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WHO PREQUALIFICATION TEAM – MEDICINES
IMPURITIES
Antony Fake
API Focal Point, PQTm
1
IMPURITIES – PQTm Training
Copenhagen, May 2016
WHO PREQUALIFICATION TEAM – MEDICINES
Introduction
This presentation is made with reference to the
preparation of an API.
This is because the API is the source of the majority of
impurities.
When considering FPPs, the focus is largely on
degradants, although excipient-API and leaching from
containers must not be overlooked.
WHO PREQUALIFICATION TEAM – MEDICINES
What kinds of impurities are there?
Impurities we add during preparation:
WHO PREQUALIFICATION TEAM – MEDICINES
What kinds of impurities are there?
Impurities we add during preparation:
Solvents, metal catalysts, starting materials, reagents
WHO PREQUALIFICATION TEAM – MEDICINES
What kinds of impurities are there?
Impurities we add during preparation:
Solvents, metal catalysts, starting materials, reagents
Impurities we unintentionally add during preparation:
WHO PREQUALIFICATION TEAM – MEDICINES
What kinds of impurities are there?
Impurities we add during preparation:
Solvents, metal catalysts, starting materials, reagents
Impurities we unintentionally add during preparation:
Starting materials impurities; impurities within solvents, pesticides...
WHO PREQUALIFICATION TEAM – MEDICINES
What kinds of impurities are there?
Impurities we add during preparation:
Solvents, metal catalysts, starting materials, reagents
Impurities we unintentionally add during preparation:
Starting materials impurities; impurities within solvents, pesticides...
Unwanted impurities that are made during preparation:
WHO PREQUALIFICATION TEAM – MEDICINES
What kinds of impurities are there?
Impurities we add during preparation:
Solvents, metal catalysts, starting materials, reagents
Impurities we unintentionally add during preparation:
Starting materials impurities; impurities within solvents, pesticides...
Unwanted impurities that are made during preparation:
Reaction intermediates, related-substances
WHO PREQUALIFICATION TEAM – MEDICINES
What kinds of impurities are there?
Impurities we add during preparation:
Solvents, metal catalysts, starting materials, reagents
Impurities we unintentionally add during preparation:
Starting materials impurities; impurities within solvents, pesticides...
Unwanted impurities that are made during preparation:
Reaction intermediates, related-substances
Impurities that are contributed after API preparation:
WHO PREQUALIFICATION TEAM – MEDICINES
What kinds of impurities are there?
Impurities we add during preparation:
Solvents, metal catalysts, starting materials, reagents
Impurities we unintentionally add during preparation:
Starting materials impurities; impurities within solvents, pesticides...
Unwanted impurities that are made during preparation:
Reaction intermediates, related-substances
Impurities that are contributed after API preparation:
Degradation products
Leaching from containers
Excipient
WHO PREQUALIFICATION TEAM – MEDICINES
Where do we find information on impurities?
Impurities we add during preparation:
Solvents, metal catalysts – 3.2.S.2.2
Impurities we unintentionally add during preparation:
SM impurities; impurities within solvents, pesticides - 3.2.S.2.3
Unwanted impurities that are made during preparation:
Reaction intermediates (3.2.S.2.4), related-substances (3.2.S.3.2)
Impurities that are contributed after API preparation :
Degradation products (3.2.S.7)
And of course 3.2.S.3.2 – Discussion of impurities
WHO PREQUALIFICATION TEAM – MEDICINES
Types of Impurities
Organic impurities:
• Related substances and,
• Degradation products
Solvents
Metals
Genotoxins
WHO PREQUALIFICATION TEAM – MEDICINES
All potential impurities
Observed impurities
Impurities needing to be
controlled in specifications
Individually specified
impurities
At what limit?
WHO PREQUALIFICATION TEAM – MEDICINES
All potential impurities
Observed impurities
WHO PREQUALIFICATION TEAM – MEDICINES
API Monographs
You can not rely upon an API monograph entirely for
potential organic impurities.
Many impurities are specific to the manner of API
preparation and may not have been considered when
the monograph was published.
Of course monographs are a great start.
WHO PREQUALIFICATION TEAM – MEDICINES
Degradants
Forced degradation studies will provide information on
major degradants.
Forced degradation studies will provide information on
the acceptability of the analytical technique
Monographs tend to be better at listing degradants.
WHO PREQUALIFICATION TEAM – MEDICINES
Reaction intermediates
In any chemical reaction you can expect there to
remain some of the original unreacted material.
