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Changes to Drugs
1. SUPPLIMENT NEW DRUG
APPLICATION
• PRESENTD BY :-
• PATIL PRANJAY SADASHIV.
• FIRST YEAR M.PHARM.
• DEPARTMENT OF QUALITY ASSURANCE.
H. R. Patel Institute of Pharmaceutical Education
and Research, Shirpur
2. Supplement A supplement is an application to
allow a company to make changes in a product that
already has an approved new drug application
(NDA).
CDER(Center for Drug Evaluation and Research)must
approve all important NDA changes (in packaging
or ingredients, for instance) to ensure the conditions
originally set for the product are still met.
2
3. Supplement Number A supplement number is
associated with an existing FDA New Drug Application
(NDA) number.
Companies are allowed to make changes to drugs or
their labels after they have been approved.
To change a label, market a new dosage or strength of a
drug, or change the way it manufactures a drug, a
company must submit a supplemental new drug
application (sNDA). Each sNDA is assigned a
number which is usually, but not always, sequential,
starting with 001.
3
4. Supplement Type Companies are allowed to make
changes to drugs or their labels after they have been
approved.
To change a label, market a new dosage or strength of
a drug, or change the way it manufactures a drug, a
company must submit a supplemental new drug
application (sNDA). The supplement type refers to
the kind of change that was approved by FDA.
This includes changes in manufacturing, patient
population, and formulation.
4
5. Why change is required:
May wish to alter / improve the product or
to introduce additional safeguard
To meet the market requirements--
scale up, add manufactuing site.
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6. Post approval changes include:
(1) components and composition, (2)
manufacturing sites, (3) manufacturing process, (4)
specifications, (5) container closure system, and (6)
labeling, as well as (7) miscellaneous changes and
(8) multiple related changes.
An applicant should consider all relevant CDER
guidance documents & submit all necessary
information to support a given change.
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7. CONDITION
Changes may have potential impact on the
quality, safety or efficacy of products.
Any change to prequalified products are
subject to approval by FDA &CDER.
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8. GUIDANCE ON VARIATION AS PER US FDA
Three categories of variations according to their potential
impact on pharmaceutical quality
Major changes:substantial potential to have an adverse
effect on the identity, strength, quality, purity, or potency
of a drug product as these factors may relate to the
safety or effectiveness of the drug product.
These are labelled as Prior Approval
Supplement.
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9. Moderate changes: moderate potential to
have an adverse effect.
2 types
1 requires the submission of a supplement
to FDA at least 30 days before the
distribution of drug product.labelled as
Supplement - Changes Being Effected
in 30 Days.
2 for which distribution can occur when
FDA receives the supplement.labelled as
Supplement - Changes Being Effected.
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10. If FDA disapproves may cease
distribution.
FDA say prior approval suppliment is
required.
Information is missing: distribution is
delayed untill amendment is made.
Minor changes:has minimal potential to have
an adverse effect.The applicant must
describe minor changes in its next Annual
Report
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11. GUIDANCE ON VARIATION TO A PREQUALIFIED PRODUCT
To facilitate classification of various types of
changes, the variation guide is composed of 4
Appendixes
- Appendix I: lists minor changes, including
notification (N).
- Appendix II: definition and examples of
major changes
- Appendix III: changes that make a new
application /extension application necessary
- Appendix IV: stability requirements for
variations and changes to Pre-qualified FPPs 11
12. APPENDIX I – MINOR CHANGES
Only few types of variation
predominantly occur Change
in batch size of FPP
Additional new API source
Extension shelf life of FPP
Addition of FPP manufacturing site
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13. APPENDIX II – MAJOR CHANGES
Major changes
Exceed the scope of minor changes—doesn't
fulfil the conditions
Do not yet reach the scope of Appendix III—
new application necessary
Examples:
Change in the manufacturing process
of the API
Change in the composition of the FPP
Change to the immediate primary
packaging of the FPP
Applicant's responsibility to provide the relevant
documentation to prove that the intended change
will not affect the quality of the prequalified product
negatively
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14. APPENDIX III – CHANGES MAKING A NEW
APPLICATION /EXTENSION APPLICATION
NECESSARY
Changes to the API
Change of the API to a different API, e.g. different
salt/ester/derivative, different isomer
Changes to the pharmaceutical form/
dosage form
Change from an immediate-release product to a
modified release dosage form or vice versa
Change from a liquid to a powder for
reconstitution, or vice versa
Change or addition of a new route of
administration.
