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							22 February 2011
Dossier Requirements for Generics: Quality (Part I)


           EMRO 1st workshop on WHO Prequalification
            Programme of Priority Essential Medicines
                  6-7 June 2007, Cairo, EGYPT

                       Maryam MEHMANDOUST, PhD
            Pre-qualification programme: Priority Essential Medicines
                           WHO- HTP/ PSM/ QSM
                         mehmandoustm@who.int

 Slide 2     M. MEHMANDOUST- Cairo- June 2007
                                                 Glossary
API                Active Pharmaceutical Ingredient
APIMF              Active Pharmaceutical Ingredient Master File
ARV                Antiretroviral
CoS                Certificate of Suitability
EDQM               European Directorate for Quality of Medicines and HealthCare
EoI                Expression of Interest
FPP                Finished Pharmaceutical Product
GMP                Good Manufacturing Practices
ICH                International Conference on Harmonization
Int. Ph.           International Pharmacopoeia
JP                 Japanese Pharmacopoeia
Ph. Eur.           European Pharmacopoeia
PIL                Patient Information Leaflet
PQ                 Prequalification
PQIF               Pharmaceutical Quality Information form
SPC                Summary of Product Characteristics
TB                 Tuberculosis
USP                United States Pharmacopoeia



  Slide 3   M. MEHMANDOUST- Cairo- June 2007
            WHO Reference text for Multisource
                  (Generic) products


WHO/DMP/RGS/98.5 - Marketing Authorisation of
Pharmaceutical Products with Special Reference to
Multisource (Generic) Products - A Manual for a Drug
Regulatory Authority (Blue Book) (1999). [under
revision]

available on WHO web-site: http://www.who.int/prequal/



 Slide 4   M. MEHMANDOUST- Cairo- June 2007
             WHO Reference text for Multisource
              (Generic) products / Definitions
Active Pharmaceutical Ingredient (API)
A substance or compound that is intended to be used in the manufactureof
a pharmaceutical product as a therapeutically active compound
(ingredient)

Pharmaceutical Product
Any preparation for human or veterinary use that is intended to modify or
explore physiological systems or pathological states for the benefit of the
recipient.

Finished Pharmaceutical Product (FPP)
A product that has undergone all stages of production, including packaging
in its final container and labelling.


  Slide 5   M. MEHMANDOUST- Cairo- June 2007
                      Multisource (Generic) product

 Multisources are Pharmaceutically equivalent
     (WHO definition)

         same amount of the same API

         same dosage form

         meet the same or comparable standards

         intended to be administered by the same route



  Multisources which are therapeutically equivalent are interchangeable


Slide 6       M. MEHMANDOUST- Cairo- June 2007
                     Quality of a Generic product

Multisource products must be of good quality and at least as safe
   and efficacious as existing products (WHO Manual, Blue
   Book, P. 29, chapter H., Interchangeability))


          Same Safety –                                Equal quality with the
          Same efficacy                           comparator or a quality shown and
                                                    assessed to be as acceptable



  Demonstration of pharmaceutical equivalence of the
             FPP including that of the API

Slide 7        M. MEHMANDOUST- Cairo- June 2007
                     Reference texts
Prequalification quality guidelines for dossier submission
•             Guideline on submission of documentation for prequalification of
              multi-source (Generic) Finished Pharmaceutical Products (FPPs)
              used in treatment of HIV/AIDS, Malaria and Tuberculosis (Main
              Generic guide with 8 annexes) [under revision]
•             Supplement 1 : Dissolution testing
•             Supplement 2 : Extension of the WHO list of stable APIs (not
              easily degradable)
•             Guidance on variations to a prequalified dossier
•             Guideline on Active Pharmaceutical Ingredient Master File
              (APIMF) Procedure
•             ICH notes for guidance (when applicable)
These documents are available on WHO website:
    http://www.who.int/prequal/


    Slide 8        M. MEHMANDOUST- Cairo- June 2007
                      Documentation on Quality Part
                   to be submitted to the WHO PQ team

-             Covering letter

-             Product dossier on part Quality

-             PQIF (annex 8 to the main generic guide): properly filled
              out in WinWord format, See mock-up PQIF on
              www.who.int/prequal/ under training material and
              workshops, Hanoi, Vietnam, January 2006




    Slide 9       M. MEHMANDOUST- Cairo- June 2007
                  Documentation on Quality Part
           to be submitted to the WHO PQ team /PQIF




Slide 10     M. MEHMANDOUST- Cairo- June 2007
                  Documentation on Quality Part
           to be submitted to the WHO PQ team /PQIF




Slide 11     M. MEHMANDOUST- Cairo- June 2007
                  Documentation on Quality Part
           to be submitted to the WHO PQ team / PQIF




Slide 12      M. MEHMANDOUST- Cairo- June 2007
                        Quality dossier / Section 1
Information on the Finished Pharmaceutical Product (FPP)
1.1. Details of the Product
      - Name, dosage form and strength of the product
      - Approved generic name (INN)
      - Visual description of the FPP
      - Visual description of the packaging

