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Practical Design and Application of Forced Degradation Studies Session 8 Steven S. Kuwahara, Ph.D. GXP BioTechnology 6336 N. Oracle Rd. #326-313 Tucson, AZ 85704-5480 e-Mail: [email protected] StabSDoSess8_1214 1 What Do the Guidelines Say? • Forced Degradation is also known as Stress Testing. • Stress Testing is conducted under conditions that exceed those employed in accelerated testing. • Degradation Product (Defined in ICH Q5C) A molecule resulting from a change in the drug substance (bulk material) brought about over time. For the purpose of stability testing of the products described in this guideline, such changes could occur as a result of processing or storage (e.g., by deamidation, oxidation, aggregation, proteolysis). For biotechnological/biological products, some degradation products may be active. – Note that this refers to the API. For certain products, degradants may arise from excipients or the container-closure system. StabSDoSess8_1214 2 Stress Testing (from Q1A(R2) 2.1 Drug Substance. I. • 2.1.2. Stress Testing • Stress testing of the drug substance can help identify the likely degradation products, which can in turn help establish the degradation pathways and the intrinsic stability of the molecule and validate the stability indicating power of the analytical procedures used. The nature of the stress testing will depend on the individual drug substance and the type of drug product involved. • Stress testing is likely to be carried out on a single batch of the drug substance. It should include the effect of temperatures (in 10°C increments (e.g., 50°C, 60°C, etc.) above that for accelerated testing), humidity (e.g., 75% RH or greater) where appropriate, oxidation, and photolysis on the drug substance. StabSDoSess8_1214 3 Stress Testing (from Q1A(R2)) 2.1 Drug Substance. II. • The testing should also evaluate the susceptibility of the drug substance to hydrolysis across a wide range of pH values when in solution or suspension. Photostability testing should be an integral part of stress testing. The standard conditions for photostability testing are described in ICH Q1B. • Examining degradation products under stress conditions is useful in establishing degradation pathways and developing and validating suitable analytical procedures. However, it may not be necessary to examine specifically for certain degradation products if it has been demonstrated that they are not formed under accelerated or long term storage conditions. Results from these studies will form an integral part of the information provided to regulatory authorities. StabSDoSess8_1214 4 Photostability Testing (from Q1B) II. DRUG SUBSTANCE • For drug substances, photostability testing should consist of two parts: Forced degradation testing and confirmatory testing. • The purpose of forced degradation testing studies is to evaluate the overall photosensitivity of the material for method development purposes and/or degradation pathway elucidation. This testing may involve the drug substance alone and/or in simple solutions/suspensions to validate the analytical procedures. In these studies, the samples should be in chemically inert and transparent containers. In these forced degradation studies, a variety of exposure conditions may be used, depending on the photosensitivity of the drug substance involved and the intensity of the light sources used. 5 StabSDoSess8_1214 Photostability Testing (from Q1B) II. DRUG SUBSTANCE. B. • For development and validation purposes, it is appropriate to limit exposure and end the studies if extensive decomposition occurs. For photostable materials, studies may be terminated after an appropriate exposure level has been used. The design of these experiments is left to the applicant's discretion although the exposure levels used should be justified. • Under forcing conditions, decomposition products may be observed that are unlikely to be formed under the conditions used for confirmatory studies. This information may be useful in developing and validating suitable analytical methods. If in practice it has been demonstrated they are not formed in the confirmatory studies, these degradation products need not be examined further. StabSDoSess8_1214 6 Photostability Testing (from Q1B) II. DRUG SUBSTANCE. C. • Confirmatory studies should then be undertaken to provide the information necessary for handling, packaging, and labeling (see section I.C., Procedure, and II.A., Presentation, for information on the design of these studies). • Normally, only one batch of drug substance is tested during the development phase, and then the photostability characteristics should be confirmed on a single batch selected as described in the parent guideline if the drug is clearly photostable or photolabile. If the results of the confirmatory study are equivocal, testing of up to two additional batches should be conducted. Samples should be selected as described in the parent guideline. StabSDoSess8_1214 7 