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DRUG DEVELOPMENT AND INDUSTRIAL PHARMACY


Vol. 29, No. 9, pp. 939958, 2003

REVIEW

Drug Product Development: A Technical Review of Chemistry,


Manufacturing, and Controls Information for the Support of
Pharmaceutical Compound Licensing Activities

Thomas J. DiFeo, Ph.D.*

ChemPharm CMC Sciences and Dossier Management,


Johnson & Johnson Pharmaceutical Research and Development,
Spring House, Pennsylvania, USA

Key Words: Drug product; Drug development; Licensing; CMC; Common technical
document.

INTRODUCTION to simplify the presentation. A drug substance


overview is given elsewhere.[2]
Due diligence is a vital activity in the acquisition
or the in-licensing of pharmaceutical compounds for
market commercialization. Pharmaceutical product DESCRIPTION AND COMPOSITION
due diligence is a detailed investigation of the chem- OF THE DRUG PRODUCT
istry, manufacturing, and controls (CMC) informa-
tion associated with a drug product. The The assessment begins with a review of the
investigation provides assurance that a given com- formulation. The components of the formulation
pound will meet the requisite technical and are categorized according to their function. The
quality elements to allow for successful commerciali- drug product is categorized according to its route of
zation of the drug product. This document provides administration. A description of the drug product
an overview of the CMC information that is reviewed qualitative/quantitative composition provides a list
as part of the drug product due diligence activities. of all ingredients, including solvents used in the man-
This review follows the format of the Common ufacture of the drug product. The functional aspects
Technical Document (CTD) for the Registration of of each component of the drug product are central to
Pharmaceuticals for Human Use: Module 3, Quality, the development rationalization of the formulation
of the ICH Harmonised Tripartite Guideline[1] and serve as reference points in the examination of
with some sections of the CTD template combined supportive development data. An understanding of

*Correspondence: Thomas J. DiFeo, Ph.D., ChemPharm CMC Sciences and Dossier Management, Johnson & Johnson
Pharmaceutical Research and Development, Welsh and McKean Roads, Spring House, PA 19477-0776, USA; Fax: (215) 628-
5897; E-mail: tdifeo@prdus.jnj.com.

939

DOI: 10.1081/DDC-120025452 0363-9045 (Print); 1520-5762 (Online)


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940 DiFeo

each components function allows for data-driven water away from the active drug substance and
risk assessment during the due diligence investigation. prevent moisture-induced degradation. However,
The functional aspects of excipients can excessive moisture uptake by the excipient may, in
be divided into four basic categories that may contrast, facilitate degradation of the active
impact (1) stability of the drug substance, (2) ingredient.[7] Oxidative degradation is another
physical characteristics, (3) in vivo absorption, and common form of degradation. Additives such
(4) manufacturability.[3] While these general classi- as butylated hydroxyanisole and ascorbic acid
cations can be applied, excipients may have multi- have been used to stabilize formulations against
functional roles, and, thus, the degree of physical oxidation.[5] Excipients also have been used in
characterization of the excipient is dependent upon model formulations to stabilize photosensitive
complete elucidation of the excipient function. For compounds.[8]
example, hydroxypropyl methylcellulose (HPMC)
commonly is used as a tablet binder for solid oral
dosage forms but also has been reported to behave Physical Roles of Excipients
as a functional inhibitor of hydrate formation of a
drug substance.[4] The degree of characterization and Excipients play practical physical roles in dosage
control of the excipient in this instance would be con- forms, serving as diluents to allow formulation of
tingent, in part, upon those physicochemical aspects appropriately sized tablets, disintegrants to enhance
of the HPMC that inhibit the drug substance hydrate formulation disintegration, and coatings to protect
formation. Figure 1 depicts the role of the excipients the tablet or mask undesirable organoleptic qualities
in supporting the performance of the drug product. of the drug substance.

Excipient Impact on Stability In Vivo Eects of Excipients

From the above example, it is seen that excipients Excipients have the potential to impact the in vivo
may be used as stabilizing agents.[5] Moisture-induced absorption of drugs. The factors that may inuence
degradation commonly is associated with dosage bioavailability include the in vivo disintegration and
forms and may entail simple hydrolysis, or, in some dissolution of the dosage form and the excipient
cases, water may serve as a plastisizer to increase inuence on physiological processes and factors
molecular mobility and, hence, reactivity of the drug such as pH of the microenvironment, gastrointestinal
substance.[6] It has been postulated that excipients tract (GI) transit time, and stability of the drug sub-
with a strong anity for water may function to keep stance in the GI tract.[9] For example, the impact of
cyclodextrins on in vivo drug delivery indicates that,
for hydrophobic drugs with dissolution rate limited
absorption, improved bioavailability may be derived
Drug Product Performance by the presence of cyclodextrin derivatives.[10] The
potential impact of excipients is thus related, in
part, to the solubility and permeability characteristics
Physical Behavior
Manufacturability

of the drug substance.[11,12] A detailed understanding


Stability Effects
In-Vivo Effects

of the drug substances physicochemical character-


istics is essential to the elucidation of the functional
role of the dosage form excipients.

Excipients in the
Manufacturing Process
Excipient Physico-Chemical
Excipient Physicochemical
Characteristics The manufacturability of the dosage form is
exemplied in the use of magnesium stearate as a
Figure 1. The excipient physicochemical characteristics lubricant to allow for successful tablet compres-
provide the foundation for overall drug product perfor- sion.[13] Other examples of drug/excipient interactions
mance. have been well documented.[14] The requisite excipient
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Drug Product Development 941

specications, therefore, are derived from the level of behavior of the drug product. A review of the drug
control necessary to assure that the excipient meets substance physical and chemical properties is per-
the quality attributes related to their function. formed in relation to the excipient characteristics.
Preformulation study data allow the due diligence For example, particle shape of the drug substance
reviewer to conrm the assignment of the critical can impact the bulk properties of a drug product
quality attributes of the excipient relative to the powder and can inuence ow properties of the
excipients purported role in dosage form func- drug/excipient blend in the manufacturing process.[19]
tionality. The data should demonstrate, through The ultimate inuence of the drug substance particle
controlled experiments, the functional role of the characteristics on drug product performance will
excipient and any physicochemical characteristics depend, in part, on the characteristics of the excipi-
of the excipient critical to its function in the ents.
formulation.