Reaction intermediates are therefore logical potential
impurities. Almost without exception remnants of the
reaction starting materials will be present in the API.
WHO PREQUALIFICATION TEAM – MEDICINES
Related Substances
Reaction by-products more difficult to predict.
Test method sensitivity is extremely important. What
can it detect?
Mass balance should be kept in mind.
If there are multiple pharmacopoeial monographs, then
at the very least consider all of these impurities. At
least for investigation purposes.
WHO PREQUALIFICATION TEAM – MEDICINES
All potential impurities
Observed impurities
Impurities needing to be
controlled in specifications
WHO PREQUALIFICATION TEAM – MEDICINES
International Guidance
The thought process from moving from all potential
impurities to what Impurities need to be controlled in
specifications is a theme common to all the main
impurities guidance:
• ICH Q3A – Impurities in New Drug Substances
• ICH Q3C – Residual Solvents
• ICH Q3D – Elemental impurities
• ICH M7 – Genotoxins
WHO PREQUALIFICATION TEAM – MEDICINES
Non-routine testing and skip testing
In most of the guidance as you work through the
various decision trees you will have a set of impurities
that:
• have real risk of occurrence, but
• are below the threshold for inclusion as a routine
test in the specifications.
WHO PREQUALIFICATION TEAM – MEDICINES
Non-routine testing and skip testing
i.e. a Class II solvent used prior to the last step, but
which has been demonstrated to be present at below
10% of its ICH limit.
In such situations most guidance state “does not need
to be routinely controlled”.
What does “does not need to be routinely controlled”
mean?
WHO PREQUALIFICATION TEAM – MEDICINES
Non-routine testing and skip testing
Some regulators interpret this to mean:
• does not need to be in the specification.
PQT medicines interprets this to mean:
• To be included as a skip test.
We do this for a practical reason.
WHO PREQUALIFICATION TEAM – MEDICINES
Non-routine testing, skip testing
If the test is stated in the specifications then this
brings this to the attention of an assessor evaluating a
post-approval variation.
If it is not present in the specifications, there is a
chance that the assessor will forget to consider if the
solvent now needs to be routinely controlled, as a
result of the post-approval change being proposed.
WHO PREQUALIFICATION TEAM – MEDICINES
All potential impurities
Observed impurities
Impurities needing to be
controlled in specifications
Individually specified
impurities
At what limit?
WHO PREQUALIFICATION TEAM – MEDICINES
Q3A – Control of organic impurities in the API
The next slides assumes an investigation has already been
performed into potential organic impurities.
It assumes the manufacturer has demonstrated or
presented logical arguments justifying the target impurities.
i.e. just does not simply refer to impurities listed in a
monograph.
It assumes the manufacturer has used appropriately
sensitive analytical techniques during investigations
It assumes the routine analytical method is appropriate to
control routinely occurring impurities.
WHO PREQUALIFICATION TEAM – MEDICINES
Thresholds
QF Threshold
ID Threshold
Reporting
Threshold
WHO PREQUALIFICATION TEAM – MEDICINES
Threshold verses limit
A threshold is not a barrier.
The observed amounts of impurities
may pass through (exceed) the
threshold.
However, as the impurity level
passes successive thresholds the
requirements on the manufacturer
increases.
nhfaithfusion.com
WHO PREQUALIFICATION TEAM – MEDICINES
Threshold verses limit
qjs.dromfgp.top
A limit is an acceptable level of
impurity agreed between the
manufacturer and regulator.
The impurity may not exceed
this level.
WHO PREQUALIFICATION TEAM – MEDICINES
Reporting threshold
For APIs taken less then 2g per day
0.05%
For APIs taken greater then 2g per day
0.03%
WHO PREQUALIFICATION TEAM – MEDICINES
Exceeding the Reporting threshold
QF Threshold
ID Threshold
Reporting
Threshold
WHO PREQUALIFICATION TEAM – MEDICINES
Reporting threshold
Every time a peak is observed above the reporting
threshold it needs to be recorded in the laboratory results.
It avoids the applicant from having to report every little
peak that is observed in the chromatogram.
A peak above the reporting threshold does not (necessarily)
need to be specified in the API specifications.
However, any peak above the reporting threshold must be
counted towards the Total impurity content reported in the
Certificate of Analysis.
Therefore, these impurities are being controlled under the
limit for any unknown impurity.