1.2. Samples (visual examination and comparison with the SPC and PIL

1.3. Regulatory situation in Member States / list countries
      - Countries where a MA has been issued
      - Countries where a MA has been withdrawn
      - Countries where a Marketing Application has been rejected, deferred


 Slide 13   M. MEHMANDOUST- Cairo- June 2007
               Quality dossier / Section 2

           Active Pharmaceutical Ingredient
                       (API)




Slide 14   M. MEHMANDOUST- Cairo- June 2007
                      Quality dossier / Section 2
               Active Pharmaceutical Ingredient (API)
Scientific data on the API can be submitted in the following
    order of preference
       A valid Certificate of Suitability (CoS) or CEP, latest version, with all its
        annexes issued by EDQM

       An APIMF (Active Pharmaceutical Ingredient Master File) submitted by
        the API manufacturer, containing the whole information requested in
        section 2

       Complete submission of data requested in Section 2




    Slide 15    M. MEHMANDOUST- Cairo- June 2007
                   Quality dossier / Section 2
            Active Pharmaceutical Ingredient (API)
2.1. Nomenclature
2.2. Properties of the API**
2.3. Site(s) of manufacture
2.4. Route(s) of synthesis**
2.5. Specifications**
2.6. Container- closure system
2.7. Stability testing
** The requirements may differ depending on if the API is pharmacopoeial or
      non-pharmacopoeial



 Slide 16   M. MEHMANDOUST- Cairo- June 2007
                         Quality dossier / Section 2
                  Active Pharmaceutical Ingredient (API)
TB drugs / 6th EoI
         Rifampicin (rifampin)                          Ph. Eur., USP, BP, Ph. Int.
         Ethambutol 2HCl                                Ph. Eur., USP, BP, Ph. Int., JP
         Pyrazinamide                                   Ph. Eur., USP, BP, Ph. Int., JP
         Isoniazid                                      Ph. Eur., USP, BP, Ph. Int., JP
         Streptomycin sulfate                           Ph. Eur., USP, BP, Ph. Int.
         Amikacin                                       Ph. Eur., USP, BP, Ph. Int., JP
         Kanamycin                                      Ph. Eur., USP, BP
         Capreomycin                                    USP, Ph. Int.
         Cycloserine                                    USP, JP
         Ethionamide                                    Ph. Eur., USP, BP, Ph. Int., JP
         Ofloxacin                                      Ph. Eur., USP, BP
         Prothionamide                                  Ph. Int., JP
         p-Aminosalicylic acid (and sodium salt)        Ph. Eur., USP


    Slide 17          M. MEHMANDOUST- Cairo- June 2007
                      Quality dossier / Section 2
               Active Pharmaceutical Ingredient (API)
Artemisinin based antimalarial drugs / EoI May 2005
         Artesunate                               Ph. Int.
         Artemether                               Ph. Int.
         Artemotil (arte-ether)                   Ph. Int.
         Amodiaquine                              Ph. API
         mefloquine
         Sulphadoxine
         Pyrimethamine
         Lumefantrine                             Non-pharmacopoeial


    Slide 18    M. MEHMANDOUST- Cairo- June 2007
                         Quality dossier / Section 2
                  Active Pharmaceutical Ingredient (API)
Antiretrovirals
         Abacavir                                        Ph. Int.
         Didanosine                                      Ph. Int.
         Efavirenz                                       Ph. Int.
         Indinavir                                       Ph. Int., USP
         lamivudine                                      Ph. Eur., USP, BP, Ph. Int.
         Nelfinavir                                      Ph. Int.
         Nevirapine                                      Ph. Int., USP, Ph. Int.
         Stavudine                                       Ph. Eur., USP, BP, Ph. Int.
         Saquinavir                                      Ph. Int., USP
         Ritonavir                                       Ph. Int., USP
         Zidovudine                                      Ph.Int., USP, Ph. Eur., BP
         Tenofovir and Emtricitabine                     Non-pharmacopoeial



    Slide 19           M. MEHMANDOUST- Cairo- June 2007
                   Quality dossier / Section 2
            Active Pharmaceutical Ingredient (API)



2.1. Nomenclature (INN, chemical name, CAS No.)

2.2. Properties of the API (pharmacopoeial substances)
     - Properties which are not described in a monograph such as
       solubilities in water and different buffer solutions, existence/absence
       of polymorphs, Particle size

      - Verification of structure by Infra-red (IR) comparison to an official
       Reference standard



 Slide 20     M. MEHMANDOUST- Cairo- June 2007
                   Quality dossier / Section 2
            Active Pharmaceutical Ingredient (API)

2.2. Properties of the API (non-pharmacopoeial substances)

       - Chemical structure, stereochemistry, molecular mass

       - Isomeric nature including stereo-chemical configuration

       - Proof of the structure: interpreted spectra such as IR, NMR, UV, RX,
       thermograms…

       - Physico-chemical properties such as solubilities in water and
       different buffer solutions, existence/absence of polymorphs,…




