Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Ulrich Markens
Head of QC Testing Labs Asia
SGS Life Science Services
FDA Warning Letter Report 2006
2005 2006 ∆
Drugs 17 20 18%
(part 211)
2
FDA Warning Letter Report 2006 (cont’d)
Top 5 findings
3
Index
1 General Information
3 Climatic Zones
4
Why Stability?
Establish a
• re-test period for the drug substance or a
• shelf life for the drug product and
• recommended storage conditions
Because physical, chemical or microbiological changes might
impact the
• efficiency and
• security of the final product
*) Definition according to ICH Q1A(R2)
5
1 - General Information
Where and Why?
and represents
6
1 - General Information
What are changes?
Physical changes
• Appearance
• Melting point
• Clarity and color of solution
• Water
• Crystal modification (Polymorphism)
• Particle size
Chemical changes
• Increase in Degradation products
• Decrease of Assay
Microbial changes
• Growth of microorganism
7
1 - General Information
Stability studies at different stages
8
1 - General Information
2 Examples for Stability testing designs
9
Examples for stability testing designs
• Physical-chemical properties
– Appearance
– Water content
– pH
– Color / clarity of solution
– Thermo analytical stability
» Melting point
» Polymorphism
• Chemical properties
– Assay
– Degradation products
• Microbial properties
– (Microbial purity)
10
2 - Examples for Stability testing design
Examples for stability testing designs (cont’d)
• Physical-chemical properties
– Appearance
– Mean mass
– Water content
– Hardness
– Disintegration
– Dissolution
• Chemical properties
– Assay
– Degradation products
• Microbial properties
– Microbial purity
• Container closure system properties
– Functionality tests (e.g. extraction from blister)
11
2 - Examples for Stability testing design
Examples for stability testing designs (cont’d)
• Physical-chemical properties
– Elasticity
– Mean mass
– Mean filling mass
– Water content (Capsule and content)
– Disintegration
– Dissolution
• Chemical properties
– Assay
– Degradation products
• Microbial properties
– Microbial purity
• Container closure system properties
– Functionality tests (e.g. extraction from blister)
12
2 - Examples for Stability testing design
Examples for stability testing designs (cont’d)
• Physical-chemical properties
– pH
– Color & clarity of solution
– Loss on weight
– Viscosity
– Particle size distribution (for oral suspensions only)
• Chemical properties
– Assay
– Degradation products
– Content preservatives
– Degradation preservatives
– Content antioxidants
• Microbial properties
– Microbial purity
• Container closure system properties
– Functionality tests
13
2 - Examples for Stability testing design
Examples for stability testing designs (cont’d)
• Physical-chemical properties
– pH
– Loss on weight
– Color & clarity of solution
• Chemical properties
– Assay
– Degradation products
– Content preservatives
– Degradation preservatives
– Content antioxidants
• Microbial properties
– Microbial purity
• Container closure system properties
– Functionality tests
14
2 - Examples for Stability testing design
Examples for stability testing designs (cont’d)
• Physical-chemical properties
– Appearance, odor, homogeneity, consistency
– Loss on weight
– Viscosity
– Content uniformity (within the container)
• Chemical properties
– Assay
– Degradation products
– Content preservatives
– Degradation preservatives
– Content antioxidants
• Microbial properties
– Microbial purity
• Container closure system properties
– Functionality tests
15
2 - Examples for Stability testing design
3 Climatic Zones
16
Climatic Zones / Storage conditions
Climatic Zone I
"Temperate" 20 20 42 21 45
Japan, United Kingdom, Northern Europe,
Canada, Russia, United States
Climatic Zone II
"Mediterranean, Subtropical" 21,6 22 52 25 60
Japan, United States, Southern Europe
Climatic Zone IV
"Hot, humid" 26,7 27,4 76 30 70
Brazil, Ghana, Indonesia, Nicaragua,
Philippines
17
3 – Climatic Zones
Countries of climatic zone I and II
Europe
• all countries
Americas
• Argentina, Bolivia, Chile, Canada, Peru, USA, Uruguay …
Asia
• Afghanistan, Armenia, Aserbaidschan, China, Georgia, Iran,
Israel, Japan, Corea (north & south), Lebanon, Nepal, Syria,
Turkey …..
