AbbVie Agios Amgen, Inc. Alexion Pharmaceuticals Astellas US LLC AstraZeneca Bayer HealthCare Baxter Healthcare Biogen Idec, Inc. Boehringer Ingelheim Bristol-Myers Squibb Celgene Corporation Daiichi Sankyo Eisai, Inc. Eli Lilly and Company EMD Serono Endo Pharmaceuticals Genentech Gilead Sciences GlaxoSmithKline Incyte Corporation Infinity Pharmaceuticals Johnson & Johnson Kythera Biopharmaceuticals Merck & Co. Millennium Novartis Pfizer Roche sanofi Sunovion Otsuka Pharmaceutical Co. Takeda Teva Pharmaceutical Vertex, Inc. Comments from the IQ Consortium on the FDA Draft Guidance for Industry “Bioanalytical Method Validation” http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulator yInformation/Guidances/UCM368107.pdf Docket No. FDA-2013-D-1020 Federal Register Notice: https://federalregister.gov/a/2013-22309 We are pleased to offer the following comments, prepared by the Bioanalytical Expert Working Group of the Drug Metabolism and Clinical Pharmacology Leadership Group of the International Consortium for Innovation and Quality in Pharmaceutical Development (the IQ Consortium). The IQ Consortium is a technically focused organization of pharmaceutical and biotechnology companies, whose mission is to advance science-based and scientifically-driven standards and regulations for pharmaceutical and biotechnology products worldwide. These comments are organized into the following sections: 1. Introduction - Page 2 2. General Comments - Page 2 3. Specific Comments - 5 Please contact the IQ Secretariat with any questions: Svetlana Lyapustina, Ph.D. (svetlana.lyapustina@dbr.com; 1-202-230-5179). Comment Tracking Number: 1jx-899b-g0v0 Submitted to www.regulations.gov on 12 December 2013. DC01/ 3286969.1 Introduction The International Consortium on Innovation and Quality in Pharmaceutical Development (IQ) appreciates the opportunity to comment on the FDA Draft Guidance For Industry on Bioanalytical Method Validation [Docket No. FDA-2013-D-1020]). This document provides comments and recommendations compiled from member companies participating in the IQ Bioanalytical Working Group. The working group is comprised of bioanalytical experts working with both small molecule and large molecule (proteins and peptides) modalities. The response document has been organized into two sections. The first section is a General Comments section which includes comments that pertain to the general organization and overall content of the guidance. The second section provides specific comments on individual sections and lines in a tabular format. Within the specific comments section, proposed changes, recommendations and requests for clarification begin with bolded text. Furthermore, comments deemed of highest priority nature have been noted as “Priority” in the section column. General Comments 1. The new guidance provides the opportunity to achieve greater global harmonization in regulated bioanalytical method validation and method use. As such, consideration of the recommendations from the Global Bioanalysis Consortium, recent white papers and/or the content of related regulatory guidance from other countries would aid harmonization efforts. Appropriate incorporation of such material would make the guidance the primary contemporary source document to guide bioanalytical method validation and use. 2. The guidance would benefit from a better delineation between the Background, Validation and Method Use sections. Each of these sections appear to contain elements that are not necessarily meant for the particular section where provided, but rather are suited for other parts of the document (e.g. number of concentrations levels and replicates used during validation vs. method use). 3. The guidance makes reference to Method Development activities throughout. Historically, Method Development activities have not been within the scope of regulated bioanalysis. It is recommended that “Method Development” be removed from the scope of the guidance and that “Development” be removed from the titles of sections III.B. and IV.B. DC01/ 3286969.1 4. The guidance does not address a variety of topics which have become common practice during method validation as a result of previous Crystal City discussions, white paper recommendations, or citations in form 483s (e.g. matrix factor, impact of hemolysis, stability testing in the presence of co-medications, etc.). Clarification of the regulatory expectations in these and related areas is requested. 5. The guidance calls for levels that are below the LLOQ to be reported as zero. We recommend that samples with concentrations below the LLOQ be reported as <LLOQ or BQL, not as zeros. The use of PK data since 2001 has changed significantly, with many more population PK and PK/PD studies now being performed. The arbitrary setting of concentrations <LLOQ to zero may have serious implications for modeling analyses. Pharmacokineticists require the ability to use these data in a flexible but scientifically rigorous way. 6. The LBA section appears to contain verbiage that is specific to chromatographic assays that should be removed. Furthermore, the LBA validation section does not recommend using Total Error criteria for defining the LLOQ. The concept of Total Error is linked to the 4-6-x rule advocated for in the in-study acceptance criteria and this concept should be considered for validation as well. 7. The guidance should use relevant terms for chromatography assays and ligand binding assays. Some terms are not universally interchangeable between these two method types. 8. The section on ISR has several changes in scope (e.g. application to PD studies, 7% of unknown samples) that are different from white papers (AAPS), GBC recommendations and also the EMEA guidance. It seems the scope and criteria were written specifically for BE studies. However, ISR now is also being performed for other types of studies and some requirements (such as ISR samples from all subjects) may not be applicable. Additional consideration to harmonization of scope and criteria would be helpful. 9. For the first time the guidance provides information on Biomarker methods. Additional emphasis and guidance on how study objectives (expected use of the data) can guide appropriate fit-for-purpose validation (e.g. analytical acceptance criteria) is requested. Clarification on requirements for multiplexed assays and ISR are also sought. 10. We would like the Agency to reconsider or clarify the request that data from new technologies always be supported with those from established technology. This had not DC01/ 3286969.1 been done when the industry moved from UV to MS for detection, from HPLC to UHPLC for separation, ligand binding to MS for the detection of large molecules, etc. We believe this requirement would essentially stifle the growth and adoption of new technologies. Similarly, microsampling technology is evolving rapidly and therefore the section and the requirements around DBS will likely be outdated quickly. We believe, therefore, it is premature to include specific guidance around DBS in this document. These new technologies should be allowed to evolve further in conjunction with robust industry and agency interactions. (Comment provided by the IQ Consortium Microsampling Working Group) 11. Several sections in the guidance discuss documentation requirements, but it is not always clear whether the guidance is referring to documentation that should be part of the raw data (study file), the bioanalytical report or a submission. Furthermore, the guidance recommends additional extensive hyperlinking in reports and submissions the extent of which may not always be practical. DC01/ 3286969.1 Specific Comments Line Section Title Specific Comments by Section and Line I. INTRODUCTION 16 18-26 28-33 Line 33 of the guidance currently includes tissue and skin as matrices in scope. Calibration and QC tissue samples may not mimic the incurred samples and/or data are often generated for internal decision making. Proposed Change: remove tissue, and skin from line 33 so it reads “…proteins in biological matrices, such as blood, serum, plasma, and urine.”. Also add appropriate text describing expectations for fit for purpose validation of tissues. 42-46 DC01/ 3286969.1 Line 23 states: “This guidance also applies to bioanalytical methods used for nonclinical pharmacology/toxicology studies.” Proposed Change: “This guidance also applies to bioanalytical methods used in support of nonclinical safety pharmacology/toxicology studies.” Line 45 of the guidance indicates that the word “should” means that something is suggested or recommended but not required. However, throughout the document the term “should” is used in places where an activity is clearly a regulatory expectation for acceptance by the agency (e.g. Line 77 where a BA method “should” be fully validated to support a BE study). Recommendation: Provide alternate verbiage where the agency is indicating a requirement. II. BACKGROUND 48 59-71 Proposed change: Remove “and/or biopharmaceutics” from line 61 as it is out of context. The sentence would then read: “Selective, sensitive, and validated analytical methods for the quantitative evaluation of drugs and their metabolites (analytes) and biomarkers are critical for the successful conduct of nonclinical and/or clinical studies for small-molecule drugs and biopharmaceutics.” The guidance does not mention specificity as one of the fundamental parameters for validation of LBA assays. Proposed change: Add “Specificity in case of LBA” to the list of fundamental parameters. 73-78 The guidance suggests that for exploratory methods “less validation may be sufficient” (line 78). Historically, exploratory methods (screening methods and those applied to nonregulated studies) have not been within the scope of regulated bioanalysis and therefore have not been subject to formal validation. Recommendation: Remove this sentence. Alternatively, further clarify how fit-for-purpose validation should be applied. 80-86 The guidance states: “These modifications should be validated…”, Recommendation: Rather than using this statement, reference the partial validation section 98-116, which provides further detail on appropriate levels of validation for method changes. 