 Slide 21     M. MEHMANDOUST- Cairo- June 2007
                   Quality dossier / Section 2
            Active Pharmaceutical Ingredient (API)
2.3. Site(s) of manufacture
     Name and address of each facility /alternative facility +
     valid manufacturing authorization for production of API

2.4. Route(s) of synthesis (Pharmacopoeial substance)

       Brief outline of the manufacturing process i.e.
       - flow chart and brief description of the manufacturing of API
       - name of solvents, reagents and catalysts used in the process
       - emphasis on final steps specifically those of purification and
       crystallization



 Slide 22     M. MEHMANDOUST- Cairo- June 2007
                     Quality dossier / Section 2
              Active Pharmaceutical Ingredient (API)
2.4. Route(s) of synthesis (non-pharmacopoeial substance)

       - flow chart and detailed description of the manufacturing of API, operating
       conditions and materials used, typical batch size

       - list of materials used: solvents, reagents and catalysts used in the process and their
       specifications

       - specifications of starting key raw material and intermediates

       - emphasis on final steps specifically those of purification and crystallization

       - in-process controls, identification of critical steps and their validation

       - description of alternative processes while showing that the final impurity profile
       remains the same as that of the main process
       - Reprocessing
       - Declaration on use/non use of TSE risk materials


 Slide 23      M. MEHMANDOUST- Cairo- June 2007
                    Quality dossier / Section 2
             Active Pharmaceutical Ingredient (API)
2.5. Specifications (Pharmacopoeial substance)

    - Copy of the pharmacopoeial monograph used + additional tests not mentioned in the
    monograph

    - Specifications of the API (analytical procedures and associated limits) should comply
    with the requirements of a specific monograph + those of the general monograph (if
    applicable) + controls on residual solvents
    e.g. Ph. Eur. General monograph on substances for pharmaceutical use (2034)

    - If the API is prepared by a different method of synthesis liable to leave impurities
    other than those mentioned in the monograh

       - impurities to be characterized
       - demonstrate that the pharmacopoeial analytical procedure is suitable to control
       these new impurities
       - if not, develop and propose a new validated method with an acceptable limit for
       that impurity


Slide 24      M. MEHMANDOUST- Cairo- June 2007
                      Quality dossier / Section 2
               Active Pharmaceutical Ingredient (API)
2.5. Specifications (Pharmacopoeial substance)
  (cont.)

-       If existence of polymorphs, discuss the need for having or not a
        specification for polymorphs

-       if substance insoluble in water, discuss the need for a particle size
        specifications
        these aspects are not covered by the pharmacopoeial monograph

- Batch analyses for at least 2 batches manufactured on each site and from
   each route of synthesis


    Slide 25    M. MEHMANDOUST- Cairo- June 2007
                   Quality dossier / Section 2
            Active Pharmaceutical Ingredient (API)
2.5. Specifications (non-pharmacopoeial substance)

    - Requirements of the note for guidance ICH Q6A apply

    - Characterize organic impurities, inorganic impurities, residual solvents, catalysts
    residues which may be potentially present in the final substance

    - Propose acceptable limits according to ICH Q3A (impurities) and ICH Q3C (residual
    solvents)

    - Propose appropriate analytical procedures suitable for the intended use, correctly
    validated + full detailed description of the method in order to be replicated by a control
    laboratories

    - Batch analyses for at least 2 batches manufactured on each site and from each route
    of synthesis

    - Description on how the reference standard used in analytical procedures is prepared,
    how its identity, its purity and its assay have been set + 1 certificate of analysis


Slide 26      M. MEHMANDOUST- Cairo- June 2007
                  Quality dossier / Section 2
           Active Pharmaceutical Ingredient (API)
2.6. Container-closure system
 Description of the packaging

 Identification of materials and components of the packaging

 Specifications of these materials

 Justification for choice of these materials, e.g.

             - protection against light, humidity

             - compatibility of the used materials with the API, interactions
             between the API and the closure such as sorption, leaching
             (mainly in case of a liquid API)

Slide 27    M. MEHMANDOUST- Cairo- June 2007
                     Quality dossier / Section 2
              Active Pharmaceutical Ingredient (API)
2.6. Stability of the API
 Stress study
           – to know different degradation pathways of an API and degradation
             products formed
           – to demonstrate the intrinsic stability of the API
                 The above information is useful further for development
                                  pharmaceutics of the FPP
           – To demonstrate the stability indicating power of the analytical
             procedure used

Reference can be done to the literature or to pharmacopoeiae, if the above
                       information is there available

Slide 28        M. MEHMANDOUST- Cairo- June 2007
                     Quality dossier / Section 2
              Active Pharmaceutical Ingredient (API)
2.6. Stability of the API
 Formal stability study
            necessary to establish a re-test period and a precaution for storage /
                                   labelling statement



        Definition of the re-test period
        Period of time during which the API is expected to remain within its
     specifications and can be used in the manufacture of a given product
     (without control prior to manufacture of Drug Product) in condition that
     the API has been stored under defined storage conditions


