Drug Shelf Life

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    Prescription drug products

    stability and expirationdates*

    UTMB/NASA-JSC Aerospace Medicine Grand Rounds

    Houston, TX

    Mansoor A. Khan, R.Ph., Ph.D.

    Director, FDA/CDER/Division of Product Quality Research

    October 27, 2009

    Views are my own and does not represent the official policy of the Agency

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    Outline

    Introduction to FDA and DPQR

    Drug product shelf life & expiration date Shelf-Life Extension Program (SLEP)

    Repackaged products

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    Food and Drug Administration

    CDER CBER CDRH CVM CFSAN NCTR

    Drugs FoodDevicesBiologics Veterinary

    Cosmetics

    Combination products

    ORA

    Field Laboratories

    Office of Biotech Laboratories

    Office of Testing and Research Laboratories

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    DS

    Characterization

    AnalyticalMethods

    DPCell Culture

    Stability

    Nanoparticles

    Liposomes

    SR/MR

    TDDS

    Nasal

    Pulmonary

    Fast disintegration Solid dispersion

    PK/Bioavailability

    Excipients

    Formulation variables Process variables

    Mechanistic evaluations

    Optimization &

    ANN procedures

    Mixing

    Milling

    Granulation

    Drying

    Compression

    Coating

    Packaging

    Research in DPQR

    Physical Chemical

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    Stability, shelf-life, and expiration date

    Drug substance and products could degrade by oxidation,hydrolysis, racemization etc.

    Factors such as temperature, humidity, light, pH, ionic strength,

    buffer strength could enhance the degradation.

    It is expected that a well designed formulation and packagingprotects the product from degradation

    A shelf-life generally means a product will retain approved specs inthe final packaged container, in stated storage conditions, whentested by validated methods

    An expiration date must be placed on container label (21 CFR201.17).

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    Levothyroxine Sodium

    6

    I

    O

    HO

    I

    I

    ONa

    O

    I

    H NH2 x H2O

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    Levothyroxine Stability Indicating Method*

    -25

    75

    175

    275

    0 5 10 15 20

    Time (min)

    Peakarea

    T4

    T3

    T2

    T0

    DIT

    MIT

    T

    heo

    Tyr

    International Journal of Pharmaceutics, 360:77-82, 2008.

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    How is Shelf Life Established?

    Applicant conducts systematic stability testing(21 CFR 211.166) according to a prescribedprotocol

    Select samples from representative batches

    Store samples at defined storage conditions*

    Accelerated (40C/75% relative humidity or RH)

    Long-term (25C/60% RH)

    Intermediate (30C/65% RH), if needed

    *(Other stress conditions, e.g., light, acid, base, oxidant, forone-time testing)

    Pull samples at predetermined intervals

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    How is Shelf Life Established?

    Test samples for product attributes susceptible tochange during storage and shipping and likely toinfluence quality, safety, and/or efficacy

    Physical attributes, e.g., appearance, particle size

    Chemical attributes, e.g., assay, degradants, pH In vitro drug release rate, e.g., dissolution

    Biological, e.g., bioassay, and microbiological attributes

    Analyze data for each attribute as a function of

    time against proposed acceptance criteria Determine if the proposed shelf life can be

    supported by available data

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    How is Shelf Life Established?Perform regression analysis (if needed)

    Time (years)

    85

    90

    95

    100

    105

    110

    0 1 2 3 4 5

    %

    LabelClaim

    Raw dataRegression lineTwo-sided 95% confidence limitsLower acceptance criterion

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    Stability Test Attributes

    Solid Orals

    Potency Assay

    Impurities

    Dissolution

    Water Content

    Appearance

    Injectables

    Potency Assay

    Impurities

    Preservatives

    pH

    Appearance

    Color

    Particulates

    Powders

    Potency Assay

    pH Water Content

    Appearance

    Creams/Ointments

    Potency Assay pH

    Appearance

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    GabapentinExample of a drug product impurity

    H2N COOH

    Gabapentin

    HN C=O

    Lactam impurity

    * Laboratory efforts: Understand all the variables and their interactions thatenhance the impurity level. DOE experiments to obtain a design space of a unitoperation. Drying and granulation process monitored by Near IR and chemical

    imaging.

