SRILANKA
SRILANKA
CONTENTS
1. INTRODUCTION ................................................................................................................................................................. 3
2. ABBREVEATIONS .............................................................................................................................................................. 3
3. DEFINITIONS ...................................................................................................................................................................... 4
4. CATEGORIES OF APPLICATIONS FOR REGISTRATION ............................................................................................. 8
5. WHO CAN APPLY FOR REGISTRATION OF MEDICINES? .......................................................................................... 8
6. HOW TO APPLY .................................................................................................................................................................. 9
7. FEES ...................................................................................................................................................................................... 9
8. EVALUATION AND NOTIFICATION: .............................................................................................................................. 9
9. FLOWCHARTS AND PROCEDURES .............................................................................................................................. 10
a. Submission of Dossier Procedure –New Product Registration - Flowchart ................................................................ 10
b. Registration Renewal Procedure –Flow Chart ............................................................................................................ 11
c. Submission of Dossier Procedure – Re-Registration ................................................................................................... 12
10. COMPILATION OF THE DOCUMENT ............................................................................................................................ 13
11. THE CTD IS ORGANIZED INTO FIVE MODULES; ....................................................................................................... 13
12.THE FOLLOWING ARE GENERAL RECOMMENDATION FOR THE SUBMISSION OF THE DOSSIER: ................. 13
13. RECOMMENDATIONS FOR THE PRESENTATION OF THE INFORMATION IN THE MODULE 3 (QUALITY
MODULE) FOR DIFFERENT SCENARIOS THAT MAY BE ENCOUNTERED: .......................................................... 13
14. GUIDANCE FOR THE APPLICANT WITH REGARD TO COMPILATION AND FOLLOW-UP OF THE PD IS
LISTED HERE: ................................................................................................................................................................... 14
15. FAST TRACK REVIEW:.................................................................................................................................................... 14
16. PRIORITY REVIEW: ......................................................................................................................................................... 14
17. VARIATIONS ..................................................................................................................................................................... 14
18. BRAND (TRADE NAME): ................................................................................................................................................. 14
MODULE 1: ADMINSTRATIVE AND PRODUCT INFORMATION ..................................................................................... 16
MODULE 2: DOSSIER OVERALL SUMMARY (DOS) .......................................................................................................... 19
MODULE 3: QUALITY .............................................................................................................................................................. 19
3.1. Body of Data ......................................................................................................................................................................... 19
3.1.S Drug Substance 1 (Name, Manufacturer) ................................................................................................................... 19
3.2. P Drug Product (Finished Pharmaceutical Product (FPP)) .......................................................................................... 29
3.1.A Appendices ................................................................................................................................................................. 44
3.1.R Regional Information ................................................................................................................................................. 44
MODULE 4 - NON-CLINICAL STUDY REPORTS …………………………………………………………………………..45
MODULE 5 - CLINICAL STUDY REPORTS …………………………………………………………………………………47
APPENDIX 1: APPLICATION FORM FOR REGISTRATION ................................................................................................ 52
APPENDIX 2 : REQUIREMENTS FOR RE-REGISTRATION ................................................................................................ 55
APPENDIX 3:SUMMARY OF PRODUCT CHARACTERISTICS ........................................................................................... 57
19. REFERENCE LIST ........................................................................................................................................................... 599
20. FEEDBACK ...................................................................................................................................................................... 599
21. APPROVAL AND REVIEW .............................................................................................................................................. 60
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1. INTRODUCTION
This document “Guidelines for Registration of Medicines” will serve as the reference guide for the
registration process of medicines, as defined in the NMRA Act 2015, in Sri Lanka.
This documentation shall be read in conjunction with the current laws and regulations controlling
medicines in Sri Lanka. The written laws shall take precedence over this guidance document in any
event of discrepancy.
The content of this Guideline shall also be read in conjunction with relevant information described
in other existing World Health Organization (WHO) or International Conference on Harmonization
(ICH) reference documents and guidelines.
The scope of this document includes information relating to administrative requirements and
procedures for submission of an application for the registration of medicines
Applicants shall familiarize with the contents of this document and the governing legislations before
they submit applications for registration of medicines.
The Authority has powers to request for information not described in this document that is deemed
necessary to ensure the quality, safety, efficacy, need and price of the product.
The Authority reserves the right to amend any part of this document whenever it deems necessary.
The National Medicines Regulatory Act (NMRA Act) 2015 is the main legislation that control
medicines in Sri Lanka. The Authority established under NMRA Act is tasked with ensuring the
quality, safety and efficacy of medicines. The NMRA reserves the right to consider the need and the
price of a medicine before granting market authorization.
As per the NMRA Act, no person shall manufacture, sell, supply, import, manufacture or advertise
any medicine unless the product is a registered as a medicine with the Authority.
2. ABBREVEATIONS
API Active Pharmaceutical Ingredient
APIMF Active Pharmaceutical Ingredient Master File
BA Bioavailability
BE Bioequivalence
BCS Biopharmaceutical Classification System
BMR Batch Manufacturing Record
BPR Batch Packaging Record
CEP Certificate of Suitability
cGMP Current Good Manufacturing Practices
CPP Certificate of Pharmaceutical Product
CTD Common Technical Document
DOS-PD Dossier Overall Summary of Product Dossier
EPAR European Public Assessment Report
FDA Food and Drug Administration
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FDC Fixed-dose Combination
FPP Finished Pharmaceutical Product
GMP Good Manufacturing Practices
ICH International Conference on Harmonisation
INN International Non-proprietary Name
JP Japanese Pharmacopeia
OOS Out of Specification
OSD Oral Solid Dosage
DP Drug Product
PAR Public Assessment Report
PD Product Dossier
Ph. Eur. European Pharmacopoeia
Ph. Int. International Pharmacopoeia
PIL Patient Information Leaflet
PQM Promoting the Quality of Medicines Program
PV Process Validation
PVC Polyvinyl Chloride
QA Quality Assurance
QC Quality Control
RH Relative Humidity
DS Drug Substance
SMPC Summary of Product Characteristics
SOP Standard Operating Procedure
SRA Stringent Regulatory Authority
UDAF Unidirectional Air Flow
UDLAF Unidirectional Laminar Air Flow
USAID United States Agency for International Development
USP U. S. Pharmacopeia
WHO World Health Organization
3. DEFINITIONS
The following definitions are provided to facilitate interpretation of the Guideline; they apply only
to the words and phrases used in this Guideline.
Applicant
The person or entity who submits a registration application of product to the Authority and
responsible for the product information.
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Market Authorization holder
Batch records
All documents associated with the manufacture of a batch of bulk product or finished product.