 Slide 29       M. MEHMANDOUST- Cairo- June 2007
                   Quality dossier / Section 2
            Active Pharmaceutical Ingredient (API)
2.6. Stability of the API
 Formal stability study
     – 3 lots of API: 1 production scale and 2 of pilot size
     – Parameters susceptible to change during storage should be followed:
     assay, related substances and degradation products, isomeric nature,…
     – Minimum of data at submission of the dossier
            • 12 months long term ICH condition 25°C/60% RH,
            • 12 months intermediate ICH condition 30°C/65% RH,
            • 6 months accelerated ICH 40°C/75% RH
           Unless otherwise justified, the long term storage condition for
                         Prequalification is 30°C/ 65% RH

 Slide 30   M. MEHMANDOUST- Cairo- June 2007
               Submission of data on API – section 2
           Certification of Suitability (CoS) / CEP Option

      Issued by EDQM for substances described in the Ph. Eur. www.edqm.eu

      2 types of CEPs: quality CEP and TSE CEP

      Information which can be found on a quality CEP
       CEP reference, CEP holder, site of manufacture of the substance, monograph according
       to which the dossier is evaluated, additional impurities and residual solvents not
       mentioned in the monograph, additional methods to those of the monograph are
       appended, re-test period with packaging system and storage condition (if applicable), date
       of validity of the CEP

    A quality CEP certifies that the quality of the substance can be checked
            according to the Ph. Eur. by applying the analytical methods
            described in the Ph. Eur. monograph supplemented by those
                                appended to the CEP.

Slide 31       M. MEHMANDOUST- Cairo- June 2007
             Submission of data on API – section 2
                       APIMF Option
     Procedure implemented since January 2007, www.who.int/prequal

     To protect the "know-how" of the manufacturer of the API

     While giving the whole information on manufacture of the API to the WHO
      PQ team of assessors

     While giving a part of the information to the applicant to Prequalification/
      manufacturer of the finished product

      An APIMF is composed of: Applicant's /Open part + Restricted / Closed part

     Manufacturer of the API should make available to the applicant to
      Prequalification the Applicant's part + Letter of access


Slide 32     M. MEHMANDOUST- Cairo- June 2007
             Submission of data on API – section 2
                       APIMF Option
     Manufacturer of the API should submit on the other hand the Applicant's
      part + Restricted + Letter of access to WHO team An APIMF is to be
      submitted only in support of a FPP dossier

     An APIMF is not an independent dossier of API

     Scope open to pharmacopoeial and non-pharmacopoeial APIs

     Scope of APIMF only open to APIs ≠ US and Canadian master file
      procedures

     See annex 1 of the APIMF guide for the content of an APIMF

     Content of APIMF corresponds to data required in section 2 of the
      prequalification quality dossier without difference between pharmacopoeial
      and non-pharmacopoeial APIs
Slide 33    M. MEHMANDOUST- Cairo- June 2007
                  Quality dossier / Section 3

           Finished Pharmaceutical Product

                                              (FPP)



Slide 34   M. MEHMANDOUST- Cairo- June 2007
                     Quality dossier / Section 3
              Finished Pharmaceutical Product (FPP)
3.1.    Manufacturing and marketing authorization
3.2.    Pharmaceutical development
3.3.    Formulation
3.4.    Sites of manufacture
3.5.    Manufacturing process
3.6.    Manufacturing process controls of Critical steps and intermediates
3.7.    Process validation and Evaluation
3.8. Specifications for excipients
3.9.    Control of the FPP
3.10. Container/closure system (s) and other packaging
3.11. Stability testing


  Slide 35     M. MEHMANDOUST- Cairo- June 2007
                   Quality dossier / Section 3
            Finished Pharmaceutical Product (FPP)


3.12. Container labelling

3.13. Product information for health professionals

3.14. Patient information and package leaflet

3.15. Justification for any differences to the product in the country   or
      countries issuing the submitted WHO-type certificate(s)




 Slide 36   M. MEHMANDOUST- Cairo- June 2007
                      Quality dossier / Section 3
               Finished Pharmaceutical Product (FPP)
3.1. Manufacturing and Marketing Authorization

-         Valid manufacturing authorization for pharmaceutical production
          including the pharmaceutical form applied for

-         Marketing authorization to demonstrate the product is registered /
          licensed in accordance with national requirements



3.2. Pharmaceutical development

The aim is to build a quality product by design.




    Slide 37    M. MEHMANDOUST- Cairo- June 2007
                        Quality dossier / Section 3
                 Finished Pharmaceutical Product (FPP)
3.2. Pharmaceutical development
The section should contain information on the development studies
     conducted to establish that

            –   the dosage form,
            –   the formulation,
            –   the manufacturing process,
            –   the container closure system,
            –   microbiological attributes and
            –   storage and usage instructions

            are appropriate for the purpose specified in the dossier.

