The document discusses guidelines for controlling elemental impurities in active pharmaceutical ingredients (APIs) according to new regulatory requirements. It provides an overview of:
1) Background guidelines from various regulatory agencies on limiting elemental impurities.
2) Reasons for the new requirements to replace heavy metal testing, including difficulties with reproducibility and safety of current methods.
3) Classification of elemental impurities based on toxicity and permissible intake limits set by the ICH.
It also outlines procedures for method development, validation, and implementation of elemental impurity testing and control as defined in USP general chapters 232 and 233.
New guidelines relating to elemental impurities from the International Conference on Harmonization (ICH), Q3D Guideline for Elemental Impurities have presented the pharmaceutical industry with new challenges. This new guidance has been developed to provide a global policy for limiting metal impurities qualitatively and quantitatively in drug products and ingredients.
New guidelines relating to elemental impurities from the International Conference on Harmonization (ICH), Q3D Guideline for Elemental Impurities have presented the pharmaceutical industry with new challenges. This new guidance has been developed to provide a global policy for limiting metal impurities qualitatively and quantitatively in drug products and ingredients.
Impurity profiling and degradent characterization {presented by shameer m.pha...ShameerAbid
these slides discuss
Impurity profiling
Degradation characterization
Stability testing & Accelerated stability testing (ICH)
Evaluation of the test (shelf life)
analytical method development
ICH vs USP definition
methods for identification
method for the isolation of the impurity
factors affecting the degradation of formulation
What is degradation characterization
general protocol of degradation conditions used for drug substance and drug product
Degradation conditions
Stress testing
Container closure system
To recommend acceptable amounts for residual solvents in pharmaceuticals for the safety of the patient. The guideline recommends use of less toxic solvents and describes levels considered to be toxicologically acceptable for some residual solvents.
The guideline applies to all dosage forms and routes of administration.
This guidelines does not address all possible solvents, only those identified in drugs at that time, neither address solvents intentionally used as excipients nor solvates.
The maximum acceptable intake per day of residual solvent in pharmaceutical products is defined as “permitted daily exposure” (PDE)
Previously, another terms were used like “Tolerable daily intake” (TDI) & “Acceptable daily intake” (ADI) by different organization & authorities, but now usually this new term “PDE” is used
In this slide contains Introduction, levels of cleaning, mechanism, sampling method of cleaning validation.
Presented by: P. VENKATESH (Department of pharmaceutical analysis).RIPER, anantapur
University Institute of Pharmaceutical Sciences is a flag bearer of excellence in Pharmaceutical education and research in the country. Here is another initiative to make study material available to everyone worldwide. Based on the new PCI guidelines and syllabus here we have a presentation dealing with qualifications of HPLC which is the " High Performance Liquid Chromatography".
Thank you for reading.
Hope it was of help to you.
UIPS,PU team
The drug or drug combination may not be official in any pharmacopoeias.
A proper analytical procedure for the drug may not be available in the literature due to patent regulations.
Analytical methods may not be available for the drug in the form of a formulation due to the interference caused by the formulation excipients.
Analytical methods for the quantitation of the drug in biological fluids may not be available.
Analytical methods for a drug in combination with other drugs may not be available.
The existing analytical procedures may require expensive reagents and solvents. It may also involve cumbersome extraction and separation procedures and these may not be reliable.
Residual solvents
USP <467>
ICH Q3C
Classification of Residual Solvents by Risk Assessment
Options for Determining Levels of Class 2 Residual Solvents
Methods For Establishing Exposure Limits
Analytical Procedures
Determination of Elemental Impurities – Challenges of a Screening MethodSGS
On Dec. 16, 2014 the ICH Working Group published the elemental impurities guideline into the current version step 4. The aim of this control strategy is to track impurities that may contaminate pharmaceutical products that are potentially contributed by several sources. Additionally, the guideline also focuses on final drug product quality. To ensure that all components & all needed production steps required for a pharmaceutical product demonstrate regulatory compliance, risk assessment will become a priority for every pharmaceutical manufacturer. This approach of testing & documentation can become a major challenge, especially in the consideration of various potential sources.
Impurity profiling and degradent characterization {presented by shameer m.pha...ShameerAbid
these slides discuss
Impurity profiling
Degradation characterization
Stability testing & Accelerated stability testing (ICH)
Evaluation of the test (shelf life)
analytical method development
ICH vs USP definition
methods for identification
method for the isolation of the impurity
factors affecting the degradation of formulation
What is degradation characterization
general protocol of degradation conditions used for drug substance and drug product
Degradation conditions
Stress testing
Container closure system
To recommend acceptable amounts for residual solvents in pharmaceuticals for the safety of the patient. The guideline recommends use of less toxic solvents and describes levels considered to be toxicologically acceptable for some residual solvents.
The guideline applies to all dosage forms and routes of administration.
This guidelines does not address all possible solvents, only those identified in drugs at that time, neither address solvents intentionally used as excipients nor solvates.
