Prequalification programme: Priority essential medicines Training Workshop for evaluators from National Medicines Regulatory Authorities in the East African Community: Evaluation of quality and interchangeability of medicinal products. Dar Es Salaam United Republic of Tanzania 10 – 14 September 2007 Evaluation of quality and interchangeability of medicinal products | 1 EAC/EC/WHO Training workshop / 10-14 September 2007 Training Workshop on Evaluation of quality and interchangeability of medicinal products. ANALYTICAL VALIDATION Presenter: Drs. J. Welink Senior pharmacokineticist Medicines Evaluation Board, NL WHO adviser E-mail: j.welink@cbg-meb.nl Evaluation of quality and interchangeability of medicinal products | 2 EAC/EC/WHO Training workshop / 10-14 September 2007 History Development pharmacokinetics: computers separation technics analytical methods Evaluation of quality and interchangeability of medicinal products | 3 EAC/EC/WHO Training workshop / 10-14 September 2007 History pg/ml ‘90 ‘70 ‘60 ‘50 '30 mass spectrometry ng/ml liquid chromatography gas chromatrography μg/ml chromatography spectrometry Evaluation of quality and interchangeability of medicinal products | 4 EAC/EC/WHO Training workshop / 10-14 September 2007 mg/ml Methods ANALYTICAL METHODS immunological methods LC-MS/MS GC-MS GLC HPLC Evaluation of quality and interchangeability of medicinal products | 5 EAC/EC/WHO Training workshop / 10-14 September 2007 Principle Evaluation of quality and interchangeability of medicinal products | 6 EAC/EC/WHO Training workshop / 10-14 September 2007 Guidance FDA Guidance for Industry – Bioanalytical method validation, May 2001 ICH Guidance for industry – Validation of analytical methods: definitions and terminology, June 1995 – Validation of analytical procedures: methodology, November 1996 Evaluation of quality and interchangeability of medicinal products | 7 EAC/EC/WHO Training workshop / 10-14 September 2007 GCP/GLP GCP/GLP compliance – Clinical studies have to be performed under conditions complying with the principles of Good Clinical Practice, and for analytical methods and sample data handling conditions complying with the principles of Good Laboratory Practice are required. – For older studies without statement of complinace with the above mentioned principles, the assessor should rely on the quality of the submitted report. Evaluation of quality and interchangeability of medicinal products | 8 EAC/EC/WHO Training workshop / 10-14 September 2007 Choices of methods LC-MS-MS GC-MS HPLC GLC Immunological methods Evaluation of quality and interchangeability of medicinal products | 9 EAC/EC/WHO Training workshop / 10-14 September 2007 Choices of methods Method used for the determination of drugs and/or metabolites should be: Sensitive Accurate Discriminative Precise Evaluation of quality and interchangeability of medicinal products | 10 EAC/EC/WHO Training workshop / 10-14 September 2007 Sensitivity Method should be able to quantify the drug in the sampled specimen at least 10 % of the maximum concentration reached after dosing. Limit of Quantification (LOQ): 1/10 Cmax Evaluation of quality and interchangeability of medicinal products | 11 EAC/EC/WHO Training workshop / 10-14 September 2007 Discriminative The method should be able to discriminate between the selected analyte and interfering compounds from the environment or from other compounds administered simultaneously Evaluation of quality and interchangeability of medicinal products | 12 EAC/EC/WHO Training workshop / 10-14 September 2007 Accuracy The method must be accurate enough to measure the true value (concentration) of the analyte in a relative small sample Evaluation of quality and interchangeability of medicinal products | 13 EAC/EC/WHO Training workshop / 10-14 September 2007 Precision The analytical method should be presice enough to reveal identical results when the procedure is applied repeatedly to multiple aliquots of a single homogeneous volume of the biological matrix Evaluation of quality and interchangeability of medicinal products | 14 EAC/EC/WHO Training workshop / 10-14 September 2007 Validation To measure is to know! Evaluation of quality and interchangeability of medicinal products | 15 EAC/EC/WHO Training workshop / 10-14 September 2007 Validation Specificity Range Detection limit (LOD) Accuracy Quantification limit (LOQ) Precision Linearity Robustness Evaluation of quality and interchangeability of medicinal products | 16 EAC/EC/WHO Training workshop / 10-14 September 2007 Validation-specificity Investigation of specificity should be conducted during the validation phase of the assay The procedures used to demonstrate specificity should be clearly reported Must be applied with structurally similar materials Choices base on scientific judgements Evaluation of quality and interchangeability of medicinal products | 17 EAC/EC/WHO Training workshop / 10-14 September 2007 Validation-specificity Evaluation of quality and