QbD - Parenteral

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Quality by Design - Parenteral

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  • QbD for Sterile Products

    Tim Lukas Pfizer

  • 1. Introduction to the QbD framework/requirements 2. The Need, Value and Demand for QBD 3. QbD demands Expert Design & Detailed Assessment 4. QbD Product Development for Liquid Products A Chronological

    staged progression (colour coded) Presentation interspersed with anecdotes

    Presentation interspersed with questions

    Presentation augmented with some product examples

    5. Conclusion 6. Acknowledgements 7. Glossary of Terms

    Content

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  • The Framework of QbD

    Process Analysers

    Ena

    bler

    s: P

    AT

    Design of Experiments

    Multivariate Analysis

    Process Modelling

    Science

    Quality Risk Management Knowledge Management

    Quality Quality Target Target Product Product

    Profile Profile

    Product Product & Process & Process Dev Dev

    (CPP) (CPP) Design Design Space Space - -

    Quality Target Product Profile (QTPP) CPPs

    Design Space

    Pharmaceutical Quality System

    Control Strategy

    Continuous Improve- ment

    Product & process development

    Und

    erpi

    nned

    by

    CQAs

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  • Quality By Design for Parenterals With Reference to Other Liquid Products

    QbD requires 1. Understand current standards and requirements for a quality product 2. Apply knowledge from design/development/manufacture of past

    products, understanding susceptibilities and minimising sensitivity in prototype design

    3. Understand the specific properties and challenges of your candidate 4. Select the best, robust development option 5. Conduct systematic evaluation of product attributes & sensitivity

    resulting from change in components, composition, process/equipment, testing, storage, stability and use

    6. Secure appropriate formulation, primary pack, process, storage and use

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  • Quality By Design For Parenterals With Reference To Other Liquid Products

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    Approach similar when applied to Parenteral/liquid systems .

    Opportunity to note specific considerations of liquids formulators (renaissance in liquids work associated with Paediatric guidance) .

    Drawn extensively from industry (EFPIA) thinking about QBD .

    Highlight some general and specific examples from industry .

    A work in progress. QBD should and is evolving.

  • Development Issues - The Need for QbD

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  • Muddling through with best guess formulations highlighted the need for Quality By Design

    Flawed strategy with increasing analytical scrutiny and specifications shaped around batch data o Are three batches representative or unrepresentative!

    o The less effort in control the broader the specification?

    o The more diligent the team the tighter the controls (but the less to worry about)

    Move away from reactive issues driven formulation fixes with the use of testing to check if quality is present

    Embrace certainty through preparation of quality products Composition, formulation, process & controls integrate and dictate the only

    outcome, the Quality Product o Confidence in product

    o Freedom from pass/ fail testing worries

    o Opportunity to eliminate release testing?

    Regulator and Innovator demand. (Generics next?) 7

  • The Value Of QbD : Structured, Systematic And Professional Product Development

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  • Quality By Design = Designing In Quality Then Confirming By Assessment

    QBD - too often the focus is work confirming robustness. The implicit assumptions o Only possible if you designed the right formulation in the first place o You cant map an operating space if you are at the edge of failure

    Late characterisation of product is a high risk strategy with major consequences. (Inheriting a licensed in product) If there is little operational space, options are limited o If possible - manage the product youve got and build in the best controls. Appreciate

    there may be manufacture, stability, batch failure and recall issues. (costly in money, manufacture slots, opportunity, reputation, sales)

    o If possible renegotiate the product profile (hit in differentiation & sales) o Start the formulation and design process again with improved knowledge o Get a better candidate!

    Give yourself every chance of succeeding o Select the right molecule and properties to fit the known broad robust design space o Explore and understand product performance so you can define product robustness

    and centre within design space as the most robust/forgiving product process and presentation

    o Have time for iteration/response to knowledge/findings 9

  • Quality Design & Development

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  • Design

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    Define candidate properties that permit progression Facilitate fast low risk development and enable access And utilisation of institutional knowledge and capabilities

    Access prior knowledge of candidate/series/moiety Conduct pre-formulation studies. Define formulation and process options offering robustness

    Scope formulation and process options. Identify opportunities and flaws. Select the lead likely to be viable, robust and straightforward to develop.

