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                                www.drugragulations.org      1
   This presentation will cover
    ◦ What is Real Time Release Testing
    ◦ Batch Release & RTRT
    ◦ Organizational approach
    ◦ Examples
    ◦ End product testing Vs RTRT
    ◦ Process control : paradigm shift
    ◦ Benefits & challenges
    ◦ Relationship between QbD, PAT, Control Strategy &
      RTRT
    ◦ Control Strategy – Conventional Vs RTRT
    ◦ ICH and other published examples of RTRT


                                www.drugragulations.org   2
   Medicinal products must comply with their
    approved specifications before they are released
    into the market.
   Compliance with release specifications can be
    demonstrated by performing a complete set of
    tests on the active substance and/or finished
    product, according to the approved
    specifications.
   Under certain conditions, an alternative strategy
    to systematic end product testing is possible.


                               www.drugragulations.org   3
   So far this concept has been mainly applied
    to sterility testing of terminally sterilized
    products and has become associated with
    parametric release applications.
   Recent guidelines adopted in the ICH context
    (ICH Q8, Q9 and Q10) have made it possible
    to apply a similar release decision process to
    tests other than sterility, this approach has
    been called Real Time Release Testing (RTRT).


                             www.drugragulations.org   4
   Real Time Release Testing (RTRT) is the ability to
    evaluate and ensure the quality of in-process and/or
    final product based on process data. ICH Q8(R2)
   Typically include a valid combination of measured
    ◦ Material attributes and
    ◦ Process controls




                                www.drugragulations.org    5
   The exact approach to RTRT will vary depending
    on the process requirements.
   The RTRT strategy may be based on control of
    process parameters, monitoring of product
    attributes or on a combination of both at
    appropriate steps throughout the process.
   Critically, the RTRT strategy should be based on a
    firm understanding of the process and of the
    relationship between process parameters, in-
    process material attributes and product
    attributes.


                               www.drugragulations.org   6
   Process monitoring may be applied to various
    manufacturing steps or unit operations, such as
    tabletting, on the basis of appropriate testing at
    various stages in the process.
   Some parameters/attributes are usually checked
    routinely at defined intervals regardless of the
    design of the manufacturing process of a tablet.
   Uniformity of mass, crushing strength and
    disintegration are such examples.


                                www.drugragulations.org   7
   The results of a comprehensive set of in-process
    tests and controls in these cases may constitute
    sufficient grounds for replacing the
    corresponding end product testing.
   This may also offer greater assurance of the
    finished tablet meeting certain criteria in the
    specification, without the tests being repeated on
    a sample of the finished product, as the amount
    of data will in general be substantially larger.


                               www.drugragulations.org   8
   If testing of units is part of the RTRT a
    sampling strategy should be defined that
    provides the number of locations sampled
    throughout the batch as well as the number
    of dosage units tested at each location.




                           www.drugragulations.org   9
   RTRT will, in general, comprise a combination
    of process controls which may utilise process
    analytical technology (PAT) tools e.g.
    ◦ Near infrared spectroscopy (NIR) and
    ◦ Raman spectroscopy (usually in combination with
      multivariate analysis),
    ◦ Together with the control of relevant material
      attributes.


                                 www.drugragulations.org   10
   Spectral data monitored on-line
    ◦   Controlling content of active substance,
    ◦   Polymorphism,
    ◦   water content,
    ◦   Blending homogeneity,
    ◦   Particle/powder properties or
    ◦   Film thickness
   could thereby replace end-product testing e.g.
    ◦ Uniformity of content,
    ◦ Tablet strength and
    ◦ Drug dissolution.


                                      www.drugragulations.org   11
   In active substance manufacturing, RTRT can
    apply to
    ◦ Continuous manufacturing processes, and
    ◦ Also to discrete unit operations such as
      Distillations,
      Hydrogenations,
      Crystallisations and
      All sorts of other chemical reactions or separations
       (e.g. diastereoisomers).



                                   www.drugragulations.org    12
Real time release testing is “moving the QC
         lab into the process” and
    “measure the CQAs where they are
                 generated”




                        www.drugragulations.org   13
Parametric Release: One type of RTRT.
          Parametric release is based
on process data (e.g. temperature, pressure,
               time for terminal
  sterilization) rather than the testing of a
        sample for a specific attribute
                 (ICH Q8 Q&A).



                         www.drugragulations.org   14
Real time release testing can replace end
product testing, but does not replace the
review and quality control steps called for
     under GMP to release the batch.




                        www.drugragulations.org   15
   Batch release: Approved RTRT may form a
    basis but
   More aspects needs to be taken into account
    in the decision of a Qualified Person to
    release a batch.
   These aspects could include batch results of
    testing for an attribute not subject to RTR as
    well as specific GMP requirements.


                             www.drugragulations.org   16
Formulation
Operations                 Quality
                                                               Development


                                                                Analytical
Regulatory             RTRT Decision
                                                               Development



Technology               Development                           Chemometrics




    Multi-disciplinary / cross-functional teams are key to RTRt
                   New skill sets may be needed




                                     www.drugragulations.org                  17
   On-line or in-line measurements and/or controls,
    ◦   Tablet weight after compression
    ◦   Particle size measurement after granulation or milling
    ◦   Moisture measurement during drying
    ◦   Blend uniformity
   Fast at-line measurements,
    ◦ NIR for tablet assay
    ◦ Disintegration in lieu of dissolution
   Models as surrogate for traditional release tests,
    ◦ Multivariate model as a surrogate for dissolution
   Process signatures
    ◦ An evolving approach



                                          www.drugragulations.org   18
Fixed                                   Output
Input
          Process




        Disturbance:
         Variation
           due to
        materials or
          process                             Several days latter QC
                                               End Product Testing

                    www.drugragulations.org                       19
Process analyzers used to
   NIR          measure process
Interface   parameters and adjust the
                     process




                    Adjustable                                  Output
   Input
                     Process




                  Disturbance:
                   Variation
                     due to
                                                           Immediate Feed back/
                  materials or
                                                              forward loop
                    process

                                 www.drugragulations.org                     20
   Reaction developed and
    understood during development –
    typical tools are IR, NIR and
    Raman.
   At commercial scale NIR is used to
    control the reaction.
   Stop the reaction at Maximal API
    Concentration
   Stopping time differs from Batch to
    Batch
   Real time release measurement of
    the API assay and bi-product
    (impurity)
   No sampling for in-process control
    or end-product testing for this
    CQA


                                          www.drugragulations.org   21
Holistic Control Strategy e.g.:
Content Uniformity = Blend uniformity + Drug
concentration + Weight control

RTRT
1 = Blend Uniformity
2 = Granule particle size
3 = Weight, Hardness, Potency, Drug
concentration, Identity, Rate–controlling
polymer concentration




         www.drugragulations.org               22
Process C ontrol Philosophy - Paradigm Shift
Conventional approach - lab based
                End of phase testing of quality, to reduce the risk in
                m oving to the next stage


    O btain raw              Mix active and         Press tablets           Package
    m aterials                excipeints



P.A.T approach - process based, at-line or on-line

  O btain raw              Mix active and         Press tablets            Package
  m aterials                excipeints




                 Continuously or m ore frequently test quality during each
                 phase, to rem ove the risk in m oving to the next stage




                                                 www.drugragulations.org              23
Granulation                        Fluidized Bed
Dispensation                                                             Dryer

               Scale
                                                                     Water Content – NIR
         Identity-NIR            Extent of Wet         Air           Particle size – FBRM
                                 Massing - Power
                                  Consumption
     Raw Materials
                                                                 Blending
                                                                Blend Homogeneity -
                                                                          NIR




  Multivariate Model (predicts
  Disintegration)
                                   Tableting
                                       Content Uniformity NIR
      Unit Operations
      Attributes                                                Packaging
      Controls



                                           www.drugragulations.org                          24
   The outcome of a high level of process understanding
1.    Controlling the process
2.    Adjust for variability in raw and in-process materials
3.    Increase yield, reduce waste, scrap
4.    Reduce the risk of losing a batch
5.    Reduced QC test
6.    Increased control activity on the manufacturing shop floor
7.    Reduced cycle time
8.    Real time monitoring of CPPs and CQAs for free (must also be
      included in continuous process verification and Annual Product
      Review)
9.    Quality of the finished product can be measured during
      manufacturing – no surprises!
10.   Regulators might be more interested in the beginning but this will
      fade as process understanding has been demonstrated – reduced
      inspection frequency



                                          www.drugragulations.org          25
www.drugragulations.org   26
   New – not familiar to many
   PAT tools in place (in-line analysers, PAT data
    management, multivariate data analysis, process control)
   Require new skills and reorganisation of work
   Risk associated with implementing PAT
   Installation of probes, representative sampling, failure of
    instrument, failure of multivariate models, failure in feed
    forward & backward controls, etc
   Backup strategy must be in place
   Models needs frequent update
   If RTRT fails it cannot be replaced by end-product testing
   Regulators might be very interested in the beginning...




