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IPAC-RS Cascade Impaction Working Group 1 Lifecycle Aspects of Incorporating AIM-EDA into Development Cycle Q&A Technical Aspects IPAC-RS 2011 Agenda 1. Background information 2. Applicability of the AIM-EDA concept in OIP Life-cycle management 3. Panel Discussion: Technical Aspects of AIM- EDA William Doub, Ph.D., US FDA, St. Louis, MO, USA J. David Christopher, Merck, Kenilworth, NJ, USA Volker Glaab, Ph.D, Boehringer Ingelheim, Ingelheim am Rhein, Germany Jolyon Mitchell, Ph.D., Trudell Medical International, London, Ontario, Canada 2 IPAC-RS 2011

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IPAC-RS Cascade Impaction Working Group

1

Lifecycle Aspects of Incorporating

AIM-EDA into Development Cycle

Q&A Technical Aspects

IPAC-RS 2011

Agenda

1. Background information

2. Applicability of the AIM-EDA concept in OIP Life-cycle management

3. Panel Discussion: Technical Aspects of AIM-EDA

William Doub, Ph.D., US FDA, St. Louis, MO, USAJ. David Christopher, Merck, Kenilworth, NJ, USAVolker Glaab, Ph.D, Boehringer Ingelheim, Ingelheim am Rhein, GermanyJolyon Mitchell, Ph.D., Trudell Medical International, London, Ontario, Canada

2IPAC-RS 2011

CI WG Members

1. Steve Stein 3M 2. Mårten Svensson AstraZeneca

3. Volker Glaab BI4. Rajni Patel Boehringer Ingelheim5. Terry Tougas BI (CHAIR)6. Tanya Church Chiesi7. David Lewis Chiesi

8. Emilio Lutero Chiesi9. Francesca Usberti Chiesi 10. Lana Lyapustina DBR11. Geoff Daniels GlaxoSmithKline 12. Sue Holmes GlaxoSmithKline

13. Helen Strickland GlaxoSmithKline

14. Richard Bauer MannKind Corporation

15. Dave Christopher Merck 16. Monisha Dey Merck 17. Adrian Goodey Merck18. Jorge Quiroz Merck 19. Nagaraja Rao Novartis

20. Dave Russell-Graham Pfizer21. Hans Keegstra Teva 22. Zecai Wu Teva23. Jolyon Mitchell Trudell Medical

International

24. Bruce Wyka, SpiraPharma Consulting25. Adam Watkins, Vectura

3IPAC-RS 2011

Overall Objectives of IPAC-RS CI WG

1. To develop and disseminate recommendations for more effective methods for APSD testing and analysis of data

2. To support more effective decision making regarding APSD of OINDP in the contexts of product development and QC

4IPAC-RS 2011

Areas of Interest

Alternate

Particle

Sizing

Methods

AIM-DDU

Apparatus

Design&Stdz

IVIVC or

IVIVRof APSD

AIM-QC

AIM-pHRT

2-metric approach:

Efficient data

analysis (EDA)

Cascade Impaction

WG

5

Objectives:

1.To develop and disseminate recommendations for more efficient methods for APSD testing and analysis of data

2.To support more efficient decision making regarding APSD of OINDP in the contexts of product development and QC

IPAC-RS © 2010

IPAC-RS 2011

Implement:Facilitate regulatory and

industry acceptance of 2-metric EDA approach&AIM

Research: Develop deeper understanding and justification for 2-metric approach, AIM-QC and AIM-pHRT

Outreach: Discuss 2-metric EDA approach, AIM w/regulatory and scientific community, to gather feedback

and to raise awareness

TIME

2010

2011

TIME

2010

2011

OCCsTougasChristopher, DeyStrickland

FMEAsDPIs – Iley et alMDIs – Holmes et alMath – Christopher et al

Next AIM-ACI Experiment

(realistic

variability)

