What You Should Know When You What You Should Know When You Make Manufacturing Changes to Make Manufacturing Changes to Biotechnology Products Biotechnology Products May 16-18, 2011 | Beijing, China Mark Rosolowsky, Ph.D. Vice President, Global Regulatory Sciences-CMC Global Regulatory Sciences CMC Bristol-Myers Squibb
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What You Should Know When You What You Should Know When You Make Manufacturing Changes to Make Manufacturing Changes to Biotechnology ProductsBiotechnology Products
May 16-18, 2011 | Beijing, China
Mark Rosolowsky, Ph.D.Vice President,
Global Regulatory Sciences-CMCGlobal Regulatory Sciences CMCBristol-Myers Squibb
DisclaimersDisclaimers
– The information within this presentation represents the views of the presenter and is based on the presenter’s expertise and experience
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OverviewOverview
– Comparability - key points for consideration
– Discuss changes to biotechnology products:
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products:• During development• Post-marketing
Why are Changes to BiotechnologyWhy are Changes to BiotechnologyProducts so Complex?Products so Complex?
Small Molecules– Usually synthetic, organic
compounds having well defined structures and chemical characteristics
– Typically produced through chemical synthesis
Biotechnology Products– Usually a protein- or
carbohydrate-based product with complex structure
– Either composed of / or extracted from a living organism or produced via cell
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chemical synthesis– Usually micromolecules
having molecular weights of less than 500 Daltons
– Generally very stable, and not extremely sensitive to heat
organism or produced via cell culture
– Macromolecular by nature, and usually have a molecular weight greater than 500 Daltons
– Tend to be rather labile, and are usually very heat- and sheer-sensitive
– Tend to be immunogenic
What is Comparability?What is Comparability?
• ICHQ5E Definitions• Comparable:
– A conclusion that products have highly similar quality attributes before and after manufacturing process changes and that no adverse impact on the safety or changes and that no adverse impact on the safety or efficacy, including immunogenicity, of the drug product occurred. This conclusion can be based on an analysis of product quality attributes. In some cases, nonclinical or clinical data might contribute to the conclusion.
• Comparability Exercise: – The activities, including study design, conduct of studies,
and evaluation of data, that are designed to investigate whether the products are comparable.
– No one right answer when deciding a comparability package
– Decision must be made with consideration of:• Product clinical development plan • Complexity of the product Complexity of the product • Stage of development of the product • Robustness of analytical methods • Existence of relevant animal models • Previous health authority interactions
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What is “Highly Similar”?What is “Highly Similar”?
– Comparability does not require quality attributes of pre-change and post-change product to be identical
– “Highly similar” depends upon whether:• Existing knowledge can adequately support that Existing knowledge can adequately support that
differences in quality attributes have no adverse impact upon safety or efficacy
– Side-by-side analysis of “post-change” vs. “pre-change” product is useful for contemporaneous evaluation
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Comparability is a Sequential ProcessComparability is a Sequential Process
Non-clinicalClinical and/or
PharmacovigilanceQuality
If the analytical procedures used are not sufficient to discern
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Confirmatory clinical testing may be necessary
Non-clinical studies may be necessary, if non-clinical studies cannot discern relevant differences, then…
If the analytical procedures used are not sufficient to discern relevant differences, then…
OVERALL GOAL: Assess potential impact to safety and efficacy of the product
Parameters to ConsiderParameters to Consider
– Production step where changes are introduced.– Potential impact of changes to: purity , physicochemical and
biological properties • considering complexity and degree of knowledge (e.g., impurities,
product related substances).
– Availability of suitable analytical techniques to detect potential modifications U d di f l i hi b li ib d f – Understanding of relationship between quality attributes and safety and efficacy, based on overall nonclinical and clinical experience.
– Relevant physicochemical and biological characterization data regarding quality attributes;
– Need for stability data, including accelerated or stress conditions, • to provide insight into potential product differences in the
degradation pathways
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Parameters to Consider (continued)Parameters to Consider (continued)
– Batches used for demonstration of manufacturing consistency;– Historical data that provide insight into potential “drift” of quality
attributes– Critical control points in the manufacturing process that affect
product characteristics, – Impact of the process change on the quality of in-process materials
& ability of downstream steps to accommodate material from a changed cell culture process;
– Adequacy of the in-process controls (critical control points & in-process testing:
• In-process controls for post-change process should be confirmed, modified, or created, as appropriate, to maintain product quality
– Nonclinical or clinical characteristics of the drug product and its therapeutic indications
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Risk AssessmentRisk Assessment
– Utilize prior knowledge and development studies– Categorize risk change of process parameters
based upon potential to impact product quality– Examples:
• High: Change to Master Cell Bank (MCB)High: Change to Master Cell Bank (MCB)• Moderate: Media composition change using
established raw materials, <50% output • Low: Step optimization (e.g. flow rate, wash volumes,
elution collection criteria)
– Provides an effective tool for internal discussion of change & subsequent communications to regulators regarding the assessment
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Risk Assessment ModelRisk Assessment Model
pe
High risk
Red = Stop & ReconsiderHigh likelihood toImpact program
Yellow = Proceed with CautionM d t lik lih d t i t
Phase of clinical program
Ch
ang
e T
yp
Low risk High risk
Moderate likelihood to impact program
Green = GoUnlikely to impactprogram
Example Risk Assessment ToolExample Risk Assessment Tool
Total risk score generated by multiplying individual
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Each risk factor category has built-in drop-down boxes withpotential valuesHigher values indicate greater risk
Team discussion is critical to document thought process thatdrove the scores (“no one right answer”)
risk factors
Evaluating Changes Evaluating Changes During DevelopmentDuring DevelopmentDuring DevelopmentDuring Development
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PhasePhase--based Approach to Changesbased Approach to Changes
Early Development:– Before nonclinical studies:
• Comparability is not generally not a concern• Subsequent nonclinical and clinical studies using the
post-change product as part of the development process support change
E l h of o cli ic l d cli ic l t di– Early phases of nonclinical and clinical studies:• Comparability testing is generally not as extensive as
for an approved product– As knowledge and information accumulate, the
comparability exercise will generally become more comprehensive
PhasePhase--based Approach to Changesbased Approach to Changes
• During Pivotal Clinical Studies:– Changes are discouraged– Sponsor should seek scientific advice from the relevant
health authorities• If process changes are introduced in late (post-
pivotal studies) stages of development:Th h bili i i ll i d– Thorough comparability exercise is generally required:
• Physicochemical and biological in vitro studies • Clinical pharmacokinetic and / or pharmacodynamic
comparability studies may also be required– If comparability exercise cannot rule out impact to the
efficacy and safety profile:• Additional clinical studies may be required
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Guidelines for Acceptance Criteria Setting for Guidelines for Acceptance Criteria Setting for Analytical ComparabilityAnalytical Comparability
Pre Pivotal Post Pivotal
Release Test Development Release Specification
3SD from small number of lots
Development or Commercial Release Specification
3SD from larger number of lots
CQA - closer to manufacture history
Extended Characterization a
Reported as found but summarized by expert analyst as being comparable or not comparable
Quantified acceptance criteria where possible.