Photostability Testing (from Q1B) II. DRUG SUBSTANCE. D. • C. Judgment of Results • The forced degradation studies should be designed to provide suitable information to develop and validate test methods for the confirmatory studies. These test methods should be capable of resolving and detecting photolytic degradants that appear during the confirmatory studies. When evaluating the results of these studies, it is important to recognize that they form part of the stress testing and are not therefore designed to establish qualitative or quantitative limits for change. StabSDoSess8_1214 8 Photostability Testing (from Q1B) II. DRUG SUBSTANCE. E. • V. GLOSSARY • Forced degradation testing studies are those undertaken to degrade the sample deliberately. These studies, which may be undertaken in the development phase normally on the drug substances, are used to evaluate the overall photosensitivity of the material for method development purposes and/or degradation pathway elucidation. • Confirmatory studies are those undertaken to establish photostability characteristics under standardized conditions. These studies are used to identify precautionary measures needed in manufacturing or formulation and whether light-resistant packaging and/or special labeling is needed to mitigate exposure to light. For the confirmatory studies, the batch(es) should be selected according to batch selection for long-term and accelerated testing which is described in the parent guideline. StabSDoSess8_1214 9 Stress Testing (from Q1A(R2) Other Statements • Specification, which is a list of tests, reference to analytical procedures, and proposed acceptance criteria, is addressed in ICH Q6A and Q6B. In addition, specification for degradation products in a drug substance is discussed in Q3A. • 2.2.2. Photostability Testing • Photostability testing should be conducted on at least one primary batch of the drug product if appropriate. The standard conditions for photostability testing are described in ICH Q1B. StabSDoSess8_1214 10 What About Biologics? • Guideline for Industry • Quality of Biotechnological Products: Stability Testing of Biotechnological/Biological Products • July 1996, ICH Q5C • I. INTRODUCTION (1) • The guidance stated in the ICH harmonized tripartite guideline entitled “Stability Testing of New Drug Substances and Products” (ICH Q1A) applies in general to biotechnological/biological products. However, biotechnological/biological products have distinguishing characteristics to which consideration should be given in any well-defined testing program designed to confirm their stability during the intended storage period. StabSDoSess8_1214 11 ICH Q5C: A. • For such products in which the active components are typically proteins and/or polypeptides, maintenance of molecular conformation and, hence, of biological activity, is dependent on noncovalent as well as covalent forces. The products are particularly sensitive to environmental factors such as temperature changes, oxidation, light, ionic content, and shear. To ensure maintenance of biological activity and to avoid degradation, stringent conditions for their storage are usually necessary. StabSDoSess8_1214 12 ICH Q5C: B.: B. Potency (5.2) • • • • When the intended use of a product is linked to a definable and measurable biological activity, testing for potency should be part of the stability studies. For the purpose of stability testing of the products described in this guideline, potency is the specific ability or capacity of a product to achieve its intended effect. It is based on the measurement of some attribute of the product and is determined by a suitable in vivo or in vitro quantitative method. In general, potencies of biotechnological/biological products tested by different laboratories can be compared in a meaningful way only if expressed in relation to that of an appropriate reference material. For that purpose, a reference material calibrated directly or indirectly against the corresponding national or international reference material should be included in the assay. StabSDoSess8_1214 13 ICH Q5C: C.: C • Wherever significant qualitative or quantitative changes indicative of degradation product formation are detected during long-term, accelerated, and/or stress stability studies, consideration should be given to potential hazards and to the need for characterization and quantification of degradation products within the long-term stability program. Acceptable limits should be proposed and justified, taking into account the levels observed in material used in preclinical and clinical studies. StabSDoSess8_1214 14 ICH Q5C: D: C. Accelerated and Stress Conditions (6.3) • However, it is strongly suggested that studies be conducted on the drug substance and drug product under accelerated and stress conditions. Studies under accelerated conditions may provide useful support data for establishing the expiration date, provide product stability information or future product development (e.g., preliminary