This document discusses United States Pharmacopeia (USP) monographs and the process for developing and revising them. It provides details on USP monographs for drug substances and products, including how impurities are handled. It introduces the concept of flexible monographs that allow for multiple procedures and criteria. The document also discusses examples of resolving differences between USP monograph limits and FDA-approved limits or addressing specific impurities not included in monographs.
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Module 2 USP Impurities - 0501
This document discusses United States Pharmacopeia (USP) monographs and the process for developing and revising them. It provides details on USP monographs for drug substances and products, including how impurities are handled. It introduces the concept of flexible monographs that allow for multiple procedures and criteria. The document also discusses examples of resolving differences between USP monograph limits and FDA-approved limits or addressing specific impurities not included in monographs.
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Impurities in Drug Substances
and Drug Products- A USP
Approach Approach MODULE II MODULE II 97 Contents Module II Monographs USP monograph USP monograph Pending monograph General Revision Process Impurities in Monographs (USP & Pending) Flexible monographs Case studies (Examples) Case studies (Examples) 98 Monographs USP Monographs For articles approved by FDA for marketing in US Pending Monographs Pending Monographs For articles that are tentatively approved by FDA or under FDA review under FDA review Monograph development process is the f b h same for both. 99 Outline Monographs USP monograph USP monograph Pending monograph General Revision Process Impurities in Monographs (USP & Pending) Flexible monographs Case studies (Examples) Case studies (Examples) 100 Documentary Standards Setting Process Monograph development is initiated Manufacturer submits proposal USP initiates development 1 Scientific Liaison performs technical review and drafts monograph, USP evaluates procedures requiring RS prior to publication and 2 3 RS collaborative testing (optional) Proposal is published for 90-day public comment period 3 4 Scientific Liaison and Expert Committee reviews comments Expert Committee ballots to adopt proposal 5 6 Monograph is published in compendium (USP-NF, FCC) or on web site (Pending Monograph). USP-NF text becomes ffi i l i th ft bli ti l th i i di t d Approved Not Approved Next steps? 7 101 official six months after publication unless otherwise indicated. Commentary generated. Outline Monographs USP monograph USP monograph Pending monograph General Revision Process Impurities in Monographs (USP & Pending) Flexible monographs Case studies (Examples) Case studies (Examples) 102 Impurities in USP Monographs Based on the sponsors NDA/ANDA Limits of Specified impurities are consistent with FDA approved limits Limits of unspecified and total impurities are consistent with FDA approved limits Procedures are based on the approved NDA/ANDA methods 103 Impurities in USP Monographs Drug substances contain process impurities as well as Drug substances contain process impurities as well as some degradants Drug products contain mainly degradants Drug products contain mainly degradants May include process impurities if they are also degradants Di ti ti b t i iti d d d t Distinction between process impurities and degradants become more important when dealing with drug products. p 104 Outline Monographs USP monograph USP monograph Pending monograph General Revision Process Impurities in Monographs (USP & Pending) Flexible monographs Case studies (Examples) Case studies (Examples) 105 Flexible Monograph Approach Need-based flexibility to account for different routes of synthesis, hydrates, solvates, polymorphs, or formulations Enables multiple procedures preparations and/or acceptance Enables multiple procedures, preparations, and/or acceptance criteria within a single monograph Uses of the flexible approach multiple formulation-specific dissolution procedures multiple organic impurity procedures based on different impurity profiles impurity profiles hydrate-specific water limits/ranges polymorph-specific crystallinity requirement May need procedure-specific USP Reference Standards 106 Flexible Monographs: General Notices 4.10.10 f 4.10.10. Applicability of Test Procedures A single monograph may include