Africa
• Egypt, Algeria, Libya, Marocco, Namibia, Ruanda, Sambia,
Simbabwe, South Africa, Tunesia …
Australia
• Australia, New Zeeland
18
3 – Climatic Zones
Countries of climatic zone III and IV
Americas
• Bahamas, Barbados, Belize, Brasilia, Costa Rica, Ecuador,
Guatemala, Colombia, Nicaragua …
Asia
• Bahrain, Bangladesh, India, Indonesia, Iraq, Cambodia,
Qatar, Kuwait, Laos, Malaysia, Myanmar, Pakistan,
Philippines, Singapore, Thailand, UAE, Vietnam …..
Africa
• Angola, Ethiopia, Benin, Botswana, Burkina Faso …..
Oceania
• Fiji, Marshall Islands, Micronesia, Papua New-Guinea ….
19
3 – Climatic Zones
4 ICH and Guidelines overview
3 Climatic Zones
20
What or Who is ICH?
Objectives of ICH
• Harmonization of registration applications within the three regions of
the EU, Japan and the United States.
• ICH is a joint initiative involving both regulators and industry as equal
partners in the scientific and technical discussions of the testing
procedures which are required to ensure and assess the safety,
quality and efficacy of medicines
21
4 – ICH and Guidelines overview
What or Who is ICH?
22
4 – ICH and Guidelines overview
A brief History of ICH
1980s
• Harmonization of regulatory requirements was pioneered by the
European Community, as the European Union moved towards the
development of a single market for pharmaceuticals.
• The success achieved in Europe demonstrated that harmonization
was feasible.
• At the same time there were bilateral discussions between Europe,
Japan and the US on possibilities for harmonization.
1989
• At the WHO Conference of Drug Regulatory Authorities (ICDRA), in
Paris, specific plans for action began to materialize.
1990
• The birth of ICH took place at a meeting in April 1990 in Brussels
where Representatives of the regulatory agencies and industry
associations of Europe, Japan and the USA met
23
4 – ICH and Guidelines overview
Guidelines
ICH Guidelines
• Quality Guidelines “Q” (chemical and pharmaceutical QA)
– details see next slide
• Safety Guidelines “S” (in vitro and in vivo pre-clinical studies)
– covering Carcinogenicity Testing, Genotoxicity Testing,
Toxicokinetics and Pharmacokinetics ….. etc.
• Efficacy Guidelines “E” (clinical studies in human subject)
– Covering clinical safety, Dose Response Studies, Good Clinical
Practices, Clinical evaluation …. etc.
• Multidisciplinary Guidelines “M”
– Covering Medical Terminology, Electronic Standards for
Transmission of Regulatory Information …… etc.
– Important for Stability !
» Guideline M4: The Common Technical Document (CTD)
24
4 – ICH and Guidelines overview
Guidelines
25
4 – ICH and Guidelines overview
Guidelines
ASEAN* Guidelines
• Stability Studies of Drug products
• Validation of Analytical Procedures
• Common Technical Dossier (ACTD) for the registration of
pharmaceuticals
* ASEAN Members: Brunei, Cambodia, Indonesia, Laos, Malaysia, Myanmar, Philippines, Singapore, Thailand, Vietnam
26
4 – ICH and Guidelines overview
Guidelines
WHO
• WHO TRS 863, Annex 5: “Guidelines for stability testing of
pharmaceutical products containing well established drug substances
in conventional dosage forms”
USP (US Pharmacopeia)
• USP 29 <1150> Pharmaceutical Stability
EMEA (European Agency for the Evaluation of Medicinal Product)
• Note for Guidance on Stability Testing of existing active substance
and Related Finished products (Draft), February 2002
etc.