88 DC01/ 3286969.1 The details on full, partial and cross-validation should be moved from the Background section to the Validation section. Proposed change: Replace “During development and implementation….” with “Prior to implementation of a novel bioanalytical method…”. (line 94) 90-96 DC01/ 3286969.1 In line 96, the guidance states: “For revisions to an existing method that add metabolite quantification” Please clarify: Whether a full validation or partial validation is needed when a metabolite is removed from an assay. In line 105, the guidance states: “Bioanalytical method transfers between laboratories or analysts”. A change in analysts within a laboratory should not be considered a method change. Proposed change: Change bullet point to “Bioanalytical method transfers between laboratories”. In line 105, the guidance states: “Bioanalytical method transfers between laboratories or analysts”. This is in conflict with lines 117-131 (cross-validation) which states that a cross-validation is required if sample analysis is performed at more than one laboratory. It is also not clear what exactly has to be done for a method transfer between laboratories. Is stability testing at both sites required or can stability testing at one site be referenced. Please clarify: What exactly has to be done when methods are transferred between laboratories and samples within one study are analyzed at more than one site. 98-115 In line 107, the guidance states: “Change in anticoagulant in harvesting biological fluid (e.g., heparin to EDTA)”. Recommendation: Addition of statement clarifying that change in anti-coagulant counter ion does not require partial validation. In line 108 and 110, the guidance states: “Change in matrix within species” and “Change in species within matrix”. These usually require full validation and the EMA guidance recommends full validation for change of species. Recommendation: Where possible please be consistent with the EMA guidance. If a partial validation is only required in these situations, it needs to be clarified which parameters need to be tested and for which assay format (e.g. LBA versus LC-MS/MS). In line 112, the guidance states: “Changes in instruments and/or software platforms”. We assume that the guidance means the change in instrument platforms (same as software platforms) rather than instruments. This sentence could be misleading. Proposed change: “Changes in instrument platforms and/or software platforms” DC01/ 3286969.1 Priority 98-115 DC01/ 3286969.1 In line 115, the guidance states: “Selectivity demonstration of an analyte in the presence of concomitant medications”. Selectivity of an analyte in the presence of concomitant medications may not be needed if a SLIS is used in LC-MS/MS and if the concomitant medication is non-isobaric. Rather, partial validation is needed on a case-by-case basis. Proposed change: “Selectivity demonstration of an analyte in the presence of concomitant medications if needed”. In addition, there is no description of the requirement for conducting the long-term storage stability assessment of the analyte in the existence of the concomitant medications, Please clarify. Priority For cross-validations, the document should provide more guidance on acceptance criteria “equivalency” for cross-validations and when to perform cross-validations as well as guidance on parameters like number of samples and target concentration of samples. For example, are criteria used for ISR experiments sufficient? In line 126, the guidance states: “cross-validation with spiked matrix standards and subject samples…” Generally, QCs are used and subject samples are pooled for cross validation activities. Proposed change: “…, cross validation with spiked QCs and incurred subject samples (pooled)….” 117-131 In lines 119-123, the verbiage used to introduce cross-validation is confusing. For example, line 120 is not consistent with line 128, as line 128 specifically states that cross validation is needed when different analytical techniques are used across different studies. In addition, it may not be necessary to conduct cross-validation for methods applied to different studies. Recommendation: Remove this paragraph since appropriate scenarios are given in the subsequent paragraph (lines 125-131). Alternatively reword paragraph. In line 123, the guidance states: “…comparisons should be done both ways.” If the paragraph is not deleted but reworded, this needs further clarification. Please clarify: What exactly “both ways” means and should it not rather be one way? For example, it is unclear if QC samples need to be prepared in both labs (reference lab and comparator lab), analyzed, and then shipped to the other lab. In lines 128-129, the guidance states: “Cross-validation should also be considered when data generated using different analytical techniques (e.g., LC-MS/MS vs. ELISA) in different studies are included in a regulatory submission.” Please clarify: For data generated using different analytical technologies (e.g., LC-MS/MS vs. ELISA) used for different studies, it may not always be necessary to conduct cross validation between the different methods employing the different technological platforms. For example, two validated LC-MS/MS methods used independently in different studies should not require cross-validation. DC01/ 3286969.1 117-131 In lines 129-131, the guidance states: “All modifications to an existing method should be assessed to determine the recommended degree of validation.” Modification to an existing method should be assessed with a partial validation, instead of cross-validation. Recommendation: Propose to place this sentence in the section of partial validation. 133-136 In lines 133-135, the guidance states: “The analytical laboratory conducting nonclinical pharmacology/toxicology studies for regulatory submissions should adhere to FDA's Good Laboratory Practices (GLPs) requirements (21 CFR Part 58).” Pharmacology studies are generally not done under GLP. Proposed change: Remove “pharmacology” from line 133 or insert “safety” prior to “pharmacology”, if that was the intent. Also, In lines 133-135 replace “(21 CFR Part 58)” with “(relevant sections of 21 CFR Part 58).” In lines 135-136, the guidance states: The bioanalytical method for human BA, BE, PK, and drug interaction studies must meet the criteria specified in 21 CFR 320.29. However, 21 CFR 320.29 does only apply to analytical methods for an in vivo bioavailability or bioequivalence study. Please clarify: Why 21 CFR 320.29 should also apply to PK and drug interaction studies. Priority 138-144 DC01/ 3286969.1 In lines 139-140, the guidance states: “SOPs should cover all aspects of analysis from the time the sample is collected and reaches the laboratory until the results of the analysis…”. Bioanalytical SOP’s typically do not describe activities related to the collection, storage or shipping of samples from the in-life site. These activities are described in the study protocols or related manuals. Proposed change: “Bioanalytical SOPs should cover all aspects of analysis and storage from the time samples reach the laboratory until the results of the analysis are reported”. 150 III. CHROMATOGRAPHI C METHODS A. Reference Standards 152 154-160 DC01/ 3286969.1 Reference standard requirements are described based on the analytical technique (in Section III or IV). Recommendation: provide a separate section for Reference Standards (similar to the current 2001 guidance) and discussing their requirements based on whether they are small or large molecules, not the technique used to measure them. Recommendation: Remove free base or acid and ester from example on line 159-160. These are examples of alternative forms of the analyte (typically a free base or acid) and esters of the parent are not typically used. 162-169 171 173-177 DC01/ 3286969.1 Priority Line 167. The requirements for analytical reference standards should not be applied to internal standards. Internal standards serve a different purpose, are not quantified, and frequently are prepared in much smaller quantities, insufficient for continued stability testing. When using LC-MS/MS, the majority are stable isotope-labeled versions of the analyte. It should be demonstrated that the internal standard is suitable (i.e., does not interfere with measurement of the analyte). Recommendation: Revise line 167 to remove the internal standard. This would be consistent with the Crystal City 3 recommendations. Priority Line 168. Stability of a stock solution is independent of the reference standard material. They are different physical forms—solution vs. solid state. Expiration of a stock solution should depend on solution stability data. Expiration or re-test of a reference material should not prevent using previously prepared stock solutions within the time that stability has been established. New stock solutions should not be prepared using an expired reference material. Proposed Change: Revise line 169 to “…should not be used unless purity is re-established or stock solution stability has been demonstrated.” B. Bioanalytical Method Development and Validation The guidance should not apply to method development. Recommendation: Change section title to “Bioanalytical Method Validation” and removing references to development activities. Proposed Change: Suggest rewording ‘a priori’ to ‘prior to initiation of validation’ to clarify the meaning. (line 173) Line 174-177. This text is an introduction and it is recommended to revise to that effect. Investigation of each method step and consideration of any variables from collection to analysis is unclear. BA groups can evaluate critical steps in the method and provide information (to clinical or non-clinical groups) concerning sample collection, processing, and shipping requirements. Proposed Change: Line 180, replace “for production batches” with “during sample analysis”. 179-185 Line 179-183. This introductory section discusses matrix effects, but there is no section below for this topic. Matrix effects should be discussed in further detail in an appropriate validation section below (its own section or under Selectivity). Recommendation: Remove the first two sentences of this paragraph. Also the impact of matrix effect on extraction efficiency is not normally evaluated. Please clarify: On Line 185, “description of validation runs that failed”. Is a listing (table) of failed runs in the report and the reason for failure sufficient? 187-190 Recommend removing the reference to ‘development’. These items should be demonstrated during validation. 1. Selectivity 192 DC01/ 3286969.1 EMA and Anvisa guidances require the assessment of selectivity in hemolyzed and lipemic matrix sources when serum/plasma is the target matrix. Recommendation: In order to align the draft guidance with those of the other agencies we recommend that lines 196-197 be revised to state “Analyses of blank samples of the appropriate biological matrix (plasma, urine, or other matrix) should be obtained from at least six independent sources; in the case of plasma or serum, these six sources may include those that are hemolyzed and/or lipemic”. 194-199 We suggest that the agency consider aligning the need for method selectivity assessment to the inherent specificity of the detection approach that the method employs. Specifically, retention of the following text from the 2001 guidance should be considered: “for hyphenated mass spectrometry-based methods, however, testing six independent matrices for interference may not be important.” Finally, we request that agency expectations with respect to the evidence needed to prove that the substance quantified is the intended analyte be stated. Is a match of the retention time of analyte peaks in standards and post-dose samples sufficient evidence for SRM LC/MS methods, or is additional information required? DC01/ 3286969.1 Additional clarity on the methodology for demonstrating lack of interference from concomitant medications and other xenobiotics is requested; is it expected that data generated by comparing the response from samples containing analyte at the LLOQ with those containing the analyte at the LLOQ together with the concomitant medication be presented? If so, an acceptance criteria for this assessment should be provided. Priority 201-204 Furthermore, it is proposed that, in general, specific testing for concomitant medications be limited to those compounds planned in a study protocol to be administered together. Examples include drugs to be administered together as part of a drug-drug interaction study and drugs being developed as components of fixed dose combination therapies. In the case of studies in patients, where the number and identity of concomitant medications may be highly variable, demonstration that there are no interfering peaks observed in a predose sample obtained prior to the administration of test compound, but at a point in time where concomitant medications would be expected to be at steady state levels, should be recognized as sufficient evidence to confirm a lack of interference. 2. Accuracy, Precision, Recovery 206 DC01/ 3286969.1 Line 179 refers to matrix effects, but this topic is absent from the subject heading and the topic is better aligned with Recovery. Recommendation: We recommend that Matrix Effect be addressed in this section and the heading be “2. Accuracy, Precision, Recovery, and Matrix Effects” Recommendation: To add clarity to the A&P discussion, the following statement should be added to the start of the this section. “A validation should contain a minimum of 3 precision and accuracy runs conducted over at least 2 days followed by as many additional runs as are necessary to establish the required validation criteria.” 