several different tests, procedures, and/or acceptance criteria that reflect attributes of different manufacturers' articles. Such alternatives may be presented for different polymorphic forms, impurities, hydrates, and dissolution cases. Monographs indicate the tests, procedures, and/or acceptance criteria to be used and the required labeling. A test in a monograph may contain and require multiple procedures. However, multiple procedures may be included in procedures. However, multiple procedures may be included in particular monographs specifically for the purpose of assuring the availability of an appropriate procedure for a particular product. In such cases, a labeling statement to indicate the appropriate such cases, a labeling statement to indicate the appropriate application of the procedure(s) will be included in the monograph. A labeling statement is not required if Test 1 is used. USP34 107 Flexible Monographs: Examples Emtricitabine Lopinavir Lopinavir Paclitaxel Levofloxacin Levofloxacin Lamivudine Fluconazole Injection Fluconazole Injection Famciclovir A d And many more 108 Outline Monographs USP monograph USP monograph Pending monograph General Revision Process Impurities in Monographs (USP & Pending) Flexible monographs Case studies (Examples) Case studies (Examples) 109 Possible Scenarios Regarding Impurities Sponsor impurity limits are different from USP Monograph or Pharmacopeial Forum (PF) proposal limits limits Monograph or PF proposal Limits are wider than FDA approved limits Monograph or PF limits are tighter than FDA approved limits Specific impurities of interest are not included in PF Specific impurities of interest are not included in PF proposal or USP monograph Multiple scenarios Resolution of each case with examples 110 Monograph Limits are Different from FDA Approved Limits Two possible scenarios: Monograph or PF proposal Limits are wider than FDA Monograph or PF proposal Limits are wider than FDA approved limits This does not pose any compliance issue- no resolution necessary necessary Monograph or PF proposal limits are tighter than FDA Monograph or PF proposal limits are tighter than FDA approved limits This does pose a compliance issue Following example demonstrates the resolution 111 Levetiracetam Tablets New monograph proposal published in Pharmacopeial Forum 36(1) New monograph proposal published in Pharmacopeial Forum 36(1) for Public comments Name Limit NMT % Levetiracetam acid 0.1 Any unspecified degradation 0.1 y g product Total 0.35 112 Levetiracetam Tablets USP received the following comment from an approved application holder Levetiracetam acid limit in PF proposal is tighter than FDA approved limit USP received the following comments from FDA L ti t id li it h ld b th t f th Levetiracetam acid limit should be same as that of the levetiracetam drug substance (0.3%) Total impurities limit in the PF proposal is different from the p p p approved limit The limit for Any individual unspecified degradation product should be tightened to 0 10% to be consistent with ICH Q3B guidelines 113 be tightened to 0.10% to be consistent with ICH Q3B guidelines Levetiracetam Tablets Resolution steps: Contacted all the approved applicants Highest approved limit for Levitiracetam acid NMT 0.3% Highest limit for Total impurities NMT 0.6% Confirmed the above with FDA Expert Committee decided to widen the limits of levetiracetam acid and Total Impurities to be consistent with FDA approved limits. p pp Expert Committee did NOT tighten the limit for Any individual unspecified degradation product from 01% to 0.10% because many approved applications have 0.1% limit. pp 114 Levetiracetam Tablets PF36(1) proposal was balloted with the following changes PF36(1) proposal was balloted with the following changes Official in USP34 Supplement 2 Name Limit NMT % Levetiracetam acid 0.3 Any individual unspecified 0.1 y degradation product Total 0.6 115 Specific Impurities Not Included Possible scenarios Possible scenarios Specific impurities come from a different synthetic route M h t h id d th ifi Monograph sponsor may not have considered the specific impurities 116 Specific Impurities Not Included Information USP needs to know: Information USP needs to know: Regulatory status of the article as this is very important to decide the path Has the company evaluated the USP monograph or PF procedure Provide supporting data for revision request Several examples to demonstrate resolution pathways 117 Trimpramine