27
4 – ICH and Guidelines overview
Guidelines
Bracketing and Matrixing
Evaluation of Stability Data
Q1D
ICH
Q1D
New Dosage Forms
ICH
IC
QQ1
ICHH
ICICH
Q1H
1EE
1CC
Analytical Validation
Q
ICI
QQ CHH Stability Testing of New DS and DP
22 (Climatic Zone I and II) Biotechnological Products
HH
ICH
ICH Q1A
Q1A ICC
I 5
QQ5
WHO
WHO FDA
FDA
ICHH
IC
QQ11FF
ASEAN
ASEAN ICI
Stability Testing QQ1 CHH
in Climatic Zones III and IV 1BB
I ICH
QQ3 C H Impurities H
Photostability Testing
3AA/B Specifications ICICH/BB
/B/C A/
/C QQ66A
28
4 – ICH and Guidelines overview
5 ICH Q1A Guideline
29
ICH Q1A Guideline
Objectives
• Define common principles valid for both Drug Substances and
Products
• Ensures that all data derived from DS can be used for further
development of DP
Scope
• Adresses the information to be submitted in registration applications
for
– new molecular entities (NMEs) and
– Associated drug products
• Dedicated to climatic Zone I and II
• Does not currently seek to cover the information to be submitted for
– abbreviated or abridged applications
– variations
– clinical trial applications
30
5 – ICH Q1A Guideline
Structure / Sections
1. General
2. Stress Testing
• Comprehensive Stress testing for Drug Substances
• Photostability for Drug products
3. Selection of batches
4. Container closure system
5. Specifications
6. Testing frequency
7. Storage conditions
8. Stability commitment
9. Evaluation
10. Statements / Labeling
31
5 – ICH Q1A Guideline
Section 1 - General
Drug Substance
• Information on the stability of the drug substance is an integral part of the
systematic approach to stability evaluation
Drug Product
• The design of the stability studies should be based on knowledge of the
– behavior and
– properties of the drug substance and from
– stability studies on the drug substance and on
– experience gained from clinical formulation studies.
• The likely changes on storage and the rationale for the selection of attributes to
be tested in the formal stability studies should be stated
32
5 – ICH Q1A Guideline
Section 2 - Stress Testing
Drug Substance
• carried out on a single batch
• Should include the effect of temperatures (in 10°C increments above that for
accelerated testing), humidity (e.g., 75% RH or greater) where appropriate,
oxidation, and photolysis
• Should evaluate the susceptibility to hydrolysis across a wide range of pH
values when in solution or suspension
• Examining degradation products under stress conditions is useful in
establishing degradation pathways and developing and validating suitable
analytical procedures.
• Photostability testing should be an integral part of stress testing
Drug Product
• Photostability testing should be conducted on at least one batch
• Conditions are described in ICH Q1B.
Results from these studies will form an integral part of the information
provided to regulatory authorities
33
5 – ICH Q1A Guideline
Section 3 - Selection of Batches
Drug Substance
• At least three primary batches of the drug substance.
• Batches should be manufactured to a minimum of pilot scale by the same
synthetic route as, and using a method of manufacture and procedure that
simulates the final process to be used for, production batches.
Drug Product
• At least three primary batches of the drug product
• The manufacturing process used for primary batches should simulate that to be
applied to production batches and should provide product of the same quality
and meeting the same specification as that intended for marketing
• Primary batches should be of the same formulation and packaged in the same
container closure system as proposed for marketing
• Two of the three batches should be at least pilot scale batches and the third
one can be smaller, if justified.
• Batches should be manufactured by using different batches of drug substance
• Stability studies should be performed on each individual strength and container
size of the drug product unless bracketing or matrixing is applied Æ ICH Q1
34
5 – ICH Q1A Guideline
Section 4 - Container Closure System
Drug Substance
• Container closure system should be the same as for storage and distribution
(or should be able to simulates the packaging proposed)
Drug Product
• Tested dosage form should be packaged in the container closure system
proposed for marketing
– Including any secondary packaging and container label
– Studies carried out on the drug product outside its immediate container or in other
packaging materials can form a useful part of the stress testing of the dosage form or
can be considered as supporting information, respectively.
35
5 – ICH Q1A Guideline
Section 5 - Specifications
Drug Product
• The testing should cover, as appropriate, the physical, chemical, biological,
and microbiological attributes, preservative content (e.g., antioxidant,
antimicrobial preservative), and functionality tests (e.g., for a dose delivery
system).
• Shelf life acceptance criteria should be derived from consideration of all
available stability information.
