Updates Regarding the OGD Division of Microbiology & ANDA Sterility Assurance Review Dr. Lynne A. Ensor U.S. Food & Drug Administration Center for Drug Evaluation & Research Office of Pharmaceutical Science/Office of Generic Drugs Division of Microbiology Acting Division Director/Deputy Division Director 2013 GPhA/FDA Fall Technical Conference October 29, 2013 1 This presentation reflects the views of the presenter and should not be construed to represent FDA’s views or policies. 2 OGD Division of Microbiology Lynne Ensor, Ph.D. Division Director (Acting) CDR Paul Dexter, M.S. Deputy Division Director (Acting) Marla Stevens-Riley, Ph.D. Yarery Smith, Ph.D. John Arigo, Ph.D. Team Leader Secondary Reviewer Team Leader (Acting) Team 1 Team 2 Dupeh Palmer, Ph.D. Eric Adeeku, Ph. D. Jonathan Swoboda, Ph.D. Vacant Vacant Lisa Shelton, Ph.D. George Arhin, Ph.D. Nandini Bhattacharya, Ph.D. Vacant Vacant Microbiology Project Managers LCDR Craig Kiester Sonni (Song) Kim Team 3 Jesse Wells, Ph.D. Helen Ngai, Ph.D. LCDR Scott Steffen, Ph.D. Vacant Vacant 3 Additional Division Activities • Reorganization of OGD & GDUFA implementation • Creation of OPQ – Integrated Team-Based Review pilot • Drug Shortage & Recalls – Prevented 282 in 2012 (75% sterile injectables & predominantly generics) • • • • • Site Inspection Risk Management Experts Pharmacy Compounding QbR Recruitment/training Presentations (internal & external) 4 FY’13 Priorities • GDUFA Implementation & Microbiology Queue • Expedited reviews – Drug shortages – Extenuating circumstances beyond applicant’s control 5 Common Deficiencies 6 Terminal Sterilization • Incomplete information/description regarding production loads vs. validation loads – Please provide a description of if/how the validation load(s) relates to the production load(s) 7 Validation of Sterilization/Depyrogenation • Results provided from only 1 run for sterilization/depyrogenation validation. – Results from three consecutive successful runs are recommended. If initial validation results are years old, it is recommended that results from the most recent revalidation/qualification study are submitted • Hundreds of pages of raw data without a narrative are provided. – Provide a narrative or study summary with any data 8 Validation of Sterilization/ Depyrogenation (2) • The requalification information only includes the frequency, but not the type of studies – Provide a summary of any/all requalification studies (i.e., bracketing, HD/HP/microbial challenge, etc.). • It is unclear how validation loads compare to production loads – Are loads minimum, maximum, fixed or worst-case? 9 Bulk Drug Solution Bioburden • No alert or action levels for bulk drug solution bioburden – Recommend setting bulk drug solution bioburden alert and action levels for the solution prior to any filtration step. 10 Sterilizing Filtration of Drug Solution • During the filtration sterilization validation study it is unclear if/how the positive control (0.45 um rated filter) was included in the bacterial retention studies and/or positive control results are not provided – It is recommended that the 0.45 um rated filter is challenged parallel with the test (0.22 um rated) filters • Viability data for B. diminuta in the drug solution are not provided with the bacterial retention study results – Please provide this information with bacterial retention study summaries 11 Container Closure Integrity Testing • The container closure system used for validation study is not stated and/or dimensional specifications are not provided – Please indicate the manufacturer of the components used in validation testing – If different components are used than those proposed for production, please indicate the inner neck diameter specifications of the vials and/or are different from proposed drug product vial, or stoppers are not identical/equivalent (i.e., same formulation and dimensions, but perhaps different coating) to the proposed drug product stoppers. 12 Antimicrobial Effectiveness Testing • Antimicrobial Effectiveness testing results are not provided for the drug solution formulated with preservative at the lowest specified concentration, or not provided at all for multidose drug products that are preservative-free. - Provide AET summary and results for the drug product containing the minimum API concentration (either release or stability [lowest]) 13 Drug Product Labeling • The drug product label does not indicate if the product is intended to be single or multiple dose. The volume of the drug product could allow for multiple dose. – Clearly indicate single or multiple dose – If multi-dose, please provide AET summary and results (per USP <51> or equivalent) 14 Drug Product Labeling (2) – Microbiological quality following product penetration – Post-reconstitution or dilution – Risk assessment data to support the proposed post-penetration holding parameters per product labeling 15 Product Labeling – Risk assessment study & data • Maximum hold duration during worst-case holding conditions/diluent • Minimum inoculum (≤100 cfu/mL) – – – – USP <51> strains Typical skin flora Nosocomial infection causing organism(s) Psychrophilic organism(s) • Acceptance criteria – No growth (LT 0.5 log10) 16 References • Guidance for Industry for the Submission of Documentation for Sterilization Process Validation in Applications for Human and Veterinary Drug Products http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/UCM072171.pdf • Guidance for Industry: Sterile Drug Products Produced by Aseptic Processing – Current Good Manufacturing Practice http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/UCM070342.pdf 17 References (2) • Guidance for Industry: Container and Closure System Integrity Testing in Lieu of Sterility Testing as a Component of the Stability Protocol for Sterile Products – 2008 http://www.fda.gov/downloads/RegulatoryInformation/Guidances/UCM146076/pdf • Guidance for Industry: Pyrogen and Endotoxins Testing: Questions and Answers - 2012 http://www.fda.gov/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/ucm314718.htm 18 References (3) • Guidance for Industry: Comparability Protocols – Chemistry, Manufacturing, and Controls Information – Draft 2/03 http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/UCM070545.pdf • Guidance for Industry: Changes to an Approved NDA or ANDA – 2004 http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/ucm077097.pdf • Guidance for Industry: ANDA Submissions – Refuse-to-Receive Standards - 2013 http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/UCM370352.pdf 19 Technical Questions • How to submit Control Correspondences http://www.fda.gov/AboutFDA/CentersOffices/OfficeofMedicalProductsa ndTobacco/CDER/ucm120610.htm • Mail to:GenericDrugs@FDA.HHS.Gov 20 Contact Information Lynne A. Ensor, Ph. D 240-276-8827 lynne.ensor@fda.hhs.gov 21