Evidence mapPaperPMID 41777487Full record

ReviewRisk management and healthcare policy2026

Beyond Side Effect: Immuno-Ethical Risk Analysis of Animal-Derived Ingredients in Pharmaceuticals.

Yedi Herdiana, Dolih Gozali, Norisca Aliza Putriana, Muchtaridi Muchtaridi, Shaharum Shamsuddin, Ferry Ferdiansyah Sofian

Abstract readReview
In one paragraph

Review in Risk management and healthcare policy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Yedi HerdianaDepartment of Pharmaceutics and Pharmaceutical Technology, Faculty of Pharmacy, Universitas Padjadjaran, Sumedang, West Java, Indonesia.ORCID 0000-0001-5831-9389
Dolih GozaliDepartment of Pharmaceutics and Pharmaceutical Technology, Faculty of Pharmacy, Universitas Padjadjaran, Sumedang, West Java, Indonesia.
Norisca Aliza PutrianaDepartment of Pharmaceutics and Pharmaceutical Technology, Faculty of Pharmacy, Universitas Padjadjaran, Sumedang, West Java, Indonesia.
Muchtaridi MuchtaridiDepartment of Pharmaceutical Analysis and Medicinal Chemistry, Faculty of Pharmacy, Universitas Padjadjaran, Sumedang, West Java, Indonesia.ORCID 0000-0002-6156-8025
Shaharum ShamsuddinSchool of Health Sciences, Universiti Sains Malaysia, Kubang Kerian, Kelantan, Malaysia.
Ferry Ferdiansyah SofianDepartment of Pharmaceutical Biology, Faculty of Pharmacy, Universitas Padjadjaran, Sumedang, West Java, Indonesia.ORCID 0000-0002-1261-2421

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Animal-derived ingredients (ADIs) account for up to 75% of prescription drugs, triggering clinical risks such as alpha-gal syndrome (AGS), ethical-religious conflicts, and supply transparency issues. This calls for a systematic evaluation of ADIs and accelerated development of animal-free alternatives (AFAs). This critical review synthesizes evidence from the biomedical, regulatory, and ethical literature to analyze the persistence of ADIs, map their risk stratification (biological and religious), and evaluate progress in AFAs. ADIs persist due to their functional, regulatory, and biocompatibility advantages in various medical products. Methodologically, the proposed dual risk stratification framework integrates immunological risk profiles, specifically targeting the galactose-α-1,3-galactose epitope, with Halal jurisprudential criteria for categorizing pharmaceutical ingredients. Although various AFAs (plant-based, recombinant, and synthetic) have been developed and supported by global regulatory initiatives, significant challenges in scalability, cost, and bioequivalence remain. The transition to AFAs is crucial and increasingly technically feasible. A unified framework that integrates scientific, ethical, and religious analysis is needed to accelerate the adoption of safe and inclusive AFAs, while ensuring patient autonomy and safety.

Indexed as

animal-derived ingredientsexcipient safetyhalal pharmaceuticalsimmunogenicitypharmaceutical ethicsrisk assessment

Identifiers

PMID41777487
PMCPMC12951875

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.