EMA 更新 N-亚硝胺可接受摄入量附录 Rev.14(EMA/CHMP/219920/2026/Rev. 14)
EMA 亚硝胺:Appendix 1: Acceptable intakes established for N-nitrosamines
EMA 非临床工作组(NcWP)更新 N-亚硝胺可接受摄入量(AI)附录,本次为 Rev.14,工作簿版本日期 2026-10-01,官方目录更新日 2026-10-13。
工作簿按 CPCA 分类列出各 N-亚硝胺的可接受摄入量及其来源活性成分与发布日期,可对照 Rev.14 的新增条目。
EMA 亚硝胺技术文件:Appendix 1: Acceptable intakes established for N-nitrosamines
官方目录首次发布:2023-07-07。本次目录更新:2026-10-13。
目录文件编号:EMA/42261/2025 Rev.14。
本文排序日期采用官方目录更新日;文件版本日与实施日分别保留,不以采集日替代。
工作簿版本日期:2026-10-01;工作簿文件编号:EMA/CHMP/219920/2026/Rev. 14。两者按文件原文保留。
官方工作簿表格版;保留两张工作表的文字、数据和化学结构图。原始排版及标色请查看官方 XLSX。
N-nitrosamines
2026-10-01
EMA/CHMP/219920/2026/Rev. 14
Non-clincal Working Party (NcWP)
Acceptable intakes (AIs) established for N-nitrosamines
Appendix 1 to Questions and answers for marketing authorisation holders/applicants on the CHMP Opinion for
the Article 5(3) of Regulation (EC) No 726/2004 referral on nitrosamine impurities in human medicinal products
Official address Domenico Scarlattilaan 6 ● 1083 HS Amsterdam ● The Netherlands
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An agency of the European Union
The below acceptable intake levels (AIs) have been established by the Non-clinical Working Party (NcWP) and, where applicable, determined using the Carcinogenic Potency Categorization Approach (CPCA).
These limits are applicable only if a FP contains a single N-nitrosamine.
The source refers to potential presence of nitrosamine impurities with structures derived from active substances or their related impurities. This does not mean that the impurity will be found in all products or pharmaceutical forms containing the named API. Please refer to Q&A on the risk factors for the presence of nitrosamines for further details.
The below acceptable intake levels (AIs) have been established by the Non-clinical Working Party (NcWP) and, where applicable, determined using the Carcinogenic Potency Categorization Approach (CPCA).
These limits are applicable only if a FP contains a single N-nitrosamine.
The source refers to potential presence of nitrosamine impurities with structures derived from active substances or their related impurities. This does not mean that the impurity will be found in all products or pharmaceutical forms containing the named API.
Please refer to Q&A on the risk factors for the presence of nitrosamines for further details.
| Structure | Name | IUPAC name | SMILES | CAS RN | Synonym/ Acronym | Source | CPCA Category | AI (ng/day) | Note | Publication date |
|---|---|---|---|---|---|---|---|---|---|---|
| 1-cyclopropylmethyl-4-nitrosopiperazine | 1-(cyclopropylmethyl)-4-nitrosopiperazine | C1CC1CN2CCN(CC2)N=O | 57184-25-5 | Mitapivat | 3 | 400 | 2023-07-01 | |||
| 1-diphenylmethyl-4-nitrosopiperazine | 1-benzhydryl-4-nitrosopiperazine | C1CN(CCN1C(C2=CC=CC=C2)C3=CC=CC=C3)N=O | 1698-25-5 | Cinnarizine | 3 | 400 | 2024-07-01 | |||
| 1-methyl-4-nitrosopiperazine | 1-methyl-4-nitrosopiperazine | CN1CCN(CC1)N=O | 16339-07-4 | MeNP | Rifampicin | 3 | 400 | 2023-07-01 | ||
| 1-Nitroso-3-piperidinamine | 1-nitrosopiperidin-3-amine | C1CC(CN(C1)N=O)N | 2819242-71-0 | Alogliptin | 3 | 400 | 2023-10-01 | |||
| 1-nitroso-pyrrolopiperidine | 1-nitroso-2,3,4,4a,5,6,7,7a-octahydropyrrolo[3,4-b]pyridine | C1CC2CNCC2N(C1)N=O | NA | Moxifloxacin | 4 | 1500 | 2023-07-01 | |||
| 2-(4-nitrosopiperazin-1-yl)ethanol | 2-(4-nitrosopiperazin-1-yl)ethanol | C1CN(CCN1CCO)N=O | 48121-20-6 | Opipramol | 3 | 400 | 2024-05-01 | |||
| 2,2,5-trimethyl-3-nitroso-1,3-oxazolidine | 2,2,5-trimethyl-3-nitroso-1,3-oxazolidine | CC1CN(C(O1)(C)C)N=O | 77400-46-5 | TMNO | Cyanocobalamine | 4 | 1500 | 2024-02-15 | ||
| 2-nitroso-octahydrocyclopenta(c)pyrrole | 2-nitroso-3,3a,4,5,6,6a-hexahydro-1H-cyclopenta[c]pyrrole | C1CC2CN(CC2C1)N=O | 54786-86-6 | Gliclazide | 1700 | Limit derived using structure-activity- relationship (SAR)/read-across approach using the TD50 of NPYR as point of departure. | 2023-07-01 | |||
| 3-[[ethyl(nitroso)amino]methyl] benzenesulfonic acid | 3-[[ethyl(nitroso)amino]methyl] benzenesulfonic acid | CCN(CC1=CC(=CC=C1)S(=O)(=O)O)N=O | NA | Brilliant blue FCF | 1 | 18 | 2024-05-01 | |||
| 4-(methylnitrosoamino)-1-(3-pyridyl)-1-butanone | N-methyl-N-(4-oxo-4-pyridin-3-ylbutyl)nitrous amide | CN(CCCC(=O)C1=CN=CC=C1)N=O | 64091-91-4 | NNK | 100 | Limit based on the most sensitive TD50 derived from the most robust TD50 dataset from the Lhasa Carcinogenicity Database (LCDB). | 2023-07-01 | |||
| 6,7-dichloro-4-nitroso-1,3,4,5-tetrahydro-2H-benzo[e][1,4] diazepin-2-one | 6,7-dichloro-4-nitroso-1,3,4,5-tetrahydro-2H-benzo[e][1,4] diazepin-2-one | O=C2CN(N=O)Cc1c(Cl)c(Cl)ccc1N2 | NA | Anagrelide | 2 | 100 | 01 October 2026 (new) | |||
| 6-nitro-N-nitrosoadrenaline | N-[2-(4,5-dihydroxy-2-nitrophenyl)-2-hydroxyethyl]-N-methylnitrous amide | CN(CC(C1=CC(=C(C=C1[N+](=O)[O-])O)O)O)N=O | NA | Adrenaline | 2 | 100 | 2026-03-01 | |||
| Aripiprazole Nitroso Impurity | 1-(2,3-dichlorophenyl)-4-nitrosopiperazine | C1CN(CCN1C2=C(C(=CC=C2)Cl)Cl)N=O | 2989508-28-1 | Aripiprazole | 3 | 400 | 2024-01-15 | |||
| Ethyl N-(2,3-dichloro-6-nitrobenzyl)-N-nitrosoglycinate | Ethyl N-(2,3-dichloro-6-nitrobenzyl)-N-nitrosoglycinate | ClC1=CC=C([N+]([O-])=O)C(CN(N=O)CC(OCC)=O)=C1Cl | NA | Anagrelide | 2 | 100 | 01 October 2026 (new) | |||
| Ethyl N-(6-amino-2,3-dichlorobenzyl)-N-nitrosoglycinate | Ethyl N-(6-amino-2,3-dichlorobenzyl)-N-nitrosoglycinate | NC1=CC=C(Cl)C(Cl)=C1CN(N=O)CC(OCC)=O | NA | Anagrelide | 2 | 100 | 01 October 2026 (new) | |||
| Indapamide EP impurity A | 2-methyl-1-nitroso-2,3-dihydroindole | CC1CC2=CC=CC=C2N1N=O | 85440-79-5 | Indapamide | 5 | 1500 | 2023-11-15 | |||
| Methyl 2-(methylnitrosoamino) benzoate | methyl 2-[methyl(nitroso)amino]benzoate | CN(C1=CC=CC=C1C(=O)OC)N=O | 68061-82-5 | NO-MMA | 2 | 100 | 2025-12-01 | |||
| methyl 4-nitrosopiperazine-1-carboxylate | methyl 4-nitrosopiperazine-1-carboxylate | COC(=O)N1CCN(CC1)N=O | NA | N-nitroso-PMEC | Omecamtiv mecarbil | 3 | 400 | 2024-05-01 | ||
| Mirabegron Nitroso Impurity 12 | N-(2-hydroxy-2-phenylethyl)-N-[2-(4-nitrophenyl)ethyl]nitrous amide | C1=CC=C(C=C1)C(CN(CCC2=CC=C(C=C2)[N+](=O)[O-])N=O)O | NA | MBL-2-NO | Mirabegron | 3 | 400 | 2024-05-01 | ||
| N,N'-dimethylethylenedinitrosamine | N-methyl-N-[2-[methyl(nitroso)amino]ethyl]nitrous amide | CN(CCN(C)N=O)N=O | 13256-12-7 | NDMEA, NNDMA | 1 | 18 | 2026-03-01 | |||
| N,N-dinitroso-desmethyl-sumatriptan | N-methyl-1-(3-(2-(methyl(nitroso)amino)ethyl)-1-nitroso-1H-indol-5-yl)methanesulfonamide | CNS(=O)(=O)CC1=CC2=C(C=C1)N(C=C2CCN(C)N=O)N=O | Sumatriptan | 1 | 18 | 01 October 2026 (new) | ||||
| Nitroso-STG-19 | 7-nitroso-3-(trifluoromethyl)-6,8-dihydro-5H-[1,2,4]triazolo[4,3-a]pyrazine | C1CN2C(=NN=C2C(F)(F)F)CN1N=O | 2892260-32-9 | NTTP | Sitagliptin | 2 | 100 | CPCA derived AI as substance tested positive in in vivo mutagenicity study | 2022-05-01 | |
| N-Nitroso Benzydamine EP Impurity A | 3-(dimethylamino)propyl 2-[benzyl(nitroso)amino]benzoate | CN(C)CCCOC(=O)C1=CC=CC=C1NCC2=CC=CC=C2 | NA | 3DPN | Benzydamine | 1500 | Limit based on negative bacterial reverse mutation test | 2024-07-01 | ||
| N-Nitroso derivative of rotigotine impurity B | N-(5-hydroxy-1,2,3,4-tetrahydronaphthalen-2-yl)-N-propylnitrous amide | C1=CC(=C2C(=C1)CC(CC2)N(CCC)N=O)O | NA | Rotigotine | 3 | 400 | 2023-10-01 | |||
| N-nitroso derivative of rotigotine impurity C | N-[5-hydroxy-1,2,3,4-tetrahydronaphthalen-2-yl]-N-(2-thiophen-2-ylethyl)nitrous amide | C1CC=3C(CC1N(CCC=2SC=CC=2)N=O)=CC=CC=3O | NA | Rotigotine | 4 | 1500 | 2023-10-01 | |||
| N-Nitroso Ranolazine USP Related Compound C | N-(2,6-dimethylphenyl)-2-(4-nitrosopiperazin-1-yl)acetamide | CC1=C(C(=CC=C1)C)NC(=O)CN2CCN(CC2)N=O | NA | Ranolazine | 3 | 400 | 2023-07-01 | |||
| N-nitroso-1,2,3,6-tetrahydropyridine | 1-nitroso-3,6-dihydro-2H-pyridine | C1CN(CC=C1)N=O | 55556-92-8 | NTHP | 37 | Limit based on the most sensitive TD50 derived from the most robust TD50 dataset from the Lhasa Carcinogenicity Database (LCDB). | 2022-05-01 | |||
| N-nitroso-2,4-thiazoleamine | N-((2-isopropylthiazol-4-yl)methyl)-N-methylnitrous amide | CC(C)C1=NC(=CS1)CN(C)N=O | NA | NNTA | Ritonavir/ Cobicistat | 1 | 18 | CPCA derived AI as substance tested positive in in vivo mutagenicity study | 2024-09-01 | |
| N-nitroso-2,6-pipecoloxilidide | N-(2,6-dimethylphenyl)-1-nitrosopiperidine-2-carboxamide | C1=CC=C(C(=C1C)NC(C2CCCCN2N=O)=O)C | NA | Ropivacaine | 4 | 1500 | 2023-07-01 | |||
| N-nitroso-4-phenylpiperazine | 1-nitroso-4-phenylpiperazine | C1CN(CCN1C2=CC=CC=C2)N=O | 14340-33-1 | Levodropropizine | 3 | 400 | 2025-12-01 | |||
| N-nitroso-abacavir | N-[2-amino-9-[4-(hydroxymethyl)cyclopent-2-en-1-yl]purin-6-yl]-N-cyclopropylnitrous amide | C1CC1N(C2=NC(=NC3=C2N=CN3C/4CC(\C=C/4)CO)N)N=O | NA | Abacavir | 5 | 1500 | 2026-06-01 | |||
| N-nitroso-acarbose | N-nitroso-4,6-dideoxy-4-[(1S,2S,3R,4S,5S)-3,4,5-trihydroxy-2-(hydroxymethyl)cyclohexyl]-α-D-glucopyranosyl-(1→4)-α-D-glucopyranosyl-(1→4)-α-D-glucopyranosyl-(1→4)-D-glucopyranose | C[C@H]1O[C@@H]([C@@H]([C@H]([C@@H]1N(N=O)[C@@H]/2[C@@H]([C@H]([C@@H](\C(CO)=C/2)O)O)O)O)O)O[C@H]3[C@@H]([C@H]([C@H](O[C@@H]3CO)O[C@H]4[C@@H]([C@H](C(OC4CO)O)O)O)O)O | NA | Acarbose | 5 | 1500 | 2025-05-15 | |||
| N-nitroso-acebutolol | N-(3-acetyl-4-(2-hydroxy-3-(isopropyl(nitroso)amino)propoxy)phenyl)butyramide | C1=C(C=CC(=C1C(C)=O)OCC(CN(C(C)C)N=O)O[H])N(C(CCC)=O)[H] | NA | Acebutolol | 4 | 1500 | 2024-09-01 | |||
| N-nitroso-adrenaline | N-[(2R)-2-(3,4-dihydroxyphenyl)-2-hydroxyethyl]-N-methylnitrous amide | CN(C[C@@H](C1=CC(=C(C=C1)O)O)O)N=O | 3006789-99-4 | N-nitroso-epinephrine | Adrenaline | 2 | 100 | 2026-03-01 | ||
| N-nitroso-alprazolam EP Impurity H | N,N-bis((4-(2-benzoyl-4-chlorophenyl)-5-methyl-4H-1,2,4-triazol-3-yl)methyl)nitrous amide | CC=1N(C(=NN=1)CN(CC=4N(C3=C(C(=O)C=2C=CC=CC=2)C=C(Cl)C=C3)C(=NN=4)C)N=O)C6=C(C(=O)C=5C=CC=CC=5)C=C(Cl)C=C6 | NA | Alprazolam | 1500 | Limit based on negative bacterial reverse mutation test | 2026-06-01 | |||
| N-nitroso-ambroxol | N-[(2-amino-3,5-dibromophenyl)methyl]-N-[4-hydroxycyclohexyl]nitrous amide | C1CC(CCC1N(CC2=C(C(=CC(=C2)Br)Br)N)N=O)O | NA | Ambroxol | 1500 | Limit based on negative bacterial reverse mutation test | 2023-07-01 | |||
