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Active pharmaceutical ingredients

Presented By
Rutendo Kuwana

Training workshop: Training workshop on regulatory requirements for registration of Artemisinin based combined medicines and
.assessment of data submitted to regulatory authorities, February 23-27, 2009, Kampala, Uganda

Presentation approach
Discuss aspects of the information that is required for the
API for WHO Prequalification
Use examples from literature as well as experience from
the WHO PQ Project

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Active Pharmaceutical Ingredients - Artemisinin based therapy

Some definitions

Active Pharmaceutical Ingredient (API)

A substance or compound that is intended to be used in


the manufacture of a pharmaceutical product as a
therapeutically active compound (ingredient)

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Active Pharmaceutical Ingredients - Artemisinin based therapy

Some definitions (2)

Enantiomers
cpds with same molecular formula as substance but differ in spatial
arrangement of atoms and are non-superimpossable mirror images

Polymorphism occurrence of different crystalline forms of the same


substance

Degradation product molecule resulting from chemical change in


substance due to e.g. light, temperature, pH, water, reaction with
excipient, immediate container/closure
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Active Pharmaceutical Ingredients - Artemisinin based therapy

Some definitions (3)

Impurity any component of the medicinal product which is not the


chemical entity defined as the active substance or an excipient of
the product

Identified Impurity an impurity for which structural characterisation


has been achieved

Unidentified degradation product an impurity defined only by


qualitative properties e.g. Rt

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Active Pharmaceutical Ingredients - Artemisinin based therapy

Available information on API


Applicants should collect and analyse available information
of the API in a systematic approach. This approach
Leads to a sound scientific understanding of the API, with
respect to properties, stability, specifications, etc.
Assists in API manufacture and DMF compilation
Leads to the appropriate choice of API manufacturer (source)
Assists in dossier compilation
Is important for FPP pharmaceutical development
Leads to reduction of time / cost

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Active Pharmaceutical Ingredients - Artemisinin based therapy

Literature information on API

Standard works / series / books such as:

(Analytical) Profiles of Drug Substances and Excipients [eds: Florey / Brittain


31 volumes]
The Merck Index (for structures, properties)
Pharmaceutical Codex (12th edition) (old APIs)

Journals through search facilities such as

International Pharmaceutical Abstracts, Chemical Abstracts, Analytical


Abstracts & internet

Pharmacopoeial monographs (current)


Analysis of structure & stereochemistry
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Active Pharmaceutical Ingredients - Artemisinin based therapy

Information from
literature and structures

APIs which are organic compounds, have unique


chemical structures & stereochemistry
These structures, together with the solid/liquid state
conditions, are basically responsible for chemical and
physical properties of the APIs

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Active Pharmaceutical Ingredients - Artemisinin based therapy

Guidelines
Guideline on Submission of Documentation for Prequalification of Multi-Source
(Generic) Finished Pharmaceutical Products (FPPs) Used in the Treatment of HIV/AIDS,
Malaria and Tuberculosis [GuideGeneric]
Guidance on Variations to a prequalified Dossier [Variation Guide]
Guideline on Active Substance Master File Procedure [CPMP/QWP/227/02 Rev1]
Guideline on Active Pharmaceutical Ingredient Master File (APIMF) Procedure
[Draft]
Guideline on Summary of Requirements for Active Substances in the Quality Part of
the Dossier [CPMP/QWP/297/97 Rev 1 corr]
ICH Q3A [R] Impurities Testing Guideline: Impurities in New Drug Substances
[CPMP/ICH/2737/99]
ICH Q6A Specifications: Test Procedures and Acceptance Criteria for New Drug
Substances and New Drug Products: Chemical Substances [CPMP/ICH/367/96 corr]
ICH Q2A Validation of Analytical Procedures: Definitions and Terminology
[CPMP/ICH/381/95]
ICH Q2B Validation of Analytical Procedures: Methodology [CPMP/ICH/281/95]

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Active Pharmaceutical Ingredients - Artemisinin based therapy