Excipients
PHARMACEUTICAL
DEVELOPMENT
Excipients typically are the major fraction of the
solid dosage form. As such, the characterization of
Formulations can be categorized according to the
the individual drug/excipient interaction is an
route of administration and include oral, rectal,
important part of understanding the overall behavior
vaginal, inhalation, topical, transdermal, intraocular,
of the dosage form. It is well known from studies of
intranasal, and parenteral drug products.[15] The
drug substances that water associated with the drug
discussion here will be generalized to cover solid
substance solid can inuence chemical degradation
and liquid (including parenteral) formulations. This
rates, dissolution, powder ow, and other physical
generalized approach provides information pertinent
properties.[20] Likewise, the physical state of the
to preformulation applications for most dosage forms.
excipient can impact the performance of the drug
Pharmaceutical development information
product. The regulatory status of the excipient is an
provides the scientic rationale for the formulation
additional consideration. In the United States, an
development approach through to the nal
excipient that is generally recognized as safe,
development and justication of a suitable dosage
(GRAS) for its intended use can be exempted from
form. Regulatory guidance describes only limited
premarket approval requirements of the Federal
detail of the requirements for the data sets associated
Food, Drug, and Cosmetic Act.[21] In Europe,
with pharmaceutical development.[16,17] Although
noncompendial excipients must meet food additive
more detailed guidance is available for the
requirements.[22] Are the excipients well characterized
toxicological assessment of excipients,[18] the detailed
with regard to safety? If the excipients are not GRAS
scientic approach to formulation development and
or do not have food additive status, have the
justication is left to the discretion of the develop-
excipients been used in approved products in the
ment organization, and the level of detail is
United States or Europe? Is the use of this excipient
dependent upon the complexity of the dosage form.
in pharmaceutical products documented in the
The outline below provides an overview of some of
literature? In the absence of such information, the
the requisite studies associated with formulation
safety prole of the excipient must be demonstrated,
development. The due diligence review should assess
thereby adding an additional regulatory burden.[18]
the availability of formulation development study
The source of excipients used in the drug product
data, with an emphasis on potential interactions
should be considered. A general compendial
between the drug substance and excipients that
guidance, such as the United States Pharmacopeia
could impact dosage form behavior.
(USP), recommends that suppliers of excipients
meet current good manufacturing practices (cGMP)
Components of the Drug Product requirements. If the supplier has not received a
cGMP inspection by a regulatory body, an in-house
Drug Substance quality inspection of the facility should be performed
as part of the due diligence investigation. Adequate
Drug substance characterization is discussed else- control during the excipient manufacturing process
where.[2] The properties of the drug substance can provides increased certainty that the quality
have a signicant eect on the physical and chemical attributes of the excipient determined to be critical
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942 DiFeo

will continue to be met. While the manufacturer can the facile nature of the technique. In addition to DSC,
assure meeting the compendial requirements of the thermogravimetric analysis (TGA) oers a comple-
excipient, it is not possible for the monograph to mentary view of potential incompatibilities. Small
include every possible impurity (considering that weight changes due to chemical reactions can be
monograph substances may be prepared by various readily distinguished from thermal changes that
methods of manufacture). It is, therefore, important occur without weight changes (melting, crystalli-
for the source of the excipient to be controlled and zation, or polymorphic changes).[20] Traditionally,
the quality of the material to be characterized beyond 50/50 (w/w) mixtures of the drug and the excipient
basic compendial requirements to include those are tested. Ranges of drug/excipient ratios also
critical quality attributes (CQA) that impact the should be tested, since interactions may be concentra-
drug product performance. What is the synthetic tion dependent.[31] More recent studies that use
route of the excipient? What are common impurities high-sensitivity DSC[32] and isothermal micro-
of the process? Are the impurities characterized? How calorimetry[33] suggest that the intentional incorpora-
does the manufacturer control these impurities? Do tion of water into the sample may provide information
these impurities have chemical characteristics that regarding the moisture sensitivity of the product. After
would indicate the potential for interaction with the initial binary studies are performed, similar studies
drug substance? What are the physical characteristics can be performed on tertiary or higher order mixtures,
of the excipient (e.g., shape, size)? although the interpretation of such data can be di-
cult due to the potential complexity of the interactions.
Solid Dosage Forms Other techniques such as Fourier transform
infrared analysis (FTIR) spectroscopy, x-ray
Solid-state reactions in the dosage form can powder diraction, and liquid chromatography
occur when the drug substance intrinsically is reactive tandem mass spectrometry (LCMS/MS) analysis
and may be accelerated by interaction with excipients also have been used to investigate drug/excipient
(chemical/physical interaction) or induced by compatibility.[14,34] For example, infrared (IR) studies
excipients (where the excipient does not chemically of amoxicillin trihydrate in ethyl cellulose granules
interact but promotes the degradation of the drug suggested hydrogen bonding between the excipient
substance).[23] Some incompatibilities of drug sub- and the active ingredient.[35] The application of
stance functional groups and excipients are documen- complementary techniques is useful in determining
ted in the literature and can provide guidance in the the extent and nature of interactions between the
design phase of compatibility studies. For example, drug substance and the excipients. Compounds in
primary and secondary amines can react with early preclinical development will have limited
reducing agents (e.g., lactose, glucose, and maltose) stability data. Compatibility information provides a
to form glycosylamines.[24,25] An alternative to reduc- means to predict the potential challenges that may be
ing sugars is the use of nonreducing carbohydrates faced as clinical development proceeds.
such as mannitol and sucrose. The due diligence After the initial screening of excipients is
analysis should include a review of the fundamental completed, short-term, accelerated stability studies
chemistry of the drug substance and the excipients. of model formulations are performed. These studies
Are any potential incompatibilities apparent? entail the mixing a drug with excipients and the
Two common techniques to examine drug/ storage of samples at an elevated temperature and
excipient compatibility are dierential scanning humidity. In order to accentuate any potential
calorimetry (DSC) and chromatographic analysis.[26] incompatibilities, dierent mixing procedures are
Dierential scanning calorimetry detects interactions used, such as mixing with a spatula, grinding of
that are accompanied by a change in heat. components separately with a mortar and pestle
These interactions include chemical degradation, prior to mixing or grinding the components together
melting, and mixing.[27] Chromatographic analysis of with a mortar and pestle.[28] Typically, the analysis
drug/excipient mixes placed under accelerated storage is performed by using multiple chromatographic
is a complementary technique that determines the methods or a gradient high-performance liquid
potential formation of degradation species over time. chromatography method, since fully validated meth-
As a rst approach to drug/excipient compatibility, ods are not normally available in the early stages of
the use of DSC is evident throughout the litera- development.[18] The use of multiple procedures or
ture.[2830] The advantages of DSC trials include the gradient elution helps to assure that unidentied
small amounts of material necessary for the study and degradation products will be observed if present.
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Drug Product Development 943