The maximum acceptable intake per day of residual solvent in pharmaceutical products is defined as “permitted daily exposure” (PDE)
Previously, another terms were used like “Tolerable daily intake” (TDI) & “Acceptable daily intake” (ADI) by different organization & authorities, but now usually this new term “PDE” is used
In this slide contains Introduction, levels of cleaning, mechanism, sampling method of cleaning validation.
Presented by: P. VENKATESH (Department of pharmaceutical analysis).RIPER, anantapur
University Institute of Pharmaceutical Sciences is a flag bearer of excellence in Pharmaceutical education and research in the country. Here is another initiative to make study material available to everyone worldwide. Based on the new PCI guidelines and syllabus here we have a presentation dealing with qualifications of HPLC which is the " High Performance Liquid Chromatography".
Thank you for reading.
Hope it was of help to you.
UIPS,PU team
The drug or drug combination may not be official in any pharmacopoeias.
A proper analytical procedure for the drug may not be available in the literature due to patent regulations.
Analytical methods may not be available for the drug in the form of a formulation due to the interference caused by the formulation excipients.
Analytical methods for the quantitation of the drug in biological fluids may not be available.
Analytical methods for a drug in combination with other drugs may not be available.
The existing analytical procedures may require expensive reagents and solvents. It may also involve cumbersome extraction and separation procedures and these may not be reliable.
Residual solvents
USP <467>
ICH Q3C
Classification of Residual Solvents by Risk Assessment
Options for Determining Levels of Class 2 Residual Solvents
Methods For Establishing Exposure Limits
Analytical Procedures
Determination of Elemental Impurities – Challenges of a Screening MethodSGS
On Dec. 16, 2014 the ICH Working Group published the elemental impurities guideline into the current version step 4. The aim of this control strategy is to track impurities that may contaminate pharmaceutical products that are potentially contributed by several sources. Additionally, the guideline also focuses on final drug product quality. To ensure that all components & all needed production steps required for a pharmaceutical product demonstrate regulatory compliance, risk assessment will become a priority for every pharmaceutical manufacturer. This approach of testing & documentation can become a major challenge, especially in the consideration of various potential sources.
High variability in PK can be a characteristic of certain drug products which require different from ordinary strategies and study designs for establishing bioequivalence.
Practical Implementation of the New Elemental Impurities Guidelines May 2015SGS
The International Conference on Harmonization (ICH) released its Q3D Guideline for Elemental Impurities in December 2014, initiating reviews and changes in quality testing programs in bio/pharmaceutical companies around the world. In advance of the implementation dates, companies need to assess the risks of potential elemental impurities in their process and materials streams.
In this presentation, experts will review the requirements of elemental impurities guidelines from ICH, the European Pharmacopeia, and United States Pharmacopeia, outline practical recommendations to address implementation challenges, and discuss key considerations for analytical testing programs.
Previously certain classes of active substances were required to be manufactured in dedicated or segregated self-contained facilities Certain antibiotics, Certain hormones, Certain cytotoxic ,Certain highly active drugs .This was due to the perceived risk of these active substances.
Pharmaceuticals not covered under these criteria were addressed by a cleaning validation process This involved reduction of the concentration of residual active substance to a level where the maximum carryover from the total equipment train would result in no greater than 1/1000th of the lowest clinical dose of the contaminating substance in the maximum daily dosage of the next product to be manufactured.
This criterion was applied concurrently with a maximum permitted contamination of 10 ppm of the previous active substance in the next product manufactured. Whichever of these criteria resulted in the lowest carryover, constituted the limit applied for cleaning validation. However, these limits did not take account of the available pharmacological and toxicological data They may have been too restrictive or not restrictive enough. EMA therefore felt for a more scientific case by case approach for all classes of pharmaceutical substances.
These presentations are compiled by Drug Regulations – a not for profit organization from publicly available material form FDA , EMA, EDQM, WHO and similar organizations.
Ich q3d for elemental impurities risk evaluationAzierta
Directive ICH Q3D aims to limit the presence of potentially toxicelemental impurities (also known as heavy metals) in pharmaceutical products intended for human use.
This directive is linked to changes in the pharmacopoeias (Ph.Eur. & USP) with the introduction of new, safer, more selective and precise analytical methods with greater reproducibility and better recovery.
Likewise the directive establishes the toxicity limits of potentially present elements.
Directive ICH Q3D sets out a list of 24 elements divided into four categories (classes 1, 2A, 2B and 3), in relation to their toxicity and their probability of occurrence and the maximum permitted daily exposure (PDE: Permitted Daily Exposure) for each impurity according to the administration route (µg / day).
The ICH Q3D Guideline for Elemental Impurities came into effect on January 2018 for all the products for human use. It is supplementary safety-based guidance for toxic impurities that added the existing ICH Q3C and ICH M7 as well as the existing guidelines for non-toxic impurities ICH Q3A and non-toxic degradants ICH Q3B.
