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Large sample dose content uniformity test: parametric and nonparametric (counting) Meiyu Shen, PhD Collaborators: Xiaoyu Dong, Ph.D., Yi Tsong, PhD Office of Biostatistics, CDER, FDA * This presentation contains opinions of the authors that do not represent the official position of U.S. Food and Drug Administration 1 Outline • Purpose of uniformity of dosage unit • Harmonized USP dose content uniformity test with a small sample • Large n dose content uniformity test – EU methods • Option 1: Parametric method • Option 2: Nonparametric method (Counting method) – Two one-sided tolerance interval method • Comparison between the EU method and the two one-sided tolerance interval method • Conclusion 2 Uniformity of dosage unit • The purpose of uniformity of dosage unit – The degree of uniformity in the amount of the drug substance among dosage units. • Demonstrated by one of the follows – Dose content uniformity (focus here) • based on the assay of the individual content of drug substance(s) in a number of dosage units – Weight variation 3 Indifferent zone • M: M 98.5% if X 98.5%.; M 101.5% if X 101.5%; M X otherwise. • M X K s 15 83.5% X K s X K s 113.5% if X 98.5%.; 86.5% X K s X K s 116.5% if X 101.5%; K s 15 otherwise. 4 Harmonized USP DCU for small n Step 1, 10 tablets Step 2, additional 20 tablets M X K s 15% No outside (0.75 M, 1.25M) K 2.4 M X K s 15% No outside (0.75 M, 1.25M) K 2.0 No Yes Pass Fail Yes 5 Pass EU option 1 for large n≥100 Take n tablets, {Xi}, i=1,2,…,n M X K s 15% n & I X i 1 0.25M c 2. i 1 Here, K Z 1 2 n 1/ n , 0.84, 0.91. 2 n 1 No Fail Yes Pass 6 EU option 2 for large n≥100 Take n tablets, {Xi}, i=1,2,…,n n I X i 1 i 1 0.15 c1 n & I X i 1 0.25 c 2. i 1 No Fail Yes Pass 7 EU Option 2 acceptable number of individual units c1 outside (1±0.15) and c2 outsides (1±0.25) n c1 c2 100 3 0 123 3 0 150 3 0 176 5 1 196 6 1 …. … … 8 PTIT_matchUSP90 Take n tablets, {Xi}, i=1,2,…,n 100% X K s 15% 1 Pn X Ks Here, K : Pr f x : , dx 1 2 2 1 f x : , e x 2 2 2 No Fail Yes Pass 9 EU option 1 and PTIT_matchUSP90 EU Option 1 • Two-sided tolerance interval PTIT_matchUSP90 • Two one-sided tolerance interval – Control probability within (85,115)% • Two-sided hypothesis H 0 : Pr L X U P H 1 : Pr L X U P P – Control probability each tail outside (85,115)% • Two one-sided hypothesis H 0 : Pr X L 1 Pn / 2 Pr X U 1 Pn / 2 H 1 : Pr X L 1 Pn 2 Pr X U 1 Pn 2 (1-P)/2 10 EU option 1 and PTIT_matchUSP90 EU Option 1 • Formula for K – K Z 1 2 n 1/ n 2 n 1 – Confidence level: 0.84 – Center Coverage: 0.91 PTIT_matchUSP90 • Formula for K – K tn 1,1 (Z1 p ( n ) n ) / n 2 – Confidence level: 1-α=0.95 – Each tail probability: (1-p(n))/2 – For n=30, p=82.04%, 11 K values of EU Option 1 and PTIT_matchUSP90 Sample size PTIT_matchUSP90 EU Option 1 100 2.0475 2.15 1000 2.2321 2.27 12 Normal: on target product, mean=100% 13 Normal: off target product, mean=102% 14 Mixed normal: on target overall mean 15 Mixed normal: off target overall mean 16 Bias of EU Option 1 17 Special distribution • Assume the individual tablet dose content is distributed as a uniform distribution in the range from 85% to 115% with 97% probability and a value 84% with 3% probability. – The probability of passing USP harmonized DCU is 3.72% for a sample size of 30 tablets. – Comparison of EU Option 2 and PTIT_matchUSP90 in next table • EU Option 2 has 45.5% probability to pass the DCU test when n=300. • the PTIT_macthUSP90 has zero passing probability for n≥100. 18 EU Option 2 and PTIT_matchUSP90 Xi: a uniform distribution in the range from 85% to 115% with 97% probability and a value 84% with 3% probability Sample size, n 100 150 200 300 500 1000 Acceptance probability EU option 2 PTIT_USPmatch90 0.6458 0 0.5276 0 0.6047 0 0.455 0 0.3509 0 0.2075 0 19 EU Option 2 and PTIT_matchUSP90 for 2 special cases Case Sample size, n Passing probability EU Option 2 PTIT_matchUSP90 Xi is 100 with 97% probability, and 50 with 3% probability. Xi is 90 with 97% probability, and 50 with 3% probability. 100 150 0.641 0.523 0.196 0.172 100 150 0.648 0.530 0.045 0.012 20 Conclusion • A large difference in acceptance probability between EU option 1 and PTIT_matchUSP90 when the batch mean is off-target. – Larger passing probability for EU Option 1 than PTIT_matchUSP90 • No much difference in acceptance probability between EU option 1 and PTIT_matchUSP90 when the batch mean is on-target. • Bias of EU Option 1 – EU Option 1 has higher probability of passing the off-target product than that of passing the on-target mean product for a given coverage within (85%, 115%) 21 Conclusion (continued) • EU Option 2 – Issue with a large variability for a mixture of 97% probability of distributing uniformly with (85%, 115%) and 3% probability of being 84%) using a sample of 200 • 60% probability to pass EU Option 2 • 0% probability to pass PTIT_matchUSP90 • 3% probability to pass USP harmonized – Issue with a location shift of the mean product • The same probability to pass the EU Option 2 for 97% population with 100% content and 97% population with 90% content. • Off target product: 97% population with 90% content using a sample of 150. – >50% probability to pass the EU Option 2 – About 1% probability to pass PTIT_matchUSP90 22 References • • • • USP Pharmacopoeia 2015 European Pharmacopoeia 7.7 European Pharmacopoeia 8.1 Meiyu Shen, Yi Tsong, Xiaoyu Dong, Statistical Properties of Large Sample Tests for Dose Content Uniformity, Therapeutic Innovation & Regulatory Science, 2014, Vol. 48(5) 613-622 • Meiyu Shen and Yi Tsong, Bias Of The United States Pharmacopeia Harmonized Test For Dose Content Uniformity, United States Pharmacopeia forum, January 2011 23 24