Analysis of compatibility studies requires careful The discussion here includes parenteral formulations
interpretation of the data as demonstrated in studies as an example of liquid dosage forms since the require-
of polyvinylpyrrolidone (PVP) with a pharmaceutical ments for oral liquids may be considered a subset of
drug substance.[36] In this example, exposure of the the requirements of liquid parenterals. A review of
drug product to an elevated temperature and humidity commonly used excipients in approved parenteral pro-
(40 C/75% relative humidity) resulted in the physical ducts has been compiled and classies excipients into
change of the excipient from the glassy to the rubbery seven categories based upon their function.[39,40] The
state (the glass transition state change is noted by a excipients are categorized as solvents, thickening
change in the specic heat capacity of the material[37] agents, chelating agents, antioxidants (including redu-
resulting in a loss of pore structure of the solid mix and cing agents and antioxidant synergists), preservatives,
a concomitant decrease in the dissolution rate. This buers, and bulking agents. The compiled list repre-
eect is not seen in long-term studies at 30 C/60% sents a starting point to examine potential compatibil-
RH (below the glass transition temperature for ity of the parenteral drug substance with commonly
PVP). Thus, the results of thermal methods or elevated used excipients and may be applicable to other liquid
temperature and humidity studies to explore com- products such as oral liquid formulations.
patibility may not be predictive, necessarily, of the For liquid formulations, the compatibility study
long-term behavior of the dosage form but can pro- of the drug/excipient mixture with the packaging
vide, ultimately, a useful data set in understanding the system is an essential activity due to the intimate con-
nature of the drug/excipient interaction. Table 1 sum- tact between the product and the container.[41] For
marizes the utility of some of the analytical techniques powder-ll systems, an approach similar to that of
used to characterize drug/excipient compatibility. solid-dosage systems is taken with regard to compat-
Subsequent to compatibility studies, prototype ibility testing, albeit in the presence of the proposed
formulations can be made and tested for physical packaging system. In addition, products for reconsti-
and chemical performance. Consistent with the tution must demonstrate adequate compatibility with
ultimate regulatory requirements of solid dosage proposed diluents. For parenteral liquids, admixing
forms,[38] multiple aspects of performance are with lactated ringers injection, 5% weight/volume
examined, including dissolution, disintegration, (w/v), dextrose injection, and 0.9% w/v sodium
hardness, friability, assay, and purity prole. chloride injection solutions should be studied.
One of the rst determinations made for liquid
formulations is the aect of pH on the stability of
Liquid Dosage Forms the solution.[42] Chemical and physical stability is
studied over a range of pH values. The rst pass
Liquid formulations span a variety of dosage forms, analysis entails an examination for the presence of
including oral liquids and parenteral formulations. any precipitate forming over time. Samples are

Table 1. Drug substance/excipient compatibility testingtechniques and the utility of the information derived.

Investigative
technique Measurement Utility of data

DSC Energy is absorbed or released by a sample as Physicochemical compatibility of drug and


it is heated, cooled, or held at a constant excipients
temperature
TGA Weight changes by a sample as it is heated, Physicochemical compatibility of drug and
cooled, or held at a constant temperature excipients
Chromatographic Chemical interactions of the sample with the Excipients, drug product purity; excipientdrug
analysis stationary phase and the mobile phase substance chemical compatibility
Microcalorimetry Absorbance or release of heat from solution Physicochemical compatibility of drug and
sample excipients; solution applications
X-ray diraction Scattering of x-ray radiation by a solid sample Polymorph characterization
Microscopy Magnied appearance of sample Particle size, morphology
LC-MS/MS Chromatographic separation and fragmentation Impurity, degradation product identication
of molecular species
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944 DiFeo