Maleate P blished in PF 32(6) for p blic comments Published in PF 32(6) for public comments Name RRT Acc Criteria Name RRT Acc Criteria NMT% Iminodibenzyl 0.49 0.20 Imipramine 0 72 0 20 Imipramine 0.72 0.20 Trimipramine Related compound A 0.80 0.20 T i i i 1 0 NA Trimipramine 1.0 NA Any unspecified impurity -- 0.10 Total --- 0.50 118 Trimpramine Maleate USP received the following comment from an USP received the following comment from an approved application holder PF proposal does not include three additional impurities. Request USP to include their in-house procedure USP observations: Commenters in-house procedure does not monitor Trimipramine Related Compound A 119 Trimpramine Maleate Resolution Steps Resolution Steps Commenter was asked to evaluate the PF 32(6) procedure Results of the evaluation indicated PF 32(6) procedure to be Results of the evaluation indicated PF 32(6) procedure to be suitable to monitor all the impurities Commenter provided the evaluation study report Expert committee decided to include the new impurities with FDA approved limits 120 Trimpramine Maleate Official Monograph in USP34 Supplement 2 Name RRT Acc Criteria NMT% Trimipramine N-oxide 0.32 0.15 Iminodibenzyl 0.49 0.20 Desmethyltrimipramine 0 68 0 15 Desmethyltrimipramine 0.68 0.15 Imipramine 0.72 0.20 Trimipramine Related compound A 0.80 0.20 compound A Trimipramine 1.0 NA Trimipramine diamine 2.4 0.30 121 Any unspecified impurity -- 0.10 Total --- 1.0 Galantamine Hydrobromide Published in PF32(3) [Mar-Apr 2007] for public comments Name RRT RRF Acc Criteria Criteria NMT% 6b -hexahydrogalantamine 0.65 0.96 6 octahydrogalantamine 0.82 0.81 0.35 6 octahydrogalantamine 0.82 0.81 0.35 Galantamine hydrobromide 1.00 1.0 6 -hexahydrogalantamine 1.16 0.95 Tetrahydrogalantamine 2 05 1 2 0 40 Tetrahydrogalantamine 2.05 1.2 0.40 Individual unspecified impurity 1.0 0.10 Total impurities 1 0 122 Total impurities 1.0 Galantamine Hydrobromide USP received the following comment from a DMF holder Their manufacturing process introduces three additional impurities DMF holder has an in-house method which can monitor all the impurities impurities Users reported that the procedure in PF33(2) [Mar-Apr 2007] does not monitor 3 additional known process impurities. Regulatory Status: DMF has been cited in six approved ANDAs USP requested the DMF holder to evaluate the PF33(2) procedure 123 Galantamine Hydrobromide Evaluation indicated that all impurities can be separated without any coelution issues. 124 Reprinted with permission Galantamine Hydrobromide Monograph revised in December 2008 via revision bulletin I it t bl i d t i l d ll th th i iti ith Impurity table revised to include all the three impurities with appropriate limits Note added to identify one additional impurity (Narwedine)) from naturally derived material 125 Galantamine Hydrobromide Official monograph has the following impurities table Name RRT RRF Acc Criteria Criteria NMT% N-Desmethylgalantamine 0.29 1.2 0.6 O Desmethylgalantamine 0 35 1 1 0 20 O-Desmethylgalantamine 0.35 1.1 0.20 6 hexahydrogalantamine (also known as N-galantamine oxide 0.65 0.96 0.20 6 octahydrogalantamine 0 82 0 81 0 35 6 octahydrogalantamine 0.82 0.81 0.35 Galantamine hydrobromide 1.00 1.0 6hexahydrogalantamine (also known as epigalantamine) 1.16 0.95 0.20 known as epigalantamine) Narwedine 1.64 1.9 0.15 Tetrahydrogalantamine 2.05 1.2 0.40 126 Individual unspecified impurity 1.0 0.10 Total impurities 1.0 Miratazpine Orally Disintegrating Tablets Published in PF 33(6) Nov-Dec 2007 Name Retention time Relative retention time Acc. Criteria NMT % time NMT % Acyclomirtazapine 39.6 0.64 0.2 Carbaoxypydilphenyl methylpiperazine 42.8 0.69 0.2 Mirtazapine Related compound A 55.0 0.88 0.2 Mirtazapine 62.0 1.0 __ Mirtazapine N-oxide -- 1.26 0.2 Ind. Unsp. degradant --- --- 0.2 Total --- --- 0.5 127 Miratazpine Orally Disintegrating Tablets USP received the following comments from an approved application holder The monograph does not monitor two other known degradants Procedure in PF proposal unsuitable Procedure in PF proposal unsuitable An unknown peak ( ~9%) elutes at 30 min (artifact from excipient) The monograph has specified limits for known process impurities which g p p p p are not required per ICH Q3B guidelines The procedure takes too long-requires 140 minutes 128 Miratazpine Orally Disintegrating Tablets Resolution: PF 33(6) proposal was adopted without Organic Impurities procedure. The commenter has a validated gradient elution procedure which can monitor the necessary degradants in 30 minutes. 