    Define product attributes delivering safety efficacy quality and performance for this therapy. Build in realistic commercial differentiation and utility

    Scope Product Options Select and define lead

    Quality target product profile

    Knowledge Gathering

    Molecule properties Quality gate

  • Assess

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    Evaluate the product experimentally based on Risk Analysis. Define fundamental performance indicators. Model predict & confirm quality & robustness experimentally. Establish robust product & process and any sensitivities requiring attention

    Product and Process Risk Assessment

    Experimentation and Predictive modelling

    Control Strategy

    Continuous improvement

    Final Positioning and lock down

    Accept product and position it in the design space based on deep product understanding

    Successful Risk assessment. Successful Product. Now optimise manufacturing efficiency based on batch data. Establish flexibility to manage minor changes

    Define control based on product/process knowledge and any sensitivities. Establish PARs, design space and response and any PAT approaches

    Apply expert & organisational wisdom. Conduct Failure Mode Effects Analysis on the product & process. Identify high risks, potential cause & effects & likely critical process parameters & risk mitigation

  • The Quality Target Product Profile Requires Care And Understanding

    Careful negotiation, defines the formulation challenge and the ease of delivery

    Encompasses the needs of regulators, users, patients, marketeers and manufacturing

    No requests that undermine quality or hamper development unnecessarily

    Adapts to challenges in product development revising non-essential features of the product profile

    Critical

    Accurate

    Realistic

    Evolving

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  • 14

    Understand what is necessary to satisfy the regulators, patients

    sufficient to provide differentiation possible to simplify development and manufacturing

    The Quality Target Product Profile Requires Care And Understanding

  • Quality Target Product Profile

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  • Quality Target Product Profile

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  • Prioritising within the Product Profile

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  • The Quality Target Product Profile Dictates The Product Design Requirements

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  • Anecdote The Product Profile Dictates Design And Development Work

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  • Product Example : Dectomax

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  • Question/Calculation The Poiseuilles equation states

    Q = r4P/8 L or more usefully P= 8 L Q / r4

    o P is the pressure drop o L is the length of pipe o is the dynamic viscosity o Q is the flow rate o r is the radius

    Also force x distance = work done = pressure x area

    This relates the force of injection and the pressure exerted to get the injection to flow to the properties of the fluid and the pipe along which it flows.

    J Pharm pharmaco 1979 v31 p497 500 Int J pharmaceutics v 36 (1987) p141 145

    A prototype formulation can just be injected under field conditions. Unfortunately formulation requirements dictate that its viscosity is increased four fold. What can you do to the dosing system to offset the increased force of injection? Explain in quantitative terms design options for syringe and needle. 21

  • Candidate Selection Molecule + right properties = Development Candidate

    Example molecule Symplain Weak base, pKa ~9.5

    Key properties Solubility must support dose at

    some useful pH (3 9) Stability must support a

    solution presentation pH/stability sensitivity

    manage from pH 3 4.5 Manageable Oxidation risk Manageable thermal lability

    Benchmark vs prior knowledge and experience

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  • Understand Candidate Solubility

    Define pKa

    Predict solubility using Henderson Hasselbalch equation. Confirm exptlly

    Measure intrinsic solubility using thermodynamic stable form of free acid/free base. wrong form=wrong solubility

    Free acid/free base ppts when free unionised [D] exceeds saturated solubility in the [D+]/[D] equilibrium. This pptn event defines the maxm solubility at any pH. It defines the [D+] ceiling

    Ionised form ppts in combination with a counterion.

    Profile solubility of thermodynamically stable salt forms of interest.

    Different salt counterions have different plateau solubilities --------

    Dont create wrong salt form in situ

    Amorphous forms may precipitate/salt out at extreme pH & high concentrations

    Understand any counterion (Cl-) Ksp value sensitivity

    Dont formulate buffer back at high pH where [D] can supersaturate

    Cosolvents raise intrinsic solubility, prevent free base pptn so higher salt solubility is accessible.

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  • Question/Calculation

    Calculate key points and sketch the pH solubility profile of candidates A to F using the equation provided for a free base pH = pK + log10 [S0]/([ST] [S0])

    Candidate pKa Intrinsic Solubility(pH) Comments solubility(4C) 3 3.3 3.7 Viable?

