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Evaluation of quality and interchangeability of medicinal products - WHO Training workshop / 5-9 November 2007 1 | Prequalification programme: Priority essential medicines Training programme on pharmaceutical quality, good manufacture practice and bioequivalence with a focus on TB products. Jiaxing Peoples’ Republic of China 5 – 9 November 2007

Prequalification programme: Priority essential medicines

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Prequalification programme: Priority essential medicines. Training programme on pharmaceutical quality, good manufacture practice and bioequivalence with a focus on TB products. Jiaxing Peoples’ Republic of China 5 – 9 November 2007. - PowerPoint PPT Presentation

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Page 1: Prequalification programme: Priority essential medicines

Evaluation of quality and interchangeability of medicinal products - WHO Training workshop / 5-9 November 20071 |

Prequalification programme:Priority essential medicinesPrequalification programme:Priority essential medicines

Training programme on pharmaceutical quality, good

manufacture practice and bioequivalence with a focus on TB

products.

Jiaxing

Peoples’ Republic of China

5 – 9 November 2007

Page 2: Prequalification programme: Priority essential medicines

Evaluation of quality and interchangeability of medicinal products - WHO Training workshop / 5-9 November 20072 |

Training Workshop on Evaluation of quality and interchangeability of medicinal products.

Training Workshop on Evaluation of quality and interchangeability of medicinal products.

ANALYTICAL VALIDATION

Presenter: Drs. J. Welink

Senior pharmacokineticist

Medicines Evaluation Board, NL

WHO adviser

E-mail: [email protected]

Page 3: Prequalification programme: Priority essential medicines

Evaluation of quality and interchangeability of medicinal products - WHO Training workshop / 5-9 November 20073 |

HistoryHistory

Development pharmacokinetics:

computers

separation technics

analytical methods

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Evaluation of quality and interchangeability of medicinal products - WHO Training workshop / 5-9 November 20074 |

HistoryHistory

chromatography

spectrometry

gas chromatrography

liquid chromatography

mass spectrometry

'30

‘50

‘60

‘70

‘90

mg/ml

μg/ml

ng/ml

pg/ml

Page 5: Prequalification programme: Priority essential medicines

Evaluation of quality and interchangeability of medicinal products - WHO Training workshop / 5-9 November 20075 |

MethodsMethods

ANALYTICAL METHODS

immunological methods

LC-MS/MS

GLCHPLC

GC-MS

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Evaluation of quality and interchangeability of medicinal products - WHO Training workshop / 5-9 November 20076 |

PrinciplePrinciple

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Evaluation of quality and interchangeability of medicinal products - WHO Training workshop / 5-9 November 20077 |

GuidanceGuidance

FDA Guidance for Industry– Bioanalytical method validation, May 2001

ICH Guidance for industry– Validation of analytical methods: definitions and

terminology, June 1995 – Validation of analytical procedures: methodology,

November 1996

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Evaluation of quality and interchangeability of medicinal products - WHO Training workshop / 5-9 November 20078 |

GCP/GLPGCP/GLP

GCP/GLP compliance– Clinical studies have to be performed under

conditions complying with the principles of Good Clinical Practice, and for analytical methods and sample data handling conditions complying with the principles of Good Laboratory Practice are required.

– For older studies without statement of complinace with the above mentioned principles, the assessor should rely on the quality of the submitted report.

Page 9: Prequalification programme: Priority essential medicines

Evaluation of quality and interchangeability of medicinal products - WHO Training workshop / 5-9 November 20079 |

Choices of methodsChoices of methods

LC-MS-MS

GC-MS

HPLC

GLC

Immunological methods

Page 10: Prequalification programme: Priority essential medicines

Evaluation of quality and interchangeability of medicinal products - WHO Training workshop / 5-9 November 200710 |

Choices of methodsChoices of methods

Method used for the determination of drugs and/or metabolites should be:

SensitiveAccurateDiscriminativePrecise

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Evaluation of quality and interchangeability of medicinal products - WHO Training workshop / 5-9 November 200711 |

SensitivitySensitivity

Method should be able to quantify the drug in the sampled specimen at least 10 % of the maximum concentration reached after dosing.