Under discussion

AIM-DDU Apparatus

Formal AgreementPending

USPTougas w Tony DeStefano

Stimulus article will follow EPMitchell as lead

EPLead Pharmacopeia for CI

Inhalanda mtg May 2010Mitchell & Nichols

Prior Recent Public OutreachConf: RDD 2008, IPAC-RS 2008 ISAM 2009, DDL 2009, RDD 2010Publications: AAPS PharmSciTech, conf. proceedingsUSP: 2009: Stimulus article on MMADEPAG: Tc w leadership

FDA

Mtg July 2010Will inform of EDA/AIM paper(Parts 1 and 2)

HC2010-2011 TBDWill inform of EDA/AIM paper(Parts 1 and 2)

EMA2010-2011 TBDWill inform of AIM/EDA paper(Parts 1 and 2)

AZ, Pfizer, GSK, MannkindFall 2010

IPAC-RS-2011

ISAM-2011

Prior Recent WorkDatabase analysisProspective experimentDesigned experimentto quantify method variability

Support more effective decision making for APSD of OINDPs in R&D, QC & post-app

EU Q&ATBD

EPAGIley & ShottTBD

Conferences RegulatorsPapers

EDA/AIM Review MonographRDD book or JAMPDD suppl

RDD-EU-2011

FMEA

EDA/AIM Lifecycle

OCCs

Alternative Particle Sizing Techniques

Physics of Aerosol Formation

Prior Initial Mtgs w Reg’sFDA, Health Canada, EMEA/Weda- met & discussed in 2009- sent published paper on Lean Data (AAPS)

USP - Stimulus article on MMAD

Reader’s Digest EDA (V.Oort, Stri)

Site Visits, Webinars

DDL-21 2010

Mitchell & Bauer

Final review

Drafting - collab w EPAG

Mitchell, Tougas, Christ, vOort

6IPAC-RS 2011

CI WG Presentations & Symposia

• USP Particle Size Detection and Measurement, 8-10 December 2010, Rockville, MD (http://www.usp.org/pdf/EN/meetings/workshops/2010ParticleAgenda.pdf): – 4 Presentations: EDA/AIM, foreign particles.

• DDL-21, 8-10 December 2010, Edinburgh, Scotland, UK (http://ddl-conference.org.uk/): – Presentation about experimental aspects.

• IPAC-RS 2011, March 29-31, Rockville MD (http://www.ipacrs.com/2011%20Conference.html): – A presentation on alternative particle sizing techniques in the main program. – For the full-day CI workshop:

• AIM/EDA lifecycle story, attention to FDA's group stages, discussions with FDA scientists. • In addition to FDA, invite M. Weda (EMEA) and K. Tirunellai (Health Canada) for a

regulatory panel.

• RDD-EU-2011, May 3-6, Berlin, Germany (http://www.rddonline.com/rdd/rdd.php?id=6): – Presentation(s) on OCCs and FMEAs in the main RDD program; and – Discussion of EDA vs FPM in the post-RDD interactive session (CI Symposium).– NOTE: Other workshops on AIM?

• ISAM 2011, June 18-22, Rotterdam, Netherlands (http://www.isam2011.com/): – IVIV relationships for AIM-pHRT.

7IPAC-RS 2011

APSD: Characterization, QC and Bioequivalence

8IPAC-RS 2011

Proposed Lifecycle

Establish product profile thru full resolution CI

Correlate AIM/EDA to full resolution CI

Conduct Risk Assessment

AIM/EDA for product release and stability

Full resolution CI for OOS & Change control

9

Submit:

• Full Profile Characterization

• Correlation studies

• Risk Assessment

• Proposed Specs

T. P. Tougas, D. Christopher, J. Mitchell, S. Lyapustina*, M.l Van Oort, R. Bauer, and V. Glaab, Product Lifecycle Approach to Cascade Impaction Measurements, AAPS PharmSciTech., DOI: 10.1208/s12249-011-9590-5

IPAC-RS 2011

AIM-pHRT

• AIM-pHRT - Abbreviated Impactor Measurement – potential Human Respiratory Tract

• Much discussion about potential to establish in vivo relationship to an AIM based measurement

• EU fine particle dose crude attempt along these lines

• Availability would aid investigations, change control, product development, qualifying add on devices…