| N-nitroso-anabasine | 3-(1-nitrosopiperidin-2-yl)pyridine | C1CCN(C(C1)C2=CN=CC=C2)N=O | 37620-20-5 | NAB | Nicotine | 4 | 1500 | 2024-12-01 | ||
| N-nitroso-anatabine | 3-[1-nitroso-3,6-dihydro-2H-pyridin-2-yl] pyridine | O=NN1CC=CCC1C=2C=NC=CC2 | 71267-22-6 | NAT | Nicotine | 4 | 1500 | 2024-12-01 | ||
| N-nitroso-apixaban impurity B | 5-[4-[3-carbamoyl-1-(4-methoxyphenyl)-7-oxo-4,5-dihydropyrazolo[3,4-c]pyridin-6-yl]-N-nitrosoanilino]pentanoic acid | COC1=CC=C(C=C1)N2C3=C(CCN(C3=O)C4=CC=C(C=C4)N(CCCCC(=O)O)N=O)C(=N2)C(=O)N | NA | Apixaban | 4 | 1500 | 2024-02-15 | |||
| N-nitroso-articaine | methyl 4-methyl-3-(2-(nitroso(propyl)amino)propanamido)thiophene-2-carboxylate | CCCN(C(C)C(=O)NC1=C(SC=C1C)C(=O)OC)N=O | NA | Articaine | 4 | 1500 | 2024-05-01 | |||
| N-nitroso-aryl piperazine | 11-(4-Nitrosopiperazin-1-yl)dibenzo[b,f][1,4]thiazepine | C1CN(CCN1N=O)C/3=N\C2=CC=CC=C2SC4=CC=CC=C/34 | NA | N-nitroso-desalkyl-quetiapine/ NDAQ | Quetiapine | 3 | 400 | 2023-07-01 | ||
| N-nitroso-atenolol | 2-[4-[2-hydroxy-3-[nitroso(propan-2-yl)amino]propoxy]phenyl]acetamide | CC(C)N(CC(COC1=CC=C(C=C1)CC(=O)N)O)N=O | 134720-04-0 | Atenolol | 4 | 1500 | CPCA derived AI as substance tested positive in in vivo mutagenicity study | 2023-07-01 | ||
| N-nitroso-atomoxetine | N-methyl-N-[(3R)-3-(2-methylphenoxy)-3-phenylpropyl]nitrous amide | CC1=CC=CC=C1O[C@@H](C2=CC=CC=C2)CCN(N=O)C | NA | Atomoxetine | 100 | Limit derived using structure-activity-relationship (SAR)/read-across approach using the TD50 of NNK as point of departure as substance tested positive in in vivo mutagenicity study | 2023-07-01 | |||
| N-nitroso-azacyclonol | N-nitroso-diphenyl(piperidin-4-yl)methanol | OC(C1=CC=CC=C1)(C2CCN(N=O)CC2)C3=CC=CC=C3 | 1038-06-8 | Azacyclonol | 3 | 400 | 2024-01-15 | |||
| N-nitroso-azaerythromycin | (2R, 3S, 4R, 5R, 8R, 10R, 11R, 12S, 13S, 14R)-11-(((2S, 3R, 4S, 6R)-4-(dimethylamino)-3-hydroxy-6-methyltetrahydro-2H-pyran-2-yl)oxy)-2-ethyl-3, 4, 10-trihydroxy-13-(((2R, 4R, 5S, 6S)-5-hydroxy-4-methoxy-4, 6-dimethyltetrahydro-2H-pyran-2-yl)oxy)-3, 5, 8, 10, 12, 14-hexamethyl-6-nitroso-1-oxa-6-azacyclopentadecan-15-one | O=NN1C[C@H](C)C[C@@](C)(O)[C@H](O[C@@H]2O[C@H](C)C[C@@H]([C@H]2O)N(C)C)[C@@H](C)[C@@H]([C@H](C(=O)O[C@@H]([C@@]([C@@H]([C@H]1C)O)(C)O)CC)C)O[C@@H]1O[C@@H](C)[C@@H]([C@](C1)(C)OC)O | NA | Azithromycin | NMI | Substance tested negative in in vivo mutagenicity study. Can be controlled according to ICH Q3A/B. | 2023-07-01 | |||
| N-nitroso-benazepril | 2-((S)-3-(((S)-1-Ethoxy-1-oxo-4-phenylbutan-2-yl)(nitroso)amino)-2-oxo-2,3,4,5-tetrahydro-1H-benzo[b]azepin-1-yl)acetic acid | CCOC(=O)[C@H](CCC1=CC=CC=C1)N([C@H]3CCC2=CC=CC=C2N(C3=O)CC(=O)O)N=O | NA | Benazepril | 5 | 1500 | 2023-07-01 | |||
| N-nitroso-benzathine | N-benzyl-N-(2-(benzylamino)ethyl)nitrous amide | O=NN(CC1=CC=CC=C1)CCNCC2=CC=CC=C2 | NA | NNB | Benzathine | 1 | 18 | 2025-05-15 | ||
| N-nitroso-berotralstat | (R)-1-(3-(Aminomethyl)phenyl)-N-(5-((3-cyanophenyl)((cyclopropylmethyl) (nitroso)amino)methyl)-2-fluorophenyl)-3-(trifluoromethyl)-1H-pyrazole-5-carboxamide | NCC1=CC(=CC=C1)N2N=C(C=C2C(=O)NC3=CC(=CC=C3F)[C@H](N(CC4CC4)N=O)C5=CC=CC(=C5)C#N)C(F)(F)F | NA | Berotralstat | 1500 | Limit based on negative bacterial reverse mutation test | 2025-08-01 | |||
| N-nitroso-betahistine | N-methyl-N-(2-pyridin-2-ylethyl)nitrous amide | CN(CCC1=CC=CC=N1)N=O | 32635-81-7 | Betahistine | 1 | 18 | CPCA derived AI as substance tested positive in in vivo mutagenicity study | 2023-07-01 | ||
| N-nitroso-betaxolol | N-(3-(4-(2-(cyclopropylmethoxy)ethyl)phenoxy)-2-hydroxypropyl)-N-isopropylnitrous amide | CC(C)N(CC(COC1=CC=C(C=C1)CCOCC2CC2)O)N=O | NA | Betaxolol | 4 | 1500 | 2024-01-15 | |||
| N-nitroso-bilastine impurity 2 | 1-(2-Ethoxyethyl)-2-(1-nitrosopiperidin-4-yl)-1H-benzo[d]imidazole | O=NN(CC1)CCC1C2=NC3=CC=CC=C3N2CCOCC | NA | Bilastine | 3 | 400 | 2024-07-01 | |||
| N-nitroso-bisoprolol | N-[2-hydroxy-3-[4-(2-propan-2-yloxyethoxymethyl)phenoxy]propyl]-N-propan-2-ylnitrous amide | CC(C)N(CC(COC1=CC=C(C=C1)COCCOC(C)C)O)N=O | 2820170-76-9 | NBP | Bisoprolol | 4 | 1500 | 2023-07-01 | ||
| N-nitroso-brensocatib | (S)-N-((S)-1-cyano-2-(4-(3-methyl-2-oxo-2,3-dihydrobenzo[d]oxazol-5-yl)phenyl)ethyl)-4-nitroso-1,4-oxazepane-2-carboxamide | CN1C(=O)OC2=C1C=C(C=C2)C3=CC=C(C=C3)C[C@@H](C#N)NC(=O)[C@@H]4CN(CCCO4)N=O | NA | Brensocatib | 1500 | Limit based on negative bacterial reverse mutation test | 2026-03-01 | |||
| N-nitroso-brinzolamide | (R)-4-(ethyl(nitroso)amino)-2-(3-methoxypropyl)-3,4-dihydro-2H-thieno[3,2-e][1,2]thiazine-6-sulfonamide 1,1-dioxide | CCN(N=O)C1CN(CCCOC)S(=O)(=O)C=2SC(S(N)(=O)=O)=CC1=2 | NA | Brinzolamide | 2 | 100 | 2025-05-15 | |||
| N-nitroso-bumetanide | 3-[butyl(nitroso)amino]-4-phenoxy-5-sulfamoylbenzoic acid | CCCCN(C1=C(C(=CC(=C1)C(=O)O)S(=O)(=O)N)OC2=CC=CC=C2)N=O | 2490432-02-3 | NNB | Bumetanide | 1500 | Limit based on negative bacterial reverse mutation test | 2023-07-01 | ||
| N-nitroso-bupropion | N-tert-butyl-N-[1-(3-chlorophenyl)-1-oxopropan-2-yl]nitrous amide | CC(N(N=O)C(C)(C)C)C(C1=CC=CC(Cl)=C1)=O | 2763780-10-3 | Bupropion | NMI | Substance tested negative in in vivo mutagenicity study. Can be controlled according to ICH Q3A/B. | 2023-07-01 | |||
| N-nitroso-buspirone Impurity 1 | 2-(4-nitrosopiperazine-1-yl)-pyrimidine | C1=NC(=NC=C1)N2CCN(CC2)N=O | 872826-80-7 | Buspirone | 3 | 400 | 2024-09-01 | |||
| N-nitroso-calcium folinate | N-[4-[[(2-amino-5-formyl-1,4,5,6,7,8-hexahydro-4-oxo-6-pteridinyl)methyl](nitroso)amino]benzoyl]-L-glutamic acid | C1C(N(C2=C(N1)N=C(NC2=O)N)C=O)CN(C3=CC=C(C=C3)C(=O)N[C@H](CCC(=O)[O-])C(=O)[O-])N=O | NA | N-nitroso-leucovorin-2 | Calcium folinate/ Calcium levofolinate | NMI | Substance tested negative in in vivo mutagenicity study. Can be controlled according to ICH Q3A/B. | 2023-11-15 | ||
| N-nitroso-carvedilol | N-(3-((9H-Carbazol-4-yl)oxy)-2-hydroxypropyl)-N-(2-(2-methoxyphenoxy)ethyl)nitrous amide | COC=1C=CC=CC=1OCCN(N=O)CC(O)COC2=CC=CC4=C2C=3C=CC=CC=3N4 | 2248746-67-8 | Carvedilol | 3 | 400 | 2025-05-15 | |||
| N-nitroso-caspofungin | (10R,12S)-N-((2R,9S,11R,12S,14aS,15S,20S,25aS)-20-((R)-3-amino-1-hydroxypropyl)-12-((2-aminoethyl)(nitroso)amino)-23-((1S,2S)-1,2-dihydroxy-2-(4-hydroxyphenyl)ethyl)-2,11,15-trihydroxy-6-((R)-1-hydroxyethyl)-5,8,14,19,22,25-hexaoxotetracosahydro-1H-dipyrrolo[2,1-c:2`,1`-l][1,4,7,10,13,16]hexaazacyclohenicosin-9-yl)-10,12-dimethyltetradecanamide | C(CCCCCCCC(=O)N[C@@H]1C(NC(C(N4[C@H](C(NC(C(N[C@@H](C(N2[C@H](C(N[C@@H]([C@@H](CC1)O)N(CCN)N=O)=O)[C@H](CC2)O)=O)[C@H](CCN)O)=O)[C@@H]([C@H](C3=CC=C(C=C3)O)O)O)=O)C[C@H](C4)O)=O)[C@H](C)O)=O)[C@H](C[C@H](CC)C)C | NA | Caspofungin | 4 | 1500 | 2024-07-01 | |||
| N-nitroso-celiprolol | 3-(3-Acetyl-4-(3-(tert-butyl(nitroso)amino)-2-hydroxypropoxy)phenyl)-1,1-diethylurea | CC(C1=C(OCC(O)CN(N=O)C(C)(C)C)C=CC(NC(N(CC)CC)=O)=C1)=O | NA | Celiprolol | 5 | 1500 | 2023-11-15 | |||
| N-nitroso-cilazapril | (1S, 9S)-9-[[(1S)-1-(Ethoxycarbonyl)-3-phenylpropyl]nitrosoamino]octahydro-10-oxo-6H-pyridazino[1, 2-a][1, 2]diazepine-1-carboxylic Acid | O=C([C@@H]1CCCN2N1C([C@@H](N([C@H](C(OCC)=O)CCC3=CC=CC=C3)N=O)CCC2)=O)O | 1053740-92-3 | Cilazapril | 5 | 1500 | 2023-07-01 | |||
| N-nitroso-cinacalcet | (R)-N-(1-(naphthalen-1-yl)ethyl)-N-(3-(3-(trifluoromethyl)phenyl)propyl)nitrous amide | C[C@H](C1=CC=CC2=CC=CC=C12)N(CCCC3=CC(=CC=C3)C(F)(F)F)N=O | NA | Cinacalcet | 3 | 400 | 2023-12-15 | |||
| N-nitroso-ciprofloxacin | 1-cyclopropyl-6-fluoro-7-(4-nitrosopiperazin-1-yl)-4-oxoquinoline-3-carboxylic acid | C1CC1N2C=C(C(=O)C3=CC(=C(C=C32)N4CCN(CC4)N=O)F)C(=O)O | 864443-44-7 | Ciprofloxacin | NMI | Substance tested negative in in vivo mutagenicity study. Can be controlled according to ICH Q3A/B. | 2023-07-01 | |||
| N-nitroso-clozapine | 8-chloro-11-(4-methylpiperazin-1-yl)-5-nitroso-5H-dibenzo[b,e][1,4]diazepine | CN1CCN(CC1)C/3=N\C2=C(C=CC(=C2)Cl)N(C4=CC=CC=C/34)N=O | 156632-03-0 | Clozapine | 5 | 1500 | 2024-02-15 | |||
| N-nitroso-clozapine EP Impurity C | 8-chloro-11-(4-nitrosopiperazin-1-yl)-5H-dibenzo[b, e][1, 4]diazepine | N(N1CCN(CC1)C/3=N\C2=C(C=CC(=C2)Cl)NC4=CC=CC=C/34)=O | NA | Clozapine | 3 | 400 | 2024-02-15 | |||
| N-nitroso-cytisine | (1R,5R)-3-Nitroso-1,2,3,4,5,6-hexahydro-8H-1,5-methanopyrido[1,2-a][1,5]diazocin-8-one | O=C3N2C([C@]1(CN(N=O)C[C@](C1)([H])C2)[H])=CC=C3 | 19634-60-7 | Cytisine | 3 | 400 | 2025-12-01 | |||
| N-nitroso-dabigatran etexilate | Ethyl3-(2-(((4-(N-((hexyloxy)carbonyl)carbamimidoyl)phenyl)(nitroso)amino)methyl)-1-methyl-N-(pyridin-2-yl)-1H-benzo[d]imidazole-5-carboxamido)propanoate | C1=C3C(=CC=C1C(N(C2=NC=CC=C2)CCC(OCC)=O)=O)N(C(=N3)CN(N=O)C=4C=CC(=CC=4)C(=N)NC(=O)OCCCCCC)C | NA | NND | Dabigatran Etexilate | 1500 | Limit based on negative bacterial reverse mutation test | 2023-07-01 | ||
| N-nitroso-dabigatran etexilate amide | Ethyl 3-(2-(((4-(((hexyloxy)carbonyl)carbamoyl)phenyl)(nitroso)amino)methyl)-1-methyl-N- (pyridin-2-yl)-1H-benzo[d]imidazole-5-carboxamido)propanoate | CN1C2=CC=C(C(N(C3=CC=CC=N3)CCC(OCC)=O)=O)C=C2N=C1CN(N=O)C4=CC=C(C(NC(OCCCCCC)=O)=O)C=C4 | NA | NNDH | Dabigatran Etexilate | 1500 | Limit derived using structure-activity-relationship (SAR)/read-across and weight of evidence approach using N-nitroso-dabigatran etexilate as a surrogate. | 2026-03-01 | ||
| N-nitroso-dalbavancin | (2S,3S,4R,5R,6S)-6-[[(1S,2R,19R,22R,34S,37R,40R,52R)-5,32-dichloro-52-[3-(dimethylamino)propylcarbamoyl]-2,26,31,44,49-pentahydroxy-22-[methyl(nitroso)amino]-21,35,38,54,56,59-hexaoxo-47-[(2R,3S,4S,5S,6R)-3,4,5-trihydroxy-6-(hydroxymethyl)oxan-2-yl]oxy-7,13,28-trioxa-20,36,39,53,55,58-hexazaundecacyclo[38.14.2.23,6.214,17.219,34.18,12.123,27.129,33.141,45.010,37.046,51]hexahexaconta-3,5,8,10,12(64),14(63),15,17(62),23(61),24,26,29(60),30,32,41(57),42,44,46(51),47,49,65-henicosaen-64-yl]oxy]-3,4-dihydroxy-5-(10-methylundecanoylamino)oxane-2-carboxylic acid | ClC8=C9OC=3C(O[C@@H]1O[C@@H]([C@@H](O)[C@H](O)[C@H]1NC(=O)CCCCCCCCC(C)C)C(O)=O)=C4OC%13=CC=C(CC2NC(=O)[C@@H](C%12=CC=C(OC%11=CC(C(NC2=O)C(=O)NC(C(C=3)=C4)C(=O)NC7C%10=CC(C=6C(O[C@H]5O[C@@H]([C@@H](O)[C@@H](O)[C@@H]5O)CO)=CC(O)=CC=6C(NC(=O)C(NC7=O)[C@H](O)C(=C8)C=C9)C(NCCCN(C)C)=O)=C(O)C=C%10)=C(Cl)C(O)=C%11)C(O)=C%12)N(C)N=O)C=C%13 | NA | Dalbavancin | 4 | 1500 | 2025-02-01 | |||
