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    EXTRACTABLE/LEACHABLE TESTING ANDEXTRACTABLE/LEACHABLE TESTING ANDEXTRACTABLE/LEACHABLE TESTING ANDEXTRACTABLE/LEACHABLE TESTING AND

    REGULATORY REQUIREMENTS FORREGULATORY REQUIREMENTS FORREGULATORY REQUIREMENTS FORREGULATORY REQUIREMENTS FOR

    OPHTHALMIC DOSAGE FORMSOPHTHALMIC DOSAGE FORMSOPHTHALMIC DOSAGE FORMSOPHTHALMIC DOSAGE FORMS

    Jeffrey Fleitman, Ph.D.

    Senior Director

    Pharmaceutical Analysis & Microbiology

    AOAC-SCS/WCDG

    Nov. 5, 2009

    Allergan Fleitman 11/5/2009

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    EXTRACTABLE/LEACHABLEEXTRACTABLE/LEACHABLEEXTRACTABLE/LEACHABLEEXTRACTABLE/LEACHABLE

    IDENTIFICATION AND ANALYSIS HAVEIDENTIFICATION AND ANALYSIS HAVEIDENTIFICATION AND ANALYSIS HAVEIDENTIFICATION AND ANALYSIS HAVE

    BECOME A MASSIVE COMPONENT OFBECOME A MASSIVE COMPONENT OFBECOME A MASSIVE COMPONENT OFBECOME A MASSIVE COMPONENT OFSOMESOMESOMESOMEREGISTRATION STABILITYREGISTRATION STABILITYREGISTRATION STABILITYREGISTRATION STABILITY

    STUDIESSTUDIESSTUDIESSTUDIES

    AllerganFleitman 11/5/2009

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    Industry Scientist Responsibilities

    AllerganFleitman 11/5/2009

    Develop test methods

    Qualify packaging components

    Plastics

    Inks

    Adhesives

    Elastiomers Cartons

    Shrink wrap

    Qualify manufacturing components

    Tubing Filters

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    Industry Scientist Responsibilities

    AllerganFleitman 11/5/2009

    Perform stability studies

    Identify E and L Support toxicology assessment of E and L

    Set product specifications

    Author CTD regulatory submission sections (methods, stability,

    etc.)

    Negotiate specifications with regulatory agencies

    Support post-approval issues with unknown impurities

    from E and L

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    DOES UNIFORM REGULATORYDOES UNIFORM REGULATORYDOES UNIFORM REGULATORYDOES UNIFORM REGULATORY

    GUIDANCE EXIST FOR TESTING,GUIDANCE EXIST FOR TESTING,GUIDANCE EXIST FOR TESTING,GUIDANCE EXIST FOR TESTING,

    IDENTIFICATION AND REPORTING OFIDENTIFICATION AND REPORTING OFIDENTIFICATION AND REPORTING OFIDENTIFICATION AND REPORTING OF

    EXTRACTABLES/LEACHABLES?EXTRACTABLES/LEACHABLES?EXTRACTABLES/LEACHABLES?EXTRACTABLES/LEACHABLES?

    AllerganFleitman 11/5/2009

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    EarlyEarlyEarlyEarly Extractable Guidance/ConcernsExtractable Guidance/ConcernsExtractable Guidance/ConcernsExtractable Guidance/Concerns

    AllerganFleitman 11/5/2009

    Glass leachables into parenterals (particulate emphasis)

    Elastomeric stoppers

    Filters/filling lines

    Latex and IV components Compatibility studies (1987 Stability Guidance?)

    Non CFC propellants and component qualification

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    USP GUIDANCEUSP GUIDANCEUSP GUIDANCEUSP GUIDANCE

    AllerganFleitman 11/5/2009

    USP BIOLOGICAL REACTIVITY

    USPCONTAINERS-PLASTICS

    USPBIOCOMPATIBILITY OF MATERIALS

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    ISO Guidance

    AllerganFleitman 11/5/2009

    ISO-10993-Biological Evaluation of Medical Devices

    Toxicokinetic guidance

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    USP GUIDANCEUSP GUIDANCEUSP GUIDANCEUSP GUIDANCE

    AllerganFleitman 11/5/2009

    USP BIOLOGICAL REACTIVITY

    USPCONTAINERS

    CONTAINERS FOR OPHTHALMICS -- PLASTICS

    Plastics for ophthalmics are composed of a mixture of homologous

    compounds, having a range of molecular weights. Such plastics frequently

    contain other substances such as residues from the polymerization

    process, plasticizers, stabilizers, antioxidants, pigments, and

    lubricants. Factors such as plastic composition, processing and cleaning

    procedures, contacting media, inks, adhesives, absorption, adsorption

    and permeability of preservatives, and conditions of storage may also

    affect the suitability of a plastic for a specific use.