WHO PREQUALIFICATION TEAM – MEDICINES
Exceeding the ID threshold
QF Threshold
ID Threshold
Reporting
Threshold
WHO PREQUALIFICATION TEAM – MEDICINES
Identification threshold
For APIs taken less then 2g per day
The lesser of 0.10% or 1.0 mg TDI
For APIs taken greater then 2g per day
0.05%
WHO PREQUALIFICATION TEAM – MEDICINES
Exceeding the ID threshold
If a peak is observed routinely above the ID threshold
then the impurity must be:
• Specified individually in the API specifications (by
name or RRT).
• Identified (or efforts made to do so)
WHO PREQUALIFICATION TEAM – MEDICINES
“Routinely Observed”
Normally, the decision to include an impurity in the
specifications is based upon the likelihood it will occur
routinely.
• For instance, when observed above the ID threshold in long-term
stability data, or commonly occurs in batches when tested at
release.
An impurity only occurring in accelerated stability
trials, forced degradation trials, or during development
may not need to be included.
WHO PREQUALIFICATION TEAM – MEDICINES
Exceeding the QF thresholds
QF Threshold
ID Threshold
Reporting
Threshold
WHO PREQUALIFICATION TEAM – MEDICINES
Qualification threshold
For APIs taken less then 2g per day
The lesser of 0.15% or 1.0 mg TDI
For APIs taken greater then 2g per day
0.05%
An impurity limit above the Qualification threshold
must be known to be safe.
WHO PREQUALIFICATION TEAM – MEDICINES
Justifying a limit exceeding the QF Threshold
Refer to a limit in a recognised monograph - WARNING – it must be
a specified Impurity.
…Impurity A , no more than 0.25% - OK
…Any impurity no more than 0.5% - Not OK
Present literature evidence in support of the limit.
Present the results of toxicological studies supporting the safety of
the limit.
Provide comparative impurity content data from innovator or PQ’d
products
Set the limit to 0.15% (or 1 mg TDI) and modify the process to meet
this limit.
WHO PREQUALIFICATION TEAM – MEDICINES
Example time
The lesser of 0.15% or 1.0 mg TDI
Watch out!
Must be above…
2 significant figures
WHO PREQUALIFICATION TEAM – MEDICINES
Example 1
A peak is observed at 0.086%.
At 1150 mg total daily dose
Is this above the Qualification threshold?
Raw value Threshold Above QF threshold?
0.086% 0.15%
Raw value Equivalent in mg Above QF threshold?
0.086%
WHO PREQUALIFICATION TEAM – MEDICINES
Example 1
A peak is observed at 0.086%.
At 1150 mg total daily dose
Is this above the Qualification threshold?
Reported peak Threshold Above QF threshold?
0.09% 0.15%
Reported peak Equivalent in mg Above QF threshold?
0.09%
WHO PREQUALIFICATION TEAM – MEDICINES
Example 1
A peak is observed at 0.086%.
At 1150 mg total daily dose
Is this above the Qualification threshold?
Reported peak Threshold Above QF threshold?
0.09% 0.15% No
Reported peak Equivalent in mg Above QF threshold?
0.09%
WHO PREQUALIFICATION TEAM – MEDICINES
Example 1
A peak is observed at 0.086%.
At 1150 mg total daily dose
Is this above the Qualification threshold?
Reported peak Threshold Above QF threshold?
0.09% 0.15% No
Reported peak Equivalent in mg Above QF threshold?
0.09% 1.035 mg
WHO PREQUALIFICATION TEAM – MEDICINES
Example 1
A peak is observed at 0.086%.
At 1150 mg total daily dose
Is this above the Qualification threshold?
Reported peak Threshold Above QF threshold?
0.09% 0.15% No
Reported peak Equivalent in mg Above QF threshold?
0.09% ~1.0 mg
WHO PREQUALIFICATION TEAM – MEDICINES
Example 1
A peak is observed at 0.086%.
At 1150 mg total daily dose
Is this above the Qualification threshold?
Reported peak Threshold Above QF threshold?
0.09% 0.15% No
Reported peak Equivalent in mg Above QF threshold?
0.09% ~1.0 mg No
WHO PREQUALIFICATION TEAM – MEDICINES
Example 2
A peak is observed at 0.153%.
At 1800 mg total daily dose
Is this above the Qualification threshold?
Raw value Threshold Above QF threshold?
0.153% 0.15%
Raw Value Equivalent in mg Above QF threshold?