assessment of proposed manufacturing changes such as change in formulation, scale-up), assist in validation of analytical methods for the stability program, or generate information that may help elucidate the degradation profile of the drug substance or drug product. Studies under stress conditions may be useful in determining whether accidental exposures to conditions other than those proposed (e.g., during transportation) are deleterious to the product and also for evaluating which specific test parameters may be the best indicators of product stability. Studies of the exposure of the drug substance or drug product to extreme conditions may help to reveal patterns of degradation; if so, such changes should be monitored under proposed storage conditions. StabSDoSess8_1214 15 ICH Q5C: E: Glossary • Degradation Product • A molecule resulting from a change in the drug substance (bulk material) brought about over time. For the purpose of stability testing of the products described in this guideline (Biologics), such changes could occur as a result of processing or storage (e.g., by deamidation, oxidation, aggregation, proteolysis). • For biotechnological/biological products, some degradation products may be active. StabSDoSess8_1214 16 What Are You Trying to Degrade? I. • There is a need to understand the nature of the product in the degradation study. – The guidelines as originally written were for small molecule drugs that degraded via simple one step mechanisms with a defined activation energy. – Newer drugs and biologics can degrade via multiple pathways that may depend upon environmental factors such as pH and temperature. • Thus there may be several degradation pathways depending one the environment. • Some molecules, especially biologics, may have degradation products that are, pharmacologically active. StabSDoSess8_1214 17 What Are You Trying to Degrade? II. • In addition, the physical state of the molecule can change. – A molecule in a crystal may be susceptible to different factor from a molecule in an oil or in water. – Lyophilized products often degrade differently from products after reconstitution. • The stability of the pure drug in bulk may be quite different from its stability in the final formultation. • YOU MUST UNDERSTAND THE CHEMISTRY OF THE MOLECULE. StabSDoSess8_1214 18 Be Practical, but Also Sensitive to Nuances. • Any organic molecule will degrade at 400o C in air. An ester will hydrolyze in 5N acid or base. – So if you show degradation under these conditions, what’s the point? – Autoclaving a 5% glucose solution can produce about 80 different products depending on pH. • Some are secondary or even tertiary degradants. • The problem here is that some degradants react with the parent molecule or each other. The problem varies with the concentration of the molecules and the time of exposure. • You should design your study to see primary degradants, but remember that some reactions may be fast. StabSDoSess8_1214 19 Designing the Study • The idea of the degradation study is to provide information on what degradants you may expect to see in the course of the stability study. – You especially want to observe the degradants that may require a long time to become observable. – Another type of important degradant would the type that might develop during processing and contaminate the product. – You must account for the stoichiometry of the API and the degradants. • Otherwise you may miss the presence of a significant degradant. StabSDoSess8_1214 20 General Studies. I. • Generally, thermal degradation is studied at 60o C.; acid/base sensitivity in 0.1 N HCl and NaOH; Redox sensitivity in 0.1% H2O2, and 100 mM mercaptoethanol; and photostability as given in ICH Q1B. • However there are no hard and fast rules, and different molecules and final products may be treated differently. Companies are free to choose suitable methods. • The idea is to see what types of products may form under certain conditions, not to just degrade the product. • This will tell you what to look for or expect in the product under various conditions. StabSDoSess8_1214 21 General Studies. II. • One of the problems is that the degradation studies are often conducted as “one factor at a time” (OFAT) studies. – The problem is that degradation may depend on a combination of conditions. • Sensitivity to oxidation may be pH dependent. • Ionic strength may be a factor in stabilizing or denaturing a protein. • Some biologics may be contaminated with degrading enzymes that are inactivated by pH extremes, but are active under conditions near neutrality. • The use of a designed, multifactor, experiment should b considered. StabSDoSess8_1214 22 General Studies. III. • Time is often a major factor, especially when working out degradation pathways. • Simply incubating a product for 10 min under a given environmental condition is not enough. – Slow-forming degradants may be missed in a short incubation while long incubations may not find the primary degradant and only find secondary or tertiary degradants. – Sampling intervals may be critical, depending on the kinetics of the degradation reactions. StabSDoSess8_1214 23 Analytical Methods • Test methods should be capable of detecting a wide array of substances. – Chromatographic, mass spectral, and U.V.