They provide a history of each batch of product and of all circumstances pertinent to the quality of
the final product.
Bioavailability
The rate and relative amount of the administered drug which reaches the general circulation intact,
or the rate and extent to which the API is absorbed from a drug product and becomes available at
the site(s) of action.
Bioequivalence
Refer the definition given in the NMRA Act
Bio-waiver
Refer the definition given in the NMRA Act
Clinical trial
Any systematic study on pharmaceutical products in human subjects whether in patients or non-
patient volunteers in order to discover or verify the effects of, and/or identifies any adverse reaction
to investigational products, and/or to study absorption, distribution, metabolism, and excretion of
the products with the object of ascertaining their efficacy and safety.
Commitment batches
Production batches of an API or finished pharmaceutical product (FPP) for which the stability
studies are initiated or completed post-approval through a commitment provided with the
application.
Comparator product
A pharmaceutical product with which the generic product is intended to be interchangeable in
clinical practice. The comparator product will normally be the innovator product for which
efficacy, safety, and quality have been established.
Dosage Form
Formulation of an active ingredient(s) so that it can be administered to a patient in specified
quantity/strength, e.g., tablets, capsules, injection solution, syrups, ointments, suppositories, etc.
"Pharmaceutical Form" and "Finished Product" are synonymous to "Dosage Form."
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Excipient
Any component of a finished dosage form other than the claimed therapeutic ingredient or active
ingredients.
Formulation
The composition of a dosage form, including the characteristics of its raw materials and the
operations required to process it.
Immediate Container
That part of a product container which is in direct contact with the drug at all times.
Labeling
Includes any legend, word, or mark attached to, included in, belonging to, or accompanying any
drug including: 1) the immediate container label; 2) cartons, wrappers, and similar items; 3)
information materials, such as instructional brochures and package inserts.
Manufacturer
A company that carries out operations such as production, packaging, repackaging, labeling, and
relabeling of products.
Marketing authorization
An official document issued for the purpose of marketing or free distribution of a product after
evaluation of safety, efficacy, and quality of the product.
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The study carried out by the manufacturer on production batches according to a predetermined
schedule in order to monitor, confirm, and extend the projected re-test period (or shelf-life) of the
API, or to confirm or extend the shelf-life of the FPP.
Pharmaceutical equivalents
Products are pharmaceutically equivalent if they contain the same amount of the same active
ingredient(s) in the same dosage form, if they meet the same or comparable standards, and if they
are intended to be administered by the same route.
Pilot-scale batch
A batch of an API or FPP manufactured by a procedure fully representative of and simulating that
to be applied to a full production-scale batch; for example, for solid oral dosage forms, a pilot scale
is generally, at a minimum, one-tenth that of a full production scale or 100,000 tablets or capsules,
whichever is the larger; unless otherwise adequately justified.
Primary batch
A batch of an API or FPP used in a stability study from which stability data are submitted in a
registration application for the purpose of establishing a re-test period or shelf-life.
Production batch
A batch of an API or FPP manufactured at production scale by using production equipment in a
production facility as specified in the registration dossier.
Registration
New Registration- In the registration process when the application receives at the first time
and registration granted at first time
Renewal of Registration - In the registration process some of the medicine are issued with
Provisional Registrations (PR) for a defined reason. Such medicine needs to go through the process
of renewal of its registration with the submission of additional documents requested.
Re registration - Registration of a medicine is valid for 5 years. At the end of 5 years Market
Authorization Holder has to apply for registration for the continuity.
Specification
A document describing in detail the requirements with which the products or materials used or
obtained during manufacture have to conform. Specifications serve as a basis for quality
evaluation.
Stability
The ability of an active ingredient or a drug product to retain its properties within specified limits
throughout its shelf-life. The chemical, physical, microbiological, and biopharmaceutical aspects of
stability must be considered.
Validation
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The demonstration, with documentary evidence, that any procedure, process, equipment, material,
activity, or system actually leads to the expected results.
Variation
A change to any aspect of a pharmaceutical product including, but not limited to, a change to
formulation, method, and site of manufacture or specifications for the finished product, ingredients,
container and container labelling, and product information.
Regulatory Outcome
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The applicant must be a locally incorporated company, corporate or legal entity, with permanent
address and registered with Companies Registrar of Sri Lanka, and whose manufacturing facility
has been approved for the compliance for the GMP by the NMRA.
Responsibilities of applicants
a) To ensure that all transactions with NMRA are carried by their appointed person(s);
b) Responsible for all information pertaining to quality, safety and efficacy in support of the
product registration application; and shall inform the Authority in a timely manner any change in
product information during course of evaluation;
Any person who knowingly supplies any false or misleading information to the Authority with his
application for the registration of a product commits an offence.
c) Responsible for all matters pertaining to quality, safety and efficacy of the registered product,
including:
i.Data updates on product quality, safety and efficacy or Good Manufacturing Practice (GMP)
compliance of the manufacturers. Any change in any document, item, sample, particulars or
information which shall be notified in writing by the applicant to the Authority within fourteen 28
calendar days from the date of such change.
ii.Any decision to withdraw the registration of the product with reasons.
d) To notify the Authority of any change in correspondence details, including the name, address,
contact person, telephone number, fax number and email;
e) To notify the Authority immediately upon cessation of the applicant as the product
registration holder;
6. HOW TO APPLY
Manual submission on Accepting days announced by the NMRA.
Web-based online submissions via http://www.enmra.nmra.gov.lk
7. FEES
Under the Regulation No. 2052/33, January 05, 2018 published under NMRA Act.
The Authority may charge any applicant such costs as it may incur for the purpose of carrying
out any evaluation or investigation prior to the registration of any product.
Any payment made shall not be refundable once the application has been submitted and
payment confirmed.
Applications without the correct fees will not be processed.
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9. FLOWCHARTS AND PROCEDURES
Start
Form A & B
Proceed payment
Issue processing letter for dossier submission and handover
Check if it is a Yes yellow copy
NCE?
Proceed payment and handover the yellow copy
No
Submit to MEC
Submit Application
for Molecule
approval
The allocation
done on
recognized Issue & allocation of Dossier Number
categories;
NCE,
VAC,NDF,
NFDC & BTP. Allocate pharmacist by CEO for the Dossier
Approved?
Dossier Notify the respective pharmacist of the Dossier Numbers
Number Log
Check list
Evaluate Dossier
of
evaluation
Local agent
Inform to Request
submit samples to Yes
NMQAL local agent sample
This review will be
No done by three senior
Report issues by pharmacists
the NMQAL
Prepare Evaluation Report and Submit for review
No
No
Signed Off?