• It may be appropriate to have justifiable differences between the shelf life and
release acceptance criteria based on the stability evaluation and the changes
observed on storage.
• A single primary stability batch of the drug product should be tested for
antimicrobial preservative effectiveness (in addition to preservative content) at
the proposed shelf life for verification purposes, regardless of whether there is
a difference between the release and shelf life acceptance criteria for
preservative content
36
5 – ICH Q1A Guideline
Section 5 - Specifications / “Significant change”
Drug Substance
• failure to meet its specification
Drug Product
• 5% change in assay from its initial value
• Any degradation product’s exceeding its acceptance criterion
• Failure to meet the acceptance criteria for appearance, physical attributes, and
functionality test e.g.:
– color, phase separation, resuspendibility, caking, hardness, etc
• Failure to meet the acceptance criterion for pH
• Failure to meet the acceptance criteria for dissolution for
12 dosage units
37
5 – ICH Q1A Guideline
Section 6 - Testing frequency
38
5 – ICH Q1A Guideline
Section 7 - Storage conditions
Applicablefor
Applicable forDS
DSand
andDP
DP
39
5 – ICH Q1A Guideline
Section 7 - Storage conditions (cont’d)
Drug Product
• Stability testing of the drug product after constitution or
dilution, if applicable, should be conducted to provide
information for the labeling on the preparation, storage
condition, and in-use period of the constituted or diluted
product.
• This testing should be performed on the constituted or diluted
product through the proposed in-use period on primary
batches at initial and final time points and, if full shelf life long
term data will not be available before submission, at 12
months or the last time point for which data will be available.
• Additional data accumulated during the assessment period of
the registration application should be submitted to the
authorities if requested.
40
5 – ICH Q1A Guideline
Section 7 - Storage conditions (cont’d)
41
5 – ICH Q1A Guideline
Section 7 - Storage conditions (cont’d)
42
5 – ICH Q1A Guideline
Section 7 - Storage conditions (cont’d)
43
5 – ICH Q1A Guideline
Section 8 - Stability Commitment
Applicablefor
Applicable forDS
DSand
andDP
DP
44
5 – ICH Q1A Guideline
Section 9 - Evaluation
Applicablefor
Applicable forDS
DSand
andDP
DP
45
5 – ICH Q1A Guideline
Section 9 – Evaluation (cont’d)
102
101
100
99
% of Declaration
98
97
96
95
month
46
5 – ICH Q1A Guideline
Section 10 – Statements / Labeling
General
• A storage statement should be established for the labeling in
accordance with relevant national/regional requirements
• Statement should be based on the stability evaluation of the drug
substance / drug product
• Terms such as “ambient conditions” or “room temperature” should be
avoided.
Drug Substance
• Retest date should be displayed on the container label if appropriate.
Drug Product
• There should be a direct link between the label storage statement
and the demonstrated stability of the drug product.
• An expiration date should be displayed on the container label.
Applicablefor
Applicable forDS
DSand
andDP
DP
47
5 – ICH Q1A Guideline
Submission
48
5 – ICH Q1A Guideline
6 Other relevant ICH Guidelines
49
Photostability Testing ► ICH Q1B ◄
Purpose
• Simulation of the impact of Fluorescence lamps which are used in
Hospitals
– visual Range between 400 nm and 800 nm
• Assessing the impact of near UV light which should represent
Sunlight behind a window
– UV Range 320 nm to 400 nm
General
• Photostability characteristics of new drug substances and products
should be evaluated to demonstrate that light exposure does not
result in unacceptable change
• Testing is carried out on a single batch of material (DS / DP)
50
6 – Other relevant ICH Guidelines
Photostability Testing ► ICH Q1B ◄
Procedure
• Tests on the drug substance
• Tests on the exposed drug product outside of the immediate pack
• Tests on the drug product in the immediate pack (if necessary)
• Tests on the drug product in the marketing pack (if necessary)
By using
• Illumination of not less than 1.2 million lux hours
• and an integrated near ultraviolet energy of not less than 200 watt
hours/square meter
• These requirements are fulfilled by the Suntest CPS (Atlas Corp.),
which is equipped with a Xenon lamp
51
6 – Other relevant ICH Guidelines
Stability Testing for New Dosage Forms ► ICH Q1C ◄
General
• A new dosage form is defined as a drug product which is a
different pharmaceutical product type, but contains the
same active substance as included in the existing drug product
approved by the regulatory authority
Procedure
• Same procedure as described in ICH Q1A(R2)
• Reduced stability database at submission time (e.g., 6 months
accelerated and 6 months long term data from ongoing studies
instead of 12 month)
52
6 – Other relevant ICH Guidelines
Bracketing and Matrixing ► ICH Q1D ◄
Full Design
• A full study design is one in which samples for every combination of
all design factors are tested at all time points
Reduced Design
• A reduced design is one in which samples for every factor
combination are not all tested at all time points
• Before a reduced design is considered, certain assumptions should
be assessed and justified.
