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Baseline Requirements for Materials used in Orally Inhaled and Nasal Drug Products (OINDP): An Update to the 2011 Document Thomas N. Feinberg, Ph.D. 14 May 2015 Authored by the IPAC-RS OINDP Materials Working Group

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Baseline Requirements for Materials used in Orally

Inhaled and Nasal Drug Products (OINDP):

An Update to the 2011 Document

Thomas N. Feinberg, Ph.D.

14 May 2015

Authored by the IPAC-RS OINDP Materials

Working Group

� 1989: International Pharmaceutical Aerosol Consortium (IPAC) formed to address regulatory consequences for MDIs of Montreal and Kyoto Protocols

� 1999: IPAC formed a Working Group to prepare comments on the FDA draft CMC Guidances for MDIs, DPIs, Nasal Sprays, and Inhalation Solutions/Suspensions

� 2001: International Pharmaceutical Aerosol Consortium for Regulation and Science (IPAC-RS) formed as a separate Consortium

Mission: To advance consensus-based, scientifically driven standards

and regulations that facilitate availability of high-quality, safe and

efficacious orally inhaled and nasal drug products to patients.

Who We Are: The IPAC-RS Consortium

2

3M

Actavis

AstraZeneca

Boehringer Ingelheim

Catalent

Chiesi

GlaxoSmithKline

Hovione

Lupin Pharmaceuticals

MannKind Corporation

Merck & Co

Mylan

Novartis

Sunovion

Teva

Vectura Ltd.

Supplier Members:

Aptar

Medspray

West

IPAC-RS Members

3

•Cascade impaction

•DDU/PTIT

CMC and Product Development Tests

•Devices

•OINDP Materials

•Patient ConcordanceDelivery

SystemsClinical and

IVIVC

•Population

Bioequivalence

•GRRO

•Communic.

Techn.

IPAC-RS Workstreams

4

Mission:

To improve packaging and device materials

quality and integrity, reduce supply chain

problems and promote rational testing

approaches.

Impact:

The Patient is best served when we provide

quality packaging and device components

that are both safe and effective through the

shelf life of the drug product.

Materials Working Group

5

Materials Working Group Initiatives

2004 2006 2008 20102005 2012

Publications & Presentations to Suppliers, Pharma & Regulators

(e.g., Webinar Series; Presentations to CFDA regulators)

Workshops for Pharma, Suppliers & Regulators

Formation

of Group

Development of Testing Paradigm

for Supply Chain

Baseline Requirements

Discussed, Proposed and Revised

2014 2016

Risk Management

of OINDP Materials

Slide 6

CS9 the alignment has been adjusted to be consistent with timings and symmetry of objectsCheryl Stults, 5/12/2015

Material Quality Affects Product Quality

“Quality refers to the physical, chemical, microbiological, biological,

bioavailability, and stability attributes that a drug product should maintain

if it is to be deemed suitable for therapeutic or diagnostic use.” FDA 1999

(Packaging Guidance)

Drug

Formulation

Delivery Device

Packaging System

7

Risk Associated with OINDP (US Perspective)

Extracted from USP <1664> “Assessment of Drug Product Leachables

Associated with Pharmaceutical Packaging Delivery Systems

8

Examples of Packaging Concerns for Common Classes of Drug Products

Degree of Concern Associated with the

Likelihood of Packaging Component-Dosage Form Interaction

Risk category

Risk Management (FDA)

Material Quality Attributes

� Performance

� Functionality

� Compatibility

� Loss of Potency

� Degradation

� Precipitation

� Discoloration

� pH change

� Brittleness of Package

� Safety

� Chemical composition

(Extractables)

� Chemical migration

(Leachables)

� Protection

� Temperature

� Light

� Solvent/gases/moisture

� Microbes

Suitable for intended use:

9

Risk Associated with OINDP (EMA Perspective)

Plastic packaging material for drug products

•description

•identification

•mechanical,

physical or other

characteristic

properties

•description

•identification

•mechanical,

physical or other

characteristic

properties

•description

•identification

•characteristic

properties

•identification of

main additives and

colorants

•nature and

amount of

extractables

if not

Compliance to appropriate monographs of the European Pharmacopoeia or

the monograph of the pharmacopoeia of a Member State should be demonstrated.