Literature support

Literature information used in the dossier should always be


accompanied by
Full traceable reference citations
Photocopies of publication or relevant pages

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Active Pharmaceutical Ingredients - Artemisinin based therapy

Properties of APIs

Scenarios:
API not described in BP, Ph., JP, Ph.Eur., or USP (non - compendial)
Considered new
(?) information on (adverse) drug reaction
Risk estimation high
Profound information necessary
API described in BP, Int.Ph., JP, Ph.Eur.,or USP (compendial)
Considered in use
Information on (adverse) drug reaction (monitored)
Risk estimation based on available data
Information necessary limited to data beyond the monograph
Essential control by the monograph

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Active Pharmaceutical Ingredients - Artemisinin based therapy

Properties of API(s)
APIs not described in BP, PhInt, PhEur or USP
a) evidence of chemical structure
spectral data
Single crystal X-ray structure (sufficient) or
Spectrometric data (IR, 1H & 13C NMR, MS, etc.): QA certified
copies of the spectra and tabulated data with
assignments against structure/interpretation of data (narrative)
b) evidence of chemical structure
Isomerism
Stereochemistry
Discussion of potential isomeric forms

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Active Pharmaceutical Ingredients - Artemisinin based therapy

Properties of API(s)

Properties relevant/critical for the performance of the API


c) potential polymorphic forms
Influence on physicochemical and physical characteristics (solubility,
hardness, compressibility, density, melting point, etc.) Must be
controlled
d) particle size distribution
requirement for low solubility drugs (dissolution, bioequivalence)
e) additional characteristics
critical characteristics to be controlled to ensure consistent
performance of the API (e.g. hygroscopicity)

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Active Pharmaceutical Ingredients - Artemisinin based therapy

Properties: non-compendial APIs

Proof of structure/stereochemistry correctness


correlation against API spectral data from peer reviewed literature,
preferable innovator publication (in tabulated form!!). Strongly
recommended

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Active Pharmaceutical Ingredients - Artemisinin based therapy

Properties of API(s)
APIs described in BP, PhInt, PhEur or USP
Evidence of chemical structure
control of structure by suitable compendial identification tests
Properties relevant/critical for the performance of the API (not necessarily
covered by the monograph)
a) potential polymorphic forms
Influence on physicochemical and physical characteristics (solubility,
hardness, compressibility, density, melting point, etc.) Must be
controlled
b) particle size distribution
requirement for low solubility drugs (dissolution, bioequivalence)
c) additional characteristics
critical characteristics to be controlled to ensure consistent
performance of the API (e.g. hygroscopicity)

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Active Pharmaceutical Ingredients - Artemisinin based therapy

Properties: Compendial APIs

Physico-chemical and other relevant properties, e.g.


Solubility in water (effect of pH), other solvents such as ether,
ethanol, acetone and dichloromethane
pKa, partition coefficient
Existence/absence of polymorphs and pseudo-polymorphs e.g.
solvates (with XRPD, DSC, IR)
e.g. Rifampicin polymorphs I and II
Hygroscopicity
Particle size

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Active Pharmaceutical Ingredients - Artemisinin based therapy

Properties of API(s)
Categories of Antimalarials
APIs described in monographs of major international
pharmacopoeias ( 10 years)
Amodiaquine, Chloroquine, Dapsone, Quinine, Mefloquine,
Sulfadoxine/Pyrimethamine, Trimethoprim
APIs described in monographs of major international
pharmacopoeias (recently)
Arthemether, Artemisinin, Artemotil, Artenimol, Artesunate
APIs not described in monographs of major international
pharmacopoeias
Chlorproguanil, Lumefantrine, Naphthoquine, Piperaquine, Pyronaridine

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Active Pharmaceutical Ingredients - Artemisinin based therapy

Malaria APIs: Table of occurrence

API

BP

EP

US

Int

JP

MI

Artemether

Artemisinin

Artemotil (arteether)

Artenimol

Artesunate

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Active Pharmaceutical Ingredients - Artemisinin based therapy

APr

Cod

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Malaria APIs: Table of occurrence (con.)

