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OGD计划在处方相似性审评中隐藏更多信息

首页 > 资讯 > OGD计划在处方相似性审评中隐藏更多信息

页面比对

出自识林

OGD计划在处方相似性审评中隐藏更多信息
ANDA
页面比对
笔记

2015-05-24 Lachman CONSULTANTS

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某些特定的仿制药在同原研比对时,保证原料药和辅料成分“定性(Q1,qualitatively)定量(Q2,quantitatively)”相一致,可避免再进行体内药代动力学研究,或者基于临床终点的生物等效性试验。仿制药办公室过去允许企业针对特定品种(例如,滴眼液、部分外用产品以及某些液体制剂),提交处方进行预审,仿制药办公室(OGD)会评价该处方,并对其是否满足定性定量要求给出反馈,在所提交的处方不满足上述要求时,OGD还将告知企业具体哪种成分偏高或偏低。这一过程与一款风靡美国的电视竞猜类游戏带有几份相似性,被业界戏称为“猜猜看”。

我们从多个渠道听闻,OGD将不再就单个成分过高或过低提供明确的指向。OGD似乎打算只回复大家每种辅料达到或未达到标准。站在业界的立场上,这的确是一种倒退,而且对上述产品而言,也可能会显著地增加OGD审评的轮次与工作量。

为何FDA会对这一正常运转多年的项目作出调整?我们只能假设可能有原研厂商向FDA申诉,抱怨其处方审评中现行的“猜猜看”程序,可能有损其实处方的保密性。或许有其他原因招致这一调整,但这应该是最合理的解释了。

上述类型中会有品种包含多种辅料,且有的辅料含量相当少,以至于难以通过逆向工程的手段加以准确测量。比如一些含量处于0.005%水平上的辅料,试图逐一满足其定性或定量的要求非常困难,因为定性定量的定义要求每种辅料与参照药品的偏差不能超出正负5%的范围。这就是产品中占比小的辅料不能满足要求的原因。对于含有3-8种不同辅料的品种而言,满足定性定量的要求已经相当困难了;事实上对于复杂处方而言,如果没有指标用以指示某辅料在何种方向上已超标(偏高或偏低),即使理论上存在可能,实际工艺也难以达到。

这一政策据我所知尚未公开,但是对于尚有悬而未决的定性/定量问题受控函的仿制药企业、以及未来准备在此问题上寻求帮助的企业而言,或许会造成不利影响。希望FDA可以公布相关文件,对调整这一长期施行政策的原因加以介绍。

译者注:
Sec. 320.22 符合21 CFR 320.22(b)到(e)条款的,FDA可以申请生物等效性豁免。

21 CFR 320.22(b)一些药物的体内生物利用度(BA)和生物等效性(BE)是自证明(self-evident)。
如:(1)非肠道溶液:注射剂、眼科或儿科溶液,如果与参照药品含有同样的、且相同浓度的活性成分和辅料;
(2)吸入剂或吸入麻醉药,如果与参照药品含有相同剂型的活性成分;
(3)皮肤外用的溶液,如果与参照药品含有相同的活性成分,没有辅料,或辅料与参照药品无变化。

非肠道药物必须含有与参照药品相同的辅料成分和量。有些辅料(防腐剂、缓冲液、抗氧剂)是例外的辅料,可以有变化。但是,非例外的辅料是必须在定性和定量上与参照药品相同的(Q1/Q2 same)。申请人可以通过递交受控函,要求FDA评估拟定的处方,来减小ANDA拒收的风险。 参考FDA Guidance ANDA Submissions — Refuse-to-Receive Standards。

定性和定量(qualitatively and quantitatively,Q1 and Q2),是FDA对不同标准所采取的归类模式。定性标准一般可以用“是”“否”来判定,而定量标准一般为物理广度量,检验时需测出数值,建立接受标准。我们试举两例:
(1)“产品中有无某辅料”是定性问题;要求某辅料落在原研浓度正负5%的范围内,则是定量问题;
(2)“产品是否变色”是定性问题;针对产品颜色,建立经验证的特异性液相方法,并给出峰面积区间,则是定量问题。 参考 FDA Guidance Controlled Correspondence Related to Generic Drug Development 2014 (Draft);

Lachman CONSULTANTS - Bob Pollock先生 2015-05-21
编译:识林-葳 2015-05-24
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For Q1 and Q2 Determinations, OGD Nixes “The Price is Right” Process!

There are certain products that must be Q1 (qualitatively) and Q2 (quantitatively) the same, in terms of active and inactive ingredients, in order to avoid having to conduct in vivo pharmacokinetic or bioequivalence studies with clinical endpoints. The Office of Generic Drugs (OGD) has historically permitted firms to submit proposed formulations for certain product types (e.g., ophthalmic products, some topical products, and some other solution products) for pre-review, during which OGD would evaluate the formulation to determine if it was indeed Q1 and Q2. If the proposed formulation submitted was not Q1 and Q2, OGD would inform the firm of which individual components of the formulation were either too high or too low. This process was lovingly known by the industry as the “Price is Right” process for formulation acceptability, referring to the iconic television game show.

We have heard from multiple sources that OGD will no longer provide directional guidance on which of the individual components are either too high or too low. OGD will apparently now only tell you that you hit the mark on all ingredients, or you have failed. From industry’s perspective, this is really a step back and may also have the potential for causing significantly more work for many more rounds of formulation reviews for the same product by OGD.

Why would the OGD make such a change in a program that has worked well for a number of years? We can only postulate that perhaps an innovator complained to the FDA that, by playing the “Price is Right” with the formulation review, the Agency was actually helping firms to zero in on their confidential formulation. Perhaps there are other reasons, but, in thinking about this issue, that is the only plausible explanation that makes any sense.

Many of the types of products that must be Q1 and Q2 have multiple ingredients, many of which are at relatively low levels and/or may be very difficult to accurately measure using reverse engineering. With some ingredients existing at levels that may be in the 0.005% level, trying to hit the mark for Q1 and Q2 may be very difficult, since the definition of Q1 and Q2 requires that the difference from the reference listed drug by no more than +/- 5% for each ingredient. Therefore, the lower the level of the ingredient in the product, the harder it is to hit the mark. Couple this requirement in a product that may have 3-8 different inactive ingredients, the chance of hitting the Q1/Q2 requirement is difficult at best, and, without any hint as to which ingredient misses the mark, and in which direction (high or low), the process for getting it right becomes extremely difficult, if not impossible for complex formulations.

This policy change, which, to my knowledge, has not yet been communicated publically to the industry in general, will significantly adversely impact generic firms that have pending controlled correspondence asking for Q1/Q2 determinations, as well as firms that will be seeking advice on this issue in the future. Hopefully, FDA will make public by issuing some kind of document that outlines the reason for its change to this long-standing policy.

取自“https://login.shilinx.com/wiki/index.php?title=OGD%E8%AE%A1%E5%88%92%E5%9C%A8%E5%A4%84%E6%96%B9%E7%9B%B8%E4%BC%BC%E6%80%A7%E5%AE%A1%E8%AF%84%E4%B8%AD%E9%9A%90%E8%97%8F%E6%9B%B4%E5%A4%9A%E4%BF%A1%E6%81%AF”
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