    J. Pharm and Biomed. Analysis, 2008, 46, pp. 181-186.

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    Granule Potency at 40 oC/75% RH

    70

    75

    80

    85

    90

    95

    100

    105

    110

    0 2 4 6 8 10 12 14

    Time (weeks)

    Potency(%c

    laim)

    PVP-W PVP-A

    xPVP-W xPVP-A

    HPC-W HPC-A

    Polx-W Polx-A

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    RC-A formation in Granules stored at 40oC/75% RH

    0.0

    0.4

    0.8

    1.2

    1.6

    2.0

    2.4

    0 2 4 6 8 10 12 14

    Time (weeks)

    Re

    latedCompound

    A(%w

    /w)

    PVP-W PVP-A

    xPVP-W xPVP-A

    HPC-W HPC-A

    Polx-W Polx-A

    USP limit

    for RC-A

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    RC-A formation in Tablets stored at 40

    o

    C/75% RH

    0.0

    0.4

    0.8

    1.2

    1.6

    2.0

    2.4

    2.8

    3.2

    3.6

    0 2 4 6 8 10 12 14Time (we eks)

    RelatedCompoundA

    (%

    w/w)

    PVP-W PVP-A

    xPVP-W xPVP-A

    HPC-W HPC-A

    Polx-W Polx-A

    USP limit for

    RC-A

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    SLEP: Program Operation

    Tests/Test methods/Location of

    standards/procedures/research

    (when needed)

    SLEP

    Military/SNS/VA

    Contact

    Samples

    FDA Field Lab

    Testing

    Samples

    Test ResultsFDA SLEP Coordinator

    FDA CDER

    Chemist Analysis

    Data Evaluation, Analysis, and

    Estimations of New Expiration

    Date

    Samples

    New Expiration Date

    Drug Lot Stored

    in

    Military/SNS/VA

    Stockpile

    Lyon et. al., J. Pharm. Sci., 2006, 95, 1549-1560.

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    Group 1A: Products with No Failures ( 10 lots tested)Drug Product Dosage Form Tested Mean

    Amoxicllin Sodium Tablets 21 23

    Ciprofloxacin Tablets 242 55

    Diphenhydramine HCl Syringe-Needle a 12 76

    Doxycycline Hyclate Capsules b 13 50

    Doxycycline Hyclate Powder b 31 27

    Halothane Liquid 12 67

    Mannitol Injection-Solution 10 66

    Morphine Sulfate Syringe-Needle c 13 89

    Naloxone HCl Injection-Solution 10 77

    Oxacillin Sodium Powder 13 56

    Potassium Iodide Tablets d 12 69

    Sodium Bicarbonate Injection-Solution 37 55

    Sodium Chloride Irrigation e 16 72

    Sodium Nitrite Injection-Solution 10 89

    Sodium Thiosulfate Injection-Solution 14 131

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    Cefoperazone Sodium Powder 4 46 Assay

    Cephapirin Sodium Powder 13 74 Potency

    Cimetidine HCl Injection-Solution c 7 42 Assay

    Dextrose (5%) Injection-Solution 22 65 Assay; Appearance i

    Flurazepam HCl Capsules 3 35 Appearance

    Morphine Sulfate Autoinjector d 3 32 Degradant

    Ophthalmic Irrigating Solution 6 52 Low pH

    Pancuronium Bromide Injection-Solution 13 79 Assay (1)

    Ringers, Lactated andDextrose

    Injection-Solution 13 53 Assay k ; Assay, Appearance

    Sodium Chloride Injection-Solution e 41 50 Assay; pH

    Sodium PolystyreneSulfonate

    Powder 3 55 Water Content

    Sulfadiazine Silver Cream 37 57 High pH & Assay

    Tetracycline HCl Capsules 11 50 Dissolution ; Degradant

    Thiopental Sodium Powder 12 54 Low pH ; Appearance

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    SLEP Participants Current DoD participants