-Vis and I.R. spectral methods are common. – More than one method should be used on any given sample type, since each method has limitations. – Test method sensitivity is important especially if potential toxins are found. – The test methods should be validated. • If they are later, incorporated into stability studies, they will need to be shown to be stability-indicating. StabSDoSess8_1214 24 The Five Types of Stability Chemical: The API maintains chemical integrity and labeled potency within specified limits. Physical: The original properties including appearance, palatability, uniformity, dissolution, and suspendability are maintained. Microbiological: Sterility or resistance to microbial growth are retained according to specified requirements. Antimicrobial agents that are present retain effectiveness within specified limits. Therapeutic: The therapeutic effect is unchanged. Toxicological: No significant increase in toxicity occurs. StabSDoSess8_1214 25 Problems: Potency • Since we are in the pharmaceutical industry, the pharmacologic activity of a molecule is important. – Just because a molecule appears to be intact, it does not mean that it is active. Even with small molecule drugs, there can be small changes that seriously affect biological activity. – With amino acids and carbohydrates, simple changes from one optical isomer to another can change biological activity. – These changes may have very small activation energy barriers, compared with the breakage of covalent bonds. StabSDoSess8_1214 26 Problems: Toxicity • During forced degradation studies, toxic products may be formed. – In many cases, they may be the result of interactions among or with excipients or the container-closure system. – These toxic products must be considered. They should not be dismissed as unlikely to form under normal conditions. • There must be data showing that these products will not be present under normal conditions. – If a toxic degradant is detected through tissue culture or mutagenicity tests, it should be identified. StabSDoSess8_1214 27 Biologic Stability Complexities I. • Activation energy changes: Hydrogen bond for N – H····O=C is 4.76 kcal/mole in the gas phase, but drops to 0.5 – 1.5 kcal/mole in water. – Three dimensional configuration changes can occur more rapidly in aqueous solutions than in the dried state. • The change is supposedly due to changes in the polarity in the medium and entropy increases in water. • Three dimensional configuration changes: A macromolecule can unfold into many different states, some of which are inactive. StabSDoSess8_1214 28 Biologic Stability Complexities II. • 3-D configuration problems: Macromolecules in a random coil may be inactive or easily degraded. – Some proteases and nucleases prefer denatured molecules. – Unfolded molecules can still bind to target sites and act as inhibitors. – Natural molecules in unnatural configurations can be highly antigenic and lead to antibody formation. – If a patient is genetically deficient in a protein, a therapeutic dose of the “natural” protein can cause an immunologic response. StabSDoSess8_1214 29 Biologic Stability Complexities III. • PK/PD problems: Certain glyco-proteins, especially those containing neuraminic acid links, can have the side chain cleaved by mild acid catalyzed hydrolysis or enzyme action in a preparation. The resulting cleaved protein may still have the correct potency but will be more rapidly cleared from the circulation. • Freeze-thaw problems: When a buffer-containing solution is slowly frozen, at the last stages of freezing one of the acid or base forms may freeze out faster than the other. This can cause violent changes in the pH of the solution. StabSDoSess8_1214 30 Biologic Stability Complexities IV. • Freeze-thaw problems: As a solution freezes, the formation of the ice crystals can mechanically cause the macromolecules to “stretch” or deform on the surface of the crystals. This is similar to the foaming or bubble problem. Where surface tension effects cause deformation of macromolecules on the surface of the bubbles and lead to denaturation. • Solutions subjected to freeze-thaw or foaming may initially appear to be clear, but will form particles during long-tern storage. • Freeze-thaw problems are usually minimized by rapid freezing and rapid thawing. StabSDoSess8_1214 31 Biologic Stability Complexities V. • Turbulence problem: Vigorous mixing or stirring of a solution containing macromolecules can subject them to shear forces that result in denatured material. – Sometimes, vigorously sucking up a solution into a pipette and strongly forcing the solution out can cause a loss in activity or band (peak) spreading, especially if this is done repeatedly. StabSDoSess8_1214 32