Pharmaceutical Anti-Counterfeiting Pharmaceutical Anti-Counterfeiting Combating the Real Danger from Fake Drugs Mark Davison Blue Sphere Health Ltd. Cambridge, U.K. A JOHN WILEY & SONS, INC., PUBLICATION Copyright©2011byJohnWiley&Sons,Inc.Allrightsreserved. PublishedbyJohnWiley&Sons,Inc.,Hoboken,NewJersey. PublishedsimultaneouslyinCanada. 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Wileyalsopublishesitsbooksinavarietyofelectronicformats.Somecontentthatappearsinprint maynotbeavailableinelectronicformats.FormoreinformationaboutWileyproducts,visitour websiteatwww.wiley.com. LibraryofCongressCataloging-in-PublicationData: Davison,Mark,1968Mar.1– Pharmaceuticalanti-counterfeiting:combatingtherealdangerfromfakedrugs/MarkDavison. p.;cm. Includesindex. ISBN978-0-470-61617-8 (cloth) 1. Productcounterfeiting.2. Drugadulteration.I. Title. [DNLM:1. DrugContamination.2. ConsumerProductSafety.3. Fraud–prevention &control.4. PharmaceuticalPreparations–standards. QV773] HD9665.5.D382011 615.1068(cid:2)4–dc22 2010044590 PrintedintheUnitedStatesofAmerica oBookISBN:9781118023679 ePDFISBN:9781118023655 ePubISBN:9781118023662 10987654321 For Gillian, Daniel, and Matthew Contents PREFACE xxi ACKNOWLEDGMENTS xxiii PART 1 GENERAL THEMES 1 Introduction 3 Why Write This Book? / 3 Doesn’t This Book Just Help the Criminals? / 4 Who Is the Book Aimed At? / 5 2 Origins and Context of Counterfeiting in Healthcare 7 Background and Nature of the Threat / 7 R&D Costs, Patent Life, and the Profit Imperative / 9 A Low Cost, High Profit Business / 10 Research and Development / 10 Regulatory Approval / 10 Manufacturing / 11 Packaging / 11 vii viii CONTENTS Marketing / 11 Logistics / 12 Permissive Legal Environment / 12 Role of the Internet / 13 Global Growth of Counterfeiting / 14 3 A Snapshot of the Problem 15 Case Study: Malaria / 18 4 Risks and Costs of Counterfeit Pharmaceuticals 21 Risks and Costs for Consumers / 21 The Drugs Do Not Work / 21 Toxic Products / 23 Fear and Mistrust of the Medical Profession / 24 Risks and Costs for Businesses / 24 Revenue Loss / 24 Brand Erosion / 28 Litigation / 30 Loss of Public Trust / 30 Risks and Costs for Governments / 31 Public Concern / 31 Increased Social and Healthcare Costs / 32 Tension between Affordability and Quality / 34 Increased Regulatory Costs / 34 5 Anti-Counterfeiting Definitions 35 Terminology and General Principles / 36 Counterfeiting / 38 Diversion / 45 Parallel Trade and Re-Importation / 46 6 Protecting and Educating Consumers 49 Consumer Behavior / 49 Engagement with the Consumer / 50 Engaging Through Social Media / 51 CONTENTS ix Social Networking and Blogging as Anti-Counterfeiting Tools / 52 Consumer-Focused Authentication Technology / 54 Cultural Sensitivity / 55 7 Business Risks and Strategy 57 Establishing a Baseline and Prioritizing At-Risk Products / 59 Doing the Simple Things / 60 Used Manufacturing Equipment / 61 Layering of Countermeasures / 62 Information Management and “Need-To-Know” / 62 Integration with Corporate Strategy / 63 8 Government Issues 65 Legal Framework / 66 Link with Reimbursement and Social Healthcare / 68 Law Enforcement Issues / 69 Data Mining / 69 Money Transfer and Credit Cards / 70 Internet Service Providers and Search Engines / 71 9 Intellectual Property and Anti-Counterfeiting 73 Establishing Ownership of Intellectual Property Rights (IPR) / 74 Patents / 74 Patenting of Security Technologies / 75 Trademarks / 75 Online Intellectual Property / 78 Criminal Prosecution Versus Civil Suit / 79 10 Traceability or Authentication? 81 x CONTENTS PART 2 AUTHENTICATION 11 What Is Authentication? 87 Digital Versus Sensory Authentication / 88 Types of Authentication Technologies / 89 International Standards and Norms / 91 12 Authentication of the Person 93 13 Authentication of Bulk Products 97 14 On-Dose and In-Dose Authentication 103 On-Dose Features / 104 In-Dose Features / 106 Regulatory Reporting / 109 Labeling and Disclosure of On-Dose and In-Dose Approaches / 110 Concealment of Identity / 110 On-Product and In-Product Approaches Aimed at Consumers / 111 Formulation Additives in Products other than SODFs / 112 15 Analytical Detection of Counterfeit Dosage Forms 113 Simple Chemical and Physical Analysis Methods / 114 Colorimetry / 115 Hardness and Dissolution Tests / 115 Thin Layer Chromatography (TLC) / 116 Ultraviolet and Visible Spectroscopy / 117 Laboratory-Based Methods / 118 Atomic Absorption Spectrophotometry (AAS) / 118 X-ray Techniques / 119 Nuclear Magnetic Resonance (NMR) Spectroscopy / 119 Mass Spectrometry (MS) / 120 Gas Chromatography (GC) / 120 CONTENTS xi Liquid Chromatography (LC) / 121 Capillary Electrophoresis (CE) / 121 Forensic Palynology / 121 Non-Destructive Methods / 123 X-ray Diffraction / 123 Infrared Spectroscopy / 123 Fourier Transform Infrared (FTIR) Spectroscopy / 124 Near-Infrared (NIR) / 125 Raman Spectroscopy / 125 Terahertz Imaging / 126 Conclusions on the Analysis of Dosage Forms / 126 16 The Role of Packaging 127 Packaging Design / 128 Being Just Slightly Better than the Opposition / 130 Security Features on Packaging / 131 Integration into Packaging: Bulk Packaging Material at Source / 131 Integration into Packaging: By Design Complexity / 132 Addition to Packaging: Labels, Printed Packaging, etc. / 132 17 Printing Technologies 135 Offset Lithography / 135 Flexography / 136 Gravure / 136 Screen Printing / 137 Laser Printing / 137 Cliche´ or Pad Printing / 138 Embossing and Debossing / 138 Laser Engraving / 138 Inkjet Printing / 138 Some Technical Considerations / 140 xii CONTENTS How Much Surface Area Is Available for the Feature? / 140 What Is the Budget? / 141 Is the Product Surface Flat or Curved? / 141 Is the Product Orientation Predictable and Constant? / 142 How Much Time Is Available? / 142 Direct Application onto Packaging Versus Use of Labeling / 143 18 Security Labels 145 Adhesive / 146 Frangibility / 147 Security Cuts and Perforation / 148 Voiding / 148 Alignment / 149 General Considerations / 149 Label Reconciliation and Storage Conditions / 151 19 Holograms and DOVIDs 153 Types of Holograms / 154 Other Optically Variable Devices / 156 20 Specialty Inks 159 Colorshift Inks / 160 Other Security Inks / 161 Iridescent / 161 Metallic / 162 Fluorescent / 162 Bi-fluorescent / 162 Thermochromic / 163 Photochromic / 163 Coin Reactive / 163 Microstructured Taggants / 163
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