    US Army US Air Force US Navy US Marines

    CDC/Strategic National Stockpile (SNS) since 2004

    Dept. of Veterans Affairs (VA) since 2005

    Only Federal agencies that sign an MOA with DOD mayparticipate in SLEP

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    SLEP Challenges

    Protocols/Procedures

    References standards Specialized equipment

    Lab research when needed

    Record keeping Knowledge Management

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    0

    1

    2

    3

    4

    5

    0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5

    Distance (mm)

    Force(Kg)

    1975

    19992004

    FDA Shelf Life Research Example

    0.0

    0.51.0

    1.5

    2.0

    2.5

    3.0

    3.5

    4.0

    1975 1999 2004

    Manufacture Year

    H

    ardness

    (kp)

    Force

    Empty Capsule Cap

    Tablet Hardness

    Tester (n = 10)

    Force-Displacement Cap Crushing Strength

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    Research Lessons

    Learned Actual shelf life may be much longer thanindicated by expiration date on the productoriginal label.

    Shelf life varies greatly between lots.

    Continued testing and systematic evaluationis required to ensure product quality.

    Analyses of the successes and failures canhelp in applying this information to new

    product development.

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    Repackaged Product Background

    The draft guidance, CPG 7132.b11, specifiesconditions where it may be possible to assign upto 12 months expiration dating to non-sterilesolid and liquid oral dosage form drug productsrepackaged into unit dose containers for Class A,

    without conducting new stability studies.

    According to USP, a unit dose container is designated Class A if not more

    than 1 of 10 containers exceed 0.5 mg/day in moisturepermeation rate, and none exceeds 1 mg/day. a unit dose container is designated Class B if not more

    than 1 of 10 containers exceed 5 mg/day in moisturepermeation rate, and none exceeds 10 mg/day.

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    Two repackaging firms say a draft FDA guidanceshould be revised to allow one year dating on opendose packages using Class B material.

    ('http://www.fdaweb.com/start.php?sa=v&aid=D5100826&cate=&stid=4LnsBWacYRN0k')FDA Webview, Sept 12, 2005

    http://www.fdaweb.com/start.php?sa=v&aid=D5100826&cate=&stid=4LnsBWacYRN0khttp://www.fdaweb.com/start.php?sa=v&aid=D5100826&cate=&stid=4LnsBWacYRN0khttp://www.fdaweb.com/start.php?sa=v&aid=D5100826&cate=&stid=4LnsBWacYRN0khttp://www.fdaweb.com/start.php?sa=v&aid=D5100826&cate=&stid=4LnsBWacYRN0k
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    Unit Dose Products Selected

    Ranitidine HCl Syrup, 15 mg/mL

    Metoprolol tartrate tablets, USP 50 mg

    Phenytoin sodium suspension, USP 125mg/5 mL

    Gabapentin capsules, 300 mg

    Furosemide tablets, USP, 40 mg

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    Original packaging tablets

    Time 0

    Repackaged tablets

    Stored at 40C

    75%RH for 4 Weeks

    Original packaging tablets

    Stored at 25C 60%RH for

    4 Weeks

    Repackaged tablets

    Stored at 25C60%RH for 4 Weeks

    Original packaging tablets

    Stored at 40C 75%RH for

    4 Weeks

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    Overall Conclusions Drug product degrade by several different type of reactions

    It is important to monitor several product attributes in addition to the amountof main drug

    The stability of a product beyond expiration is not evaluated. Some productcould be dangerous if used after expiration

    SLEP program is restricted to certain federal agencies at this time

    Repackaged metoprolol tartrate tablets Product integrity compromised ataccelerated conditions.

    Repackaged Phenytoin Sodium Suspension Product uniformity, potency,and dissolution compromised at initial time point itself

    Repackaged Ranitidine HCl Syrup, Furosemide Tablets, and GabapentinCapsules no stability issues in the conditions of experiment