Non-solid dosage

forms

Solid dosage form

for oral and topical, non-ophthalmic

Source: EMEA Guideline on plastic immediate packaging materials,

19 May 2005 (CPMP/QWP/4359/03)

•description

•identification

•mechanical,

physical or other

characteristic

properties

•description

•identification

•characteristic

properties

•identification of

main additives and

colorants

•nature and

amount of

extractables

Non-solid dosage

forms

inhalation, parenteral and ophthalmic administration

Solid dosage form

Compliance with foodstuff legislationif not

if not

yes no

if not

10

SUPPLY CHAIN

N - 3 N - 2 N - 1 N

INGREDIENT

SUPPLIER

MONOMERS,

ANTI–STATICS,

ADDITIVES

MATERIAL

SUPPLIER

POLYMER,

METAL,

ELASTOMER

CONVERTER/

ASSEMBLER

MOULDER,

DEVICE MFR,

VALVE MFR,

PKG MFR

PHARMA

11

Pharma Supply Chain Links

Quality Throughout the Supply ChainIngredient Supplier

Material Supplier

Converter/ Assembler

Pharm Mfr

Sources of L/E: Additives, Ambient Contaminants, Processing Aids

Patient

N-1N-2N-3 Control

12

Supply Chain Risk

Foil

Extractables

Leachable

Ingredients

Key Documents (circa 2005)

� 1993 CDRH - Reviewer Guidance for Nebulizers, Metered Dose

Inhalers, Spacers and Actuators

� 1998 FDA - MDI/DPI Draft Guidance

� 1999 FDA - Guidance for Industry: Container Closure Systems for

Packaging Human Drugs and Biologics

� 2002 FDA – Guidance on Inhalation solution, suspension, spray and

nasal spray products

� 2002 EU Directive 72, Food Contact

� 2005 CHMP, CVMP - Guideline for Plastic Immediate Packaging

Materials

� 21CFR 170-189

� EP 3, USP <381>, <660>, <661> (Physicochemical)

� ISO10993, USP<87>, USP<88> (Biocompatibility)

13

Material Supplier

Converter/Assembler

Pharmaceutical Manufacturer

No Extractables TestingPerformed

Routine Extractables Testing

•Controlled Extraction Studies•Leachables Studies

•Routine Extractables Testing

No Sharing of Informationwith Converter/Assembler

•No sharing of results with Material Supplier

•No sharing of composition information with Pharma

Difficult to Achieve Correlation between

Extractables and LeachablesProfiles

Inadequate Understanding of Material

Testing Redundancy

Production Delays

14

Testing Paradigm (circa 2005)

Key Documents (2006 - 2011)

� 2006 PQRI – Safety Thresholds & Best Practices For

Extractables & Leachables in OINDP

� 2006 Health Canada/EMA Guidance – Pharmaceutical

Quality of Inhalation and Nasal Products

� 2007 European Parliament/Council –Medical Device

Directive 93/42/EEC as amended

� 21CFR 170-189; COMMISSION REGULATION (EU) No

10/2011 (Food contact)

15

2009 EU & US Forum Discussion Topics

All parties within the supply chain discussed the following issues with

great enthusiasm:

� Communication - breaking the barriers

� Confidential information/data – can it be shared?

� Extraction/Biocompatibility studies – who conducts the testing?

� Material variability – what’s acceptable?

� Lifecycle management – managing post approval changes

� Regulatory expectations – what Pharma requires to file a drug

product?

