PNEC = 0.000008/9.2 = 0.00000008 for Baloxavir which justifies the phrase 'Use of Baloxavir marboxil has been considered to result in insignificant environmental risk.'


Degradation

Biotic Degradadation

Ready biodegradability: [7]

0% after 28 days of incubation BOD/ThOD (OECD 301 F) (BVM)


Fate in sediment/water systems [8]

DT50 (total system) >120 d (OECD 308) (BV)


Abiotic Degradation

Photodegradation: ND

Hydrolysis: ND


Baloxavir marboxil is not readily biodegradable. Baloxavir is persistent in water/sediment systems. This justifies the phrase 'Baloxavir marboxil is potentially persistent.'


Bioaccumulation/Adsorption

logDOW = 2.0 (pH 5) (OECD 107) (BV) [9]

logDOW = 2.0 (pH 7) (OECD 107) (BV) [9]

logDOW = 1.1 (pH 9) (OECD 107) (BV) [9]

KOC (soils) = 107,000–186,000 l/kg (OECD 106) (BV) [10]

KOC (sludges) = 16,200–44,000 l/kg (OECD 106) (BV) [10]


Baloxavir has low potential for bioaccumulation since the log DOW (at pH 7) is <4.


References

  1. F. Hoffmann-La Roche Ltd (2022): Environmental Risk Assessment Summary for Baloxavir marboxil. https://www.roche.com/sustainability/environment/environmental-risk-assessment-downloads.htm

  2. European Medicines Agency (EMA) (2006/2015): Guideline on the environmental risk assessment of medicinal products for human use. European Medicines Agency, Committee for Medicinal Products for Human Use (CHMP), 01 June 2006, EMA/CHMP/SWP/447/00 corr 2

  3. Envigo Research Limited, on behalf of Shionogi & Co., Ltd (2017): Toxicity of Baloxavir to Pseudokirchneriella subcapitata in a 72-hour Algal Growth Inhibition Test; OECD 201. Envigo study no. TC37MV

  4. Envigo Research Limited, on behalf of Shionogi & Co., Ltd (2018): Effect of Baloxavir on Survival and Reproduction of Daphnia magna in a Semi-Static Test over Three Weeks; OECD 211. Envigo study no. SG67FT

  5. Envigo Research Limited, on behalf of Shionogi & Co., Ltd (2018): Toxic Effects of Baloxavir to Fathead Minnow (Pimephales promelas) in an Early-Life Stage Toxicity Test; OECD 210. Envigo study no. GY73WB

  6. Envigo Research Limited, on behalf of Shionogi & Co., Ltd (2017): Toxicity of Baloxavir to Activated Sludge in a Respiration Inhibition Test; OECD 209. Envigo study no. VF05RV

  7. Arcadis Schweiz LTD, on behalf of F. Hoffmann-La Roche Ltd (2019): Baloxavir marboxil: Ready biodegradability in an aerobic, aqueous medium: Manometric Respirometry Test; OECD 301 F. ACH study no. A18-02435

  8. Envigo Research Limited, on behalf of Shionogi & Co., Ltd (2017): Route and Rate of Degradation of [14C]-Baloxavir in Aerobic Aquatic Sediment Systems; OECD 308. Envigo study no PVO7LY

  9. Envigo Research Limited, on behalf of Shionogi & Co., Ltd (2017): Determination of Baloxavir Partition Coefficient (Shake Flask Method); OECD 107. Envigo study no. MS75NV

  10. Envigo Research Limited, on behalf of Shionogi & Co., Ltd (2017): Adsorption/Desorption of [14C]-Baloxavir on Three Soils and Two Sludges; OECD 106. Envigo study no NX1OCQ