However, it does not specify limit for the major components of drug products. This brings excipients in particular under examination, being they, unlike APIs, lack established daily doses.
Due to the low limits of elemental impurities there is requirement of most advanced instruments ICP-MS. The new guidance address not only the most toxic metals, but also a number of elements introduced intentionally, fetching the total number of elements are 24.
This presentation compares two United States Pharmacopial Convention (USP) regulations, 735 and 233, and their usefulness for performing elemental impurity analysis in pharmaceutical products. Conclusions are drawn based on performance, price and efficiency. For more info, go to www.ssi.shimadzu.com. Thanks for viewing.
THE PRESENTATIONS DESCRIBES THE ICH GUIDELINE FOR RESIDUAL SOLVENTS i.e Q3C.
IT contains the basic of ICH and the complete description about the ICH guideline Q3C and its classification,limits,acceptance criteria in Pharma industries and the standards.
#Pharmaceuticalguideline
#medicine
#healthandmedicine
FDA Feedback Regarding Chemistry for Toxicological Risk Assessment – How to M...Greenlight Guru
One of the newest biocompatibility evaluation tools is extractable and leachable (E&L) testing. A correctly run E&L study, with an accompanying toxicological evaluation, can be used to replace traditional tests like systemic toxicity, genotoxicity, reproductive toxicity, and carcinogenicity. The data gained from these studies can help understand the total risk of your device to an intended population of users; but unlike the traditional animal tests, it comes with separate risks. These tests are not your typical “stamped” tests, where every lab gives a similar quality of results. Because of this, FDA has refined a strict, detailed, list of parameters that should be included in every test. This list is very dynamic and is changing rapidly; the best way to make sure you are performing the correct version of the test is to learn from the most recent FDA feedback on studies.
TAKEAWAY ITEMS:
• Understand recent FDA feedback and dissect what FDA is asking/looking for
• Learn how to address these concerns and develop a protocol to make sure you don’t receive similar questions
• Recognize how FDA is using the new ISO 10993-18 and where they deviate from that standard
This session took place live at the Greenlight Guru True Quality Virtual Summit, a three-day event for medical device professionals to learn to get their devices to market faster, stay ahead of regulatory changes, and use quality as their multiplier to grow their device business.
Drug Discovery path
Pharma R & D –overview
Discovery & Development
Preclinical research
Clinical Trial
NDA and FDA Approval
Post marketing data
References
Optical Rotation and Polarimeter by Dr. A. AmsavelDr. Amsavel A
Isomers and enantiomers
Specific Optical Rotation
Polarimeter
Instrumentation and Operation
Factors affect the Optical Rotation
Calibration
Application Specifically Pharmaceutical Industries
Personal Hygiene for pharma industry-Dr. A. AmsavelDr. Amsavel A
Personal hygiene
Source of Contamination and control
GMP Requirement /Guideline
Procedures & Records
Protective Clothing & gowning
Health Examination
Hand wash – How and when
Training & Practice
by Dr. A. Amsavel
Awareness on Cancer
what are the causes for cancer
Terminology
Classification of Cancers
Signs and Symptoms
Stages of Cancers (TSM)
Types of Cancer Treatments
Surgery, Chemotherapy, Radiation Therapy etc
Side effects on treatment
Palliative care
FTIR SPECTROSCOPY,
Principle, Theory, Instrumentation and Application in Pharmaceutical Industry
IR Spectroscopy- Absorption Theory
Type of Vibrations & Vibration Energy level
FTIR Spectrophotometer-Instrumentation
Operation of the Spectrophotometer
Qualification & Calibration
IR Absorption by Organic compounds
Application
FDA citation in FTIR Analysis-Pharmaceutical Industries
UV -Vis Spectrophotometry- Principle, Theory, Instrumentation and Application...Dr. Amsavel A
UV -Vis Spectrophotometry- Principle, Theory, Instrumentation and Application in Pharmaceutical Industry Dr. A. Amsavel.
