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Converting Your CMC Submissions to the CTD Quality Format. Michelle Herrera Foster, Ph.D. CTDQuality.com 12/03 DIA Meeting. ICH M4Q Quality. The CTD. Mod 1 Regional. QOS = Quality Overall Summary (40-80 pages + attachments). Mod 2. Summaries. 2.3 QOS. Non-clinical. Clinical.
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Converting Your CMC Submissions to the CTD Quality Format Michelle Herrera Foster, Ph.D. CTDQuality.com 12/03 DIA Meeting
ICH M4Q Quality The CTD Mod 1 Regional QOS = Quality Overall Summary (40-80 pages + attachments) Mod 2 Summaries 2.3 QOS Non-clinical Clinical Module 3 Quality Module 4 Nonclinical Module 5 Clinical Michelle Herrera Foster, Ph.D.
Frequently Asked Questions • What requirements are new? • What’s different between regions? • Any special considerations for each section? • Is the CTD used for clinical applications? • How do we prepare a CTD efficiently? Michelle Herrera Foster, Ph.D.
Topics • Points to Consider for the Transition • Correlating the CTD to NDA, BLA, MAA • New Sections Required by the CTD • Regional Requirements • Module 2, Quality Overall Summary • Module 3 Quality (by functional area) • The “ICTD” – Investigational CTD • The SMART Process Michelle Herrera Foster, Ph.D.
Points to Consider • Know the guidelines: ICH and regional • Provide training to prepare for the change • Know your company’s submission needs • Consider future variations and supplements • eCTD: Work with Documentation & IT groups • CTD Team: Different functions and regions • Start early, at the IND stage! Michelle Herrera Foster, Ph.D.
Correlating the CTD to NDA, BLA, MAA(full outline available by request) Michelle Herrera Foster, Ph.D.
New Sections Requiredby the CTD • 3.2.S.2.4 Controls of Critical Steps and Intermediates • 3.2.S.2.6 Manufacturing Process Development • 3.2.P.4 Control of Excipients: methods validation and human/animal origin • 3.2.A.2 Adventitious Agents Safety Evaluation • 3.2.A.3 Novel Excipients Michelle Herrera Foster, Ph.D.
“New” Sections in the U.S.:Formalization of Expected Information • 3.2.S.3, 3.2.P.5.5 Impurities • 3.2.S.5, 3.2.P.5.6 Justification of Specifications • 3.2.P.2 Pharmaceutical Development Michelle Herrera Foster, Ph.D.
Regional Requirements • Module 1: Forms, Labeling, DMF Letters, Environmental Assessment • 3.2.R RegionalInformation • Executed Batch Record (U.S., in English) • Method Validation Package (U.S., EDQM) • Comparability Protocols (U.S.) • Process Validation Scheme (EU) • Medical Device (EU) • Reviewer-Specified Information • Market-Specific Information (e.g. specs) Michelle Herrera Foster, Ph.D.
Module 2The Quality Overall Summary (QOS) • Summary is 40 pages text • Present key product parameters and data • Format same as Module 3 • Content consistent with Module 3 • Content integrated with other summaries • Explain any deviations from the guidelines • “Expert report” critical assessments. • Canadians require table formats. Michelle Herrera Foster, Ph.D.
Module 3 Drug Substance (DS) Michelle Herrera Foster, Ph.D.
Module 3 Drug Product (DP) Michelle Herrera Foster, Ph.D.
Module 3 Appendices Michelle Herrera Foster, Ph.D.
DS ManufactureSpecial Considerations • Detailed flow charts: materials, parameters, testing • Critical steps: Define and justify testing • Biotech: Batch numbering, pooling, cell line development, elution profiles, column/membrane lifetimes • Intermediates: QC and stability data • Mfg Development: Batch history, mfg changes • Comparability: Side-by-side flowcharts and data Michelle Herrera Foster, Ph.D.
DS CharacterizationSpecial Considerations • Origin of impurities: synthetic, degradation pathways • Isomerism, stereochemistry, polymorphism • Intermediates • Biotech/proteins: Post-translational, heterogeneity, bioactivity, immunogenicity • Process impurities: residual solvents and extractables/leachables Michelle Herrera Foster, Ph.D.
DP ManufactureSpecial Considerations • PharmDev: Development of formulation/process, container-closure, compatibility, comparability • Sterile processes: hold times, transfers, storage • Sterile Process Validation (FDA guideline) • Container-closure (FDA guideline) • Sub-modules for diluents and placebo Michelle Herrera Foster, Ph.D.
AnalyticalSpecial Considerations • Compendial excipients: USP, EP, JP • Non-compendial: Provide specs • DS and DP Specs: Release, shelf-life • Describe alternate methods • Provide bridging data for revised procedures • Provide representative chromatograms • Batch analyses: Clinical and commercial lots • Justification of specs: Provide data and rationales Michelle Herrera Foster, Ph.D.
StabilitySpecial Considerations • Data support the label for storage/shipping • Justification of stability-indicating tests • Stress (forced degradation) studies • Pilot studies: justify lots are “representative” • Representative scans, chromatograms • Stability data tables (FDA guideline) Michelle Herrera Foster, Ph.D.
Facilities and EquipmentSpecial Considerations • Precautions taken to prevent contamination • Environmental monitoring • Flow diagrams: product, personnel, waste • Other Products: Campaign, changeover • Cleaning validation summary • Equipment: Product-contact, sterilization Michelle Herrera Foster, Ph.D.
Adventitious AgentsSpecial Considerations • TSE/BSE Certificates of Suitability (EU) • Testing: cell banks, in-process, release • Viral clearance and inactivation studies • History of facility contamination • BSE-free statement Michelle Herrera Foster, Ph.D.
The SMART Process for Preparing Submissions Strategy: Plan ahead, first prepare Summary Mapping: Prepare outline with key Messages Authoring: The right authors and Accountability Reviewing: The right reviewers and Resolution Training: Sharing knowledge and Teamwork Michelle Herrera Foster, Ph.D.
Conclusions • The CTD guideline addresses core submission requirements and outlines core regional differences. • Consult regional guidelines and reviewers! • The CTD format for the IND is accepted by FDA and most European agencies, and required by Canada. Michelle Herrera Foster, Ph.D.
Conclusions (contd.) • Planning ahead is key to success and rapid approvals. • Start your CTD in Phase 1. • The CTD facilitates global notification of manufacturing changes. • Your CMC submission is a living document that you have to live with for the lifetime of your product! Michelle Herrera Foster, Ph.D.
References ICH: International Conference on Harmonization www.ich.org FDA: Food and Drug Administration (U.S.) www.fda.gov EMEA: European Medicinal Evaluation Agency (EU, Europe), www.emea.eu.int www.ctdquality.com Michelle@ctdquality.com 978-922-6017