| N-nitroso-daridorexant amine impurity | 5-chloro-4-methyl-2-(2-methyl-1-nitrosopyrrolidin-2-yl)-1H-benzo[d]imidazole | N1(C(CCC1)(C=2NC=3C(N=2)=C(C(=CC=3)Cl)C)C)N=O | NA | IDOR-1135-8758 | Daridorexant | 5 | 1500 | 2023-11-15 | ||
| N-nitroso-dasatinib | N-(2-chloro-6-methylphenyl)-2-((6-(4-(2-hydroxyethyl)piperazin-1-yl)-2-methylpyrimidin-4-yl)(nitroso)amino)thiazole-5-carboxamide | O=C(C3=CN=C(N(C1=NC(C)=NC(=C1)N2CCN(CC2)CCO)N=O)S3)NC4=C(C)C=CC=C4Cl | NA | Dasatinib | 5 | 1500 | 2025-02-01 | |||
| N-nitroso-demethyl-roxithromycin | N-((2S,3R,4S,6R)-2-(((3R,4S,5S,6R,7R,9R,11S,12R,13S,14R,E)-14-ethyl-7,12,13-trihydroxy-4-(((2R,4R,5S,6S)-5-hydroxy-4-methoxy-4,6-dimethyltetrahydro-2H-pyran-2-yl)oxy)-10-(((2-methoxyethoxy)methoxy)imino)-3,5,7,9,11,13-hexamethyl-2-oxooxacyclotetradecan-6-yl)oxy)-3-hydroxy-6-methyltetrahydro-2H-pyran-4-yl)-N-methylnitrous amide | O=NN([C@@H]3[C@@H](O)[C@H](O[C@H]1[C@](C)(O)C[C@@H](C)/C([C@@H]([C@H]([C@@]([C@H](OC([C@@H]([C@H]([C@@H]1C)O[C@H]2C[C@@](C)(OC)[C@@H](O)[C@H](C)O2)C)=O)CC)(C)O)O)C)=N\OCOCCOC)O[C@H](C)C3)C | NA | Roxithromycin | NMI | Limit derived using structure-activity-relationship, physicochemical features and weight of evidence approach for N-nitroso-demethyl- roxithromycin based on N-nitroso-desmethyl-azithromycin. Can be controlled according to ICH Q3A/B. | 01 October 2026 (new) | |||
| N-nitroso-desbutyldronedaron+B97:B139e | N-(2-butyl-3-(4-(3-(butyl(nitroso)amino)propoxy)benzoyl)benzofuran-5-yl)methanesulfonamide | CS(=O)(NC3=CC=C2OC(CCCC)=C(C(C1=CC=C(OCCCN(CCCC)N=O)C=C1)=O)C2=C3)=O | NA | Dronedarone | 1500 | Limit based on negative bacterial reverse mutation test | 2026-03-01 | |||
| N-nitroso-desbutyllumefantrine | (Z)-N-Butyl-N-(2-(2,7-dichloro-9-(4-chlorobenzylidene)-9H-fluoren-4-yl)-2-hydroxyethyl)nitrous amide | OC(C4=C3C1=CC=C(Cl)C=C1/C(=C/C2=CC=C(Cl)C=C2)C3=CC(Cl)=C4)CN(N=O)CCCC | NA | Lumefantrine | 1500 | Limit based on negative bacterial reverse mutation test | 2025-12-01 | |||
| N-nitroso-desethyl lidocaine | N-(2,6-dimethylphenyl)-2-[ethyl(nitroso)amino]acetamide | C1=CC=C(C(=C1C)NC(CN(CC)N=O)=O)C | NA | Lidocaine | 2 | 100 | 2023-11-15 | |||
| N-nitroso-desformyl-riociguat | N-(4,6-diamino-2-(1-(2-fluorobenzyl)-1H-pyrazolo[3,4-b]pyridin-3-yl)pyrimidin-5-yl)-N-methylnitrous | CN(C1=C(N=C(N=C1N)C2=NN(C3=C2C=CC=N3)CC4=CC=CC=C4F)N)N=O | NA | Riociguat | 2 | 100 | 2024-07-01 | |||
| N-nitroso-desloratadine | 13-chloro-2-(1-nitrosopiperidin-4-ylidene)-4-azatricyclo [9.4.0.03,8]pentadeca-1(11),3(8),4,6,12,14-hexaene | C1CC2=C(C=CC(=C2)Cl)C(=C3CCN(CC3)N=O)C4=C1C=CC=N4 | 1246819-22-6 | Desloratadine | 3 | 400 | 2023-07-01 | |||
| N-nitroso-desmethyl-azelastine | 4-(4-Chlorobenzyl)-2-(1-nitrosoazepan-4-yl)phthalazin-1(2H)-one | C1(CCN(CCC1)N=O)N/N=C(\C=2C(C(=O)C)=CC=CC=2)CC=3C=CC(=CC=3)Cl | NA | Azelastine | 2 | 100 | 2023-11-15 | |||
| N-nitroso-desmethyl-azithromycin | (2R,3S,4R,5R,8R,10R,11R,12S,13S,14R)-2-ethyl-3,4,10-trihydroxy-13-[(2R,4R,5S,6S)-5-hydroxy-4-methoxy-4,6-dimethyloxan-2-yl]oxy-11-[(2S,3R,4S,6R)-3-hydroxy-6-methyl-4-(methylamino)oxan-2-yl]oxy-3,5,6,8,10,12,14-heptamethyl-1-oxa-6-azacyclopentadecan-15-one | O=NN([C@H]1C[C@@H](C)O[C@H]([C@@H]1O)O[C@@H]1[C@@H](C)[C@H](O[C@@H]2O[C@@H](C)[C@@H]([C@](C2)(C)OC)O)[C@@H](C)C(=O)O[C@H](CC)[C@@]([C@@H]([C@H](N(C[C@@H](C[C@@]1(C)O)C)C)C)O)(C)O)C | NA | Azithromycin | NMI | Substance tested negative in in vivo mutagenicity study. Can be controlled according to ICH Q3A/B. | 2023-07-01 | |||
| N-nitroso-desmethyl-cabergoline | (6aR,9R,10aR)-7-allyl-N-(ethylcarbamoyl)-N-(3-(methyl(nitroso)amino)propyl)-4,6,6a,7,8,9,10,10a-octahydroindolo[4,3-fg]quinoline-9-carboxamide | O=C([C@@H]1C[C@@]3([H])[C@@](N(C1)CC=C)([H])CC2=CNC4=C2C3=CC=C4)N(C(NCC)=O)CCCN(C)N=O | NA | Cabergoline | 1 | 18 | 2025-02-01 | |||
| N-nitroso-desmethyl-chloropyramine | N-[2-[(4-chlorophenyl)methyl-pyridin-2-ylamino]ethyl]-N-methylnitrous amide | N(N(C)CCN(CC1=CC=C(C=C1)Cl)C2=CC=CC=N2)=O | NA | Chloropyramine | 1 | 18 | 2023-07-01 | |||
| N-nitroso-desmethyl-chlorphenamine | N-(3-(4-Chlorophenyl)-3-(pyridin-2-yl)propyl)-N-methylnitrous Amide | C1(=CC=C(C=C1)C(C=2N=CC=CC=2)CCN(C)N=O)Cl | NA | Chlorphenamine | 1 | 18 | 2024-12-01 | |||
| N-nitroso-desmethyl-cidoxepin | N-[(3Z)-3-(6H-benzo[c][1]benzoxepin-11-ylidene)propyl]-N-methylnitrous amide | CN(CC/C=C\1/C2=CC=CC=C2COC3=CC=CC=C31)N=O | NA | Doxepin | 1 | 18 | 2026-03-01 | |||
| N-nitroso-desmethyl-citalopram/ N-nitroso-desmethyl-escitalopram | N-(3-(5-cyano-1-(4-fluorophenyl)-1, 3-dihydroisobenzofuran-1-yl)propyl)-N-methylnitrous amide | C1=C(C=CC2=C1COC2(C3=CC=C(C=C3)F)CCCN(N=O)C)C#N | NA | Citalopram | 100 | Limit derived using structure-activity-relationship (SAR)/read-across approach using the TD50 of NNK as point of departure. | 2023-12-15 | |||
| N-nitroso-desmethyl-clarithromycin | N-[(2S,3R,4S,6R)-2-[[(3R,4S,5S,6R,7R,9R,11R,12R,13S,14R)-14-ethyl-12,13-dihydroxy-4-[(2R,4R,5S,6S)-5-hydroxy-4-methoxy-4,6-dimethyloxan-2-yl]oxy-7-methoxy-3,5,7,9,11,13-hexamethyl-2,10-dioxo-oxacyclotetradec-6-yl]oxy]-3-hydroxy-6-methyloxan-4-yl]-N-methylnitrous amide | CC[C@@H]1[C@@]([C@@H]([C@H](C(=O)[C@@H](C[C@@]([C@@H]([C@H]([C@@H]([C@H](C(=O)O1)C)O[C@H]2C[C@@]([C@H]([C@@H](O2)C)O)(C)OC)C)O[C@H]3[C@@H]([C@H](C[C@H](O3)C)N(C)N=O)O)(C)OC)C)C)O)(C)O | NA | Clarithromycin | NMI | Limit derived using structure-activity-relationship (SAR)/read-across and weight of evidence approach using N-nitroso-desmethyl-azithromycin as a surrogate. Can be controlled according to ICH Q3A/B. | 2024-07-01 | |||
| N-nitroso-desmethyl-diltiazem | [(2S,3S)-2-(4-methoxyphenyl)-5-[2-[methyl(nitroso)amino]ethyl]-4-oxo-2,3-dihydro-1,5-benzothiazepin-3-yl] acetate | CC(=O)O[C@@H]1[C@@H](SC2=CC=CC=C2N(C1=O)CCN(C)N=O)C3=CC=C(C=C3)OC | NA | Diltiazem | 100 | Limit derived using structure-activity-relationship (SAR)/read-across approach using the TD50 of NNK as point of departure as substance tested positive in in vivo mutagenicity study | 01 March 2026 (note updated) | |||
| N-nitroso-desmethyl-dimetindene | N-methyl-N-(2-(3-(1-(pyridin-2-yl)ethyl)-1H-inden-2-yl)ethyl)nitrous amide | C1=CC=CC/2=C1C(\C(=C/2)CCN(C)N=O)C(C=3C=CC=CN=3)C | NA | NO-DDMT | Dimetindene | 1 | 18 | 2024-09-01 | ||
| N-nitroso-desmethyl-doxycycline | (4S,5S,6R,12aR)-1,5,10,11,12a-pentahydroxy-6-methyl-4-[methyl(nitroso)amino]-3,12-dioxo-4a,5,5a,6-tetrahydro-4H-tetracene-2-carboxamide | C[C@@H]1C2[C@@H](C3[C@@H](C(=O)C(=C([C@]3(C(=O)C2=C(C4=C1C=CC=C4O)O)O)O)C(=O)N)N(C)N=O)O | NA | Doxycycline | 3 | 400 | 2026-06-01 | |||
| N-nitroso-desmethyl-doxylamine | N-methyl-N-(2-(1-phenyl-1-(pyridin-2-yl)ethoxy)ethyl)nitrous amide | C1=CC=CC(=C1)C(C)(OCCN(N=O)C)C2=NC=CC=C2 | NA | Doxylamine | 100 | Limit derived using structure-activity-relationship (SAR)/read-across approach using the TD50 of NNK as point of departure. | 2025-08-01 | |||
| N-nitroso-desmethyl-edoxaban | N-1-(5-chloropyridin-2-yl)-N2-((1S,2R,4S)-4-(dimethylcarbamoyl)-2-(5-nitroso-4,5,6,7-tetrahydrothiazolo[5,4-c]pyridine-2-carboxamido) cyclohexyl) oxalamide | O=NN1CCC2=C(SC(C(N[C@H]3[C@@H](NC(C(NC4=NC=C(Cl)C=C4)=O)=O)CC[C@H](C(N(C)C)=O)C3)=O)=N2)C1 | NA | Edoxaban | 2 | 100 | 2024-05-01 | |||
| N-nitroso-desmethyl-eletriptan | 5-[2-(benzenesulfonyl)ethyl]-3-[[(2R)-1-nitrosopyrrolidin-2-yl]methyl]-1H-indole | C1C[C@@H](N(C1)N=O)CC2=CNC3=C2C=C(C=C3)CCS(=O)(=O)C4=CC=CC=C4 | NA | Eletriptan | 4 | 1500 | 2024-12-01 | |||
| N-nitroso-desmethyl-erythromycin | N-[(2S,3R,4S,6R)-2-[[(3R,4S,5S,6R,7R,9R,11R,12R,13S,14R)-14-ethyl-7,12,13-trihydroxy-4-[(2R,4R,5S,6S)-5-hydroxy-4-methoxy-4,6-dimethyloxan-2-yl]oxy-3,5,7,9,11,13-hexamethyl-2,10-dioxo-oxacyclotetradec-6-yl]oxy]-3-hydroxy-6-methyloxan-4-yl]-N-methylnitrous amide | CC[C@@H]1[C@@]([C@@H]([C@H](C(=O)[C@@H](C[C@@]([C@@H]([C@H]([C@@H]([C@H](C(=O)O1)C)O[C@H]2C[C@@]([C@H]([C@@H](O2)C)O)(C)OC)C)O[C@H]3[C@@H]([C@H](C[C@H](O3)C)N(C)N=O)O)(C)O)C)C)O)(C)O | NA | Erythromycin | NMI | Limit derived using structure-activity-relationship, physicochemical features and weight of evidence approach for N-nitroso-desmethyl-erythromycin using N-nitroso-desmethyl-azithromycin as a surrogate. Can be controlled according to ICH Q3A/B. | 01 October 2026 (new) | |||
| N-nitroso-desmethyl-galantamine | (4aS,6R,8aS)-3-methoxy-11-nitroso-4a,5,9,10,11,12-hexahydro-6H-benzo[2,3]benzofuro[4,3-cd]azepin-6-ol | [C@@]12(C[C@H](/C=C\[C@@]14C3=C(O2)C(OC)=CC=C3CN(CC4)N=O)O[H])[H] | NA | Galantamine | 1 | 18 | 2024-12-01 | |||
| N-nitroso-desmethyl-lercanidipine | 3-(1-((3,3-diphenylpropyl)(nitroso)amino)-2-methylpropan-2-yl) 5-methyl 2,6-dimethyl-4-(3-nitrophenyl)-1,4-dihydropyridine-3,5-dicarboxylate | O=C(C/1=C(/C)N/C(C)=C(/C(OC)=O)C/1C2=CC=CC([N+]([O-])=O)=C2)OC(C)(C)CN(CCC(C3=CC=CC=C3)C4=CC=CC=C4)N=O | NA | Lercanidipine | 2 | 100 | 2025-02-01 | |||
| N-nitroso-desmethyl-lercanidipine impurity D | 3-(1-((3,3-diphenylpropyl)(nitroso)amino)-2-methylpropan-2-yl) 5-methyl 2,6-dimethyl-4-(3-nitrophenyl)pyridine-3,5-dicarboxylate | O=C(C1=C(C)N=C(C)C(C(OC)=O)=C1C2=CC=CC([N+]([O-])=O)=C2)OC(C)(C)CN(CCC(C3=CC=CC=C3)C4=CC=CC=C4)N=O | NA | Lercanidipine | 2 | 100 | 2025-02-01 | |||
| N-nitroso-desmethyl-maralixibat | 1-(4-((4-((4R,5R)-3,3-Dibutyl-4-hydroxy-7-(methyl(nitroso)amino)-1,1-dioxido-2,3,4,5-tetrahydrobenzo[b]thiepin-5-yl)phenoxy)methyl)benzyl)-1,4-diazabicyclo[2.2.2]octan-1-ium | CCCCC6([C@@H]([C@H](C=1C=CC(=CC=1)OCC=2C=CC(=CC=2)C[N+]34CCN(CC3)CC4)C5=CC(N(N=O)C)=CC=C5S(C6)(=O)=O)O)CCCC | NA | Maralixibat | 1500 | Limit based on negative bacterial reverse mutation test | 01 October 2026 (new) | |||
| N-nitroso-desmethyl-mifepristone | N-[4-[(8S,11R,13S,14S,17S)-17-hydroxy-13-methyl-3-oxo-17-prop-1-ynyl-1,2,6,7,8,11,12,14,15,16-decahydrocyclopenta[a]phenanthren-11-yl]phenyl]-N-methylnitrous amide | O=NN(C5=CC=C([C@H]\3C[C@]1(C)[C@@](C#CC)(O)CC[C@@]1([H])[C@]4([H])CCC/2=C\C(CCC/2=C\34)=O)C=C5)C | NA | Mifepristone | 2 | 100 | 2025-12-01 | |||
