New limits proposed for the management of non-mutagenic impurities

Regul Toxicol Pharmacol. 2024 Jun:150:105647. doi: 10.1016/j.yrtph.2024.105647. Epub 2024 May 21.

Abstract

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.

Keywords: (Modified) Haber's law; Body surface area conversion; Early clinical development; ICH M7; ICH Q3A; ICH Q3B; ICH Q3C; ICH Q3D; Impurity qualification; Impurity safety; Margins of safety; Non-mutagenic impurities; Reduction animal use.

MeSH terms

  • Animals
  • Drug Contamination* / prevention & control
  • Guidelines as Topic
  • Humans
  • Risk Assessment