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    Ph. Eur. GuidancePh. Eur. GuidancePh. Eur. GuidancePh. Eur. Guidance

    AllerganFleitman 11/5/2009

    3.1 raw material extractions

    3.2 general sections on finished containers the plastic container chosen for any particular preparation should be such

    that

    The ingredients of the preparation in contact with the plastic material are

    not significantly adsorbed onto its surface and do not significantly migrate

    into or through the plastic

    The plastic material does not release substances in quantities sufficient to

    affect the stability of the preparation or to present a risk of toxicity

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    FDA GUIDANCE ON CONTAINER CLOSURE SYSTEMSFDA GUIDANCE ON CONTAINER CLOSURE SYSTEMSFDA GUIDANCE ON CONTAINER CLOSURE SYSTEMSFDA GUIDANCE ON CONTAINER CLOSURE SYSTEMSMAY 1999MAY 1999MAY 1999MAY 1999

    AllerganFleitman 11/5/2009

    USP TESTING

    EXTRACTABLE LIMITS

    BATCH-TO-BATCH MONITORING OF

    EXTRACTABLES

    ADDITIONAL GUIDANCE ON EXTRACTION MEDIA

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    ICH Q6A May 2000ICH Q6A May 2000ICH Q6A May 2000ICH Q6A May 2000

    AllerganFleitman 11/5/2009

    Extractables: Generally, where development and stabilitydata show evidence that extractables from thecontainer/closure systems are consistently below levelsthat are demonstrated to be acceptable and safe,elimination of this test can normally be accepted. This

    should be reinvestigated if the container/closure system orformulation changes.

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    ICH Q6A May 2000(cont.)ICH Q6A May 2000(cont.)ICH Q6A May 2000(cont.)ICH Q6A May 2000(cont.)

    AllerganFleitman 11/5/2009

    Where data demonstrate the need, tests and acceptancecriteria for extractables from the container/closure systemcomponents (e.g., rubber stopper, cap liner, plastic bottle,

    etc.) are considered appropriate for oral solutionspackaged in non-glass systems, or in glass containers withnon-glass closures. The container/closure componentsshould be listed, and data collected for these componentsas early in the development process as possible.

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    Q6AQ6AQ6AQ6A----SpecificationsSpecificationsSpecificationsSpecifications

    AllerganFleitman 11/5/2009

    The experience and data accumulated during the development of anew drug substance or product should form the basis for the

    setting of specifications.

    It may be possible to propose excluding or replacing certain tests

    on this basis. Some examples are:

    extractables from product containers where it has been reproducibly shown

    that either no extractables are found in the drug product or the levels meet

    accepted standards for safety

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    ICH Q3BICH Q3BICH Q3BICH Q3B

    AllerganFleitman 11/5/2009

    Impurities in New Drug Products

    Oct 1999

    Rev 2003

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    Q3B(R)-IMPURITIES IN NEW DRUG

    PRODUCTS

    AllerganFleitman 11/5/2009

    IMPURITY SPECIFICATIONS ESTABLISHED AS A FUNCTION OFMAXIMUM DAILY DOSE ADMINISTERED

    IDENTIFICATION AND QUALIFICATION LIMITS ARE A FUNCTION OFDRUG PRODUCT CONCENTRATION AND MAXIMUM DAILY DOSE

    E & L specifically excluded

    TDI approach for reporting, ID and qualification

    In reality specs are based on stability data quality not safety issue

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    ICH Q3CICH Q3CICH Q3CICH Q3C

    AllerganFleitman 11/5/2009

    Impurities Guidelines for Residual Solvents

    1997

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    Q3CQ3CQ3CQ3C----RESIDUAL SOLVENTSRESIDUAL SOLVENTSRESIDUAL SOLVENTSRESIDUAL SOLVENTS

    AllerganFleitman 11/5/2009

    If theoretical calculations result in levels below guideline, noproduct testing needed

    Higher levels of residual solvents may be acceptable in short

    term (

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    AllerganFleitman 11/5/2009

    USP guidance ICH guidance

    Food/beverage/water standards

    Compatibility studies

    EP guidance case-by-case with regulatory agency

    GUIDANCE AS OF 2001

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    PQRI LEACHABLES AND EXTRACTABLESPQRI LEACHABLES AND EXTRACTABLESPQRI LEACHABLES AND EXTRACTABLESPQRI LEACHABLES AND EXTRACTABLES