| N-nitroso-desmethyl-nintedanib | Methyl (Z)-3-(((4-(N-methyl-2-(4-nitrosopiperazin-1-yl)acetamido)phenyl)amino)(phenyl)methylene)-2-oxoindoline-6-carboxylate | N(N1CCN(CC1)CC(=O)N(C)C2=CC=C(C=C2)N\C(C3=CC=CC=C3)=C/4C(NC5=C/4C=CC(=C5)C(=O)OC)=O)=O | NA | Nintedanib | 3 | 400 | 2023-12-15 | |||
| N-nitroso-desmethyl-rifampicin | N-nitroso-desmethyl-rifampicin | C=25C(/C=N/N1CCN(CC1)N=O)=C(C=3C(C=2O)=C(C(=C4C=3C([C@](O4)(C)O/C=C/[C@H](OC)[C@H]([C@@H](C)[C@@H]([C@H](O)[C@H](C)[C@@H](O)[C@@H](/C=C\C=C(\C(N5)=O)C)C)C)C)=O)C)O)O.OC(=O)C | NA | Rifampicin | 3 | 400 | 2026-06-01 | |||
| N-nitroso-desmethyl-rivastigmine | [3-[(1S)-1-[methyl(nitroso)amino] ethyl]phenyl] N-ethyl-N-methyl carbamate | O(C1=CC=CC(C(N(N=O)C)C)=C1)C(N(C)CC)=O | NA | Rivastigmine | 2 | 100 | 2024-09-01 | |||
| N-nitroso-desmethyl-rizatriptan | N-methyl-N-[2-[5-(1,2,4-triazol-1-ylmethyl)-1H-indol-3-yl]ethyl]nitrous amide | CN(CCC1=CNC2=C1C=C(C=C2)CN3C=NC=N3)N=O | NA | Rizatriptan | 1 | 18 | 2024-12-01 | |||
| N-nitroso-desmethyl-sildenafil | 5-(2-ethoxy-5-((4-nitrosopiperazin-1-yl)sulfonyl)phenyl)-1-methyl-3-propyl-1H-pyrazolo[4, 3-d]pyrimidin-7(6H)-one | CCCC1=NN(C2=C1N=C(NC2=O)C3=C(C=CC(=C3)S(=O)(=O)N4CCN(CC4)N=O)OCC)C | NA | Sildenafil | 3 | 400 | 2024-01-15 | |||
| N-nitroso-desmethyl-sumatriptan | N-methyl-1-(3-(2-(methyl(nitroso)amino)ethyl)-1H-indol-5-yl)methanesulfonamide | CNS(=O)(=O)CC1=CC2=C(C=C1)NC=C2CCN(N=O)C | NA | Sumatriptan | 1 | 18 | 2024-01-15 | |||
| N-nitroso-desmethyl-tamoxifen | (Z)-N-(2-(4-(1, 2-diphenylbut-1-en-1-yl)phenoxy)ethyl)-N-methylnitrous amide | CC/C(=C(\C1=CC=CC=C1)C2=CC=C(C=C2)OCCN(N=O)C)C3=CC=CC=C3 | NA | Tamoxifen | 1 | 18 | 2024-02-15 | |||
| N-nitroso-desmethyl-tapentadol | N-[3-(3-hydroxyphenyl)-2-methylpentyl]-N-methylnitrous amide | CCC(C1=CC(=CC=C1)O)C(C)CN(C)N=O | NA | Tapentadol | 1 | 18 | 2025-12-01 | |||
| N-nitroso-desmethyl-terbinafine | (E)-N-(6,6-Dimethylhept-2-en-4-yn-1-yl)-N-(naphthalen-1-ylmethyl)nitrous amide | CC(C)(C)C#C/C=C/CN(N=O)CC1=CC=CC2=CC=CC=C12 | NA | NDT, NHNA | Terbinafine | 1 | 18 | 2024-01-15 | ||
| N-nitroso-desmethyl-tramadol | N-[[(1R,2R)-2-hydroxy-2-(3-methoxyphenyl)cyclohexyl]methyl]-N-methylnitrous amide | CN(C[C@H]1CCCC[C@@]1(C2=CC(=CC=C2)OC)O)N=O | NA | Tramadol | 1 | 18 | 2024-07-01 | |||
| N-nitroso-desmethyl-trimebutine | 2-(Methyl(nitroso)amino)-2-phenylbutyl 3, 4, 5-trimethoxybenzoate | CCC(COC(=O)C1=CC(=C(C(=C1)OC)OC)OC)(C2=CC=CC=C2)N(C)N=O | NA | Trimebutine | 5 | 1500 | 2023-07-01 | |||
| N-nitroso-desmethyl-tripelennamine | N-[2-[benzyl(pyridin-2-yl)amino]ethyl]-N-methylnitrous amide | N(C)(CCN(CC1=CC=CC=C1)C2=CC=CC=N2)N=O | NA | Tripelennamine | 1 | 18 | 2023-07-01 | |||
| N-nitroso-desmethyl-ulipristal acetate | [(8S,11R,13S,14S,17R)-17-acetyl-13-methyl-11-[4-[methyl(nitroso)amino]phenyl]-3-oxo-1,2,6,7,8,11,12,14,15,16-decahydrocyclopenta[a]phenanthren-17-yl] acetate | CC(=O)[C@]1(CC[C@@H]2[C@@]1(C[C@@H](C3=C4CCC(=O)C=C4CC[C@@H]23)C5=CC=C(C=C5)N(C)N=O)C)OC(=O)C | NDUPA | Ulipristal acetate | 2 | 100 | 2026-03-01 | |||
| N-nitroso-desmethyl-zolmitriptan | N-methyl-N-[2-[5-[[(4S)-2-oxo-1,3-oxazolidin-4-yl]methyl]-1H-indol-3-yl]ethyl]nitrous amide | CN(CCC1=CNC2=C1C=C(C=C2)C[C@H]3COC(=O)N3)N=O | NA | Zolmitriptan | 1 | 18 | 2024-12-01 | |||
| N-nitroso-despropyl-ropinirole | N-(2-(2-oxoindolin-4-yl)ethyl)-N-propylnitrous amide | O=C1NC2=C(C1)C(=CC=C2)CCN(N=O)CCC | NA | Ropinirole | 1 | 18 | 2025-05-15 | |||
| N-nitroso-desvaleryl-valsartan | (S)-2-(((2'-(1H-tetrazol-5-yl)- [1,1′-biphenyl]-4-yl) methyl)(nitroso)amino)- 3-methylbutanoic acid | CC(C)[C@H](C(=O)O)N(CC1=CC=C(C=C1)C2=CC=CC=C2C3=NNN=N3)N=O | 2254485-68-0 | Valsartan | NMI | Substance tested negative in in vivo mutagenicity study. Can be controlled according to ICH Q3A/B. | 2024-07-01 | |||
| N-nitroso-desvenlafaxine | N-(2-(1-Hydroxycyclohexyl)-2-(4-hydroxyphenyl)ethyl)-N-methylnitrous amide | C1=CC(=CC=C1C(CN(N=O)C)C2(CCCCC2)O)O | NA | Desvenlafaxine | 1 | 18 | 2023-11-15 | |||
| N-nitroso-diazepam Impurity D | N-(2-benzoyl-4-chlorophenyl)-N-methylnitrous amide | O=NN(C1=CC=C(Cl)C=C1C(C2=CC=CC=C2)=O)C | 51145-18-7 | Diazepam | 2 | 100 | 2026-03-01 | |||
| N-nitroso-diclofenac | 2-[2-(2,6-dichloro-N-nitrosoanilino)phenyl]acetic acid | C1=CC=C(C(=C1)CC(=O)O)N(C2=C(C=CC=C2Cl)Cl)N=O | 66505-80-4 | Diclofenac | 78000 | Limit derived using structure-activity-relationship (SAR)/read-across approach using the TD50 of NDPh as point of departure. | 2023-07-01 | |||
| N-nitroso-diethanolamine | N,N-bis(2-hydroxyethyl)nitrous amide | C(CO)N(CCO)N=O | 1116-54-7 | NDELA | 1900 | Low molecular weight nitrosamines with sufficiently robust toxicological data. Not all of these impurities have been found in medicines. Others have been found in 1 or more medicines, not necessarily related to the structure of the active substance or its related impurities. Limit based on the most sensitive TD50 derived from the most robust TD50 dataset from carcinogenic potency database (CPDB) or Lhasa Carcinogenicity Database (LCD). | 2022-12-01 | |||
| N-nitroso-diethylamine | N,N-diethylnitrous amide | CCN(CC)N=O | 55-18-5 | NDEA | 26.5 | Low molecular weight nitrosamines with sufficiently robust toxicological data to serve as points of departure for derivation of other AIs by SAR and read-across. Not all of these impurities have been found in medicines. Others have been found in 1 or more medicines, not necessarily related to the structure of the active substance or its related impurities. Limit based on the harmonic mean TD50 database included on the carcinogenic potency database (CPDB). | 2020-06-01 | |||
| N-nitroso-diisopropanolamine | 1, 1'-(Nitrosoimino)bis-2-propanol | C(N(CC(O)C)N=O)C(O)C | 53609-64-6 | NDIPLA | 3 | 400 | 2024-02-15 | |||
| N-nitroso-diisopropylamine | N,N-di(propan-2-yl)nitrous amide | CC(C)N(C(C)C)N=O | 601-77-4 | NDIPA | 5 | 1500 | 2020-06-01 | |||
| N-nitroso-dimethylamine | N,N-dimethylnitrous amide | CN(C)N=O | 62-75-9 | NDMA | 96 | Low molecular weight nitrosamines with sufficiently robust toxicological data to serve as points of departure for derivation of other AIs by SAR and read-across. Not all of these impurities have been found in medicines. Others have been found in 1 or more medicines, not necessarily related to the structure of the active substance or its related impurities. Limit based on the harmonic mean TD50 database included on the carcinogenic potency database (CPDB). | 2020-06-01 | |||
| N-nitroso-di-n-butylamine | N,N-dibutylnitrous amide | CCCCN(CCCC)N=O | 924-16-3 | NDBA | 26.5 | Limit derived using structure-activity-relationship (SAR)/read-across approach using the TD50 of NDEA as point of departure. | 2020-06-01 | |||
| N-nitroso-diphenylamine | N,N-diphenylnitrous amide | C1=CC=C(C=C1)N(C2=CC=CC=C2)N=O | 86-30-6 | NDPh | 78000 | Nitrosamines with sufficiently robust toxicological data to serve as points of departure for derivation of other AIs by SAR and read-across. Not all of these impurities have been found in medicines. Others have been found in 1 or more medicines, not necessarily related to the structure of the active substance or its related impurities. Limit based on the most sensitive TD50 derived from the most robust TD50 dataset from carcinogenic potency database (CPDB) applying the lower boundary of the 99% CI for the TD50 estimate (TD50L01). | 2022-12-01 | |||
| N-nitroso-donepezil impurity A | 5,6-dimethoxy-2-[(1-nitrosopiperidin-4-yl)methyl]-2,3-dihydro-1H-inden-1-one | COC1=C(C=C2C(=C1)CC(C2=O)CC3CCN(CC3)N=O)OC | NA | Donepezil | 3 | 400 | 01 October 2026 (new) | |||
| N-nitroso-dipropylamine | N,N-dipropylnitrous amide | CCCN(CCC)N=O | 621-64-7 | NDPA | 26.5 | Limit derived using structure-activity-relationship (SAR)/read-across approach using the TD50 of NDEA as point of departure. | 2021-10-01 | |||
| N-nitroso-doravirine dimer | C1(=CC(=CC(=C1)Cl)C#N)OC2=C(C=CN(C2=O)CC=3N(C(N(N=3)CN(N=O)CN4N=C(N(C4=O)C)CN5C(C(=C(C=C5)C(F)(F)F)OC=6C=C(C=C(C=6)C#N)Cl)=O)=O)C)C(F)(F)F | NA | NDD | Doravirine | 1500 | Limit based on negative bacterial reverse mutation test | 2025-08-01 | |||
| N-nitroso-dorzolamide | (4S, 6S)-4-(ethyl(nitroso)amino)-6-methyl-5, 6-dihydro-4H-thieno[2, 3-b]thiopyran-2-sulfonamide 7, 7-dioxide | O=S(C(S1)=CC([C@@H](N(CC)N=O)C[C@@H]2C)=C1S2(=O)=O)(N)=O | NA | Dorzolamide | 1500 | Limit based on negative bacterial reverse mutation test | 2024-01-15 | |||
| N-nitroso-duloxetine | (S)-N-methyl-N-(3-(naphthalen-1-yloxy)-3-(thiophen-2-yl)propyl)nitrous amide | CN(N=O)CCC(OC1=C2C(C=CC=C2)=CC=C1)C3=CC=CS3 | NA | Duloxetine | 100 | Limit derived using structure-activity-relationship (SAR)/read-across approach using the TD50 of NNK as point of departure as substance tested positive in in vivo mutagenicity study | 2022-12-01 | |||
| N-nitroso-enalapril | (2S)-1-[(2S)-2-[[(2S)-1-ethoxy-1-oxo-4-phenylbutan-2-yl]-nitrosoamino]propanoyl]pyrrolidine-2-carboxylic acid | O=C(O)[C@H]1N(C([C@H](C)N([C@@H](CCC2=CC=CC=C2)C(OCC)=O)N=O)=O)CCC1 | NA | Enalapril | 5 | 1500 | 2023-07-01 | |||
| N-nitroso-esmolol | Methyl 3-(4-(2-hydroxy-3-(isopropyl(nitroso)amino)propoxy)phenyl)propanoate | CC(C)N(CC(COC1=CC=C(C=C1)CCC(=O)OC)O)N=O | NA | Esmolol | 4 | 1500 | 2023-11-15 | |||
| N-nitroso-ethylenediamine-triacetic acid | 2-[carboxymethyl-[2-[carboxymethyl(nitroso)amino] ethyl]amino]acetic acid | OC(CN(CCN(N=O)CC(O)=O)CC(O)=O)=O | 862542-34-5 | Isosorbide mononitrate | 4 | 1500 | 2023-11-15 | |||
| N-nitroso-ethylisopropylamine | N-ethyl-N-propan-2-ylnitrous amide | CCN(C(C)C)N=O | 16339-04-1 | NEIPA | 3 | 400 | 2020-06-01 | |||
| N-nitroso-fenfluramine | N-ethyl-N-[1-[3-(trifluoromethyl)phenyl]propan-2-yl]nitrous amide | CCN(C(C)CC1=CC(=CC=C1)C(F)(F)F)N=O | 19023-40-6 | Fenfluramine | 3 | 400 | 2024-05-01 | |||
| N-nitroso-flecainide | N-((1-Nitrosopiperidin-2-yl)methyl)-2, 5-bis(2, 2, 2-trifluoroethoxy)benzamide | C1CCN(C(C1)CNC(=O)C2=C(C=CC(=C2)OCC(F)(F)F)OCC(F)(F)F)N=O | NA | Flecainide | 4 | 1500 | 2024-02-15 | |||