16

2009 Discussion Forum Proposals

� Rationale as to why extraction studies should be conducted

by suppliers – inclusion of extraction studies expectation in

baseline requirements

� Use of analytical thresholds in extraction studies

� Establishing a reasonable threshold/limit

� 36 month availability of material

� Adequate notice period (minimum 12 months)

� Last-call option to allow bulk purchase before production

discontinuation

� Notification of changes

17

Improved Testing Paradigm (circa 2010)

Material Supplier

Converter/Assembler

Pharmaceutical Manufacturer

Limited Extractables TestingPerformed

Routine Extractables TestingControlled Extraction Studies

•Controlled Extraction Studies•Leachables Studies

•Routine Extractables Testing

Sharing of Informationwith Converter/Assembler

•Dialogue on results with Material Supplier

•Sharing of composition information with Pharma

Improvement inCorrelation between

Extractables and LeachablesProfiles

Improved (limited) Understanding of Materials

Testing Redundancy

Production Delays

18

2010 – Drafted Baseline Requirements

� Provide guidance to suppliers

� Provide information that pharmaceutical

manufacturers can adopt for OINDP high risk

material

� Address all levels of supply chain

� Address all types of materials

19

Baseline Requirements (2011 Version)

� Table demonstrating kinds of testing/evaluation should be

performed by suppliers in the supply chain

� Flowcharts

� Describing the main supply and processing steps in development of

plastic, metal, foils, and elastomeric components

� Assigning the testing/evaluation to specific types of suppliers in the

supply chain

� Appendices describing:

� Rationale for security of supply

� Rationale for “one-time” testing

� Rationale for Controlled Extraction Studies

� Rationale for Routine Extractables Testing

� Key references

20

21

http://ipacrs.org/assets/uploads/outputs/Baseline_Requirements_for_OINDP_M

aterials.doc

“Baseline Requirements” (2011)

Proposed Information Flow (2011)

Masterbatch Producer

Routine Extractables Testing

on each batch

Share Results

with Molder/Converter

Molder/Converter

Controlled Extraction Studies

Share results and methods with

Masterbatch Producers;

Share results with

Pharmaceutical Manufacturers

Pharmaceutical Manufacturer

Leachables Studies

Identify critical components

Correlate extractables profiles

with leachables profiles

Efficient Testing Processes

Potential Elimination of Routine Extractables End Testing

Regulations/Compliance

Data Generation

Specification Setting

CES Study Design

Data Interpretation

Process Understanding

Knowledge Sharing; Material, Processing, Stability & Extraction Study Design

22

OINDP Supplier & MFR Communication

Requirements

Discussed Early And

Often

Business

Communication

Early and Often

GMP Guideline for Suppliers Of OINDP

Technical

Communication

Early and Often

Design Quality

Into the Product

OINDP

MANUFACTURERS

OINDP

SUPPLIERS

23

24

Relevancy: “New” and Emerging Documents

� 2011 IPAC-RS, PQG, CQI PS 9000:2011 “Pharmaceutical packaging materials for

medicinal products, with reference to Good Manufacturing Practice (GMP)”

� 2012 IPAC-RS (Wiley) Leachables and Extractables Handbook

� 2012 EU cGMPs Chapter 7, “Outsourced Activities”

� 2013 Draft, FDA Guidance “Contract Manufacturing Arrangements for Drugs: Quality

Agreements”

� 2013 Draft USP <232> “Elemental Impurities-Limits”

� 2014 ICH Q3D “Guideline for Elemental Impurities” (Step 4)

� 2014 Draft USP <661> “Plastic Packaging Systems and Their Materials of Construction”

� 2014 Draft USP <661.1> “Plastic Materials of Construction”

� 2014 Draft USP <661.2> “Plastic Packaging Systems for Pharmaceutical Use”

� 2014 Draft USP <1661> “Evaluation of Plastic Packaging Systems and Their Materials of

Construction with Respect to Their User Safety Impact”

� 2015 August USP <1663> “Assessment of Extractables Associated with Pharmaceutical

Packaging/Delivery Systems”

� 2015 August USP <1664> “Assessment of Drug Product Leachables Associated with

Pharmaceutical Packaging/Delivery Systems”

25

Continuous Improvement (initiated 2015)

• How can the “Baseline Requirements” be kept relevant to

current scientific, manufacturing, and regulatory context?