0.153%
WHO PREQUALIFICATION TEAM – MEDICINES
Example 2
A peak is observed at 0.153%.
At 1800 mg total daily dose
Is this above the Qualification threshold?
Reported peak Threshold Above QF threshold?
0.15% 0.15%
Reported peak Equivalent in mg Above QF threshold?
0.15%
WHO PREQUALIFICATION TEAM – MEDICINES
Example 2
A peak is observed at 0.153%.
At 1800 mg total daily dose
Is this above the Qualification threshold?
Reported peak Threshold Above QF threshold?
0.15% 0.15% No
Reported peak Equivalent in mg Above QF threshold?
0.15%
WHO PREQUALIFICATION TEAM – MEDICINES
Example 2
A peak is observed at 0.153%.
At 1800 mg total daily dose
Is this above the Qualification threshold?
Reported peak Threshold Above QF threshold?
0.15% 0.15% No
Reported peak Equivalent in mg Above QF threshold?
0.15% 2.7 mg
WHO PREQUALIFICATION TEAM – MEDICINES
Example 2
A peak is observed at 0.153%.
At 1800 mg total daily dose
Is this above the Qualification threshold?
Reported peak Threshold Above QF threshold?
0.15% 0.15% No
Reported peak Equivalent in mg Above QF threshold?
0.15% 2.7 mg Yes
WHO PREQUALIFICATION TEAM – MEDICINES
Relative response factors
API
Imp A
Imp B
Which impurity is present in the greater amount?
UV Abs
WHO PREQUALIFICATION TEAM – MEDICINES
Relative response factors
API
Imp A
Imp B
Which impurity is present in the greater amount?
It is impossible to tell without further information.
UV Abs
WHO PREQUALIFICATION TEAM – MEDICINES
The size of a peak in a chromatogram is determined by
the amount of impurity present, but also how well it
responds to the detector.
In HPLC-UV techniques the response is due to the
inherent UV absorbance of the impurity at the detected
wavelength.
Some impurities will not be detected at all!
RRF = Response of Imp/Response of API, but always
check the formula just in case the ratio is described
differently.
Relative response factors
WHO PREQUALIFICATION TEAM – MEDICINES
Response factors
At the time of initial development and investigation it is
assumed the response factor = 1.
For reporting thresholds it is assumed the response
factor = 1.
When impurities are identified their response factor
must be considered.
The RRF for all identified impurities should be
established.
WHO PREQUALIFICATION TEAM – MEDICINES
Relative response factors
When an RRF of between 0.8 to 1.2 is it not mandatory
to apply the correction.
The use of a RRF could shift an observed impurity from
one threshold to another.
This is often of benefit to the applicant. If the
response of an impurity is greater than the equivalent
amount of API (RRF>1) it could mean a peak no longer
exceeds the Qualification threshold.
WHO PREQUALIFICATION TEAM – MEDICINES
Relative Response Factor (RRF)
Response factor:
Is the response (e.g. peak area) of drug substance or
related substances per unit weight.
RF= peak area / concentration (mg/ml)
Relative response factor (RRF):
Is the ratio pf the Impurity RF verses the API RF
RRF=RF impurity / RF API
WHO PREQUALIFICATION TEAM – MEDICINES
Relative Response Factor (RRF)
If the amount of impurity is being calculated by
reference to an Impurities Reference Standard then
RRF is not a concern, since the determination is being
made with direct comparison to a known amount (i.e.
the reference standard).
However, if the impurity content is being determined by
comparing the impurity peak to the API peak then the
RRF of the impurity needs to be considered.
WHO PREQUALIFICATION TEAM – MEDICINES
Relative Response Factor (RRF)
The simplest way of determining an RRF of an impurity
is to compare the peak areas from injections of the
same amount of impurity and API.
RRF=Impurity peak area / API peak area
(only if both have the same concentration)
WHO PREQUALIFICATION TEAM – MEDICINES
Relative Response Factor (RRF)
In practice, since it is difficult to isolate suitable
quantities of an impurity, the more common way of
determining RRF of an impurity is to compare the
slopes of the impurity and API over a range of
concentrations.
