Documentos de Académico
Documentos de Profesional
Documentos de Cultura
Dr. R. Rogasch
EU Scientifc Guidance Documents EMA (Clinical, CMC, Procedural) EP7 General Chapters, Monographs US FDA Guidance Documents (Clinical, CMS, Procedural) USP General Chapters and Methods (Dissolution Method Development, IVIVC requirements, Statistical Methodology) ICH Q8/Q9/Q10
EU Scientifc Guidance Documents Formulation Development IMP Procedure (pre-clinical data, dossier submission requirements, clinical studies) CMC requirements (specifications, stability data, pre-process validation) Bioequivalence or Biowaiver approach
Monographs are official standards The Convention on the Elaboration of a European Pharmacopoeia makes the texts of the Ph. Eur. mandatory in all signatory parties The pharmaceutical legislation in the European Union makes monographs obligatory standards (2001/83/EC, 2001/81/EC) Monographs may be accepted as suitable standards even when not obligatory
Do Ph. Eur. specifications apply throughout shelf-life? A: Yes, specifications apply until time of use for raw materials and throughout period of validity for preparations
From ICH Quality Implementation Working Group - Integrated Implementation Training Workshop Breakout D: Pharmacopoeial Requirements, Kuala Lumpur, July 2010
A: Yes, specifications apply until time of use for raw materials and throughout period of validity for Preparations (EP7, general notices)
From ICH Quality Implementation Working Group - Integrated Implementation Training Workshop Breakout D: Pharmacopoeial Requirements, Kuala Lumpur, July 2010
Disclaimer
The information within this presentation is based on the ICH Q-IWG members expertise and experience, and represents the views of the ICH Q-IWG members for the purposes of a training workshop.
To establish appropriate specifications, identify critical process parameters and establish manufacturing controls
ICH Q9
8
To assess the need for additional studies (e.g., bioequivalence, stability) relating to scale up and technology transfer To make use of the design space concept (see ICH Q8)
ICH Q9
9
Quality Target Product Profile CQA : Critical Quality Attribute CPP : Critical Process Parameter Risk Management
Potential CQA (Critical Quality Attribute) identified & CPP (Critical Process Parameters) determined Design to meet CQA using Risk Management & experimental studies (e.g. DOE) Link raw material attributes and process parameters to CQAs and perform Risk Assessment Methodology
Product/Process Understanding
Opportunities
Control Strategy Quality System PQS
Marketing Authorisation
Technology Transfer
PQS & GMP Local Environment
Commercial Manufacturing
Batch Release Strategy Continual improvement
Quality Unit (QP,..) level support by PQS
10
EXAMPLE
Process understanding Manufacturing Concept Process control Concept Product release Concept Regulatory strategy Review the submission
Risk Analysis
Risk Evaluation
unacceptable
Risk Communication
Risk Acceptance
Output / Result of the Quality Risk Management Process Risk Review Review Events
12
Development
Phase 1
Risk-based classification
(Risk Evaluation)
Product and process FORMULATION characteristics on the DESIGN SPACE final drug product Phase 2
CONTROL STRATEGY
Phase 3
13 Launch
Developm.
