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新提出的非致突变杂质管理限度。

New limits proposed for the management of non-mutagenic impurities.

机构信息

D2Team, Pompoenweg 9, Leiden, the Netherlands.

Bayer AG, Research and Development Pharmaceuticals, 13342, Berlin, Germany.

出版信息

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.

摘要

有多个国际指南描述了药物物质和产品制造过程中固有杂质的控制的质量和安全考虑因素。然而,对于非致突变性杂质(NMI),最相关的 ICH Q3A/B 指南在药物开发的早期阶段不适用,导致在此阶段对可接受限度存在混淆。因此,需要更灵活的方法,在考虑到暴露时间有限的情况下,确保患者安全仍然是首要任务。EFPIA 的一项调查收集了来自不同类型的研究的定量数据,这些研究根据 ICH Q3A 来确定杂质的合格性,结果表明,在体内任何测试水平下,没有任何毒性可归因于 467 种杂质中的任何一种。这些数据与之前发表的包含药物物质和中间体、食品相关物质和化学品的毒理学数据集相结合,提供了令人信服的证据,表明对于 NMI,应用 5 毫克/天的通用限度对于暴露时间<6 个月,以及 1 毫克/天的通用限度对于终生暴露,足以确保患者安全。因此,应用这些绝对限度来触发资格研究(而不是 Q3A/B 中描述的相对限度)被认为是合理的。这种方法将防止进行不必要的专门杂质资格研究和由此导致的动物使用。

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