 Slide 38         M. MEHMANDOUST- Cairo- June 2007
                   Quality dossier / Section 3
            Finished Pharmaceutical Product (FPP)
3.2. Pharmaceutical development (pre-formulation)
      Physico-chemical characteristics of the APIs
        – solubility       (composition)
        – water content    (stability)
        – hygroscopicity (stability)
        – particle size    (solubility, bioavailability, suspension properties,
                           stability …)
        – polymorphism (solubility, bioavailability, stability)

      Data obtained from literature : Books, Journals,
        International Pharmaceutical Abstracts, Chemical
       Abstracts, Analytical Abstracts, Internet ……
      Experimental data                        (if necessary)

 Slide 39    M. MEHMANDOUST- Cairo- June 2007
                        Quality dossier / Section 3
                 Finished Pharmaceutical Product (FPP)
3.2. Pharmaceutical development (choice of excipients)
      Intended function of each excipient
       Criteria
            – compatibility of excipients with API(s),
            – characteristics of the excipients (water content, particle size, flowability, density,
              rheological behavior…)

      Particularly : other non active constituents (lowest acceptable
       concentration to be chosen e.g. concentration of parabens as
       preservatives)


       Experimental data needed.



 Slide 40          M. MEHMANDOUST- Cairo- June 2007
                    Quality dossier / Section 3
             Finished Pharmaceutical Product (FPP)

3.2. Pharmaceutical development (choice of the manufacturing process)
      Parameters : characteristics of the APIs, dosage form, composition…. .
       Rational behind the choice (e.g. why a non over kill process as a
       sterilisation process?)
       Justification of the overage (if any)
       Identification of the critical steps
      In Process Control (IPC)
      Selection and optimisation of manufacturing process



 Slide 41     M. MEHMANDOUST- Cairo- June 2007
                          Quality dossier / Section 3
                   Finished Pharmaceutical Product (FPP)
3.2. Pharmaceutical development (dissolution testing)
         To study dissolution operating conditions (media, pH, rotation, …)
         To develop a discriminatory dissolution method
         Comparative dissolution testing is a tool, mandatory in development
          pharmaceutics section of the dossier in PQ, See Supplement 1
               – Help in selection of the formulation
                              - compare formulation(s) with innovator product,
                              - a basic strategy in development to maximize the
                              chances of bioequivalence

               – Comparison of pivotal batches to commercial batches/ post-approval changes

               – Setting of dissolution specifications



    Slide 42         M. MEHMANDOUST- Cairo- June 2007
                   Quality dossier / Section 3
            Finished Pharmaceutical Product (FPP)
3.2. Pharmaceutical development (details of batches studied)

      Provide a summary of development of the FPP from pre-
       formulation to production scale.

       Provide a comparison of formulas (tabulated form) of :
        – bio-batche(s) (clinical/bioequivalence),
        – development batches,
        – stability batches,
        – batches for validation/production



 Slide 43   M. MEHMANDOUST- Cairo- June 2007
                      Quality dossier / Section 3
               Finished Pharmaceutical Product (FPP)
3.2. Pharmaceutical development (choice of formulation and
     compatibility)

         Compatibility of APIs with the excipients

         Compatibility of APIs between each other in case of fixed
          dose combinations

See example of 4FDC for TB products




    Slide 44   M. MEHMANDOUST- Cairo- June 2007
                   Quality dossier / Section 3
            Finished Pharmaceutical Product (FPP)
3.2. Pharmaceutical development (choice of formulation and compatibility)

      Each tablet contains 4 APIs

       . Rifampicin ………………. 150 mg

       . Isoniazid …………………. 75 mg

       . Pyrazinamid …………….. 400 mg

       . Ethambutol 2HCl…………275 mg

       . Excipients ………………..




 Slide 45    M. MEHMANDOUST- Cairo- June 2007
                   Quality dossier / Section 3
            Finished Pharmaceutical Product (FPP)
3.2. Pharmaceutical development (choice of formulation and compatibility)
      Rifampicin
       Oxidation (quinone & N-oxide)
        – Protect from air exposure
       Hydrolysis (3-formylrifamycin & 25-desacetyl)
        – Wet granulation/drying a potential problem ?


       Reaction with Isoniazid
        – Produces 3-(isonicotinylhydrazinomethyl) rifamycin or more commonly known
            as isonicotinyl hydrazone.
       Light sensitive
        – Product to be protected from light exposure



 Slide 46     M. MEHMANDOUST- Cairo- June 2007
                       Quality dossier / Section 3
                Finished Pharmaceutical Product (FPP)
3.2. Pharmaceutical development (choice of formulation and compatibility)
      Isoniazid
       Reacts with aldehydes/reducing sugars
        – Sugar & lactose to be avoided in formulation !!
        – 3-formylrifamycin (from rifampicin)
      Ethambutol hydrochloride (2HCl)
       Hygroscopic
        – Absorbs water reactions in tablets.