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15. APPENDIX IV - STABILITY REQUIREMENTS
FOR VARIATIONS TO PRE-QUALIFIED FPPS
Responsibility of the pre-qualified supplier to
investigate whether or not the intended change
will have an impact on the quality characteristics
of APIs and /or FPPs and consequently on
their stability.
Based on the knowledge and experience
acquired on APIs and FPPs (Stress testing,
supportive data, accelerated and long- term
testing)
At the time of submission, 3 or 6 months
stability data should be provided according
to the nature of the change, stability of the
API, dosage form of the FPP,etc 15
16. CHANGES IN MANUFACTURING SITE:-
Major changes eg:-
Move to new site never inspected by FDA or
cGMP.
Transfer of aseptically processed sterile
drug substance eg lyophilized drug.
Finished drug product sterilized by
terminal process.
Manufacture of primery package when it
control doge delivered eg aerosols
Moderate changes
eg:-Manufacture of drug product that is not. 16
17. otherwise provided for in this guidence.
Minor changes eg:-
for secondary packaging
For labelling.
Manufacture of drug substance
intermediate other then the final
intermediate.
Ink imprinting of solid oral dogage form
drug product.
Sterilization site for packaging component
when process is same.
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18. CHANGES IN MANUFACTURING PROCESS
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50%
.
Major changes eg:-
When it effect release of drug eg modified
release or controlled release.
Change in sterility method.
Addition or deletion of sterilization
procedure.
Replacing sterilizer with other of different
principle.
Addition of new equipment.
Replace Class 100 aseptic fill area with
barrier system.
Change to aseptic process methed beyond
19. Replacing lyophilization equipment of different
size.
Change in sterilizer load limit from pre validated
load limit.
Change in pore size of filter.
For natural product:-change in source
material eg microbe,cell,plant.
Change in process:-
from dry to wet granulation.
One type of drying to another.
Change in route of synthesis of drug
substance.
Synthesis of drug substance that may effect
impurity.
Addition of ink cod imprint not currently
used in CDER. 19
20. Moderate changes:-
In drug substance or product except as
identity, strength, quality, purity.
otherwise provided for in this guidance.
Change in filteration parameters flow
rate, pressure, time.
change from single to dual sterilizing
filters.
increase the bulk solution storage time by
more than 50%
Supplement - Changes Being Effected.
A change in methods that provides
increased assurance that the drug
substance will have the characteristics of
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21. Minor changes:-
changes to equipment of the same design
design.
minor change in an existing code imprint
Addition or change in ink imprint when the
ink is currently used on CDER- approved
drug product.
change in the order of addition of
ingredients.
increase the bulk solution storage time by
no more than 50 percent.
For natural increase or decrease in
production.
Replacement with equipment of the same
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22. Specifications (i.e., tests, analytical
procedures, and acceptance criteria) are
From single dose to multiple dose.
the quality standards.
acceptance criteria are numerical
limits, ranges, or other criteria for the
tests described.
regulatory analytical procedure i.e
specified in USP/NF.
CONTAINER CLOSURE SYSTEM
Major Changes:-
Change from ampule to vial.
Change that may effect drug product
sterility assurance. 22
23. change to a flexible container system.
change to a prefilled syringe dosage.
Change from metal to plastic.
Change in size of sterile container.
Deletion of 2ndary package when it
provide light,moisture protection.
Addition of secondary package when it
may effect impurity.
Moderate changes:-
Change in container size no of units in
unit dosage form.
Change in label amount.
Addiion deletion of desiccant.
Minor changes:- 23
24. Change in child resistant pack.
Increasing the wall thickness.
change in or addition of a cap liner.
Change in antioxidant,colorant,stabilizer.
Change to new container already in NDA.
A change in or addition of a seal.
LABELING:-
Major Changes:-
Changes based on data from preclinical
studies.
Changes to the clinical pharmacology.
Claims of superiority to another drug
product.
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25. Changes based on postmarketing study
results with new indication use.
Revision of population based on data.
Change in the labeled storage conditions.
Moderate Changes:-
Addition of an adverse event.
Addition of a
precaution,warning,contraindication
arising out of a postmarketing study,
adds about drug abuse,
dependence,psycological effect.
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26. Minor Changes:-
Editorial changes eg distributer name
add.
Foreign language versions of the labeling.
Changes in the layout of the package
label.
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27. CONCLUSION
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Any change to the content of the pre-qualified
dossier should be reported
The change should not adversely affect the
quality, safety and efficacy of the pre-qualified
product
Position correctly the variation and submit
necessary data
Contact prequalification for assistance in classifying
an unforeseen change pre-submission.