                                    www.drugragulations.org       27
QbD
                             Control
         Design              Strategy
         Space


      RTRT


CMA      CPP          CQA


               RTRT

                       PAT



                                        www.drugragulations.org   28
QbD is
really
about                                                   QbD and PAT links
the                                                        the patient,
patient                                                product and process

                                                                  Patient
1. Understanding what the patient
   needs
2. Designing and developing a product
   meeting these needs
                                                                    Process
3. Designing and developing a                                    Understanding
   manufacturing process capable of
   delivering the product that meets
   these needs
                                                             Product     Process


                                   www.drugragulations.org                         29
PAT
                                    RTRT




A systematic approach to development that begins with
                predefined objectives
 and emphasizes product and process understanding
                 and process control,
         based on sound science and quality
                  risk management




                             www.drugragulations.org    30
CQA’s
                                                                     &
                                                                   CPP’s
  In Line
  On Line
                Process Analytical Technology is:
 Analyzers
             A system for designing, analyzing, and
               controlling manufacturing through
                timely measurements (i.e., during
                processing) of critical quality and
                           performance
                 attributes of raw and in-process
Predictive   materials and processes with the goal of
 Models
                  ensuring final product quality



                                                  Real Time Real
                                                     Testing

                                  www.drugragulations.org                  31
Quality                                              What is
 Product Profile         Target                     Identify                  critical to
                         Product                      CQA                     the
                         Profile
     CQA’s                                                                    Patient

                                     QRM
                                                                     PAT
Risk Assessments
                                                    Identify
                                                     CMA &
  Design Space                                        CPP


                                     Design space          Control Strategy
Control Strategy


    Continual
  Improvement




                                           PAT ,               PAT         RTRT
                   SOP         PAT         RTRT                                      32
   RTRT, when used, is part of the Control
    Strategy
    ◦ Can include some or all of the final product CQAs
   QbD is not directly correlated to RTRT
    ◦ You can have QbD approaches without RTRT
    ◦ However, it would be difficult to justify RTRT
      without a science and risk based approach




                                  www.drugragulations.org   33
   Not all Process Analytical Technology (PAT)
    leads to RTRT
    ◦ PAT systems can be designed to control CQAs of
      raw materials or in-process materials and not
      contribute to RTRT
   A design space is not required for RTRT
    ◦ Having a design space can increase operational
      flexibility, without additional regulatory approval




                                  www.drugragulations.org   34
   Control Strategy
    ◦ Planned set of controls
    ◦ Derived from current product and process understanding that
      assures process performance and product quality
    ◦ The controls can include parameters and attributes related to
         Drug substance ,
         Drug product materials and components,
         Facility and equipment operating conditions,
         In-process controls,
         Finished product specifications, and
         The associated methods and
         Frequency of monitoring and control.’ (ICH Q10)




                                          www.drugragulations.org   35
Manual




                     Automated & Advanced
 Simple




          www.drugragulations.org           36
Every product MUST have a control strategy

      Minimal                  Enhanced approach

Drug product quality        • Drug product quality
controlled primarily          ensured by risk-based
by intermediates (in          control strategy for
process materials)            well understood
and end                       product and process
product testing             • Quality controls
                              shifted upstream, with
                              the possibility of real-
                              time release testing or
                              reduced end-product
                              testing



                        www.drugragulations.org          37
   Identify CQAs
   Identify related CPPs and Material Attributes
    (MAs)
   Develop the design space for the CPPs and MAs
   Develop the control strategy ensuring the CPPs
    and MAS are always within the design space
   Based on risk-assessment plan how the control
    strategy can be implemented
    ◦ This process starts in development
    ◦ It is a lifecycle activity and
    ◦ The Control Strategy can be updated as new knowledge
      has been gained
                                  www.drugragulations.org    38
NIR, at-line (id
raw materials)
           IR, on-line
           (purity, assay   )       NIR, on-line
                                    (Moisture, purity                              Assay (HPLC)
                                                                                   Purity, related




                                                                                                           Conventional Testing
                                                                                   impurities, ((HPLC)
                                                                                   Residual solvent (GC)
                                                                                   Moisture content (KF)
                                                                                   Heavy Metals
                                                                                   Etc…

                                                                                   ID, Assay, CU (HPLC)
                                                                                   Purity, ((HPLC)
                                                        NIR, at-line (id raw       Dissolution,
NIR, on-line                                            materials)
                                                                                   Appearance
(reaction id)                                                                      Moisture content (KF)
                                                                                   Etc
                   FBRM, on-
                   line (PSD)




                                NIR, on-line, blend
                                homogeneity




                                                             NIR, on-line, blend     NIR, on-line
                                                             homogeneity             (assay, CU, ID)

                                                                                                                           39
www.drugragulations.org   40
   NIR can be used for RTRT of water
    determination
   Conventional lab-based NIR system
    ◦ Validated over range 1 – 6%
   Tablets dried and “spiked” to encompass
    historical range and regulatory specification
   Prepare calibration curve
   In line NIR for water content determination



                                www.drugragulations.org   41
   CQA: CU, dissolution,
   Crystal size during formation - PSD
                              1. Focuses beam
                                 reflectance
                                 measurements can be
                                 used to measure PSD
                              2. Measure crystal
                                 diameter
                              3. Probe inserted into
                                 reactor




                              www.drugragulations.org   42
   FBRM used to define the best cooling ramp
   FBRM used to measure PSD inline
   RTRT of PSD
   No sampling and
   QC test




                                           www.drugragulations.org   43
Mock P 2 example
                   Design Space




                            www.drugragulations.org   44
In line Monitoring of drying Process




                       www.drugragulations.org   45
Sample
      &                                             Sample                Sample
     Test                                             &                     &
                                                     Test                  Test

       API
                                                                                   Pass
  Excipient              Blend        Screen           Blend              Tablet     or
                                                                                    Fail
  Excipient



                                 Fixed processes

             Quality Criteria met if:
             • Meets specification(s) (off-line QC tests)
             • GMP Procedures followed



John Berridge, Pfizer                           www.drugragulations.org
                                                                     46
Characterise              Adaptive
                          processes


    API
                                                                       100%
 Excipient         Blend       Screen           Blend        Tablet
                                                                       Pass
 Excipient
                                                               Real
                    PAT                          PAT          time
                                                             release


Standards and acceptance criteria for a PAT/QbD approach are not
       the same as a “Test to Document Quality” approach



                                   www.drugragulations.org
                                                        47
   Liquid product, used to determine mix time
   CQA related to mix uniformity
   CPP’s (Critical Process Parameters) included agitator speed,
    time after addition of one ingredient until the addition of
    another, solution temperature, and recirculation flow rate.
   Process analyzer used was a refractometer
   Resulted in cost savings and quality enhancement

                                       SCADA,
                                         User
                              Mix
                                       Interface
                     RI      Tank
                   Sensor




                                       Control         Data
                                       System        Historian
                            Pump




                                      www.drugragulations.org      48
Example from ICH case study
Blending Process Control Options
Decision on conventional vs. RTR testing




 Key message: Both approaches to assure blend uniformity are valid in combination
 with other GMP requirements


                                                                www.drugragulations.org
Example from ICH case study




                              www.drugragulations.org
www.drugragulations.org
RTRT of Assay and Content Uniformity
• Finished Product Specification – use for stability,
  regulatory testing, site change, whenever RTR testing
  is not possible
   -   Assay acceptance criteria: 95-105% of nominal amount
       (30mg)
   -   Uniformity of Dosage Unit acceptance criteria
   -   Test method: HPLC
• Real Time Release Testing Controls
   - Blend uniformity assured in blending step (online NIR
       spectrometer for blending end-point)
   -   API assay is analysed in blend by HPLC
   -   Tablet weight control in compression step




                                                   www.drugragulations.org
RTRT of Assay and Content Uniformity


• No end product testing for Assay and Content Uniformity
 (CU)
   -   Would pass finished product specification for Assay and Uniformity
       of Dosage Units if tested because assay assured by combination of
       blend uniformity assurance, API assay in blend and tablet weight
       control (if blend is homogeneous then tablet weight will determine
       content of API)




                                                        www.drugragulations.org
www.drugragulations.org
Investigation of the effect of API particle
                   size on Bioavailability and Dissolution
                                        Drug Substance with particle size D90 of
                                        100 microns has slower dissolution and
                                        lower Cmax and AUC
                                        In Vivo In Vitro correlation (IVIVC)
                                        established at 20 minute timepoint