!!!!The
Thepotential
potentialrisk
riskshould
shouldbe
beconsidered
consideredofofestablishing
establishingaashorter
shorterretest
retest
period or shelf life than could be derived from a full design due to the
period or shelf life than could be derived from a full design due to the
reduced
reducedamount
amountofofdata
datacollected
collected!!!!
53
6 – Other relevant ICH Guidelines
Bracketing and Matrixing ► ICH Q1D ◄
Snowball effect
Dosage
Dosage Packaging
Packaging Storage
Storage
strength
strength material
material condition
condition
0.10
0.10mg PP
PP- -Blister -20°C
mg Blister -20°C
Film 0.50
Film 0.50mg
mg Glas
GlasBottles
Bottles ++25°C
25°C/ /60%
60%
coated
coated
tablet
tablet 1.00
1.00mg
mg HDPE
HDPEbottles
bottles ++30°C
30°C/ /65%
65%
54
6 – Other relevant ICH Guidelines
Bracketing and Matrixing ► ICH Q1D ◄
Bracketing
• Design of a stability schedule such that only samples on the
extremes of certain design factors (e.g., strength, container size
and/or fill) are tested at all time points as in a full design.
• The design assumes that the stability of any intermediate levels is
represented by the stability of the extremes tested
Alu Blister 9 9 9 9 9 9
Aclar Blister 9 9 9 9 9 9
HDPE Bottles 9 9 9 9 9 9
!! If the stability of the extremes is shown to be different, the intermediates are considered
!! If the stability of the extremes is shown to be different, the intermediates are considered
no more stable than the least stable extreme !!
no more stable than the least stable extreme !!
55
6 – Other relevant ICH Guidelines
Bracketing and Matrixing ► ICH Q1D ◄
Matrixing
!!!!Due
Duetotothe
thereduced
reducedamount
amountofofdata datacollected,
collected,aamatrixing
matrixingdesign
designononfactors
factorsother
other
than
than time points generally has less precision in shelf life estimation and yieldsaa
time points generally has less precision in shelf life estimation and yields
shorter
shortershelf
shelflife
lifethan
thanthe
thecorresponding
correspondingfull fulldesign!!
design!!
56
6 – Other relevant ICH Guidelines
Bracketing and Matrixing ► ICH Q1D ◄
Matrixingon
Matrixing on
TimePoints
Time Points
Matrixing
Matrixingon
on
Time Points
Time Points
and
andFactors
Factors
Key
Key
57
6 – Other relevant ICH Guidelines
Bracketing and Matrixing ► ICH Q1D ◄
!!!!Requires
Requireslarge-
large-scale planning
large-scale planning(excellent
(excellentstatistical
statisticalknow
knowledges)
ledges) !!!!