| N-nitroso-fluoxetine | N-methyl-N-[3-phenyl-3-[4-(trifluoromethyl)phenoxy]propyl]nitrous amide | CN(CCC(C1=CC=CC=C1)OC2=CC=C(C=C2)C(F)(F)F)N=O | 150494-06-7 | Fluoxetine | 100 | Limit derived using structure-activity-relationship (SAR)/read-across approach using the TD50 of NNK as point of departure as substance tested positive in in vivo mutagenicity study | 2022-12-01 | |||
| N-nitroso-folic acid | (4-(((2-Amino-4-oxo-4,8-dihydropteridin-6-yl)methyl)(nitroso)amino)benzoyl)-L-glutamic acid | C1=CC(=CC=C1C(=O)N[C@@H](CCC(=O)O)C(=O)O)N(CC2=CN=C3C(=N2)C(=O)NC(=N3)N)N=O | 26360-21-4 | NFA | Folic acid | NMI | Substance tested negative in in vivo mutagenicity study. Can be controlled according to ICH Q3A/B. | 2024-05-01 | ||
| N-nitroso-frovatriptan | (6R)-6-[methyl(nitroso)amino]-6,7,8,9-tetrahydro-5H-carbazole-3-carboxamide | CN([C@@H]1CCC2=C(C1)C3=C(N2)C=CC(=C3)C(=O)N)N=O | NA | Frovatriptan | 3 | 400 | 2025-05-15 | |||
| N-nitroso-furosemide | 4-chloro-2-[furan-2-ylmethyl(nitroso)amino]-5-sulfamoylbenzoic acid | C1=COC(=C1)CN(C2=CC(=C(C=C2C(=O)O)S(=O)(=O)N)Cl)N=O | NA | Furosemide | 1500 | Limit based on negative bacterial reverse mutation test | 2024-05-01 | |||
| N-nitroso-hydrochlorothiazide | 6-chloro-4-nitroso-1,1-dioxo-2,3-dihydro-1λ6,2,4-benzothiadiazine-7-sulfonamide | C1NS(=O)(=O)C2=CC(=C(C=C2N1N=O)Cl)S(=O)(=O)N | 63779-86-2 | Hydrochlorothiazide | NMI | Substance tested negative in in vivo mutagenicity study. Can be controlled according to ICH Q3A/B. | 2023-07-01 | |||
| N-nitroso-hydroxychloroquine EP Impurity C | N-(4-((7-Chloroquinolin-4-yl)amino)pentyl)-N-(2-hydroxyethyl)nitrous amide | OCCN(N=O)CCCC(NC1=CC=NC2=CC(Cl)=CC=C12)C | NA | Hydroxychloroquine | 2 | 100 | 2025-08-01 | |||
| N-nitroso-hydroxychloroquine EP Impurity D | N-(4-((7-Chloroquinolin-4-yl)amino)pentyl)-N-ethylnitrous amide | CC(NC2=C1C(C=C(Cl)C=C1)=NC=C2)CCCN(N=O)CC | NS | Hydroxychloroquine | 1 | 18 | 2025-08-01 | |||
| N-nitroso-hydroxyzine Impurity A | 1-((4-Chlorophenyl)(phenyl)methyl)-4-nitrosopiperazine | ClC3=CC=C(C(C1=CC=CC=C1)N2CCN(N=O)CC2)C=C3 | 2005-04-01 | Hydroxyzine | 3 | 400 | 2025-08-01 | |||
| N-nitroso-imatinib | N-(4-methyl-3-(nitroso(4-(pyridin-3-yl)pyrimidin-2-yl)amino)phenyl)-4-((4-methylpiperazin-1-yl)methyl)benzamide | CC1=C(C=C(C=C1)NC(=O)C2=CC=C(C=C2)CN3CCN(CC3)C)N(C4=NC=CC(=N4)C5=CN=CC=C5)N=O | NA | Imatinib | 5 | 1500 | 2023-12-15 | |||
| N-nitroso-iminodiacetic acid | 2-[carboxymethyl(nitroso)amino] acetic acid | C(C(=O)O)N(CC(=O)O)N=O | 25081-31-6 | Isosorbide mononitrate | 4 | 1500 | 2023-11-15 | |||
| N-nitroso-iminodibenzyl | 2‐nitroso‐2‐azatricyclo[9.4.0.0³,⁸] pentadeca‐1(11),3(8),4,6,12,14‐hexaene) | C1CC2=CC=CC=C2N(C3=CC=CC=C31)N=O | NA | Melipramin | 78000 | Limit derived using structure-activity-relationship (SAR)/read-across approach using the TD50 of NDPh as point of departure. | 2024-09-01 | |||
| N-nitroso-ivacaftor | N-(2,4-Di-tert-butyl-5-hydroxyphenyl)-1-nitroso-4-oxo-1,4-dihydroquinoline-3-carboxamide | C1=CC=CC2=C1N(C=C(C2=O)C(N(C=3C(=CC(=C(C=3)O[H])C(C)(C)C)C(C)(C)C)[H])=O)N=O | NA | Ivacaftor | 5 | 1500 | 2024-12-01 | |||
| N-nitroso-ketamine | N-[1-(2-chlorophenyl)-2-oxocyclohexyl]-N-methylnitrous amide | N(N(C1(CCCCC1=O)C2=CC=CC=C2Cl)C)=O | 86144-35-6 | Ketamine | 5 | 1500 | CPCA derived AI as substance tested positive in in vivo mutagenicity study. LTL cannot be applied and the AI will be capped at 1500ng | 2023-07-01 | ||
| N-nitroso-labetalol | 2-hydroxy-5-[1-hydroxy-2-[nitroso(4-phenylbutan-2-yl)amino]ethyl]benzamide | CC(CCC1=CC=CC=C1)N(CC(C2=CC(=C(C=C2)O)C(=O)N)O)N=O | 2820170-74-7 | Labetalol | 1500 | Limit based on negative bacterial reverse mutation test | 2023-07-01 | |||
| N-nitroso-landiolol | [(4S)-2,2-dimethyl-1,3-dioxolan-4-yl]methyl 3-[4-[(2S)-2-hydroxy-3-[2-(morpholine-4-carbonylamino)ethyl-nitrosoamino]propoxy]phenyl]propanoate | CC1(OC[C@H](O1)COC(=O)CCC2=CC=C(C=C2)OC[C@H](CN(CCNC(=O)N3CCOCC3)N=O)O)C | NA | Landiolol | 1500 | Limit based on negative bacterial reverse mutation test | 01 July 2023 (update of AI and notes) | |||
| N-nitroso-leniolisib | N-[6-[6-methoxy-5-(trifluoromethyl)pyridin-3-yl]-7,8-dihydro-5H-pyrido[4,3-d]pyrimidin-4-yl]-N-(1-propanoylpyrrolidin-3-yl)nitrous amide | CCC(=O)N1CC[C@@H](C1)N(C2=NC=NC3=C2CN(CC3)C4=CC(=C(N=C4)OC)C(F)(F)F)N=O | NA | E6NA | Leniolisib | 5 | 1500 | 2023-11-15 | ||
| N-nitroso-levofloxacin | (2S)-7-fluoro-2-methyl-6-(4-nitrosopiperazin-1-yl)-10-oxo-4-oxa-1-azatricyclo[7.3.1.05,13]trideca-5(13),6,8,11-tetraene-11-carboxylic acid | CC1COC2=C3N1C=C(C(=O)C3=CC(=C2N4CCN(CC4)N=O)F)C(=O)O | 1152314-62-9 | Levofloxacin | 4 | 1500 | 2023-07-01 | |||
| N-nitroso-lisinopril | N2-((S)-1-carboxy-3-phenylpropyl)-N2-nitroso-L-lysyl-L-proline | C1C[C@H](N(C1)C(=O)[C@H](CCCCN)N([C@@H](CCC2=CC=CC=C2)C(=O)O)N=O)C(=O)O | 519175-80-5 | Lisinopril | NMI | Limit derived using structure-activity-relationship, physicochemical features and weight of evidence approach for N-nitroso-lisinopril based on N-nitroso-quinapril and N-nitroso-quinaprilat. Can be controlled according to ICH Q3A/B. | 2023-07-01 | |||
| N-nitroso-maprotiline | N-(3-(9, 10-dihydro-9, 10-ethanoanthracen-9-yl)propyl)-N-methylnitrous amide | CN(CCCC13CCC(C2=CC=CC=C12)C4=CC=CC=C34)N=O | 204268-61-1 | Maprotiline | 1 | 18 | 2024-09-01 | |||
| N-nitroso-masitinib | 4-[(4-Nitrosopiperazin-1-yl)methyl]-N-(4-methyl-3-{[4-(pyridin-3-yl)-1,3-thiazol-2-yl]amino}phenyl)benzamide | CC1=C(C=C(C=C1)NC(=O)C2=CC=C(C=C2)CN3CCN(CC3)N=O)NC4=NC(=CS4)C5=CN=CC=C5 | NA | Masitinib | 3 | 400 | 2024-02-15 | |||
| N-nitroso-mefenamic acid | 2-(2,3-dimethyl-N-nitrosoanilino)benzoic acid | CC1=C(C(=CC=C1)N(C2=CC=CC=C2C(=O)O)N=O)C | 2114-63-8 | Mefenamic acid | 78000 | Limit derived using structure-activity-relationship (SAR)/read-across approach using the TD50 of NDPh as point of departure. | 2022-12-01 | |||
| N-nitroso-meglumine | N-methyl-N-(2,3,4,5,6-pentahydroxyhexyl)nitrous amide | CN(CC(C(C(C(CO)O)O)O)O)N=O | 62137-31-9 | Meglumine | 2 | 100 | CPCA derived AI as substance tested positive in in vivo mutagenicity study | 2024-02-15 | ||
| N-nitroso-meropenem | (4R, 5S, 6S)-3-(((3S, 5S)-5-(dimethylcarbamoyl)-1-nitrosopyrrolidin-3-yl)thio)-6-((R)-1-hydroxyethyl)-4-methyl-7-oxo-1-azabicyclo[3.2.0]hept-2-ene-2-carboxylic acid | C[C@H]/2C1C(C(=O)N1\C(=C/2S[C@H]3C[C@H](N(C3)N=O)C(=O)N(C)C)C(=O)O)[C@@H](C)O | NA | Meropenem | 4 | 1500 | 2024-02-15 | |||
| N-nitroso-metamizole impurity E | [(1,5-dimethyl-3-oxo-2-phenylpyrazol-4-yl)-nitrosoamino]methanesulfonic acid | CC1=C(C(=O)N(N1C)C2=CC=CC=C2)N(CS(=O)(=O)O)N=O | NA | Metamizole | 4 | 1500 | 2026-06-01 | |||
| N-nitroso-methylaminoantipyrine | N-(1,5-dimethyl-3-oxo-2-phenylpyrazol-4-yl)-N-methylnitrous amide | N(C1=C(N(C)N(C1=O)C2=CC=CC=C2)C)(C)N=O | 73829-38-6 | NMAA | Metamizole | 2 | 100 | 2025-08-01 | ||
| N-nitroso-methylethanolamine | N-(2-hydroxyethyl)-N-methylnitrous amide | CN(CCO)N=O | 26921-68-6 | NMELA | Nefopam | 2 | 100 | 2025-08-01 | ||
| N-nitroso-methylethylamine | N-ethyl-N-methylnitrous amide | CCN(C)N=O | 10595-95-6 | NMEA | Amphotericin B | 26.5 | Limit derived using structure-activity-relationship (SAR)/read-across approach using the TD50 of NDEA as point of departure. | 2026-03-01 | ||
| N-nitroso-methylphenidate | methyl 2-(1-nitrosopiperidin-2-yl)-2-phenylacetate | COC(=O)C(C1CCCCN1N=O)C2=CC=CC=C2 | 55557-03-4 | NMPH | Methylphenidate | 1300 | Limit derived using structure-activity-relationship (SAR)/read-across approach using the TD50 of N-nitrosopiperidine as point of departure. | 2022-05-01 | ||
| N-nitroso-metoprolol | N-[2-hydroxy-3-[4-(2-methoxyethyl)phenoxy]propyl]-N-propan-2-ylnitrous amide | CC(C)N(CC(COC1=CC=C(C=C1)CCOC)O)N=O | 134720-05-1 | Metoprolol | 4 | 1500 | 2023-07-01 | |||
| N-nitroso-mirabegron | (R)-2-(2-Aminothiazol-4-yl)-N-(4-(2-((2-hydroxy-2-phenylethyl)(nitroso)amino)ethyl)phenyl)acetamide | O=C(CC1=CSC(N)=N1)NC(C=C2)=CC=C2CCN(N=O)C[C@H](O)C3=CC=CC=C3 | NA | Mirabegron | 3 | 400 | CPCA derived AI as substance tested positive in in vivo mutagenicity study | 2023-07-01 | ||
| N-nitroso-mirabegron EP Impurity B | N-(4-aminophenethyl)-N-(2-hydroxy-2-phenylethyl)nitrous amide | C1=CC=C(C=C1)C(CN(CCC2=CC=C(C=C2)N)N=O)O | NA | MBL-3-NO | Mirabegron | 3 | 400 | 2024-05-01 | ||
| N-nitroso-mirdametinib | N-(2,3-dihydroxypropoxy)-3,4-difluoro-2-((2-fluoro-4-iodophenyl)(nitroso)amino)benzamide | OCC(O)CONC(=O)C1=C(N(N=O)C2=C(F)C=C(I)C=C2)C(F)=C(F)C=C1 | NA | Mirdametinib | 78000 | Limit derived using structure-activity-relationship (SAR)/read-across approach using the TD50 of NDPh as point of departure | 2025-08-01 | |||
| N-nitroso-mirtazapine | 2-nitroso-1, 2, 3, 4, 10, 14b-hexahydrobenzo[c]pyrazino[1, 2-a]pyrido[3, 2-f]azepine | N(N1CCN3C(C1)C2=CC=CC=C2CC4=C3N=CC=C4)=O | NA | Mirtazapine | 3 | 400 | 2024-01-15 | |||
| N-nitroso-morpholine | 4-nitrosomorpholine | C1COCCN1N=O | 59-89-2 | NMOR | 127 | Limit based on the most sensitive TD50 derived from the most robust TD50 dataset from carcinogenic potency database (CPDB) or Lhasa Carcinogenicity Database (LCD). Low molecular weight nitrosamines with sufficiently robust toxicological data to serve as points of departure for derivation of other AIs by SAR and read-across. Not all of these impurities have been found in medicines. Others have been found in 1 or more medicines, not necessarily related to the structure of the active substance or its related impurities. | 2021-06-01 | |||
| N-nitroso-moxifloxacin | 1-cyclopropyl-6-fluoro-8-methoxy-7-((4aS,7aS)-1-nitrosooctahydro-6H-pyrrolo[3,4-b]pyridin-6-yl)-4-oxo-1,4-dihydroquinoline-3-carboxylic acid | O=C(C1=CN(C2CC2)C3=C(C=C(F)C(N(C4)C[C@]5([H])[C@@]4([H])CCCN5N=O)=C3OC)C1=O)O | NA | Moxifloxacin | 4 | 1500 | CPCA derived AI as substance showed inconclusive results in in vivo mutagenicity study | 2023-07-01 | ||
| N-nitroso-N-des(prop-2-enoyl)-remibrutinib | N-(3-(6-Amino-5-(2-(methyl(nitroso)amino)ethoxy)pyrimidin-4-yl)-5-fluoro-2-methylphenyl)-4-cyclopropyl-2-fluorobenzamide | CN(CCOC1=C(C2=C(C)C(NC(C3=CC=C(C4CC4)C=C3F)=O)=CC(F)=C2)N=CN=C1N)N=O | NA | LOU064-F8-NO | Remibrutinib | 100 | Limit derived using structure-activity-relationship, physicochemical features and weight of evidence approach using the TD50 of NNK as point of departure | 2026-06-01 | ||