API

BP

EP

Amodiaquine

US

Int

Lumefantrine

JP

MI

APr

Cod

Mefloquine

Pyrimethamine

Sulfadoxine

Lumefantrine only malaria API without monograph

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Properties of Artemisinins
Artemisinin (C15H22O5)

7 centers of asymmetry
27 potential isomers
One isomer in biosynthesis
Chemical synthesis
Feasible but uneconomical

Chemical derivatization at
C-10 (carbonyl-moiety) converts
C-10 into an additional
stereoisomeric center:

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- and -isomers are formed

Active Pharmaceutical Ingredients - Artemisinin based therapy

8
9

8a
12a

10
11
12

5a
5

1
4
2

Properties of Artemisinins
Manufacturer proposals

Melting range

Specific optical rotation

a-Artemether

100C

b-Artemether

84 - 86C, 86 90C

+166-+173, +168-+173
20mg/ml C2H5OH

a-Artesunate

144C, 143C, 142-146C


132-135C, 131-134C

+2.5-+3.5, +4.5-+6.5, +11-+14


10mg/ml CH2Cl2
+11-+14, 40mg/ml CH3Cl, +10-+14
(CH3Cl)

b-Artesunate

132-135C

+2.5-+3.5

a~b~Artenimol

+146 (15C)
(?mg/ml MeOH)

Diastereomers
may differ in their melting point/specific optical rotation
(in solution)

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Active Pharmaceutical Ingredients - Artemisinin based therapy

Route(s) of synthesis

API not described in BP, Int.Ph., JP,Ph.Eur., or USP (non-compendial APIs)


Controls of critical steps and intermediates
Potential impact on the quality of the API and intermediates
Process conditions, test requirements and other relevant parameters to be
controlled within predetermined limits

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Examples of potentially critical steps


Mixing of multiple components
Phase change and phase separation steps
Steps where control of pH and temperature are critical
Introduction of an essential structural element or major chemical
transformation
Introduction/removal of significant impurities to the API
Final purification step
Steps with an impact on solid state properties/homogeneity of the API

API described in BP, Int.Ph., JP, Ph.Eur.,


or USP (compendial APIs)

Active Pharmaceutical Ingredients - Artemisinin based therapy

Route(s) of synthesis (cont.)

Requirements: The synthesis should

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lead to the correct structure, stereochemistry and crystal form


& size (if relevant)
be well controlled and validated (GMP)
produce an API which meets acceptable standards of quality,
including limits of impurities (organic, inorganic, residual
solvents)

Active Pharmaceutical Ingredients - Artemisinin based therapy

The information required for the synthesis of the API may


depend on

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Availability of a valid CEP - no synthesis information is then


required. CEP must however have all appendices and applicant
to submit other info not covered by CEP

Whether the quality of the is API controlled by a monograph in


an acknowledged pharmacopoeia?

No official monograph is available for quality control


- Detailed information required e.g. Open Part of DMF (from API
manufacturer)
- Also signed declaration from API manuf that synthesis and purification
are as described in the dossier

Active Pharmaceutical Ingredients - Artemisinin based therapy

Certification Scheme /EDQM


CEP Option
Issued by EDQM for substances described in the Ph. Eur.
www.edqm.eu under Certification.Pharm.Substances

Information which can be found on a quality CEP


- CEP reference Number,

- CEP holder,
- Site of manufacture of the API, site of manufacture of declared starting
material
- Grade (particle size or sterile) (if applicable)
- Ph. Eur. monograph according to which the Certification dossier has been
evaluated,
- Additional impurities and residual solvents not mentioned in the
monograph,
- Additional methods to those of the monograph as annexes,
- If sterile API, Method of sterilization + mention that process and validation
have been assessed
- Re-test period (if applicable)
- Packaging system and storage condition (if re-test period mentioned),
- Date of validity of the CEP

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Active Pharmaceutical Ingredients - Artemisinin based therapy

Certification Scheme /EDQM


CEP Option

A quality CEP certifies that the quality of the


substance can be checked according to the Ph. Eur.
by applying the analytical methods described in the
specific Ph. Eur. monograph supplemented by those
appended to the CEP.