       Creates slightly acidic conditions
            –    The acidic conditions enhance reaction between rifampicin and
                isoniazid (isonicotinyl hydrazone formation)

 Slide 47        M. MEHMANDOUST- Cairo- June 2007
                       Quality dossier / Section 3
                Finished Pharmaceutical Product (FPP)
3.2. Pharmaceutical development (preventive/protective
     measures)
      Formulation – no sugar/lactose (isoniazid)
      Separate granulation of rifampicin & isoniazid (limit contact)
      Rifampicin as powder (not granulate) ?
            –   Prevent oxidation & hydrolysis

      Low water content of tablet
      Protect product from moisture and oxygen
            –   Film coating,
            –   Non-permeable packaging

      Light protection

 Slide 48        M. MEHMANDOUST- Cairo- June 2007
                       Quality dossier / Section 3
                Finished Pharmaceutical Product (FPP)
3.3. Formulation
       Formula in tabulated form for :
            –   Administration unit (e.g. one tablet),
            –   Typical batch
                  - Precise any overage,
                  - Precise quantity adjustment of the API,
                  - Precise q.s. for excipient.

       Excipients :
            –   State function (e.g.lubricant, disintegrant),
            –   Precise technical grade (e.g. micronised, purified water),
            –   Also those removed during process (e.g. water),
            –   Also those not always added (e.g. acid & alkali) : pH adjustment,
            –   Capsule shells, inked imprints on dosage form,
            –   Also gas (inert atmosphere).



 Slide 49        M. MEHMANDOUST- Cairo- June 2007
              Quality dossier / Section 3
       Finished Pharmaceutical Product (FPP)
3.4. Manufacturing sites
      Name and street address of each facility where any aspect of
       manufacture occurs including production, sterilisation,
       packaging and quality control

      Include any alternative manufacturers

      Certificate issued by the Competent DRA according to WHO
       Certification scheme for each site where a major step of
       manufacturing is performed

      Submit a valid GMP certificate

 Slide 50   M. MEHMANDOUST- Cairo- June 2007
                       Quality dossier / Section 3
                Finished Pharmaceutical Product (FPP)
3.5. Manufacturing process (cont.)
      Flow chart with indication of each step showing where materials enter
       the process. Indication of critical steps and in-process controls

      Description of manufacturing/packaging including
            –    Scale
            –    Equipment by type (e.g. tumble blender) & working capacity
            –    Process parameters for steps, (e.g. time, temperature, pH)
            –    Environmental conditions, e.g. relative humidity for hygroscopic FPPs., area
                class for sterile FPPs
            –    Steps of the process
            –    Alternative methods




 Slide 51        M. MEHMANDOUST- Cairo- June 2007
                   Quality dossier / Section 3
            Finished Pharmaceutical Product (FPP)
3.5. Manufacturing process (cont.)
      Proposal for reprocessing – justified with data.

      Copy of master formula.

       Batch manufacturing record – real batch.

      Sterile products – sterilisation steps and/or aseptic procedures.

      Description of in-process tests including plan of sampling and
       acceptance limits).

      Data for 3 full scale batches to support achievement of predetermined
       specifications.

 Slide 52    M. MEHMANDOUST- Cairo- June 2007
                   Quality dossier / Section 3
            Finished Pharmaceutical Product (FPP)
3.6. Manufacturing Process Controls of Critical steps and
     Intermediates
      Identification of critical steps with test methods and justified
       acceptance criteria

      Information on quality of isolated intermediates, test
       methods and justified acceptance criteria to control them




 Slide 53   M. MEHMANDOUST- Cairo- June 2007
                   Quality dossier / Section 3
            Finished Pharmaceutical Product (FPP)
3.7. Process Validation and Evaluation


                             WHO validation definition

    The documented act of proving that any procedure, process,
     equipment, material, activity, or system actually leads to the
                           expected results.




 Slide 54   M. MEHMANDOUST- Cairo- June 2007
                   Quality dossier / Section 3
            Finished Pharmaceutical Product (FPP)
3.7. Process Validation and Evaluation


                            What should be validated ?

  “Any aspect of operation, including significant changes to the
    premises, facilities, equipment or processes, which may affect
     the quality of the product, directly or indirectly, should be
                        qualified and validated”




 Slide 55   M. MEHMANDOUST- Cairo- June 2007
                   Quality dossier / Section 3
            Finished Pharmaceutical Product (FPP)
3.7. Process Validation and Evaluation


                                  Purpose of validation

     Process validation is intended to establish that the proposed
           manufacturing process is a suitable one and yields
              consistently a product of the desired quality.

             i.e. that the process is suitable and under control



 Slide 56   M. MEHMANDOUST- Cairo- June 2007
                       Quality dossier / Section 3
                Finished Pharmaceutical Product (FPP)
3.7. Process Validation and Evaluation
Validation mandatory for processes including a critical step
The aim is to show that critical steps are under control and lead
     continuously to the desirable quality
Examples of critical steps (list non exhaustive)
         mixing,
         coating,
         granulation,
         emulsification,
         non-standard sterilisation



    Slide 57         M. MEHMANDOUST- Cairo- June 2007
                       Quality dossier / Section 3
                Finished Pharmaceutical Product (FPP)
3.7. Process Validation and Evaluation (details on first 3 production batches)
         Batches
                batch number
                batch size
                place and date of manufacture
                batch number of API(s)
                yield
                batch purpose (validation, stability, clinical trial …)

         Process
                equipment
                process parameters
                validation protocol.