| N-nitroso-N-descyclopropanecarbaldehyde olaparib | 4-(4-Fluoro-3-(4-nitrosopiperazine-1-carbonyl)benzyl)phthalazin-1(2H)-one | O=C3NN=C(CC2=CC=C(F)C(C(N1CCN(N=O)CC1)=O)=C2)C4=C3C=CC=C4 | 2742659-74-9 | Olaparib | Active substance itself is clastogenic. Can be controlled according to ICH Q3A/B. | 2026-03-01 | ||||
| N-nitroso-N-deshydroxyethyl-dasatinib | N-(2-chloro-6-methylphenyl)-2-[[2-methyl-6-(4-nitrosopiperazin-1-yl)pyrimidin-4-yl]amino]-1,3-thiazole-5-carboxamide | CC1=C(C(=CC=C1)Cl)NC(=O)C2=CN=C(S2)NC3=CC(=NC(=N3)C)N4CCN(CC4)N=O | NA | Dasatinib | 3 | 400 | 2025-02-01 | |||
| N-nitroso-N-desmethyl-dextromethorphan | (4bS,8aS,9S)-3-methoxy-11-nitroso-6,7,8,8a,9,10-hexahydro-5H-9,4b-(epiminoethano)phenanthrene | N(N2CC[C@@]13CCCC[C@@H]1[C@@H]2CC4=C3C=C(C=C4)OC)=O | NA | Dextromethorphan | 4 | 1500 | 2020-05-01 | |||
| N-nitroso-N-desmethyl-diphenhydramine | N-(2-benzhydryloxyethyl)-N-methylnitrous amide | CN(CCOC(C1=CC=CC=C1)C2=CC=CC=C2)N=O | 55855-43-1 | Dimenhydrinate/ Diphenhydramine | 100 | Limit derived using structure-activity-relationship (SAR)/read-across approach using the TD50 of NNK as point of departure. | 2024-07-01 | |||
| N-nitroso-N-desmethyl-mianserin | 2-Nitroso-1,2,3,4,10,14b-hexahydrodibenzo[c,f]pyrazino[1,2-a]azepine | O=NN1CCN2C3=CC=CC=C3CC4=C(C=CC=C4)C2C1 | NA | NA | Mianserin | 3 | 400 | 2025-02-01 | ||
| N-nitroso-nebivolol | N,N-bis[2-(6-fluoro-3,4-dihydro-2H-chromen-2-yl)-2-hydroxyethyl]nitrous amide | C1CC2=C(C=CC(=C2)F)OC1C(CN(CC(C3CCC4=C(O3)C=CC(=C4)F)O)N=O)O | 1391051-68-5 | NNEB | Nebivolol | NMI | Substance tested negative in in vivo mutagenicity study. Can be controlled according to ICH Q3A/B. | 2023-07-01 | ||
| N-nitroso-N-ethyl-benzylamine | N-benzyl-N-ethylnitrous amide | CCN(CC1=CC=CC=C1)N=O | 20689-96-7 | NBEA | 1 | 18 | 2024-05-01 | |||
| N-nitroso-N-ethyl-valaciclovir | 2-[(2-amino-6-oxo-1H-purin-9-yl)methoxy]ethyl 2-[ethyl(nitroso)amino]-3-methylbutanoate | O=NN(CC)C(C(C)C)C(OCCOCN1C=NC2=C1N=C(N)NC2=O)=O | NA | Valaciclovir | 3 | 400 | 2023-07-01 | |||
| N-nitroso-N-methyl-benzylamine | N-benzyl-N-methylnitrous amide | CN(CC1=CC=CC=C1)N=O | 937-40-6 | NMBzA | 1 | 18 | 01 October 2026 (new) | |||
| N-nitroso-nilotinib | 4-methyl-N-(3-(4-methyl-1H-imidazol-1-yl)-5-(trifluoromethyl)phenyl)-3-(nitroso(4-(pyridin-3-yl)pyrimidin-2-yl)amino)benzamide | O=C(C3=CC(N(N=O)C2=NC(C1=CN=CC=C1)=CC=N2)=C(C)C=C3)NC5=CC(C(F)(F)F)=CC(N4C=NC(C)=C4)=C5 | 2925306-68-7 | Nilotinib | 5 | 1500 | 2024-12-01 | |||
| N-nitroso-nirogacestat | (S)-2-(((S)-6,8-Difluoro-1,2,3,4-tetrahydronaphthalen-2-yl)amino)-N-(1-(2-methyl-1-(neopentyl(nitroso)amino)propan-2-yl)-1H-imidazol-4-yl)pentanamide | C1(=CC(=CC2=C1C[C@@H](CC2)N[C@H](C(NC=3N=CN(C=3)C(CN(CC(C)(C)C)N=O)(C)C)=O)CCC)F)F | NA | Nirogacestat | 1500 | Limit based on negative bacterial reverse mutation test | 2025-08-01 | |||
| N-nitroso-nirogacestat impurity 1 | (S)-2-(((S)-6,8-Difluoro-1,2,3,4-tetrahydronaphthalen-2-yl)(nitroso)amino)-N-(1-(2-methyl-1-(neopentylamino)propan-2-yl)-1H-imidazol-4-yl)pentanamide | FC1=C(C[C@H]2N(N=O)[C@@H](CCC)C(NC(N=C3)=CN3C(C)(C)CNCC(C)(C)C)=O)C(CC2)=CC(F)=C1 | NA | Nirogacestat | 5 | 1500 | 2025-08-01 | |||
| N-nitroso-N-methyl-2-phenylethylamine | N-methyl-N-(2-phenylethyl)nitrous amide | CN(CCC1=CC=CC=C1)N=O | 13256-11-6 | NMPEA | 8 | Limit based on the most sensitive TD50 derived from the most robust TD50 dataset from the Lhasa Carcinogenicity Database (LCDB). | 2022-05-01 | |||
| N-nitroso-N-methyl-4-aminobutyric acid | 4-[methyl(nitroso)amino]butanoic acid | CN(CCCC(=O)O)N=O | 61445-55-4 | NMBA | 4 | 1500 | 2020-06-01 | |||
| N-nitroso-N-methylaniline | N-methyl-N-phenylnitrous amide | CN(C1=CC=CC=C1)N=O | 614-00-6 | NMPA | 2 | 100 | 2020-08-01 | |||
| N-nitroso-N-methyl-valaciclovir | 2-[(2-amino-6-oxo-1H-purin-9-yl)methoxy]ethyl 3-methyl-2-[methyl(nitroso)amino]butanoate | CC(C)[C@@H](C(=O)OCCOCN1C=NC2=C1N=C(NC2=O)N)N(C)N=O | NA | Valaciclovir | 1500 | Limit based on negative bacterial reverse mutation test | 2023-07-01 | |||
| N-nitroso-norfloxacin | 1-Ethyl-6-fluoro-7-(4-nitrosopiperazin-1-yl)-4-oxo-1,4-dihydroquinoline-3-carboxylic acid | O=C(C1=CN(CC)C2=C(C=C(F)C(N3CCN(N=O)CC3)=C2)C1=O)O | 74011-53-3 | Norfloxacin | NMI | Limit derived using structure-activity-relationship (SAR)/read-across approach using the negative in vivo mutagenicity study of n-nitroso-ciprofloxacin as point of departure. Can be controlled according to ICH Q3A/B. | 2025-02-01 | |||
| N-nitroso-nornicotine | 3-[(2S)-1-nitrosopyrrolidin-2-yl]pyridine | C1C[C@H](N(C1)N=O)C2=CN=CC=C2 | 16543-55-8 | Nicotine | 100 | Limit derived using structure-activity-relationship (SAR)/read-across approach using the TD50 of NNK as point of departure as substance is considered a human carcinogen by the International Agency for Research on Cancer | 2024-12-01 | |||
| N-nitroso-nor-oxycodone | (4R,4aS,7aS,12bS)-4a-hydroxy-9-methoxy-3-nitroso-2,3,4,4a,5,6-hexahydro-1H-4,12-methanobenzofuro[3,2-e]isoquinolin-7(7aH)-one | C1=CC(=C2C3=C1C[C@@]5([C@@]4(CCC([C@@](O2)([C@@]34CC(N5N=O)([H])[H])[H])=O)O[H])[H])OC([H])[H] | NA | Nalmefene | 4 | 1500 | 2024-12-01 | |||
| N-nitroso-nortriptyline | N-methyl-N-[3-(2-tricyclo[9.4.0.0^3,8] pentadeca-1(15),3,5,7,11,13-hexaenylidene)propyl]nitrous amide | CN(CCC=C1C2=CC=CC=C2CCC3=CC=CC=C31)N=O | 55855-42-0 | Amitriptyline, Nortryptyline | 1 | 18 | CPCA derived AI as substance tested positive in in vivo mutagenicity study | 2022-05-01 | ||
| N-nitroso-orphenadrine | N-Methyl-N-(2-(phenyl(o-tolyl)methoxy)ethyl)nitrous Amide | CC1=CC=CC=C1C(C2=CC=CC=C2)OCCN(N=O)C | NA | Orphenadrine | 1 | 18 | 2023-07-01 | |||
| N-nitroso-paroxetine | (3S,4R)-3-(1,3-benzodioxol-5-yloxymethyl)-4-(4-fluorophenyl)-1-nitrosopiperidine | C1CN(CC(C1C2=CC=C(C=C2)F)COC3=CC4=C(C=C3)OCO4)N=O | 2361294-43-9 | Paroxetine | 1500 | Limit based on negative bacterial reverse mutation test | 2022-12-01 | |||
| N-nitroso-p-chloro-benzylamino-pyridine | N-[(4-chlorophenyl)methyl]-N-pyridin-2-ylnitrous amide | C1(=CC=C(C=C1)CN(C2=NC=CC=C2)N=O)Cl | NA | N-CBAP | Chloropyramine | 2 | 100 | 2023-07-01 | ||
| N-nitroso-perindopril | (2S,3aS,7aS)-1-[(2S)-2-[[(2S)-1-ethoxy-1-oxopentan-2-yl]-nitrosoamino]propanoyl]-2,3,3a,4,5,6,7,7a-octahydroindole-2-carboxylic acid | CCC[C@H](N([C@H](C(=O)N1[C@H]2CCCC[C@H]2C[C@H]1C(=O)O)C)N=O)C(=O)OCC | NA | Perindopril | NMI | Limit derived using structure-activity-relationship (SAR)/read-across approach using the negative in vivo mutagenicity study of n-nitroso-ramipril as point of departure. Can be controlled according to ICH Q3A/B. | 2023-07-01 | |||
| N-nitroso-phenoxybenzamine HCl impurity A | N-(2-Hydroxyethyl)-N-(1-phenoxypropan-2-yl)nitrous amide | C1=CC=CC(=C1)OCC(N(CCO)N=O)C | NA | NDB-A | Phenoxybenzamine HCl | 4 | 1500 | 01 October 2026 (new) | ||
| N-nitroso-phenoxybenzamine HCl impurity B | N-Benzyl-N-(1-phenoxypropan-2-yl)nitrous amide | C1=CC=CC(=C1)OCC(N(CC=2C=CC=CC=2)N=O)C | NA | NDB-B | Phenoxybenzamine HCl | 3 | 400 | 01 October 2026 (new) | ||
| N-nitroso-phenylephrine | N-[(2R)-2-hydroxy-2-(3-hydroxyphenyl)ethyl]-N-methylnitrous amide | CN(N=O)CC(O)C1=CC(O)=CC=C1 | 78658-64-7 | Phenylephrine | 2 | 100 | 2023-07-01 | |||
| N-nitroso-piperazine | 1-nitrosopiperazine | C1CN(CCN1)N=O | 5632-47-3 | NPZ | 3 | 400 | 2023-07-01 | |||
| N-nitroso-piperidine | 1-nitrosopiperidine | C1CCN(CC1)N=O | 100-75-4 | Piperidine | 1300 | Limit based on the most sensitive TD50 derived from the most robust TD50 dataset from carcinogenic potency database (CPDB) or Lhasa Carcinogenicity Database (LCD). Low molecular weight nitrosamines with sufficiently robust toxicological data to serve as points of departure for derivation of other AIs by SAR and read-across. Not all of these impurities have been found in medicines. Others have been found in 1 or more medicines, not necessarily related to the structure of the active substance or its related impurities. | 2022-05-01 | |||
| N-nitroso-posaconazole impurity 1 | 1-(4-(((3R,5R)-5-((1H-1,2,4-triazol-1-yl)methyl)-5-(2,4-difluorophenyl)tetrahydrofuran-3-yl)methoxy)phenyl)-4-nitrosopiperazine | N(=O)N1CCN(CC1)C2=CC=C(C=C2)OC[C@H]3C[C@](OC3)(CN4C=NC=N4)C5=C(C=C(C=C5)F)F | NA | Posaconazole | 3 | 400 | 2024-05-01 | |||
| N-nitroso-pramipexole | N-(2-amino-4, 5, 6, 7-tetrahydrobenzo[d]thiazol-6-yl)-N-propylnitrous amide | C=12CC[C@@H](CC=1SC(=N2)N)N(CCC)N=O | NA | Pramipexole | 3 | 400 | 2023-07-01 | |||
| N-nitroso-praziquanamine | 2-Nitroso-2,3,6,7-tetrahydro-1H-pyrazino[2,1-a]isoquinolin-4(11bH)-one | O=C(CN(N=O)C1)N2C1C3=CC=CC=C3CC2 | NA | Arpraziquantel | 4 | 1500 | 2023-07-01 | |||
| N-nitroso-prolinamide | (S)-1-Nitrosopyrrolidine-2-carboxamide | C1C[C@H](N(C1)N=O)C(=O)N | NA | Vildagliptin | 4 | 1500 | 2026-06-01 | |||
| N-nitroso-prolinenitrile | (S)-1-Nitrosopyrrolidine-2-carbonitrile | C1C[C@H](N(C1)N=O)C#N | NA | Vildagliptin | 4 | 1500 | 2026-06-01 | |||
| N-nitroso-propafenon | N-(2-hydroxy-3-(2-(3-phenylpropanoyl)phenoxy)propyl)-N-propylnitrous amide | O=C(CCC1=CC=CC=C1)C2=CC=CC=C2OCC(CN(N=O)CCC)O | NA | Propafenon | 2 | 100 | 2024-09-01 | |||
| N-nitroso-propafenone impurity B | (R,E)-N-(3-(2-cinnamoylphenoxy)-2-hydroxypropyl)-N-propylnitrous amide | O=NN(C[C@@H](O)COC1=CC=CC=C1C(/C=C/C2=CC=CC=C2)=O)CCC | NA | Propafenon | 2 | 100 | 2025-08-01 | |||
| N-nitroso-propranolol | N-(2-hydroxy-3-naphthalen-1-yloxypropyl)-N-propan-2-ylnitrous amide | CC(C)N(CC(COC1=CC=CC2=CC=CC=C21)O)N=O | 84418-35-9 | Propranolol | 4 | 1500 | 2023-07-01 | |||
| N-nitroso-pseudoephedrine/ N-nitrosoephedrine | N-(1-hydroxy-1-phenylpropan-2-yl)-N-methylnitrous amide | CC(C(C1=CC=CC=C1)O)N(C)N=O | Pseudoephedrine | 4 | 1500 | 2023-07-01 | ||||
| N-nitroso-pyrrolidine | 1-nitrosopyrrolidine | C1CCN(C1)N=O | 930-55-2 | NPYR | 1700 | Limit based on the most sensitive TD50 derived from the most robust TD50 dataset from carcinogenic potency database (CPDB) or Lhasa Carcinogenicity Database (LCD). Low molecular weight nitrosamines with sufficiently robust toxicological data to serve as points of departure for derivation of other AIs by SAR and read-across. Not all of these impurities have been found in medicines. Others have been found in 1 or more medicines, not necessarily related to the structure of the active substance or its related impurities. | 2022-12-01 | |||