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Active Pharmaceutical Ingredients - Artemisinin based therapy

Synthesis : non-compendial APIs

A flow diagram of the synthesis process


including structures & stereochemistry of starting materials & intermediates;
reagents; catalysts; solvents

A full description of each step / process, including:

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Reaction conditions (temp., time, moisture control, etc.)


Quantities of reagents/solvents
Size of production scale
Purification of intermediates
Final API purification method / crystallisation / solvent(s)
Reprocessing (has to be justified, validated)
Process controls
Validation of critical steps, e.g. aseptic processes
Discussion of (possible) process impurities
Organic, residual solvents and catalysts/inorganic

Active Pharmaceutical Ingredients - Artemisinin based therapy

API described in BP, PhInt, PhEur or USP


Impurities that are not included in the monograph
Process related impurities
Key intermediates
Residual solvents
Potential organic impurities not covered by the monograph

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Active Pharmaceutical Ingredients - Artemisinin based therapy

Specifications of raw materials and intermediates used in


synthesis
Provide specifications for

starting materials and intermediates (if isolated)


reagents, solvents & catalysts

Class 1 solvents should not be used (ICH Q3C)

Benzene, Carbon tetrachloride, 1,2-Dichloroethane,


1,1-Dichloroethene & 1,1,1-Trichloroethane

Provide a declaration on the use/non-use of material of animal or


human origin (TSE)

Risk of Transmitting Animal Spongiform Encephalopathy Agents (WHO TRS


908, Annex 1 or EMEA/410/01 Rev.2)

To limit impurities in the API (For safety reasons)


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Active Pharmaceutical Ingredients - Artemisinin based therapy

WHAT IS A STARTING MATERIAL?

Contributes an important structural part of the API


Available in free trade
Compound well defined in chemical literature (name, chemical
structure, chemical and physical properties, and impurity profile)
Synthesized by commonly known process

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Active Pharmaceutical Ingredients - Artemisinin based therapy

RE-DEFINITION OF STARTING MATERIAL


MARKS THE START OF THE MANUFACTURING PROCESS
DESCRIBED IN AN APPLICATION
Manufacturing steps before are not described
Manufacturing steps before need not be performed in
accordance with GMP
Changes in manufacturing steps before need not be reported
to WHO
EACH BRANCH OF A SYNTHESIS WILL BEGIN WITH ONE OR MORE
STARTING MATERIALS

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Active Pharmaceutical Ingredients - Artemisinin based therapy

API specifications

API not described in BP, Int.Ph., JP, Ph.Eur., or USP (non-compendial


APIs)

API described in BP, Int.Ph., JP, Ph.Eur.,


or USP (compendial APIs)
General note
An API has only one set of specifications applicable at release and
throughout the re-test period
an FPP may have two sets of specifications release and shelf-life

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Specifications: Non-Compendial APIs

ICH Q6A (new APIs and products) for instance:

Requires justification for proposed specifications

Impurities to be characterised and limits set

synthesis and degradation according to ICH Q3A(R)


residual solvents according to ICH Q3C

Analytical methods with validation

Preparation and potency determination/specification of primary


and secondary (working) standards, with CoAs

Valid CoAs for at least 2 batches


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Active Pharmaceutical Ingredients - Artemisinin based therapy

Non-compendial APIs
Typical set of specifications

Appearance/description

Identification (at least one specific, e.g. IR spectrum)

Moisture content (or LOD: moisture + residual solvents)

Impurities
- Related organic substances (synthesis or degradation)
specified
unspecified and
total organic impurities
- Inorganic impurities, including catalysts
- Residual solvent(s)

Assay

Additional parameters important for specific API

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such as particle size, polymorphic form, microbial limits

