Pharmaceutical Product Quality Assurance Through CMC Drug Development Process

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The key takeaways are that pharmaceutical quality is built in through the entire drug development process, validation is key to ensuring quality, and quality control tests confirm the quality built in.

Pharmaceutical quality assurance starts early in development through understanding the drug's performance and critical characteristics.

The stages of drug development are pre-clinical testing, phase I, phase II, phase III clinical trials and FDA approval.

Pharmaceutical Product Quality Assurance Through CMC Drug Development Process

Presented by Darlene Rosario (Aradigm)


21 October 2003 Meeting of the Advisory Committee for Pharmaceutical Science

Presentation Outline
Purpose Pharmaceutical product quality is built-in Quality system development Registration requirements Validation Role of QC tests Pre-approval inspection Conclusions
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IPAC-RS for ACPS 21 October 2003

Purpose of Presentation
To demonstrate that product development assures that the final product is of appropriate quality

IPAC-RS for ACPS 21 October 2003

Pharmaceutical Product Quality Cannot Be Tested in - It Is Built in


Pharmaceutical product quality is assured by
comprehensive development program extensive manufacturing and environmental controls rigorous validation procedures and requirements

The high quality thus built into the final product is ensured through in-process controls and verified in a series of confirmatory tests before each manufactured batch is released to the market

IPAC-RS for ACPS 21 October 2003

Building-in of Quality Starts Early. Development Builds-in Quality


The chemistry, manufacturing and controls (CMC) aspect of drug development is focused on producing medicines suitable for human use with specified quality, safety and efficacy characteristics The drug development program is geared towards
thorough understanding of the drug products performance identification of drug products critical characteristics (which would be monitored on a batch-by-batch basis) demonstration of drugs safety and efficacy ultimately leads to the review and approval of the drug
IPAC-RS for ACPS 21 October 2003

Relationship between Safety, Efficacy and Quality


Every drug product (with its specifications) has been thoroughly tested in clinical trials for safety and efficacy
Specifications for release and stability testing may be equal to or tighter than the specifications for clinical trial batches
Therapeutic indication and QC are considerations in establishing specifications

IPAC-RS for ACPS 21 October 2003

Drug Development Process


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IPAC-RS for ACPS 21 October 2003

Quality is Always Part of the Picture Built-In and Built-Up


Quality Control and Quality Assurance Less established Fully established

Pre-IND

Phase I

Phase II

Phase III

Commercial Manufacturing

Specification/Manufacturing Development for the Product

IPAC-RS for ACPS 21 October 2003

QA & QC* Systems Evolve During Drug Development


Quality assurance and quality control systems begin being established during early clinical trials and involve:
equipment validation (IQ, OQ, PQ) manufacturing controls and limits product specifications

Process optimization continues through the development process, leading to


identification of critical in-process control parameters final product specifications for QC purposes final process validation

Stability
Batches produced by the defined manufacturing process are studied at different storage conditions to verify consistent quality and performance of the product throughout shelf-life * QC generally means product testing, and QA an independent review 9

Examples of QA & QC Considerations During Drug Development


Evolution of documentation systems
SOP change control OOS system and procedures trend analysis

Evolution of QA and QC systems


internal audits supplier audits document review (e.g., SOP, batch records, specifications, data)

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Chemistry Manufacturing Controls Evolve During Drug Development


The goal is to have process and product performance determined by the time of validation, although some level of validation occurs along the continuum and eventually leads to the full-scale validation.

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Examples of CMC Considerations During Drug Development


Selection of appropriate technology and raw materials Optimization
of formulation and device of manufacturing process of specifications and analytical methods

Careful selection and control of container closure systems Identification and control of critical manufacturing process parameters Process capability established Technical transfer to larger scale, i.e., scale-up Process validation
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Process Registration Requirements


Sponsor is required to describe how the product was developed Companies need to optimize, justify and register the entire recipe
ranges
temperatures mixing times hold times etc.

quantities
active ingredient excipients

raw material specifications in-process limits in-process methods product specifications etc. IPAC-RS for ACPS 21 October 2003

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Validation

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What is Validation?
Documented evidence that the manufacturing process consistently produces product that meets predetermined specifications
Defines product quality Developed and validated based on a thorough understanding of the critical process parameters Parameters are carefully controlled within the validated ranges to ensure a consistent manufacturing process.

Manufacturing process validation consists of successfully manufacturing at least three full-scale batches in succession, which pass all in-process and product quality attributes
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Validation is Always Part of the Picture


Pre-IND Phase I Phase II Phase III
Commercial Manufacturing

Specification Development Ongoing Validation (DOE, IQ, OQ, PQ, PV)*

Final process validation Re-validation


* DOE = Design of Experiment IQ = Installation Qualification OQ = Operational Qualification PQ = Performance Qualification PV = Process Validation
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The extent of IQ, OQ, PQ, validation, etc. depends on complexity of product 6 sigma target
IPAC-RS for ACPS 21 October 2003

Role of QC Tests
Each batch of orally inhaled and nasal drug products (OINDP), manufactured by the validated process, is tested to the critical QC attributes as defined during development
Confirms consistent performance

The Delivered Dose Uniformity test for OINDP is one of several confirmatory QC tests of the finished product
a result of a long and careful development and characterization process QC tests confirm the quality built-in through a wellunderstood and well-controlled manufacturing process
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Pre-Approval Inspection
Confirms Facility is Ready
Sponsor can do what they submit in the NDA Process is validated or validation protocols are in place
Validation required prior to launch

Thorough documentation review Quality systems are established and capable Confirms specifications are met
Compliance versus Review Division
Specifications may change based on NDA review Tighter than process capability

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Conclusions
Pharmaceutical quality is built-in through the entire drug development process
validation is key element of ensuring quality in-process controls assure quality during manufacturing Specifications established based on thorough understanding of process

The sum of all release parameters confirms the batch quality

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IPAC-RS Members

Acknowledgements
Kos Pharmaceuticals Nektar Therapeutics Novartis Novo Nordisk Pfizer Schering-Plough

Aradigm AstraZeneca Aventis Boehringer Ingelheim Eli Lilly GlaxoSmithKline IVAX

Members of IPAC-RS DDU Working Group IPAC-RS Secretariat


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