Anja Slikkerveer , Olaf Doehr , Nancy Claude , Richard Hutchinson , James Harvey , Steven Spanhaak
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引用次数: 0
摘要
目前已有多个国际指南,对控制药物和产品生产过程中固有的各种杂质的质量和安全因素进行了说明。然而,关于非突变杂质 (NMI),最相关的 ICH Q3A/B 指导原则并不适用于药物开发的早期阶段,导致这一阶段对可接受限度的混淆。因此,有必要采取更灵活的方法,在考虑到有限的接触时间的同时,确保患者的安全仍然是最重要的。EFPIA 根据 ICH Q3A 对杂质的定性进行了调查,收集了不同类型研究的定量数据,结果表明,467 种杂质在体内任何测试水平下都不会产生毒性。这些数据与早先公布的包括药物物质和中间体、食品相关物质和化学品在内的毒理学数据集相结合,提供了令人信服的证据,证明对于非甲烷总烃而言,在暴露持续时间内采用 5 毫克/天的通用限值,可以减少非甲烷总烃的毒性。
New limits proposed for the management of non-mutagenic impurities
Multiple international guidelines exist that describe both quality and safety considerations for the control of the broad spectrum of impurities inherent to drug substance and product manufacturing processes. However, regarding non-mutagenic impurities (NMI) the most relevant ICH Q3A/B guidelines are not applicable during early phases of drug development leading to confusion about acceptable limits at this stage. Thus, there is need for more flexible approaches that ensure that patient safety remains paramount, while taking into consideration the limited duration of exposure. An EFPIA survey, which collected quantitative data from different types of studies applied to qualify impurities in accordance with ICH Q3A, shows that no toxicities could be attributed to any of the 467 impurities at any tested level in vivo. This data combined with earlier published toxicological datasets encompassing drug substances and intermediates, food related substances and chemicals provide convincing evidence that for NMIs, the application of a generic 5 mg/day limit for an exposure duration <6 months, and a 1 mg/day generic limit for life-long exposure, provides sufficient margins to ensure patient safety. Hence, application of these absolute limits to trigger qualification studies (instead of the relative limits described in Q3A/B), is considered warranted. This approach will prevent conduct of unnecessary dedicated impurity qualification studies and the resulting use of animals.
期刊介绍:
Regulatory Toxicology and Pharmacology publishes peer reviewed articles that involve the generation, evaluation, and interpretation of experimental animal and human data that are of direct importance and relevance for regulatory authorities with respect to toxicological and pharmacological regulations in society. All peer-reviewed articles that are published should be devoted to improve the protection of human health and environment. Reviews and discussions are welcomed that address legal and/or regulatory decisions with respect to risk assessment and management of toxicological and pharmacological compounds on a scientific basis. It addresses an international readership of scientists, risk assessors and managers, and other professionals active in the field of human and environmental health.
Types of peer-reviewed articles published:
-Original research articles of relevance for regulatory aspects covering aspects including, but not limited to:
1.Factors influencing human sensitivity
2.Exposure science related to risk assessment
3.Alternative toxicological test methods
4.Frameworks for evaluation and integration of data in regulatory evaluations
5.Harmonization across regulatory agencies
6.Read-across methods and evaluations
-Contemporary Reviews on policy related Research issues
-Letters to the Editor
-Guest Editorials (by Invitation)