          Results
                critical steps
                in process control
                finished product


    Slide 58         M. MEHMANDOUST- Cairo- June 2007
                   Quality dossier / Section 3
            Finished Pharmaceutical Product (FPP)
3.7. Process Validation and Evaluation


      Concurrent validation carried out during normal production
       on the first 3 production batches

OR

      For well-established processes
       process data, in-process controls and quality controls on a
       total of 10- 25 batches to present a statistically significant
       picture

 Slide 59    M. MEHMANDOUST- Cairo- June 2007
                      Quality dossier / Section 3
               Finished Pharmaceutical Product (FPP)
3.7. Process Validation and Evaluation
If validation data (on production scale batches) are not available submit

       validation protocol,

       commitment that validation report will be submitted later for
       evaluation,

           commitment that data will be available in case of inspection,

           commitment that WHO will be informed of any significant deviation.




 Slide 60        M. MEHMANDOUST- Cairo- June 2007
                        Quality dossier / Section 3
                 Finished Pharmaceutical Product (FPP)
3.7. Process Validation and Evaluation
Validation protocol should include
         brief description of the process with summary of critical steps and parameters to be followed
          during validation,

         specifications of the FPP at release,

         details of analytical procedures and limits,

         sampling plan,

         unifromity of dosage units essential for FDCs,

         proposed timeframe

Validation report when submitted should include
      results for each batch, certificates of analysis, batch production records, report on
      usual findings, modifications, observations and conclusions


    Slide 61       M. MEHMANDOUST- Cairo- June 2007
                    Quality dossier / Section 3
             Finished Pharmaceutical Product (FPP)
3.8. Specifications for excipients
Non-pharmacopoeial substances
       - Details for manufacturing process,
       - Specifications (description of procedures and acceptance criteria)
       - Stability data
       - Cross-reference to non-clinical (toxicological)- clinical data for safety aspects
       - Certificates of analyses
Pharmacopoeial excipients
       Copy of the pharmacopoeial monograph used for control + certificates of analysis
For excipients of animal, human, microbial origin
       - TSE (Transmissible Spongiform Encephalopathy) risks and viral safety should be
       addressed
       - TSE CEP preferred
Permitted colorants are those allowed in UE, USA and Japan

 Slide 62      M. MEHMANDOUST- Cairo- June 2007
                       Quality dossier / Section 3
                Finished Pharmaceutical Product (FPP)
3.9. Control of the FPP
      2 sets of specifications are possible: at release and at the end of shelf-life
      (list non exhaustive)
       Description of the FPP /appearance
       Identification of API
       Assay of API: ± 5% of the label claim at release and ±10% at the end of shelf-life
       Degradation products
       Pharmaceutical tests e.g. dissolution, disintegration (where applicable)
       Uniformity of dosage units (mass or content)
       Identification of colorants, identification and assay of anti-oxidants, chemical
        preservatives
       Microbial contamination. Sterility, bacterial endotoxins


    Slide 63     M. MEHMANDOUST- Cairo- June 2007
                      Quality dossier / Section 3
               Finished Pharmaceutical Product (FPP)
3.9. Control of the FPP (cont.)
         Monographs of Ph. Int., USP, BP are acceptable for the FPP +
          complementary tests

         If non-pharmacopoeial FPP, note for guidance Q6A applicable

         Description of all analytical procedures in details if not described in a
          pharmacopoeial monograph

         Validation of analytical methods and/or demonstration of applicability
          for pharmacopoeial methods

         Batch analyses for 3 lots with details of each lot (batch no, size, date of
          manufacture, use of batch)

    Slide 64     M. MEHMANDOUST- Cairo- June 2007
                      Quality dossier / Section 3
               Finished Pharmaceutical Product (FPP)
3.10. Container-closure system
         Discussion on the choice of container
                 Choice of the material
                 Protection against light and humidity
                 compatibility/interaction of materials in contact with dosage form
                 Safety of materials used

         Detailed description of the container
                 Specifications of the container with dimensions and drawings
                 Specifications of materials in contact with FPP
                 Composition of these materials, compliance with pharmacopoeia
                 Identification of components e.g. IR for plastic materials

         Description of the secondary packaging


    Slide 65    M. MEHMANDOUST- Cairo- June 2007
                   Quality dossier / Section 3
            Finished Pharmaceutical Product (FPP)
3.11. Stability testing
The purpose of stability testing is to provide evidence on how the
    quality of a FPP varies with time under the influence of a
    variety of environmental conditions such as temperature,
      humidity and light and to establish a shelf-life for the FPP,
    to determine the storage conditions and the in-use stability.