RRF=slope impurity / slope API
WHO PREQUALIFICATION TEAM – MEDICINES
Relative Response Factor (RRF)
Rifampicine:
y =31.312 x + 4.963
Rifampicine Quinone:
y = 26.198 x + 1.154
RRF= 26.198 / 31.312
=0.84
WHO PREQUALIFICATION TEAM – MEDICINES
Questions
Antony Fake
Fakea@who.int

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1-5_API_Assessment-Impurities.pdf

  • 1. WHO PREQUALIFICATION TEAM – MEDICINES IMPURITIES Antony Fake API Focal Point, PQTm 1 IMPURITIES – PQTm Training Copenhagen, May 2016
  • 2. WHO PREQUALIFICATION TEAM – MEDICINES Introduction This presentation is made with reference to the preparation of an API. This is because the API is the source of the majority of impurities. When considering FPPs, the focus is largely on degradants, although excipient-API and leaching from containers must not be overlooked.
  • 3. WHO PREQUALIFICATION TEAM – MEDICINES What kinds of impurities are there? Impurities we add during preparation:
  • 4. WHO PREQUALIFICATION TEAM – MEDICINES What kinds of impurities are there? Impurities we add during preparation: Solvents, metal catalysts, starting materials, reagents
  • 5. WHO PREQUALIFICATION TEAM – MEDICINES What kinds of impurities are there? Impurities we add during preparation: Solvents, metal catalysts, starting materials, reagents Impurities we unintentionally add during preparation:
  • 6. WHO PREQUALIFICATION TEAM – MEDICINES What kinds of impurities are there? Impurities we add during preparation: Solvents, metal catalysts, starting materials, reagents Impurities we unintentionally add during preparation: Starting materials impurities; impurities within solvents, pesticides...
  • 7. WHO PREQUALIFICATION TEAM – MEDICINES What kinds of impurities are there? Impurities we add during preparation: Solvents, metal catalysts, starting materials, reagents Impurities we unintentionally add during preparation: Starting materials impurities; impurities within solvents, pesticides... Unwanted impurities that are made during preparation:
  • 8. WHO PREQUALIFICATION TEAM – MEDICINES What kinds of impurities are there? Impurities we add during preparation: Solvents, metal catalysts, starting materials, reagents Impurities we unintentionally add during preparation: Starting materials impurities; impurities within solvents, pesticides... Unwanted impurities that are made during preparation: Reaction intermediates, related-substances
  • 9. WHO PREQUALIFICATION TEAM – MEDICINES What kinds of impurities are there? Impurities we add during preparation: Solvents, metal catalysts, starting materials, reagents Impurities we unintentionally add during preparation: Starting materials impurities; impurities within solvents, pesticides... Unwanted impurities that are made during preparation: Reaction intermediates, related-substances Impurities that are contributed after API preparation:
  • 10. WHO PREQUALIFICATION TEAM – MEDICINES What kinds of impurities are there? Impurities we add during preparation: Solvents, metal catalysts, starting materials, reagents Impurities we unintentionally add during preparation: Starting materials impurities; impurities within solvents, pesticides... Unwanted impurities that are made during preparation: Reaction intermediates, related-substances Impurities that are contributed after API preparation: Degradation products Leaching from containers Excipient
  • 11. WHO PREQUALIFICATION TEAM – MEDICINES Where do we find information on impurities? Impurities we add during preparation: Solvents, metal catalysts – 3.2.S.2.2 Impurities we unintentionally add during preparation: SM impurities; impurities within solvents, pesticides - 3.2.S.2.3 Unwanted impurities that are made during preparation: Reaction intermediates (3.2.S.2.4), related-substances (3.2.S.3.2) Impurities that are contributed after API preparation : Degradation products (3.2.S.7) And of course 3.2.S.3.2 – Discussion of impurities
  • 12. WHO PREQUALIFICATION TEAM – MEDICINES Types of Impurities Organic impurities: • Related substances and, • Degradation products Solvents Metals Genotoxins
  • 13. WHO PREQUALIFICATION TEAM – MEDICINES All potential impurities Observed impurities Impurities needing to be controlled in specifications Individually specified impurities At what limit?
  • 14. WHO PREQUALIFICATION TEAM – MEDICINES All potential impurities Observed impurities
  • 15. WHO PREQUALIFICATION TEAM – MEDICINES API Monographs You can not rely upon an API monograph entirely for potential organic impurities. Many impurities are specific to the manner of API preparation and may not have been considered when the monograph was published. Of course monographs are a great start.
  • 16. WHO PREQUALIFICATION TEAM – MEDICINES Degradants Forced degradation studies will provide information on major degradants. Forced degradation studies will provide information on the acceptability of the analytical technique Monographs tend to be better at listing degradants.
