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Control Strategy Case Studies Vance Novack, GSK Workshop on Implementation of ICH Q8/Q9/Q10 and Other Quality Guidelines Beijing, China, Dec 2008

Control Strategy Case Studies The information and knowledge gained from pharmaceutical development studies and manufacturing experience provide scientific understanding to support the establishment of the design space, specifications, and manufacturing controls. [from ICH Q8] This talk will present 2 case studies.

Example QbD Approach (ICH Q8R) QTPP CQAs Risk assessment Design space Control strategy Continual Improvement Target the product profile Determine critical quality attributes (CQAs) Link raw material attributes and process parameters to CQAs and perform risk assessment Develop a design space Design and implement a control strategy Manage product lifecycle, including continual improvement Moheb Nasr

Case Study #1: Development of a Drug Product (DP) Control Strategy Wet-Granulation DP Manufacturing Process Flow Granulation Drying Milling Blending Compression Film Coating API Milling Drug Product Manufacturing Process involves: 1. High-shear wet-granulation process encompassing granulation, drying and milling in order to produce a granule 2. Blending to produce a compression mix 3. Compression to produce tablet cores 4. Film coating to produce final drug product Film-coated Tablet

Case Study #1: The Initial Risk Assessment DP CQAs Potential Impact of Unit Operations Wet-Granulation Drying Milling Blending Compression Coating Appearance Low Low Low Low High High Assay High High Low High Low Low Content UniformityHigh Low High High High Low Impurities High High Low High Low High Dissolution High High High High High Low Based on prior knowledge, each unit operation is assessed to determine the potential to impact the CQAs of the Drug Product. For this case study, let s focus on dissolution. Drug dissolution from drug product is a critical quality attribute (CQA) that significantly impacts the efficacy of the drug product. target is 80% dissolution at 45 minutes The wet-granulation operation has high potential to impact dissolution.

Case Study #1: Use of IPO Diagrams An IPO (Input-Process-Output) diagram can be used to help identify all input attributes, process parameters and output attributes for each unit operation that might possibly impact a CQA. Inputs Drug Substance Properties (Particle size, surface area, ) Binder Diluent Disintegrant Water Raw Material Supplier Granulator configuration Comil configuration Pump configuration Order of addition Binder Content Preblend time Preblend impeller speed Preblend chopper speed Water Spray Impeller Speed Water Spray Chopper Speed Impeller speed Granulation chopper speed Water temperature Water spray g rate p y pattern Granulation Operation Water Amount Comil Screen Size Outputs 1. Material Transfer 2. Preblend Total granulation time 3. Water Spray Yield 4. Web Massing Impeller load 5. Wet Milling Granule shape 6. Transfer to Fluid Bed Dryer Granule size distribution Granule Water Content

Case Study #1: Use of Critical Relationship Matrices The attributes and parameters identified in the IPO diagram can be input into a Critical Relationship Matrix to identify potential links between Drug Product CQAs and the attributes & parameters in the unit operation. Material Attributes VARIABLE API Size Distribution Granule Size Distribution Homogeniety Bulk Density Porosity Flow Yield Dissolution x Parameters Addition Order Water Amount No Effect x Water Addition Rate Water Temperature No Effect x Mixing Time x In this example, it can be seen that the amount of water used in the granulation operation and the mixing time have a high potential to impact granule bulk density, which can then impact dissolution.

Case Study #1: Use of Failure Mode and Effects Analysis (FMEA) The attributes and parameters with highest potential to impact Drug Product CQAs can be determined using an FMEA. POTENTIAL DP or API POTENTIAL POTENTIAL OCC CURRENT Risk STEP FAILURE CQAs EFFECT(S) OF CAUSE(S) OF CONTROLS DET Priority MODE Affected FAILURE SEV FAILURE Number Granulation Water Addition Change of lance location Granule Size, Bulk Density, Flow Failed dissolution 10 Incorrect granule formation 4 Batch documentation signoff 4 160 Granulation Wet Mixing Increase in mixing time Bulk Density Failed dissolution 10 Incorrect granule formation 1 DCS controls 1 10 Granulation Wet Mixing Increase in impeller load Bulk Density Failed dissolution 10 Incorrect granule formation 4 No control. See actions. 10 400 From this FMEA, it can be concluded that the water addition and wetmixing processes need to be more thoroughly studied to determine appropriate controls. Score Severity based on likely impact on Drug Product CQA. Score Occurrence based on probability of failure. Score Detection based on probably of detecting failure.