10IPAC-RS 2011

Combination of AIM and DDU

• The measurement of delivered dose uniformity (DDU) could ultimately also be included in the relationship between these systems and existing techniques

• There is the potential to combine both DDU and abbreviated APSD measurements into a single apparatus

111111IPAC-RS 2011

Integration of AIM-EDA and DDU

12IPAC-RS 2011

Lifecycle - Development

• APSD characterized with full-resolution CI based measurements

– Multiple batches and samples sufficient to establish target product APSD and associated variability

• Establish proposed EDA Metrics for QC

– LPM/SPM & ISM (=LPM+SMP)

– Cut-point generally selected to give maximum sensitivity to changes in MMAD (i.e. LPM/SPM~1)

• Consider establishing in vivo-relevant metrics (AIM-pHRT – CPM, FPM, EPM)

13IPAC-RS 2011

Lifecycle – Establishing AIM-EDA

• ‘Validate’ EDA Metrics and AIM

– Demonstrate relationship between LPM/SPM and MMAD

– Characterize precision of LPM/SPM and ISM determinations

– Demonstrate accuracy of AIM relative to multistage impactor (applies to both QC and pHRT variants)

• Conduct a risk assessment to understand potential factors that might impact APSD

– Assess ability of AIM-EDA to detect

– Mitigate risk 14

IPAC-RS 2011

Lifecycle – Expermental Use of AIM in Development

• Prior to approved use of AIM-EDA as part of OIP control strategy AIM and/or EDA may be useful for:

– Formulation optimization or screening

– Process development

– Device design

• AIM-pHRT may serve a similar role prior to establishing in vivo relationship

15IPAC-RS 2011

Lifecycle – Content of Regulatory Submission

• Full Profile Characterization

– Sufficient multistage impactor data to establish both the targetAPSD and expected normal variability of APSD

• Validation studies

– Accuracy, precision of AIM method

– Establish relationship of EDA metrics to multi-stage impactor data and particle size distribution parameters

• Risk Assessment of Product and Ability of EDA to Detect Aberrant Product

• Justification of EDA acceptance criteria

– Derived from current expectations

– In vivo/in vitro relationship????

16IPAC-RS 2011

Lifecycle -

Introducing AIM-EDA into Control Strategy

• Establish appropriate limits for LPM/SPM and ISM

• Individual Company decision as to when to seek approval of AIM-EDA as part of ‘control strategy’

– Release of clinical supplies

– Stability Studies

– Introduced as part of part of NDA/MAA

– Post approval change to control strategy

17IPAC-RS 2011

Life Cycle –Investigations and Change Control

• Once AIM-EDA approved it would be the primary QC test for APSD

• However continuing role for full resolution multistage CI method

– Investigations (OOS/OOT results)

– Support changes (process, materials)

– Periodically to verify the LPM/SPM ratio?

• AIM-pHRT may serve a similar role if in vivo relevance has been established

18IPAC-RS 2011

Acknowledgements

• IPAC-RS member companies

• Dave Christopher, Jolyon Mitchell, Svetlana Lyapustina,

• Michiel Van Oort, Richard Bauer, Volker Glaab - Co-authors on PharmSciTech Lifecycle paper

• Members of the IPAC-RS Cascade Impaction Working Group

19IPAC-RS 2011

The End

20IPAC-RS 2011

Introduce Panel

William Doub, Ph.D., US FDA, St. Louis, MO, USA

J. David Christopher, Merck, Kenilworth, NJ, USA

Volker Glaab, Ph.D, Boehringer Ingelheim, Ingelheim am Rhein, Germany

Jolyon Mitchell, Ph.D., Trudell Medical International, London, Ontario, Canada

21IPAC-RS 2011

Questions

• Will AIM/EDA eliminate the need for multi-stage impactors?

• Does AIM/EDA add additional requirements to release/stability testing?

• How does one set acceptance criteria for EDA?

• Will regulatory authorities accept AIM/EDA?

• What are the advantages of AIM/EDA over current expectations (Grouped stages - US; Fine particle dose -Europe)?

• Is AIM/EDA proposed as a mandatory requirement –US? ROW?

22IPAC-RS 2011