UV &Visible Spectroscopy-Absorption Theory
Electronic Transitions
Beer- Lambert Law
Chromophores & Auxochrome
Factors Influence the Absorption
UV-Vis Spectrophotometer-Instrumentation
Operation of the Spectrophotometer
Qualification & Calibration
Application
Handling of Refernce Standards_Dr.A.Amsavel Dr. Amsavel A
Definition
Requirements
Guidelines
Pharmacopiea
Types of Reference Standards
SOP for handling of Reference Standards
Qualification of Secondary Standards
Assigning Potency, Storage and Use
Documents & Records
Contamination Control in Cleanrooms_Dr.A. AmsavelDr. Amsavel A
Basic’s of Contamination
Sources of Contamination
Environment Specification
Elements of Cleanroom Design and Qualification
Definitions
Control of Contaminations
People, Cleaning, Environment & Material
Operation, Monitoring and Control
Documents and Records
Handling of Customer Complaint_Dr.A.AmsavelDr. Amsavel A
Reference Guideline
Definitions
GMP Requirement: 21 CFR § 211.198 and ICH Q7
Procedure for Handling of Complaints
Complaint Investigation
Remedial action and CAPA
Report preparation
Response to customer
Verification of CAPA effectiveness
Review of Complaints
Review of Quality Control Record and Analytical Data by Dr. A. AmsavelDr. Amsavel A
Review of Quality Control Record and Analytical Data
Objective and Requirement for Analytical data review
Role of Analyst and reviewer,
Procedure and checklist for review of records/data
Review of traceable /associated documents
Review of calibration, Reference standard record, sampling reports,
Review of Audit trail
Role of Analyst & Reviewer
Review of chromatograms& audit trail,
Data Integrity & Good Record Practice
FDA Citations
Volumetric Analysis
Titration Basics
Reaction, End point & Indicators
Types of Titrations
Acid – Base Theory & Principles
Acid Base titration
Non- Aqueous Titration
Precipitation Titration
Complexometric Titration
Oxidation- Reduction Titration
Calculation
General Information
Errors
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
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We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
2. Content
• Introduction
• Guidelines on elemental impurities
• Background for new requirement
• Standard / Limit
• Procedure & instrument
• Method development & validation
• Implementation
3. General Notices USP 38—NF 33
• General chapters <232> was published June 1, 2012, in the Second
Supplement to USP 35 to effect from Feb 1, 2013 and deferred.
• As per USP37 Sup-2, General Notices provision becomes official
from January 1, 2018.
– Elemental impurities has to be controlled in official drug products
according to the principles defined and requirements standard specified
in Elemental Impurities—Limits <232>, Also see <232> for information
related to drug substances and excipients.
• But It is expected for drug substances and excipients.
4. USP on Elemental Impurities
USP General Chapter <231> Background and issues
Toxicology considerations
Chapter <232> - Elements and Limits
Chapter <233> - Procedures
Implementation Plans
5. Guidelines
1. Guideline On The Specification Limits For Residues Of Metal
Catalysts Or Metal Reagents ; EMEA/CHMP/SWP/4446/2000;
21 February 2008
2. ICH Guideline- Q3D on Elemental Impurities (Step-4;
16 December 2014)
3. CDER adopted ICH: Q3D Elemental Impurities-Guidance for
Industry; September 2015
4. EMA adopted ICH :EMA/CHMP/ICH/353369/2013- 25 August
2015
6. Why this new requirement
Presently, there is a test for Heavy metals; then why
regulatory/ standard setting agencies are insist for
revision
Is this change required?
• As a professional in Industry
• As consumer
7. Disadvantages of Heavy metal test:
Presently Heavy metal test is being followed, but there are disadvantages :
• Difficulties in reproducibility
– Colour of solution is subjective,
– standards change with time;
– recovery issues
• Difficulties with reagents – safety issues
–All procedures generate H2S (including Thioacetamide) and H2S more toxic than
cyanide
–Thioacetamide is not allowed in several countries
• Non-discriminatory screening test
–Not element specific
–Sensitivity varies by element
–Only a few elements respond at required sensitivities
9. Key Elements under heavy metals
• As, Cd, Pb, Hg are clasifed as key /major
elements under heavy metals
• Heavy metals are classified based on toxicity
• ICH classified as class-1, 2 & 3
10. Toxicology
• Approach to elemental impurity control that is
both health based and risk based
• Control metals that are toxic
• Setting limits that are toxicologically relevant
• At all times during a drug product’s shelf life
• Risk-based approach -what is to be tested and
when to test
11. Dose Levels and Toxicity
–NOEL: No-Observed Effect Level
–NOAEL: No-Observed-Adverse Effect Level
–LOAEL: Lowest-Observed-Adverse Effect Level
–MTD : Maximum Tolerated Dose
–LD50: Lethal Dose to 50% of population
Increasingdose
Safe
Less safe
12. Reference Dose (RfD)
(toxic level)
• An estimate of the daily dose of a chemical that
will avoid toxic effects other than cancer
• NOAEL or LOAEL is adjusted by uncertainty
factors (UF) to allow for differences in sensitivity
to chemicals
–Human data UF = 10
–Animal data UF: –100 (NOAEL)
–1000 (LOAEL)
–1000 (NOAEL, less data)
13. PDE Calculation
RfD = NOAEL/UF
Eg. NOAEL is 10 μg/kg/day based on human data
UF=10:
RfD = 10μg/kg/day (NOAEL)/10 (UF) = 1μg /kg/day
RfD is used to calculate Permissible Daily Exposure
(PDE)
(RfD X Weight) = PDE
PDE Example: 50 kg person and RfD = 1 μg/kg/day:
PDE = 1 μg/kg/day X 50 kg = 50 μg/day
14. PDE Calculation
What if only LOAEL or limited NOAEL is available
RfD = NOAEL/UF
Eg.: NOAEL = 10 μg/kg/day based on animal data
UF=1000:
RfD = 10 μg/kg/day (NOAEL)/1000(UF) = 0.01 μg/kg/day
RfD is used to calculate Permissible Daily Exposure (PDE)
(RfD X Weight) = PDE
PDE Example: 50 kg person and RfD = 0.1 μg/kg/day:
PDE = 0.1 μg/kg/day X 50 kg = 0.5 μg/day
15. Elemental Impurities-Limits <232>
• Implementation of Chapters <232> and <223>
• Omission of Chapter <231> Heavy Metals
• Elemental Impurities:
– Scope and application
– Elemental Impurities
• Implementation :
– Drug Product Analysis Option
– Summation Option
– Individual Component Option
16. General Notices USP 37—NF 32 Suppl- 2
• “Elemental impurities to be controlled in official drug
products according to the principles defined and
requirements standard”.