Early time points in the dissolution
profile are not as critical due to PK
results

                                                               www.drugragulations.org
Multifactorial DOE study of                  Exp No
                                                       1
                                                           Run Order
                                                                   1
                                                                       API
                                                                             0.5
                                                                                   MgSt
                                                                                      3000
                                                                                             LubT
                                                                                                      1
                                                                                                          Hard
                                                                                                              60
                                                                                                                   Diss
                                                                                                                     101.24

variables affecting dissolution                        2
                                                       3
                                                                  14
                                                                  22
                                                                             1.5
                                                                             0.5
                                                                                      3000
                                                                                     12000
                                                                                                      1
                                                                                                      1
                                                                                                              60
                                                                                                              60
                                                                                                                      87.99
                                                                                                                      99.13

    Factors:
                                                       4           8         1.5      3000           10       60      86.03
                                                      5          18         0.5     12000           10       60      94.73
       ◦ API particle size [API]                       6
                                                       7
                                                                   9
                                                                  15
                                                                             1.5
                                                                             0.5
                                                                                     12000
                                                                                      3000
                                                                                                     10
                                                                                                      1
                                                                                                              60
                                                                                                             110
                                                                                                                      83.04
                                                                                                                      98.07
         unit: log D90, microns                        8           2         0.5     12000            1      110      97.68

       ◦ Mg-Stearate Specific Surface Area
                                                       9           6         1.5     12000            1      110      85.47
                                                      10          16         0.5      3000           10      110      95.81
         [MgSt]                                       11          20         1.5      3000           10      110      84.38

         unit: cm2/g
                                                      12           3         1.5     12000           10      110          81
                                                      13          10         0.5      7500          5.5       85      96.85
       ◦ Lubrication time [LubT] unit: min            14
                                                      15
                                                                  17
                                                                  19
                                                                             1.5
                                                                               1
                                                                                      7500
                                                                                      3000
                                                                                                    5.5
                                                                                                    5.5
                                                                                                              85
                                                                                                              85
                                                                                                                      85.13
                                                                                                                      91.87
       ◦ Tablet hardness [Hard] unit: N               16          21           1     12000          5.5       85      90.72
                                                      17           7           1      7500            1       85      91.95
   Response:                                         18           4           1      7500           10       85        88.9

       ◦ % API dissolved at 20 min [Diss]
                                                      19           5           1      7500          5.5       60      92.37
                                                      20          11           1      7500          5.5      110      90.95

    DOE design:
                                                      21          12           1      7500          5.5       85      91.95
                                                     22          13           1      7500          5.5       85      90.86
       ◦ RSM design                                   23          23           1      7500          5.5       85          89
                                              Note: A screening DoE may be used first to
       ◦ Reduced CCF (quadratic model)
                                              identify which of the many variables have the
       ◦ 20+3 center point runs
                                              greatest effect


                                                                                        www.drugragulations.org
Scaled & Centered Coefficients for Diss at 60min



• Key factors
                                  0




 influencing in-vitro
                                  -1




 dissolution:                     -2




   -   API particle size is       -3



       the dominating         %   -4


       factor    (= CQA of
       API)
                                  -5



                                  -6




   -   Lubrication time has              API                  Mg                 Lubricatio            Tablet                    Mg St*LubT




                                                                                                                                      MgSt*LubT
                                                                                                         Hard
                                          API




                                                               MgSt




                                                                                     LubT
                                                                                     n
                                       Particle            Stearate                                  Hardness
       a small influence                Size      N=23       SSA
                                                               R2=0.986
                                                                                 Blending
                                                                                  R2 Adj.=0.982

       (= low risk                                DF=17               Q2=0.981      time
                                                                                  RSD=0.725     Conf. lev.=0.95



       parameter)
                                                                                                             MODDE 8 - 2008-01-23 10:58:52




               Acknowledgement: adapted from Paul Stott (AZ) – ISPE PQLI Team


                                                                                                www.drugragulations.org
   Prediction algorithm
    ◦ A mathematical representation of the design space
      for dissolution
    ◦ Factors include: API PSD D90, magnesium stearate
     specific surface area, lubrication time and tablet
     hardness (linked to compression pressure)


    Prediction algorithm:
    Diss = 108.9 – 11.96 × API – 7.556×10-5 × MgSt – 0.1849 × LubT –
    3.783×10-2 × Hard – 2.557×10-5 × MgSt × LubT




                                                      www.drugragulations.org
   Account for uncertainty
    ◦ Sources of variability (predictability, measurements)
   Confirmation of model
    ◦ compare model results vs. actual dissolution results for
      batches
    ◦ continue model verification with dissolution testing of
      production material, as needed

                           Batch 1        Batch 2            Batch 3


    Model prediction         89.8          87.3                 88.5


    Dissolution testing       92.8          90.3              91.5
          result          (88.4–94.2)   (89.0-102.5)       (90.5-93.5)

                                                       www.drugragulations.org
   Response surface plot for effect of API
    particle size and magnesium stearate specific
    surface area (SSA) on dissolution
               Diss (% at 20 min)




                                         Area of potential
               Design                    risk for dissolution
               Space                     failure

                                         Graph shows interaction
                                         between two of the variables:
                                         API particle size and magnesium
                                         stearate specific surface area
           API particle size (Log D90)
                                         Acknowledgement: adapted from Paul Stott
                                         (AZ)
                                                          www.drugragulations.org
   Controls of input material CQAs
    ◦ API particle size distribution
       Control of crystallisation step
    ◦ Magnesium stearate specific surface area
       Specification for incoming material

   Controls of process parameter CPPs
    ◦ Lubrication step blending time
    ◦ Compression pressure (set for target tablet hardness)
       Tablet press force-feedback control system

   Prediction mathematical model
    ◦ Use in place of dissolution testing of finished drug product
    ◦ Potentially allows process to be adjusted for variation in API particle
      size, for example, and assure dissolution performance



                                                              www.drugragulations.org
www.drugragulations.org
Impact on Assay and Content Uniformity CQAs
       QRA shows API particle size, moisture control, blending and
        lubrication steps have potential to affect Assay and Content
        Uniformity CQAs
        ◦ Moisture is controlled during manufacturing by facility HVAC control
          of humidity (GMP control)
                          Drug           Moisture
                        substance       content in   Blending   Lubrication   Compression   Coating     Packaging
                       particle size   manufacture
in vivo performance
Dissolution
Assay
Degradation
Content uniformity
Appearance
Friability
Stability-chemical
Stability-physical


                      - Low risk
                      - Medium risk
                      - High risk

                                                                                             www.drugragulations.org
Decision on conventional vs. RTR testing




                                    www.drugragulations.org
DOE for the Blending Process Parameter Assessment to
       develop a Design Space
        ◦ Factors Investigated:
          Blender type, Rotation speed, Blending time, API Particle size

                                            Blending time   Rotation speed                Particle size D90
             Experiment   Run   Condition                                     Blender
                                              (minutes)         (rpm)                           ( m)
                No.
                 1         2     varied          2               10           V type             5
                 2         7     varied          16              10           V type             40
DOE design




                 3        10     varied          2               30           V type             40
                 4         5     varied          16              30           V type             5
                 5         6     varied          2               10          Drum type           40
                 6         1     varied          16              10          Drum type           5
                 7         8     varied          2               30          Drum type           5
                 8        11     varied          16              30          Drum type           40
                 9         3    standard         9               20           V type             20
                10        12    standard         9               20          Drum type           20
                11         9    standard         9               20           V type             20
                12         4    standard         9               20          Drum type           20



                                                                                         www.drugragulations.org
Blend uniformity monitored using a process
  analyzer
   Control Strategy to assure homogeneity of the blend
    ◦ Control of blending
      end-point by NIR
      and feedback control
      of blender
    ◦ API particle size
    In this case study, the
    company chooses to use
    online NIR to monitor blend
    uniformity to provide
    efficiency and more
    flexibility


                                              www.drugragulations.org
   On-line NIR spectrometer                                           0.045

    used to confirm scale up of




                                        mean spectral standard deviation
                                                                           0.04
    blending                                                           0.035
   Blending operation complete                                            0.03
                                                                                                        Pilot Scale

    when mean spectral std. dev.
                                                                                                        Full Scale
                                                                       0.025
    reaches plateau region                                                 0.02
    ◦ Plateau may be detected
                                                                       0.015
      using statistical test or rules                                                                                 Plateau region
                                                                           0.01
   Feedback control to turn off
    blender
                                                                       0.005


    Company verifies blend does
                                                                             0
                                                                                 0   32               64             96          128
    not segregate downstream                                                               Revolution Revolutions of Blender
                                                                                           Number of (block number)

    ◦ Assays tablets to confirm
      uniformity
    ◦ Conducts studies to try to                                           Data analysis model will be provided
      segregate API                                                        Plan for updating of model available
                                                                  Acknowledgement: adapted from ISPE PQLI Team


                                                                                                        www.drugragulations.org
Conventional automated control of Tablet Weight using
feedback loop:
   Sample weights fed into weight control equipment which sends signal to
   filling mechanism on tablet machine to adjust fill volume and therefore tablet
   weight.


