There is a widespread and long-standing perception that drug substances presented as sulfonic acid salts pose an inherent risk to patients, owing to the potential presence of mutagenic alkyl sulfonate impurities. Extensive and indisputable kinetic, mechanistic, and experimental evidence indicates that this is not a sustainable position. Sulfonic acid salt formation normally involves addition of a sulfonic acid to an equimolar amount of the base form of a drug substance dissolved in a suitable solvent (most frequently ethanol or other protic solvent). In such systems, no alkyl sulfonate impurities are generated via an ester-forming side reaction, owing to essentially instantaneous base protonation and neutralization of the acidic component. Carryover of impurities in sulfonic acids is considered highly unlikely, given the use of pharma-grade reagents and the significant in-built purge factors based on dilution and the high solubility of alkyl sulfonates in alcohol solvents. Efforts to create a dialogue with the main drug regulatory agencies with a view to reversing current approaches based on disproved hypotheses have been largely unproductive. One exception is the European Medicines Agency (EMA), which undertook an internal evaluation, resulting in the conclusion that the formation of alkyl sulfonate impurities is unlikely but could not be totally excluded. Requests to EMA to provide evidence supporting this position were all unsuccessful. Although both EMA and the European Pharmacopoeia have proposed "risk assessment" as an alternative to analytical testing, to date there has been no progress on defining appropriate parameters.