Scope:
• This General Chapter specifies limits for the amounts of
elemental impurities in drug products.
• The limits presented in this chapter do not apply to excipients
and drug substances, except where specified in this chapter or
in the individual monographs. However, elemental impurity
levels present in drug substances and excipients must be
known and reported.
17. General Chapter <232> Basics
• Applies to drug products
– Drug substances
– Excipients
• Does not apply to dietary supplements
• Does not apply to veterinary products
• Does not apply to Dialysates and Total Parenteral
Nutritions (TPN)
• Does not apply to vaccines
• Speciation is not addressed in this Chapter
• Procedures are specified in <233>
18. Elemental Impurities compliance
Options available for determination of drug product:
• Drug Product Analysis Option
• Summation Option
• Individual Component Approach for LVP
Drug Product Analysis Option is Generally Applicable / well acceptable
Determination & Calculation:
–The results obtained from the analysis of a typical dosage
unit scaled to a maximum daily dose.
–Daily Dose PDE > measured value (μg/g) x maximum daily
dose (g/day)
19. Source of Elemental Impurities
• Environmental contaminants
• Catalysts
They may be:
– Naturally occurring – minerals , Hyflo
– Added intentionally - Catalyst
– Introduced inadvertently
–Through interactions with processing equipment
–Through non-GMP routes - Reagents , early stage material
• Elemental Impurities are
– known to be present,
– have been added, or
– have the potential for introduction,
– A risk-based control strategy may assure compliance.
– compliance with the limits is required for all drug products at all
times.
20. Default Concentration Limits for Drug
Substances
Element
Concentration
Limits (mg/g) for
Oral Drug
Products with a
Maximum Daily
Dose of £10 g/day
Concentration Limits
(mg/g) for Parenteral
Drug Products with a
Maximum Daily Dose of
£10 g/day
Concentration
Limits (mg/g) for
Inhalational
Maximum Daily
Dose of £10 g/day
Cadmium 2.5 0.25 0.15
Lead 0.5 0.5 0.5
Inorganic arsenic0.15 0.15 0.15
Inorganic mercury1.5 0.15 0.15
Iridium 10 1.0 0.15
Osmium 10 1.0 0.15
Palladium 10 1.0 0.15
Platinum 10 1.0 0.15
Rhodium 10 1.0 0.15
Ruthenium •10• (ERR 1-Oct-2012)•1.0• (ERR 1-Oct-2012)•0.15• (ERR 1-Oct-2012)
Chromium —a —a 2.5
Molybdenum 10 1.0 •1.0• (ERR 1-Oct-2012)
Nickel 50 5.0 0.15
Vanadium •10• (ERR 1-Oct-2012)•1.0• (ERR 1-Oct-2012)•3.0• (ERR 1-Oct-2012)
Copper 100 10 •10• (ERR 1-Feb-2013)
21. Classification as per ICH Q3D
• Class 1: The elements, As, Cd, Hg, & Pb, are human toxicants; testing
should only be applied when the risk assessment identifies
• Class 2: Elements in this class are generally considered as human
toxicants are route-dependent;
– Class 2A elements have relatively high probability of occurrence in
the drug product. Elements are: Co, Ni and V.
– Class 2B elements have a reduced probability of occurrence in the
drug product related to their low abundance and low potential
– they may be intentionally added during the manufacture.
Elements : Ag, Au, Ir, Os, Pd, Pt, Rh, Ru, Se and Tl.
• Class 3: The elements in this class have relatively low toxicities. The
elements in this class include: Ba, Cr, Cu, Li, Mo, Sb, and Sn.
• Asses if high PDEs, generally > 500 μg/day.