stored refrigerated and at elevated temperatures. molecular association is apparent in the concentra-
Based upon the results of the pH-range studies, cosol- tion dependency of solution stability for some liquid
vents can be added to the formulation to enhance the drug products.
solubility of the drug. As the obvious physical failures The impact of oxygen on the formulation is
are identied, more specic tests for particulates can examined because some drug substances are oxygen
be performed by using techniques such as particle sensitive.[47] Oxygen sensitive compounds may need
counting with laser diraction. Due to the complexity an inert atmosphere in the package headspace. If
of particulate formation in solutions, longer-term the stability of the formulation is eected by the
studies in the proposed container at the recommended presence of oxygen, analytical data should be
storage temperature can prevent predictive failures available indicating the extent of the sensitivity (i.e.,
by using accelerated temperature techniques. For the kinetic rate of degradation) and the ability of
example, a study of minodronic acid injectable at an controlled environmental-processing conditions to
elevated temperature (60 C), in glass vials, indicated provide adequate stability.
no particulate formation after 3 months of storage. For sterile liquid dosage formulations, the
However, studies at 25 C demonstrated particulate stability of the formulation when autoclaved is an
formation.[43] Data indicated an aluminum important consideration with regulatory implica-
minodronic acid complex and it was hypothesized tions. Products that are intended to be sterile
that the complex formation was exothermic, resulting should be sterilized in their nal container with the
in thermodynamically unfavorable conditions for preference being moist heat at 121 C for 15 min.[48]
complex formation at elevated conditions. The More passive techniques of sterilization, such as
challenge of the due diligence review is placing each sterile ltration, are pursued only if the drug product
data set in proper perspective with regard to the datas is incompatible with heat sterilization. Well-docu-
predictability of drug development success. mented development eorts are essential to defending
Buering agents are added to formulations where the need for a formulation that cannot undergo heat
pH control is important for stability or administration sterilization. For nonsterile liquids, assurance of
of the dosage form. For lyophilized products, the rele- acceptable microbial bioburden during manufacture
vance of pH stability is particularly important with and throughout shelf life should be demonstrated. As
regard to pH changes induced by salt precipitation with other excipients, the physical and chemical com-
of buer components during the far-from-equilibrium patibility of the preservative or antioxidant should be
freezing that occurs during the lyophilization demonstrated. In addition, the level of antioxidant or
process.[44] The complex nature of the nonequi- preservative should be justied with regard to safety.
librium freezing can be impacted by the solution The minimum concentration of preservative should
composition and the freezing rate. A review of the be used that produces the required level of ecacy.
development of the lyophilization process, as outlined Some preservatives should be avoided such as
later, includes study of the impact of processing those containing mercury (thimerosal); sulphites
parameters on the quality of the lyophilized cake. and metabisulphites; benzyl alcohol, when used in
The solution behavior of the drug substance also pediatric formulations for children under the age of
may be inuenced by the propensity of the molecular two, and benzoic acid esters in parenterals.[49]
solution species to form aggregates (e.g., dimers, Suspension formulations may be developed when
trimers or higher-order micellar systems). One the drug substance has inadequate solubility to be
technique that has been used successfully to study formulated as a solution or if the suspension of the
noncovalent molecular associations of solution drug is more stable than the solution of the drug
species is electrospray ionization mass spectrom- substance. Some of the characteristics of acceptable
etry.[45] The technique provides sucient ion suspensions (beyond requisite stability requirements)
desolvation, while preserving the noncovalent include nonrapid settling of particles (sedimentation),
interactions of the solution species. The self-associa- resuspendibility, and homogeneity of resuspended
tion of drug solute species can inuence the solution mixtures.[50] These physical aspects of the formula-
stability of the drug substance.[46] The determination tion may be inuenced by the particle concentration,
of the nature of the aggregation (i.e., micelle charge, shape, and size, as well as the specic gravity
formation vs. low-order association) may be relevant and viscosity of the suspension.[51]
to understanding the solution stability behavior of Particle size of the drug substance in the suspen-
the drug substance, since association may be aected sion is an important aspect of the formulation.
by the presence of other excipients. The impact of Comparative bioavailability of sterile suspensions
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Drug Product Development 945

with dierent particle size ranges has demonstrated Table 2. A summary checklist of key CMC review aspects
bioinequivalence.[52] The importance of the drug sub- of drug product description and composition the drug
stance particle size has led to specialized techniques product; pharmaceutical development and drug
to produce specic particle size ranges, including substance/excipient compatibility for solid dosage forms.
ranges to support nanoparticle suspensions.[53] In Description and composition of the drug product
addition to control of the drug substance particle Qualitative/quantitative description
size prior to formulation, the control of the particle Excipient function dened
size in the suspension must account for potential for Excipient stability eect
Ostwald ripening, whereby particles grow in the sus- Excipient physical role
pension over time. It has been suggested that the key Excipient in vivo absorption eect
factor in reducing crystal growth in a suspension is to Excipient manufacturability eect
lower the interfacial tension between the solid and Pharmaceutical Development
liquid.[54] The reduction in interfacial tension can be Drug substance characterized
accomplished by the addition of surfactants and Excipients
GRAS status (21 CFR Part 170.3)
hydrophobic excipients, and has been demonstrated
Compendial status of excipient
for a series of emulsions.[55,56] Examination of
Food grade status of excipient (Council Directive
adsorption of the surfactant to the drug substance 89/107/EEC)
particles may be useful in the development of Supplier cGMP status
physically stable formulations. In addition to Supplier internal audit results
bioavailability considerations, sterile suspensions for Excipient used in any approved products in EU or
injection require specic physical attributes to U.S.
provide eective syringeability and injectability.[57] Use of excipient in pharmaceutical product documented
Table 2 provides a checklist for due diligence in literature
drug product review of the description and the Safety prole of excipient
composition of the drug product, and pharmaceutical Synthetic route of excipient identied
If compendial, are all excipient impurities controlled by
development and drug substance/excipient
monograph?
compatibility for solid dosage forms.
Excipient impurities characterized (potential for
interaction)
Manufacturer control of excipient impurities
Excipient Characterization and Critical Drug substance/excipient compatibility (solid dosage
Quality Attributes forms)
Analytical techniques
The view of functionality as a critical aspect in Dierential scanning calorimetry (DSC)
determining excipient quality has been amply argued Chromatographic analysis
and demonstrated in the literature.[3,58,59] Adequate Thermal gravimetric analysis (TGA)
characterization of the critical quality attributes of Microcalorimetry
Fourier transform infrared analysis (FTIR)
selected excipients is crucial to the formulation
X-ray diraction
development process. The identication of critical
Microscopy
physicochemical characteristics via compatibility Liquid chromatography-tandem mass spectrometry
studies allows for the development of methodologies (LC-MS/MS)
to control those aspects of the excipient that are Drug/excipient compatibility
critical to product performance. The due diligence Drug/excipient mixing studies (thermal analysis)
reviewer examines the data generated during Short-term accelerated stability
preformulation studies to assess the validity of the Multiple analysis techniques used for accelerated studies
conclusions regarding the assignment of CQAs to Eect of water on compatibility
the excipient components.
The solid-state characteristics of excipients used in
solid dosage forms should be well dened. The level of
characterization and control of various physico- The crystal form of the excipient may impact
chemical aspects of the excipient is dependent upon drug product performance as demonstrated with
the outcome of the preformulation studies. For exam- D-mannitol, where the tableting behavior as reected
ple, in some formulations, the moisture content of in the compressibility (reduction in volume as a
excipients can aect the tensile strength of tablets.[60] function of pressure), compactibility (tensile strength
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946 DiFeo

