What to control? CQAs and CPPs Dr. Thomas Stangler On behalf of the European Generic medicines Association Development Strategy & Technology Manager Sandoz Biopharmaceuticals BWP Workshop on Setting Specifications London, 9 September 2011 1 1 | Martin Schiestl | Singapore, 27 November 2010
Agenda Critical Quality Attributes (CQAs) • Scoring Impact and Uncertainty • Uncertainty Dilemma • Continuous quality attribute critical scale Critical Process Parameters (CPPs) • Process control point analysis – High level overview on process – product linkage • FMEA risk assessment as life cycle approach • Considering process parameter range CQAs and CPPs as basis for the control strategy 2 |What to control?, BWP Workshop on Setting Specifications | Thomas Stangler, September 9th, 2011
Elements in Biopharmaceutical Development Establish Quality Target Product Profile – the QTPP forms the QTPP basis of design for development of the product Determine Critical Quality Attributes – linking quality attributes CQAs to clinical safety and efficacy Process Risk Linking process parameters and critical material attributes to Assessment CQAs – Definition of critical process parameters (CPPs) Optional: Define the design space – (multivariate) acceptable Design Space process parameter ranges Process Knowledge Design and implement control strategy using risk management Control Strategy e.g. by linking CQAs to process capability and detectability Continual Manage product life cycle, including continuous process Improvement verification and continual improvement 3 |What to control?, BWP Workshop on Setting Specifications | Thomas Stangler, September 9th, 2011
Regulatory landscape for CQAs ICH Q7 Validation: “Defining the API in terms of its critical product attributes“ “At a minimum, those aspects of drug substances [...] that are critical to ICH Q8(R2) product quality should be determined and control strategies justified“. Definition in ICH Q8(R2) ANNEX : A physical, chemical, biological or microbiological property or characteristic that should be within an appropriate limit, range, or distribution to ensure the desired product quality. “Manufacturing process development should include, at a minimum, the ICH Q11 following elements: Step 3 Identifying potential CQAs associated with the drug substance [...]” “Applications should include the following minimal element [...]: FDA MaPP - Critical Quality Attributes (CQAs) of the drug product “Applying ICH Q8, Q9, Q10 - CQAs of the drug substance and excipients” Principles to CMC Review” CQAs are a key concept for a pharmaceutical product development 4 |What to control?, BWP Workshop on Setting Specifications | Thomas Stangler, September 9th, 2011
Assessing quality attribute criticality Using quality attribute Start with list of all possible quality attributes criticality for: – Consider mode of action and molecule type •Prioritization in QbD cell line & Risk-based approach to identify CQAs process development – Links quality attributes to safety and efficacy •clone and process selection – Standardizes judgment and documents establishing and justifying analytical rationale program •comparability exercises, justification Criticality reflects impact on safety and of acceptance ranges and quality efficacy differences Keep process considerations separate from •process characterization (linking CQA assessment process parameters to quality – CQA impact on safety & efficacy is attributes) independent of process capability, process • control strategy (process, IPCs, changes shouldn’t impact QA criticality specifications) – makes CQA assessment more modular •dossier (CQA as regulatory expectation) •Knowledge management (beyond licensing) 5 |What to control?, BWP Workshop on Setting Specifications | Thomas Stangler, September 9th, 2011
Quality Attribute Criticality Assessment Risk assessment for ranking and prioritizing quality attributes General concept described in A-MAb case study (Tool #1) Criticality Score = f(Impact,Uncertainty) e.g.: Criticality Score = Impact x Uncertainty (A-MAb) Criticality Score Impact Uncertainty Quantitative measure for Known or potential Relevance of information e.g. an attribute‘s impact on consequences on safety safety and efficacy. and efficacy, considering: literature •Biological activity prior knowledge Using best possible •PK/PD in vitro surrogates for clinical •Immunogenicity preclinical safety and efficacy •Safety (Toxicity) clinical or combination of information Manufacturer‘s accumulated experience, relevant information, data e.g. literature, prior & platform knowledge, preclinical and clinical batches, in vitro studies, structure-function relationships 6 |What to control?, BWP Workshop on Setting Specifications | Thomas Stangler, September 9th, 2011