    A 5.7 5 g/ml B 6.3 1 g/ml C 5.7 1 g/ml D 6.3 5 g/ml E 6.7 5 g/ml F 6.7 1 g/ml

    Discuss their relative merits as injectables providing a dose of 2mg/ml. What specification needs to be set to maintain solubility at 4C?

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  • Anecdote: Desperate Measures To Achieve Objectives. A Price Worth Paying?

    In formulation design

    *GRAS = Generally Recognised As Safe

    Development speed and certainty if you stick with precedent. Novel excipients bring many challenges. Developing design and understanding space from scratch.

    Examples - the Cyclodextrins, Hydroxypropyl beta cyclodextrin(HPBCD) and

    Sulphobutylether beta cyclodextrin, sodium salt (SBECD)

    Pharmacopoeial Precedented Unprecedented

    GRAS* & qualified

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  • Check degradation mechanism and specific sensitivity o pH and H+/OH- catalysed o Metal ion catalysed o Oxidation/light o Thermal lability

    Measure small degradation change & [D]f ~[D]i. [D] constant, degradation rate then D independentpseudo zero order. Typically small change during shelf life.

    Arrhenius predictions to aid with shelf life prediction. ASAP evaluation providing degradation profile is representative.

    Confidence that 4C or lyophile options will support candidate

    Exploration of a pH range to support a specification and match with solubility requirement

    Understand Candidate Stability

    Arrhenius ln k = ln A Ea/RT ln k = ln A Ea/RT + B(%RH)

    ASAP (Accelerated Stability Assessment Programme)

    K. Waterman

    Pharm Res 24 780 (2007) 26

  • Question/Calculation

    Stability calculation using ASAP.

    Implications of a shift in equilibrium moisture content by applying ASAP

    Exploit short term, high temperature, high moisture, stress stability conditions in which small amounts of degradation occur

    Application valid if degradation is mirrored qualitatively across the temperature range (iso-conversion conditions).

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  • Question The Stokes Einstein (Smoluchowski relation) applies to the diffusion of

    spherical particles through liquid with low Reynold number

    D = k T/6r

    An intermolecular diffusion controlled reaction between drug and excipient is threatening shelf life. If the viscosity () of the product shifts during storage it could threaten product shelf-life. A polymer in the formulation also degrades by hydrolysis during sterilisation. Excipient polymer viscosity depends on excipient quality control and is molecular weight dependent.

    What are the implications for the definition of polymer quantities in the formulation and polymer quality assurance?

    Consider how much would viscosity have to vary as a result of sterilisation to compromise stability?

    What are the implications for excipient quality, molecular weight and formulation concentration/overage in the formulation?

    How much of a viscosity increase is needed to improve stability in initial design?

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  • Anecdote Ensure You Have Adequate Stability For The Proposed Use And Pack

    Candidate instability in alcohols/water Most formulation/solubilisation options excluded Move to GRAS listed aprotic solvents could achieve satisfactory stability

    and performance Allowed development of topical prototype formulations, stable in glass

    vials. Topicals needed to be cheap and packaged at low cost in plastic tubes Moisture transmission through plastic tubes undermined stability Packaging and moisture control costs undermine viability of a cheap

    frequently used product

    Packaging needs to be an integral part of the product profile Costs are a key concern in generic and Animal Health markets

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  • Pet endectocide Topical Spot on Monthly dosing Single use tube Easy dosing to pets Polypropylene plastic tube?

    Product Idea: Spot On

    ! Learning

    Packaging challenge costs preclude development

    Alternative candidate and formulation work required

    Product profile, pack requirements and deliverables shape product viability and development

    Triglyceride Formulation

    Free from water and alcohols

    Solution Isopropyl acetate solvent Volatile loss & moisture

    ingress modelling Moisture activity/Chemical

    stability predict shelf life. Special tube and Al blister

    costs prohibitive Identify alternative series with improved stability

    Challenge Low cost Limited solubilisers Avoid volatile alcohols Stabilisation against hydrolysis Satisfactory stability in glass

    vials Stop moisture ingress through

    plastic tubes and Al blisters

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  • Scope Product Options

    What formulation options have a track record of success? Which formulation excipient options are understood and compatible with

    my candidate?