Active Pharmaceutical Ingredients - Artemisinin based therapy

Specs: Compendial APIs

The current monograph always applicable


Additional critical specifications that are not included in monograph
e.g.
particle size & polymorphic form
synthesis related impurities resulting from specific process which may be
additional to monograph
residual solvents (specific to process)

Valid CoAs for at least 2 batches required


CEP normally states tests additional to the monograph
e.g. residual solvents & impurities

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Active Pharmaceutical Ingredients - Artemisinin based therapy

IMPURITIES

Extraneous contaminant (foreign substances)


Toxic impurities
Concomitant components
Signal impurities

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Active Pharmaceutical Ingredients - Artemisinin based therapy

Classes of Impurities

Organic
Inorganic
Residual solvents

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Active Pharmaceutical Ingredients - Artemisinin based therapy

Organic Impurities

May arise during manufacturing process and storage

Starting materials
By products
Intermediates
Degradation products
Reagents, ligands and catalysts
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Active Pharmaceutical Ingredients - Artemisinin based therapy

Inorganic Impurities
May be from manufacturing process and are normally
known and identified:

Reagents, ligands and catalysts


Heavy metals
Inorganic salts
other materials (e.g. filter aids, charcoal etc.)
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Active Pharmaceutical Ingredients - Artemisinin based therapy

Solvents

Organic or inorganic liquids used during the manufacturing


process

Toxicity generally known, therefore controls achievable

Limits to be based on pharmacopoeial standards or known


safety data

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Active Pharmaceutical Ingredients - Artemisinin based therapy

IMPURITIES
Identified impurity
Unidentified impurity
Specified impurity
Unspecified impurity

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Active Pharmaceutical Ingredients - Artemisinin based therapy

Impurity Thresholds
Identification threshold Limit above which, impurities found are to be identified
either structurally or by a qualitative parameter e.g. RT in HPLC system
Qualification threshold Limit above which, impurities found are to be
toxicologically qualified
Reporting threshold Limit from which, impurities should be analytically reported
Maximum Daily
Dose

Reporting
Threshold

Identification
Threshold

Qualification
Threshold

2g/day

0.05%

0.10% or 1mg per

0.15% or 1mg per

day intake (whichever is

day intake (whichever is

lower)

lower)

0.05%

0.05%

2g/day

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0.03%

Active Pharmaceutical Ingredients - Artemisinin based therapy

ICH Guidelines for Identification and Qualification of


impurities in bulk drugs and FPPs

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Active Pharmaceutical Ingredients - Artemisinin based therapy

IMPURITY EQUIVALENCE
To demonstrate that different sources of the API or routes of
synthesis are equivalent, checks on impurities are required to
show that
No new impurity is observed in the intermediate above 0.1%
No new impurity is observed in API above the qualification
threshold
Each existing impurity is within its stated limit
Total impurities are within the stated limit

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Active Pharmaceutical Ingredients - Artemisinin based therapy

IMPURITY EQUIVALENCE (2)


Each existing residual solvent is within its stated limit

New residual solvents, in either an intermediate or the


API, are at or below the levels recommended in the ICH
guide

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Active Pharmaceutical Ingredients - Artemisinin based therapy

IMPURITY EQUIVALENCE (3)


Ideally, impurities should be evaluated in isolated
intermediates immediately following the process step in
which they are produced

The impurity search can be extended to the next


downstream intermediate and the evaluation process
repeated until the final intermediate, even to the API

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Active Pharmaceutical Ingredients - Artemisinin based therapy

Potential impurities of Artemisinins


Starting material (extracted from herbal sources)
GuideGeneric:
Starting materials from vegetable origin should be fully characterized and
a contaminant profile should be established and submitted.
CPMP/QWP/297/97 Rev 1 corr:
In the case of substances isolated form herbal sources, the potential for
impurities arising from cultivation and/or preparation (e.g. pesticide
residues, fumigants, mycotoxins) should be addressed.

