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    Slide 1

    -Polymorphism-

    Interplay of Science and Regulation

    Steve Miller, Ph.D.

    Chemistry Team Leader for the Division ofAntiviral Drug Products

    Office of New Drug Chemistry, CDER, FDA

    SSCI - Pharmaceutical Solids

    May 13, 2005

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    Slide 2

    Overview of this Presentation

    ICH Q6A

    Draft DS Guidance (2004)

    Byrn, Hoiberg, et al Pharm. Res., 12, 945-54 (1995)

    AAPS Workshop on DS/DP Specs (2002) Personal Review Experience (94-04)

    Other sources

    BACPAC-I (2001) and II (under development) Draft DP Guidance (2003)

    Articles from generic drug perspective

    Draft Guidance on Polymorphism in ANDA (Dec 2004)

    Major Focus, with perspective from

    all below

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    Slide 3

    Definition of Polymorphism

    (From Regulatory Perspective)ICH Q6A Setting Specs for New DS and New DP (2000)*

    Polymorphism: The occurrence of different crystalline formsof the same drug substance. This may include solvation orhydration products (also known as pseudopolymorphs) and

    amorphous forms.

    My View:broad definition is valuable, because changes from onecrystalline form to another, to a solvate/hydrate, or to an amorphous formare similar from both the

    Scientific perspective (all can affect dosage form performance), and

    Regulatory perspective (need for data to show whether they do affect

    performance for this particular DS and DP)

    * http://www.fda.gov/OHRMS/DOCKETS/98fr/122900d.pdf

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    Slide 4

    Definition of Polymorphism

    (From Regulatory Perspective - Continued)

    Similar broad usage of Polymorphism (including solvates/hydrates and

    amorphous forms) in other regulatory documents:

    BACPAC-1 (post-approval changes for DS) http://www.fda.gov/cder/guidance/3629fnl.pdf

    ICH Q3A (impurities in DS) http://www.fda.gov/cder/guidance/4164fnl.doc

    Scientific Considerations of Pharmaceutical Solid Polymorphism in Abbreviated NewDrug Applications, Yu et al, Pharmaceutical Research, 2003, Vol. 20, No.4, 531-536.

    Draft Drug Substance: Chemistry, Manufacturing, and Controls Information

    (issued for public comments Jan 2004) http://www.fda.gov/cder/guidance/3969dft.doc

    Draft ANDAs: Pharmaceutical Solid Polymorphism

    (issued for public comments Dec 2004) http://www.fda.gov/cder/guidance/6154dft.doc

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    Slide 5

    ICH Q6A Guidance on

    Specifications for New DS & New DP

    Specification Setting for Drug Substance(DS)

    Does this test need to be performed (before each

    lot is released)?

    If so, what acceptance criterion is appropriate?

    Specification Setting for Drug Product

    (DP)

    Same two issues

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    Slide 6

    ICH Q6A

    Specifications for New DS & New DP

    Drug Substance Specification Identity; Assay;

    Impurities (related substances, volatile organics)

    Physical tests (morphic form, particle size, etc.)

    Drug Product Specification

    Identity; Assay; Dose Uniformity

    Degradants

    Physical tests (dissolution, morphic form, etc.)

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    Slide 7

    ICH Q6A: Decision Tree #4

    Investigating the Need to Set AcceptanceCriteria for Polymorphism in DS and DP

    Part 1

    Do multiple polymorphic forms exist?

    Part 2

    Is routine polymorph testing of DS necessary?

    Part 3 Is routine polymorph testing of DP necessary?

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    Slide 8

    ICH Q6A: Decision Tree #4 - Part 1

    What is a reasonable polymorph screen for a given

    drug?

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    Slide 9

    AAPS/FDA Workshop

    DS and DP SpecificationsMarch 2002

    Breakout Session on Physical Properties:Particle Size, Polymorphs and Q6A Decision Trees

    Moderators

    Ivan Santos (Merck)

    Tim Wozniak (Lilly)

    Jon Clark (CDER)

    Steve Miller (CDER)

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    Slide 10

    AAPS Workshop Conclusion:

    Screening for Polymorphs Diversity in approaches

    Focus on DS manufacturing process solvents Investigate beyond solvents in DS manufacturing

    process; impact on DP process (e.g., hydrate)

    Reviewers want assurance of due diligence

    describe solvents/conditions used in screen

    How close is solution dosage form to saturation

    solubility for least soluble polymorph

    forced crystallization from DP vehicle (draft DP Guide)

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    Slide 11

    Risk-Based Approach to Polymorph Screening

    Solution drug products with

    drug load well below saturation

    High solubility solid drug products

    Low solubility solid oral products

    Suspension drug products

    Solution drug products with drug load

    approaching saturation

    Soft gelatin capsules

    Simpler

    Polymorph

    Screen

    MoreThorough

    Polymorph

    Screen

    *

    *

    BCS Biopharmaceutics Classification System

    http://www.fda.gov/cder/guidance/3618fnl.pdf

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    Slide 12

    Polymorph Screening - Byrn et al

    1. Solvents and mixtures used in isolation and

    purification of drug substance

    Polymorphs or solvates present before finalcrystallization?

    Solvate as actual form of DS before drying?