129 Miratazpine Orally Disintegrating Tablets Gradient elution procedure published in PF 37(2) Mar-Apr 2011 Name Relative Acc Name Relative retention time Acc. Criteria NMT % Mirtazapine Related Compound B 0.23 0.5 Compound B Miratzapine Related compound C 0.51 0.5 Mirtazapine Related 0.62 0.5 compound A Mirtazapine 1.0 __ Mirtazapine Related compound D 1.3 0.5 compound D Ind. Unsp. degradant --- 0.5 Total --- 3.0 130 Revised monograph official in USP35 Supplement 1 Risperidone Background: Monograph became official in USP US30 S2 Monograph became official in USP US30 S2 Name RRT Limit E-oxime 0.60 0.20 Z-oxime 0.67 0.20 9-hydroxyrisperidone 0.76 0.20 5 fl ororisperidone 0 94 0 20 5-fluororisperidone 0.94 0.20 Risperidone 1.0 -- 6-methylrisperidone 1.2 0.20 Any individual unsp impurity -- 0.10 Total -- 0.30 131 Risperidone USP received the following comments from an approved application holder The monograph does not include two known process impurities from a different manufacturing process different manufacturing process The procedure is not selective for the two known process impurities 132 Risperidone Th l t d th USP h d The company evaluated the USP monograph procedure D&H G 133 Risperidone The company evaluated the USP monograph procedure Retention time data with USP monograph procedure Retention time data with USP monograph procedure Name RRT Limit E-oxime 0.60 0.20 Z-oxime 0.67 0.20 9-hydroxyrisperidone 0.76 0.20 5 fl ororisperidone(D)/ 0 94 0 20 5-fluororisperidone(D)/ Impurity H 0.94 0.20 Risperidone/Impurity G 1.0 -- 6 th l i id 1 2 0 20 6-methylrisperidone 1.2 0.20 Any individual unsp impurity -- 0.10 134 Total -- 0.30 Risperidone The company developed an alternative procedure. H D H G 135 Risperidone Retention time data with alternative procedure Retention time data with alternative procedure Name RRT Limit E-oxime 0.52 0.20 Z-oxime 0.64 0.20 9-hydroxyrisperidone 0.76 0.20 Imp rit H 0 90 Impurity H 0.90 5-fluororisperidone(D) 0.94 0.20 Risperidone 1.0 -- Impurity G 1.08 6-methylrisperidone 1.2 0.20 Any individual -- 0.10 136 Any individual unspecified impurity 0.10 Total -- 0.30 Risperidone Resolution: Replace the existing monograph procedure. ep ace t e e st g o og ap p ocedu e Include the two new impurities which form critical pair for ensuring the system suitability Introduce resolution requirement between the two critical pairs: D&H impurities; risperidone and impurity G Expert Committee after reviewing the data recommended publishing the proposal in a future PF Revision proposal will appear in a future PF once all the required new impurity ref std bulks arrive at USP 137 Flexible Monograph Examples Need-based flexibility to account for different routes of synthesis, hydrates, solvates, polymorphs, or formulations Enables multiple procedures preparations and/or acceptance Enables multiple procedures, preparations, and/or acceptance criteria within a single monograph Uses of the flexible approach multiple formulation-specific dissolution procedures multiple organic impurity procedures based on different impurity profiles impurity profiles hydrate-specific water limits/ranges polymorph-specific crystallinity requirement May need procedure-specific USP Reference Standards 138 Emtricitabine (Pending Monograph) There is no Official USP monograph for Emtricitabine at There is no Official USP monograph for Emtricitabine at this point. Two ANDA holders submitted tentatively approved Two ANDA holders submitted tentatively approved specifications. The monograph was processed as Pending monograph g g g and posted on the USP Website. Flexible Monograph approach was used to address diff t i it fil d li it different impurity profiles and limits. 139 Lopinavir (Official and Pending Monograph) The innovator sponsored the monograph and was processed and became Official in USP-NF and became Official in USP NF. An ANDA holder (not fully approved) sponsored the second submission with different specifications including different p g impurity profile/limits. The monograph was processed as Pending monograph and t d th USP W b it posted on the USP Website. 