Case Study #1: Conclusions from Prior Knowledge & Risk Assessments API Milling Wet- Granulation Granula Drying Milling tion Blen ding Compression Film Coating Potential Impact of Unit Operations DP CQAs Wet-Granulation Drying Milling Blending Compression Coating Appearance Low Low Low Low High High Assay High High Low High Low Low Content UniformityHigh Low High High High Low Impurities High High Low High Low High Dissolution High High High High High Low DP Manufacturing Process Flow Initial Risk Assessment POTENTIAL DP or API POTENTIAL POTENTIAL OCC CURRENT STEP FAILURE CQAs EFFECT(S) OF CAUSE(S) OF CONTROLS DET MODE Affected FAILURE SEV FAILURE RPN Granulation Water Addition Granulation Wet Mixing Granulation Wet Mixing Granule Change of lance location Increase in mixing time Increase in impeller load Size, Bulk Density, Flow Failed dissolution 10 Bulk Density Failed dissolution 10 Bulk Density Failed dissolution 10 FMEA Incorrect granule formation 4 Batch documentation sign-off 4 160 Incorrect granule formation 1 DCS controls 1 10 Incorrect granule formation 4 No control. See actions. 10 400 Order of addition Binder Content Preblend time Preblend impeller speed Preblend p chopper y p speed Speed p y pp Speed Impeller speed pp speed Water temperature Water spray g rate p y pattern Water Amount Comil Screen Size Inputs Outputs Drug Substance Properties (Particle size, surface area, ) 1. Material Transfer Binder 2. Preblend Total granulation time Diluent 3. Water Spray Yield Disintegrant 4. Web Massing Impeller load Water 5. Wet Milling Granule shape Raw Material Supplier 6. Transfer to Fluid Bed Dryer Granule size distribution Granulator configuration Granule Water Content Comil configuration Pump configuration IPO & Relationship matrix Potential critical quality attributes and process parameters are identified. Experiments can be designed to understand these attributes & parameters.

Case Study #1: Granulation & Compression DoE A DoE (Design of Experiments) was used to assess parameters and attributes in the granulation and compression processes for their impact on Drug Product dissolution and other CQAs. Granulation Step Parameters investigated: amount of water mixing time Compression Step Parameters investigated: press speed pre-compression force main compression force A single DoE that spanned two unit operations! Attributes monitored: granule size granule density impeller load tablet thickness tablet hardness disintegration time dissolution rate 9 granulation experiments, followed by 24 compression experiments per granulation experiment (216 experiments in total) experiments performed at 1/10 th manufacturing scale

Case Study #1: Granulation/Compression DoE outputs Dissolution at 45 min (%) Force Increases Drug Dissolution at 45 minutes COmp Force: 9 COmp Force: 11 COmp Force: 13 COmp Force: 15 Scatterplot: Dissolution versus granulation fluid amount, categorized by wet-mixing time and compression force 92 90 88 86 84 82 80 78 76 74 72 92 90 88 86 84 82 80 78 76 74 72 92 90 88 86 84 82 80 78 76 74 72 92 90 88 86 84 82 80 78 76 74 72 16 17 18 19 20 Wet-mixing Time(sec): Mixing 60 sec 16 17 18 19 20 Wet-mixing Time(sec): 150 Mixing Time 150 sec Amount of Water (%) Amount of Water 16 17 18 19 20 Wet-mixing Time(sec): 240 Mixing Time 240 sec Compression Force has little impact on Dissolution. Increasing the amount of water added results in a decrease in Dissolution. Increasing Wet-Mixing Time results in a decrease in Dissolution.

Case Study #1: DoE outputs a Design Space Design-Expert Software Diss-45 mins Design Points 87.1 240.00 Diss-45 mins 73.4667 X1 = A: Amount of Water X2 = B: Wet-mix time Wet-Mixing Time B: Wet-mix tim 195.00 150.00 80.7208 3 78.5944 76.4681 105.00 82.8472 Design Space 60.00 84.9736 16.00 17.00 18.00 19.00 20.00 Amount of Water A: Amount of Water Water amount can range from 16-18%. The required wet-mixing time is linked to the water amount and can range from 60-150 sec. This defines a Design Space that has been demonstrated to provide assurance of 80% dissolution in 45 minutes.

Case Study #1: Control Strategy for Drug Product Dissolution API Milling Granulation Drying Milling Blending Compression Coating Attributes that influence dissolution API Particle size Granule Properties Parameters that affect these attributes Mill Speed Feeder Rate Amount of Water Wet-Mixing Time Experimental Data Operating Ranges for parameters Operating Design Space for amount of water and wet-mixing time. Controls

Case Study #2 Understanding sources of variability and their impact on downstream processes or processing, intermediate products and finished product quality can provide flexibility for shifting of controls upstream and minimize the need for end-product testing. [from Annex to ICH Q8]

Case Study #2: Control of an API Critical Quality Attribute The final formation and isolation of an API methanesulfonate salt was performed as follows: API free base add solvent (ethyl acetate) add solvent (acetone) heat to 39 degc add MSA (methanesulfonic acid) add solvent (iso-octane) cool filter wash with solvent (ethyl acetate) dry in oven API salt A risk assessment identified 3 genotoxic impurities (alkylmethane sulfonates) that could potentially contaminate the API, these genotoxins are Critical Quality Attributes of the API. Based on a Threshold of Toxicological Concern of <1.5 μg/day and a maximum drug dose of 150 mg/day, these impurities had to be controlled to <10 ppm.