as a function of compression pressure), and friction Table 3. A summary checklist of key CMC review aspects
of the compacts (ejection force of the tablet from the of drug productdrug/excipient compatibility (liquid
dye as a function of the compression pressure) each dosage forms) and excipient critical quality attributes.
show crystal form dependencies.[61]
Drug/excipient compatibility (liquid dosage forms)
The potential impact of particle size is amply
pH stability
demonstrated in a study of magnesium stearate. Cosolvents
Magnesium stearate commonly is used as a lubricant Particulates
in tablet production and its eective lubricity can be Buering agents
correlated to tablet ejection forces. A comparative Eect of aggregation
study demonstrated that magnesium stearate batches Eect of oxygen
with a smaller particle size distribution and larger Thermal stability
surface area produces increased lubricity when Sterile dosage forms
compared with batches of similar quality but larger Suspension characteristics
particle size and smaller surface area.[11] The ow- Sedimentation
Resuspendibility
ability of the excipient or the drug/excipient mixture
Homogeneity
also can be inuenced by particle size, as well as the
Particle size eects
particle shape of the excipient.[62] Characterization of Anitmicrobial additives
excipient solid-state properties is well documented in Lyophilization products
the literature[63,64] and may entail measurements such Freeze drying parameters
as sieve analysis, angle of repose, and tapped and Buer components
bulk density (Carrs index). Diluent compatibility
The chemical characteristics of excipients can Sterilization technique
inuence drug product behavior. For example, trace Heat sterilization data
impurities found in excipients can play a role in the Preservative studies
stability of formulations. Impurities in excipients Excipient critical quality attributes
Moisture content
have been shown to be responsible for oxidative
Crystallinity (polymorphism)
degradation of drug products.[65] The addition of
Compressibility
PVP during development of an injectable formulation Compactibility
revealed that trace peroxides in the PVP caused Friction of compact
oxidation of the drug substance.[66] Careful examina- Particle size
tion of the impurity prole of the excipient and its Surface area
potential impact on formulation stability must be Flowability
performed. Many compendial monographs do not Morphology (particle shape/habit)
include impurity proles and, therefore, conformance Impurity prole
to compendial requirements may not be sucient for Residual solvents
adequate characterization of the excipient.[67]
Beyond chromatographic analysis of excipients,
excipient characterization can be approached by implementation of appropriate controls as manu-
using a variety of spectroscopic techniques, including facturing process development proceeds. The due
IR, near-IR, and Raman spectroscopy.[68] For exam- diligence review should assure that the critical
ple, IR and Raman analyses have been used to exam- quality attributes of each excipient are well dened.
ine the crystallinity of hydroxypropylcellulose.[69] Preformulation data should support the selection of
Volatile impurities (e.g., residual solvents) can be each CQA and its potential impact on drug product
identied by using the thermal-spectroscopic tech- performance. Table 3 provides a checklist for due
nique of TG-IR.[65] Residual solvents may be an diligence drug product review of the drug/excipient
important feature regarding the performance of the compatibility (liquid dosage forms) and the excipient
drug product, especially with regard to dosage forms critical quality attributes.
formulated with copolymers.[70] Residual solvents can
increase the permeability of the coating, leading to
unfavorable changes in the release prole of the Manufacturing Process Development
drug product.
Denition of the critical quality attributes of the Subsequent to the characterization of the drug
excipient and the drug substance will enable the substance, the excipients, and their interaction
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Drug Product Development 947