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Active Pharmaceutical Ingredients - Artemisinin based therapy

Potential impurities of Artemisinins II


Impurities contained in the starting material - Artemisinin
Biosynthetic by-products
Arteannuin B , Artemisitene, Artemisinic acid,
Extraction from fresh leaves with CHCl 3 within 1 min > 97%
Localisation in subcuticular space of the glands on the
surface of the leaves

Cultivation reagents
Pesticide residues, fumigants, mycotoxins

Solvents from the extraction process


Hexane, benzene, acetonitril, ether, pentane, chloroforme..(?) diesel, fuel
(?) [ICH Q3A (R)]

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Active Pharmaceutical Ingredients - Artemisinin based therapy

Potential impurities of Artemisinins III


Unreacted starting material
Artemisinin (starting material for derivatives)
Artemisinic acid (starting matrial for dihydroartemisinin)
Dihydroartemisinin (starting material for derivatives)
Unreacted intermediates, by-products
-Arthemether, -Artheether
/-Dihydroartemisinin
-Artesunate

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Active Pharmaceutical Ingredients - Artemisinin based therapy

Potential impurities of Artemisinins III cont.


Reagents, catalysts, residual solvents
Methanol, acetonitril, chloroforme, acetone
NaBH4, succinic acid/anhydride, triethylamine,
dimethylaminopyridine
Degradants
Stability of
ester-derivative (Artesunate)
ether-derivative (Artemether, Arteether)
lactone (Artemisinin)
Stability of artenimol (oxidation)
Susceptibility of endoperoxide bond to reduction
Deoxyartemisinine (loss of active principle!)
Zn / AcOH or FeBr2 / THF
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Active Pharmaceutical Ingredients - Artemisinin based therapy

Site(s) of manufacture
The quality of APIs is dependent on
Manufacturing site
Equipment, personal, technology
Route of synthesis, operational conditions, IPCs
Impurity profile, stability (API & FPP)
The quality of an API may consequently impact the quality of a FPP
Change in manufacturing site
Alternate API-manufacturers
Change in route of synthesis
Alternate API-manufacturers

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Active Pharmaceutical Ingredients - Artemisinin based therapy

Stability testing
Stress testing of API (forced degradation) helps
to identify the likely degradation products and pathways
to establish stability of the molecule
To verify specificity of stability assay method
e.g. Diode array detection for API peak purity !

Stability testing (regulatory) to provide evidence on


how the quality of an API varies with time
under the influence of a variety of environmental factors such as
temperature, humidity, and light; and
to establish a re-test period for the API and
to recommended storage conditions

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Active Pharmaceutical Ingredients - Artemisinin based therapy

Stress testing (forced degradation)


Typical conditions
The conditions should

Stress factor

Conditions (e.g.)

partially (e.g. 10-30%)


decompose the API to
primary degradation
products

Humidity

75% RH (solid)

Heat **

60C (solid)

Heat

water

Acid

0.1 M HCl

Conditions can be
changed to get required
degree of degradation

Base

0.1 M NaOH

Oxidative

3% H2O2

Photolytic

ICH Q1B

** Temperature should not


come closer than 10C
from melting point

Metal ions
(optional)

0.05 M Fe2+ or Cu2+

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Active Pharmaceutical Ingredients - Artemisinin based therapy

Stress testing (forced degradation)


Literature

Literature information and/or CEP

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in support of and/or
to replace experimental data

Active Pharmaceutical Ingredients - Artemisinin based therapy

Important Elements

The API must be of required structure & stereochemistry

The physical properties must be well understood, e.g.


hygroscopicity, crystal properties and solubility

The synthesis process must be according to GMP to


consistently produce an API of required chemical and physical
quality
limit impurities according to defined standards

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Active Pharmaceutical Ingredients - Artemisinin based therapy

Important Elements (2)

The set of specifications should

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be based on validated analytical methods


with appropriate acceptance criteria
to which an API should conform to be considered acceptable for
its intended use throughout the retest period in the proposed
packaging

Active Pharmaceutical Ingredients - Artemisinin based therapy

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