    What are the chemical stability risks real or apparent, significant or manageable?

    What are the physical stability risks and constraints? Disproportionation, sedimentation, viscosity, particulates, pack interactions, leachables/extractives?

    Avoid the issues and pick a viable option. Give yourself a hope of a sensible fishbone diagram analysis later

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  • Composition of Symplain Citrate Injection

    (1) Equivalent to 0.5 mg/ml or 2.5 mg/vial of symplain, based on a theoretical potency factor of 73.5% for the citrate salt. Actual weight may vary according to the potency of lot used.

    (2) Reflects nominal fill weight. An appropriate overfill is included to ensure labeled extractable volume. (3) If needed, added as a ~ 0.1 M solution in WFI.

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  • Selecting The Appropriate Composition

    Component Comments API Company standard. Appropriate quality controls special care with final

    crystallisation solvent, endotoxins, impurities & particulates

    Sodium Citrate Buffer precedent at satisfactory pH. Avoid buffer at extreme pH. Ensure no pack interaction. No disproportionation risk with API. Buffer pKa position.

    Sodium Chloride Tonicity appropriate. No issues/challenges with sterilisation. Beware common ion effect if appropriate.

    HCl Risk/challenge of pH drift during manufacture or in the product. pH adjustment in manufacture aided by buffer if present

    NaOH Risk/challenge of pH drift during manufacture or in the product. Worry about introduction of ash if used in large quantities. (Salt purification aid)

    Anti-oxidants Precedent, chemical compatability, Control at end of shelf-life

    Preservatives Precedent at level, appropriate performance at required pH, chemical stability/compatability. AET criteria met.

    Polymers Source, synthesis, peroxides and impact on stability. Robustness to sterilisation. Viscosity and ease of filling

    Packaging Available, proven, stability established, already in use, stock item, already validated in use, compatible with formulation. Leachables, ab/adsorption.

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  • Question/Calculation A drug, di sodium salt of Molecular Wt 446 Dalton is crystallised. It has solubility of 4.46 mg/ml. Calculate its solubility product. What solubility suppression is observed in isotonic saline? How does dissolution rate change under sink conditions moving from water to isotonic saline? Consider the implications for formulation design and manufacturing.

    When calculating Ksp, make sure you have the right equation

    D 2- + 2 Na+ Na 2 D Ksp = [Na]2 [D]

    Even if the drug has good solubility the effect of the solubility product will be marked because of the square relationship for Na+.

    A drug salt of molecular weight 446 has a solubility of 4.46 mg/ml. Solubility is 0.01M

    Ksp = 0.01 x 0.01 x 0.01 = 1.0 x 10-6 M.

    Isotonic saline contains 150mM Na So Ksp = 1.0 x 10-6 = 150 x 10-3 x 150 x 10-3 x [D]

    Drug solubility = 4.44 x 10 5 M = 17.8 gA /ml. A 250 fold drop which will impact dissolution

    Saline is not a good choice of tonicity adjuster 34

  • Buffer Question How effective is my formulation buffer? How much do I need in my system? (IUPAC approach)

    We normally consider pH change after a change in H +. So how much acid or base generating degradation will prompt a change in pH in my system?

    A 100mM buffer system is formulated optimally around its pKa of 5. During formulation storage the pH shifts from pH 6 to pH 4. (Best case and broad pH specification enabled) What acid concentration is generated during the experiment?

    If 100mM buffer shifts from pH 6 to pH 4

    A-/HA ratio changes from 90.9/9.09 to 9.09/90.9 an 81.8% change.

    81.8% acid is associated to form HA and 81.8 mM H+ is consumed.

    (fractionally 0.41 = buffer capacity out 1 pH unit from the pK)

    This approach, calculating across a significant pH shift as occurs experimentally, is consistent with the IUPAC definition of buffer capacity. J. Chem. Ed 74 937 (1997)

    How much buffer will you need at which pH condition? 35

  • Buffer Calculation A compound (MWt 250 Da) formulated at 10 mg/ml has good solubility in the pH range 3 to 7 & good pH stability in the range 4.0 5.8. During degradation H+ ions are generated. After 2 years shelf life H+ generated is 1% of drug load.