22. Elements to be Considered in the
Risk Assessment-ICH
Element Class
If
intentionally
added (all
routes)
Oral Parenteral Inhalation
Cd 1 yes yes yes yes
Pb 1 yes yes yes yes
As 1 yes yes yes yes
Hg 1 yes yes yes yes
Co 2A yes yes yes yes
V 2A yes yes yes yes
Ni 2A yes yes yes yes
Tl 2B yes no no no
Au 2B yes no no no
Pd 2B yes no no no
Ir 2B yes no no no
Os 2B yes no no no
Rh 2B yes no no no
Ru 2B yes no no no
Se 2B yes no no no
Ag 2B yes no no no
Pt 2B yes no no no
Li 3 yes no yes yes
Sb 3 yes no yes yes
Ba 3 yes no no yes
Mo 3 yes no no yes
Cu 3 yes no yes yes
Sn 3 yes no no yes
Cr 3 yes no no yes
If not intentionally added
23. Limits as per ICH
Element Class2 Oral PDE μg/day Parenteral PDE, μg/day Inhalation PDE,μg/day
Cd 1 5 2 2
Pb 1 5 5 5
As 1 15 15 2
Hg 1 30 3 1
Co 2A 50 5 3
V 2A 100 10 1
Ni 2A 200 20 5
Tl 2B 8 8 8
Au 2B 100 100 1
Pd 2B 100 10 1
Ir 2B 100 10 1
Os 2B 100 10 1
Rh 2B 100 10 1
Ru 2B 100 10 1
Se 2B 150 80 130
Ag 2B 150 10 7
Pt 2B 100 10 1
Li 3 550 250 25
Sb 3 1200 90 20
Ba 3 1400 700 300
Mo 3 3000 1500 10
Cu 3 3000 300 30
Sn 3 6000 600 60
Cr 3 11000 1100 3
24. Calculation
–The results obtained from the analysis shall be calculated to
maximum daily dose.
–Daily Dose PDE > measured value (μg/g) x max. daily dose
(g/day)
Example
1. 500 mg Tablet used Once a day dosing . Measured content of arsenic of
0.75 μg/g of tablet contents
1.5 μg/day (PDE limit) > 0.75 μg/g x 0.5 g/day x 1 (0.375 μg/day)
2. 1g Tablet used thrice a day dosing . Measured content of lead 2μg/g of
tablet contents
Is Tablet meet the requirement or fails
25. Compendial Procedures
• Procedure 1: Can be used for elemental impurities
generally amendable to detection by ICP-AES/OES
• Procedure 2: Can be used for elemental
impurities generally amendable to detection by
ICP-MS.
• Verification: Meets Procedure Validation
Requirements
26. Implementation of Elemental Impurities
Why <231> cannot be validated
Choosing the appropriate instrument
Qualifying the lab
Determining which elements need to be validated
Setting specifications
Method development
Method validation
28. Analysis of Metal Residues as per EP 2.4.20
• Describes general approach for determination of metal
catalyst or metal reagent residues in substances for
pharmaceutical use.
• System suitability needs to be demonstrated
• Validation required for non-monograph procedures
• Sample preparation, detection limit technique,
instrument parameters is responsibility of the user
• Allows AAS, XRF, ICP-AES, ICP-MS
29. Analysis of Metal Residues as per EP 2.4.20
• Sample Preparation
– Aqueous of dilute nitric acid solutions
– Hydrogen peroxide, hydrochloric acid, sulfuric acid, perchloric
acid, hydrofluoric acid
– Dilute bases
– Organic solvents
– Digestions
• Hot-plate
• Microwave-assisted digestions
• Can be open-vessel if supported by spiking studies
• Acceptance criterion for preparation of sample solution: a clear
solution is obtained.
30. Analysis of Metal Residues as per EP 2.4.20
Measurement
–Acceptance criteria for measurement system: measured
concentration of standard solution does not differ from actual
concentration by NMT 20%
Quantitative Validation
–Specificity
–Range
–Accuracy – Recovery
–Repeatability
–Intermediate Precision
–Limit of Quantification
–Limit of Detection (Limit test only)
31. Elemental Impurities – Procedure USP <233>
Sample Preparation:
• Neat or dilute as per analysis range
• Direct aqueous solution – Sample is soluble in dilute acids and
bases
• Direct organic solution – Sample is soluble in an organic solvents
• Indirect solution/Closed vessel digestion – Digestion is required
using concentrated acids
• Incomplete digestion: should dissolve majority of sample
– Supported by spiking – if after filtration or centrifuge, recoveries are
within limits set in USP <233>
– Prepare appropriate ref (SRM) to matrix, values should be within COA
• Leachate extraction can be justified
• Total metal extraction is preferred
33. ICP-OES and ICP-AES
Advantages
–Dynamic range: 10^6-10^8
–Ability to analyze multiple elements at one time
–Ability to perform a scan
–Able to analyze samples with high dissolved solids without
significant signal suppression
–Precision: RSD < 5%
Disadvantages
–Higher detection limits
–Spectral interferences
–Consumes 2 – 5 mL of sample preparation
34. Elemental Impurities – Procedure
Procedure I: ICP-AES, ICP-OES and Procedure II: ICP-MS
–Standardization solution 1: 1.5J of the Target elements in a Matched
matrix
–Standardization solution 2: 0.5J of the Target elements in a Matched
matrix
–Prepare a matrix matched blank
–Sample solution: Prepare/dilute the sample to obtain a final
concentration of Target elements at 1.5J.