| N-nitroso-quetiapine HEEP impurity | 2-(2-(4-nitrosopiperazin-1-yl)ethoxy)ethan-1-ol | C1CN(CCN1CCOCCO)N=O | 73486-81-4 | Quetiapine | 1500 | Limit based on negative bacterial reverse mutation test | 2023-12-15 | |||
| N-nitroso-quinapril | (3S)-2-[(2S)-2-[[(2S)-1-ethoxy-1-oxo-4-phenylbutan-2-yl]-nitrosoamino]propanoyl]-3,4-dihydro-1H-isoquinoline-3-carboxylic acid | CCOC(=O)C(CCC1=CC=CC=C1)N(C(C)C(=O)N2CC3=CC=CC=C3CC2C(=O)O)N=O | 158522-79-3 | Quinapril | NMI | Substance tested negative in in vivo mutagenicity study. Can be controlled according to ICH Q3A/B. | 2023-07-01 | |||
| N-nitroso-ramipril | (2S,3aS,6aS)-1-(N-((S)-1-ethoxy-1-oxo-4-phenylbutan-2-yl)-N-nitroso-L-alanyl)octahydrocyclopenta[b]pyrrole-2-carboxylic acid | CCOC([C@@H](N(N=O)[C@@H](C)C(N1[C@](CCC2)([H])[C@]2([H])C[C@H]1C(O)=O)=O)CCC3=CC=CC=C3)=O | NA | Ramipril | NMI | Substance tested negative in in vivo mutagenicity study. Can be controlled according to ICH Q3A/B. | 2023-07-01 | |||
| N-nitroso-ranolazine impurity 1 | 1-(2-Methoxyphenoxy)-3-(4-nitrosopiperazin-1-yl)propan-2-ol | C1=C(C(=CC=C1)OCC(CN2CCN(CC2)N=O)O)OC | NA | Ranolazine | 3 | 400 | 2024-01-15 | |||
| N-nitroso-rasagiline | N-[(1R)-2,3-dihydro-1H-inden-1-yl]-N-prop-2-ynylnitrous amide | C#CCN(C1CCC2=CC=CC=C12)N=O
C | 2470278-90-9 | Rasagiline | 2 | 100 | 2023-07-01 | |||
| N-nitroso-reboxetine | (R)-2-((R)-(2-ethoxyphenoxy)(phenyl)methyl)-4-nitrosomorpholine | CCOC1=CC=CC=C1O[C@@H]([C@H]2CN(CCO2)N=O)C3=CC=CC=C3 | NA | Reboxetine | 127 | Limit derived using structure-activity-relationship (SAR)/read-across approach using the TD50 of NMOR as point of departure, as substance tested positive in in vivo mutagenicity study. | 2023-07-01 | |||
| N-nitroso-relebactam | (1S,2R,5R)-2-((1-nitrosopiperidin-4-yl)carbamoyl)-7-oxo-1,6-diazabicyclo[3.2.1]octan-6-yl hydrogen sulfate | O=S(O)(ON3[C@]2([H])CC[C@H](C(NC1CCN(N=O)CC1)=O)N(C2)C3=O)=O | NA | Relebactam | 3 | 400 | 2026-06-01 | |||
| N-nitroso-remibrutinib | N-(3-(6-Amino-5-(2-(methyl(nitroso)amino)ethoxy)pyrimidin-4-yl)-5-fluoro-2-methylphenyl)-4-cyclopropyl-2-fluorobenzamide | CN(CCOC1=C(C2=C(C)C(NC(C3=CC=C(C4CC4)C=C3F)=O)=CC(F)=C2)N=CN=C1N)N=O | NA | Remibrutinib | 100 | Limit derived using structure-activity-relationship, physicochemical features and weight of evidence approach using the TD50 of NNK as point of departure | 2026-03-01 | |||
| N-nitroso-ribociclib impurity 1 | 7-cyclopentyl-N,N-dimethyl-2-((5-(4-nitrosopiperazin-1-yl)pyridine-2-yl)amino)-7H-pyrrolo[2,3-d]pyrimidine-6-carboxamide | CN(C)C(=O)C2=CC1=CN=C(N=C1N2C3CCCC3)NC4=NC=C(C=C4)N5CCN(CC5)N=O | NA | Ribociclib | 3 | 400 | CPCA derived AI as substance tested positive in in vivo mutagenicity study | 2024-01-15 | ||
| N-nitroso-ritalinic acid | 2-(1-nitrosopiperidin-2-yl)-2-phenylacetic acid | C1CCN(C(C1)C(C2=CC=CC=C2)C(=O)O)N=O | NA | Methylphenidate | 4 | 1500 | 2024-02-15 | |||
| N-nitroso-rivaroxaban amide | (S)-5-chloro-N-(2-hydroxy-3-(nitroso (4-(3-oxomorpholino)phenyl)amino) propyl)thiophene-2-carboxamide | C1COCC(=O)N1C2=CC=C(C=C2)N(C[C@@H](O)CNC(=O)C3=CC=C(S3)Cl)N=O | NA | Rivaroxaban | 4 | 1500 | 2024-01-15 | |||
| N-nitroso-rivaroxaban open-ring acid | (S)-2-(2-((4-(5-((5-chlorothiophene-2-carboxamido)methyl)-2-oxooxazolidin-3-yl)phenyl)(nitroso)amino)ethoxy) acetic acid | C(COCCN(C1=CC=C(C=C1)N2CC(OC2=O)CNC(=O)C3=CC=C(S3)Cl)N=O)(=O)O | NA | Rivaroxaban | 4 | 1500 | 2024-01-15 | |||
| N-nitroso-safinamide | (2S)-2-[[4-[(3-fluorophenyl)methoxy]phenyl]methyl-nitrosoamino]propanamide | C[C@@H](C(=O)N)N(CC1=CC=C(C=C1)OCC2=CC(=CC=C2)F)N=O | 2657645-00-4 | Safinamide | 3 | 400 | 2025-05-15 | |||
| N-nitroso-salbutamol | N-tert-butyl-N-[2-hydroxy-2-[4-hydroxy-3-(hydroxymethyl)phenyl]ethyl]nitrous amide | CC(C)(C)N(CC(C1=CC(=C(C=C1)O)CO)O)N=O | NA | Salbutamol | 5 | 1500 | 2023-07-01 | |||
| N-nitroso-sarcosine | 2-[methyl(nitroso)amino]acetic acid | CN(CC(=O)O)N=O | NA | NSAR | Troriluzole | 4 | 1500 | 2025-02-01 | ||
| N-nitroso-selumetinib | 6-(4-bromo-2-chloro-N-nitrosoanilino)-7-fluoro-N-(2-hydroxyethoxy)-3-methylbenzimidazole-5-carboxamide | CN1C=NC2=C1C=C(C(=C2F)N(C3=C(C=C(C=C3)Br)Cl)N=O)C(=O)NOCCO | NA | Selumetinib | 78000 | Limit derived using structure-activity-relationship (SAR)/read-across approach using the TD50 of NDPh as point of departure. | 2025-12-01 | |||
| N-nitroso-sertraline | N-(4-(3, 4-dichlorophenyl)-1, 2, 3, 4-tetrahydronaphthalen-1-yl)-N-methylnitrous amide | N(C1CCC(C2=CC=CC=C12)C3=CC(=C(C=C3)Cl)Cl)(C)N=O | NA | Sertraline | 2 | 100 | CPCA derived AI as substance tested positive in in vivo mutagenicity study | 2023-07-01 | ||
| N-nitroso-silodosin | 1-(3-hydroxypropyl)-5-[(2R)-2-[nitroso-[2-[2-(2,2,2-trifluoroethoxy)phenoxy]ethyl]amino]propyl]-2,3-dihydroindole-7-carboxamide | CC(CC1=CC2=C(C(=C1)C(=O)N)N(CC2)CCCO)N(CCOC3=CC=CC=C3OCC(F)(F)F)N=O | NA | Silodosin | 4 | 1500 | 2024-02-15 | |||
| N-nitroso-sotalol | N-[4-[1-hydroxy-2-[nitroso(propan-2-yl)amino]ethyl]phenyl]methanesulfonamide | CC(C)N(CC(C1=CC=C(C=C1)NS(=O)(=O)C)O)N=O | 134720-07-3 | Sotalol | 4 | 1500 | 2023-07-01 | |||
| N-nitroso-tamsulosin | 5-[(2R)-2-[2-(2-ethoxyphenoxy)ethyl-nitrosoamino]propyl]-2-methoxybenzenesulfonamide | CCOC1=CC=CC=C1OCCN(C(C)CC2=CC(=C(C=C2)OC)S(=O)(=O)N)N=O | 2892260-31-8 | Tamsulosin | 4 | 1500 | 2023-07-01 | |||
| N-nitroso-terazosin impurity C | 6, 7-Dimethoxy-2-(1-piperazinyl)-4-quinazolinamine; 2-(1-Piperazinyl)-4-amino-6, 7-dimethoxyquinazoline | COC1=C(C=C2C(=C1)C(=NC(=N2)N3CCN(CC3)N=O)N)OC | 60547-97-9 | Terazosin | 3 | 400 | 2024-02-15 | |||
| N-nitroso-terazosin impurity N | (4-Nitrosopiperazin-1-yl) (tetrahydrofuran-2-yl)methanone | C1CC(OC1)C(=O)N2CCN(CC2)N=O | 2470438-57-2 | Terazosin | 3 | 400 | 2024-02-15 | |||
| N-nitroso-terbinafine degradant | N-[(2E)-6,6-dimethyl-2-hepten-4-yn-1-yl]-N-nitrosomethanamine | C(N(C)N=O)/C=C/C#CC(C)(C)C | NA | NTD, NHMA | 1 | 18 | 2024-01-15 | |||
| N-nitroso-terbinafine impurity A | N-methyl-N-(napthalen-1-ylmethyl)nitrous amide | C1=CC=CC2=C1C(=CC=C2)CN(N=O)C | 296760-88-8 | NTA, NMNA | Terbinafine | 1 | 18 | 2024-01-15 | ||
| N-nitroso-tetracaine | 2-(dimethylamino)ethyl 4-(butyl(nitroso)amino)benzoate | CCCCN(C1=CC=C(C=C1)C(=O)OCCN(C)C)N=O | NA | Tetracaine | 3 | 400 | 2023-11-15 | |||
| N-nitroso-ticagrelor | N-((1R, 2S)-2-(3, 4-difluorophenyl)cyclopropyl)-N-(3-((1R, 2S, 3S, 4S)-2, 3-dihydroxy-4-(2-hydroxyethoxy)cyclopentyl)-5-(propylthio)-3H-[1, 2, 3]triazolo[4, 5-d]pyrimidin-7-yl)nitrous amide | CCCSC1=NC(=C2C(=N1)N(N=N2)[C@@H]3C[C@@H]([C@H]([C@H]3O)O)OCCO)N([C@@H]4C[C@H]4C5=CC(=C(C=C5)F)F)N=O | 2476859-55-7 | Ticagrelor | 5 | 1500 | 2023-11-15 | |||
| N-nitroso-tigecycline | (4S, 4aS, 5aR, 12aS)-9-(2-(tert-butyl(nitroso)amino)acetamido)-4, 7-bis(dimethylamino)-3, 10, 12, 12a-tetrahydroxy-1, 11-dioxo-1, 4, 4a, 5, 5a, 6, 11, 12a-octahydrotetracene-2-carboxamide | CC(C)(C)N(CC(=O)NC4=CC(=C3C[C@@H]/2C[C@@H]1[C@H](/C(O)=C(\C([C@@]1(\C(O)=C/2C(C3=C4O)=O)O)=O)C(=O)N)N(C)C)N(C)C)N=O | NA | Tigecycline | NMI | Substance tested negative in in vivo mutagenicity study. Can be controlled according to ICH Q3A/B. | 2024-07-01 | |||
| N-nitroso-torasemide | N-(Isopropylcarbamoyl)-4-(nitroso(m-tolyl)amino)pyridine-3-sulfonamide | O=[S](NC(NC(C)C)=O)(C1=CN=CC=C1N(N=O)C2=CC(C)=CC=C2)=O | NA | Torasemide | 5 | 1500 | 01 October 2026 (new) | |||
| N-nitroso-trandolapril | (2S,3aR,7aS)-1-(N-((S)-1-ethoxy-1-oxo-4-phenylbutan-2-yl)-N-nitroso-L-alanyl)octahydro-1H-indole-2-carboxylic acid | O=C(N1[C@](CCCC2)([H])[C@@]2([H])C[C@H]1C(O)=O)[C@H](C)N(N=O)[C@H](C(OCC)=O)CCC3=CC=CC=C3 | NA | Trandolapril | 5 | 1500 | 2024-07-01 | |||
| N-nitroso-tranexamic-acid dimer | (trans,trans)-4,4'-((Nitrosoazanediyl)bis (methylene))bis(cyclohexane-1-carboxylic acid) | OC(=O)C2CCC(CN(CC1CCC(CC1)C(=O)O)N=O)CC2 | NA | Tranexamic acid | 4 | 1500 | 01 October 2026 (new) | |||
| N-nitroso-trientine impurity 1 | N-(2-aminoethyl)-N-(2-((2-aminoethyl)amino)ethyl)nitrous amide | N(CCN)CCN(CCN)N=O | NA | Trientine | 1 | 18 | 2024-05-01 | |||
| N-nitroso-trimetazidine | 1-nitroso-4-[(2,3,4-trimethoxyphenyl)methyl]piperazine | COC1=C(C(=C(C=C1)CN2CCN(CC2)N=O)OC)OC | 92432-50-3 | NTMZ | Trimetazidine | 13000 | Limit based on the BMDL10 for the most sensitive tissue and gender from a robust rat carcinogenicity study conducted with NTMZ. Nitrosamine with sufficiently robust toxicological data to serve as point of departure for derivation of other AIs by SAR and read-across. | 2023-07-01 | ||
| N-nitroso-urapidil | N-(1, 3-Dimethyl-2, 6-dioxo-1, 2, 3, 6-tetrahydropyrimidin-4-yl)-N-(3-(4-(2-methoxyphenyl)piperazin-1-yl)propyl)nitrous amide | CN1C(=CC(=O)N(C1=O)C)N(CCCN2CCN(CC2)C3=CC=CC=C3OC)N=O | NA | Urapidil | 4 | 1500 | 2024-01-15 | |||
| N-nitroso-valsartan cyano-desvalerylmethylester | (S)-Methyl 2-(((2'-cyano-[1,1'-biphenyl]-4-yl)methyl)(nitroso)amino)-3-methylbutanoate | CC(C)[C@@H](C(=O)OC)N(CC1=CC=C(C=C1)C2=CC=CC=C2C#N)N=O | NA | Valsartan | 2 | 100 | 2024-09-01 | |||
| N-nitroso-vancomycin | (1S,2R,18R,19R,22S,25R,28R,40S)-48-[(2S,3R,4S,5S,6R)-3-[(2S,4S,5S,6S)-4-amino-5-hydroxy-4,6-dimethyloxan-2-yl]oxy-4,5-dihydroxy-6-(hydroxymethyl)oxan-2-yl]oxy-22-(2-amino-2-oxoethyl)-5,15-dichloro-2,18,32,35,37-pentahydroxy-19-[[(2R)-4-methyl-2-[methyl(nitroso)amino]pentanoyl]amino]-20,23,26,42,44-pentaoxo-7,13-dioxa-21,24,27,41,43-pentazaoctacyclo[26.14.2.23,6.214,17.18,12.129,33.010,25.034,39]pentaconta-3,5,8(48),9,11,14,16,29(45),30,32,34(39),35,37,46,49-pentadecaene-40-carboxylic acid | ClC3=C4OC=5C(O[C@@]2(O[C@@]([C@@](O[H])([C@](O[H])([C@]2(O[C@@]1(O[C@]([C@@](O[H])([C@](N([H])[H])(C1([H])[H])C([H])([H])[H])[H])(C([H])([H])[H])[H])[H])[H])[H])[H])(C(O[H])([H])[H])[H])[H])=C6OC%10=C(Cl)C(=C([C@](O[H])([C@@]7(N(C(=O)[C@](N(C(=O)[C@](N(C(=O)[C@](N(C(=O)[C@](N(C(=O)[C@](N(N=O)C([H])([H])[H])(C(C(C([H])([H])[H])(C([H])([H])[H])[H])([H])[H])[H])[H])([C@@](O[H])(C(=C3[H])C(=C4[H])[H])[H])[H])[H])(C(C(=O)N([H])[H])([H])[H])[H])[H])(C(C=5[H])=C6[H])[H])[H])(C9=C(C(C8=C([C@@](N(C7=O)[H])(C(O[H])=O)[H])C(=C(O[H])C(=C8O[H])[H])[H])=C(O[H])C(=C9[H])[H])[H])[H])[H])[H])[H])C(=C%10[H])[H])[H] | NA | Vancomycin | NMI | Limit derived using structure-activity-relationship, physicochemical features and weight of evidence approach for N-nitroso-vancomycin based on N-nitroso-desmethyl-azithromycin and N-nitroso-desmethyl-clarithromycin as surrogates. Can be controlled according to ICH Q3A/B | 2025-02-01 | |||