  • 17. WHO PREQUALIFICATION TEAM – MEDICINES Reaction intermediates In any chemical reaction you can expect there to remain some of the original unreacted material. Reaction intermediates are therefore logical potential impurities. Almost without exception remnants of the reaction starting materials will be present in the API.
  • 18. WHO PREQUALIFICATION TEAM – MEDICINES Related Substances Reaction by-products more difficult to predict. Test method sensitivity is extremely important. What can it detect? Mass balance should be kept in mind. If there are multiple pharmacopoeial monographs, then at the very least consider all of these impurities. At least for investigation purposes.
  • 19. WHO PREQUALIFICATION TEAM – MEDICINES All potential impurities Observed impurities Impurities needing to be controlled in specifications
  • 20. WHO PREQUALIFICATION TEAM – MEDICINES International Guidance The thought process from moving from all potential impurities to what Impurities need to be controlled in specifications is a theme common to all the main impurities guidance: • ICH Q3A – Impurities in New Drug Substances • ICH Q3C – Residual Solvents • ICH Q3D – Elemental impurities • ICH M7 – Genotoxins
  • 21. WHO PREQUALIFICATION TEAM – MEDICINES Non-routine testing and skip testing In most of the guidance as you work through the various decision trees you will have a set of impurities that: • have real risk of occurrence, but • are below the threshold for inclusion as a routine test in the specifications.
  • 22. WHO PREQUALIFICATION TEAM – MEDICINES Non-routine testing and skip testing i.e. a Class II solvent used prior to the last step, but which has been demonstrated to be present at below 10% of its ICH limit. In such situations most guidance state “does not need to be routinely controlled”. What does “does not need to be routinely controlled” mean?
  • 23. WHO PREQUALIFICATION TEAM – MEDICINES Non-routine testing and skip testing Some regulators interpret this to mean: • does not need to be in the specification. PQT medicines interprets this to mean: • To be included as a skip test. We do this for a practical reason.
  • 24. WHO PREQUALIFICATION TEAM – MEDICINES Non-routine testing, skip testing If the test is stated in the specifications then this brings this to the attention of an assessor evaluating a post-approval variation. If it is not present in the specifications, there is a chance that the assessor will forget to consider if the solvent now needs to be routinely controlled, as a result of the post-approval change being proposed.
  • 25. WHO PREQUALIFICATION TEAM – MEDICINES All potential impurities Observed impurities Impurities needing to be controlled in specifications Individually specified impurities At what limit?
  • 26. WHO PREQUALIFICATION TEAM – MEDICINES Q3A – Control of organic impurities in the API The next slides assumes an investigation has already been performed into potential organic impurities. It assumes the manufacturer has demonstrated or presented logical arguments justifying the target impurities. i.e. just does not simply refer to impurities listed in a monograph. It assumes the manufacturer has used appropriately sensitive analytical techniques during investigations It assumes the routine analytical method is appropriate to control routinely occurring impurities.
  • 27. WHO PREQUALIFICATION TEAM – MEDICINES Thresholds QF Threshold ID Threshold Reporting Threshold
  • 28. WHO PREQUALIFICATION TEAM – MEDICINES Threshold verses limit A threshold is not a barrier. The observed amounts of impurities may pass through (exceed) the threshold. However, as the impurity level passes successive thresholds the requirements on the manufacturer increases. nhfaithfusion.com
  • 29. WHO PREQUALIFICATION TEAM – MEDICINES Threshold verses limit qjs.dromfgp.top A limit is an acceptable level of impurity agreed between the manufacturer and regulator. The impurity may not exceed this level.
  • 30. WHO PREQUALIFICATION TEAM – MEDICINES Reporting threshold For APIs taken less then 2g per day 0.05% For APIs taken greater then 2g per day 0.03%
  • 31. WHO PREQUALIFICATION TEAM – MEDICINES Exceeding the Reporting threshold QF Threshold ID Threshold Reporting Threshold
  • 32. WHO PREQUALIFICATION TEAM – MEDICINES Reporting threshold Every time a peak is observed above the reporting threshold it needs to be recorded in the laboratory results. It avoids the applicant from having to report every little peak that is observed in the chromatogram. A peak above the reporting threshold does not (necessarily) need to be specified in the API specifications. However, any peak above the reporting threshold must be counted towards the Total impurity content reported in the Certificate of Analysis. Therefore, these impurities are being controlled under the limit for any unknown impurity.