208-215 217-227 DC01/ 3286969.1 The current description of the accuracy requirements in lines 208-215 lacks sufficient clarity. In addition, the lines are at variance with the EMEA recommendations. Proposed change: We propose the following text to clarify this section. “Accuracy is determined by replicate analysis of validation samples containing known amounts of the analyte. Intra-run accuracy should be measured using a minimum of five determinations at a minimum of four concentration levels (e.g., LLOQ, low, middle and high). The mean measured value should be within ±15% (bias) of the nominal value for all validation concentration levels except for the LLOQ, where the bias (%) should be within ±20%. For the validation of the inter-run accuracy, LLOQ, low, middle and high validation samples (n 5 each) from at least three runs analyzed on at least two different days should be evaluated. The mean concentration should be within ±15% of the nominal values for all validation samples, except for the LLOQ which should be within ±20% of the nominal value.” The current description of the precision requirements in lines 217-227 lacks sufficient clarity. Furthermore we feel that an assessment of precision that involves different analysts, equipment, reagents, and laboratories is beyond the scope of an assay validation. We propose the following text to clarify the recommendations pertaining to precision assessments during assay validation. Proposed change: The precision of an analytical method describes the closeness of individual measures of an analyte when the procedure is applied repeatedly to multiple aliquots of a single volume of biological matrix. Intra-run precision should be measured using a minimum of five determinations at a minimum of four concentration levels (e.g. LLOQ, low, middle and high). The precision determined at each concentration level should not exceed a CV of 15% except for the LLOQ, where the CV should not exceed 20%. For inter-run precision, LLOQ, low, middle and high validation samples (n 5 at each concentration in each run) from at least three runs analyzed on at least two different days should be evaluated. The inter-run CV value at each concentration level should not exceed 15%, except for the LLOQ where it should not exceed 20%. 229-231 DC01/ 3286969.1 The requirements for validation of dilution are not clear. Please clarify: If it is sufficient to simply demonstrate the ability to dilute from a concentration at least as high as the highest analyte concentration found in samples down into the standard curve range, or is it necessary to verify the ability to perform at each dilution factor applied. In order to address these points, consideration should be given to aligning the recommendations with those in the EMEA guidance. Proposed change: “Dilution integrity should be demonstrated by spiking the matrix with analyte at a concentration above the ULOQ of the assay that is at least equal to the highest anticipated concentration in study samples and diluting this sample with blank matrix using a dilution factor at least equal to the greatest factor to be applied to study samples. Accuracy and precision, based on n 5 determinations, should be within ±15%. “ The current description of recovery confounds matrix effects with recovery. It is generally recognized that response for analyte spiked into an extracted matrix blank should be used as the comparator rather than analyte in neat solvent. Proposed change: “The recovery of an assay is the detector response obtained from a traditionally extracted spiked matrix sample (e.g. QC), compared to the detector response obtained for an extracted blank matrix sample spiked post-extraction with the same amount of analyte (or internal standard).” Consideration should be given to determining recovery at two concentrations (Low and High) rather than three; this would align the concentrations to be used for recovery assessment with those used for other assessments (i.e. stability). 233-240 242 DC01/ 3286969.1 In order to address matrix effects, inclusion of the following text, which is in alignment with other bioanalytical guidances, is suggested. Recommendation: “Matrix effect pertains to the signal suppression and/or enhancement for the detection of the analyte and/or internal standard via the intended bioanalytical method within the limits of variability. For each analyte and the IS, the matrix factor (MF) should be calculated for each of 6 lots of matrix from individual donors, by calculating the ratio of the peak area in the presence of matrix (measured by analyzing extracted blank matrix spiked with analyte post-extraction), to the peak area in absence of matrix (pure solution of the analyte). The IS normalized MF should also be calculated by dividing the MF of the analyte by the MF of the IS. The CV of the IS-normalized MF calculated from the 6 lots of matrix should not be greater than 15 %. This determination should be done at a low and at a high level of concentration.” 3. Calibration Curve All references to QCs in this section should either be removed, with reference made to the Method Use section (preferred), or clarified as pertaining to validation runs only. 244-256 Line 252 – Recommendation: For clarity, this section should say that "Each run should contain at least 6 non-zero standards in matrix (with internal standard where applicable). The run should also include a blank (matrix sample processed without analyte or internal standard) and a zero sample (matrix sample processed with internal standard but without analyte)” The latter 2 are not part of the standard curve, so should not be in the same sentence. Priority 258-260 DC01/ 3286969.1 Line 258 - The requirement for 6 validation runs over 3 days is unnecessary for chromatographic methods in most cases, and it is unclear how this should be implemented as described. Line 259-260 - The reference to “4 concentrations… analyzed in duplicate” in lines 259260 mixes the requirements for accuracy and precision (A&P) during validation (4 concentration levels used) with Method Use run acceptance QC’s (run in duplicate). Proposed Change: Remove paragraph. Include the following statement after line 207 at the beginning of the A&P section. “A validation should contain a minimum of 3 precision and accuracy runs conducted over at least 2 days, followed by as many additional runs as are necessary to establish the required validation criteria.” a. Lower Limit of Quantification (LLOQ) Line 267- The response of the LLOQ and blank should be qualified in a separate specificity experiment using individual lots of plasma, where the response in the blanks should be ≤20% of the LLOQ responses. This can be assessed during one of the A&P runs and is independent of the response in the LLOQ calibration standard. Line 269- Please clarify: that the CV and accuracy referred to in this section pertains to the inter-run performance of the LLOQ calibration standard during validation runs (specifically, this is independent of the performance of the A&P validation samples). 262-274 Line 273-274- Recommendation: Delete this sentence. This section is on calibration curves during validation. The A&P of the LLOQ is already addressed in the earlier A&P section where n5 is indicated. Definitions of accuracy and precision criteria should be clear and consistent, avoiding terms like “at least” or “does not exceed”. The following terms are recommended to be used consistently throughout the guidance: Precision: ≤15 %CV, ≤20 %CV for the LLOQ where %CV = (STDDEV / MEAN)*100% for all included replicates. Accuracy: ± 15%, ± 20% at the LLOQ, where this is the percentage error from the nominal concentration. 276-282 DC01/ 3286969.1 b. Upper Limit of Quantification (ULOQ) Please clarify: that the CV and accuracy referred to in this section pertains to the inter-run performance of the ULOQ calibration standard during validation runs. c. Calibration Curve/Standard Curve/ConcentrationResponse 284-295 DC01/ 3286969.1 We would like for FDA to provide more clarity or detail on how they want us to “justify” regression and weighting selection. A suggestion is that the curve fit be judged by the residual values. Recommendation: It would be helpful to distinguish between the definition components of the standard curve and the run acceptance criteria to be applied during validation. We suggest removing all run acceptance criteria from the Calibration Curve section and replacing the section below (QCs) with a section called “Validation Run Acceptance Criteria” Proposed chance: Include the minimum number of passing standards to define the calibration curve and move this paragraph to the next section: “The acceptance criterion for the standard curve is that at least 75% of non-zero standards should meet the above acceptance criteria, including the LLOQ and the curve must consist of at least 6 acceptable non-zero concentrations. d. Quality Control Samples (QCs) Recommendation: As mentioned above, it is recommended that this section be renamed and modified to cover run acceptance criteria during validation. 297-320 Proposed Change: Suggested text: Run Acceptance Criteria During Validation “Run acceptance for A&P runs should be based on the performance of the calibration standards only. Standards/calibrators should not deviate by more than 15% of the nominal concentrations, except at the LLOQ where the standard/calibrator should not deviate by more than 20%. At least 75% of non-zero standards should meet the above criteria, including the LLOQ and the curve should consist of at least 6 acceptable non-zero calibration standards. Data for all passing A&P runs should be included in the bioanalytical report. No run acceptance QC samples are required during validation A&P runs since the validation samples themselves are used to assess A&P. For non-A&P runs, both standards and run acceptance QCs should be included in each run and the run acceptance criteria described in the Method Use section should be followed.” Recommendation: Lines 299-310 should be removed from this section and moved to the section on Validated Method Use (Section C), as these statements refer to sample analysis and not the topic of Section B – Bioanalytical Method Validation. Priority 322-325 DC01/ 3286969.1 4. Sensitivity Lines 311-317- Proposed change: We suggest simplification to: “If duplicate stock solutions are compared and verified (within 10% of each other), and stability has been demonstrated, then standards and QCs may be prepared from a single stock solution.” Recommend eliminating the “requirement” that sample runs must be performed with two separate stock solutions. 5. Reproducibility 327-331 Recommendation: To remove this section or change the title of this section to “Reinjection Reproducibility”, which was defined in the previous guidance (autosampler or extract stability). In this regard, it is believed that no additional reinjection reproducibility tests are required if there is a good demonstration of ‘processed sample stability’ during Pre-study validation as elucidated in lines 385-388. With reinjection reproducibility, it is not clear whether the reproducibility refers to reinjection of an entire assay sequence or partial assay sequence and, if so, what are the acceptance criteria? ISR is not a part of the pre-study validation and incurred samples are rarely available during a typical pre-study validation. Since, an independent section (V) has already been dedicated to incurred sample reanalysis (reproducibility) there is no need to repeatedly mention ISR in the section. 