                                                            www.drugragulations.org
NIR Spectroscopy
                     NIR Monitoring              Laser Diffraction      (At-Line)
                     Blend Uniformity              Particle Size        • Identity
                                                                        • Assay
Raw materials &                                                         • API to Excipient
API dispensing                                                            ratio
• Specifications
  based on product




                                          Roller         Tablet                 Pan
Dispensing Blending     Sifting
                                        compaction     Compression            Coating


                                              www.drugragulations.org                    69
   Real Time Release Testing Controls
    ◦ Blend uniformity assured in blending step (on-line NIR spectrometer
      for blending end-point)
    ◦ API assay is analysed in blend by HPLC
       API content could be determined by on-line NIR, if stated in filing
    ◦ Tablet weight control with feedback loop in compression step
   No end product testing for Assay and Content
    Uniformity (CU)
    ◦ Would pass finished product specification for Assay and Uniformity
      of Dosage Units if tested because assay assured by combination of
      blend uniformity assurance, API assay in blend and tablet weight
      control (if blend is homogeneous then tablet weight will determine
      content of API)




                                                         www.drugragulations.org
   Before a medicinal product is released for sale,
    the Qualified Person responsible for its release
    should take into account, among other aspects,
    the conformity of the product to its specification.
   In the case of approved RTRT, this conformity
    would not routinely be supported by results of
    end product testing.
   Nevertheless a specification has to be established
    and each batch of a product should comply with
    it if tested.


                               www.drugragulations.org    71
   The application for RTRT should be supported by
    adequate validation of the RTR test method.
   The relationship between the RTR test, including
    acceptance criteria, and the end product test and
    associated specification should be well
    understood and, where applicable, supported by
    substantial comparative data at commercial scale
    (parallel testing).



                              www.drugragulations.org   72
   When RTRT has been approved this should be
    routinely used for batch release.
   In the event that the test results of RTRT fail or
    are trending toward failure, RTRT may not be
    substituted by end-product testing.
   Any failure should be investigated and trending
    should be followed up appropriately.
   Batch release decisions will need to be made
    based on the results of these investigations, and
    must comply with the content of the marketing
    authorization and current GMP requirements.

                               www.drugragulations.org   73
   Attributes (e.g. uniformity of content) that is
    indirectly controlled by approved RTRT
    should still appear in the Certificate of
    Analysis for batches.
   The approved method for end-product
    testing should be mentioned and the results
    given as ”Complies if tested” with a footnote:
    ”Controlled by approved Real Time Release
    testing”.


                              www.drugragulations.org   74
   In case of equipment failure the control strategy
    provided in the application should include a
    contingency plan specifying the use of alternative
    testing or monitoring approaches on a temporary
    basis.
   In this situation, the alternative approach could
    involve use of end-product testing or other options,
    while maintaining an acceptable level of quality.
   Testing or monitoring equipment breakdown needs
    to be managed in the context of a deviation under
    the Quality Management System and can be covered
    by GMP.


                                 www.drugragulations.org   75
In principle, end product testing should not be substituted
for failure of an RTRT release method. The failure should
be investigated and followed up appropriately.

                                  www.drugragulations.org     76
   When RTRT is applied, the attribute that is indirectly
    controlled (e.g. sterility, uniformity of content)
    together with a reference to the associated test
    procedure, should still be included in the
    specification as “Conforms if tested”.
   The relationship between end-product testing,
    material attributes, process monitoring and
    acceptance criteria, should be fully explained and
    justified.
   In addition, the use of any prediction models should
    be fully explained, justified and verified at the
    commercial site.


                                  www.drugragulations.org    77
   Batch release is the final decision to release
    the product to the market regardless of
    whether RTR testing or end-product testing is
    employed.
   End-product testing involves performance of
    specific analytical procedures on a defined
    sample size of the final product after
    completion of all processing for a given batch
    of that product.


                            www.drugragulations.org   78
   Results of real-time release testing are handled
    in the same manner as end-product testing
    results in the batch release decision.
   Batch release involves an independent review of
    batch conformance to predefined criteria through
    review of testing results and manufacturing
    records together with appropriate good
    manufacturing practice (GMP) compliance and
    quality system, regardless of which approach is
    used.


                              www.drugragulations.org   79
   Real-time release testing does not necessarily
    eliminate all end-product testing.
   For example, an applicant can propose RTR
    testing for some attributes only or not all.
   If all critical quality attributes (CQAs) (relevant for
    real-time release testing) are assured by in-
    process monitoring of parameters and/or testing
    of materials, then end-product testing might not
    be needed for batch release.
   Some product testing will be expected for certain
    regulatory processes such as stability studies or
    regional requirements.


                                 www.drugragulations.org      80
   Product specifications (see ICH Q6A and Q6B)
    still need to be established and met, when
    tested.




                            www.drugragulations.org   81
   Even where RTR testing is applied, a stability
    monitoring protocol that uses stability
    indicating methods is required for all
    products regardless of the means of release
    testing (see ICH Q1A and ICH Q5C).




                             www.drugragulations.org   82
   RTR testing, if utilized, is an element of the
    control strategy in which tests and/or
    monitoring can be performed as in-process
    testing (in-line, on-line, at-line) rather than
    tested on the end product.




                              www.drugragulations.org   83
   Traditional sampling plans for in-process and
    end-product testing involve a discrete sample
    size that represents the minimal sampling
    expectations.
   Generally, the use of RTR testing will include
    more extensive on-line/in-line measurement.
   A scientifically sound sampling approach
    should be developed, justified, and
    implemented.



                            www.drugragulations.org   84
   In principle the RTR testing results should be
    routinely used for the batch release decisions
    and not be substituted by end-product testing.
   Any failure should be investigated and trending
    should be followed up appropriately.
   However, batch release decisions should be made
    based on the results of the investigations.
   The batch release decision should comply with
    the content of the marketing authorization and
    GMP compliance.



                             www.drugragulations.org   85
   In-process testing includes any testing that
    occurs during the manufacturing process of
    drug substance and/or finished product.
   Real-time release testing includes those in-
    process tests that have a direct impact on the
    decision for batch release through evaluation
    of critical quality attributes.




                             www.drugragulations.org   86
   RTR testing can be based on measurement of
    a surrogate (e.g., process parameter, material
    attribute) that has been demonstrated to
    correlate with an in-process or end-product
    specification (see ICH Q8(R2); Annex, section
    II.E (2.5)).




                             www.drugragulations.org   87
   Is there a potential for the measured CQA to
    change downstream from the measurement point?
    For example,
    ◦ Blend desegregation
    ◦ Loss of weight (e.g., chipping) after weighing step
    ◦ Hydrolytic degradation during aqueous film coating
   Is identity determined at a point that is visually
    unique?
    ◦ Mitigation of potential human and/or system error
    ◦ Unique identifiers on the intermediate when measured
      (e.g., embossing, size, shape)
   Risk assessment is valuable to exploring potential
    failure modes

                                    www.drugragulations.org   88
   Probe/sample location representative of entire
    vessel
   Sample frequency representative of entire batch
   Sample acquisition time
    ◦ Suitable for system dynamics/mixing
   Sample volume/mass
    ◦ Determine amount of sample measured
    ◦ Representative of unit dose
   Sample interface
    ◦ Remains constant over the process (e.g., no fouling)
    ◦ Environmental factors (e.g., temperature, humidity)


                                  www.drugragulations.org    89
   Specification still required in an RTRT approach
    ◦ (CFR §314.50(d) and CFR § 211.165(a))
   Should be representative of actual measurement
    ◦ Can include in-process measurements (e.g., NIR
      measurements for assay of uncoated tablets)
    ◦ Can include surrogate measurements (e.g., models for
      dissolution)
    ◦ Methods should be appropriately validated (including
      models used as surrogate measurements)
   Alternatives can be included for stability
    monitoring
   Appropriate statistical criteria for large sample
    sizes

                                    www.drugragulations.org   90
   Calibration models for spectroscopic analysis
    ◦ NIR, Raman, FTIR
    ◦ Typically use chemometric models
   Surrogate models for time consuming measurements
    ◦ Dissolution models relating process parameters and/or
      material attributes to dissolution
   Design space models
    ◦ Surface response plots
    ◦ Mechanistic models
   Process control models
    ◦ Tunable controllers for individual unit operations
    ◦ Statistical process control & multivariate statistical process
      control
   Other models