  • 33. WHO PREQUALIFICATION TEAM – MEDICINES Exceeding the ID threshold QF Threshold ID Threshold Reporting Threshold
  • 34. WHO PREQUALIFICATION TEAM – MEDICINES Identification threshold For APIs taken less then 2g per day The lesser of 0.10% or 1.0 mg TDI For APIs taken greater then 2g per day 0.05%
  • 35. WHO PREQUALIFICATION TEAM – MEDICINES Exceeding the ID threshold If a peak is observed routinely above the ID threshold then the impurity must be: • Specified individually in the API specifications (by name or RRT). • Identified (or efforts made to do so)
  • 36. WHO PREQUALIFICATION TEAM – MEDICINES “Routinely Observed” Normally, the decision to include an impurity in the specifications is based upon the likelihood it will occur routinely. • For instance, when observed above the ID threshold in long-term stability data, or commonly occurs in batches when tested at release. An impurity only occurring in accelerated stability trials, forced degradation trials, or during development may not need to be included.
  • 37. WHO PREQUALIFICATION TEAM – MEDICINES Exceeding the QF thresholds QF Threshold ID Threshold Reporting Threshold
  • 38. WHO PREQUALIFICATION TEAM – MEDICINES Qualification threshold For APIs taken less then 2g per day The lesser of 0.15% or 1.0 mg TDI For APIs taken greater then 2g per day 0.05% An impurity limit above the Qualification threshold must be known to be safe.
  • 39. WHO PREQUALIFICATION TEAM – MEDICINES Justifying a limit exceeding the QF Threshold Refer to a limit in a recognised monograph - WARNING – it must be a specified Impurity. …Impurity A , no more than 0.25% - OK …Any impurity no more than 0.5% - Not OK Present literature evidence in support of the limit. Present the results of toxicological studies supporting the safety of the limit. Provide comparative impurity content data from innovator or PQ’d products Set the limit to 0.15% (or 1 mg TDI) and modify the process to meet this limit.
  • 40. WHO PREQUALIFICATION TEAM – MEDICINES Example time The lesser of 0.15% or 1.0 mg TDI Watch out! Must be above… 2 significant figures
  • 41. WHO PREQUALIFICATION TEAM – MEDICINES Example 1 A peak is observed at 0.086%. At 1150 mg total daily dose Is this above the Qualification threshold? Raw value Threshold Above QF threshold? 0.086% 0.15% Raw value Equivalent in mg Above QF threshold? 0.086%
  • 42. WHO PREQUALIFICATION TEAM – MEDICINES Example 1 A peak is observed at 0.086%. At 1150 mg total daily dose Is this above the Qualification threshold? Reported peak Threshold Above QF threshold? 0.09% 0.15% Reported peak Equivalent in mg Above QF threshold? 0.09%
  • 43. WHO PREQUALIFICATION TEAM – MEDICINES Example 1 A peak is observed at 0.086%. At 1150 mg total daily dose Is this above the Qualification threshold? Reported peak Threshold Above QF threshold? 0.09% 0.15% No Reported peak Equivalent in mg Above QF threshold? 0.09%
  • 44. WHO PREQUALIFICATION TEAM – MEDICINES Example 1 A peak is observed at 0.086%. At 1150 mg total daily dose Is this above the Qualification threshold? Reported peak Threshold Above QF threshold? 0.09% 0.15% No Reported peak Equivalent in mg Above QF threshold? 0.09% 1.035 mg
  • 45. WHO PREQUALIFICATION TEAM – MEDICINES Example 1 A peak is observed at 0.086%. At 1150 mg total daily dose Is this above the Qualification threshold? Reported peak Threshold Above QF threshold? 0.09% 0.15% No Reported peak Equivalent in mg Above QF threshold? 0.09% ~1.0 mg
  • 46. WHO PREQUALIFICATION TEAM – MEDICINES Example 1 A peak is observed at 0.086%. At 1150 mg total daily dose Is this above the Qualification threshold? Reported peak Threshold Above QF threshold? 0.09% 0.15% No Reported peak Equivalent in mg Above QF threshold? 0.09% ~1.0 mg No
  • 47. WHO PREQUALIFICATION TEAM – MEDICINES Example 2 A peak is observed at 0.153%. At 1800 mg total daily dose Is this above the Qualification threshold? Raw value Threshold Above QF threshold? 0.153% 0.15% Raw Value Equivalent in mg Above QF threshold? 0.153%
  • 48. WHO PREQUALIFICATION TEAM – MEDICINES Example 2 A peak is observed at 0.153%. At 1800 mg total daily dose Is this above the Qualification threshold? Reported peak Threshold Above QF threshold? 0.15% 0.15% Reported peak Equivalent in mg Above QF threshold? 0.15%
