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ANDAs impurities in drug substances - Pharmanet

ANDAs impurities in drug substances - Pharmanet

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Draft-Not for Implementation273274275276277278279280281282283284285286287288289290291292293294295296297298299300301302303304305306307Third Level (L3c): This level looks at an impurity at a "higher level, or a different newimpurity." New means one that was not previously seen <strong>in</strong> the bulk <strong>drug</strong> substance. Thelevel of the new impurity may be qualified from the scientific literature if it is substantiatedthat this impurity is an ord<strong>in</strong>ary impurity (see USP ) at the levels used. Thescientific literature would <strong>in</strong>clude recognized scientific publications. Alternatively, thenew impurity may be qualified by lower<strong>in</strong>g it to below the ICH threshold level, or byfollow<strong>in</strong>g the next level <strong>in</strong> the Impurities Decision Tree for generic <strong>drug</strong>s.! Fourth Level (L4): Is the impurity "related to others with known toxicity"? As oneapproach, the use of a Quantitative Structure Activity Relationships (QSAR) databaseprogram may be helpful <strong>in</strong> identify<strong>in</strong>g whether an impurity is related to others of knowntoxicity. The use of such a program is acceptable to the Office of Generic Drugs (OGD).Modules currently recommended are: Rodent Carc<strong>in</strong>ogenicity, Developmental ToxicityPotential, Ames Mutagenicity (five stra<strong>in</strong>s), and for topicals, Sk<strong>in</strong> Sensitization.If no potential for concern is <strong>in</strong>dicated by QSAR evaluation, the impurity is consideredqualified, but it should not exceed a level of 0.5 percent or 500 micrograms per day,whichever is less (equivalent to 0.5 percent of 100 mg of a <strong>drug</strong> substance), without othersupport<strong>in</strong>g data (such as genotoxicity test data). A determ<strong>in</strong>ation to accept the data willbe made on a case-by-case basis tak<strong>in</strong>g <strong>in</strong>to consideration the therapeutic use of the <strong>drug</strong>product, its <strong>in</strong>tended duration of adm<strong>in</strong>istration, and the results of the QSAR analysis.However, if the QSAR evaluation does not provide sufficient <strong>in</strong>formation because theprogram cannot perform the evaluation due to the lack of relevant <strong>in</strong>formation <strong>in</strong> thedatabase, the manufacturer should lower the impurity level to below the ICH threshold orqualify the new impurity at the L5 level.! Fifth Level (L5): This level describes evaluation of the toxicity of an impurity via abattery of <strong>in</strong> vitro genotoxicity tests (see the ICH Decision Tree for Safety Studiesregard<strong>in</strong>g genotoxicity studies). If the result of genotoxicity test<strong>in</strong>g raises a concern, theneed for additional toxicity test<strong>in</strong>g will be evaluated on a case-by-case basis. Factors to beconsidered <strong>in</strong>clude the therapeutic use of the <strong>drug</strong> product, its <strong>in</strong>tended duration of use,and results of the QSAR analysis. However, even <strong>in</strong> those cases where no potential forconcern is <strong>in</strong>dicated by the genotoxicity test<strong>in</strong>g, the need for further toxicity test<strong>in</strong>g shouldbe evaluated if the impurity level exceeds either 1 percent of the <strong>drug</strong> substance or 1mg/day, whichever is lower, at the human therapeutic dose of the <strong>drug</strong> product.If toxicity issues are confirmed by these <strong>in</strong> vitro tests, the DMF holder or applicant mayeither purify the <strong>drug</strong> substance to reduce the impurity to a level below the ICH thresholdor go to the next level (L6) <strong>in</strong> the Impurities Decision Tree for generic <strong>drug</strong>s.J:\!GUIDANC\2452DFT.WPDJuly 21, 199810

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