6. Stability 333 It is not clear whether there is a need for stability assessment on dry ice to satisfy the requirements. 335-338 DC01/ 3286969.1 Recommendation: The chemical stability of an analyte of interest in a given matrix under specific conditions or a range of storage temperature conditions (i.e. removing study samples from deep freezer at ≤ -60C to regular freezer at ≤ -15C) for given time intervals should be assessed. Although it might not be feasible to obtain complete stability coverage prior to study sample collection or study sample analysis, stability evaluation should be initiated as early as possible to ensure the coverage of the expected sample handling and storage conditions during the conduct of the study, including conditions at the clinical site and at all other secondary sites. Priority Please clarify: Does “container system” refer to container material (glass vs. plastic) or a specific brand of container or specific dimensions of a container? Proposed change: Remove container system from the wording of this paragraph. 340-343 It is believed that analyte “stability” has nothing to do with container (plastic or glass). However, loss of analyte in certain matrices (e.g. urine, CSF, or ultrafiltrate) due to container surface adsorption is indeed an issue in bioanalysis. This issue should be assessed and addressed during method development. Proposed change (lines 340 to 343): Drug stability in a biological fluid is a function of the storage conditions (e.g. storage temperature) and the physicochemical properties of the drug in the matrix. The stability of an analyte in a particular matrix under a defined storage conditions is relevant only to that matrix and storage condition and should not be extrapolated to other matrices and conditions. 345-351 DC01/ 3286969.1 Please clarify: Whether stability in blood (the first step of sample collection) needs to be generated or not. Priority It is unclear why stock solution must be made fresh for these assessments (line 354). A stock solution within the established stability window for the intended method should suffice for use in matrix stability assessments. Furthermore, it appears that the stability of analyte in matrix vs. in solvent is mixed in this paragraph. In practice, stock solution stability and analyte stability in matrix should be discussed separately. Furthermore, assessment of stock solution stability against nominal values is impractical and acceptance criteria tighter than ±15% are generally applied for stock solution comparisons. Proposal change: Remove the wording ‘freshly prepared stock solution’ and have two separate paragraphs, one for stock solution stability and the other for biological matrix stability. 353-359 Proposed change for lines 353-359 (having two paragraphs): The procedure should also include an evaluation of analyte stability in stock solutions, for which new stock solutions prepared in an appropriate solvent at known concentrations are to be compared with those previously prepared. The measured instrument responses (peak area or instrument response ratio of the analyte to internal standard) of the freshly prepared stock solutions and aged stock solutions are compared using at least three replicates. The difference (%) in instrument responses of the two stock (fresh vs. old) solutions should be within ± 10% of each other. Stability assessment of the analyte in biological matrix should use a set of calibration standards prepared from valid (freshly made if stock solution stability has not been established) stock solution(s) of the analyte using appropriate analyte-free, interference-free biological matrix. At least three replicates of validation stability samples at each of the low and high concentrations should be assessed. Stability sample results should be within ±15% of nominal concentrations. 361-365 DC01/ 3286969.1 a. Freeze and Thaw Stability Line 361-365 on the duration of freezing and thawing as described in the previous version of the draft guidance is missing. This can be misleading. Can we flash freeze in dry ice bath then thaw and repeat for 3 cycles and then assay all on same day? 367-370 b. Bench-Top Stability c. Long-Term Stability 372-375 Priority Proposed change: We suggest changing the sentence from “the time between the date of first sample collection and the date of last sample analysis.” to “the longest time between sample collection and analysis for any individual study sample”. d. Stock Solution Stability Please clarify: The meaning of “solid stock solution”. We note that the 6 hr room temperature stock stability in the current Guidance has been removed from this draft. Is it no longer required? 377-383 Stability for the stable isotope labeled internal standard (SLIS) is not critical since it is not being quantified. SLIS should be acceptable as long as it is demonstrated that it does not interfere with the analyte. In practice, blanks with and without the IS are included in any single validation or sample analysis run to demonstrate the IS is not contaminated with the analyte and that there are no interferences with the analyte channel (SRM transition), which should be considered sufficient. In addition, in some cases the Certificate of Analysis, purity information, etc., are missing from the internal standard document. Priority DC01/ 3286969.1 Clarification is needed since ‘long term stability’ should cover the longest time period of any given sample between collection and analysis, but not for the duration of the first sample collected and the last sample analysis. Proposed change: To remove the requirement for internal standard stock stability, particularly when stable isotope labeled internal standard is used showing no evidence of isotope loss. e. Processed Sample Stability 385-388 Please clarify: Why is additional ‘Processed Sample Stability’ needed if ‘Reinjection reproducibility’ has already been discussed and highlighted in line 330. If a lab has established ‘reinjection reproducibility’ as highlighted in line 330, this reproducibility data should be sufficient to scientifically justify the reinjection of the entire assay batch. There is no need to re-inject with a fresh standard curve against so-called ‘processed sample extract’ to establish stability. Recommendation: To omit this requirement since it is never utilized in practice. 390 C. Validated Method: Use, Data Analysis, and Reporting 395-398 Current section indicates that SST data should be maintained with study records. This contradicts line 930 stating these data should be stored in specific file on-site. Please provide additional clarifications on requirement of SST. 399-408 Recommendation: Line 405-408, It is generally understood that partial run acceptance is not appropriate. Propose to remove acceptance criteria for each processing batch within an analytical run. For analytical runs separated in distinct batches (96-well plates), it may not be practical to include duplicated QC of all levels on every plate. Propose to remove such requirement or allow scientific judgment on including a limited number of QCs per batch/plate as long as the required of numbers calibrators and QCs for the run is met (e.g. QCs numbering 5% of unknowns) 409-410 Priority DC01/ 3286969.1 Recommendation: This section should include a detailed description of the run requirements and acceptance criteria to be used during study sample analysis. “curve to cover expected study sample concentration range” is mainly for BE type of studies. For dose ranging studies (Tox), FIH, etc, this likely will not be possible. In these cases dilution of samples into the curve range should be allowed as long as the maximum dilution factor has been validated. Run requirements and acceptance criteria for Validated Method Use should be defined in this Validated Method Use section. Example text for this section is provided below. Proposed change: “Each sample analysis run should contain a calibration (standard) curve and quality control samples. Specifically, each run should consist of a blank sample (matrix sample processed without analyte or internal standard), a zero sample (matrix sample processed without analyte but with internal standard), and at least six non-zero calibration standards (matrix samples processed with analyte and internal standard) covering the expected range, including the LLOQ. The calibration standards provide one basis for accepting or rejecting the run. The acceptance criteria for the calibration curve are that back calculated values for calibration standards should not deviate by more than ±15% of the nominal concentration, except at the LLOQ where the concentration should not deviate by more than ±20%. Furthermore, at least 75% of non-zero standards should meet the above criteria, including the LLOQ. Excluding an individual standard should not change the regression model used. Exclusion of calibrators for reasons other than failing to meet acceptance criteria and assignable causes is discouraged. 411-412 DC01/ 3286969.1 Each sample analysis run should also included quality control samples. At least three concentration levels of QCs in duplicate should be incorporated into each run as follows: one level within three times the LLOQ concentration (low QC), one level in the midrange of the calibration curve (middle QC), and one approaching the high end of the calibration curve (high QC). The QCs also provide a basis for accepting or rejecting the run. At least 67% (e.g., at least four out of six) of the QC concentration results should be within ±15% of their respective nominal (theoretical) values. At least 50% of QCs at each level should be within ±15% of their nominal concentrations. The minimum number of QCs should be at least 5% of the number of unknown samples or six total QCs, whichever is greater. A confidence interval approach yielding comparable accuracy and precision in the run is an appropriate alternative for assessing run acceptance.” Recommendation: Line 412 requires reporting of A&P results for failed runs which conflicts with line 450 and the standard practice that data from failed runs is normally not reported. Runs that fail due to assignable cause (e.g. curve or QC failure) should not be included in study A&P statistics, although the fact that the run failed and the reason should be included in the report. Proposed Change: “…and tabulated for all acceptable run” Priority 413-416 The guidance calls for levels that are below the LLOQ to be reported as zero. We recommend that samples with concentrations below the LLOQ be reported as <LLOQ or BQL, not as zeros. The use of PK data since 2001 has changed significantly, with many more population PK and PK/PD studies now being performed. The arbitrary setting of concentrations <LLOQ to zero may have serious implications for modeling analyses. Pharmacokineticists require the flexibility to use these data in a flexible but scientifically rigorous way. Proposed change: Change the sentence "Concentrations below the LLOQ should be reported as zeros" to "Concentrations below the LLOQ should be reported as <LLOQ or BLQ" Propose to include exceptions for rare matrices. 417 418-419 Recommendation: Requirement is for stability to be generated before running samples. This is not always possible. Requirement should be for adequate stability to be generated before results are reported. We recommend allowing analysis prior to generation of the stability as long as stability assessment is documented when reporting the data. 420-426 427-428 DC01/ 3286969.1 Priority Please Clarify: It would be very helpful if industry and regulators could agree on criteria (process and acceptance criteria) for variability of the IS response. It looks like the reference to section III.B.2. is not correct, the correct section is III.B.3.d. Remove sentence if above recommendation on placement of run acceptance criteria in this section is adopted. 