Yes
Scanned copy of
Email the client with the decision made Evaluation Report
Slip will be
Payment made and the yellow slip to be handed over to
attached to the
receiving point No
Original Dossier
Type certificate and send for validate and sign off by a
Certificate
pharmacist accurate?
Second copy – Filed
with the Dossier Final Copy sent to CEO for sign off Yes
Third Copy – Sent to
Finance Final Send to receiving point for collection
Notify MEC
End
Notify Board of NMRA
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b. Registration Renewal Procedure –Flow Chart
Check list of
evaluation
Evaluate Dossier
Prepare evaluation report and Submit for review This review will be done
by three senior
pharmacists
Review of Evaluation Report
No Evaluation Agreed?
Notify the initial
evaluator
Yes
The Decision
Signed Off?
Scanned copy of
Yes evaluation
Registration Type
Email the Evaluation Report to the client Payment Details
Payment made and the yellow slip to be handed over to Slip will be attached to
No receiving point the Original Dossier
Certificate Type certificate and send for verification and sign off by a Second copy – Filed with
accurate? pharmacist the Dossier
Third Copy – Sent to
Final Copy sent to CEO for sign off Finance
Notify MEC
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c. Submission of Dossier Procedure – Re-Registration
Start
Form A & B
Submit Application
No
Signed Off?
Yes
Scanned copy of
Email the client with the decision made Evaluation Report
Slip will be
Payment made and the yellow slip to be handed over to
attached to the
receiving point No
Original Dossier
Type certificate and send for validate and sign off by a
Certificate
pharmacist accurate?
Second copy – Filed
with the Dossier Final Copy sent to CEO for sign off Yes
Third Copy – Sent to
Finance Final Send to receiving point for collection
Notify MEC
End
Notify Board of NMRA
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10. COMPILATION OF THE DOCUMENT
The compilation of the document should be outlined according to the respective modules and
should be indexed or annotated as described in this Guideline in the Common Technical Document
(CTD) format.
There may be a number of instances where repeated sections can be considered appropriate.
Whenever a section is repeated, it should be made clear what the section refers to by creating a
distinguishing heading, e.g., 3.2.S Drug substance (or API) (name, Manufacturer A).
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For an sterile FPP with multiple container closure systems (Ampoule, Vials and Pre-filled
syringes etc), a separate dossier is required for each FPPs;
For different dosage forms of FPPs (e.g., tablets and capsule), a separate dossier is required
for each FPP;
For an FPP supplied with reconstitution diluents (s), one complete section should be
provided for the FPP, followed by the information on the diluents (s) in a separate part as
appropriate;
17. VARIATIONS
In case of requests to change the contents of specifications and test methods of the product, after
reviewing of the screening application, the applicant needs to follow the ”Variation Guideline”
published by the NMRA.
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2. Table of Contents of the Application, including Module 1 (Modules 1-5)
3. Application Form
4. Letter of Authorization by the manufacturer
5. Certificate of Pharmaceutical product
6. Certificate of Suitability (CEP), if any
7. Product Information
a. Summary of Product Characteristics (SPC)
b. Labeling Information (immediate and outer label)
c. Product information Leaflet (PI)
d. Patient Information Leaflet (PIL) where available or requested by the NMRA
Module 3 – Quality
1. Table of Contents of Module 3
2. Body of Data
3. Literature References
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MODULE 1: ADMINSTRATIVE AND PRODUCT INFORMATION
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In addition, a written commitment should be included that states the applicant will inform the
Authority in the event that the CEP is withdrawn. It should also be acknowledged by the applicant
that withdrawal of the CEP will require additional consideration of the API data requirements to
support the PD. The written commitment should accompany the copy of the CEP in Module 1.
Along with the CEP, the applicant should supply the following information in the dossier,
with data summarized in the PD and Module 3 of the dossier:
I. General properties ‒ discussion of any additional applicable physicochemical and other
relevant API properties that are not controlled by the CEP and Ph.Eur. monograph, e.g. solubility
and polymorphs.
II. Elucidation of structure and other characteristics‒ studies to identify polymorphs (exception:
where the CEP specifies a polymorphic form) and particle size distribution, where applicable.
III. Specification ‒ the specifications of the FPP manufacturer, including all tests and limits of the
CEP and Ph.Eur. monograph, and any additional tests and acceptance criteria that are not
controlled in the CEP and Ph.Eur. monograph, such as polymorphs and/or particle size
distribution.
IV. Analytical procedures and validation ‒ for any tests in addition to those in the CEP and
Ph.Eur. monograph.
V. Batch analysis‒ results from three batches of at least one pilot scale, demonstrating
compliance with the FPP manufacturer’s API specifications.
VI. Container closure system‒ specifications including descriptions and identification of primary
packaging components(exception: where the CEP specifies a re-test period).
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If the product applicant has a specimen or mock-up of the sample(s) presentation of the
medicine available at the time of initial application, it should be included in Module 1.7.3.
If batch number and expiry date are to be printed on the label during packaging, s statement
to this effect should accompany the labels.
Provide registration status of the medicinal product applied for registration in the countries with
SRAs and attach evidence(s) for the same.
Provide registration status of the medicinal product applied for the registration in the SEA region as well
as other countries and attach evidence(s) for the same.
If an evidence indicating that the active pharmaceutical ingredient and/or finished pharmaceutical
product are prequalified by WHO is available, it should be presented in Module 1.
Sufficient number of samples should be submitted together with the application. Batch number,
Manufacturing Date and Expiry Date should be dynamically printed on packages for all medicines
except where there is space is a restriction, the details can be on secondary packages with the
primary pack having at least the batch number and expiry date.
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MODULE 2: DOSSIER OVERALL SUMMARY (DOS)
The Dossier Overall Summary (DOS) is a summary that follows the scope and the outline of the
body of data provided in Module 3, Module 4 and Module 5.
The DOS should not include information, data, or justification that was not already included
in Module 3, Module 4, and Module 5 or in other parts of the dossier.
The DOS should include sufficient information from each section to provide the assessors
with an overview of the PD.
The DOS should also emphasize critical key parameters of the product and provide, for
instance, justification in cases where guidelines were not followed.
The DOS should include a discussion of key issues that integrates information from sections
in the Safety, Efficacy, and Quality Module and supporting information from other modules (e.g.,
qualification of impurities via toxicological studies), including cross-referencing to volume and
page number in other Modules.
The use of tables to summarize the information is encouraged, where possible. Other
approaches to summarize the information can be used if they fulfil the same purpose.