  • 49. WHO PREQUALIFICATION TEAM – MEDICINES Example 2 A peak is observed at 0.153%. At 1800 mg total daily dose Is this above the Qualification threshold? Reported peak Threshold Above QF threshold? 0.15% 0.15% No Reported peak Equivalent in mg Above QF threshold? 0.15%
  • 50. WHO PREQUALIFICATION TEAM – MEDICINES Example 2 A peak is observed at 0.153%. At 1800 mg total daily dose Is this above the Qualification threshold? Reported peak Threshold Above QF threshold? 0.15% 0.15% No Reported peak Equivalent in mg Above QF threshold? 0.15% 2.7 mg
  • 51. WHO PREQUALIFICATION TEAM – MEDICINES Example 2 A peak is observed at 0.153%. At 1800 mg total daily dose Is this above the Qualification threshold? Reported peak Threshold Above QF threshold? 0.15% 0.15% No Reported peak Equivalent in mg Above QF threshold? 0.15% 2.7 mg Yes
  • 52. WHO PREQUALIFICATION TEAM – MEDICINES Relative response factors API Imp A Imp B Which impurity is present in the greater amount? UV Abs
  • 53. WHO PREQUALIFICATION TEAM – MEDICINES Relative response factors API Imp A Imp B Which impurity is present in the greater amount? It is impossible to tell without further information. UV Abs
  • 54. WHO PREQUALIFICATION TEAM – MEDICINES The size of a peak in a chromatogram is determined by the amount of impurity present, but also how well it responds to the detector. In HPLC-UV techniques the response is due to the inherent UV absorbance of the impurity at the detected wavelength. Some impurities will not be detected at all! RRF = Response of Imp/Response of API, but always check the formula just in case the ratio is described differently. Relative response factors
  • 55. WHO PREQUALIFICATION TEAM – MEDICINES Response factors At the time of initial development and investigation it is assumed the response factor = 1. For reporting thresholds it is assumed the response factor = 1. When impurities are identified their response factor must be considered. The RRF for all identified impurities should be established.
  • 56. WHO PREQUALIFICATION TEAM – MEDICINES Relative response factors When an RRF of between 0.8 to 1.2 is it not mandatory to apply the correction. The use of a RRF could shift an observed impurity from one threshold to another. This is often of benefit to the applicant. If the response of an impurity is greater than the equivalent amount of API (RRF>1) it could mean a peak no longer exceeds the Qualification threshold.
  • 57. WHO PREQUALIFICATION TEAM – MEDICINES Relative Response Factor (RRF) Response factor: Is the response (e.g. peak area) of drug substance or related substances per unit weight. RF= peak area / concentration (mg/ml) Relative response factor (RRF): Is the ratio pf the Impurity RF verses the API RF RRF=RF impurity / RF API
  • 58. WHO PREQUALIFICATION TEAM – MEDICINES Relative Response Factor (RRF) If the amount of impurity is being calculated by reference to an Impurities Reference Standard then RRF is not a concern, since the determination is being made with direct comparison to a known amount (i.e. the reference standard). However, if the impurity content is being determined by comparing the impurity peak to the API peak then the RRF of the impurity needs to be considered.
  • 59. WHO PREQUALIFICATION TEAM – MEDICINES Relative Response Factor (RRF) The simplest way of determining an RRF of an impurity is to compare the peak areas from injections of the same amount of impurity and API. RRF=Impurity peak area / API peak area (only if both have the same concentration)
  • 60. WHO PREQUALIFICATION TEAM – MEDICINES Relative Response Factor (RRF) In practice, since it is difficult to isolate suitable quantities of an impurity, the more common way of determining RRF of an impurity is to compare the slopes of the impurity and API over a range of concentrations. RRF=slope impurity / slope API
  • 61. WHO PREQUALIFICATION TEAM – MEDICINES Relative Response Factor (RRF) Rifampicine: y =31.312 x + 4.963 Rifampicine Quinone: y = 26.198 x + 1.154 RRF= 26.198 / 31.312 =0.84
  • 62. WHO PREQUALIFICATION TEAM – MEDICINES Questions Antony Fake Fakea@who.int