140 Lopinavir (Official and Pending Monograph) Typical comment/query: From innovator sponsor: The specifications (e.g. impurity profile/limits) for Pending monograph are different than those in profile/limits) for Pending monograph are different than those in Official USP monograph. Request for revision: Change specifications in Pending q g p g monograph to be consistent with those in Official USP monograph. From Generic sponsor: The specifications (e g impurity From Generic sponsor: The specifications (e.g. impurity profile/limits) in USP monograph (USP-NF) are different than those posted on the USP website. Request for revision: Change specifications in Official USP monograph to be consistent with those in Pending monograph! 141 Lopinavir (Official and Pending Monograph) Response: The specifications in Official USP monographs reflect those fully approved by FDA and published in USP NF approved by FDA and published in USP-NF. The specifications in Pending monographs reflect those tentatively approved or under review by FDA and posted on USP website. pp y p USP does not change specifications in USP monograph to reflect those in corresponding Pending monograph. On the other hand, USP does not change specifications in Pending monograph to be USP does not change specifications in Pending monograph to be consistent with Official USP monograph. Once specifications in Pending monograph get full FDA approval, p g g p g pp USP will evaluate and consolidate the two specifications in a single monograph as appropriate. 142 Flexible Monograph: Paclitaxel LabelingThe labeling indicates the type of process used to produce the material and the Related compounds test with which the material complies. Organic Impurities Procedure 1 (for material labeled as isolated from natural ) If th t i l li ith thi d th l b li sources)If the material complies with this procedure, the labeling indicates that it meets Organic Impurities, Procedure 1. Procedure 2 (for material labeled as produced by a semi-synthetic process)If the material complies with this procedure, the labeling indicates that it meets Organic Impurities, Procedure 2. Procedure 3 (for material labeled as produced by a plant cell Procedure 3 (for material labeled as produced by a plant cell fermentation process)If the material complies with this procedure, the labeling indicates that it meets Organic Impurities, Procedure 3. 143 Flexible Monograph - Inorganic Impurities Manufacturing process leads to specific inorganic impurities p Galantamine Hydrobromide ( Pd) PF 33(3) proposal included a test for Limit for Pd PF 33(3) proposal included a test for Limit for Pd. An approved manufacturer commented as follows: Our process does not use Pd in the process Our process does not use Pd in the process. Resolution: EC made the test optional with the following note EC made the test optional with the following note Limit of Palladium [Note-Perform the test if Pd is known process impurity] 144 Flexible Monograph Residual Solvents Manufacturing process leads to specific residual solvents with limits higher than <467> Rocuronium Bromide USP32 S1 included a test for Limit of 2-propanol A th i d di h bli h d N b 01 2007 d it Authorized pending monograph was published on November 01, 2007 and it had a test for Limit of Acetic acid When the sponsor of the Authorized pending monograph received full approval, the authorized pending monograph and the USP 32 S1 monograph were reconciled. 145 Flexible Monograph: Special Situations Issue during reconciliation: Authorized Pending monograph sponsor uses acetic acid to improve the g g p p p stability, but does not use isopropyl alcohol in the manufacturing process. Sponsor of the USP 32 S1 monograph does not use acetic acid to stabilize the drug substance. g The revision bulletin published with the following texts: Definition: Modified to include on 2-propanol or acetic acid free basis Limit of acetic acid[NOTEPerform this test only if acetic acid is a known organic manufacturing process impurity.] Limit of 2-propanol [NOTEPerform this test only if 2-propanol is a known organic manufacturing process impurity.] 146 . Flexible Monograph: Organic Impurities Simple example I iti b t d b t t b tifi d Impurities can be separated but cannot be quantified Pharmacopeial Forum 31(3) [May-June 2005] 147 Flexible Monograph: Citalopram Hydrobromide USP received the following comments from an approved application USP received the following comments from an approved application holder Not suitable for monitoring two additional process impurities- chloro and bromo analogs g Isocratic procedure in the proposal required 70 min for chloro analog and 80 min for bromo analog Band broadening makes the quantification very difficult if not impossible User developed and validated an alternative gradient elution Procedure 148 Flexible Monograph: Citalopram Hydrobromide Revision proposal published in PF32(6) [Nov-Dec 2006] with flexible monograph approach flexible monograph approach Official monograph in USP34-NF30 contains the following: Two procedures included in the monograph with direction to p g p the analyst to choose the appropriate procedure based on the knowledge of manufacturing process. 