                                       www.drugragulations.org         91
   Calibration data
    ◦ Include potential sources of variance (e.g., operating conditions,
      raw materials, scale)
    ◦ Cover intended areas of operation/design space
    ◦ Appropriate distribution of spectra over the analysis range
   Model development
    ◦ Appropriate data pre-treatment
    ◦ Appropriate spectral ranges
    ◦ Number of model factors justified (avoid overfitting)
   Model validation
    ◦ Internal validation using subsets of calibration data
    ◦ External validation using an independent data set
   Robust and representative reference method



                                          www.drugragulations.org          92
   NIR model results may change with time as new
    sources of variability are introduced.
    ◦ Changes in raw material suppliers, process or analyzer
      changes
   Evaluation of outliers as part of maintenance.
    ◦ Can detect bad spectra or interface problems
    ◦ Usually implemented through examination of residuals
   Procedures in place to monitor and update the model
    ◦ Done under the manufacturer’s quality system
    ◦ Include frequency and methods of periodical model
      evaluation
   Depth of validation done on updated model,
    depending on level of change

                                     www.drugragulations.org   93
   Robust calibration model
    ◦ Use an appropriate reference method
    ◦ Include variations in raw materials
    ◦ Cover the entire design space
   Include an independent dataset for validation
   Demonstrate model performance at
    commercial scale
    ◦ Understand and work within the model limitations
      and model assumptions
    ◦ Compare model results to a reference method for a
      statistically acceptable number of batches

                                www.drugragulations.org   94
   Develop and document procedures on how to
    evaluate and update the calibration model
    ◦ How to deal with OOS results
    ◦ Develop criteria for model re-calibration
   Verify or recalibrate the model for process changes:
    ◦ Revising the operating ranges
    ◦ Change in raw materials
    ◦ Change in manufacturing equipment or measuring
      instrument
   Include plans for model maintenance/update in the
    firm’s Quality System
    ◦ Tracking/trending (for process monitoring) included within
      the Quality System

                                      www.drugragulations.org      95
   Level of detail in submission should depend on the
    importance of the model to the overall control strategy
   Low Impact Model (e.g., Models for development)
    ◦ General discussion of how model was used to make decisions
      during process development
   Medium Impact Model (e.g., Design space models)
    ◦ More detailed information about model building, summary of
      results and statistical analysis
    ◦ Discussion of how the model fits into the control strategy
   High Impact Model (e.g., RTRT models)
    ◦   Full description of data collection, pretreatment and analysis
    ◦   Justification of model building approach
    ◦   Statistical summary of results
    ◦   Verification using data external to calibration set
    ◦   Discussion of approaches for model maintenance and update

                                           www.drugragulations.org       96
Quality                                              What is
 Product Profile         Target                     Identify                  critical to
                         Product                      CQA                     the
                         Profile
     CQA’s                                                                    Patient

                                     QRM
                                                                     PAT
Risk Assessments
                                                    Identify
                                                     CMA &
  Design Space                                        CPP


                                     Design space          Control Strategy
Control Strategy


    Continual
  Improvement




                                           PAT ,               PAT         RTRT
                   SOP         PAT         RTRT                                      97