    2. Crystallize from water or aqueous mixtures

    Formation of hydrate on storage of DS or DP?

    3. Representative solvents of different polarities

    More desirable polymorph available?

    Early warning of problematic polymorph

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    Slide 13

    Where does this fit in a CTD-Formatted Application?

    Physicochemical

    Characterization

    Section S.3.1

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    Slide 14

    ICH Q6A: Decision Tree #4 - Part 2

    How Different?

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    Slide 15

    ICH Q6A: Decision Tree #4 - Part 2

    Solution DP

    Other situations?

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    Slide 16

    ICH Q6A: Decision Tree #4 - Part 2

    Qualitative Control?versusQuantitative Control?

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    Slide 17

    *Does the Manufacturing Process RoutinelyGive a Single Polymorph?

    Yes - Qualitative Control (IR, etc)

    No - Quantitative Control (XRD, etc)

    * see S.Byrn et al, 1995

    ICH Q6A: Decision Tree #4 - Part 2

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    Slide 18

    Thoughts on Control of

    Polymorphism in DS

    What form(s) does manufacturing processproduce?

    One-time studies during IND phase

    Use control strategy that makes sense: Quantitative (or limit) test in DS specification

    Qualitative (ID) test in DS specification Process Test (e.g., endpoint test for drying)

    Process Parameter (solvent composition)

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    Slide 19

    AAPS Workshop Conclusion:

    Acceptance Criteria in DS Spec Qualitative test may be adequate when only

    one of multiple polymorphs is consistentlyproduced

    E.g., ID by IR: Conforms to Form 2

    Sunset or Skip/PQIT testing might be an

    option after demonstration of control

    More complicated situations may needbioavailability data to resolve

    compare polymorph performance of mixtures

    and pure forms

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    Slide 20

    Complicated Situations

    (AAPS Workshop)

    DS polymorph changes throughout amanufacturing process or during stability

    Drug product containing DS with multiplepolymorphs having different bioavailability

    Significant amount of amorphous form in DS Important to discuss data and plan regulatory

    approaches in End of Phase-2 meeting

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    Slide 21

    Process UnderstandingAppropriate Level

    of Control

    Is the DP manufacturing process robust towards

    polymorphic form of DS?

    What parameters control the DP performance?

    (quality for patients = safety and efficacy)

    Risk-Based Approach to Regulation

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    Slide 22

    Explained in

    Justification ofSpecification

    Section S.4.5

    Sections S.4.1 and S.4.5

    DP Studies

    Sometimes

    Warranted

    Saturation Level

    for Solution DP

    Section P.2.2.3

    Discuss in

    Section P.2.1.1

    Where does this fit in a CTD-Formatted Application?

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    Slide 23

    Q6A: Part 3 of Decision Tree #4 should only beapplied when polymorphism has been demonstratedfor the DS, and shown to affect properties of the DP.

    Q6A: It is generally technically very difficult to measurepolymorphic changes in drug products. A surrogate test(e.g., dissolution) can generally be used to monitorproduct performance, and polymorph content should

    only be used as a test and acceptance criterion of lastresort.

    N.B.: Undertake the following processes only if technically

    possible to measure polymorph content in the drug product.

    ICH Q6A: Decision Tree #4 - Part 3

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    Slide 24

    ICH Q6A: Decision Tree #4 - Part 3

    Does Change refer only to stability, ordoes it also include a change that

    occurs during DP manufacture?

    AAPS Workshop Conclusion:Change includes both DP manufactureand DP stability

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    Slide 25

    Polymorphism Issues for DP

    Usually dissolution or other in vitro release test

    provides sufficient assurance of polymorph control

    Special situations may benefit from 1-time studies(or routine testing) of polymorphic form in DP;

    for example:

    Amorphous DS

    Data suggests inconsistent polymorphic change

    during DP manufacture (especially for narrowtherapeutic range drugs)

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    Slide 26

    AddressParameters

    Relevant to DP

    Performance

    Section P.2.2.3

    Justification

    of DP Spec

    Section P.5.6

    Where does this fit in a CTD-Formatted Application?

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    Slide 27

    Regulatory approaches should follow from goodscience:

    Reasonably thorough screening study

    Share the data with us; expect science-based regulatoryoutcomes

    Collect data during IND phase (amount depends on DSand DP)

    Use data to justify adequacy of control strategy for

    polymorphism in commercial manufacturing Use End-of-Phase 2 and PreNDA meetings to

    reach agreement on data needed for NDA

    Overall Conclusions

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    Slide 28

    References

    Advanced Drug Delivery Reviews, 2004, 56, Issue

    3, pages 235-414

    Advanced Pharmaceutical Solids, Jens

    Carstensen, Vol. 110 in Series: Drugs in thePharmaceutical Sciences, 2001, Marcel Dekker.

    Adv. Drug Deliv. Rev., 2001, 48: Issue 1, pages 1-

    136

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    Slide 29

    Acknowledgements

    Ivan Santos Ko-Yu Lo

    Tim Wozniak Kathy Woodland-Outlaw

    Scott Furness Nashed Nashed

    John Smith Edwin Ramos

    Andre Raw Chuck Hoiberg

    Tony Decamp Chi-wan ChenLawrence Yu Yuan-yuan Chiu

    Richard Adams Moheb Nasr