429-431 Recommendation: Allow both interspersing of QC samples with study samples and bracketing study samples with QC samples. Comment in line 427-428 applies as well. 432-436 Recommendation: Allow adding of additional QC samples without requiring validation before continuing with the analysis. Propose to limit this requirement to BE studies. Proposed Change: ‘If the study sample concentrations are clustered in a narrow range of the standard curve, additional QCs should be added to cover the sample range. Samples that have already been analyzed do not require re-analysis.’ Priority 437 438-439 No comment Priority 442-447 DC01/ 3286969.1 Recommendation: The draft guidance indicates that “all study samples from a subject should be analyzed in a single run”. This requirement should be only for BE studies. Analysis of all subject samples in a single batch may not be feasible for most early-phase studies where multiple PK samples are collected over longer sampling intervals and might end up being shipped at different times. Also, this would not be possible in oncology trials where PK samples may be collected over multiple cycles. This also impacts long term GLP Tox studies, where samples are collected at different time intervals, up to 12 months. Additionally, this is not necessary since ISR analysis verifies the methodology is consistent across multiple analytical runs/batches. Recommendation: The draft guidance indicates that “reassays should be performed in triplicate”. We recommend that a single reanalysis be used in situations where the original concentration data are considered invalid (sample prep, chromatographic issues, and other assignable causes) and when reanalyzing samples above the validated range by dilution. We recommend using duplicate reanalysis (when sample volumes allow) in situations where a valid concentration is available, but where the sample is being reanalyzed for confirmation/verification, as in approved PK repeats. 448-449 Proposed change: We agree with the guidance; however, we recommend rephrasing this sentence for additional clarity, to read “In samples involving multiple analytes, a valid result for a specific analyte should not be rejected due to failure of a result for another analyte in the same run”. 452-455 This paragraph is out of context and either needs to be clarified with more detail or the MIST guidance should simply be referenced for information pertaining to qualification of metabolites (preferred). 456-458 Recommendation: This sentence refers to Method Validation accuracy and precision reporting. We recommend moving it to section III B (Bioanalytical Method development and Validation), and we recommend reporting accuracy and precision with outliers excluded, since that is what is required for acceptance; however, data tables will contain flagged values for all outliers. Priority 459-463 465 IV. LIGAND BINDING ASSAYS 467-470 Please specify or give examples for “microbiological” assays A. Key Reagents 472 DC01/ 3286969.1 Proposed change: The draft guidance (lines 462-463) indicates that “original and reintegration data should be reported”. We recommend revising this sentence to state that “only final data should be reported and that the original (prior to reintegration) and final data will be retained as raw data (as part of study records)”. Proposed change: Propose to use “critical reagent”, which is commonly used by the large molecule BA community. Proposed change: The terminology “tracer” (i.e. “Labeled analytes”, as defined in line 480) is mostly used in competitive-binding assays (i.e. RIA). Most current LBA assays do not use labeled analytes. It is recommended to replace “tracer” with “detector reagent”. 474-489 Please clarify: The requirement that “Tracer experiments above should be repeated” needs clarification on what specific experiments are needed. The requirement of “Key crossreactivities should be checked” also needs clarification on whether this means specificity or other experiments to be conducted. 491 B. Bioanalytical Method Development and Validation 506-509 Please clarify: The requirement to demonstrate “Recovery” in LBA assay’s validation, in association with accuracy and precision, needs clarification. Most LBA assays do not require an “extraction” step and the terminology “recovery” usually means accuracy in LBA literatures. Also, suggest to consider removing line 557, as it's the same as accuracy (with standard being processed the same). 511 Recommendation: Specificity and Selectivity should be more clearly defined in context of LBA assay. The specificity of an antibody refers to its ability to bind to the antigen of interest. Selectivity, a concept related to specificity, is the ability of an assay to measure the analyte of interest in the presence of other constituents in the sample. 513-515 1. Selectivity DC01/ 3286969.1 Recommendation: Some things in this section are completed in method development but not repeated in validation. Since method development is not a regulated activity, it would be helpful to see the recommendations for development and validation separately. It is preferred that all references to method development to be left out of this guidance, which is intended for guiding BA validation. Recommendation: It is not clear why this section references Section III on chromatographic methods. The selectivity and specificity in LBA (see above comments) has two separate definitions. Suggest defining clearly these terms for the different technologies. Recommendation: Propose that Section a. under Selectivity be removed due to following considerations: 517-524 (1) It is not feasible to assess interferences by physiochemically similar substances in the case of large molecules, as concomitant medications and protein "metabolites" are not/ need not be physiochemically similar to macromolecular analytes. In addition, the mechanism for analytical interference between protein drugs and small molecules are different, thus the recommended testing is not warranted; Priority 526-534 Line 530-531: Direct comparison of performances for standard curves prepared in buffer vs. that in diluted matrix is not commonly done for PK assays. The guidance already states that standard curves should be prepared in the relevant biological matrix (Line 571). Proposed change: Either remove this paragraph, or clarify that buffer standard curve evaluation may be considered where appropriate, e.g. for biomarker type tests. Applicable criteria could be established to ensure the (pooled) matrix does not have cross-reactive or inhibitory elements that may bias sample results. It is recommended such test, if needed, should be conducted in method development. Evaluating curves with at least 10 sources of blank matrix is not a common practice. Recommendation: Propose to evaluate 10 individual lots, unspiked matrix & spiked QCs (e.g. LLOQ, HQC), against a curve prepared in pooled matrix. Priority DC01/ 3286969.1 (2) It is rare that two assay methods using separate platforms (e.g. LBA and LC/MS) are available. While two methods that provide the same result is indicative of accuracy, disagreement between two methods (i.e. LBA and LCMS) does not indicate which method is more or less accurate. Even if a LC/MS assay is available, it is not recommended to consider it as a reference method by default. Please clarify: Line 532 – 533- Parallelism evaluation needs clarifications on samples selection (concentration, number of samples, etc.), acceptance criteria, timing and frequency of such test. Also, Line 534: Suggest to clarify what “non-specific binding” (in context of matrix effect) is referring to, and what specific experiments are needed. 536 2. Accuracy, Precision and Recovery Recommendation: The guidance states that a minimum of 3 concentrations in the range of expected study sample concentrations is recommended for accuracy and precision. For LBAs accuracy and precision should be conducted with QCs that span the assay range. The guidance should also clarify as the minimum number of determinations (“a minimum five determinations per concentration”?) and should apply the same acceptance criteria to ULOQ as to LLOQ (25%). Proposed change: We suggest changing the sentences to: Accuracy should be measured with a minimum of 5 replicates of QCs that span the assay range (including LLOQ, LQC, MQC, HQC and ULOQ). The mean value should be within 20% of the nominal value except at LLOQ and ULOQ, where they should not deviate by more than 25%. 538-542 Similar changes as above should be made to this section (see comment for lines 538-542). 544-552 561 563-573 DC01/ 3286969.1 The guidance defines accuracy, precision, and other related terms in various sections. Suggest defining these terms in one section of the guidance and referring to these terms when applicable. Furthermore, as was the case for Chromatographic assays, we suggest placing the requirements and acceptance criteria for Method Validation and Method Use (run acceptance) in appropriate sections. 3. Calibration Curve Recommendation: Because of the non-linear nature of LBAs, anchor points below and above the quantitative range of the assay (from LLOQ to ULOQ) are often included in the calibration curve to aid in curve fitting. We suggest including the anchors to the calibration curve and the acceptance criteria for anchors. 575-577 Please clarify: As mentioned earlier please clarify the requirements for both validation and Method Use calibration curves, specifically the “ minimum of six runs”, “conducted over several days”, “with at least six concentrations”, and “analyzed in duplicate in each run.” Proposed change: We suggest changing the sentence to: “Accuracy and precision experiments should include a minimum of six runs conducted over three days, with at least six calibration concentrations from LLOQ level to ULOQ level analyzed in each run.” 579-588 590-596 598-612 DC01/ 3286969.1 a. Lower Limit of Quantification (LLOQ) Recommendation: The guidance states that the LLOQ is the lowest concentration on the calibration curve. For most LBAs the lowest concentration of the calibration curve is an anchor point. We suggest revising to include the anchor point. b. Upper Limit of Quantification (ULOQ) Recommendation: The guidance states that the ULOQ is the highest concentration on the calibration curve. For most LBAs the highest concentration of the calibration curve is an anchor point. We suggest revising to include the anchor point. c. Calibration Curve/Standar d Curve/Concen trationResponse Proposed change: Total error is not applicable for the calibration curve. Suggest deleting the calculation of total error for calibration from this section and adding it as part of the acceptance criteria for QCs (section IV.B.3.d). Also allowing for a total error of up to 40% for QCs at LLOQ level. Proposed change: We also suggest deleting the phrase “Analyte peak (response) should be identifiable, discrete, and reproducible” since that seems to be language copied from small molecule chromatography based assays. Proposed change: The guidance applies different acceptance criteria to LLOQ vs. ULOQ. However, since LBAs are typically having sigmoidal concentration – response relationship, thus same acceptance criteria should be applied to ULOQ as to LLOQ. We suggest changing Line 595 to read: “…not exceed 25% CV and accuracy within 25% of”. Proposed change: Suggest deleting sentence of “Selection of weighting and use of a complex regression equation should be justified”. Using complex regression and weighting is standard for LBAs, therefore there should be no justification required. d. Quality Control Samples (QCs) Recommendation: We recommend that the emphasis on QCs within the range of expected study sample concentrations should only apply to BE/BA studies but not for all studies. Firstly, it is not always known “a priori” what the concentrations will be especially in FHD studies, DDI studies, special populations and blinded Phase II and III studies. Secondly, the calibration curve range of an LBA may be limited by the assay format and different from the expected study sample concentrations. Please clarify: For LBA assay, overall assay performance including all runs is also assessed. Are there recommended acceptance criteria for overall assay performance? 