    WORKING GROUPWORKING GROUPWORKING GROUPWORKING GROUP

    FEB. 2002FEB. 2002FEB. 2002FEB. 2002

    AllerganFleitman 11/5/2009

    INHALATION AND NASAL PRODUCTS

    COMPONENT QUALIFICATION TO REDUCE OR

    ELIMINATE ROUTINE FINISHED PRODUCT TESTING threshold concept

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    FDA GUIDANCE FOR NASAL ANDFDA GUIDANCE FOR NASAL ANDFDA GUIDANCE FOR NASAL ANDFDA GUIDANCE FOR NASAL AND

    INHALATION PRODUCTSINHALATION PRODUCTSINHALATION PRODUCTSINHALATION PRODUCTSJULY 2002JULY 2002JULY 2002JULY 2002

    AllerganFleitman 11/5/2009

    SIMILAR RECOMMENDATION TO PQRI

    conceptual agreement with PQRI recommendation

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    CHMP GUIDELINE ON THE PHARMACEUTICALCHMP GUIDELINE ON THE PHARMACEUTICALCHMP GUIDELINE ON THE PHARMACEUTICALCHMP GUIDELINE ON THE PHARMACEUTICAL

    QUALITY OF INHALATION AND NASAL PRODUCTSQUALITY OF INHALATION AND NASAL PRODUCTSQUALITY OF INHALATION AND NASAL PRODUCTSQUALITY OF INHALATION AND NASAL PRODUCTS

    Feb. 2005Feb. 2005Feb. 2005Feb. 2005

    AllerganFleitman 11/5/2009

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    2005 EMEA/CHMP Guidance on

    Plastic Immediate PackagingMaterials

    AllerganFleitman 11/5/2009

    Active substance

    Drug product Links to CTD and EP

    Provides extractable guidance

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    Safety Thresholds and Best Practices for

    Extractables and Leachables in Orally Inhaledand Nasal Drug Products

    AllerganFleitman 11/5/2009

    PQRI Sept. 2006

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    PQRI Sept. 2006

    AllerganFleitman 11/5/2009

    Establishing safety concern and qualification thresholds forleachables

    Incorporate TDI approach

    Risk assessment

    Component selection Share info with suppliers

    Safety evaluation during development

    Controlled extraction studies

    Leachable studies during stability testing

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    PQRI Sept. 2006(cont.)

    AllerganFleitman 11/5/2009

    E & L correlation may obviate future testing/specs

    Toxicology assessment process defined

    Safety assessment process defined

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    Why Not Expand PQRI ApproachWhy Not Expand PQRI ApproachWhy Not Expand PQRI ApproachWhy Not Expand PQRI Approach

    to Other Dosage Forms?to Other Dosage Forms?to Other Dosage Forms?to Other Dosage Forms?

    AllerganFleitman 11/5/2009

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    AllerganFleitman 11/5/2009

    Pharma knows how to test for extractables and leachables!

    Pharma knows how to report E & L results!

    Filings are consistent along dosage forms and across regulatory

    agencies!

    USP, EP, ICH, EMEA,CHMP

    GUIDANCE AVAILABLE!!

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    REALITY...REALITY...REALITY...REALITY...

    AllerganFleitman 11/5/2009

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    Allergan Fleitman 11/5/2009

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    DILEMNADILEMNADILEMNADILEMNA

    AllerganFleitman 11/5/2009

    One time approach (is there such a thing?) vs ongoing

    stability program

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    Should Trace Level Leachables beShould Trace Level Leachables beShould Trace Level Leachables beShould Trace Level Leachables be

    Monitored?Monitored?Monitored?Monitored?

    AllerganFleitman 11/5/2009

    Leachable peak in Drug Product Formulation: 3.3ppm

    Daily dose-dependent intake: O.2ppm/day

    Benzene in API per ICH Q3C: 2ppm

    Daily dose-dependent intake: 20ppm/day

    Benzene in Drinking Water: 2ppm/day

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    How Low to Go??How Low to Go??How Low to Go??How Low to Go??

    Allergan Fleitman 11/5/2009

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    Analytical Methodologies forAnalytical Methodologies forAnalytical Methodologies forAnalytical Methodologies for

    Profiling/Identifying LeachablesProfiling/Identifying LeachablesProfiling/Identifying LeachablesProfiling/Identifying Leachables

    AllerganFleitman 11/5/2009

    General Screening Methods

    -Temperature programmed GC/FID and GC/MS foridentification

    -RP-gradient HPLC with UV detection (210 nm) for

    general profiling and LC/MS for structural identification

    Product HPLC methods

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    Identification of LeachablesIdentification of LeachablesIdentification of LeachablesIdentification of Leachables

    AllerganFleitman 11/5/2009

    LC/MS

    GC/MS

    Authentic standards unavailable

    Proprietary info

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    REPORTING LEACHABLE RESULTSREPORTING LEACHABLE RESULTSREPORTING LEACHABLE RESULTSREPORTING LEACHABLE RESULTS

    AllerganFleitman 11/5/2009

    % OF LABEL STRENGTH REPORTING BIASES

    FORMULATIONS WITH LOW ACTIVE DRUG CONC.