MODULE 3: QUALITY
3.1. BODY OF DATA
Information on the nomenclature of the drug substance should be provided. For example:
1. Recommended International Non-proprietary Name (INN);
2. Pharmacopoeia name, if relevant;
3. Chemical name(s);
4. Other non-proprietary name(s) (e.g., national name, United States Adopted Name(USAN),
Japanese Accepted Name (JAN), British Approved Name (BAN)) and Chemical Abstracts Service
(CAS) registry number.
A CAS Registry Number, also referred to as CASRN or CAS Number, is a unique numerical
identifier assigned by the Chemical Abstracts Service (CAS) to every chemical substance described
in the open scientific literature.
5. Anatomical Therapeutic Chemical (ATC) Class
The Anatomical Therapeutic Chemical (ATC) Classification System is a drug classification system
that classifies the active ingredients of drugs according to the organ or system on which they act
and their therapeutic, pharmacological and chemical properties.
The listed chemical names should be consistent with those appearing in scientific literature and
those appearing on the product labeling information (e.g., summary of product characteristics;
package leaflet, also known as patient information leaflet or PIL; or labeling). Where several names
exist, the INN name should be indicated.
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3.1.S.1.2 Structure (name, manufacturer)
The structural formula, including relative and absolute stereochemistry, the molecular
formula, and the relative molecular mass should be provided.
For bio-tech drug substance, the schematic amino acid sequence indicating glycosylation sites
or other post-translational modifications and relative molecular mass should be provided, as
appropriate.
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For biotech drug substance, information should be provided on the manufacturing process,
which typically starts with a vial(s) of the cell bank, and includes cell culture, harvest(s),
purification and modification reactions, filling, storage, and shipping conditions. An explanation of
the batch numbering system, including information regarding any pooling of harvests or
intermediates and batch size or scale should be provided.
A flow diagram should be provided that illustrates the manufacturing route from the original
inoculum (e.g., cells contained in one or more vials(s) of the Working Cell Bank up to the last
harvesting operation. The diagram should include all steps (i.e., unit operations) and intermediates.
Relevant information for each stage, such as population doubling levels, cell concentration,
volumes, pH, cultivation times, holding times, and temperature, should be included. Critical steps
and critical intermediates for which specifications are established (as mentioned in 3.1.S.2.4) should
be identified.
A description of each process step in the flow diagram should be provided. Information
should be included on, for example, scale; culture media and other additives (details provided in
3.1.S.2.3); major equipment (details provided in 3.1.A.1); and process controls, including in-process
tests and operational parameters, process steps, equipment and intermediates with acceptance
criteria (details provided in 3.1.S.2.4).
Where polymorphic/amorphous forms have been identified, the form resulting from the
synthesis should be stated. Where particle size is considered a critical attribute, the particle size
reduction method(s) (milling, micronization) should be described.
Where there are multiple manufacturing sites for one API manufacturer, a comprehensive list,
in tabular form, should be provided comparing the processes at each site and highlighting any
differences.
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Tests and acceptance criteria (with justification including experimental data) performed at
critical steps identified in 3.1.S.2.2 of the manufacturing process to ensure that the process is
controlled should be provided.
Intermediates:
Information on the quality and control of intermediates isolated during the process should be
provided. Specifications for isolated intermediates should be provided and should include tests and
acceptance criteria for identity, purity and assay, where applicable
Additionally for Biotech: Stability data supporting storage conditions should be provided.
(Reference: ICH Guideline Q5C)
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Elucidation of structure
The PD should include quality assurance (QA)-certified copies of the spectra, peak
assignments, and a detailed interpretation of the data of the studies performed to elucidate and/or
confirm the structure of the API. The DOS-PD should include a list of the studies performed and a
conclusion from the studies that the results support the proposed structure.
For APIs that are not described in an officially recognized pharmacopoeia, the studies carried
out to elucidate and/or confirm the chemical structure normally include elemental analysis, infrared
(IR), ultraviolet (UV), nuclear magnetic resonance (NMR), and mass spectra (MS) studies. Other
tests could include X-ray powder diffraction (XRPD) and differential scanning calorimetry (DSC).
For APIs that are described in an officially recognized pharmacopoeia, it is generally
sufficient to provide copies of the IR spectrum of the API from each of the proposed
manufacturer(s) runs concomitantly with a pharmacopoeial reference standard. See Section 3.1.S.5
for details on acceptable reference standards or materials.
Isomerism/stereochemistry
When an API is chiral, it should be specified whether specific stereoisomers or a mixture of
stereoisomers have been used in the clinical or the comparative bio-studies, and information should
be given as to the stereoisomer of the API that is to be used in the FPP.
Polymorphism
Many APIs can exist in different physical forms in the solid state. Polymorphism is
characterized as the ability of an API to exist as two or more crystalline phases that have different
arrangements and/or conformations of the molecules in the crystal lattice. Amorphous solids consist
of disordered arrangements of molecules and do not possess a distinguishable crystal lattice.
Solvates are crystal forms containing either stoichiometric or nonstoichiometric amounts of a
solvent. If the incorporated solvent is water, the solvates are also commonly known as hydrates.
Polymorphic forms of the same chemical compound differ in internal solid-state structure
and, therefore, may possess different chemical and physical properties, including packing,
thermodynamic, spectroscopic, kinetic, interfacial, and mechanical properties. These properties can
have a direct impact on API process-ability, pharmaceutical product manufacturability, and product
quality/performance, including stability, dissolution and bioavailability. Unexpected appearance or
disappearance of a polymorphic form may lead to serious pharmaceutical consequences.
Identification threshold
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It is recognized by the pharmacopoeias that APIs can be obtained from various sources and
thus can contain impurities not considered during the development of the monograph. Furthermore,
a change in the production or source may give rise to additional impurities that are not adequately
controlled by the official pharmacopoeia monograph. As a result, each PD is assessed independently
to consider the potential impurities that may arise from the proposed route(s) of synthesis. For these
reasons, the ICH limits for unspecified
impurities (e.g., NMT 0.10% or 1.0 mg per day intake (whichever is lower) for APIs having a
maximum daily dose of ≤2 g/day) are generally recommended, rather than the general limits for
unspecified impurities that may appear in the official pharmacopoeia monograph that could
potentially be higher than the applicable ICH limit.