58
6 – Other relevant ICH Guidelines
Bracketing and Matrixing ► ICH Q1D ◄
59
6 – Other relevant ICH Guidelines
Evaluation of Stability Data ► ICH Q1E ◄
Principles of extrapolation of
7
stability data to establish a retest
period or shelf life
Defines when extrapolation is
applicable
6
Requires data from at least three
batches (DS or DP)
The decision tree outlines a 5
stepwise approach and offers
7 different opportunities to
calculate data 4
Maximum retest period / shelf
life “Y” is defined as:
Up to 2x, but not exceeding
12 months beyond the period
covered by long-term data
1 2 3
60
6 – Other relevant ICH Guidelines
Stability Data Package for Registration Applications
in Climatic Zones III and IV ► ICH Q1F ◄
General case
Study Storage condition Minimum time period covered
by data at submission
Long term 30°C ± 2°C / 65% ± 5% r.h. I CH 12 months
y
Accelerated 40°C ± 2°C / 75% ± 5% r.h.
w n b 06 6 months
a 0
th dr ne 2
W i Ju
n
Aqueous-based drug products (packaged in semi-permeable containers)
i
Study Storage condition Minimum time period covered
by data at submission
Long term 30°C ± 2°C / 35% ± 5% r.h. 12 months
Accelerated 40°C ± 2°C NMT 25% ± 5% r.h. 6 months
62
6 – Other relevant ICH Guidelines
ICH Zone IV discussions (cont’d)
a) Revert 30°C / 70% r.h. as the long term condition for Zone IV
as it is likely that considerable data are already available.
This might serve a potential platform for future harmonization
between ICH and WHO
63
6 – Other relevant ICH Guidelines
ICH Zone IV discussions (cont’d)
64
6 – Other relevant ICH Guidelines
ICH Zone IV discussions …. current status
65
6 – Other relevant ICH Guidelines
ICH Zone IV discussions …. consequences
66
6 – Other relevant ICH Guidelines
Validation of Analytical Methods ► ICH Q2(R1) ◄
Accuracy
Accuracy Detection
DetectionLimit
Limit(LOD)
(LOD)
Precision
Precision Quantitation
QuantitationLimit
Limit(LOQ)
(LOQ)
Repeatability
Repeatability Linearity
Linearity
Intermediate
IntermediatePrecision
Precision Range
Range
[Reproducibility]
[Reproducibility] Robustness
Robustness
Specificity
Specificity
67
6 – Other relevant ICH Guidelines
Impurities in DS / DP ► ICH Q3A/B(R) ◄
• Reporting Threshold
– A limit above (>) which a degradation product should be reported
• Identification Threshold
– A limit above (>) which a degradation product should be identified
– Achieving of the structural characterization
• Qualification Threshold
– A limit above (>) which a degradation product should be qualified
– Process of acquiring and evaluating data that establishes the biological
safety of an individual degradation product or a given degradation profile
68
6 – Other relevant ICH Guidelines
Stability Testing of Biotechnological / Biological
Products ► Q5C ◄
69
6 – Other relevant ICH Guidelines
7 Requirements for performing Stability studies
70
Instrumentation
Storage capacities
• Stability chambers
• Stability cabinets
• Refrigerators
• Freezers
Monitoring and Alert System
Back-up capacities
Supporting environment
• Database for tracking of pull-dates
• Ensure full traceability of samples
• SOPs
– Labeling and Storage of Samples
– Handling of Stability studies
– (Re)-Qualification of systems
– Deviations
– Access to storage area
71
7 – Requirements for performing Stability studies
Equipment Qualification
Initial Qualification
• Empty unit
• Simulated regular use (e.g. filled with packaging materials)
• Simulated breakdown (e.g. power failure, water failure)
• Qualify Climatic condition (Requirements acc. to ICH Q1A)
– Stability of conditions over a predefined time period (e.g. 24 hours)
– Temperature and Humidity Mapping (e.g. 15 points)
• Qualify Monitoring and Alert System
– Computerized System?
» 21CFR11 compliance
72
7 – Requirements for performing Stability studies
Guidelines
73
7 – Requirements for performing Stability studies
….. and how do you test for stability?
74
Thank
Thankyou
youfor
foryour
yourattention
attention
Any
Anyquestions?
questions?
Your
Yourcontact
contactin
inIndia
India
SGS
SGSIndia
India
Dr.
Dr.Meenakumari
Meenakumari
Ticel
TicelBiotech
BiotechPark
Park
Taramani
Taramani Road,Taramani
Road, Taramani
Chennai 600 113
Chennai 600 113
customercare.lssindia@sgs.com
customercare.lssindia@sgs.com
www.sgs.com
www.sgs.com
75