Limit of Quantification (LOQ): 1/10 Cmax

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Evaluation of quality and interchangeability of medicinal products - WHO Training workshop / 5-9 November 200712 |

DiscriminativeDiscriminative

The method should be able to discriminate between the selected analyte and interfering compounds from the environment or from other compounds administered simultaneously

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Evaluation of quality and interchangeability of medicinal products - WHO Training workshop / 5-9 November 200713 |

AccuracyAccuracy

The method must be accurate enough to measure the true value (concentration) of the analyte in a relative small sample

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Evaluation of quality and interchangeability of medicinal products - WHO Training workshop / 5-9 November 200714 |

PrecisionPrecision

The analytical method should be presice enough to reveal identical results when the procedure is applied repeatedly to multiple aliquots of a single homogeneous volume of the biological matrix

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Evaluation of quality and interchangeability of medicinal products - WHO Training workshop / 5-9 November 200715 |

ValidationValidation

To measure is to know!

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Evaluation of quality and interchangeability of medicinal products - WHO Training workshop / 5-9 November 200716 |

ValidationValidation

Specificity

Detection limit (LOD)

Quantification limit (LOQ)

Linearity

Range

Accuracy

Precision

Robustness

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Evaluation of quality and interchangeability of medicinal products - WHO Training workshop / 5-9 November 200717 |

Validation-specificityValidation-specificity

Investigation of specificity should be conducted during the validation phase of the assay

The procedures used to demonstrate specificity should be clearly reported

Must be applied with structurally similar materials

Choices base on scientific judgements

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Evaluation of quality and interchangeability of medicinal products - WHO Training workshop / 5-9 November 200718 |

Validation-specificityValidation-specificity

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Evaluation of quality and interchangeability of medicinal products - WHO Training workshop / 5-9 November 200719 |

Validation-LODValidation-LOD

Various methods possible

visual evaluation• minimum level at which the analyte can be

detected reliably

signal-to noise• 3:1 ratio is acceptable

standard deviation of the slope and response• LOD = 3.3 σ / S

– σ = standard deviation of the response– S = slope of the calibration curve

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Evaluation of quality and interchangeability of medicinal products - WHO Training workshop / 5-9 November 200720 |

Validation-LOQValidation-LOQ

Based on signal-to noise– Reliable quantification is a 10:1 ratio

Based on SD of the response and the slope – LOQ = 10 σ / S

• σ = standard deviation of the response• S = slope of the calibration curve

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Validation-LOD/LOQValidation-LOD/LOQ

Recommended data:

The LOD and LOQ and the method used for the LOQ should be presented

The limits should be validated by the analyses of a suitable number of samples prepared at the LOD and LOQ limits

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Evaluation of quality and interchangeability of medicinal products - WHO Training workshop / 5-9 November 200722 |

Validation-LODValidation-LOD

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Evaluation of quality and interchangeability of medicinal products - WHO Training workshop / 5-9 November 200723 |

LOQ, LOD and SNR

Limit of Quantitation

Limit of Detection

Signal to Noise Ratio

noise

Peak ALOD

Peak BLOQ

Baseline

Validation

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Validation-linearityValidation-linearity

Should be evaluated across the range of concentrations expected during the study

A minimum of five concentrations used in the range is recommended

The correlation coefficient, y-intercept slope of the regression and residual sum of squares should be submitted

Deviations from the regression line should be analysed for evaluating linearity

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Evaluation of quality and interchangeability of medicinal products - WHO Training workshop / 5-9 November 200725 |

Validation-linearityValidation-linearity

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Validation-rangeValidation-range

The specified range is derived from linearity studies and should cover the extremes of the concentrations probably reached during the study

The range should be justified in the report based on scientific information

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Validation-accuracyValidation-accuracy

Accuracy should be assessed on samples spiked with known amounts of the analyte

Accuracy should be assessed using determinations over a minimum of 3 concentration levels (low, medium and high)

Accuracy should be reported as percent recovery from the added amount and with confidence intervals

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Validation-accuracyValidation-accuracy

LQC

MQC

HQC

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Validation-precisionValidation-precision