    Proposed regulatory pH specification is 4.0 5.7. Internal specification is set at pH 4.3 to 5.5 This ensures supplies in the field always have robust stability.

    Manufacturing and pH testing variation means we make the supplies at pH 5.2 (worst case 0.2 unit variation in manufacture/testing)

    After manufacture supplies start life at pH 4.9. At end of shelf life, the final pH in the sample on stability should not drop below 4.5 (allows for expt error).

    How much (what is the minimum) buffer that will manage a pH drift from 4.9 to 4.5 on stability? If possible pick acetate buffer pK 4.75. (optimal buffer) Calculate the molarity required for this buffer system?

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  • Question/Calculation Drug molarity in solution is 10/250 = 0.04 M H+ generated on stability = 0.04/100 = 4 x 10 -4 M

    pH = pK + log10 [A-] / [HA]

    At the starting pH 4.9 = 4.75 + log10 [z] / [B - z]

    where Buffer Molarity is unknown B

    0.15 = log10 [z] / [B - z] 1.4125 = z/(B-z) B = 1.708 z

    At the final pH 4.5 = 4.75 + log10 [y] / [B - y]

    -0.25 = log10 [y] / [B - y] 0.5623 = y/(B - y) B = 2.7782 y

    H+ generated on stability = 0.04/100 = 4 x 10 -4 M

    However the acetate concentration decreases during the stability pH drift from x to y moles/litre, therefore y = z 4 x 10 -4 moles/litre.

    So B = 2.7782 ( z - 4 x 10 -4 ) B = 2.7782 [( B/1.708) - 4 x 10 -4 ]

    2.7782 x 4 x 10 -4 = ((2.7782/1.708) - 1) B 1.11 x 10 -3 = 0.6266B

    So minimum buffer molarity M = 1.77 m M In this case a low level of buffer would be appropriate minimum if this was the only acid generating mechanism.

    Getting the buffer quantity low is particularly important if working at extreme pH. 37

  • Anecdote: Preservatives/AET and CDs

    Cyclodextrins (CDs) are useful solubility enhancers. The beta cyclodextrins used pharmaceutically consist of seven 1,4 linked gluco-D-pyranose units in a ring creating a torus shape. Moieties of similar size to substituted phenyl groups bind into the central cavity. This enhances solubility.

    Each of the seven sugars has three potential sites of chemical substitution in the 2, 3 and 6 positions making a maximum theoretical degree of substitution (DS) of 21.

    Two beta CDs have been used parenterally.

    Encapsin Hydroxypropyl cyclodextrin (HPBCD)

    Captisol Sulphobutylether cyclodextrin as its sodium salt (SBECD)

    These can be used to aid solubility. Useful reference on Cyclodextrins (CD) Mark E Davis, Marcus E Brewster in Nature Reviews Drug Discovery 3 1023 -1035

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  • Unfortunately the CDs also include most of the preferred preservatives which have a favourable structure for inclusion.

    There is competition in solution which means less CD is available to dissolve drug. Preservative is associated with CD increasing the formulation requirement. This makes multi-dose products containing CD difficult to preserve.

    When formulating find preservatives with minimal inclusion

    find conditions where sufficient preservative is free to pass the Anti-microbial Effectiveness Test (AET)

    ensure sufficient drug is included to achieve necessary solubility

    These are complex challenging systems with a complex design space. (eg.Cerenia)

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    Anecdote: Preservatives/AET and CDs

  • Question/Calculation A Pharma Co. is considering developing a single dose CD formulation using HPBCD (Encapsin) as an alternative to its current SBECD (Captisol) formulation which contains 5mg/ml drug P(M Wt 500 Da) in a 4.326% SBECD solution. If the association constant for the free base drug is K= 2000 dm3 mol-1 in SBECDNa (DS=6.3, Av. MWt 2163 Da) and K= 670 dm3 mol-1 for free base drug associating in HPBCD (DS= 4.5, Av M.Wt 1396) then.

