NOT FOR REPRINT © VERT MARKETS Outsourcing Considerations For Strategic Partnering With CRO/CMOs: Incorporating QbD Early In Product Development Is Key To Success A case study examining QbD in development and scale-up of ophthalmic dosage forms. by Ron Connolly, Vaishali Ketkar, Amit Shah, and Veerarajendra (Raj) Yadwad T he pharmaceutical industry is continually looking to accelerate and streamline the product development process to bring new products to the market efficiently. For the last few years the U.S. and EU regulatory communities have worked together to develop guidelines that encourage implementation of the principles of Quality by Design (QbD) in the drug development process. The QbD initiative is a science- and risk-based approach to pharmaceutical process development and manufacturing. Implementing QbD principles earlier in the drug development program enhances the development team’s understanding of critical control requirements and encourages collaboration between product/process development, quality, and manufacturing personnel. Early implementation of QbD principles can improve the collaborative efforts of CRO/CMOs and streamline the knowledge transfer between firms. During the collaborative development process, sponsors have the task of addressing product quality, technical, and supply requirements with their CRO/CMO, while attempting to foster continuous improvement activities that can drive efficiencies in the program. By utilizing the QbD platform from the initial stages of formulation and process development, an enhanced collaboration and partnership between sponsors and service providers can be developed to streamline the design and scale up of clinical trial material (CTM) and commercial manufacturing processes. QbD In Pharmaceutical Development Incorporating QbD in the early stages of product development can lead to a product and process that is easy for scale-up with fewer challenges and obstacles at pilot and commercial scale manufacturing. According to ICH Q8 guidance, “quality cannot be tested into products, i.e. quality should be built in by design.” There are several advantages of incorporating a QbD approach into the pharma development program: n Facilitates quicker development of new products by utilizing a development platform or standard regimen of experimental activities; n Prevents/minimizes failures during manufacturing, 34 Pharmaceutical Online The Magazine n pharmaceuticalonline.com and when failures do happen, a scientific justification can be derived based on past experience; n Reduces manufacturing costs due to fewer failures and improved process efficiencies; n Fosters continuous improvement in product and process during scale-up activities; n Provides relevant information to the regulatory agencies for a quicker review and approval process. This article presents a practical example of employing QbD in the development and scale-up of a generic ophthalmic dosage form. The study demonstrates how the core principles and guidelines contained in ICH Q8 (R2), Q9, and Q10 can be applied to product realization programs. Development Approach For the case study described below, a stepwise approach was adopted to arrive at scalable formulations. The key steps during the development phase were: Establish a quality target product profile (QTPP) Identify quality attributes critical to the product being developed n Perform risk analysis and identify critical materials, critical processes, and critical process parameters (CPPs) that affect the critical quality attributes (CQAs) of the drug product n Propose control strategies to establish specifications for raw materials, packaging components, manufacturing process steps, and process parameters n n The goal of the case study was to collaborate with the sponsor and develop a generic equivalent of a marketed ophthalmic product. The team worked with the sponsor to design a formulation and process development plan within the QbD framework that can be scaled up at the sponsor’s commercial manufacturing site. CQA, CPP, And Risk Analysis As the first step, the development team established the QTPP of the generic product by analyzing the results of reverse NOT FOR REPRINT © VERT MARKETS Outsourcing Product development workflow for ophthalmic solutions case study engineering experiments with the reference-listed drug (RLD). The CQA/CPPs of the drug product were identified through risk analysis. Three CQAs (physical and chemical stability, product viscosity, and droplet size/delivered dose) and one CPP (associated with the thermal sterilization process used for sterilization of the viscosity-building polymer solution) were considered to greatly risk product quality. Reverse engineering of the RLD via in-house methods yielded a target concentration of the viscosity-building polymer. Based on the viscosity range of the analyzed RLD, three different grades of the polymer were evaluated during prototype formulation development. Various formulations prepared at target polymer concentrations resulted in a product at the expected viscosity range; however, the formulation presented three major challenges for the development team: n n n Selection of a sterilization process Control of solution viscosity post-sterilization Control of product viscosity under long-term storage Because the active pharmaceutical ingredient (API) was observed to be chemically unstable under thermal sterilization, an aseptic filtration process was evaluated to develop a suitable process flow that could achieve a sterile finished product. Three different grades of a viscosity-building polymer were evaluated for sterile filtration under various processing conditions (e.g. filter surface area, filtration rates, and filtration pressure). Based on study observations, only one polymer grade was identified as suitable for aseptic filtration. With this understanding, appropriate filtration parameters were identified and prototype product formulations utilizing this polymer grade were evaluated for stability. However, stability study data indicated the drug product prepared by aseptic filtration using this polymer grade was not capable of maintaining the required physical stability profile during storage. This then meant reverting to the previously evaluated polymers and examining other means of producing sterile product that could maintain the required parameters. Three different thermal sterilization processes were evaluated. One of the attempted thermal sterilization processes was observed to yield a product with adequate physical stability upon storage. Thus, to achieve the target drug product viscosity and maintain API stability in the formulation, the drug product manufacturing process was split into two stages to allow for aseptic filtration of the solution containing the API and thermal sterilization of the solution containing the viscosity-building agent. Other than API solubility, no significant high-risk factor was identified for the compounding process used to prepare the active solution. On the other hand, the process parameters used for the thermal sterilization of the polymer solution were identified to be high-risk factors that could impact the drug product viscosity. Studies were carried out to evaluate the effect of CPPs associated with thermal sterilization process on the