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    Toxicology Assessment

    AllerganFleitman 11/5/2009

    How to correlate trace amount found with route of

    administration and perform toxicology study for a compound

    found at trace levels below PDE for most toxic compounds?

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    Specification Setting and RegulatorySpecification Setting and RegulatorySpecification Setting and RegulatorySpecification Setting and Regulatory

    Approval StrategiesApproval StrategiesApproval StrategiesApproval Strategies

    AllerganFleitman 11/5/2009

    Leachable stability data is utilized to determine maximum level

    expected in product Maximum levels determined for product are toxicologically assessed

    based on total daily intake defined by product dosing regimen

    Proposed leachable specifications determined collaboratively withregulatory agency

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    Specification Setting and RegulatorySpecification Setting and RegulatorySpecification Setting and RegulatorySpecification Setting and Regulatory

    Approval StrategiesApproval StrategiesApproval StrategiesApproval Strategies

    AllerganFleitman 11/5/2009

    For EU Regulatory submissions, leachables below levels demonstrated

    to be toxicologically safe can be eliminated from product

    specifications per ICH Q6A.

    For U.S. regulatory submissions, ICH guidelines on leachables

    specifications and controls may not be sufficient for FDA. Product

    quality may be cited to justify specifications and controls.

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    Specification Setting and RegulatorySpecification Setting and RegulatorySpecification Setting and RegulatorySpecification Setting and Regulatory

    Approval StrategiesApproval StrategiesApproval StrategiesApproval Strategies

    AllerganFleitman 11/5/2009

    Identified leachables with toxicological profile-May not require specifications/controls if observed levelsare sufficiently below toxicological thresholds

    Unidentified leachables

    0.1% of active have requiredreporting specifications based on stability data

    Contrast to TDI/SCT threshold driven PQRI recommendations

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    Regulatory Strategy: Experiences inRegulatory Strategy: Experiences inRegulatory Strategy: Experiences inRegulatory Strategy: Experiences in

    Setting Leachable Limit SpecificationSetting Leachable Limit SpecificationSetting Leachable Limit SpecificationSetting Leachable Limit Specification

    AllerganFleitman 11/5/2009

    Acceptable total daily intake (TDI) and specification setting should be thekey safety parameter for determining allowed exposure level as described inICH Q6A

    EU leachable requirements for submissions follow ICH Q6A whereas U.S.(FDA) requirements in many cases are more stringent

    In practice, for U.S. submissions, the limit specification is often data drivenbased on stability trend data as a quality parameter for the product

    For U.S. submissions, the observed leachable concentration is often verymuch less than allowed TDI from toxicological data

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    ConclusionsConclusionsConclusionsConclusions

    AllerganFleitman 11/5/2009

    Experiences in leachable specification setting for U.S.submissions indicates specification is driven by actual trend

    data although toxicological assessment may justify asignificantly higher specification

    For EU submissions, toxicological considerations have

    dictated whether leachable specifications and controls arerequired per ICH Q6A

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    New ICH Guidelines:New ICH Guidelines:New ICH Guidelines:New ICH Guidelines:Impact on E and L Guidance, TestingImpact on E and L Guidance, TestingImpact on E and L Guidance, TestingImpact on E and L Guidance, Testing

    Approaches and SpecificationsApproaches and SpecificationsApproaches and SpecificationsApproaches and SpecificationsTBDTBDTBDTBD

    AllerganFleitman 11/5/2009

    ICH Q7

    ICH Q8

    ICH Q9

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    E & L REGULATORY PERSPECTIVESE & L REGULATORY PERSPECTIVESE & L REGULATORY PERSPECTIVESE & L REGULATORY PERSPECTIVES FDA EUROPE

    ORALLY INHALEDOPHTHALMICTOPICAL,etc

    AllerganFleitman 11/5/2009

    Extractables and Leachables in

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    Extractables and Leachables in

    Pharmaceutical Dosage Forms

    AllerganFleitman 11/5/2009

    QUALITYQUALITYQUALITYQUALITYSAFETYSAFETYSAFETYSAFETY