TGA use only This form, when completed, will be classified as 'For official use only'. For guidance on how your information will be treated by the TGA see: Treatment of information provided to the TGA at <http://www.tga.gov.au/about/tga-information-to.htm>. OTC medicine evaluation Analytical validation summary Analytical method number: Assay/identification (circle) of: Method type (eg. HPLC, GC, IR): Performance parameter Results Accuracy Concentration determined at (% of nominal) Percentage recovery Variable assessed (e.g. analyst, equipment) Number of replicates Typically determined at three concentrations over the range. Precision Page no. RSD Mean Intermediate Repeatability N/A N/A PO Box 100 Woden ACT 2606 ABN 40 939 406 804 Phone: 1800 020 653 Fax: 02 6203 1605 Email: info@tga.gov.au www.tga.gov.au Reference/Publication # RSD Met acceptance criteria Y/N Performance parameter Results Linearity/range Concentration determined at (% of nominal) Page no. %, %, %, %, %, Met acceptance criteria Y/N % Correlation coefficient r2 y-intercept (%) Specificity Chromatograms to support the specificity of the method must be provided. Include the page numbers of the relevant supporting chromatograms. Peaks interfering with the analyte (Y/N) Placebo/excipients Other actives (state) Related substances (state) Other (state) Specificity Forced degradation Forced degradation studies may not be necessary for active assays where known degradants have been used to establish specificity. Include the page numbers of the relevant supporting chromatograms. Y/N If yes, state any relevant details (e.g. % decrease in recovery, stressing conditions) Decreased recovery of the analyte after stressing. New peaks formed. Any interfering peaks. Peak purity acceptable. Detection limit (LOD) OTC medicine evaluation : Analytical validation summary (July 2014) For official use only Page 2 of 3 Performance parameter Results Page no. Met acceptance criteria Y/N Quantitation limit (LOQ) Other (e.g. robustness, solution stability) Name Signature Date OTC medicine evaluation : Analytical validation summary (July 2014) For official use only Page 3 of 3