J = The concentration (w/w) of the element t at the Target limit, appropriately diluted
to the working range of the instrument.
Note: Dilutions will be required if sample concentration exceeds 1.5J.
Analyze in accordance with manufacturer’s suggestions
–System suitability requirements – Tuning the instrument
–Suggested wavelengths
35. Elemental Impurities – Procedure
Procedure I: ICP-AES, ICP-OES and Procedure II: ICP-MS
Analysis:
• Standardization standard solution 1, Standardization standard
solution 2, and Blank
• Evaluate system suitability (after tuning)
Note: Confirm the standards prepared correctly? & background of the
instrument clean enough for use
• If system suitability has been met – Analyze the Sample
solution(s)
• –Drift: Analyze standardization solution 1 (1.5J) after Sample
solutions
• Suitability criteria: NMT 20% drift for each Target element
36. Method Development
Sample preparation used should yield a clear solution if at all possible
• If solubility of sample is known, dissolve & dilute to get desired level
• If solubility is unknown:
• –Dissolve in dilute acid solution (1 – 5%) / Dissolve in organic solvent
– Ensure solvent is not contaminated with elements of interest
• Digest the sample in an open-vessel / Hot block or microwave
– Needs to be supported by spiking studies to address possible loss of volatile
elements
• Digest samples in a closed-vessel microwave
– Digestion tubes may need to be pre-screened prior to use
– Keep acid concentration low in sample prep, if possible.
• suggest <5% for nitric, hydrochloric and <2% for hydrofluoric
• Dissolve in dilute base solution (<10%)
– Stability of metals needs to be established
– Bases may not be appropriate for all elements
37. Method Development
Prepare sample at a dilution to the desired level
– Example: Specification is 0.5 μg/g for Pb – Limit Test
• Instrument detection limit is 0.1 μg/L
• Detection limit of 0.25 μg/g is needed
• A maximum dilution factor of 2500x will be required
– Example: Specification is 0.5 μg/g for Pb –
Quantitative Method Validation
• Instrument detection limit is 0.1 μg/L
• Detection limit of 0.125 μg/g is needed (based on 50% spike at
0.25 μg/g)
• A maximum dilution factor of 1250x will be required
38. Method Development
• Prepare a sample, replicates, spike, spiked replications; use individual
sample portions for each preparation
– Spike the matrix spike and matrix spiked replicates at the specifications prior
to sample preparation
– If spiking for a wide range of specifications (ex. 0.5 μg/g – 100 μg/g)
• Prepare sample to obtain detection limits low enough for 0.5 μg/g
• Dilute this sample preparation to bring the 100 μg/g spike within the linear range of the
standards
• Spike recoveries need to be:
– Limit test: 85 – 115% and RSD < 20% between sample and spike preparations
– Quantitative method validation: 70 – 150% and RSD < 20% between sample
and spike preparations
• LOQ satisfied by meeting the Accuracy requirements
• Internal standard responses should not be suppressed or enhanced
– Recoveries of 50 -125% are suggested, but may vary based on specific method
– May need to evaluate sample preparation and use an alternative prep or
technique
39. Method Development
Decide on a limit test or a quantitative method validation, if
not specified in monograph
Limit test
– Applicable when the elements of interest are not detected
or trend at levels well below the specification
– Raw materials where catalysts are not used in
manufacturing
Quantitative method validation
– Applicable when elements of interest trend above the limit of
quantitation, especially when they are close to the specification
– Data needs to be trended
• Draft a method validation protocol for review by all
parties involved
41. Method Validation
Limit Procedures
Detectability
• Spiked sample solution 1: Prepare sample:
– Spike at the target concentration (100%) for each target element
– Spike prior to sample preparation
– Analyze in triplicate
• Spiked sample solution 2: Prepare sample:
– Spike at the 80% of target concentration for each target element
– Spike prior to sample preparation
• Standard solution: Prepare working standard for the target element(s) at target
concentrations
– Analyze in triplicate
• Unspiked sample solution: Prepare an unspiked sample aliquot
Acceptance criteria: average of triplicate measurements of Spiked sample solution 1 is
within ±15% of the average of triplicate measurements of Standard solution
42. Method Validation
Limit Procedures
• Precision (Repeatability)
Sample solution (spiked) Prepare:
– Six independent sample preparations
– Spike each at the target concentration (100%) for each
target element
– Spike prior to sample preparation
Acceptance criteria: RSD NMT 20% for each Target element
• Specificity:
– Unequivocally assess each Target element in the presence
of components that may be expected to be present,
including other Target elements, and matrix components
43. Method Validation
• Limit Procedures
• Specificity (example ICP-OES, ICP-AES)
– Spectral interferences may be caused by background emission
from continuous or recombination phenomena, stray light or
overlap of spectral lines from another element or unresolved
overlap of molecular band spectra. "subarray" on the CID
detector.