- Development and manufacturing processes are changing

- Risk management, control, and testing paradigms are changing

• Who is using them?

• How are they being used?

• What are “critical components”?

• Can these requirements be expanded to other “high-risk”

dosage forms?

26

Revision Planning

• Materials WG create draft

• Set-up meetings with stakeholder to receive feedback

- IPAC-RS Members

- Material Suppliers

- Contract Manufacturers

- Contract Analytical Testing Laboratories

- Regulators

• Final Draft Circulated

• Plan workshop

Requirement I: Material Availability

• Minimum 36 months rolling availability of unchanged material* including:

- Shelf-life of material

- Adequate notice period (minimum 12 m) to qualify new material according to

regulatory requirements

- Last-call option to allow bulk purchase before production discontinuation

Examples

Notice Period

with Last Call

Option

Raw Material

Shelf Life

Finished

Component Shelf

Life

Resulting Material

Availability

Material #1 12 months --- 24 months 36 months

Material #2 12 months 12 months 12 months 36 months

Material #3 18 months 12 months 6 months 36 months*subject to contractual agreements for specific materials between individual suppliers and their customers

27

Requirements for Materials used in Orally

Inhaled and Nasal Drug Products (OINDP) II

• Food Additive Compliance

- US: 21 CFR Parts 172-189

- EU: Commission Regulation (EU) No 10/2011

- Other materials and food additive requirements, e.g. printing inks, adhesives, paper boards,

silicone, rubber

• TSE (BSE, “mad cow disease”)

- ISO 22442 Medical devices utilizing animal tissues and their derivatives

- Compliance with 2003/32/EC, EN ISO 22442 (see above bullet), EP 5.2.8 ; guidances:

CPMP/EMEA 410/01, MEDDEV 2.11/1.

• REACH

• RoHS

• Directive 94/62/EC

- Pb, Cd, Cr-VI, Hg (<0.01%)

28

Requirement II: Compliance/Conformance

Requirements for Materials used in Orally

Inhaled and Nasal Drug Products (OINDP) II

• Pigments

- BfR Requirements, 21 CFR 178

• Phthalates Content

- Compliance with 93/42/EEC as amended by 2007/47/E

- Canadian Requirement: Notice to Manufacturers of Licensed Class II, III, and IV Medical Devices

• BPA Content (Canadian)

• Aromatic Amines Content

• Epoxy derivatives

- EC 1895/2005

• MBT

• Nanomaterials

• Nitrosamines: EC Directive 93/11/EEC

• Polycyclic Aromatic Hydrocarbons (PAH) content

• Latex

• Electronics

29

Expectation I: Additional Information

Requirement III: Quality Information

• Confidentiality and Quality Agreement

• Change Control

• Composition, Process & Quality Control

• DMF Access, if available

30

Assign Quality Responsibilities

31

Example responsibility matrix from PS 9000:2011Item Customer Supplier

Component Specifications X

Specifications against which material is

tested by the organization

X

Supply/procurement projections X

Testing in-process/release X

Testing on receipt X

Certification Certificate of Analysis(CoA),

Certificate of Compliance (CoC) or CoT

X

Retained samples X X

Supply agreement X X

Quality agreement X X

Design file X X

Expectation II: Material Testing for Critical Components

• Performance Criteria

• Pharmacopeial Compliance

- Physicochemical & Biocompatibility

• Foreign Particulates

• CES using PQRI recommendations at a minimum including:

- Three solvents of varying polarity

- One or more extraction techniques

- At least two analytical methods

- Quantification and identification to 10 ppm

- Detailed protocol for Controlled Extraction Studies

• L&E Handbook, ELSIE, BPSA, ISO 10993

• Routine Extractable Testing, if needed based on risk evaluation

32

33

Expanded and Generalized Material Categories

Production of

Base polymer (with additives)