potential, manufacturing process development can Whether the drug product is a tablet manufac-
proceed. Manufacturing process development begins tured via a simple direct compression process or a
at the small scale and proceeds to a minimum of 10% lyo product manufactured through a complex, multi-
full production scale for pivotal clinical studies and step process, the knowledge and the control of critical
registration stability studies. Ultimately full-scale process parameters is fundamental to demonstrating a
production batches (sometimes referred to as demon- well-controlled, robust process. For the direct
stration or engineering batches) are made prior to compression tablet, the ow behavior of the formula-
validation of the process. tion prior to tableting is an essential characteristic that
A review of the manufacturing process develop- will impact the control and selection of ranges of pro-
ment should include an emphasis on the reproduc- cess parameters. Parameters of importance to the
ibility of the critical quality attributes of the drug direct compression process may include mixing/
product. Changes to the method of manufacture blending time, order of addition of excipients, and
should be detailed as the process moved from initial ow rates of the blend to the tableting press. The
phase 1 studies through to the nal commercial pro- impact of water absorption by the powder[77] during
cess. The review should focus on any process changes manufacture may require special humidity controls in
made subsequent to the rst clinical study. A review the manufacturing facility. For a lyo product, the
of all clinical studies and the manufacturing process parameters that control the lyophilization should be
used to provide the clinical supplies should be given. dened, including the impact of deviating from the set
The development studies should clearly detail the points for critical operations. A detailed discussion of
eect of process changes on critical quality attributes the cycle optimization should be given.[78] Data such
associated with the intermediates and the nished as water vapor pressure time proles for the lyophili-
product. There are a variety of multivariate methods zation process can be used to determine the appropri-
that can be used in process development studies.[71] ateness of the dened cycles for primary and
The experimental designs rely on a thorough under- secondary drying. Ultimately, the design process can
standing of the process and its critical attributes. One be determined as successful only with predened qual-
approach is to follow the hazard analysis and critical ity requirements and a developed testing plan.[79]
control points system for identifying and controlling
critical process steps.[72] Instrumental in a successful
process development is to link each critical process Container Closure System
step to a critical quality attribute. The typical indus-
try standard in applying critical quality attributes to Based upon the knowledge of the physical and
specic test outcomes is contingent upon the impact chemical behavior of the drug product in preformula-
of the critical process step to measurable quality tion and subsequent stability studies of model formu-
aspects of the nal product.[73] Reworking of a drug lations, an appropriate package is selected. For stable
product should include a detailed analysis of the products with no sensitivity to environmental
impact on the drug product critical attributes. conditions (e.g., moisture or oxygen) the justication
Reworking of tablets, for example, can have an of the package requires data sucient to show the
impact on formulation owability, tablet crushing acceptability of the drug products physicochemical
strength, and disintegrations times.[74] The rework attributes during storage. For oxygen- or moisture-
process should be described in detail with proposed sensitive products, a package that provides an eective
manufacturing batch documents. barrier must be demonstrated. In addition, it may be
For sterile products, a review of the presterili- necessary to demonstrate via headspace analysis
zation bioburden data should be performed because that the packaging conditions provide an acceptable
this is essential to demonstrate the ruggedness of the internal atmosphere or that the addition of some
process.[75] For nonsterile liquid products, a review of appropriate inert gas is necessary.[80]
the microbial limits testing data is performed. For The selection of the packaging components for
components in contact with liquid products during liquid formulations is determined during preformula-
manufacture, compatibility data should demonstrate tion development. The selection of a product package
no deleterious eects to the product quality (e.g., for liquids is linked intrinsically to the formulation
drug adsorption onto processing lters or tubing) or and should be part of the multivariate analysis in the
unacceptable extractable components.[76] Depending design of formulation development and optimization
upon the phase of development, a cleaning validation studies. The selection of rubber stoppers for parenteral
protocol or report may be available for review. liquids typically entails the examination of
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948 DiFeo

extractables from the stopper in contact with the par- the quality assurance aspects of the manufacturer
enteral base formulation. Techniques for the selection may provide insight into the viability of the process.
of stoppers for parenteral powders include a dynamic The due diligence reviewer should obtain a copy of
headspace technique that models the absorption of the most recent cGMP manufacturing inspection
rubber volatile components by the drug product.[81] issued by the FDA or the EU. The reviewer also
should request copies of internal cGMP inspections.
The regulatory and internal inspection reports
Microbiological Attributes provide a broad overview of the cGMP compliance
aspects of the facility. Specic indications of issues
Microbial attributes are often thought to apply concerning testing practices or other general cGMP
mainly to sterile drug products. However, a major compliance aspects will help to determine the
focus of regulatory drug applications is the safety of reliability of the various data sets supplied by the
the product. Associated with the safety of nonsterile manufacturer. If testing is performed at another
products is the potential microbiological burden facility, an investigation of the cGMP status of the
introduced by the raw materials and/or the processing testing facility is pursued.
environment. The Food and Drug Administration An inventory of available drug products (suitable
states in its microbiological inspection guide that for clinical supplies) and critical components should
each company is expected to develop microbial speci- be obtained. A review of supply agreements and
cations for nonsterile products.[82] The Therapeutic contractual obligations for critical excipients should
Goods Administration, in promoting its stringent be reviewed to assure the availability of supplies.
requirements for nonsterile pharmaceutical products, Alternate suppliers for critical materials should be
has published the results of its study on the microbial identied.
quality of nonsterile pharmaceuticals.[83] There is an
attempt being made to harmonize proposed USP
criteria for testing of nonsterile products with those Process Validation
proposed for the European Pharmacopoeia.[84] The
microbiological burden for nonsterile products is Process validation is dened by the International
particularly important for immunocompromised Conference on Harmonisation (ICH) as the docu-
patients, and it has been argued that limits for oral mented evidence that the process, operated within
products for this population must be tighter than established parameters, can perform eectively
those limits imposed on products with disease condi- and reproducibly to produce a product meeting its
tions not aecting immunity.[85] predetermined specications and quality attributes.
The quality expectations for sterile products are The approaches to validation of a drug product
clearly delineated in the United States and European are outlined in several regulatory guidance
Union (EU).[48,86] In addition, the product must meet documents.[88,89] Some of the key aspects of valida-
compendial requirements (i.e., USP and European tion are:
Pharmacopoeia). A strategy to control endotoxins in
excipients also must be developed, with appropriate (1) Availability of a validation master plan or
limits, dependent upon the route of administration protocol with objectives, scope, and respon-
and dosing regimen of the sterile product.[87] sibilities outlined.
Adequate process design and implementation of (2) Critical process parameters (key process
cGMPs provide assurance of acceptable bioburden variables) and their associated critical
or sterility because testing can identify only quality attributes identied.
catastrophic failures. A review of the process design (3) Key process data documented during
and the product ow should be performed to assure validation.
that appropriate techniques are used to produce drug (4) Acceptance criteria assigned for key process
products of acceptable microbial standards. intermediates and nal drug product.
(5) Three consecutive successful production
batches produced.
MANUFACTURER (6) Reproducibility of the physicochemical
prole of the drug product.
The manufacturer and location of the drug (7) Investigation of any atypical events or
product facility should be identied. An overview of results occurring during validation runs.
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Drug Product Development 949