– A metals screen/scan analysis performed on this material
demonstrated that the sample does/does not contain
appreciable concentrations of any element that are likely to
cause interferences on the analytes of interest. Discuss specific
elements with the potential to cause interference and how they
will be monitored or addressed.
44. Method Validation
Quantitative Procedures
• Accuracy
– Standard solution: Prepare working standard for the elements of
interest at target concentrations ranging from 50% to 200% of J
– Test solution: Prepare sample:
• Use the method developed
• Spike at target concentrations of 50% to 200% of J for each target
element
• Prepare three replicates at each concentration
• Spike prior to sample preparation
– Acceptance criteria: 70% - 150% for the mean of three replicate
preparations at each concentration
45. Method Validation
Quantitative Procedures
Precision (Repeatability)
• Test solution: Prepare sample:
– Six independent sample preparations
– Spike at target concentrations (J) for each target element
– Spike prior to sample preparation
• Acceptance criteria: RSD NMT 20% for each Target element
Precision (Ruggedness)
• Perform Repeatability analysis over three independent events using
the following events or combinations thereof:
– on different days, or
– with different instrumentation, or
– with different analysts
• Acceptance criteria: RSD NMT 25% (N=12) for each Target element
46. Method Validation
Quantitative Procedures
• Specificity (refer to slide for limit test)
• Limit of Quantitation, Range, and Linearity
–Demonstrated by meeting the Accuracy
requirements (at 0.5 J)
47. Establishing In-house Lab
Purchase appropriate instrumentation
Purchase apparatus to assist in sample digestion
• Hot block with polypropylene disposable digestion vessels : 50 mL /
15 mL – limited sample size available
• Microwave system with digestion vessels : 50 mL /15 mL
– Quartz – most appropriate for screen
– Teflon – resistant to hydrofluoric acid
– Borosilicate – disposable, may not be clean enough for trace levels
Purchase
– High Purity Acids (nitric, hydrochloric, hydrofluoric, sulfuric, perchloric)
– Hydrofluoric, Perchloric
–Bases
– Ammonium hydroxide , Sodium hydroxide ., CFA-C, TMAH
48. Preparedness for implementation
• Standards (NIST traceable)
– Single element for spiking at varying specifications
– Multi-element
– Custom multi-element for specification levels
– Single element standards for internal standards
– Second source standards for verification
• Plastic bottles or vials for sample preparation
• Gases : Argon, hydrogen, helium gases
• Highest purity – Ultrapure grade , Low krypton content
– Use stainless steel gas lines, avoid aluminum and copper
49. Preparedness for Contract Lab
Audit the lab for cGMP compliance/FDA / appropriate approvals;
• Each material shall require its own validation
• System suitability can be established with daily tune for ICP-OES,
• ICP-OES and ICP-MS have a wide dynamic range, single standard
analysis at 0.5J and 1.5J are sufficient, do not need to analyze 5
standards
• Not all elements listed in the chapters will need to be validated for
every material
– As, Cd, Pb, Hg needs to be validated, at a minimum
– If catalysts are not used validation is not required
– Strongly suggest incorporating ICH Class 2A elements in minimum
evaluation, as well
50. Preparedness for Contract Lab
• Audit the contract lab for suitability of resources and compliance
• Provide all information related to product
• Solubility , handling & storage
• Set specifications, work appropriate dilution/ concentration
• Ensure to full metals scan at time of method development, so that
• Communicate which elements require method validation based on
risk assessment
• Submit samples in plastic bag/containers to avoid metal
contaminant ion
• Ensure sufficient samples for development & method validation
• Prepare or review and approve method validation protocol and
Review and approve the report.
51. Summary
Heavy Metals <231> must be replaced
USP chapters <232> and <233>,
Elemental Impurities – Limits <232>
–Toxicological basis for limits
–Options to determine compliance
–Limits (aligned to ICH- Q3D)
Elemental Impurities – Procedures <233>
–Two compendial procedure
–Limit Test and Quantitative procedures
– Sample preparation
– Method development
– Method validation
Working with contract Lab
52. Q&A
1. What are the elements need to be shown in
the analysis
1. Big Four
2. Catalysts used in the process
3. All the elements present in <232>
4. Elements present as per the process only
5. Elements present in the drug product as per the
process
53. Q&A
2) In the manufacturing process, there are no
catalysts used and there is no possibility of any
elemental impurity present.
What are the elements to be shown in the analysis?
1. Big Four
2. All the elements present in <232>
3. Elements present in the drug product as per the process
4. No element is required
54. Q&A
3) What is the preferred way to determine the
elemental impurities in the drug product.
1. Analysis of drug product
2. Individual components of product
3. Both
4. None