614-634 Lines 626-627 refers to the minimum number of QCs to be used for sample testing. This sentence needs clarification as it references unknown samples which are not tested during method validation. We recommend removing this sentence since it belongs to the sample testing section and the same sentence is also present in lines 723-724 under validated method use. From lines 628-634, it is not clear if one stock or spiking solution may be used for calibration standards and QCs. We recommend that this section be clarified and the terms "stock solution" and "spiking stock solution" should be defined. Furthermore, a separate stock solution may not be practical for LBAs since a reference material may be provided as a solution and a separate stock would just be a different aliquot form the same solution. We recommend that the requirement for separate stock solutions be removed or at least exempted for reference materials in solution form. 636-637 Proposed change: Lines 636-637 refer to the acceptance/re-injection criteria. While this makes perfect sense for exogenous analytes, it is more difficult to comply with the “nominal concentration” concept when analyzing endogenous analytes, like biomarkers (which are supposed to be covered by this guidance as mentioned in line 22). We recommend to start the sentence with: “for exogenous analytes …” to be aligned with section VI A. Endogenous compounds 639-642 DC01/ 3286969.1 4. Sensitivity Please clarify: If the assay sensitivity is LLOQ or LOD. Also, other assays (i.e. kits) define “Sensitivity” in the cut point manner (Mean + nSD of 20 or 30 blank measurements). This may bring confusion in terminology. 644-648 5. Reproducibility Proposed change: Line 647 refers to “reinjection reproducibility” which is not applicable to LBAs. We recommend either to delete this sentence or to change the wordings from “reinjection reproducibility” to “reanalysis reproducibility”. 6. Stability 650 652-655 DC01/ 3286969.1 Proposed change: Line 652 refers to chemical stability which is not applicable to LBAs. We recommend changing the wording from “chemical” to “biochemical”. Please clarify: Line 657 indicates that stability samples should be compared to freshly made calibrators and QCs. Clarification is needed to define “fresh” for LBA. We recommend defining it as freshly made frozen calibrators and QCs that are made within 3 days for the stability evaluation. 657-666 Proposed change: Lines 660 and 665 mentions stock solution that may not be applicable for LBA since the reference material, for LBAs, is often provided in solution form and the making of stock solution is not needed. We recommend removing the “stock solution” term from this section... Please clarify: Line 662 refers to both “bench top” and “room temperature” storage stability. The difference between “bench top” and “room temperature” storage stabilities is not clear. We recommend that the difference between “bench top” and “room temperature” stabilities should be clarified or addressed by removing one of the tests. Priority 668-672 674-677 DC01/ 3286969.1 a. Freeze and Thaw Stability b. Bench-Top Stability Proposed change: Line 666 proposes that “stability sample results should be within 15% of nominal concentrations”. We recommend changing this sentence to “Stability sample results should be within the acceptance criteria of the assays”, for consideration of the LBA assay acceptance criteria. 679-682 684-690 d. Stock Solution Stability 692-695 e. Processed Sample Stability 697 703-704 DC01/ 3286969.1 c. Long-Term Stability C. Validated Method: Use, Data Analysis, and Reporting Proposed change: This reads as though a 5 year clinical study would require 5 year LTS to be demonstrated. We recommend changing the wording to “The storage time in a long-term stability evaluation shall equal or exceed the duration from time of sample collection to analysis for any given sample”. Recommendation: It appears this section was cut/pasted from the chromatography section. Certain aspects of which do not apply to LBAs. Recommend deleting portions that don’t apply and expanding on LBA expectations. Recommendation: Currently it is proposed that “calibration (standard) curve should cover the expected study sample concentration range”. Because typical biologic drugs are often administered at high doses and a typical LBA method dynamic range (quantification range) is limited, samples are often tested at high dilutions. It is not practical to expect that the assay calibration curve will cover the entire range of concentrations observed in incurred study samples. It is suggested that clarification be added to allow dilutions to within the range. A reasonable expectation for LBAs is to ensure that the dynamic range of the assay including the LLOQ as well as a demonstration of dilution integrity are appropriate to support study sample analysis. Please clarify: Line 705: This section states that Inter- and intra-assay is discussed for both accuracy and precision as being reported in MVR but in section IV.B.2 (Lines 536-552) intra- and inter- assay is only described for precision assessment. Suggest clarification of wording in Section IV.B.2 to include inter- and intra-assay assessment of accuracy to provide consistency throughout the guidance. 705-706 Proposed change: The rationale for including data from failed runs in accuracy and precision calculations during method use is unclear. It also contradicts line 742. Consider the following re-wording, “Accuracy and precision as outlined in Section IV.B.2 should be provided for both the inter-run and intra-run experiments and tabulated for all acceptable runs”. (This rewording assumes that section IV.B.2 is also clarified regarding precisions/accuracy.) Line 710: The guidance calls for levels that are below the LLOQ to be reported as zero. We recommend that samples with concentrations below the LLOQ be reported as <LLOQ or BQL, not as zeros. The use of PK data since 2001 has changed significantly, with many more population PK and PK/PD studies now being performed. The arbitrary setting of concentrations <LLOQ to zero may have serious implications for modeling analyses. 707-711 Pharmacokineticists require the flexibility to use these data in a flexible but scientifically rigorous way. Proposed change: Change the sentence "Concentrations below the LLOQ should be reported as zeros" to "Concentrations below the LLOQ should be reported as <LLOQ or BLQ" Proposed Change: Line 708-709: Extension of the curve for LBAs is not always possible and it is suggested that this language regarding extension or revalidation be removed allowing for dilution of samples into the validated range of the existing method. DC01/ 3286969.1 714-719 Proposed Change: Lines 714-719: If “response function” = curve fitting, the entire paragraph can be deleted. 722-724 Proposed Change: Interspersed QCs are not used for LBAs and Positional affects are addressed during validation. Clarify or remove this language from this section. 725-729 Please clarify: Line 725-726 Define a curve range beyond which "clustering" of samples "in a narrow range" is meaningful. For LBA with narrow dynamic ranges (e.g. <100-fold), is 3 nominal QCs spanning the range (LQC, MQC and HQC) is sufficient? Due to limited applicability in LBA, remove or define for assays with assay ranges > 100 fold. Additionally, if this happens for LBAs it is usually because the sample dilution scheme did a good job of targeting the midrange of the assay. There is no added value in adding more QCs in the middle of curve. Recommendation: It is not always practical to run all study samples from a subject in a single run. Examples of this include; long-term studies where the collection period may exceed sample storage stability, testing of early time points for dose escalation, repeat analysis, etc…. This is a best practice should not be a requirement. 730 731-732 DC01/ 3286969.1 Proposed change: Additionally, this is not needed if the method has demonstrated acceptable precision and accuracy during validation. Reword to state, "All study samples from a subject should be analyzed in a single run whenever possible" Please clarify: For LBA methods carryover is not an issue and this appears to be duplicated from the small molecule section. Please clarify if this pertains to the use of liquid handling during LBAs. 740-741 Proposed change: Line 740 There is no possibility of reinjecting samples in LBA. Please remove. 744-746 Not applicable for LBA, please remove. 750 V. INCURRED SAMPLE REANALYSIS Proposed change: The draft guidance indicates that “ISR is conducted by repeating the analysis of a subset of subject samples from a given study in separate runs on different days to critically support the precision and accuracy measurements established with spiked QCs”. Recommend that the requirement “on different days” be deleted since analysis in separate runs should be sufficient. 752-760 Priority Proposed change: The draft guidance indicates that “ISR samples should be compared to freshly prepared calibrators”. Recommend this sentence be deleted since ISR samples should be analyzed using the identical procedure used for the original analysis and fresh calibrators are for stability tests. ISR is not a stability measurement. Please clarify: The draft guidance indicates that ISR is required for pivotal PD studies. Clarification is required as to whether this refers to PD endpoints (e.g. biomarkers) or PK measurements obtained during pivotal PD studies (e.g. Phase III trials). It is noted that not all biomarker assays lend themselves to ISR. DC01/ 3286969.1 762-766 Recommendation: The draft guidance indicates that “For regulatory submissions containing only a few studies, it may be advantageous to incorporate ISR into the method development and validation stage by conducting a pilot study prior to the pivotal study.” Recommend that this sentence be deleted since this proposal is not practical for most clinical programs and a clinical pilot study may have ethical implications. Priority 771 Proposed change: The draft guidance indicates “in selecting samples for reanalysis, adequate coverage of the PK profile in its entirety should be provided and should include assessments around Cmax and in the elimination phase for all study subjects. Recommend clarification. Suggested wording “in selecting samples for reanalysis, include samples across the PK profile and across subjects. 772-774 784 786 DC01/ 3286969.1 Proposed change: The draft guidance indicates “the total number of ISR samples should be 7% of the study sample size.” This amount is neither consistent with the GBC harmonization team recommendation (5%), nor the EMEA guidance. Recommend reverting to 10% of the samples should be reanalyzed for ISR in case the number of samples is less than 1000 samples and 5% of the number of samples exceeding 1000 samples. This is the current industry standard which was influenced by the AAPS/FDA workshop in 2008, in addition to being harmonized with the EMEA guidance. VI. ADDITIONAL ISSUES A. Endogenous Compounds 794-803 Recommendation: Line 794-797 More often than not it is extremely difficult to use the same matrix as the study samples to prepare calibration standards due to the levels of endogenous drug. Therefore, to get concentrations of relative accuracies, use of a surrogate matrix or a buffer to make the calibration standards should be allowed. It is recommend revision be made to enable the use of surrogate or buffer matrix to prepare calibration standards for the analysis of endogenous and biomarker analysis when endogenous levels would interfere. Proposed change: Line 800 To ensure standards, QCs and study samples have the same matrix effect, it is suggested changing from “have no matrix effect” to “have no difference in matrix effect”. 