interchangeability of medicinal products | 18 EAC/EC/WHO Training workshop / 10-14 September 2007 Validation-LOD Various methods possible visual evaluation • minimum level at which the analyte can be detected reliably signal-to noise • 3:1 ratio is acceptable standard deviation of the slope and response • LOD = 3.3 σ / S – σ = standard deviation of the response – S = slope of the calibration curve Evaluation of quality and interchangeability of medicinal products | 19 EAC/EC/WHO Training workshop / 10-14 September 2007 Validation-LOQ Based on signal-to noise – Reliable quantification is a 10:1 ratio Based on SD of the response and the slope – LOQ = 10 σ / S • σ = standard deviation of the response • S = slope of the calibration curve Evaluation of quality and interchangeability of medicinal products | 20 EAC/EC/WHO Training workshop / 10-14 September 2007 Validation-LOD/LOQ Recommended data: The LOD and LOQ and the method used for the LOQ should be presented The limits should be validated by the analyses of a suitable number of samples prepared at the LOD and LOQ limits Evaluation of quality and interchangeability of medicinal products | 21 EAC/EC/WHO Training workshop / 10-14 September 2007 Validation-LOD Evaluation of quality and interchangeability of medicinal products | 22 EAC/EC/WHO Training workshop / 10-14 September 2007 Validation LOQ, LOD and SNR Limit of Quantitation Limit of Detection Peak B LOQ Signal to Noise Ratio Peak A LOD Baseline noise Evaluation of quality and interchangeability of medicinal products | 23 EAC/EC/WHO Training workshop / 10-14 September 2007 Validation-linearity Should be evaluated across the range of concentrations expected during the study A minimum of five concentrations used in the range is recommended The correlation coefficient, y-intercept slope of the regression and residual sum of squares should be submitted Deviations from the regression line should be analysed for evaluating linearity Evaluation of quality and interchangeability of medicinal products | 24 EAC/EC/WHO Training workshop / 10-14 September 2007 Validation-linearity Evaluation of quality and interchangeability of medicinal products | 25 EAC/EC/WHO Training workshop / 10-14 September 2007 Validation-range The specified range is derived from linearity studies and should cover the extremes of the concentrations probably reached during the study The range should be justified in the report based on scientific information Evaluation of quality and interchangeability of medicinal products | 26 EAC/EC/WHO Training workshop / 10-14 September 2007 Validation-accuracy Accuracy should be assessed on samples spiked with known amounts of the analyte Accuracy should be assessed using determinations over a minimum of 3 concentration levels (low, medium and high) Accuracy should be reported as percent recovery from the added amount and with confidence intervals Evaluation of quality and interchangeability of medicinal products | 27 EAC/EC/WHO Training workshop / 10-14 September 2007 Validation-accuracy Evaluation of quality and interchangeability of medicinal products | 28 EAC/EC/WHO Training workshop / 10-14 September 2007 Validation-precision Repeatability – concentrations covering the specified range Intermediate precision – Like days, analysts, equipment Reproducibility – Determined if analyses take place in separate periods Recommended data – SD, Coefficient of variations, and confidence intervals should be reported on each type of precision Evaluation of quality and interchangeability of medicinal products | 29 EAC/EC/WHO Training workshop / 10-14 September 2007 Validation-accuracy/precision Accuracy/precision: Evaluation of quality and interchangeability of medicinal products | 30 EAC/EC/WHO Training workshop / 10-14 September 2007 Validation-accuracy/precision Between-day: Intra-day: Evaluation of quality and interchangeability of medicinal products | 31 EAC/EC/WHO Training workshop / 10-14 September 2007 Validation-accuracy/precision: Accuracy/precision calibrators: Evaluation of quality and interchangeability of medicinal products | 32 EAC/EC/WHO Training workshop / 10-14 September 2007 Validation-accuracy/precision FDA Accuracy within-run between-run Precision within-run between-run normally: <15% normally: <15% LLOQ: <20% LLOQ: <20% Evaluation of quality and interchangeability of medicinal products | 33 EAC/EC/WHO Training workshop / 10-14 September 2007 Validation-robustness Robustness should be considered during development phase Shows the reliability of the analytical method with respect to variations in the method parameters In case variations occur they should be suitably controlled and if present adequately tested and documented Evaluation of quality and interchangeability of medicinal products | 34 EAC/EC/WHO Training workshop / 10-14 September 2007 Validation-robustness Typical examples: Stability of the analytical solutions – Influence of variations of pH of the mobile phase – Influence of variations