Visual equivalence should have defined criteria Characterization a or not comparable the analyst uses to make the determination.
Stability Same requirements depending on whether the test is a release test or extended characterization.
Same requirements depending on whether the test is a release test or extended characterization.b
Stability CQA stress changes demonstrate comparable rate changes c
a Orthogonal support for release test or independent attribute assessment for structure-function relationshipb If a stability indicating attribute is identified under recommended storage conditionsc If a forced degradation or stressed condition degradation product attribute is identified and believed relevant to
structure-function
Case Study Case Study --DevelopmentDevelopmentDevelopmentDevelopment
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Case Study Process ChangesCase Study Process Changes
Overview of Changes– Drug Substance
• New MCB (higher producing subclone of current MCB)• New DS manufacturing site (Site “A”→ Site “B”)• New DS manufacturing process (cell culture and purification)
– Drug Product• New DP manufacturing site (Site “X” → Site “Y”)• Minor change to sterile filtration (0.1 μm→0.2 μm)
Reason for Changes– Increase drug substance yield ~4X– Manufacturing control– COG
Comparability ExerciseComparability Exercise
Goal - to ensure the quality, safety and efficacy of drug product produced by a changed manufacturing processHow - through collection and evaluation of the relevant data based on process and product relevant data based on process and product knowledge– Analytical assays– Biological assays– Nonclinical data– Clinical data
Analytical ComparabilityAnalytical Comparability
Established at multiple points– In-process– Release
Changes to Marketed ProductsChanges to Marketed Products
• Changes during life-cycle are inevitable:– Yield increases necessary to meet market
demand / address cost of goods issues– Quality improvements are necessary to
adhere to current GMPs– Unexpected events require corrective
action, such as process parameter changes– Vendor / supply issues necessitate use of
alternate materials
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Hypothetical Process EvolutionHypothetical Process Evolution
Process Step
Phase II Phase III & Commercial
Process C Process D Process E
Cell Bank XYZ-01 XYZ-01.1 Same Same Same
Media DE CD-CHO, eRDF & Yeastolate
Same, Plus Additional Minerals
Same Same
Yeastolate
Production Conditions
No temp. shift
Two phase temp. shift
Same Same Single temp. shift
Downstream Sequence
Six columns
Five columns
Same Change of one resin
Change of one resin
Other Process Changes
N/A N/A Centrifugation & filtration parameters
Filter changes N/A
Case Study Case Study –– Marketed Marketed ProductProductProductProduct
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Case Study: Change in MediaCase Study: Change in Media
– Quality: Media component change resulted in minor differences to quality attributes
– Nonclinical: Study conducted using non-human primate model with previously well-established concordance to human PK for the product• Model had demonstrated sensitivity to
changes in:– Minor glycosylation alterations– Moderate sialic acid profile shifts
– Quality attributes evaluated against historic data alone deemed insufficient• “…the Agency strongly encourages the use of
side-by-side analysis as the most rigorous assessment of comparability…”assessment of comparability…”
– Side-by-side comparison required:• “Since the product approved for marketing
authorization was made using the…media..., this product should be directly compared to the product produced from the proposed process…”
Regulatory Experiences with ComparabilityRegulatory Experiences with Comparability
– Comparability exercises can be successfully used to support changes
– Most changes can be supported on Quality attributes alone
• Specifications alone are generally NOT sufficient to p g ysupport comparability
– Additional characterization required– Side-by-side analysis preferred by FDA
– Additional non-clinical & clinical data may be required
– Safety & efficacy data are generally not required
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In SummaryIn Summary
– Comparability is a key issue for biotech products– There is no single, correct strategy to demonstrate
comparability– Decision must be made with consideration of multiple factors:
• Complexity of the product • Stage of development of the product Stage of development of the product • Process knowledge & robustness of analytical methods • Existence of relevant animal models • Previous health authority interactions
– Comparability should be approached stepwise:• Quality• Non-clinical• Clinical