EXAMPLE
Risk Analysis
Risk Evaluation
unacceptable
Risk Communication
Internal consultation
B) Inspectorates
Risk Acceptance
Stakeholder involvement
Output / Result of the Quality Risk Management Process Risk Review Review Events
A) Reviewers
14
Formulation Strategies for Phase I/II Clinical Programs General Considerations Oral Dosage Forms
Material Property Assessment
API (solubility, Polymorphism XRD etc.) PSD (DLS, LLD) Morphology (SEM) Compound Dissolution Flow/cohesion Powder compaction Hardness, tensile strength, brittel fracture index Excipient/API interactions Degradation Pathways
16
Formulation Strategies for Phase I/II Clinical Programs General Considerations Oral Dosage Forms
Bioavailability Enhancement
API (solubility enhancement) PSD (micronization) Solubility Screening, w/o partition Precipitation inhibition (API/surfactant/polymer combinations) Amorphous Dispersions (solid solutions, dispersion in polymer matrix) Coatings (multi-particulates in capsules) Lipid Systems (fat-matrix, SEDDS, SMEDDS, liposomal carrier)
17
Formulation Strategies for Phase I/II Clinical Programs IR-Oral Dosage Forms
Direct compression Dry Granulation Wet Granulation Tabletting/Capsule Filling Film Coating Hot Melt Extrusion
18
Formulation Strategies for Phase I/II Clinical Programs CR - Oral Dosage Forms
Capsule, Tablet (CR dosage forms)
Matrix Multiparticulates Soft Gel Capsules Liquid filled Capsules Fuctional Film Coating Hot Melt Extrusion Osmotic Systems
19
Formulation Strategies for Phase I/II Clinical Programs Solid Orals - Excipients
Solid Orals Formulation Excipients
Materials Lactose Calcium phosphate, dibasic Mannitol Microcrystalline cellulose Starch Hydroxypropyl cellulose (HPC) HPMC Povidone Magnesium stearate Stearic acid Glyceryl behenate Sodium starch glycolate Croscarmellose sodium Crospovidone HPMC Polyethylene oxide Polyvinylpyrrolidone (PVP) Fumed silica Talc Gelatin HPMC Polysaccharides
Function Imparts hardness and strength to tablets Imparts compressibility and tensile strength to tablets Provides strength in dry and wet processing of powders
Ductile fillers
10%-95%
Binders
5%-10%
Lubricants
Less than 2%
Prevents sticking of formulation to processing surfaces Aids in breakup of tablets or granules in aqueous media Tailors drug release rate
Disintegrants
Less than 5%
Controlled release/matrix
10%-95%
Glidants
Less than 1%
Improves powder flow and prevents static charging Unit dose to contain powders or controlled release pellets
Capsules
1%-5%
20
Formulation Strategies for Phase I/II Clinical Programs Solid Orals - Excipients
Solubilizers, dispersants, precipitation inhibitors Poloxamer 407 SLS Cyclodextrins HPMC and acid derivatives HPC 0.5%-5% Improve solubility and wettability of hydrophobic drugs and improve bioavailability
Chemical stabilizers
Less than 1%
1%-5%
Colorants
Less than 2%
1%-30%
21
Formulation Strategies for Phase I/II Clinical Programs Solid Orals - Excipients
22
Formulation Strategies for Phase I/II Clinical Programs Parenteral Dosage Forms
Parenteral/injectable Solutions (lyophilization) Colloidal Suspensions (peptides, proteins) Emulsions Liposomal Systems Suspensions
23
Formulation Strategies for Phase I/II Clinical Programs Liquid Orals/Parenterals Excipients
Excipient type Materials Approximate ranges (%) Function
Diluent
Water Vegetable oils Polyethylene glycol Propylene glycol Ethanol Polyethylene glycol Propylene glycol NMethylpyrrolidone Sodium chloride Sodium acetate Sodium phosphate (and corresponding acids) Sodium hydroxide Sodium chloride Hydroxypropyl methylcellulose (HPMC) Mannitol Dextrose
50%-90%
Cosolvents
20%-50%
Buffering agents
Bulking agents
Maintain osmolarity for parenterals, adjust viscosity, mechanical stability for lyophilized cakes
24
Formulation Strategies for Phase I/II Clinical Programs Oral Liquid/Parenteral - Excipients
Solubilizers/surfactants Hydroxypropyl-betacyclodextrin Sulfobutyletherbeta-cyclodextrin HPMC Polaxamer 407 Sodium lauryl sulfate (SLS) Phospholipids Cremophors Labrasol Vitamin E TPGS Edetate sodium (EDTA) Citric acid/citrate Less than 5% Improve drug solubility, emulsification, suspension of drug particles, prevent precipitation
Chelating agents
Less than 1%
Bind metal impurities to prevent complexation and reactions Prevent microbial growth
Preservatives
Benzyl alcohol Methyl/ propyl parabens Benzalkonium chloride Thimerosal Butylated hydroxytoluene/anisole (BHT/BHA) Citric acid/citrate
Less than 2%
Chemical stabilizers
Less than 2%
Flavoring/tastemasking
Less than 2%
25
26
Outline of Presentation
Key Steps for Quality by Design Case Study Organization Introducing API and Drug Product
Discussion of concepts of Quality Target Product Profile, processes, composition
Batch release
27
Illustrative example
Covers the concepts and integrated implementation of ICH Q8, 9 and 10 Not the complete content for a regulatory filing
Note: this example is not intended to represent the preferred or required approach.
