Impureza N-nitroso de osimertinib 3-hidroxi es un subproducto identificado por nitrosación del núcleo amínico durante síntesis o almacenamiento en presencia de agentes nitrosantes. Técnica y analíticamente, presenta mayor polaridad y un desplazamiento de masa característico detectable por LC-MS y confirmable por RMN 1H/13C. Su presencia impacta la pureza del principio activo y puede exigir límites regulatorios estrictos, por lo que se recomienda monitorización por HPLC validado y cuantificación por LC-MS/MS. Las estrategias de control incluyen optimización de etapas sintéticas, eliminación de fuentes nitrosantes, ajuste de pH, uso de agentes reductores y condiciones de almacenamiento inertes para minimizar su formación.
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