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1 Risk-Based CMC ANDA Review Andre Raw*, PhD Acting Senior Science and Policy Advisor CDER- Generic Drug Chemistry [email protected] *This presentation reflects the views of the author and should not be construed to represent FDA’s views or policies
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Risk-Based CMC ANDA Review · CQA1 CQA2 CQA3 CQA4 CQA5 Other CQAs Risk Mitigation Still Has Subjective Elements Potential Future Direction: Develop “Objective” FMECA Risk Scoring

Jul 21, 2020

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Page 1: Risk-Based CMC ANDA Review · CQA1 CQA2 CQA3 CQA4 CQA5 Other CQAs Risk Mitigation Still Has Subjective Elements Potential Future Direction: Develop “Objective” FMECA Risk Scoring

1

Risk-Based CMC ANDA Review

Andre Raw*, PhD

Acting Senior Science and Policy Advisor

CDER- Generic Drug Chemistry

[email protected]

*This presentation reflects the views of the author and should not be construed to represent FDA’s views or policies

Page 2: Risk-Based CMC ANDA Review · CQA1 CQA2 CQA3 CQA4 CQA5 Other CQAs Risk Mitigation Still Has Subjective Elements Potential Future Direction: Develop “Objective” FMECA Risk Scoring

2

Assumptions: ANDA submission would not

exceed the maximum of ~700/year

GDUFA Metrics Assumptions versus Reality

Reality:

FY2013 : 968 ANDAs

FY2014: > 1400 ANDAs

Page 3: Risk-Based CMC ANDA Review · CQA1 CQA2 CQA3 CQA4 CQA5 Other CQAs Risk Mitigation Still Has Subjective Elements Potential Future Direction: Develop “Objective” FMECA Risk Scoring

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Page 4: Risk-Based CMC ANDA Review · CQA1 CQA2 CQA3 CQA4 CQA5 Other CQAs Risk Mitigation Still Has Subjective Elements Potential Future Direction: Develop “Objective” FMECA Risk Scoring

FY 2013 FY 2014 FY 2015 FY 2016 FY 2017

Original ANDA

Expedite review of

paragraph IV and maintain

pre-GDUFA productivity

60% in 15

months

75% in 15

months

90% in 10

months

Tier 1 first major amendment 60% in 10

months

75% in 10

months

90% in 10

months

Tier 1 minor amendments (1st – 3rd) 60% in 3

months*

75% in 3

months*

90% in 3

months*

Tier 1 minor amendments (4th – 5th) 60% in 6

months*

75% in 6

months*

90% in 6

months*

Tier 2 amendment 60% in 12

months

75% in 12

months

90% in 12

months

Prior approval supplements 60% in 6

months*

75% in 6

months*

90% in 6

months*

ANDA, amendment, and PAS in

backlog on Oct 1st, 2012

Controlled correspondences 70% in four

months**

70% in two

months**

90% in two

months**

*10 months if inspection required

Maintain pre-GDUFA productivity

Maintain pre-GDUFA productivity

Maintain pre-GDUFA productivity

Maintain pre-GDUFA productivity

Maintain pre-GDUFA productivity

Act on 90% by end of FY 2017

Maintain pre-GDUFA levels

GDUFA Review Performance Goals

** One additional month added to goal if clinical division input required

Page 5: Risk-Based CMC ANDA Review · CQA1 CQA2 CQA3 CQA4 CQA5 Other CQAs Risk Mitigation Still Has Subjective Elements Potential Future Direction: Develop “Objective” FMECA Risk Scoring

Pharmaceutical Quality

Desired State

5

A maximally efficient, agile, flexible

pharmaceutical manufacturing

sector that reliably produces high-

quality drug products without

extensive regulatory oversight.

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6

ANDA Backlog and GDUFA Goals

Office of Generic Drug: Chemistry Divisions

Expectation of QbD Elements Submitted in ANDAs Highly Detailed Assessment of QbD in Reviews

Competing Priorities?

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7

ICH Q8 (Pharmaceutical Development) Guidance for Industry (Process Analytical Technology)

Question Based Review

QbD for ANDA IR and MR Examples

ICH Q9 Quality Risk Management

in ANDAs

Quality by Design

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8

Preliminary Hazard Analysis (PHA)

Semi-Quantitative Risk Analysis Based Upon

Probability and Severity (Quality) Perspective

Rates Risk on Formulation /

Process Variables on Specific CQAs

Highly dependent on risk assessors prior knowledge

Regulatory risk assessment tool may be problematic

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Other Possible Approaches Risk Ranking Team (Christine Moore) had developed a quantitative and objective system using Failure Modes, Effects and Criticality Analysis (FMECA) Risk priority number (RPN) is calculated for each failure mode for each drug product CQA using severity, probability and detectability of failure and used to rank risk.

Focus on Patient Risk Due to the Severity of Harm

Page 10: Risk-Based CMC ANDA Review · CQA1 CQA2 CQA3 CQA4 CQA5 Other CQAs Risk Mitigation Still Has Subjective Elements Potential Future Direction: Develop “Objective” FMECA Risk Scoring

Making Risk Assessment More Objective

- FMECA was chosen due to its objectivity.