To know about length of the time and conditions where efficacy,
          safety and quality of the FPP are maintained

 Slide 66   M. MEHMANDOUST- Cairo- June 2007
                       Quality dossier / Section 3
                Finished Pharmaceutical Product (FPP)
3.11. Stability testing
         Lots included in the study: 1 production batch and 2 of pilot scale manufactured
          according to the process described in the dossier

         Pilot scale batch for solid dosage forms is 10% of production scale or
          100 000 whichever is greater

         Parameters susceptible to change over storage should be followed:

          Organoleptic properties
          Assay of each API: ±10% of the label claim possible at the end of shelf-life
          Assay of degradation products
          Assay of antioxidants and chemical preservatives, check also for their efficacy
          Dissolution testing (limits should remain unchanged to release)
          Microbial contamination, sterility, bacterial endotoxins

         In-use stability data (if applicable)



    Slide 67      M. MEHMANDOUST- Cairo- June 2007
                   Quality dossier / Section 3
            Finished Pharmaceutical Product (FPP)
3.11. Stability testing
      Study should be performed in the claimed commercial packaging
       (container-closure)
      Storage conditions and frequency of testing according to ICH Q1A(R2)
      Minimum stability data to be submitted at time of submission: 12
       months long term ICH 25°C/60% RH, 12 months intermediate ICH
       30°C/65% RH and 6 months accelerated ICH 40°C/75% RH with
       exception according to Supplement 2 to the Main Generic guide
      Unless otherwise justified, 30°C / 65% RH is the recommended storage
       condition for Prequalification
      Definition of "significant change" is the same as ICH Q1A (R2)
       see next presentation

 Slide 68    M. MEHMANDOUST- Cairo- June 2007
                   Quality dossier / Section 3
            Finished Pharmaceutical Product (FPP)
3.11. Stability testing
      Case of products packed in semi-permeable containers foreseen (liquid
       dosage forms susceptible to loss of solvent or water loss in low relative
       humidity condition). The storage condition will be long term ICH 25°C
       / 40% RH and accelerated 40°C/25% RH
      Extrapolation of data to accord a longer shelf-life possible according to
       ICH Q1E + Supplement 2 in condition of commitments
      Supplement 2: tentative 2 year re-test period and /or shelf-life may be
       accorded to APIs and corresponding solid forms (tablets and capsules)
       listed in Supplement 2 based only on 6 months accelerated data and 6
       months long term data
      Long term stability should anyhow be followed to cover the whole
       shelf-life accorded

 Slide 69    M. MEHMANDOUST- Cairo- June 2007
                       Quality dossier / Section 3
                Finished Pharmaceutical Product (FPP)
3.12. Container labelling
       Outer packaging : Where no outer packaging, on immediate packaging, e.g. HDPE
       bottle.

            –   Labelling should include at least the following :
            –   The name of the FPP.
            –   Method of administration.
            –   A list of API(s) (using INNs if applicable) showing the amount of each present in a
                dosage unit, and a statement of the container, e.g. number of dosage units, weight or
                volume.
            –   List of excipients known to be a safety concern for some patients, e.g. lactose, gluten,
                metabisulfites, parabens, ethanol, or tartrazine.
            –   Instruction on use.
            –   The batch number assigned by the manufacturer.
            –   The expiry date in an uncoded form.
            –   Storage conditions or handling precautions that may be necessary.
            –   Directions for use, and any warnings or precautions that may be necessary.
            –   The name and address of the manufacturer, company or person responsible for placing
                the product on the market.



 Slide 70         M. MEHMANDOUST- Cairo- June 2007
                       Quality dossier / Section 3
                Finished Pharmaceutical Product (FPP)
3.12. Container labelling


Blisters and strips should include, as a minimum, the
      following information


            –   Name, strength and pharmaceutical form of the FPP
            –   Name of the manufacturer, company or person
                 responsible for placing the product on the market
            –   The batch number assigned by the manufacturer
            –   The expiry date in an uncoded form

 Slide 71        M. MEHMANDOUST- Cairo- June 2007
                       Quality dossier / Section 3
                Finished Pharmaceutical Product (FPP)
3.13. Product information for Health Professionals


           Summary of product characteristics (SmPC)


            –   Aimed at medical practitioners and health professionals
            –   Changes to SmPC to be approved by WHO
            –   See Annex 5 of the main generic guide




 Slide 72       M. MEHMANDOUST- Cairo- June 2007
                   Quality dossier / Section 3
            Finished Pharmaceutical Product (FPP)

3.14. Patient information and package leaflet
       Copy of the patient information leaflet (PIL)

       In conformance with SmPC

      See Annex 6 of the main Generic guide




 Slide 73    M. MEHMANDOUST- Cairo- June 2007
Data in the dossier should enable us to conclude

 What is the product?
 Is the quality presented is acceptable on grounds
      of safety and efficacy?
 Is the quality presented is reproducible?
 How long is it maintained?

Quality must ensure consistency of safety and efficacy
      during the shelf life of all batches produced.


Slide 74   M. MEHMANDOUST- Cairo- June 2007

						
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