    P + CD PCD K = [PCD]/[P] [CD]

    1. Calculate for the 5mg/ml formulation how much drug is included in SBECD in percentage terms.

    2. What quantity of drug is free in solution? 3. If you swap to HPBCD how much is needed? 4. What is the particle number in solution for the formulations and how much

    NaCl should be added to achieve appropriate tonicity? 40

  • Question/Calculation 1. [P] = 5g/L /500 Da = 0.01M [SCDNa] = 43.26g/L / 2163 = 0.02M P + CD PCD K = [PCD]/[P] [CD] 0.01-x 0.02 x x K = x/ (0.01 x)(0.02-x)=2000

    x2 61x + 0.4 = 0 X = [61 (612 1.6)0.5 ]/2 = 0.006558 M 0.006558 x100%/0.01 = 65.58%

    2. 0.01 0.006558 = 0.003442M or 0.3442 x 5mg/ml = 1.721mg/ml

    4a. Particle number = [P] + [CD] + [PCD] + [Na] = 0.003442 + 0.013442 + 0.006558 + (0.02 x 6.3) complete dissociation = 0.1494M, approximately half the 300mM requirement

    Suggests that 0.45% NaCl would be a useful additive to adjust tonicity

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  • Question/Calculation 3. P + CD PCD K = [PCD]/[P] [CD] 0.003442 R 0.006558 670 = 6558/(3442 . R)

    R = 0.0028437 = free CD

    T (Total CD) = R + [PCD] = 0.0028437 + 0.006558 = 0.0094017M 0.0094017 x 1396 Da = 13.1248g/L 1.312%

    4a. Particle number = [P] + [CD] + [PCD] = 0.003442 + 0.0094017 = 0. 012844M,

    very little of the 300mM requirement has been used. (300 12.8) / 300 x 0.9% ~ 0.9% NaCl Standard adjustment is reasonable

    42

  • Product And Process Risk Assessment

    Weve done our best to design the product What are the implications for future development? Are there any things we have overlooked? Have we designed something sensible we can work with and manufacture

    as standard?

    Where should we focus our efforts in ensuring success and a problem free product throughout its commercial life?

    Have we a clear dispassionate rationale for what we are and are not going to do?

    Avoid being dismissive based on false presumptions of a track record of success with a particular process

    Collate organisational knowledge and exploit individual expertise (science based decisions, not a democracy avoid non expert decision skew )

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  • Typical Manufacturing Process

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  • Derivation Of Quality Attributes From The Quality Target Product Profile

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  • Initial Risk Assessment: Based On Prior Knowledge Applied To Qas

    DP Quality Attributes derived

    from TPP

    Drug Product Manufacturing Unit Operations/Variables Components

    Mixing, holding Filtration (in-line) Filling Stop-pering Capping Steam Sterilization API attributes Stopper / glass attributes

    Appearance Identity Assay Impurity Sterility Endotoxins pH Particulate Matter Extractable volume O2 in headspace C/C Integrity Osmolality

    Low risk or no impact on quality attributes Potentially high risk to quality attributes 46

  • Initial Risk Assessment: Documenting Rationale For High/Low Risk Areas

    47

  • Recognising Potential Contributors To Chemical Instability

    Prioritise experiments, investigate significance, address &/or control 48

  • Anecdote : Packaging And Leachables And Control Of Excipients

    It is easy to view the formulation as a separate entity to the excipients and packaging supplies that are integral to its performance Dont

    These components and their interaction with the product need to be considered.

    Changes can have disastrous consequences. (our knowledge base is not that broad, supplier understanding is also limited)

    The fishbone diagram makes you think actively about your system and not drift into problems

    49

  • Product : Phosphate Prodrugs

    50

  • Experimental and Predictive Modelling

    Many questions are raised by the risk assessment process. Experience helps you focus effort on the big risks If there is a concern only data will reassure colleagues and regulators that

    the product is robust

    Develop experimental designs that capture interdependence through the manufacturing process

    Modelling helps avoid the completion of obvious experiments. Modelling helps you investigate and design experiments and avoid the

    unnecessary process work.

    Modelling helps you harness knowledge from multiple previous products rather than focus on 1 or 2 batches of this product.