Qualification of impurities
The ICH impurity guidelines should be consulted for options on the qualification of
impurities. The limit specified for an identified impurity in an officially recognized pharmacopoeia
is generally considered to be qualified. The following is an additional option for qualification of
impurities in existing APIs:
The limit for an impurity present in an existing API can be accepted by comparing the
impurity results found in the existing API with those observed in an innovator product using the
same validated, stability-indicating analytical procedure (e.g., comparative high performance liquid
chromatography (HPLC) studies). If samples of the innovator product are not available, the impurity
profile may also be compared to a different comparator (market leading) FPP with the same route of
administration and similar characteristics (e.g., tablet versus capsule). It is recommended that the
studies be conducted on comparable samples (e.g., age of samples) to obtain a meaningful
comparison of the impurity profiles.
Levels of impurities generated from studies under accelerated or stressed storage conditions
of the innovator or comparator FPP are not considered acceptable/qualified.
A specified impurity present in the existing API is considered qualified if the amount of the
impurity in the existing API reflects the levels observed in the innovator or comparator (market
leading) FPP.
ICH class II solvent(s) used prior to the last step of the manufacturing process may be
exempted from routine control in API specifications if suitable justification is provided. Submission
of results demonstrating less than 10% of the ICH Q3C limit (option I) of the solvent(s) in three
consecutive production-scale batches or six consecutive pilot-scale batches of the API or a suitable
intermediate would be considered acceptable justification. The last-step solvents used in the process
should always be routinely controlled in the final API. The limit for residues of triethylamine (TEA)
is either 320 ppm on the basis of ICH Q3C (option 1) or 3.2 mg/day on the basis of permitted daily
exposure (PDE).
The absence of known, established, highly toxic impurities (genotoxic) used in the process or
formed as a by-product should be discussed and suitable limits should be proposed. The limits
should be justified by appropriate reference to available guidance’s (e.g.,
EMEA/CHMP/QWP/251344/2006 or USFDA Guidance for Industry: Genotoxic and carcinogenic
impurities in drug substances and products, recommended approaches,
Residues of metal catalysts used in the manufacturing process and determined to be present in
batches of API are to be controlled in specifications. This requirement does not apply to metals that
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are deliberate components of the pharmaceutical substance (such as a counter ion of a salt) or metals
that are used as a pharmaceutical excipient in the FPP (e.g., an iron oxide pigment). The guideline
on the specification limits for residues of metal catalysts or metal reagents,
EMEA/CHMP/SWP/4446/2000, or any equivalent approaches can be used to address this issue. The
requirement normally does not apply to extraneous metal contaminants that are more appropriately
addressed by GMP, WHO Good Distribution Practices for Pharmaceutical Products (GDP), or any
other relevant quality provision such as the heavy metal test in monographs of recognized
pharmacopoeias that cover metal contamination originating from manufacturing equipment and the
environment.
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modified, it is not necessary to provide copies of officially recognized pharmacopoeia analytical
procedures.
The system suitability tests (SSTs) represent an integral part of the method and are used to
ensure the adequate performance of the chosen chromatographic system. As a minimum, HPLC and
GC purity methods should include SSTs for resolution and repeatability. For HPLC methods to
control API-related impurities, this is typically done using a solution of the API with a
concentration corresponding to the limit for unspecified impurities. Resolution of the two closest
eluting peaks is generally recommended. However, the choice of alternate peaks can be used if
justified (e.g., choice of a toxic impurity).The method for repeatability test should include an
acceptable number of replicate injections. HPLC assay methods should include SSTs for
repeatability and in addition either peak asymmetry, theoretical plates or resolution. For thin layer
chromatography (TLC) methods, the SSTs should verify the ability of the system to separate and
detect the analyte(s) (e.g., by applying a spot corresponding to the API at a concentration
corresponding to the limit of unspecified impurities). [Reference: ICH Guideline Q2; WHO
Technical Report Series, No. 943, Annex 3]
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Copies of the certificates of analysis, both from the API manufacturer(s) and the FPP
manufacturer, should be provided for the profiled batches and any company responsible for
generating the test results should be identified. The FPP manufacturer’s test results should be
summarized in the DOS-PD.
The discussion of results should focus on observations noted for the various tests, rather than
reporting comments such as ―all tests meet specifications.‖ For quantitative tests (e.g., individual
and total impurity tests and assay tests), it should be ensured that actual numerical results are
provided rather than vague statements such as ―within limits‖ or ―conforms.‖
A discussion and justification should be provided for any incomplete analyses (e.g., results
not tested according to the proposed specification).
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3.1.S.7 Stability (Name, Manufacturer)
Stress testing
As outlined in the ICH Q1A guidance document, stress testing of the API can help identify
the likely degradation products, which can in turn help establish the degradation pathways and the
intrinsic stability of the molecule and validate the stability indicating power of the analytical
procedures used. The nature of the stress testing will depend on the individual API and the type of
FPP involved.
Stress testing may be carried out on a single batch of the API. For examples of typical stress
conditions, refer to WHO Technical Report Series, No. 953, Annex 2, Section 2.1.2, as well as, ―A
typical set of studies of the degradation paths of an active pharmaceutical ingredient, in WHO
Technical Report Series, No. 929, Annex 5, Table A.1.
When available, it is acceptable to provide the relevant data published in the scientific
literature (inter alia WHOPARs, EPARs) to support the identified degradation products and
pathways.
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it should be ensured that actual numerical results are provided rather than vague statements, such as
“within limits” or “conforms”.
Where different from the methods described in S.4.2, descriptions and validation of the
methodology used in stability studies should be provided.
The data required at the time of submitting the dossier (in general) are:
Relative humidity Minimum time
Storage (%) period (months)
temperature (ºC)
Accelerated 40±2 75±5 6
Intermediate * * *
Long-term 30±2 75±5 6
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Composition of the dosage form, and their amounts on a per unit basis (including overages, if
any), the function of the components, and a reference to their quality standards (e.g., pharmacopoeia
monographs or manufacturer’s specifications) should be provided.
All components used in the manufacturing process should be included, including those that
may not be added to every batch (e.g., acid and alkali), those that may be removed during
processing (e.g., solvents), and any others (e.g., nitrogen, silicon for stoppers).
If the FPP is formulated using an active moiety, then the composition for the active ingredient
should be clearly indicated (e.g.,1 mg of active ingredient base=1.075 mg active ingredient
hydrochloride).
All overages should be clearly indicated (e.g., contains 2% overage of the API to compensate
for manufacturing losses).
The components should be declared by their proper or common names, quality standards
(e.g., Ph.Int., Ph.Eur., BP, USP, JP, House) and, if applicable, their grades (e.g., Microcrystalline
Cellulose NF (PH 102)) and special technical characteristics (e.g., lyophilized, micronized,
solubilized, emulsified).
