Levothyroxine synthesis impurities are neither mutagenic nor genotoxic: Insilico, Ames test and micronucleus test studies

Mutat Res Genet Toxicol Environ Mutagen. 2024 Aug-Sep:898:503796. doi: 10.1016/j.mrgentox.2024.503796. Epub 2024 Jul 18.

Abstract

In vitro and in silico tests were used to assess the possible genotoxicity and mutagenicity of five impurities that may be present in levothyroxine, a drug used for thyroid hormone replacement therapy. Neither ToxTree nor VEGA (Virtual Models for evaluating the properties of chemicals within a global architecture) identified cause for concern for any of the impurities. Ames test results (doses up to 1 mg per plate), with or without metabolic activation, were negative. The micronucleus test with TK6 (human lymphoblastoid) cells, at doses up to 500 µg/mL, with or without metabolic activation, also gave negative results.

Keywords: (Toxtree; ICH); Impurity; Mutagenic; VEGA.

MeSH terms

  • Cell Line
  • Drug Contamination
  • Humans
  • Micronucleus Tests* / methods
  • Mutagenicity Tests* / methods
  • Mutagens / toxicity
  • Salmonella typhimurium / drug effects
  • Salmonella typhimurium / genetics
  • Thyroxine*

Substances

  • Thyroxine
  • Mutagens