    1 batch providing success versus an accurate estimation of the boundary of failure

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  • 52

    Formulation Design Of Experiments

    Use DOE to characterize inter-dependent and synergistic effects of Temperature, pH, Oxygen and Light on product stability to the point of use

    pH > temp > O2 > light

    Formulation design & controls

    (Manage through manufacture packaging and administration set)

    Sterilization process (Storage and use)

    Manage with Manufacturing controls

  • Terminal Sterilisation Feasibility: Cumulative Contributions To Degradation

    53

  • Terminal Sterilization Feasibility

    Parameters: o Set-point temperature o Dwell time

    Key requirements (CQAs): o Sterility Assurance Level (Log Reduction 8) o Degradation 2%

    Limits can be defined based on first principles:

    o Sterilization theory:

    o Arrhenius kinetics:

    Less experimentation required Allows non-empirical Design Space development 54

  • Balancing opposing effects: sterility assurance vs chemical stability

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  • Terminal Sterilization Feasibility: Identify A Mutually Compliant Operating Solution Space For

    Sal And Purity

    56

  • Terminal Sterilisation Design Space

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  • Question/Calculation

    If there was an interruption to a sterilisation cyclecould your product go through it all over again?

    What would the implications be for stability?

    Is there a process that is most energy efficient and shift efficient for manufacturing, can these conditions be underwritten so flexibility exists in operations

    58

  • ANECDOTE: Link Between Formulation Choice And Design Space Complexity Formulating with Cyclodextrins. SBECD DS=6.5 CD is a heterogeneous population of cyclodextrins with different substitution

    patterns (21 potential centres for substitution) K the association constant (binding stability constant) is a population mean K may and does vary with Degree of substitution(DS) on the CD As DS varies moles of CD varies since CD is used as a % w/v in the

    formulation K varies with Temperature K varies with pH Stability depends on pH Solubility depends on K Chemical Stability may depend on K (steric effects) Chemical stability depends on viscosity Careful mapping of design space boundaries so formulation is always

    robust 59

  • Control Strategy

    If the control is needed for product quality make sure it is developed and applied.

    Develop based on previous experience in collaboration with the manufacturing site and capabilities.

    o Cant impose your aspirations.

    o Build in time for introduction of new approaches

    The simpler the better. Avoid complications and ambiguity. Integrate controls with design space & specification

    60

  • Parametric Release For

    Sterility

    Risk assessment (FMEA)

    Detailed decision tree for batch release

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  • ProcessControls

    62

  • Process Controls Controls on O2 exposure:

    oEliminates the need for an antioxidant oReduces degradation extending the terminal sterilisn design

    space

    PAT Applications: oN2 sparge of compounded solution (feedback control to limit

    dissolved O2 content) oFill weight monitoring with feedback control oN2 purge rate during filling (feedback control to limit O2

    headspace) oBut temperature & duration design space needed for

    sterilisation

    Real Time Release (RTR) oFill weight data in lieu of extractable volume 63

  • Visualization Of Control Strategy

    64

  • Revised Risk Assessment

    Failure Mode Effects Analysis quantifies risk and prioritizes work Risk is manageable/acceptable after implementing the control strategy

    65

  • Revised Risk Assessment Stopper / glass attributes API attributes Steam Sterilization Capping Stop- pering Filling Filtration Mixing, holding

    Components Drug Product Manufacturing Unit Operations/Variables DP Quality Attributes derived from TPP

    Osmolality C/C Integrity O2 in headspace Extractable volume Particulate matter pH Endotoxins Sterility Impurity Assay Identity Appearance

    Low risk (Originally red - Potentially Critical to Quality) Risk mitigated and/or Control Strategy implemented

    Acceptable risk following implementation of control strategy 66

  • Continuous Improvement Opportunities Successful Risk assessment, Successful Product. Now optimise

    since development provided Design space flexibility to manage minor changes

    Manufacturing understanding and efficiency based on batch data. Identify and act on trends & knowledge to improve product and supply for customers and efficiency for manufacturer.

    Simple data review and tracking allows spot change and avoid problems.