Table 4 provides a checklist for due critical quality attributes for each intermediate
diligence drug product review of the manufacturing indicated. The owchart allows for an overview of
process development, the container closure system, the process and an outline for ease of discussion of
the drug product microbiological attributes, and the the various steps.
manufacturer and process validation. A detailed narrative description of each step in
the manufacturing process typically is available from
early phase regulatory documents. This narrative
Description of Manufacturing Process and should be compared with actual batch records from
Process Controls the manufacturing facility to make an assessment of
the manufacturers regulatory compliance. A detailed
A owchart summary of the process should be analysis of the manufacturing process should include
provided with the yields, operating conditions, and a review of the quantities of excipients and reagents
used, the identication of critical steps and process
Table 4. A summary checklist of key CMC review aspects controls, the type and size of processing equipment
of drug productmanufacturing process development, used, and the operating conditions, such as tempera-
container closure system, drug product microbiological ture, pressure, pH, and mixing time. A review of the
attributes, manufacturer and process validation. materials used in the manufacturing process should
include availability and any safety concerns (the need
Manufacturing process development for special processing equipment and protective gear
Dened quality attributes for the operator). Some questions that should be
Process development changes
asked include:
Process/clinical studies correlation
Critical process parameters
Critical quality attributes (1) What is the robustness of the process (are
Multivariate analysis reworks common, and is the rework proce-
Historical batch data dure well dened)? How do the physico-
Rework chemical proles of multiple lots compare?
Filter compatibility for liquids Are the characteristics of the reworked drug
Cleaning validation product consistent with historical data for
Container closure system the product?
Functional requirements (2) Have critical quality attributes for critical
Critical component parameters intermediates and nal drug product been
Compatibility testing
determined?
Drug product microbiological attributes
Nonsterile products
(3) Have critical processing parameters been
Sterile products clearly associated with critical quality attri-
cGMP controls butes (are there data to support the
Process design implications association)?
Compendial requirements (4) If the current process is labatory-scale or
Endotoxin control pilot-scale, can the batch size be increasedby
Manufacturer using the current manufacturing technology
Location (has a commercial manufacturing process
Manufacturing facility cGMP status been dened)?
Testing facility cGMP status (5) Is the batch yield acceptable relative to cost?
Inventory of drug product and key ingredients
This analysis will entail reviews with the
Contractual obligations
Alternate suppliers of critical materials
business group to determine the acceptable
Process validation cost of goods for the drug product.
Process validation data available (6) Are there any environmental or safety
Validation master plan or protocol concerns?
CPPs and their associated CQAs identied (7) Is the current manufacturing process amen-
Documentation of key process data during validation able to manufacturing capabilities at existing
Acceptance criteria for key process intermediates and plants? Are the technologies used in the pro-
nal drug product cess common; is special equipment required?
Three consecutive successful production batches (8) Is the cycle time for processing of the drug
Reproducibility of the impurity prole product acceptable?
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950 DiFeo

(9) Have suitable process hold points been should be presented with a rationale for the limits
determined? What is the impact of holding specied. The following tests and acceptance criteria
intermediates on the quality/stability of are applicable to all drug products[92]:
drug product? Have bulk hold studies of
intermediates been performed? (a) Descriptiona qualitative statement
(10) Are any of the excipients of animal origin? regarding the appearance of the drug
If so, is their transmissible spongiform product is given. The drug product
encephalopathy (TSE) status documen- acceptance criteria entails the observed
ted?[90] drug product meeting the given qualitative
(11) Are any of the manufacturing steps patent criteria.
protected? (b) Identication testing should distinguish
between the drug substance in the drug
Control of Excipients product and closely related compounds.
Typically, two identication tests are per-
The acceptance criteria and tests conducted for formed with one test being the HPLC reten-
the excipients should be reviewed relative to the pre- tion time match with a reference standard
formulation experimental results. The acceptance material. The second test typically is a
criteria for the excipients should consider those spectroscopic technique such as IR. It
qualities critical to the drug product performance should be noted that ultraviolet-visible
and manufacturing operation as described earlier in absorbance spectra generally are not specic
formulation development. enough to distinguish related compounds.
(c) AssayThe most common assay procedures
for drug products are titration methods and
HPLC methods. If a titration method is used
Description of Analytical Methods
for assay, an additional specic, stability-
indicating method should be used to control
The analytical methods used to test excipients,
impurities in the drug product.
reagents, and drug product should be reviewed.
(d) ImpuritiesHPLC methods commonly are
Sucient detail should be available in order that
used to control impurities in drug product.
the methods could be adequately run in the
The methods should be specic and
laboratory. For example, HPLC methods should
stability-indicating.
provide detail on the type of column used, run time,
mobile phase composition, ow rate, and detection
There are additional specications that may
means. Adequate validation data should be available
be applicable, depending upon the nature of the
to assure the accuracy of the data used to support the
drug product. These specications include:
physicochemical properties of the drug product. The
ICH text on the validation of analytical procedures
(1) Disintegration.
provides a good overview of the type of information
(2) Dissolution.
that should be included in the validation package.[91]
(3) Stereoisomeric purity.
Key items include accuracy, linearity, precision
(4) Moisture (water).
(repeatability and intermediate precision), robust-
(5) Residual solvents.
ness, and specicity. While all of these aspects of
(6) Microbial limits.
validation may not be complete in early phases of
development, some level of detail must be available
For drug product suspensions and solutions,
to assure the accuracy of the information provided.
additional physicochemical characteristics of the
drug product may impact the drug product
performance. These characteristics include:
CONTROL OF DRUG PRODUCT
(1) pH of solution.
Specications (2) Particle size of suspended drug.
(3) Clarity of solution (turbidity).
Specications consist of test methods and their (4) Color of solution.
associated acceptance criteria. Each specication (5) Viscosity.
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Drug Product Development 951

