Freon propellants commonly referred to as chlorofluorocarbons (CFCs) a
re involved in the destruction of the ozone layer. The countries parti
cipating in the Montreal Protocol voted in 1990 to require a phase-out
of CFC production by the year 2000. In 1992, the phase-out was moved
forward to 1996. There are two pharmaceutical consortia evaluating rep
lacements for CFCs in metered dose inhalers (MDIs), which include the
development of HFA-134a by IPACT-I and the development of HFA-227 by I
PACT-II. Neither of these replacement propellants contains chlorine so
they have no potential to destroy ozone. In addition, each of these n
ew propellants has less global warming potential than currently used C
FCs. The IPACT organizations have comprehensive testing programs devel
oped from consultation with global regulatory authorities. These progr
ams are largely complete with respect to subchronic evaluations and cu
rrent work is focused on long-term evaluations. Results have indicated
that the new propellants are extremely benign and have an equal or be
tter safety profile than the CFCs they are meant to replace. With the
safety of the new propellants becoming more evident with time, new for
mulations of existing aerosol drugs are being developed. This testing
includes stand-alone safety evaluations as well as studies of the drug
in new propellant formulations directly compared to current CFC formu
lations. Comparison studies have shown that the safety profile of the
new formulations is not different from that of the CFC formulations. I
n summary, the availability and desirability of the use of CFCs in MDI
s is limited. Fortunately several alternative propellants to the CFCs
are approaching development finalization. The testing program has show
n that these replacements are acceptable from a safety assessment pers
pective and their introduction will assure that vital MDI therapy will
continue uninterrupted.