28
29
30
Organization of Content
Quality Target Product Profile (QTPP) API properties and assumptions Process and Drug product composition overview Initial risk assessment of unit operations Quality by Design assessment of selected unit operations
31
Technical Examples
Process focus
API - Final crystallization step Drug Product - Blending - Direct compression
API Crystallization
Blending
Compression
32
QRM
Design of Experiments
Design Space
Control Strategy
Batch Release
33
Process Variables
Design of Experiments
Design Space
Control Strategy
Batch Release
34
35
In vitro-in vivo correlation (IVIVC) established allows dissolution to be used as surrogate for clinical performance Drug product is oral immediate release tablet
36
Tablet
Characteristics / Requirements
Dose
30 mg
Subjective Properties
Particle
Chemical and Drug Product Stability: year shelf life (worldwide = 30C)
Degradates below ICH or to be qualified and no changes in bioperformance over expiry period
QTPP may evolve during lifecycle during development and commercial manufacture - as new knowledge is gained e.g. new patient needs are identified, new technical information is obtained about the product etc.
37
Coupling Reaction
Removes unreacted materials. Done Aqueous Extractions cold to minimize risk of degradation Understand formation & removal of impurities Distillative Solvent Switch Semi Continuous Crystallization Removes water, prepares API for crystallization step Addition of API in solution and anti-solvent to a seed slurry
Centrifugal Filtration Filtration and washing of API Rotary Drying Drying off crystallization solvents
38
Tablet Formulation
39
Blending
Lubricant
Magnesium Stearate
Lubrication Compression
Coating
Film coating
40
41
Process Steps
no impact to CQA known or potential impact to CQA current controls mitigate risk
Drug Substance
Manufacture Moisture Control Distillative Solvent Switch SemiContinuous Crystallization Centrifugal Filtration Rotary Drying Aqueous Extractions Coupling Reaction Blending
Drug Product
Compression Lubrication Packaging Coating
known or potential impact to CQA additional study required * includes bioperformace of API, and safety(API purity)
CQA
in vivo performance* Dissolution Assay Degradation Content Uniformity Appearance Friability Stability-chemical Stability-physical
42
Drug Substance
Manufacture Moisture Control Distillative Solvent Switch SemiContinuous Crystallization Centrifugal Filtration Rotary Drying Aqueous Extractions Coupling Reaction Blending
Drug Product
Compression Lubrication Packaging Coating
known or potential impact to CQA additional study required * includes bioperformace of API, and safety(API purity)
CQA
in vivo performance* Dissolution Assay Degradation Content Uniformity Appearance Friability Stability-chemical Stability-physical
43
Note that in this case study, the distillative solvent switch prior to crystallization and crystallization itself are conducted at lower temperatures and no degradation occurs in these steps
44
Particle size distribution (PSD) qualified in formulation DOE and dissolution studies
45
Risk Assessment:
Particle Size Distribution (PSD) Control
What is the Impact that ------------- will have on PSD? 1) minimal 5) moderate 9) significant What is the Probability that variations in ------------ will occur? 1) unlikely 5) moderately likely 9) highly likely What is our Ability to Detect a meaningful variation in --------------- at a meaningful control point? 1) certain 5) moderate 9) unlikely
Unit Operation
Parameter
PA C PR T OB De . tec t
Comments
IM
RPN
Crystallization
Feed Temperature
1 5 1
Crystallization Crystallization
1 5 5 9 5 9
Prior knowledge (slowness of crystallization kinetics) ensures that the hot crystallizer feed will be well dispersed and thermally equilibrated 5 before crystallizing. Hence no impact of feed temp variation on crystal size. Prior knowledge (solubility data) shows that small variations in water 25 do not affect crystalliation kinetics. Fast addition could result in uncontrolled crystallization. Detection of 405 short addition time could occur too late to prevent this uncontrolled crystallization, and thus impact final PSD. 225 Prior knowledge (Chemical Engineering theory) highlights seed wt percentage variations as a potential source of final PSD variation
To be investigated in DOE
Crystallization
Seed wt percentage
9 5 5
Crystallization
Antisolvent percentage
1 1 1
Temperature Agitation (tip speed) Seed particle size distribution Feed Concentration
9 5 9 9 5 5 9 1 1 1 1 1
Yield loss to crystallization already low (< 5%), so reasonable variations in antisolvent percentage (+/- 10%) will not affect the percent of batch crystallized, and will not affect PSD Change in crystallization temperature is easily detected, but rated 405 high since no possible corrective action (such as, if seed has been dissolved) Prior knowledge indicates that final PSD highly sensitive to Agitation, 225 thus requiring further study. Seed PSD controlled by release assay performed after air attrition 9 milling. 1 Same logic as for antisolvent percentage 1
46
Seed wt%
Pressure
Temperature
Large square represents the ranges tested in the DOE. Red area represents points of failure Green area represents points of success.