(6) Volume of ll. Table 5. A summary checklist of key CMC review aspects
(7) Preservative testing. of drug productdescription of the manufacturing process
and process controls; control of excipients and control of
Table 5 provides a checklist for due diligence drug product.
drug product review of the description of the Description of manufacturing process and process controls
manufacturing process and process controls; control Process ow diagram
of excipients and control of the drug product. Batch records
Critical quality attributes
Scale-up
Process controls
Analytical Procedures and Validation Safety
Key starting materials
As detailed previously for the control of Operating conditions
excipients, reagents, and drug products, sucient Batch size
detail should be provided in order that the methods Batch records
could be adequately run in the laboratory. Control Scale-up (commercial process dened)
methods derived from compendial references should Process capable of being run in existing plants
detail any requisite sample preparation requirements Cycle time
and any other details, such as the column used in the Process hold points identied
Reagents of animal origin and TSE status
HPLC method. A review of the method validation
Safety
package should ensure that all ICH guidelines are met. Environmental issues
Robustness of process and rework frequency
Ingredient availability and cost
Patent protected process steps
Batch Analyses Special equipment required
Control of excipients
Test results for all batches made (including small- Test methods
scale batches) should be reviewed. A comparison of Acceptance criteria
results for those batches used in phase I safety studies ICH criteria for validation
with those batches made for later clinical studies Control of drug product
should be pursued. The level and type of impurities Description
in the later-phase clinical batches should not exceed Identication testing
that of the phase I safety batches. Assay
Impurities
Disintegration
Dissolution
Justication of Specications Stereoisomeric purity
Residual solvents/moisture
Specications justied
Drug product specications should provide com-
Specications consistent with process data
prehensive control of identity, purity, quality, and
potency. The specications for the drug product
should be consistent with current process capability
and drug safety study results. During early stages of REFERENCE STANDARDS
development, justication of specications is not OR MATERIALS
available because nal specications are determined
by the comprehensive development experience. If the The validity of the analytical results provided is,
drug product is in phase III of development, draft in part, reliant upon the use of appropriate reference
nal specications should be justied with regard standards. Reference standards used in the analysis of
to the historical experience with the process at the drug product, starting materials, and intermediates
current scale and manufacturing process. At phase must have additional testing to verify the identity
III, the drug product process should be well dened and purity of the reference standard. Typically, the
and not open to any signicant changes since phase reference standard is fully characterized, including
III stability batches and pivotal clinical studies will structural elucidation data, as well as extended testing
use drug product from the current process. for impurities. Once the reference standard is fully
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952 DiFeo

characterized, a secondary reference standard may be manufacturing process. The appearance of new
tested against the primary standard and used for impurities or changes in impurity levels are consistent
routine testing. with poorly controlled processes. The degradation
pathway for the drug product and any critical
intermediate should be elucidated.
CONTAINER CLOSURE SYSTEM
(PACKAGING MATERIAL)
Summary of Forced Degradation Studies
and Stability Studies Under
Primary Packaging
Stress Conditions
A full description of the primary package of the
Forced degradation studies are performed as
drug product should be given. The potential for any
part of the drug product method development. The
incompatibility of the package and the drug product
treatment of the drug product with light, heat, moist-
should be discussed.
ure, acid/base, and peroxide provides a means to
The chemical and physical reactivity of the drug
demonstrate that the analytical method to control
product will dictate the type of packaging needed.
the drug substance assay/impurity is indeed specic
For example, a hygroscopic drug product may
require the inclusion of desiccants in the package
container. For a drug product sensitive to Table 6. A summary checklist of key CMC review aspects
environmental conditions (e.g., heat, light, moisture), of drug productcontrol of drug product (suspensions and
data on the qualication of the packaging component solutions), analytical methods, batch analysis, container
should be given. Once the critical package parameters closure system and stability.
are identied, these parameters should be tested Control of drug product (suspensions and solutions)
routinely on the incoming containers. A minimum pH of solution
of identication testing should be performed for the Microbial limits
packaging material regardless of the functionality of Particle size of suspended drug
the packaging component. Techniques such as FTIR Clarity of solution (turbidity)
identity for polyvinyl chloride lms commonly is Color of solution
applied.[93] Viscosity
Volume of ll
Preservative testing
Specications justied
Secondary Packaging Specications consistent with process data
Analytical methods
Any secondary package used for the drug Review of analytical methodsdetails adequate
product should be described (e.g., cardboard box). Validated methods
If the secondary packaging material provides Methods provide sucient specicity
protection to the product, test results of stability Accuracy
studies with and without the secondary package Linearity
should demonstrate the adequacy of the secondary Precision
package. Robustness
Control of potential impurities
Batch analyses
Test results for all batches made (including small scale
STABILITY batches) should be reviewed
Container closure system (packaging material)
Batches Tested Primary package compatibility
Qualication
A review of all stability batches is performed. Critical package parameters
Special attention should be given to any increase in Stability
impurities or appearance of a new degradation A review of all stability batches
Impurity prole
product. The amount of variability seen between
Forced degradation studies
batches in the level of degradation products may be Degradation pathway elucidated
indicative of the robustness of the drug product
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Drug Product Development 953

and stability-indicating. The data produced in accel- sustained release hydrophilic matrix tablets
erated studies also provides information to the due based on hydroxypropyl methylcellulose.
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issues (e.g., light protection) that might be necessary 5. Crowley, P.J. Excipients as stabilizers.
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9. Jackson, K.; Young, D.; Pant, S. Drug/excipient
Pharmaceutical drug product due diligence is a interactions and their aect on absorption.
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