804-809 Recommendation: Line 804: The draft guidance notes that “the QC should be prepared by spiking known quantities of the analyte(s) in the same biological matrix as the study samples”. Often there are not fully accepted reference standards for endogenous analytes, thus there are differences (purity, activity, etc.) between reported results in laboratories using different sources of the analyte. It is suggested that the guidance could provide some suggestions to the community on how to resolve this issue. B. Biomarkers 811 Priority 819-826 828-830 DC01/ 3286969.1 Please clarify: Line 826: There are a number of questions regarding fully validated and the regulations that are intended to apply to the laboratory activities, such as compliance with GLP, GCP CAP and CLIA. It is recommended that the new guidance clarify the expectations of the laboratory conditions and practices. Recommendations: Line 833 Due to the presence of endogenous analyte, it is recommend reference be made to the recognized challenge of demonstrating assay selectivity If ISR is expected for biomarker methods, it is recommended that explicit language be included (e.g., in cases where a full advanced validation is warranted). 832-836 It is recommend language allowing establishing accuracy and precision acceptance criteria based on a statistical approach based on the anticipated biomarker changes be added (e.g., detecting small differences requires greater accuracy and precision, where as changes that are an order of magnitude larger or smaller may require less accuracy and precision. It is further recommended that the language indicate that sponsors should work with statisticians in such cases. Proposed change: The guidance insufficiently addresses different study population reference ranges and the expected magnitude of change. Propose changing the language to: “The accuracy, precision, selectivity, reference range of study population(s), reproducibility…” Proposed change: With regard to defining the practices for the validation, it is suggested language similar to ‘The purpose of the biomarker data and the context of biology should guide the validation, incorporating as many principles of a PK validation as applicable and practical within the context of the assay technology and biomarker biology.’ be used. C. Diagnostic Kits 838 DC01/ 3286969.1 Recommendation: Line 838-883 There are many varieties of diagnostic kits, that include Research Use Only (RUO) assays and CLIA assays. This section while providing some details, does not address major components of using the diagnostic kits. It is recommended that the FDA consider using diagnostics approved for use by another sections of the FDA, including the use of 510K approved cleared, PMA approved or LDT diagnostics kits for drug development. 840-847 Recommendation: Comment: 845 – 847 - It is recommended that the guidance address the use of CLIA approved assays for a pivotal biomarker; since some biomarkers are well validated and used for global trials. 863-865 Recommendation: It is suggested that the glossary addresses the term "specificity" and it is distinguished from selectivity. And in the context here, it is suggested to add clarification on whether both parameters need to be validated for biomarker assays. 872-875 Please clarify: Line 872. It is suggested that the guidance address the situation where many kits use standards prepared in a different matrix than study samples, specifically is the FDA truly going to require kit methods be changed to include matrix for the reasons expressed previously. 876-878 Please clarify: Line 877 – 878 - Activity of reference standards from different sources may differ and this is a potential significant problem. It is suggested that the guidance address how the community approaches to correcting the activity, including where the endogenous analyte source may not be available and surrogates analyte are used where the difference might be evaluated indirectly (e.g. parallelism). 881-883 DC01/ 3286969.1 Please clarify: With regard to “plate” and multiplate acceptance criteria, it is suggested that further details regarding the expected use of such acceptance criteria be added (i.e., accept failure of one plate, but accept others?) D. New Technologies Priority Recommendation from IQ Microsampling Working Group: We would like the Agency to reconsider or clarify the request for data from new technologies to always be supported with those from established technology. This had not been done when the industry moved from UV to MS for detection, from HPLC to UHPLC for separation, ligand binding to MS for the detection of large molecules, etc. This requirement would essentially stifle the growth and adoption of new technologies. Proposed change: So long as a method using the new technology can be effectively validated to precision and accuracy requirements, a comparison between techniques is unwarranted. 885-899 Recommendation from IQ Microsampling Working Group: While the industry has been looking for guidance around DBS, direct feedback from the agency to sponsors on new technologies, including DBS, has been working appropriately; sponsors are providing the data to the agency in the appropriate manner. Microsampling technology is evolving rapidly; therefore this section and the requirements stated around DBS will be outdated quickly. It is, therefore, premature to include specific guidance around DBS in this document, also inappropriate to specify other specific technologies. Priority Proposed change: Remove specific reference to DBS in the document. This will allow these new technologies to evolve further in conjunction with robust industry and agency interactions. Feedback around microsampling comparisons should continue to be provided directly from the agency to the sponsor as expectations may vary based on individual situations (stage of development, patient population, historical data, etc.). Recommendation: It is suggested that the agency indicate when correlative studies are needed and when they could end. For example the language around correlative clinical studies (bridging) should be changed to “be conducted in the intended patient population and once demonstrated, there is no need to perform dual sampling and analysis in further studies”. Additional Guidance is also requested on the statistical criteria that demonstrate correlation of DBS and original wet matrix, including numbers of patients in the disease population. DC01/ 3286969.1 902 VII. DOCUMENTATION 904-926 Lines 909- 911: The draft guidance is requesting Method Development data and reports. Methods are validated based on guidelines and parameters to ensure performance and fit for purpose characteristics. Critical parameters of such methods are tested during the validation and if the method is modified the "change history" maintained. It is the outcome of validations, not development; that determines whether a method is suitable for production. Recommendation: remove requirement for method development data and reports. Line 913: It is not clear how to define and document “limitation to use” of a method. Recommendation: remove the requirement to include “limitation to use”. Line 917: The draft guidance requires documentation of correspondence records between involved parties. It is not clear whether it is enough for the CRO to show correspondence or it implied that the sponsor must show all correspondence. Please clarify: since the majority of company policies limit maintaining e-mail records. DC01/ 3286969.1 A. System Suitability/Equilibrati on Line 930: System suitability for LBA instrumentation such as plate readers is assessed periodically (based on technology and manufacturer's recommendations), but not before each analytical run as can be performed for chromatographic methods. Recommendation: please provide definition, clarification and differentiation of system suitability between LBA and chromatographic methods. Consider deleting requirement for LBA as it is not applicable in the Guidance. 928-934 Line 930: also states “System suitability is routinely assessed before an analytical run.”, which implies that it should be done routinely, while Line 395 states “… if system suitability is assessed…”, which implies it may or may not be done. Please clarify: the expectation regarding system suitability and reword lines for consistency. Line 931: System suitability checks are “maintained in a specific file on-site”. This statement conflicts with line 398 stating system suitability should be stored with study records. Please clarify: Line 931 or 398 for consistency. Lines 936-950: It appears that these items are related to the submission package such as IND and NDA and not necessarily relevant to a specific method validation or sample analysis study. There is no clarification as to what this document is, where this information is to be submitted to and if effective dates for all method versions is being requested. Need to understand if management approval of method in advance of signed report (i.e., authorization to use) is acceptable or must the signed report be in place before use? Proposed change: remove this section or clarify its intent. 940-942 DC01/ 3286969.1 936-938 B. Summary Information Lines 432-436: Requires partial validation run for adding QCs to match sample concentrations. If dilution QC beyond that previously tested, may make sense, otherwise there is no value within established range. Proposed change: Remove 943-947 Lines 944-947: table needs to include reasons for the new method or additional validation & dates of final reports. Comment: It is the interpretation that is this is a form of the CTD table. Recommendation: That clarification be made if filing practices are not within the scope of this guidance. 948-950 The items listed required in the summary table are related to filing and should not appear as part of study data. Proposed change: Remove the summary table. 952-954 C. Documentation for Method Validation 959-960 Lines 959 – 960: Clarification is needed as to whether this is a description of the preparation of standards and QCs OR a table of all prepared standards/QC batches and the dates of preparation. As this information is already present in the raw data and method it is Recommendation: Limit this requirement to a table of preparation dates. Lines 961-964: Section is primarily chromatography focused. Recommendation: broaden the language to include LBA. Line 961: Only suitability of internal standard should be required. Proposed change: Removal of the requirement for evidence of purity and identity of IS 961-964 DC01/ 3286969.1 Line 962: States that the chromatogram of the analyte should be interference-free. No chromatogram can be totally interference-free. The current validation criteria state that interferences, such as carryover and non-selective signal are allowed to the degree of 20% of the LLOQ. Proposed change: reword this requirement as “The chromatogram of the analyte should show interference that is below that set forth in the validation criteria.” Lines 977-978: “All validation experiments with analysis dates, whether the experiments passed or failed and the reason for the failure.” Recommendation: That this be a simple table of all runs and contained experiments with no expectation that individual experimental data be presented. Lines 979-980: Please clarify: if the data should include results of calibration standards for failed runs due to QC performance or non-assignable causes. 