Case Study #2: The Risk Assessment A risk assessment using prior process knowledge, identified the unit operations that could potentially impact levels of the 3 genotoxins in the API salt: Unit Operation Potential to Impact Genotoxin Control Rationale add ethyl acetate High potential for ethanol add acetone High potential for isopropanol add API Free Base Low heat Medium potential genotoxin formation add MSA High potential genotoxin impurities stir Medium potential genotoxin formation add iso-octane Low cool Low filter High genotoxin purging ethyl acetate wash High potential for ethanol genotoxin purging dry Medium potential genotoxin formation ROH + CH 3 SO 3 H methanol ethanol isopropanol MSA CH 3 SO 3 R 3 genotoxins

Case Study #2: Studies to Mitigate the Risks The risk assessment informed the design of a series of experiments to develop process knowledge to reduce the risk of producing API containing the 3 genotoxins: Experimental Study Purpose Test the salt formation step outside of typical operating ranges. Test the filtration and washing steps outside of typical operating ranges. To test the likelihood of formation of the 3 genotoxins. Test the drying step outside of typical operating ranges. Perform the filtration and wash steps in the presencce of high levels of the 3 genotoxins. To test the likelihood of removing the 3 genotoxins.

Case Study #2: The Process Knowledge The ability to form the genotoxic impurities under the process conditions was studied: Unit Operation Salt Formation Conditions Alcohol (ROH) Levels Genotoxins Formed Genotoxins in API Standard 2-150 ppm not tested <1 ppm Standard 1000 ppm <1 ppm <1 ppm Stressed (>time, >temp, >MSA) 7500 ppm 2-3 ppm <1 ppm Filtration & Wash Stressed (>time, >temp) 2000 ppm <1 ppm <1 ppm Drying Stressed (>temp) 2000 ppm <1 ppm <1 ppm Conclusion: The genotoxic impurities are not easily formed under the process conditions, even when large excesses of the alcohols are present.

Case Study #2: The Process Knowledge Extreme spiking experiments were carried out by adding the genotoxin impurities directly into the process stage to study the ability to purge the impurities. The following results were obtained when 4500-7000 ppm of genotoxins were added to the final solution prior to API crystallization and isolation: Cake Wash No Wash Genotoxins in Wet API Cake 1-2 ppm 1 wash <1 ppm 2 washes <1 ppm Conclusion: The genotoxin impurities are easily purged under the process conditions.

Case Study #2: The Control Strategy Starting Materials Heat Reagent Stir and Cool Filter Solvent Wash Dry API API Critical Salt Quality Attributes Ethyl Acetate ( 1000ppm alcohol) Genotoxin A API Free Base Acetone ( 500ppm alcohol) Temp MSA 500ppm Genotoxins Time Ethyl Acetate ( 1000ppm alcohol) Volume 60ºC Genotoxin B Genotoxin C The API CQA is not impacted by attributes or parameters in this stage The API CQA is impacted by attributes or parameters in this stage but tight control is not required Control point of the API CQA, control implemented through parameters or attributes in this stage

Case Study #2: The Control Strategy Unit Operations Process Knowledge Controls Tests & Specifications Quality Systems DoE and univariate experiments to set standard operating ranges. Proven Accenptable Ranges for process parameters. Quality Process Parameters: solvent volumes, temperature, time Compliant batch record. Batch data. Specifications for input materials. Compliant batch record. Process stretching experiments. Specifications for solvents. <0.1% alcohol in ethyl acetate. <0.05% alcohol in acetone. Compliance with specification. Salt Formation Specification for MSA. <0.05% genotoxins in MSA. Compliance with specification. In-Process-Control check. <0.1% alcohols in crystallization solution. Compliance with specification. Filtrations and Washings Spiking and purging experiments. Minimum wash volume. Quality Process Parameters: wash volume Compliant batch record. Drying Process stretching experiments. Maximum temperature. Quality Process Parameter: temperature Compliant batch record. Genotoxin control is assured, without end-product testing.

Conclusions The Quality-by-Design principles outlined in ICH and other guidance provide a structured approach to gaining process knowledge and developing robust manufacturing control strategies. Significant amounts of process knowledge are now included in regulatory submissions in order to justify the control strategy. There are significant benefits to the approach.. for patients a quality product is placed on the market, and is kept on the market, for regulators... the scientific rationale for the control strategy is transparent, for pharmaceutical companies a clear control strategy is identified which ultimately facilitates product launch and subsequent manufacturing changes.

Benefits Derived by a QbD Approach Demonstrated Product & Process Understanding Facilitates: CQAs Technology Transfer Site B Process 1 Control Strategy CQAs Process 1 Site A Control Strategy Regulatory Approval Process Changes Scale Changes CQAs Process 2 Control Strategy CQAs Control Strategy Process 1

Acknowledgements The information in the slides is the culmination of many years work from GSK scientists across R&D and Manufacturing. Special thanks go to: Zadeo Cimarosti and team Fran Muller, Shiva Kapsi and team