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Real time release testing

  • 1. Presentation prepared by Drug Regulations – a not for profit organization. Visit www.drugregulations.org for the latest in Pharmaceuticals. www.drugragulations.org 1
  • 2. This presentation will cover ◦ What is Real Time Release Testing ◦ Batch Release & RTRT ◦ Organizational approach ◦ Examples ◦ End product testing Vs RTRT ◦ Process control : paradigm shift ◦ Benefits & challenges ◦ Relationship between QbD, PAT, Control Strategy & RTRT ◦ Control Strategy – Conventional Vs RTRT ◦ ICH and other published examples of RTRT www.drugragulations.org 2
  • 3. Medicinal products must comply with their approved specifications before they are released into the market.  Compliance with release specifications can be demonstrated by performing a complete set of tests on the active substance and/or finished product, according to the approved specifications.  Under certain conditions, an alternative strategy to systematic end product testing is possible. www.drugragulations.org 3
  • 4. So far this concept has been mainly applied to sterility testing of terminally sterilized products and has become associated with parametric release applications.  Recent guidelines adopted in the ICH context (ICH Q8, Q9 and Q10) have made it possible to apply a similar release decision process to tests other than sterility, this approach has been called Real Time Release Testing (RTRT). www.drugragulations.org 4
  • 5. Real Time Release Testing (RTRT) is the ability to evaluate and ensure the quality of in-process and/or final product based on process data. ICH Q8(R2)  Typically include a valid combination of measured ◦ Material attributes and ◦ Process controls www.drugragulations.org 5
  • 6. The exact approach to RTRT will vary depending on the process requirements.  The RTRT strategy may be based on control of process parameters, monitoring of product attributes or on a combination of both at appropriate steps throughout the process.  Critically, the RTRT strategy should be based on a firm understanding of the process and of the relationship between process parameters, in- process material attributes and product attributes. www.drugragulations.org 6
  • 7. Process monitoring may be applied to various manufacturing steps or unit operations, such as tabletting, on the basis of appropriate testing at various stages in the process.  Some parameters/attributes are usually checked routinely at defined intervals regardless of the design of the manufacturing process of a tablet.  Uniformity of mass, crushing strength and disintegration are such examples. www.drugragulations.org 7
  • 8. The results of a comprehensive set of in-process tests and controls in these cases may constitute sufficient grounds for replacing the corresponding end product testing.  This may also offer greater assurance of the finished tablet meeting certain criteria in the specification, without the tests being repeated on a sample of the finished product, as the amount of data will in general be substantially larger. www.drugragulations.org 8
  • 9. If testing of units is part of the RTRT a sampling strategy should be defined that provides the number of locations sampled throughout the batch as well as the number of dosage units tested at each location. www.drugragulations.org 9
  • 10. RTRT will, in general, comprise a combination of process controls which may utilise process analytical technology (PAT) tools e.g. ◦ Near infrared spectroscopy (NIR) and ◦ Raman spectroscopy (usually in combination with multivariate analysis), ◦ Together with the control of relevant material attributes. www.drugragulations.org 10
  • 11. Spectral data monitored on-line ◦ Controlling content of active substance, ◦ Polymorphism, ◦ water content, ◦ Blending homogeneity, ◦ Particle/powder properties or ◦ Film thickness  could thereby replace end-product testing e.g. ◦ Uniformity of content, ◦ Tablet strength and ◦ Drug dissolution. www.drugragulations.org 11
  • 12. In active substance manufacturing, RTRT can apply to ◦ Continuous manufacturing processes, and ◦ Also to discrete unit operations such as  Distillations,  Hydrogenations,  Crystallisations and  All sorts of other chemical reactions or separations (e.g. diastereoisomers). www.drugragulations.org 12
  • 13. Real time release testing is “moving the QC lab into the process” and “measure the CQAs where they are generated” www.drugragulations.org 13
  • 14. Parametric Release: One type of RTRT. Parametric release is based on process data (e.g. temperature, pressure, time for terminal sterilization) rather than the testing of a sample for a specific attribute (ICH Q8 Q&A). www.drugragulations.org 14
  • 15. Real time release testing can replace end product testing, but does not replace the review and quality control steps called for under GMP to release the batch. www.drugragulations.org 15
  • 16. Batch release: Approved RTRT may form a basis but  More aspects needs to be taken into account in the decision of a Qualified Person to release a batch.  These aspects could include batch results of testing for an attribute not subject to RTR as well as specific GMP requirements. www.drugragulations.org 16
  • 17. Formulation Operations Quality Development Analytical Regulatory RTRT Decision Development Technology Development Chemometrics Multi-disciplinary / cross-functional teams are key to RTRt New skill sets may be needed www.drugragulations.org 17
  • 18. On-line or in-line measurements and/or controls, ◦ Tablet weight after compression ◦ Particle size measurement after granulation or milling ◦ Moisture measurement during drying ◦ Blend uniformity  Fast at-line measurements, ◦ NIR for tablet assay ◦ Disintegration in lieu of dissolution  Models as surrogate for traditional release tests, ◦ Multivariate model as a surrogate for dissolution  Process signatures ◦ An evolving approach www.drugragulations.org 18
  • 19. Fixed Output Input Process Disturbance: Variation due to materials or process Several days latter QC End Product Testing www.drugragulations.org 19
  • 20. Process analyzers used to NIR measure process Interface parameters and adjust the process Adjustable Output Input Process Disturbance: Variation due to Immediate Feed back/ materials or forward loop process www.drugragulations.org 20
  • 21. Reaction developed and understood during development – typical tools are IR, NIR and Raman.  At commercial scale NIR is used to control the reaction.  Stop the reaction at Maximal API Concentration  Stopping time differs from Batch to Batch  Real time release measurement of the API assay and bi-product (impurity)  No sampling for in-process control or end-product testing for this CQA www.drugragulations.org 21
  • 22. Holistic Control Strategy e.g.: Content Uniformity = Blend uniformity + Drug concentration + Weight control RTRT 1 = Blend Uniformity 2 = Granule particle size 3 = Weight, Hardness, Potency, Drug concentration, Identity, Rate–controlling polymer concentration www.drugragulations.org 22
  • 23. Process C ontrol Philosophy - Paradigm Shift Conventional approach - lab based End of phase testing of quality, to reduce the risk in m oving to the next stage O btain raw Mix active and Press tablets Package m aterials excipeints P.A.T approach - process based, at-line or on-line O btain raw Mix active and Press tablets Package m aterials excipeints Continuously or m ore frequently test quality during each phase, to rem ove the risk in m oving to the next stage www.drugragulations.org 23
  • 24. Granulation Fluidized Bed Dispensation Dryer Scale Water Content – NIR Identity-NIR Extent of Wet Air Particle size – FBRM Massing - Power Consumption Raw Materials Blending Blend Homogeneity - NIR Multivariate Model (predicts Disintegration) Tableting Content Uniformity NIR Unit Operations Attributes Packaging Controls www.drugragulations.org 24
  • 25. The outcome of a high level of process understanding 1. Controlling the process 2. Adjust for variability in raw and in-process materials 3. Increase yield, reduce waste, scrap 4. Reduce the risk of losing a batch 5. Reduced QC test 6. Increased control activity on the manufacturing shop floor 7. Reduced cycle time 8. Real time monitoring of CPPs and CQAs for free (must also be included in continuous process verification and Annual Product Review) 9. Quality of the finished product can be measured during manufacturing – no surprises! 10. Regulators might be more interested in the beginning but this will fade as process understanding has been demonstrated – reduced inspection frequency www.drugragulations.org 25
  • 27. New – not familiar to many  PAT tools in place (in-line analysers, PAT data management, multivariate data analysis, process control)  Require new skills and reorganisation of work  Risk associated with implementing PAT  Installation of probes, representative sampling, failure of instrument, failure of multivariate models, failure in feed forward & backward controls, etc  Backup strategy must be in place  Models needs frequent update  If RTRT fails it cannot be replaced by end-product testing  Regulators might be very interested in the beginning... www.drugragulations.org 27
  • 28. QbD Control Design Strategy Space RTRT CMA CPP CQA RTRT PAT www.drugragulations.org 28
  • 29. QbD is really about QbD and PAT links the the patient, patient product and process Patient 1. Understanding what the patient needs 2. Designing and developing a product meeting these needs Process 3. Designing and developing a Understanding manufacturing process capable of delivering the product that meets these needs Product Process www.drugragulations.org 29
  • 30. PAT RTRT A systematic approach to development that begins with predefined objectives and emphasizes product and process understanding and process control, based on sound science and quality risk management www.drugragulations.org 30
  • 31. CQA’s & CPP’s In Line On Line Process Analytical Technology is: Analyzers A system for designing, analyzing, and controlling manufacturing through timely measurements (i.e., during processing) of critical quality and performance attributes of raw and in-process Predictive materials and processes with the goal of Models ensuring final product quality Real Time Real Testing www.drugragulations.org 31
  • 32. Quality What is Product Profile Target Identify critical to Product CQA the Profile CQA’s Patient QRM PAT Risk Assessments Identify CMA & Design Space CPP Design space Control Strategy Control Strategy Continual Improvement PAT , PAT RTRT SOP PAT RTRT 32
  • 33. RTRT, when used, is part of the Control Strategy ◦ Can include some or all of the final product CQAs  QbD is not directly correlated to RTRT ◦ You can have QbD approaches without RTRT ◦ However, it would be difficult to justify RTRT without a science and risk based approach www.drugragulations.org 33
  • 34. Not all Process Analytical Technology (PAT) leads to RTRT ◦ PAT systems can be designed to control CQAs of raw materials or in-process materials and not contribute to RTRT  A design space is not required for RTRT ◦ Having a design space can increase operational flexibility, without additional regulatory approval www.drugragulations.org 34
  • 35. Control Strategy ◦ Planned set of controls ◦ Derived from current product and process understanding that assures process performance and product quality ◦ The controls can include parameters and attributes related to  Drug substance ,  Drug product materials and components,  Facility and equipment operating conditions,  In-process controls,  Finished product specifications, and  The associated methods and  Frequency of monitoring and control.’ (ICH Q10) www.drugragulations.org 35