(Category 2)

Production of

Ingredients

(Category 1)

Production of

compounded pellets,

Masterbatch

(Category 3)

Raw material

(Category 1)

Fabrication

(Category 3)

Production of

Base polymer (with additives)

(Category 2)

Production of Ingredients

(Category 1)

Production of plastic films,

aluminum foil, etc

(Category 3)

Production of Raw

Materials/Ingredients,

Masterbatch

(Category 1)

Mixing/compounding

(Category 1)

Production of cured

rubber materials

(Category 3)

Elastomer Plastics Metal/Glass Foil

Component

production

(Category 4)

Component production

(including cleaning or

passivation)

(Category 4)

Foil laminate

Production

(Category 4)

Component production

(Category 4)

Finishing treatments

(de-flashing,

annealing, etc)

(Category 4)

Delivery system

assembler

Finishing treatment

(application of coating,

chemical rxn, etc)

(Category 4)

Delivery system

assembler

Finishing treatments

(cutting/sizing,

printing, etc)

(Category 4)

Delivery system

assembler

Delivery system

assembler

Finishing treatment

(washing or surface

treatments)

(Category 4)

34

Category Simplification (2015)

Test Category 1 Category 2 Category 3 Category 4

Biocompatibility—based on compliance with ISO 10993 or USP <87> and <88>.

Deliverable:

Certificate of Compliance (required) and report with test

results (upon request)

One-time test

for plastics only One-time test*

Physicochemical Testing

Deliverable:

Certificate of Compliance (required); Certificate of Analysis (upon request)

One-time test*

Compliance with EP3.1

One-time test*

Compliance with EP Chapter 3, USP <661>,

<381>, (optional JP XV)

Controlled Extraction Studies

Deliverable:

Report with results (complete

data package)

No test

Should

provide composition information.

One-time test*

Or, at the least, provide

composition

and processing aids or

additives

One-time test*

Or, at the least, provide

composition

and processing aids or

additives

One-time test*

Routine Extractables Testingi

Periodic, (e.g., per batch), Quantitative / Qualitative

Validated method

Deliverable:

Certificate of Analysis

Routine Test.

Can be done at the request of

customer, in connection with

Category 4 routine

extractables testing

Routine Test.

Commercial requirement may

be adjusted based on

development testing results

(e.g., no

leachables of concern)

i Routine Extractables Testing to be performed depending upon outcome of formal risk analysis

Effective Risk-Based Testing Strategy

• Testing point - where the relevant knowledge exists

• Risk evaluation of safety or performance – Mitigate by testing

vs. process controls

• Critical quality attributes - properly determined

• Testing methodology- appropriate to the proposed failure mode

35

Proposed Testing Paradigm (2015)

Masterbatch Producer

Material Characterization Studies

CofA Testing (Release)

Share Results

with Molder/Converter

Molder/Converter

Material Characterization Studies

Share results and methods with

Masterbatch Producers;

Share results with

Pharmaceutical Manufacturers

Pharmaceutical Manufacturer

Controlled Extraction Studies

Leachables Studies

Identify critical materials

Correlate extractables profiles

with leachables profiles

Efficient Testing Processes

Potential Elimination of Routine Extractables End Testing

Data Generation

Specification Setting

CES Study Design

Data Interpretation

Process Understanding & Risk Assessment

36

Regulations

Quality Agreements

Change Control Procedures

Knowledge Sharing; Material, Processing, Stability & Extraction Study Design

Future Activities

• Stay tuned for IPAC-RS WG updates

• Join Forums

• Pull down current document and provide feedback

- If you were to apply for your dosage form, what changes?

www.ipacrs.org

37

Arthur Bailey, Mannkind

James Conners, Sunovion

Andrew Feilden

Sara Miller, 3M

Lee Nagao, IPAC-RS

Jonathan Petersen, Merck & Co

Gaby Reckzuegel, Boehringer Ingelheim

Cheryl Stults

www.ipacrs.org

38

Acknowledgments