The function of each component (e.g., diluent/filler, binder, disintegrant, lubricant, glidant,
granulating solvent, coating agent, antimicrobial preservative) should be stated. If an excipient
performs multiple functions, the predominant function should be indicated.
The qualitative composition, including solvents, should be provided for all proprietary
components or blends (e.g., capsule shells, coloring blends, imprinting inks). This information
(excluding the solvents) is to be listed in the product information (e.g., summary of product
characteristics, labeling, and package leaflet).
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excipients and their concentrations, such as the FDA IIG list and the Handbook of Pharmaceutical
Excipients.
Use of excipients in concentrations outside of established ranges are discouraged and
generally requires justification.
Where relevant, compatibility study results (e.g., compatibility of a primary or secondary
amine API with lactose) should be included to justify the choice of excipients. Specific details
should be provided where necessary (e.g., use of potato or corn starch).
Where preservatives and antioxidants are included in the formulation, the effectiveness of the
proposed concentration of the antioxidant as well as its safety should be justified and verified by
appropriate studies.
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3.1.P.2.4 Container closure system (name, dosage form)
The suitability of the container closure system (described in 3.1.P.7) used for the storage,
transportation (shipping), and use of the FPP should be discussed. This discussion should consider,
e.g., choice of materials, protection from moisture and light, compatibility of the materials of
construction with the dosage form (including sorption to container and leaching) safety of materials
of construction, and performance (such as reproducibility of the dose delivery from the device when
presented as part of the FPP).
For a device accompanying a multi-dose container, the results of a study should be provided
demonstrating the reproducibility of the device (e.g., consistent delivery of the intended volume),
generally at the lowest intended dose.
A sample of the device should be provided in Module 1.
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Studies should cover the duration of storage reported in the labeling (e.g., 24 hours under
controlled room temperature and 72 hours under refrigeration).
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The components should be declared by their proper or common names, quality standards
(e.g., Ph.Int.,Ph.Eur., BP, USP, JP, House) and, if applicable, their grades (e.g., Microcrystalline
Cellulose NF (PH 102)) and special technical characteristics (e.g., lyophilized, micronized,
solubilized, emulsified).
3.1.P.3.3 Description of manufacturing process and process controls (name, dosage form)
A flow diagram should be presented giving the steps of the process and showing where
materials enter the process. The critical steps and points at which process controls, intermediate tests
or final product controls are conducted should be identified.
A narrative description of the manufacturing process, including packaging that represents the
sequence of steps undertaken and the scale of production should also be provided. Novel processes
or technologies and packaging operations that directly affect product quality should be described
with a greater level of detail. Equipment should, at least, be identified by type (e.g., tumble blender,
in-line homogenizer) and working capacity, where relevant.
Steps in the process should have the appropriate process parameters identified, such as time,
temperature, or pH associated numeric values can be presented as an expected range. Numeric
ranges for critical steps should be justified in Section 3.1.P.3.4. In certain cases, environmental
conditions (e.g., low humidity for an effervescent product) should be stated.
The maximum holding time for bulk FPP prior to final packaging should be stated. The
holding time should be supported by the submission of stability data, if longer than 30 days. For an
aseptically processed sterile product, the holding of the filtered product and sterilized component
prior to filling should be under UDLAF (Class A) system and filling should be done immediately
within 24hrs.
Proposals for the reprocessing of materials should be justified. Any data to support this
justification should be either referenced to development section or filed in this section
The information above should be summarized in the DOS-PD template and should reflect the
production of the proposed commercial batches. For the manufacture of sterile products, the class
(e.g., class A, B, C, etc.) of the areas should be stated for each activity (e.g., compounding, filling,
sealing, etc.), as well as the sterilization parameters for equipment, container/closure, terminal
sterilization etc.
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e) metered dose inhalers: fill weight/volume, leak testing, valve delivery;
f) dry powder inhalers: assay of API-excipient blend, moisture, weight variation of individually
contained doses such as capsules or blisters;
g) liquids: pH, specific gravity, clarity of solutions; and,
h) parenterals: appearance, clarity, fill volume/weight, pH, filter integrity tests, particulate
matter, leak testing of ampoules.
[Reference: ICH Guidelines Q2, Q6A, Q8, Q9, Q10; WHO Technical Report Series, No. 929,
Annex 5]
3.1.P.3.5 Process validation and/or evaluation (name, dosage form)
Description, documentation, and results of the validation and/or evaluation studies should be
provided for critical steps or critical assays used in the manufacturing process (e.g., validation of the
sterilization process or aseptic processing or filling). Viral safety evaluation should be provided in
3.1A.2, if necessary.
For products that meet the criteria of an established multisource product, a product quality
review as outlined in Appendix 1 may be submitted in lieu of the information below.
The following information should be provided for all other products:
a copy of the process validation protocol, specific to this FPP, that identifies the critical
equipment and process parameters that can affect the quality of the FPP and defines testing
parameters, sampling plans, analytical procedures and acceptance criteria;
a commitment that three consecutive, production-scale batches of this FPP will be subjected to
prospective validation in accordance with the above protocol. The applicant should submit a written
commitment that information from these studies will be available for verification after registration
by the Authority inspection team; and,
if the process validation studies have already been conducted (e.g., for sterile products), a
copy of the process validation report should be provided in the PD in lieu of (a) and (b) above.
One of the most practical forms of process validation, mainly for non-sterile products, is the
final testing of the product to an extent greater than that required in routine quality control. It may
involve extensive sampling, far beyond that called for in routine quality control and testing to
normal quality control specifications and often for certain parameters only. Thus, for instance,
several hundred tablets per batch may be weighed to determine unit dose uniformity. The results are
then treated statistically to verify the "normality" of the distribution and to determine the standard
deviation from the average weight. Confidence limits for individual results and for batch
homogeneity are also estimated. Strong assurance is provided that samples taken at random will
meet regulatory requirements if the confidence limits are well within pharmacopoeia specifications.
Similarly, extensive sampling and testing may be performed with regard to any quality
requirements. In addition, intermediate stages may be validated in the same way, e.g., dozens of
samples may be assayed individually to validate mixing or granulation stages of low-dose tablet
production by using the content uniformity test. Products (intermediate or final) may occasionally
be tested for non-routine characteristics. Thus, sub visual particulate matter in parenteral
preparations may be determined by means of electronic devices, or tablets/capsules tested for
dissolution profile, if such tests are not performed on every batch.
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Where ranges of batch sizes are proposed, it should be shown that variations in batch size
would not adversely alter the characteristics of the finished product. It is envisaged that those
parameters listed in the following validation scheme will need to be re-validated once further scale-
up is proposed after registration.