| N-nitroso-vanzacaftor | (14S)-8-[3-(2-dispiro[2.0.24.13]heptan-7-ylethoxy)pyrazol-1-yl]-12,12-dimethyl-2,2-dioxo-2λ6-thia-18-nitroso-3,9,11,18,23-pentazatetracyclo [17.3.1.111,14.05,10] tetracosa-1(22),5(10),6,8,19(23),20-hexaen-4-one | C3=4S(=O)(NC(=O)C1=CC=C(N=C1N2C[C@@H](CC2(C)C)CCCN(C(=CC=C3)N=4)N=O)N5C=CC(=N5)OCCC7C6(CC6)C78CC8)=O | NA | Vanzacaftor | 4 | 1500 | CPCA was derived using a correction to account for the 5-carbon chain length feature | 2024-09-01 | ||
| N-nitroso-varenicline | (1R,12S)-14-nitroso-5,8,14-triazatetracyclo[10.3.1.02,11.04,9]hexadeca-2,4,6,8,10-pentaene | C1C2CN(CC1C3=CC4=NC=CN=C4C=C23)N=O | 2755871-02-2 | NNV | Varenicline | 3 | 400 | 2021-09-01 | ||
| N-nitroso-venlafaxine EP Impurity D | N-(2-(1-Hydroxycyclohexyl)-2-(4-methoxyphenyl)ethyl)-N-methylnitrous amide | COC2=CC=C(C(C1(O)CCCCC1)CN(C)N=O)C=C2 | 2680662-11-5 | Venlafaxine | 1 | 18 | 2025-08-01 | |||
| N-nitroso-venlafaxine EP Impurity H | N-(2-(1-Hydroxycyclohexyl)-2-(4-methoxyphenyl)ethyl)-N-(4-methoxyphenethyl)nitrous amide | COC3=CC=C(C(C1(O)CCCCC1)CN(N=O)CCC2=CC=C(OC)C=C2)C=C3 | NA | Venlafaxine | 2 | 100 | 2025-08-01 | |||
| N-nitroso-vibegron | (S)-N-(4-(((2R,5S)-5-((R)-hydroxy(phenyl)methyl)-1-nitrosopyrrolidin-2-yl)methyl)phenyl)-4-oxo-4,6,7,8-tetrahydropyrrolo[1,2-a]pyrimidine-6-carboxamide | O=C(Nc3ccc(C[C@@H]2CC[C@H]([C@H](O)c1ccccc1)N2N=O)cc3)[C@@H]4CCc5nccc(=O)n45 | NA | Vibegron | 5 | 1500 | 2024-05-01 | |||
| N-nitroso-vildagliptin | N-(2-((S)-2-cyanopyrrolidin-1-yl)-2-oxoethyl)-N-((1r,3R,5R,7S)-3-hydroxyadamantan-1-yl)nitrous amide | O=C(N(CCC1)[C@@H]1C#N)CN(N=O)[C@](C[C@H](C2)C3)(C[C@@H]2C4)C[C@]34O | NA | Vildagliptin | 5 | 1500 | 2023-07-01 | |||
| N-nitroso-vildagliptin amide impurity | (S)-1-(2-(((1r, 3R, 5R, 7S)-3-hydroxyadamantan-1-yl)(nitroso)amino)acetyl)pyrrolidine-2-carboxamide(S)-1-(2-(((1r, 3R, 5R, 7S)-3-hydroxyadamantan-1-yl)(nitroso)amino)acetyl)pyrrolidine-2-carboxamide | [C@]12(C[C@@](C[C@](C1)([H])C)(CC(C2)(O)C)[H])N(N=O)CC(N3CCC[C@H]3C(N)=O)=O | NA | Vildagliptin | 5 | 1500 | 2024-09-01 | |||
| N-nitroso-vortioxetine | 1-[2-(2,4-dimethylphenyl)sulfanylphenyl]-4-nitrosopiperazine | CC1=CC(=C(C=C1)SC2=CC=CC=C2N3CCN(CC3)N=O)C | NA | Vortioxetine | 3 | 400 | 2023-07-01 | |||
| Rivaroxaban nitroso impurity 1 | N-(2-hydroxyethyl)-N-phenyl-nitrous amide | C1=CC=CC=C1N(CCO)N=O | 25413-76-7 | N-Nitroso KCR-1 | Rivaroxaban | 4 | 1500 | 2024-05-01 | ||
| Rivaroxaban nitroso impurity 2 | N-(3-(1,3-dioxoisoindolin-2-yl)-2-hydroxypropyl)-N-(4-(3-oxomorpholino) phenyl)nitrous amide | C1COCC(=O)N1C2=CC=C(C=C2)N(CC(CN3C(C4=C(C3=O)C=CC=C4)=O)O)N=O | NA | Rivaroxaban | 4 | 1500 | 2024-05-01 | |||
| Rivaroxaban nitroso impurity 5 | N-(3-Chloro-2-hydroxypropyl)-N-(4-(3-oxomorpholino)phenyl)nitrous amide | C1(=CC=C(C=C1)N(CC(CCl)O)N=O)N2CCOCC2=O | NA | N-Nitroso RVR-A | Rivaroxaban | 4 | 1500 | 2024-05-01 |
Other N-nitroso-structures
2026-10-01
EMA/CHMP/219920/2026/Rev. 14
Non-clincal Working Party (NcWP)
Acceptable intakes (AIs) established for N-nitroso-structures other than N-nitrosamines
The below acceptable intake levels (AIs) have been established by the Non-clinical Working Party (NcWP).
These limits apply only when a finished product (FP) contains a single N-nitroso compound.
The listed source indicates a potential association with the named active pharmaceutical ingredient (API) or its related impurities; it does not imply that the N-nitroso impurity is present in every product or pharmaceutical form containing that API. Please refer to Q&A on the risk factors for the presence of N-nitroso-structures for further details.
| Structure | Name | IUPAC name | SMILES | CAS RN | Synonym/ Acronym | Source | AI (ng/day) | Note | Publication date |
|---|---|---|---|---|---|---|---|---|---|
| N-nitroso-biotin | 5-[(3aR,6S,6aS)-3-nitroso-2-oxo-3a,4,6,6a-tetrahydro-1H-thieno[3,4-d]imidazol-6-yl]pentanoic acid | C1[C@H]2[C@@H]([C@@H](S1)CCCCC(=O)O)NC(=O)N2N=O | 56859-26-8 | D-biotin | 1500 | Limit based on negative bacterial reverse mutation test. | 2024-12-01 | ||
| N-nitroso-cimetidine | 3-cyano-1-methyl-2-[2-[(5-methyl-1H-imidazol-4-yl)methylsulfanyl]ethyl]-1-nitrosoguanidine | CC1=C(N=CN1)CSCCN=C(NC#N)N(C)N=O | 73785-40-7 | Cimetidine | 553 | Limit derived using structure-activity-relationship (SAR)/read-across approach using the TD50 of MNNG as point of departure. | 2024-12-01 | ||
| N-nitroso-clonidine | N-(2,6-dichlorophenyl)-1-nitroso-4,5-dihydroimidazol-2-amine | C1CN(C(=N1)NC2=C(C=CC=C2Cl)Cl)N=O | 148950-49-6 | Clonidine | 553 | Limit derived using structure-activity-relationship (SAR)/read-across approach using the TD50 of MNNG as point of departure. | 2024-12-01 | ||
| N-nitroso-eletriptan | (S)-3-((1-methylpyrrolidin-2-yl)methyl)-1-nitroso-5-(2-(phenylsulfonyl)ethyl)-1H-indole | O=S(C1=CC=CC=C1)(CCC4=CC=3C(CC2CCCN2C)=CN(N=O)C=3C=C4)=O | NA | Eletriptan | 1500 | Limit derived using structure-activity-relationship, physicochemical features and weight of evidence for N-nitroso-indoles based on C- nitro and C-nitroso-aromatic compounds. | 2024-12-01 | ||
| N-nitroso-melatonin | N-[2-(5-methoxy-1-nitrosoindol-3-yl)ethyl]acetamide | CC(=O)NCCC1=CN(C2=C1C=C(C=C2)OC)N=O | 278783-22-5 | Melatonin | 1500 | Limit derived using structure-activity-relationship, physicochemical features and weight of evidence for N-nitroso-indoles based on C- nitro and C-nitroso-aromatic compounds. | 2024-12-01 | ||
| N-methyl-N’-nitro-N-nitrosoguanidine | 1-methyl-3-nitro-1-nitrosoguanidine | CN(C(=N)N[N+](=O)[O-])N=O | 70-25-7 | MNNG | 553 | Limit based on the most sensitive TD50 derived from the most robust TD50 dataset from carcinogenic potency database (CPDB) or Lhasa Carcinogenicity Database (LCDB version 2023.1). N-nitroso-guanidine with sufficiently robust toxicological data to serve as points of departure for derivation of other AIs by SAR and read-across. | 2024-12-01 | ||
| 1-Nitroso-moxonidine Impurity 7 | 4-chloro-6-methoxy-2-methyl-3-(1-nitroso-4,5-dihydroimidazol-2-yl)-4H-pyrimidin-5-amine | CC1=NC(=C(C(N1C2=NCCN2N=O)Cl)N)OC | NA | Moxonidine | 553 | Limit derived using structure-activity-relationship (SAR)/read-across approach using the TD50 of MNNG as point of departure. | 2024-12-01 | ||
| 1-Nitroso-moxonidine | N-(4-chloro-6-methoxy-2-methylpyrimidin-5-yl)-N-(4,5-dihydro-1H-imidazol-2-yl)nitrous amide | CC1=NC(=C(C(=N1)Cl)N(C2=NCCN2)N=O)OC | NA | Moxonidine | 553 | Limit derived using structure-activity-relationship (SAR)/read-across approach using the TD50 of MNNG as point of departure. | 2024-12-01 | ||
| N-nitroso-naratriptan | N-methyl-2-[3-(1-methylpiperidin-4-yl)-1-nitrosoindol-5-yl]ethanesulfonamide | CNS(=O)(=O)CCC1=CC2=C(C=C1)N(C=C2C3CCN(CC3)C)N=O | 1216880-64-6
| Naratriptan | 1500 | Limit derived using structure-activity-relationship, physicochemical features and weight of evidence for N-nitroso-indoles based on C- nitro and C-nitroso-aromatic compounds. | 2024-12-01 | ||
| N-nitroso-rizatriptan | N,N-dimethyl-2-[1-nitroso-5-(1,2,4-triazol-1-ylmethyl)indol-3-yl]ethanamine | CN(C)CCC1=CN(C2=C1C=C(C=C2)CN3C=NC=N3)N=O | NA | Rizatriptan | 1500 | Limit derived using structure-activity-relationship, physicochemical features and weight of evidence for N-nitroso-indoles based on C- nitro and C-nitroso-aromatic compounds. | 2024-12-01 | ||
| N-nitroso-sumatriptan | 1-[3-[2-(dimethylamino)ethyl]-1-nitrosoindol-5-yl]-N-methylmethanesulfonamide | CNS(=O)(=O)CC1=CC2=C(C=C1)N(C=C2CCN(C)C)N=O | NA | Sumatriptan | 1500 | Limit derived using structure-activity-relationship, physicochemical features and weight of evidence for N-nitroso-indoles based on C- nitro and C-nitroso-aromatic compounds. | 2024-12-01 | ||
| N-nitroso-tadalafil | (2,8)-2-(1,3-benzodioxol-5-yl)-6-methyl-17-nitroso-3,6,17-triazatetracyclo[8.7.0.03,8.011,16]heptadeca-1(10),11,13,15-tetraene-4,7-dione | CN1CC(=O)N2C(C1=O)CC5=C(C2C3=CC4=C(C=C3)OCO4)N(C6=CC=CC=C56)N=O | NA | Tadalafil | 1500 | Limit derived using structure-activity-relationship, physicochemical features and weight of evidence for N-nitroso-indoles based on C- nitro and C-nitroso-aromatic compounds. | 2024-12-01 | ||
| N-nitroso-tizanidine | N-(5-chloro-2,1,3-benzothiadiazol-4-yl)-N-(4,5-dihydro-1H-imidazol-2-yl)nitrous amide | C1CN=C(N1)N(C2=C(C=CC3=NSN=C32)Cl)N=O | NA | Tizanidine | 553 | Limit derived using structure-activity-relationship (SAR)/read-across approach using the TD50 of MNNG as point of departure. | 2024-12-01 | ||
| N-nitroso-tryptophol | 2-(1-nitro+B36C36:I36+C36:H36+C36+C36:I36 | C1=CC=C2C(=C1)C(=CN2N=O)CCO | 120314-14-9 | Tryptophol | 1500 | Limit derived using structure-activity-relationship, physicochemical features and weight of evidence for N-nitroso-indoles based on C- nitro and C-nitroso-aromatic compounds. | 2024-12-01 | ||
| N-nitroso-xylometazoline | 2-(4-(tert-butyl)-2,6-dimethylbenzyl)-1-nitroso-4,5-dihydro-1H-imidazole | N/1(CC\N=C/1CC2=C(C)C=C(C(C)(C)C)C=C2C)N=O | Xylometazoline | 18 | In the absence of a suitable surrogate or specific carcinogenicity data for amidine-containing molecules the limit of 18 ng/day is based on the substance specific TTC as that dataset included “other nitroso” structures. | 01 October 2026 (new) | |||
| N-nitroso-zolmitriptan | (4S)-4-[[3-[2-(dimethylamino)ethyl]-1-nitrosoindol-5-yl]methyl]-1,3-oxazolidin-2-one | CN(C)CCC1=CN(C2=C1C=C(C=C2)C[C@H]3COC(=O)N3)N=O | NA | Zolmitriptan | 1500 | Limit derived using structure-activity-relationship, physicochemical features and weight of evidence for N-nitroso-indoles based on C- nitro and C-nitroso-aromatic compounds. | 2024-12-01 |
来源:EMA 亚硝胺指南与技术附件 · ema.europa.eu