    Benefits in throughput, reduced waste, downtime and lost manufacturing capacity, eliminate systemic errors, position optimally in specification

    Understand variability in API, excipients and process Manage change in manufacturing sites/facilities

    67

  • Product Example: Stronghold Selamectin formulated in Glycol ether (DPGMME)

    and Propan-2-ol

    Learning Fundamental diffusion

    science modelling

    Primary pack controls include the Al blister

    Attention to seal quality & control/thickness of pack

    Understand IPA and water flux

    Non critical formulation variation underwritten in the clinic

    Pet endectocide Spot on dosing monthly single use easy dosing to pets flexible plastic tube

    Challenge

    IPA used promotes spread - supersaturation

    - transdermal delivery - Systemic efficacy (endos)

    IPA varies provides easy dose volume

    IPA diffuses through PP tube IPA hold up in Al blister IPA diffusion through blister Moisture ingress Significant leachables

    Resolution Tube seal integrity & dose delivery

    Tube thickness & diffusion modelling and vapour steady state

    Al blister design -Limit head space -Controlled land width & glue -Land width seal quality/alignment -Control Al thickness and quality

    Hold strategy for tubes prior to blistering

    Pin hole He leak check, microscopy Qualify formulation storage change

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  • Product Example: Slentrol Solution in Medium

    Chain Triglyceride oil Polypropylene bottle LDPE insert and liner

    Rubber free dosing device

    Weight loss in dogs Dose on food/in mouth Taste Acceptance Titrating escalating dose Daily dose regime Easy measurement Convenient dosing

    Challenge Oil leachables dose titration 20 fold

    (0.05 1 mg/kg) dose target 2 100kg

    Tamper evident child resistant cap Formulation taste acceptability

    through life

    Consistent bioavailability Oil compatible packaging No confusion with syringes preservation for in use (months)

    Solution Oily solution to meet dose titration &

    bioavailability need Non rancid oil no oxidation Preservation achieved as is no

    migration effects 3 PP bottles designed to fit

    manufacturing line set up stock item child resistant cap purpose designed bottle insert Bottle insert cap compatible and fits

    dosing devices Dosing devices for oil use (swelling

    free)

    Learning Formulation avoids anti-

    oxidant, preservation requirements & pack impact

    In use studies on device performance and stability

    Bottle insert fitting strategy at manufacturing site

    Extractives leachables with representative material in other standard bottles

    Extractives/leachables on device/insert (known polymer resins) 69

  • Conclusion Highlighted examples of application of QbD principles in a

    science-and risk-based approach to Drug Product development

    Upfront planning around a QTPP is key to success Sensible design is essential it makes the assessment process

    meaningful

    Key assessment components are: o Comprehensive risk assessment on product, components, process o Demonstration of risk minimization approaches o How to document risk acceptance rationale o DoE and modeling to develop product/process understanding o Application of DoE, Design Space, PAT, RTR, etc. for robust control

    QBD is in its infancy but it is here to stay for parenteral and liquid products

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  • Acknowledgements Nancy Harper (Pfizer)

    Others from EFPIAs QbD Small Molecule Team: Thomas Backensfeld (Bayer Schering) Christian DeMuynck (Nycomed) Ritva Haikala (Orion Pharma) Heinz Wiederkehr (Roche) Brian Withers (Abbott)

    Pfizer colleagues too numerous to single out working on Human and Veterinary Medicines over the last 25 years

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  • AET Anti-microbial effectiveness testing ASAP Accelerated Stability Assessment Programme CD Cyclodextrin GRAS Generally Recognised As Safe HPBCD Encapsin Hydroxypropyl cyclodextrin IM Intramuscular IV Intravenous LA Long acting MD Multi-dose RTR Real Time Release SAL Sterility assurance limit SBECD Captisol Sulphobutylether cyclodextrin, Sodium salt SC Subcutaneous VM Veterinary Medicine

    Glossary of Terms

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  • Thank You

  • About the Lecturer Dr Tim Lukas is a Physical Chemist by training who has worked on

    human and veterinary medicine development for more than twenty years, based at Pfizers Global Research and Development laboratories in Sandwich, Kent. His work has spanned discovery support through to full development on oral, parenteral and inhaled new chemical entities and biologicals.

    Specific formulation experience includes Dectomax, Cerenia, Vfend and Phosfluconazole injectables, and Stronghold spot on, for which he holds the formulation patent.

    Tim led the Pharmaceutical development of Slentrol oral solution, coordinated the Pharmaceutical sciences development of the Pfizers Veterinary Medicines Portfolio including Advastat premix, Palladia and Trocoxil and set up Pfizers Veterinary Medicines Formulation group in Mumbai, India.

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