149 Flexible Monograph: Levofloxacin Official USP monograph based on NDA with one organic impurity procedure. The second sponsor submitted two procedures for different impurity profile. Using a flexible monograph approach, Organic Impurities, Procedure g g p pp , g p , 2 and Procedure 3 were added to the monograph. Flexible monograph approach addressed different impurities from different synthetic route and the corresponding limits. y p g 150 Flexible Monograph: Levofloxacin O i I iti P d 1 (S 1) Name Relative Retention Time Relative Response Factor Acceptance Criteria (NMT (%) Organic Impurities: Procedure 1 (Sponsor 1) N-Desmethyl Levofloxacin 0.47 1.0 0.3 Diamine derivative 0.52 0.9 0.3 Levofloxacin N-Oxide 0.63 1.1 0.3 9-Desfluoro 0 73 1 0 0 3 9-Desfluoro levofloxacin 0.73 1.0 0.3 Levofloxacin 1.0 - - D I 1 23 1 0 0 8 D-Isomer 1.23 1.0 0.8 Any unknown impurity - 1.0 0.1 151 Total impurities - _ 0.5 (Do not include D-Isomer) Flexible Monograph: Levofloxacin Relative Acceptance Criteria Organic Impurities: Procedure 2 (Sponsor 2) Name Retention Time (NMT (%) Levofloxacin related compound A (N D th l L fl i ) 0.9 0.20 (N-Desmethyl Levofloxacin) Levofloxacin 1.0 - Levofloxacin related compound B 2.9 0.13 A th i it 0 10 Any other impurity - 0.10 Total impurities - 0.50 152 Flexible Monograph: Levofloxacin Organic impurities, Procedure 3 (Sponsor 2) Acceptance criteria: NMT 1.0% for D-Ofloxacin (D-isomer) 153 Flexible Monograph: Levofloxacin (Comparison) Name Acceptance Criteria NMT (%) Sponsor 1 Acceptance Criteria NMT (%) Sponsor 2 N-Desmethyl Levofloxacin (Levofloxacin related compound A) 0.3 0.20 Diamine derivative 0 3 NA Diamine derivative 0.3 NA Levofloxacin N-Oxide 0.3 NA 9-Desfluoro levofloxacin 0 3 NA 9 Desfluoro levofloxacin 0.3 NA Levofloxacin - - D-Isomer 0.8 1.0 Levofloxacin related compound B NA 0.13 Any unknown impurity 0.1 0.10 154 Total impurities 0.5 (Do not include D Isomer) 0.5 (Do not include D Isomer) Flexible Monograph: Levofloxacin A note was added to specify that the currently official Organic A note was added to specify that the currently official Organic Impurity procedure is now designated as Procedure 1 and Organic Impurities, Procedures 2 and Procedure 3 are recommended if levofloxacin related compound B is a potential organic impurity levofloxacin related compound B is a potential organic impurity. LABELING: If a procedure for Organic Impurities other than Procedure 1 is used, then the labeling states with which Organic Impurities procedure the article complies. 155 Potential Flexible Monograph: Lamivudine R id l S l t Acceptance Criteria (NMT (%) Residual Solvents Name p ( ( ) Alcohol 0.2 Isopropyl acetate 0.2 Methanol 0.1 Triethylamine 0.1 Total residual solvents 0.3 156 Potential Flexible Monograph: Lamivudine Generic sponsor obtained approval for Lamivudine (methanol solvate). ) Request to add content of methanol for the Lamivudine, methanol solvate. Request to add the acceptance criteria of 2 0%-3 0% for methanol for Request to add the acceptance criteria of 2.0% 3.0% for methanol for (Lamivudine, methanol solvate). Considering the request for revision as flexible monograph. 157 Flexible Monograph: Fluconazole Injection Published in PF 34 (1) [Mar.Apr. 2008] as proposed new monograph based on approved ANDA with organic impurities, Procedure 1 and pp g p , Procedure 2. The second sponsor submitted Procedure 3 for different impurity profile/limits. p The third sponsor submitted Procedure 4 for different impurity profile/limits. Flexible monograph approach was used to accommodate these Flexible monograph approach was used to accommodate these different impurity profiles/limits. 