  • 36. Manual Automated & Advanced Simple www.drugragulations.org 36
  • 37. Every product MUST have a control strategy Minimal Enhanced approach Drug product quality • Drug product quality controlled primarily ensured by risk-based by intermediates (in control strategy for process materials) well understood and end product and process product testing • Quality controls shifted upstream, with the possibility of real- time release testing or reduced end-product testing www.drugragulations.org 37
  • 38. Identify CQAs  Identify related CPPs and Material Attributes (MAs)  Develop the design space for the CPPs and MAs  Develop the control strategy ensuring the CPPs and MAS are always within the design space  Based on risk-assessment plan how the control strategy can be implemented ◦ This process starts in development ◦ It is a lifecycle activity and ◦ The Control Strategy can be updated as new knowledge has been gained www.drugragulations.org 38
  • 39. NIR, at-line (id raw materials) IR, on-line (purity, assay ) NIR, on-line (Moisture, purity Assay (HPLC) Purity, related Conventional Testing impurities, ((HPLC) Residual solvent (GC) Moisture content (KF) Heavy Metals Etc… ID, Assay, CU (HPLC) Purity, ((HPLC) NIR, at-line (id raw Dissolution, NIR, on-line materials) Appearance (reaction id) Moisture content (KF) Etc FBRM, on- line (PSD) NIR, on-line, blend homogeneity NIR, on-line, blend NIR, on-line homogeneity (assay, CU, ID) 39
  • 41. NIR can be used for RTRT of water determination  Conventional lab-based NIR system ◦ Validated over range 1 – 6%  Tablets dried and “spiked” to encompass historical range and regulatory specification  Prepare calibration curve  In line NIR for water content determination www.drugragulations.org 41
  • 42. CQA: CU, dissolution,  Crystal size during formation - PSD 1. Focuses beam reflectance measurements can be used to measure PSD 2. Measure crystal diameter 3. Probe inserted into reactor www.drugragulations.org 42
  • 43. FBRM used to define the best cooling ramp  FBRM used to measure PSD inline  RTRT of PSD  No sampling and  QC test www.drugragulations.org 43
  • 44. Mock P 2 example Design Space www.drugragulations.org 44
  • 45. In line Monitoring of drying Process www.drugragulations.org 45
  • 46. Sample & Sample Sample Test & & Test Test API Pass Excipient Blend Screen Blend Tablet or Fail Excipient Fixed processes Quality Criteria met if: • Meets specification(s) (off-line QC tests) • GMP Procedures followed John Berridge, Pfizer www.drugragulations.org 46
  • 47. Characterise Adaptive processes API 100% Excipient Blend Screen Blend Tablet Pass Excipient Real PAT PAT time release Standards and acceptance criteria for a PAT/QbD approach are not the same as a “Test to Document Quality” approach www.drugragulations.org 47
  • 48. Liquid product, used to determine mix time  CQA related to mix uniformity  CPP’s (Critical Process Parameters) included agitator speed, time after addition of one ingredient until the addition of another, solution temperature, and recirculation flow rate.  Process analyzer used was a refractometer  Resulted in cost savings and quality enhancement SCADA, User Mix Interface RI Tank Sensor Control Data System Historian Pump www.drugragulations.org 48
  • 49. Example from ICH case study Blending Process Control Options Decision on conventional vs. RTR testing Key message: Both approaches to assure blend uniformity are valid in combination with other GMP requirements www.drugragulations.org
  • 50. Example from ICH case study www.drugragulations.org
  • 52. RTRT of Assay and Content Uniformity • Finished Product Specification – use for stability, regulatory testing, site change, whenever RTR testing is not possible - Assay acceptance criteria: 95-105% of nominal amount (30mg) - Uniformity of Dosage Unit acceptance criteria - Test method: HPLC • Real Time Release Testing Controls - Blend uniformity assured in blending step (online NIR spectrometer for blending end-point) - API assay is analysed in blend by HPLC - Tablet weight control in compression step www.drugragulations.org
  • 53. RTRT of Assay and Content Uniformity • No end product testing for Assay and Content Uniformity (CU) - Would pass finished product specification for Assay and Uniformity of Dosage Units if tested because assay assured by combination of blend uniformity assurance, API assay in blend and tablet weight control (if blend is homogeneous then tablet weight will determine content of API) www.drugragulations.org
  • 55. Investigation of the effect of API particle size on Bioavailability and Dissolution Drug Substance with particle size D90 of 100 microns has slower dissolution and lower Cmax and AUC In Vivo In Vitro correlation (IVIVC) established at 20 minute timepoint Early time points in the dissolution profile are not as critical due to PK results www.drugragulations.org
  • 56. Multifactorial DOE study of Exp No 1 Run Order 1 API 0.5 MgSt 3000 LubT 1 Hard 60 Diss 101.24 variables affecting dissolution 2 3 14 22 1.5 0.5 3000 12000 1 1 60 60 87.99 99.13 Factors: 4 8 1.5 3000 10 60 86.03  5 18 0.5 12000 10 60 94.73 ◦ API particle size [API] 6 7 9 15 1.5 0.5 12000 3000 10 1 60 110 83.04 98.07 unit: log D90, microns 8 2 0.5 12000 1 110 97.68 ◦ Mg-Stearate Specific Surface Area 9 6 1.5 12000 1 110 85.47 10 16 0.5 3000 10 110 95.81 [MgSt] 11 20 1.5 3000 10 110 84.38 unit: cm2/g 12 3 1.5 12000 10 110 81 13 10 0.5 7500 5.5 85 96.85 ◦ Lubrication time [LubT] unit: min 14 15 17 19 1.5 1 7500 3000 5.5 5.5 85 85 85.13 91.87 ◦ Tablet hardness [Hard] unit: N 16 21 1 12000 5.5 85 90.72 17 7 1 7500 1 85 91.95  Response: 18 4 1 7500 10 85 88.9 ◦ % API dissolved at 20 min [Diss] 19 5 1 7500 5.5 60 92.37 20 11 1 7500 5.5 110 90.95 DOE design: 21 12 1 7500 5.5 85 91.95  22 13 1 7500 5.5 85 90.86 ◦ RSM design 23 23 1 7500 5.5 85 89 Note: A screening DoE may be used first to ◦ Reduced CCF (quadratic model) identify which of the many variables have the ◦ 20+3 center point runs greatest effect www.drugragulations.org
  • 57. Scaled & Centered Coefficients for Diss at 60min • Key factors 0 influencing in-vitro -1 dissolution: -2 - API particle size is -3 the dominating % -4 factor (= CQA of API) -5 -6 - Lubrication time has API Mg Lubricatio Tablet Mg St*LubT MgSt*LubT Hard API MgSt LubT n Particle Stearate Hardness a small influence Size N=23 SSA R2=0.986 Blending R2 Adj.=0.982 (= low risk DF=17 Q2=0.981 time RSD=0.725 Conf. lev.=0.95 parameter) MODDE 8 - 2008-01-23 10:58:52 Acknowledgement: adapted from Paul Stott (AZ) – ISPE PQLI Team www.drugragulations.org
  • 58. Prediction algorithm ◦ A mathematical representation of the design space for dissolution ◦ Factors include: API PSD D90, magnesium stearate specific surface area, lubrication time and tablet hardness (linked to compression pressure) Prediction algorithm: Diss = 108.9 – 11.96 × API – 7.556×10-5 × MgSt – 0.1849 × LubT – 3.783×10-2 × Hard – 2.557×10-5 × MgSt × LubT www.drugragulations.org
  • 59. Account for uncertainty ◦ Sources of variability (predictability, measurements)  Confirmation of model ◦ compare model results vs. actual dissolution results for batches ◦ continue model verification with dissolution testing of production material, as needed Batch 1 Batch 2 Batch 3 Model prediction 89.8 87.3 88.5 Dissolution testing 92.8 90.3 91.5 result (88.4–94.2) (89.0-102.5) (90.5-93.5) www.drugragulations.org
  • 60. Response surface plot for effect of API particle size and magnesium stearate specific surface area (SSA) on dissolution Diss (% at 20 min) Area of potential Design risk for dissolution Space failure Graph shows interaction between two of the variables: API particle size and magnesium stearate specific surface area API particle size (Log D90) Acknowledgement: adapted from Paul Stott (AZ) www.drugragulations.org
  • 61. Controls of input material CQAs ◦ API particle size distribution  Control of crystallisation step ◦ Magnesium stearate specific surface area  Specification for incoming material  Controls of process parameter CPPs ◦ Lubrication step blending time ◦ Compression pressure (set for target tablet hardness)  Tablet press force-feedback control system  Prediction mathematical model ◦ Use in place of dissolution testing of finished drug product ◦ Potentially allows process to be adjusted for variation in API particle size, for example, and assure dissolution performance www.drugragulations.org
  • 63. Impact on Assay and Content Uniformity CQAs  QRA shows API particle size, moisture control, blending and lubrication steps have potential to affect Assay and Content Uniformity CQAs ◦ Moisture is controlled during manufacturing by facility HVAC control of humidity (GMP control) Drug Moisture substance content in Blending Lubrication Compression Coating Packaging particle size manufacture in vivo performance Dissolution Assay Degradation Content uniformity Appearance Friability Stability-chemical Stability-physical - Low risk - Medium risk - High risk www.drugragulations.org
  • 64. Decision on conventional vs. RTR testing www.drugragulations.org
  • 65. DOE for the Blending Process Parameter Assessment to develop a Design Space ◦ Factors Investigated: Blender type, Rotation speed, Blending time, API Particle size Blending time Rotation speed Particle size D90 Experiment Run Condition Blender (minutes) (rpm) ( m) No. 1 2 varied 2 10 V type 5 2 7 varied 16 10 V type 40 DOE design 3 10 varied 2 30 V type 40 4 5 varied 16 30 V type 5 5 6 varied 2 10 Drum type 40 6 1 varied 16 10 Drum type 5 7 8 varied 2 30 Drum type 5 8 11 varied 16 30 Drum type 40 9 3 standard 9 20 V type 20 10 12 standard 9 20 Drum type 20 11 9 standard 9 20 V type 20 12 4 standard 9 20 Drum type 20 www.drugragulations.org
  • 66. Blend uniformity monitored using a process analyzer  Control Strategy to assure homogeneity of the blend ◦ Control of blending end-point by NIR and feedback control of blender ◦ API particle size In this case study, the company chooses to use online NIR to monitor blend uniformity to provide efficiency and more flexibility www.drugragulations.org
  • 67. On-line NIR spectrometer 0.045 used to confirm scale up of mean spectral standard deviation 0.04 blending 0.035  Blending operation complete 0.03 Pilot Scale when mean spectral std. dev. Full Scale 0.025 reaches plateau region 0.02 ◦ Plateau may be detected 0.015 using statistical test or rules Plateau region 0.01  Feedback control to turn off blender 0.005 Company verifies blend does 0  0 32 64 96 128 not segregate downstream Revolution Revolutions of Blender Number of (block number) ◦ Assays tablets to confirm uniformity ◦ Conducts studies to try to Data analysis model will be provided segregate API Plan for updating of model available Acknowledgement: adapted from ISPE PQLI Team www.drugragulations.org
  • 68. Conventional automated control of Tablet Weight using feedback loop: Sample weights fed into weight control equipment which sends signal to filling mechanism on tablet machine to adjust fill volume and therefore tablet weight. www.drugragulations.org
  • 69. NIR Spectroscopy NIR Monitoring Laser Diffraction (At-Line) Blend Uniformity Particle Size • Identity • Assay Raw materials & • API to Excipient API dispensing ratio • Specifications based on product Roller Tablet Pan Dispensing Blending Sifting compaction Compression Coating www.drugragulations.org 69
  • 70. Real Time Release Testing Controls ◦ Blend uniformity assured in blending step (on-line NIR spectrometer for blending end-point) ◦ API assay is analysed in blend by HPLC  API content could be determined by on-line NIR, if stated in filing ◦ Tablet weight control with feedback loop in compression step  No end product testing for Assay and Content Uniformity (CU) ◦ Would pass finished product specification for Assay and Uniformity of Dosage Units if tested because assay assured by combination of blend uniformity assurance, API assay in blend and tablet weight control (if blend is homogeneous then tablet weight will determine content of API) www.drugragulations.org