For purposes of this case study, an acceptable design space based on ranges was chosen
47
Testing
API feed solution tested for water content Final API will be tested for hydrolysis degradate Using the predictive model, PSD does not need to be routinely tested since it is consistently controlled by the process parameters
48
Crystallization Crystallization
20 to 30C
5 to 15 hours Control via flow rate settings Quality system should ensure 1.1 to 2.5 m/s changes in agitator size result in change to speed setting 1 to 2 wt% < 1 vol% Controlled through weigh scales and overcheck Control via in-process assay
Particle Size
Crystallization
Agitation
Particle size will be tested in this example, since the result is included in the mathematical model used for dissolution.
49
Drug Product
Immediate release tablet containing 30 mg Amokinol Rationale for formulation composition and process selection provided In vitro-in vivo correlation (IVIVC) determination
Correlation shown between pharmacokinetic data and dissolution results Robust dissolution measurement needed
For a low solubility drug, close monitoring is important
50
Drug Product Direct Compression Manufacturing Process Example from Case Study
Focus of Story
Lubrication
51
Blending
Lubrication
Compression
Coating
Packaging
in vivo performance
Dissolution Assay Degradation Content uniformity Appearance Friability Stability-chemical Stability-physical - Low risk - Medium risk - High risk
52
Multivariate DOE to determine factors that affect dissolution and extent of their impact Predictive mathematical model generated
Confirmed by comparison of results from model vs. actual dissolution testing
53
Prediction algorithm: Diss = 108.9 11.96 API 7.55610-5 MgSt 0.1849 LubT 3.78310-2 Hard 2.55710-5 MgSt LubT
Factors include: API PSD, lubricant (magnesium stearate) specific surface area, lubrication time, tablet hardness (via compression force)
Confirmation of model
Batch 1
Model prediction 89.8
Batch 2
87.3
Batch 3
88.5
92.8 (88.494.2)
90.3 (89.0-102.5)
91.5 (90.5-93.5)
55
Consider possible control strategy approaches Assay assured by weight control of tablets made from uniform powder blend with acceptable API content by HPLC
Blend homogeneity by on-line NIR to determine blending endpoint, includes feedback loop API assay in blend tested by HPLC Tablet weight by automatic weight control with feedback loop
56
57
0.035 0.03
Feedback control to turn off blender Company verifies blend does not segregate downstream
Assays tablets to confirm uniformity Conducts studies to try to segregate API
0.025 0.02
0.015 0.01
Plateau region
Data analysis model will be provided Plan for updating of model available
Acknowledgement: adapted from ISPE PQLI Team 58
Water content
NMT 3% in finished product (not covered in this case study)
59
60
Low Risk
FMEA
API PSD Blend homogeneity Lubricant
Design Space
FMEA
API PSD Blending time Lubricant amount Lubrication time Pressure Tablet weight
FMEA
API PSD model Blending time Feedback control Mg stearate SSA Lubrication time Pressure Automated Weight control
61
Conclusions
Better process knowledge is the outcome of QbD development Provides the opportunity for flexible change management Use Quality Risk Management proactively Multiple approaches for experimental design are possible Multiple ways of presenting Design Space are acceptable
Predictive models need to be confirmed and maintained
62