polymer solution viscosity poststerilization. Various CPPs of the thermal sterilization process that affected the viscosity of the polymer solution were: n n n n n Amount of bulk solution Temperature distribution within the bulk solution Time required to reach the sterilization temperature Dwell time Time taken to cool the bulk solution post-sterilization All of the above parameters were observed to affect polymer viscosity post-sterilization. Based on the correlation pharmaceuticalonline.com n Pharmaceutical Online The Magazine 35 NOT FOR REPRINT © VERT MARKETS Outsourcing of the CPPs and viscosity of the polymer solution pre- and post-thermal sterilization, ranges were identified for the concentration of polymer stock solution, characteristics of the polymer materials, and thermal sterilization process parameters. Through our experimentation, we discovered that in order to obtain the target finished product viscosity, control on CPPs alone was insufficient. Hence, implementation of raw material specification control was critical to achieving the target product viscosity. The CPP ranges identified in the study along with raw material specifications were recommended to support the scale-up studies. The third CQA identified as a potential risk was droplet size/delivered dose of the finished product. The delivered dose is impacted by a combination of various factors such as packaging components and drug product viscosity. The primary packaging materials and variability of the packaging specifications contribute to risk. Therefore, this aspect had to be contemplated in concert with the selection of the polymer materials described in the second CQA. Various containerclosure systems were evaluated for material of construction and for drop size using the prototype formulations. The delivered dose of the product was able to be controlled by optimizing the formulation composition, drug product viscosity, and the selection of the appropriate containerclosure system. After optimizing formulation composition and compounding processes, the compounded product was evaluated for physical and chemical stability using the selected containerclosure system. Several attributes were considered during the evaluation of the container-closure systems, such as material of construction, drop size, container-closure sterilization process, and product interaction (e.g. particulate matter, leachables, product adsorption, etc.). During our evaluations, we determined that factors such as the additives used in the container-closure materials and the treatment of the materials during sterilization had an impact on the interactions with this drug product formulation, which in turn posed additional container/closure specifications and selection criteria to be employed in the program. Control Strategy As noted in the previous sections, physical and chemical stability, product viscosity, and drop size were identified as the high-risk CQAs for this drug product. To ensure chemical stability of the product, a multistep sterilization process was developed for the bulk solution — aseptic filtration for the bulk solution containing the API and thermal sterilization for the polymer solution that was aseptically combined with the API solution. The product drop size was controlled by selection of appropriate dropper tip and container materials, in addition to the product viscosity. Container-closure specifications such as resin additives and sterilization process were established to ensure physical and chemical stability of the drug product. A control strategy (listed below) was 36 Pharmaceutical Online The Magazine n pharmaceuticalonline.com implemented for the polymer solution to ensure that the final viscosity of the finished product is maintained upon longterm storage. n Define viscosity range of the polymer (addresses lot to lot variation) n Establish in-process viscosity specification for the polymer solution at the compounding, post clarification filtration, and post-thermal sterilization steps n Establish thermal sterilization process specifications for bulk solution load size, process times, and process temperatures n Define viscosity range of the final finished product Conclusion The case study illustrates that a product development strategy that incorporates QbD can result in an optimized formulation and a robust process with established design space. This approach improves communications between development partners and provides for a uniform platform of CQAs and process parameters that are communicated and agreed upon between the teams. This in turn leads to a product that has a high potential for success during scale-up and commercialization. Further, the data generated during development can assist regulatory agencies when reviewing the product. n References 1. Guidance for Industry, PAT – A Framework for Innovative Pharmaceutical Development, Manufacturing, and Quality Assurance 2. Guidance for Industry, Q8 (R2), Pharmaceutical Development 3. Guidance for Industry, Q9, Quality Risk Management 4. Guidance for Industry, Q10, Pharmaceutical Quality System 5. Guidance for Industry, Process Validation: General Principles and Practices Ron Connolly, BS, is Sr. VP and GM of GMP Consulting Services for Frontage Laboratories, Inc. Mr. Connolly has been involved in more than 25 FDA inspections, and has consulted for numerous worldwide pharmaceutical companies. Mr. Connolly previously served on the scientific affairs committee of the GPhA and numerous GMP task force groups at Wyeth Pharmaceuticals (Pfizer). Vaishali Ketkar, Ph.D., is director of product development and CTM manufacturing for Frontage Laboratories, Inc. With more than 12 years of experience in the pharmaceutical industry, Dr. Ketkar’s expertise falls in formulation development for parenteral, ophthalmic, oral, and topical dosage forms for IND and ANDA applications and clinical trial material manufacturing for Phase I and Phase II studies. Dr. Ketkar received her Ph.D. from the University of Iowa. Amit Shah, Ph.D., is principal scientist of product development and CTM manufacturing for Frontage Laboratories, Inc. Dr. Shah has more than six years of experience in the pharmaceutical industry and is responsible for developing immediate release, controlled release, and delayed release oral solids dosage forms and manufacturing finished products for Phase I and II trials. Dr. Shah has developed new and generic drug products utilizing techniques such as hot-melt granulation, tablet-in-tablet, tablet-in-capsule, and multiparticulate systems. Veerarajendra (Raj) Yadwad, Ph.D., is senior director of CTM manufacturing for Frontage Laboratories, Inc. Dr. Yadwad has more than 20 years of experience in biopharmaceutical research and development, technology transfer, and commercial GMP manufacturing, including sterile-fill, sterile-finish, and lyophilization. He received his Ph.D. from Karnatak University in India. Acknowledgements Authors would like to acknowledge Dr. Bo Jiang, principal scientist, and formulation scientists Jeff Lankford, Harry Pham, and Anuj Gupta as well as the analytical development team at Frontage for their contribution to the work presented in the article. Authors would like to thank Dr. Dongmei Wang, Sr. VP and GM, CMC, for her contribution toward critical review of this article.