The process validation protocol should include inter alia the following:
a reference to the current master production document;
a discussion of the critical equipment;
the process parameters that can affect the quality of the FPP (critical process parameters
(CPPs)), including challenge experiments and failure mode operation;
details of the sampling—sampling points, stages of sampling, methods of sampling, and the
sampling plans (including schematics of blender/storage bins for uniformity testing of the final
blend);
the testing parameters/acceptance criteria including in-process and release specifications and
including comparative dissolution profiles of validation batches against the batch(es) used in the
bioavailability or biowaiver studies;
the analytical procedures or a reference to appropriate section(s) of the dossier;
the methods for recording/evaluating results; and,
the proposed timeframe for completion of the protocol.
The manufacture of sterile FPPs needs a well-controlled manufacturing area (e.g., a strictly
controlled environment, highly reliable procedures, and appropriate in-process controls). A detailed
description of these conditions, procedures and controls should be provided, together with actual
copies of the following standard operating procedures:
washing, treatment, sterilizing, and depyrogenating of containers, closures, and equipment;
filtration of solutions;
lyophilization process;
leaker test of filled and sealed ampoules;
final inspection of the product;
sterilization cycle; and,
routine environmental monitoring and media fill validation exercise.
The sterilization process used to destroy or remove microorganisms is probably the single
most important process in the manufacture of parenteral FPPs. The process can make use of moist
heat (e.g., steam), dry heat, filtration, gaseous sterilization (e.g., ethylene oxide), or radiation. It
should be noted that terminal steam sterilization, when practical, is considered to be the method of
choice to ensure sterility of the final FPP. Therefore, scientific justification for selecting any other
method of sterilization should be provided.
The sterilization process should be described in detail and evidence should be provided to
confirm that it will produce a sterile product with a high degree of reliability and that the physical
and chemical properties as well as the safety of the FPP will not be affected. Details, such as Fo
range, temperature range, and peak dwell time for an FPP and the container closure should be
provided. Although standard autoclaving cycles of 121°C for 15 minutes or more would not need a
detailed rationale; such justifications should be provided for reduced temperature cycles or elevated
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temperature cycles with shortened exposure times. If ethylene oxide is used, studies and acceptance
criteria should control the levels of residual ethylene oxide and related compounds.
Filters used should be validated with respect to pore size, compatibility with the product,
absence of extractable, and adsorption of the API or any of the components.
For the validation of aseptic filling of parenteral products that cannot be terminally sterilized,
simulation process trials should be conducted. This involves filling ampoules with culture media
under normal conditions, followed by incubation and control of microbial growth. A level of
contamination of less than 0.1% is considered to be acceptable.[Reference: ICH Guidelines Q8, Q9,
Q10; WHO Technical Report Series, Nos. 902 and 908]
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Copies of analytical procedures from officially recognized pharmacopoeia monographs do not
need to be submitted.
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for the analytical procedures, the type should indicate the kind of analytical procedure used
(e.g., visual, IR, UV, HPLC), the source refers to the origin of the analytical procedure (e.g., Ph.Int.,
Ph.Eur., BP, USP, JP, in-house), and the version (e.g., code number/version/date) should be
provided for version control purposes.
Specifications should include, at minimum, tests for appearance, identification, assay, purity,
pharmaceutical tests (e.g., dissolution), physical tests (e.g., loss on drying, hardness, friability,
particle size, apparent density), uniformity of dosage units, identification of coloring materials,
identification and assay of antimicrobial or chemical preservatives (e.g., antioxidants), and
microbial limit tests.
The following information provides guidance for specific tests:
a) fixed-dose combination FPPs (FDC-FPPs):
– analytical methods that can distinguish each API in the presence of the other API(s) should be
developed and validated,
– acceptance criteria for degradation products should be established with reference to the API
they are derived from. If an impurity results from a chemical reaction between two or more APIs, its
acceptance limits should be calculated with reference to the worst case (the API with the smaller
area under the curve). Alternatively the content of such impurities could be calculated in relation to
their reference standards,
– when any one API is present at less than 25 mg or less than 25% of the weight of the dosage
unit, a test and limit for content uniformity is required for each API in the FPP,
– when all APIs are present at equal or greater than 25 mg and equal or greater than 25% of the
weight of the dosage unit, a test and limit for weight variation may be established for the FPP, in
lieu of content uniformity testing;
modified-release products: a meaningful API release method;
b) inhalation and nasal products:
– consistency of delivered dose (throughout the use of the product), particle or droplet size
distribution profiles (comparable to the product used in in-vivo studies, where applicable) and if
applicable for the dosage form, moisture content, leak rate, microbial limits, preservative assay,
sterility and weight loss;
c) suppositories: uniformity of dosage units, melting point;
d) transdermal dosage forms: peal or shear force, mean weight per unit area, dissolution; and,
e) sterile: sterility, endotoxin.
Unless there is appropriate justification, the acceptable limit for the API content of the FPP in
the release specifications is ± 5% of the label claim (i.e., 95.0-105.0%).
Skip testing is acceptable for parameters such as identification of coloring materials and
microbial limits, when justified by the submission of acceptable supportive results for five
production batches. When skip testing justification has been accepted, the specifications should
include a footnote, stating at minimum the following skip testing requirements: at minimum, every
tenth batch and at least one batch annually is tested. In addition, for stability-indicating parameters
such as microbial limits, testing will be performed at release and shelf-life during stability studies.
Any differences between release and shelf-life tests and acceptance criteria should be clearly
indicated and justified. Note that such differences for parameters, such as dissolution and moisture
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content, are normally not accepted.[Reference: ICH Guidelines Q3B, Q3C, Q6A; official
monograph]
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Analytical results tested by the company responsible for the batch release of the FPP
(generally, the applicant or the FPP manufacturer, if different from the applicant) should be
provided for not less than two batches of commercial scale
The discussion of results should focus on observations noted for the various tests, rather than
reporting comments such as ―all tests meet specifications. This should include ranges of analytical
results, where relevant. For quantitative tests (e.g., individual and total impurity tests and assay
tests), it should be ensured that actual numerical results are provided rather than vague statements
such as ―within limits or ―conforms (e.g., ―levels of degradation product A ranged from 0.2 to
0.4 %). Dissolution results should be expressed at minimum as both the average and range of
individual results.
A discussion and justification should be provided for any incomplete analyses (e.g., results
not tested according to the proposed specification).[Reference: ICH Guidelines Q3B, Q3C, Q6A;
official monograph]
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where appropriate). Non-pharmacopoeia methods (with validation) should be included, where
appropriate.