- Algorithm scores based upon sound scientific principles

and modified for initial risk profiling using cross-validation

studies with PHA

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PROBABILITY OF

OCCURRENCE

(O)

SEVERITY

OF

EFFECT

(S)

DETECTABILITY

(D)

FMECA

RPN PHA

CQA1 02

s1

d1

0

o2s1d1

2 low

CQA2

01

s2 d1 01s2d1 low

CQA3 01 s1 d2 o1s1d2 low

CQA4 01 s1 d2 o1s1d2 low

CQA5 01 s1 d1 o1s1d1 low

CQA6 02 s1 d1

o2s1d1

low

PROBABILITY OF

OCCURRENCE

(O)

SEVERITY

OF

EFFECT

(S)

DETECTABILITY

(D)

FMECA

RPN PHA

CQA1 05

s4

D1

o5s4d1

high

CQA2

01

S2 D1 01s2d1 low

CQA3 03 S5 D2 O3s5d2 medium

CQA4 02 S3 D2 O2s3d2 medium

CQA5 02 S2 D3 O2s2d3 medium

CQA6 05 S5 d1

o5s5d1

low

- Algorithm will be continuously improved and updated

based upon additional information gathered

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17.7%

45.5%

36.8%

Risk Profile (%)

Distribution of Initial Risk Profiles for ANDAs (~350) for Immediate Release Solid Oral Dosage Forms

* Low - All CQA RPN's are low

** Moderate - At least one CQA RPN is moderate

*** High - At least one CQA RPN is high

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Case Study I

Product A: Applicant 1

First cycle Approval of ANDA

Within six weeks of the start

of the review process

Drug Product

CQAs

Initial Risk

Ranking Comments

Updated Risk

Ranking

after Review #

Comments

Assay Low

CU Low

Dissolution Low

Stability

Low

CQA5 Low

CQA6 Low

Low

Low

Low

Low

Low

Low

Page 13: Risk-Based CMC ANDA Review · CQA1 CQA2 CQA3 CQA4 CQA5 Other CQAs Risk Mitigation Still Has Subjective Elements Potential Future Direction: Develop “Objective” FMECA Risk Scoring

Case Study II

Product A: Applicant 2

Drug Product CQAs Initial Risk

Ranking Comments

Updated Risk

Ranking

after Review #

Comments

Assay Low

CU Low

Dissolution Low

Stability

Low

CQA5 Low

CQA6 Low

Major Deficiency

• Applicant is requested to develop more

robust formulation and process

parameters, set appropriate in-process

controls and manufacture another exhibit

batch with the necessary modifications

High

Significant Level (20%) of

Capped/Chipped Tablets and Low

Yield Indicative of Poor Formulation

Design and /or Process Design

High

Low

Low

Low

Low

Page 14: Risk-Based CMC ANDA Review · CQA1 CQA2 CQA3 CQA4 CQA5 Other CQAs Risk Mitigation Still Has Subjective Elements Potential Future Direction: Develop “Objective” FMECA Risk Scoring

Case Study III

Drug Product

CQAs

Initial Risk

Ranking Comments Comments

Physical stability (DS Solid state in drug product)

High

Amorphous form Risk of conversion to crystalline form

CQA2

Low

CQA3 Low

Low

Low

Low

(D) - XRPD method is capable of detecting crystalline API

(D) – Established polymorphic test (by XRPD) in DP release/stability batches

(D) –Demonstrated dissolution method discriminating power

(O) – API: HPMC ratio optimized (O) – Wurster coating CPPs

identified and justified (at both exhibit and commercial scale)

(O) – Conducted in-use stability study, at 40°C/75%RH and 25°C/60% RH.

(O) – DP water content control range justified (open dish 40°C/75% RH, 10 days) -absence of crystalline peaks

Implication: High Risk does not Imply Deficiencies Provided Mitigating Elements are in Submission

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Initial ANDA Profiling Algorithms for Other Dosage Forms

- Delayed/Modified Release Solid Orals - Topical Dosage Forms (Creams Ointments, Lotions) - Oral Solutions/Suspensions

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Risk Management: Formalized in ANDA Review

Drug Product CQAs

Initial Risk

Ranking

FMECA

Score

Comments

Updated Risk

Ranking after

Review Cycle #

Comments

CQA1

CQA2

CQA3

CQA4

CQA5

Other CQAs

Risk Mitigation Still Has Subjective Elements Potential Future Direction: Develop “Objective” FMECA Risk Scoring Strategies for Risk Mitigation

“Objective” Initial FMECA Risk Scoring Algorithm in Place

Page 17: Risk-Based CMC ANDA Review · CQA1 CQA2 CQA3 CQA4 CQA5 Other CQAs Risk Mitigation Still Has Subjective Elements Potential Future Direction: Develop “Objective” FMECA Risk Scoring

Conclusion

Formal risk assessment is a natural progression of the

FDA 21st Century Quality Initiative

Formal risk management approaches is being used in

ANDA review to ensure that all high risk areas receive

appropriate scrutiny to ensure the availability of high

quality generics.

Formal risk management will also streamline the review

for lower risk areas to ensure review timelines under

GDUFA.

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Page 18: Risk-Based CMC ANDA Review · CQA1 CQA2 CQA3 CQA4 CQA5 Other CQAs Risk Mitigation Still Has Subjective Elements Potential Future Direction: Develop “Objective” FMECA Risk Scoring

Acknowledgements Lawrence Yu Christine Moore Robert Iser Susan Rosencrance Daniel Peng

Glen Smith David Skanchy Daniel Peng

Vilayat Sayeed Raman Murali Xihao Li

Mohamed Ghorab Damaris Maldonado Dominick Roselle

Jenny Ma Mayra Pineiro-Sanchez Ryan Nguyen

Matthew Vera David Green Ping Jin

Erin Kim Zhigang Sun Xueli Zhu

Yung-Cheng Chen Masihuddin Jaigirdar Derek Smith

Bita Mirzai Azarm Gloria Huang Mike Darj

Bhagwant Rege Patricia Onyimba Larry Lee

Larisa Wu Xiaobin Zhao Bing Cai

Anurag Sharadendu Mahnaz Farahani Yuping Ne

Ying Zhang Prabhu Vaikunth Helen Teng

Lane Christensen

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