Scoring Impact – examples scales from A-Mab Scoring Impact on biological activity, PK/PD, immunogenicity and safety individually for all quality attributes 7 |What to control?, BWP Workshop on Setting Specifications | Thomas Stangler, September 9th, 2011
Scoring Uncertainty – example from A-Mab Scoring Uncertainty for every scored Impact Criticality Scores for A-Mab calculated by Impact x Uncertainty – Criticality Score between 2 and 140 8 |What to control?, BWP Workshop on Setting Specifications | Thomas Stangler, September 9th, 2011
Benefits of a continuum of criticality FDA guidance on process validation – The degree of control over those attributes or parameters should be commensurate with their risk to the process and process output. In other words, a higher degree of control is appropriate for attributes or parameters that pose a higher risk. – Perception of criticality as a continuum rather than a binary state is more useful. Source: FDA Guidance on process validation 9 |What to control?, BWP Workshop on Setting Specifications | Thomas Stangler, September 9th, 2011
Criticality Score: Dilemma of high uncertainties Highest scores for high impact – combined with high uncertainty Lower scores for high impact – combined with low uncertainty high 140 14 28 High uncertainty – high impact e.g. mistranslations, hybrid What is more glycans 20 critical? Uncertainty “I know it has an Appropriate ranking for impact“ Criticality = Impact x Uncertainty development & control? or Low uncertainty – high impact “It might have an e.g. Modification in CDR region impact“ 2 20 low low high Impact 10 |What to control?, BWP Workshop on Setting Specifications | Thomas Stangler, September 9th, 2011
Approaches to solve the Uncertainty dilemma Impact-only Criticality Threshold High Uncertainty Criticality = Impact x Uncertainty with CQA threshold Impact only Low low high low high Impact Impact May only be applicable very late- Low threshold necessary to avoid any phase with very good product false non-criticals understanding Loosing continuous criticality score Loosing the uncertainty information 11 |What to control?, BWP Workshop on Setting Specifications | Thomas Stangler, September 9th, 2011
Alternative approach for the criticality score Putting highest criticality on high impact & low uncertainty – And ensure sufficient criticality for high uncertainty attributes Criticality as a continuum rather than a binary state High Low certainty “It might have an impact” – high impact Uncertainty Increasing Criticality High certainty “I know it has an impact” – high impact Low low high Impact 12 |What to control?, BWP Workshop on Setting Specifications | Thomas Stangler, September 9th, 2011
Example for a continuous criticality scoring Scoring of Impact & Criticality Score Uncertainty conceptually 45 50 70 80 90 7 similar to A-Mab Uncertainty 6 Determination of criticality 31 39 73 90 107 5 score using either 24 34 74 95 115 4 • Scoring matrix as shown 16 28 76 100 123 3 (5 criticality categories or 9 23 77 104 132 2 continuous score) 1 2 17 79 109 140 • Calculation using a formula 2 4 6 8 10 12 14 16 18 20 Impact 13 |What to control?, BWP Workshop on Setting Specifications | Thomas Stangler, September 9th, 2011
Elements in Biopharmaceutical Development Establish Quality Target Product Profile – the QTPP forms the QTPP basis of design for development of the product Determine Critical Quality Attributes – linking quality attributes CQAs to clinical safety and efficacy Process Risk Linking process parameters and critical material attributes to Assessment CQAs – Definition of critical process parameters (CPPs) Optional: Define the design space – (multivariate) acceptable Design Space process parameter ranges Process Knowledge Design and implement control strategy using risk management Control Strategy e.g. by linking CQAs to process capability and detectability Continual Manage product life cycle, including continuous process Improvement verification and continual improvement 14 |What to control?, BWP Workshop on Setting Specifications | Thomas Stangler, September 9th, 2011
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