158 Flexible Monograph: Fluconazole Injection (Sponsor 1) (Sponsor 1) Procedure 1: For Nonpolar Impurities Acceptance criteria : p Largest unknown nonpolar impurity: NMT 0.1% Total unknown nonpolar impurities: NMT 0.5% Procedure 2: For Polar Impurities Acceptance criteria Largest unknown polar impurity: NMT 0.1% Total unknown polar impurities: NMT 0 5% Total unknown polar impurities: NMT 0.5% Total unknown polar and nonpolar impurities: NMT 1.0% (sum of results from Procedure 1 and Procedure 2) 159 ( ) Flexible Monograph: Fluconazole Injection Sponsor 2 Organic imp rities Proced re 3 Name Relative Retention Time Acceptance Criteria, NMT (%) Sponsor 2, Organic impurities, Procedure 3 Bistriazole ketone 0.13 0.2 Fluconazole isomer 0.5 0.2 Epoxyfluconazole 2.6 0.2 Epoxyfluconazole 2.6 0.2 Any other impurity NA 0.2 Total impurities NA 0.5 160 Flexible Monograph: Fluconazole Injection Sponsor 3 Organic impurities Procedure 4 Name Relative Retention Time Acceptance Criteria, NMT (%) Sponsor 3, Organic impurities, Procedure 4 Aminofluconazole quaternary salt 0.57 0.1 Fluconazole isomer 0.68 0.1 Fluconazole diol 0.91 0.1 Fluconazole 1.0 - Fluconazole bromohydrine 2.58 0.1 ` Epoxyfluconazole 2.59 0.1 A h i i NA 0 1 161 Any other impurity NA 0.1 Total impurities NA 0.5 Flexible Monograph: Fluconazole Injection Labeling: Label to indicate the vehicle used. If a test for Organic Impurities other than Procedure 1 and Procedure 2 is used, then the p , labeling states with which Organic Impurities test the article complies IMPURITIES Organic Impurities [ NOTE On the basis of the synthetic route perform either (a) [ NOTEOn the basis of the synthetic route, perform either (a) Procedure 1 and Procedure 2 or (b) Procedure 3 or (c) Procedure 4. Procedure 3 is recommended if bistriazole ketone and epoxyfluconazole are potential impurities Procedure 4 is epoxyfluconazole are potential impurities. Procedure 4 is recommended if fluconazole bromohydrine and epoxyfluconazole are potential impurities. ] 162 Flexible Monograph: Fluconazole Injection Comment received: The limit for any unspecified impurity according to ICH Q3 (B) based on the Maximum Daily Dose of 400 mg for the drug product is 0.2%. The commenter requested to revise the limit for any other individual q y impurity (unspecified) in Procedure 4 from 0.1% to 0.2% The Expert Committee did not approve the request because the limit of 0.1% in the proposed procedure is consistent with FDA approved p p p pp limit for this sponsor. 163 Flexible Monograph: Famciclovir First generic company submitted data for a tentatively First generic company submitted data for a tentatively approved drug. The monograph was processed and posted on USP The monograph was processed and posted on USP Website as Pending. The sponsor obtained full FDA approval. Need to advance to Official USP monograph. 164 Flexible Monograph: Famciclovir Two additional submissions: Second generic and the innovator. The second generic company can use the existing organic impurity procedure in Authorized Pending h b t ith diff t i it li it monograph but with different impurity limits. Innovator has different impurity profile/limits but cannot use existing procedure (Flexible monograph approach) use existing procedure (Flexible monograph approach) Need to consolidate these specifications from three sponsors in one single monograph! p g g p 165 Famciclovir (Impurity Profile Comparison) I it N ( i 1) ( i 2) (I t ) Impurity Name (generic 1) Limits, NMT (%) (generic 2) Limits, NMT (%) (Innovator) Limits, NMT (%) A 0.05 - - B 0.50 - - C 0.20 - 0.5 D 0.60 0.2 0.2 E 0.10 - 0.1 F 0.10 - - G 0.20 - - H 0.15 - - I 0.10 0.15 0.1 G 0.10 - - G 0.10 K - - 0.1 L - - 0.1 M - - 0.1 N - - 0.4 N 0.4 O - - 0.2 P - - 0.07 Any unspecified impurity 0.10 0.05 0.06 166 p y Total impurities 1.0 0.50 0.8 Famciclovir (Impurity Profile Comparison) Additional impurities by Procedure 2 from Innovator only: Impurity Name (Generic 1) Limits NMT (Generic 2) Limits NMT (%) (Innovator) Limits NMT (PPM) ( ) Q NA NA 10 NA R NA NA 5 167 Resolution Process in Case of Discrepancy 1. Evaluate the issue If the discrepancy is in the monograph/ proposal limits contact the If the discrepancy is in the monograph/ proposal limits, contact the Scientific Liaison If the discrepancy is regarding the procedure, do the following: Evaluate what is not working. 2. Confirm correct column and parameters have been used Column information is available in Pharmacopeial Forum Briefing Column information is available in Pharmacopeial Forum Briefing Information is also available form the on-line USP-NF USP chromatography column data base freely available online in mid- 2011 2011 Make adjustments per <621> If the adjustments resolve the issue, perform verification as needed 168 If the issues persist, contact the Scientific Liaison with the Evaluation Study data 169 170