  • 71. Before a medicinal product is released for sale, the Qualified Person responsible for its release should take into account, among other aspects, the conformity of the product to its specification.  In the case of approved RTRT, this conformity would not routinely be supported by results of end product testing.  Nevertheless a specification has to be established and each batch of a product should comply with it if tested. www.drugragulations.org 71
  • 72. The application for RTRT should be supported by adequate validation of the RTR test method.  The relationship between the RTR test, including acceptance criteria, and the end product test and associated specification should be well understood and, where applicable, supported by substantial comparative data at commercial scale (parallel testing). www.drugragulations.org 72
  • 73. When RTRT has been approved this should be routinely used for batch release.  In the event that the test results of RTRT fail or are trending toward failure, RTRT may not be substituted by end-product testing.  Any failure should be investigated and trending should be followed up appropriately.  Batch release decisions will need to be made based on the results of these investigations, and must comply with the content of the marketing authorization and current GMP requirements. www.drugragulations.org 73
  • 74. Attributes (e.g. uniformity of content) that is indirectly controlled by approved RTRT should still appear in the Certificate of Analysis for batches.  The approved method for end-product testing should be mentioned and the results given as ”Complies if tested” with a footnote: ”Controlled by approved Real Time Release testing”. www.drugragulations.org 74
  • 75. In case of equipment failure the control strategy provided in the application should include a contingency plan specifying the use of alternative testing or monitoring approaches on a temporary basis.  In this situation, the alternative approach could involve use of end-product testing or other options, while maintaining an acceptable level of quality.  Testing or monitoring equipment breakdown needs to be managed in the context of a deviation under the Quality Management System and can be covered by GMP. www.drugragulations.org 75
  • 76. In principle, end product testing should not be substituted for failure of an RTRT release method. The failure should be investigated and followed up appropriately. www.drugragulations.org 76
  • 77. When RTRT is applied, the attribute that is indirectly controlled (e.g. sterility, uniformity of content) together with a reference to the associated test procedure, should still be included in the specification as “Conforms if tested”.  The relationship between end-product testing, material attributes, process monitoring and acceptance criteria, should be fully explained and justified.  In addition, the use of any prediction models should be fully explained, justified and verified at the commercial site. www.drugragulations.org 77
  • 78. Batch release is the final decision to release the product to the market regardless of whether RTR testing or end-product testing is employed.  End-product testing involves performance of specific analytical procedures on a defined sample size of the final product after completion of all processing for a given batch of that product. www.drugragulations.org 78
  • 79. Results of real-time release testing are handled in the same manner as end-product testing results in the batch release decision.  Batch release involves an independent review of batch conformance to predefined criteria through review of testing results and manufacturing records together with appropriate good manufacturing practice (GMP) compliance and quality system, regardless of which approach is used. www.drugragulations.org 79
  • 80. Real-time release testing does not necessarily eliminate all end-product testing.  For example, an applicant can propose RTR testing for some attributes only or not all.  If all critical quality attributes (CQAs) (relevant for real-time release testing) are assured by in- process monitoring of parameters and/or testing of materials, then end-product testing might not be needed for batch release.  Some product testing will be expected for certain regulatory processes such as stability studies or regional requirements. www.drugragulations.org 80
  • 81. Product specifications (see ICH Q6A and Q6B) still need to be established and met, when tested. www.drugragulations.org 81
  • 82. Even where RTR testing is applied, a stability monitoring protocol that uses stability indicating methods is required for all products regardless of the means of release testing (see ICH Q1A and ICH Q5C). www.drugragulations.org 82
  • 83. RTR testing, if utilized, is an element of the control strategy in which tests and/or monitoring can be performed as in-process testing (in-line, on-line, at-line) rather than tested on the end product. www.drugragulations.org 83
  • 84. Traditional sampling plans for in-process and end-product testing involve a discrete sample size that represents the minimal sampling expectations.  Generally, the use of RTR testing will include more extensive on-line/in-line measurement.  A scientifically sound sampling approach should be developed, justified, and implemented. www.drugragulations.org 84
  • 85. In principle the RTR testing results should be routinely used for the batch release decisions and not be substituted by end-product testing.  Any failure should be investigated and trending should be followed up appropriately.  However, batch release decisions should be made based on the results of the investigations.  The batch release decision should comply with the content of the marketing authorization and GMP compliance. www.drugragulations.org 85
  • 86. In-process testing includes any testing that occurs during the manufacturing process of drug substance and/or finished product.  Real-time release testing includes those in- process tests that have a direct impact on the decision for batch release through evaluation of critical quality attributes. www.drugragulations.org 86
  • 87. RTR testing can be based on measurement of a surrogate (e.g., process parameter, material attribute) that has been demonstrated to correlate with an in-process or end-product specification (see ICH Q8(R2); Annex, section II.E (2.5)). www.drugragulations.org 87
  • 88. Is there a potential for the measured CQA to change downstream from the measurement point? For example, ◦ Blend desegregation ◦ Loss of weight (e.g., chipping) after weighing step ◦ Hydrolytic degradation during aqueous film coating  Is identity determined at a point that is visually unique? ◦ Mitigation of potential human and/or system error ◦ Unique identifiers on the intermediate when measured (e.g., embossing, size, shape)  Risk assessment is valuable to exploring potential failure modes www.drugragulations.org 88
  • 89. Probe/sample location representative of entire vessel  Sample frequency representative of entire batch  Sample acquisition time ◦ Suitable for system dynamics/mixing  Sample volume/mass ◦ Determine amount of sample measured ◦ Representative of unit dose  Sample interface ◦ Remains constant over the process (e.g., no fouling) ◦ Environmental factors (e.g., temperature, humidity) www.drugragulations.org 89
  • 90. Specification still required in an RTRT approach ◦ (CFR §314.50(d) and CFR § 211.165(a))  Should be representative of actual measurement ◦ Can include in-process measurements (e.g., NIR measurements for assay of uncoated tablets) ◦ Can include surrogate measurements (e.g., models for dissolution) ◦ Methods should be appropriately validated (including models used as surrogate measurements)  Alternatives can be included for stability monitoring  Appropriate statistical criteria for large sample sizes www.drugragulations.org 90
  • 91. Calibration models for spectroscopic analysis ◦ NIR, Raman, FTIR ◦ Typically use chemometric models  Surrogate models for time consuming measurements ◦ Dissolution models relating process parameters and/or material attributes to dissolution  Design space models ◦ Surface response plots ◦ Mechanistic models  Process control models ◦ Tunable controllers for individual unit operations ◦ Statistical process control & multivariate statistical process control  Other models www.drugragulations.org 91
  • 92. Calibration data ◦ Include potential sources of variance (e.g., operating conditions, raw materials, scale) ◦ Cover intended areas of operation/design space ◦ Appropriate distribution of spectra over the analysis range  Model development ◦ Appropriate data pre-treatment ◦ Appropriate spectral ranges ◦ Number of model factors justified (avoid overfitting)  Model validation ◦ Internal validation using subsets of calibration data ◦ External validation using an independent data set  Robust and representative reference method www.drugragulations.org 92
  • 93. NIR model results may change with time as new sources of variability are introduced. ◦ Changes in raw material suppliers, process or analyzer changes  Evaluation of outliers as part of maintenance. ◦ Can detect bad spectra or interface problems ◦ Usually implemented through examination of residuals  Procedures in place to monitor and update the model ◦ Done under the manufacturer’s quality system ◦ Include frequency and methods of periodical model evaluation  Depth of validation done on updated model, depending on level of change www.drugragulations.org 93
  • 94. Robust calibration model ◦ Use an appropriate reference method ◦ Include variations in raw materials ◦ Cover the entire design space  Include an independent dataset for validation  Demonstrate model performance at commercial scale ◦ Understand and work within the model limitations and model assumptions ◦ Compare model results to a reference method for a statistically acceptable number of batches www.drugragulations.org 94
  • 95. Develop and document procedures on how to evaluate and update the calibration model ◦ How to deal with OOS results ◦ Develop criteria for model re-calibration  Verify or recalibrate the model for process changes: ◦ Revising the operating ranges ◦ Change in raw materials ◦ Change in manufacturing equipment or measuring instrument  Include plans for model maintenance/update in the firm’s Quality System ◦ Tracking/trending (for process monitoring) included within the Quality System www.drugragulations.org 95
  • 96. Level of detail in submission should depend on the importance of the model to the overall control strategy  Low Impact Model (e.g., Models for development) ◦ General discussion of how model was used to make decisions during process development  Medium Impact Model (e.g., Design space models) ◦ More detailed information about model building, summary of results and statistical analysis ◦ Discussion of how the model fits into the control strategy  High Impact Model (e.g., RTRT models) ◦ Full description of data collection, pretreatment and analysis ◦ Justification of model building approach ◦ Statistical summary of results ◦ Verification using data external to calibration set ◦ Discussion of approaches for model maintenance and update www.drugragulations.org 96
  • 97. Quality What is Product Profile Target Identify critical to Product CQA the Profile CQA’s Patient QRM PAT Risk Assessments Identify CMA & Design Space CPP Design space Control Strategy Control Strategy Continual Improvement PAT , PAT RTRT SOP PAT RTRT 97