976-987 Lines 986-987: This section states that dilution integrity data should be reported in the method validation report. However, dilution integrity is not listed or discussed as a validation parameter in this guidance. Recommendation: add a section describing dilution integrity as a validation parameter in this guidance. Dilution integrity is a pivotal component in LBA validation and should be included as a validation parameter. Please clarify: Line 987- what “anticoagulant effect” means. This is the only place it is mentioned in the document. 989-990 The draft guidance requires inclusion of the results of “individual calculated concentrations.” For LBA, some sponsors have samples run in duplicate Please clarify: whether individual measurements in such cases need to be reported. 992 994-995 DC01/ 3286969.1 D. Documentation for Bioanalytical Report Please clarify: It is not clear whether “documentation” means for all points from 996-1020 that they have to be included in the report. 996-997 The IS CoA may not be subjected to the same purity/identify requirement as analyte, as long as it is demonstrated in the run that it is suitable. Proposed change: Change text to read “Purity and identity of reference standards of analytes” and remove the requirement for purity and identity of internal standard to follow the 2007 White Paper for IS requirement. 998 The “Step-by-step description of procedures for preparation of QCs & calibrators” is already presented in the detailed method which is part of the validation report. There is minimal benefit to have this in the bioanalytical study report. Recommendation: removing this requirement as part of the sample analysis report. 999-1001 Line 999: It is not practical to include collection dates/times of all the samples in the bioanalytical report. This information can be too excessive, especially for Ph2/3 clinical studies. In addition, this information typically resides with the clinical study documentation/data base. Recommendation: reporting of when the first sample is collected and the time span of the collection period to ensure proper stability coverage. 1002-1003 Currently only deviations with impact to the study are included in the bioanalytical study report. Proposed change: suggest that this only be limited to list major (significant) deviations. Minor deviations are to be kept with the raw data. DC01/ 3286969.1 Lines 1005-1010: "Complete serial chromatograms" are not applicable to LBA. Recommendation: include LBA relevant requirements. 1005-1010 Lines 1008-1010. This section states that the 5% chromatograms to be submitted should be from subjects determined a priori. This is simply not practical for many clinical studies where subjects change, leave or fail to enter a study. Proposed change: Modify this requirement to specify that profiles be selected from a specific series of doses or a specific portion of the trial, chosen a priori rather than specific subjects. If a specific portion of trial is selected a priori, then randomness will be assured, but the uncertainty of losing patients will be removed. 1011 While for GLP studies this information might be readily available, in clinical trials the Bioanalytical labs generally do not have information regarding missing samples. This information is usually captured clinical study files. Proposed change: remove requirement of “reasons for missing samples” or clarify the scope to which this is to be applied (i.e. all study types or only to BE) and the format in which it should be presented. 1012-1015 DC01/ 3286969.1 Recommendation: Lines 1006- 1007: It seems that the "20%" cap of chromatograms even for BE studies are excessive. Has consideration been given to reduce this 5% threshold to limited representative study subject chromatograms (e.g., predose and Cmax)? Lines 1013-1014: As repeat analyses (e.g., ULOQ, analyte in placebo, poor chromatography, IS acceptance criteria failure and other assignable cause re-analysis, etc) of a bioanalytical nature are SOP driven, they should not require manager approval. Recommendation: limit manager authorization only to PK repeats. Documentation of manager approval should be maintained in the study file, not the report. Clarity should be provided on which manager should authorize reanalysis. In some instances, the sponsor will provide justification for reanalysis. In other instances, the TPO bioanalytical lab manager may. 1016-1020 Lines 1016-1020: Does not apply to LBA. Recommendation: add “as applicable to the technology used”. Proposed change: data for concentration data generated using initial integration and from re-integrated chromatograms to be maintained in the study file and not included in the BA report. Also, clarification should be added to the guidance defining re-integration as those chromatograms integrated using different integration parameters than others in the same batch. 1024-1025 Proposed change: remove line 1025 on requirement to report QC graphs and trend analysis. This is more a GMP requirement and has no added value in regulated BA since each batch is accepted using clear criteria on accuracy and precision using independent QC and calibration samples. 1026-1029 Lines 1027-1029: Inclusion of listing of subjects analyzed in each run and tables with individual back-calculated results for all study samples does not add value to the bioanalytical report and increases the risk of transcription errors. These are maintained in the study raw data and LIMS databases. Proposed change: remove this requirement or limit to BE studies only. Also, specify that method included only if multiple methods used during course of the study since usually a single method is used the majority of the time. Proposed change: change text in lines 1028-1029 to read: “Tables with the individual results for all study samples should be submitted”, as the study samples do not have known concentrations and therefore do not have “back-calculated” results.” 1030-1031 Please Clarify: Whether the tabular listings are meant for both validation and bioanalysis reports or just needed for bioanalysis reports to summarize the conducted validation assessments. VIII. GLOSSARY 1033 DC01/ 3286969.1 Proposed change: Add a classification named “Validation Samples” that include proposed validation (QC) concentration levels assessed in P&A experiments (e.g. LLOQ, LQC, MQC, HQC and ULOQ) (Line 539). 1081-1082 There are several types of Reproducibility: between lab, re-injection, incurred sample, between instrument, etc. Recommendation: that a more generic definition be provided or concisely define each type of reproducibility. 1084-1086 Recommendation: define selectivity and specificity separately for LBA in line 1084. 1089-1090 Recommendation: change “chemical” to “biochemical” in line 1089. 1100-1103 DC01/ 3286969.1 IX. APPENDIX Priority Recommendation: Use of hyperlinks for eCTD submissions sounds good but is fraught with issues in practice. The process needs someone with a full overview of study/program to manage submission/report/data links. Table 1 Priority New and extensive hyperlinking required between non-clinical and clinical biopharmaceutical sections and specific portions or validation or study reports. This would require nonspecialist dossier managers to link between the tables and specific portions of reports. It is unlikely that this would be consistently performed. Recommendation: It is recommended that the hyperlinking be to the reports table of contents or to reports that are adequately bookmarked. If table is to remain as is: Table 1: ISR here is being referenced in validation report, not consistent with text in Lines 782-783 which indicates that ISR be included in the final study report. Recommendation: ISR should be removed from this table. 1105-1110 Recommendation: New and extensive hyperlinking required between non-clinical and clinical biopharmaceutical sections and specific portions or validation or study reports a significant logistical challenge and resource burden. Recommend deleting or limiting scope to critical items. For most of the parameters, there are columns for results and Hyperlinks, respectively. What is the reason for only including hyperlinks but not results for recovery and matrix effects in the summary table? Recommendation: That recovery and matrix effects be made consistent in format with other parameters in the table. Table 1: It appears that Within or Intra-Run precision as well as LLOQ and ULOQ are absent from Method Validation statistics (Inter-run accuracy and precision). Dilution integrity: no matrix specified although required according to the first cell. Please clarify: as to whether or not these parameters are needed in this table. Please clarify: what information is expected for “matrix that were evaluated” under Dilution integrity Line 1109: No example is being provided as to how failed experiments should be listed. Recommendation: Remove the requirement of “Listing failed experiment”. This information is typically reported in the validation report, but not necessarily in the summary section. DC01/ 3286969.1 Table 2 Recommendation: Lines 1112-1113: add species/anticoagulant to the title of the table. 1112-1120 Lines 1115-1116 and 1119-1120: References are made that an itemized list is required linking each reference standard to every validation experiment and the date of analysis. This implies that when a reference standard (powder) expires, no further testing with samples prepared from it can be conducted. Please clarify: The reasoning behind this requirement. Proposed change: remove the internal standard from this table. Table 3 Comment: Not clear why a combined table for method validation and clinical study is given in the guideline. Recommendation: clarification be added to explain the purpose of this table. Please clarify: What is expected in the next to last row in the table (“Duration from time...”). 1122-1126 Line 1125: Within or Intra-Run precision are absent from the table. LLOQ and ULOQ are absent from Method Validation statistics (Inter-run accuracy and precision)? Please clarify: as being/not being required in the table. Line 1125: The rows for Inter-run and inter-run accuracy – are these for summarizing the performance of the assay in clinical study? If yes, suggest that they should be in the “Study Information” section of the table. Please clarify: what data is being requested. Line 1126: Is this requesting a listing of the sample storage temp from, for example, every clinical site in a study? This information is outside the control of the BA lab but would be part of the clinical/site raw data and is not available to bioanalytical labs. Also, there can be a large number of sites plus a central lab involved in phase 2-3. Recommendation: remove this requirement or limiting it to the BA lab storage. DC01/ 3286969.1 Table 4 1128-1139 DC01/ 3286969.1 Table 4: Explain or clarify the Hyperlinking. Standards or QCs are generally summarized in 1 report table (for each sample type, per analyte, per matrix) for all acceptable batches. Is there a need for every analytical run to be listed and hyperlinked to the same Standards or QC table? A similar question is about the hyperlink to “Report text”. What does the hyperlink “Raw Data” refer to since this is a bioanalytical report (the raw data (RLU) is not really useful)? Finally, if a batch is rejected, does that need to be hyperlinked to a table showing all failed run data for standards/QCs/report text and “raw” data? Please clarify: Please provide an explanation as to what exactly is being hyperlinked in more detail.