Repeatability– concentrations covering the specified range

Intermediate precision– Like days, analysts, equipment

Reproducibility– Determined if analyses take place in separate periods

Recommended data– SD, Coefficient of variations, and confidence intervals

should be reported on each type of precision

Page 30: Prequalification programme: Priority essential medicines

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Validation-accuracy/precisionValidation-accuracy/precision

Accuracy/precision:

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Validation-accuracy/precisionValidation-accuracy/precision

Intra-day:Between-day:

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Validation-accuracy/precision:Validation-accuracy/precision:

Accuracy/precision calibrators:

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Validation-accuracy/precisionValidation-accuracy/precision

FDA

Accuracy

within-run between-run

normally: <15%

LLOQ: <20%

Precision

within-run between-run

normally: <15%

LLOQ: <20%

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Validation-robustnessValidation-robustness

Robustness should be considered during development phase

Shows the reliability of the analytical method with respect to variations in the method parameters

In case variations occur they should be suitably controlled and if present adequately tested and documented

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Validation-robustnessValidation-robustness

Typical examples:

Stability of the analytical solutions– Influence of variations of pH of the mobile phase– Influence of variations of mobile phase

composition– Influence of temperature and flow rate

Extraction conditions– pH and extraction time

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Validation-robustnessValidation-robustness

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Validation-recoveryValidation-recovery

Recovery:

Extraction efficiency analytical method– consistent– precise– reproducible

Recovery:80%75%91%97%65%73%

mean: 81.1%

CV: 14.7%

Recovery:15%16%13%15%16%14%

mean: 14.8%

CV: 7.9%

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Validation-stabilityValidation-stability

Required data – Freeze and thaw stability– Short term temperature stability– Long term stability– Stock solution stability– Post preparation stability

Stability assessed prior sample analysis!

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Analysis clinical samplesAnalysis clinical samples

The analytical method should be validated before the start of obtaining clinical samples.

Each analytical run should contain sufficient QC samples at the beginning, middle and end at at least 3 levels (LQC, MQC and HQC).

QC QCQC QC QCQC

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Analysis clinical samplesAnalysis clinical samples

Acceptation or rejection of a run should be predefined before the actual start of the analysis of the clinical samples.

QC QCQC QC QCQC

FDA criteria

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Analysis clinical samplesAnalysis clinical samples

All samples of 1 subject in 1 run

Subject sample reanalysis should be predefined before the actual start of the analysis of the clinical samples.

QC QCQC QC QCQC

Reasons: -improper sample injection

-mailfunction -concentration > HLOQC

-unexpected value -PK reason

Page 42: Prequalification programme: Priority essential medicines

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Analysis clinical samplesAnalysis clinical samples

-unexpected value

-PK reason

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ReportReport

All methods should be covered by adequate Standard Operating Procedures (SOP’s) for general and analysis specific procedures

Before the start of an analytical procedure an adequate study plan has to be written or be incorporated in the study protocol

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ReportReport

A specific detailed description of the bioanalytical method should be written

All experiments used to make claims or draw conclusions should be presented in the report

GLP compliance/inspections/audits

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Evaluation of quality and interchangeability of medicinal products - WHO Training workshop / 5-9 November 200745 |

ReportReport

The following data are required on the report:1) Author(s) and their affiliation2) Name of the institute or company where the

investigations have been performed.3) Date of publication analytical study

4) Identification number of the report.

N.B. The report should preferably be printed on original marked paper of the applicant or of the institute where the analysis has been performed.

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ReportReport

* For which compounds are the samples analysed (active substance, active and/or quantitatively important metabolite)

* Sample pre-treatment and extraction.

* Analytical method is used.

* Source of the analytical method

- references from literature

- modifications in the procedure.

* Validation of the analytical method

- minimal detectable concentration, stability, reproducibility

- linearity, precision, accuracy, selectivity, sensitivity

- inter- and intraday variability

All individual measurements have to be presented in the report!

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ReportReport

Analysis of subject samples in a separate report

* Reference to validation report

* Handling samples

* Set up analytical run

* Within study validation results

* Re-analysis

* Chromatograms

* Identification results

All individual measurements have to be presented in the report!

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ExampleExample

Accuracy/precision:

normally: <15%

LLOQ: <20%

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EndEnd

Be organised!