of mobile phase composition – Influence of temperature and flow rate Extraction conditions – pH and extraction time Evaluation of quality and interchangeability of medicinal products | 35 EAC/EC/WHO Training workshop / 10-14 September 2007 Validation-robustness Evaluation of quality and interchangeability of medicinal products | 36 EAC/EC/WHO Training workshop / 10-14 September 2007 Validation-recovery Recovery: Extraction efficiency analytical method – consistent – precise – reproducible Recovery: 80% 75% 91% 97% 65% 73% mean: 81.1% CV: 14.7% Evaluation of quality and interchangeability of medicinal products | 37 EAC/EC/WHO Training workshop / 10-14 September 2007 Recovery: 15% 16% 13% 15% 16% 14% mean: 14.8% CV: 7.9% Validation-stability Stability assessed prior sample analysis! Required data – – – – – Freeze and thaw stability Short term temperature stability Long term stability Stock solution stability Post preparation stability Evaluation of quality and interchangeability of medicinal products | 38 EAC/EC/WHO Training workshop / 10-14 September 2007 Analysis clinical samples The analytical method should be validated before the start of obtaining clinical samples. Each analytical run should contain sufficient QC samples at the beginning, middle and end at at least 3 levels (LQC, MQC and HQC). QC QC QC QC Evaluation of quality and interchangeability of medicinal products | 39 EAC/EC/WHO Training workshop / 10-14 September 2007 QC QC Analysis clinical samples Acceptation or rejection of a run should be predefined before the actual start of the analysis of the clinical samples. FDA criteria QC QC QC QC Evaluation of quality and interchangeability of medicinal products | 40 EAC/EC/WHO Training workshop / 10-14 September 2007 QC QC Analysis clinical samples All samples of 1 subject in 1 run Subject sample reanalysis should be predefined before the actual start of the analysis of the clinical samples. Reasons: - improper sample injection - mailfunction - concentration > HLOQC - unexpected value - PK reason QC QC QC QC Evaluation of quality and interchangeability of medicinal products | 41 EAC/EC/WHO Training workshop / 10-14 September 2007 QC QC Analysis clinical samples - unexpected value - PK reason Evaluation of quality and interchangeability of medicinal products | 42 EAC/EC/WHO Training workshop / 10-14 September 2007 Report All methods should be covered by adequate Standard Operating Procedures (SOP’s) for general and analysis specific procedures Before the start of an analytical procedure an adequate study plan has to be written or be incorporated in the study protocol Evaluation of quality and interchangeability of medicinal products | 43 EAC/EC/WHO Training workshop / 10-14 September 2007 Report A specific detailed description of the bioanalytical method should be written All experiments used to make claims or draw conclusions should be presented in the report GLP compliance/inspections/audits Evaluation of quality and interchangeability of medicinal products | 44 EAC/EC/WHO Training workshop / 10-14 September 2007 Report The following data are required on the report: 1) Author(s) and their affiliation 2) Name of the institute or company where the investigations have been performed. 3) Date of publication analytical study 4) Identification number of the report. N.B. The report should preferably be printed on original marked paper of the applicant or of the institute where the analysis has been performed. Evaluation of quality and interchangeability of medicinal products | 45 EAC/EC/WHO Training workshop / 10-14 September 2007 Report * For which compounds are the samples analysed (active substance, active and/or quantitatively important metabolite) * Sample pre-treatment and extraction. * Analytical method is used. * Source of the analytical method - references from literature - modifications in the procedure. * Validation of the analytical method - minimal detectable concentration, stability, reproducibility - linearity, precision, accuracy, selectivity, sensitivity - inter- and intraday variability All individual measurements have to be presented in the report! Evaluation of quality and interchangeability of medicinal products | 46 EAC/EC/WHO Training workshop / 10-14 September 2007 Report Analysis of subject samples in a separate report * Reference to validation report * Handling samples * Set up analytical run * Within study validation results * Re-analysis * Chromatograms * Identification results All individual measurements have to be presented in the report! Evaluation of quality and interchangeability of medicinal products | 47 EAC/EC/WHO Training workshop / 10-14 September 2007 Example Accuracy/precision: normally: <15% LLOQ: <20% Evaluation of quality and interchangeability of medicinal products | 48 EAC/EC/WHO Training workshop / 10-14 September 2007 End Be organised! Evaluation of quality and interchangeability of medicinal products | 49 EAC/EC/WHO Training workshop / 10-14 September 2007