For non-functional secondary packaging components (e.g., those that neither provide
additional protection nor serve to deliver the product), only a brief description should be provided.
For functional secondary packaging components, additional information should be provided.
Suitability information should be located in 3.1.P.2.
The WHO Guidelines on packaging for pharmaceutical products (WHO Technical Report
Series, No. 902, Annex 9, 2002) and the officially recognized pharmacopoeias should be consulted
for recommendations on the packaging information for FPPs.
Descriptions, materials of construction and specifications (of the company responsible for
packaging the FPP, generally the FPP manufacturer) should be provided for the packaging
components that are:
o in direct contact with the dosage form (e.g., container, closure, liner, desiccant, filler);
o used for drug delivery (including the device(s) for multi-dose solutions, emulsions,
suspensions, and powders/granules for such);
o used as a protective barrier to help ensure stability or sterility; and,
o necessary to ensure FPP quality during storage and shipping.
The specifications for the primary packaging components should include a specific test for
identification (e.g., IR).Specifications for film and foil materials should include limits for thickness
or area weight.
Information to establish the suitability (e.g., qualification) of the container closure system
should be discussed in Section 3.1.P.2.
Stress testing
Photostability testing should be conducted on at least one primary batch of the FPP, if
appropriate. If “protect from light” is stated in one of the officially recognized pharmacopoeias for
the API or FPP, it is sufficient to state “protect from light” on labeling, in lieu of photostability
studies, when the container closure system is shown to be light protective. Additional stress testing
of specific types of dosage forms may be appropriate (e.g., cyclic studies for semi-solid products,
freeze-thaw studies for liquid products).
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recommended by WHO, can also be acceptable. The use of alternative long-term conditions will
need to be justified and should be supported with appropriate evidence.
Other storage conditions are outlined in the WHO stability guideline for FPPs packaged in
impermeable and semi-permeable containers and those intended for storage in a refrigerator and in a
freezer. FPPs intended for storage below -20°C should be treated on a case-by-case basis.
The minimum data required at the time of submission of the dossier (in general):
Storage temperature Relative humidity Minimum time
(ºC) (%) period (months)
Accelerated 40±2 75±5 6
Long-term 30±2 65±5 or 75±5 To cover the
complete shelf-life
The information on the stability studies should include details such as
a) storage conditions;
b) strength;
c) batch number, including the API batch number(s) and manufacturer(s);
d) batch size;
e) container closure system, including orientation (e.g., erect, inverted, on-side), where
applicable; and,
f) completed test intervals.
The discussion of test results should focus on observations noted for the various tests, rather
than reporting comments such as ―all tests meet specifications.‖ This should include ranges of
analytical results and any trends that were observed. For quantitative tests (e.g., individual and total
degradation product tests and assay tests), it should be ensured that actual numerical results are
provided rather than vague statements such as ―within limits or ―conforms. Dissolution results
should be expressed at minimum as both the average and range of individual results.
Applicants should consult the ICH Q1E guidance document for details on the evaluation and
extrapolation of results from stability data (e.g., if significant change was not observed within six
months at accelerated condition and the data show little or no variability, the proposed shelf-life
could be up to two times the period covered by the long-term data, but should not exceed the long-
term data by 12 months).
3.1.P.8.2 Post-approval stability protocol and stability commitment (name, dosage form)
Primary stability study commitment
When available long-term stability data on primary batches do not cover the proposed shelf-
life granted at the time of assessment of the PD, a commitment should be made to continue the
stability studies in order to firmly establish the shelf-life.
A written commitment (signed and dated) to continue long-term testing over the shelf-life
period should be included in the dossier.
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The long-term stability studies for the commitment batches should be conducted through the
proposed shelf-life on at least three production batches of each strength in each container closure
system. Where stability data was not provided for three production batches of each strength, a
written commitment (signed and dated) should be included in the dossier.
Ongoing stability studies
An ongoing stability program is established to monitor the product over its shelf-life and to
determine that the product remains and can be expected to remain within specifications under the
storage conditions on the label. Unless otherwise justified, at least one batch per year of product
manufactured in every strength and in every container closure system, if relevant, should be
included in the stability program (unless none is produced during that year).
Bracketing and matrixing may be applicable. A written commitment (signed and dated) to this
effect should be included in the dossier.
Any differences in the stability protocols used for the primary batches and those proposed for
the commitment batches or ongoing batches should be scientifically justified.
3.1.A Appendices
3.1.A.1 Facilities and Equipment
Not applicable except for biotech products.
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MODULE 4:
4.2.2 Pharmacokinetics
4.2.2.1 Analytical Methods and Validation Reports (if separate reports are available)
4.2.2.2 Absorption
4.2.2.3 Distribution
4.2.2.4 Metabolism
4 2.2.5 Excretion
4.2.2.6 Pharmacokinetic Drug Interactions (nonclinical)
4.2.2.7 Other Pharmacokinetic Studies
4.2.3 Toxicology
4.2.3.1 Single-Dose Toxicity (in order by species, by route)
4.2.3.2 Repeat-Dose Toxicity (in order by species, by route, by duration)
4.2.3.3 Genotoxicity
4.2.3.3.1 In vitro
4.2.3.3.2 In vivo (including supportive toxicokinetics evaluations)
4.2.3.4 Carcinogenicity (including supportive toxicokinetics evaluations)
4.2.3.4.1 Long-term studies (in order by species, including range-finding studies that
cannot appropriately be included under repeat-dose toxicity or pharmacokinetics)
4.2.3.4.2 Short- or medium-term studies (including range-finding studies that cannot
appropriately be included under repeat-dose toxicity or pharmacokinetics)
4.2.3.4.3 Other studies
4.2.3.5 Reproductive and Developmental Toxicity (including range-finding studies and
supportive toxicokinetics evaluations) [If modified study designs are used, the following
sub-headings should be modified accordingly.]
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4.2.3.5.1 Fertility and early embryonic development
4.2.3.5.2 Embryo-fetal development
4.2.3.5.3 Prenatal and postnatal development, including maternal function
4.2.3.5.4 Studies in which the offspring (juvenile animals) are dosed and/or further evaluated
4.2.3.6 Local Tolerance
4.2.3.7 Other Toxicity Studies (if available)
4.2.3.7.1 Antigenicity
4.2.3.7.2 Immunotoxicity
4.2.3.7.3 Mechanistic studies (if not included elsewhere)
4.2.3.7.4 Dependence
4.2.3.7.5 Metabolites
4.2.3.7.6 Impurities
4.2.3.7.7 Other
MODULE 5:
For multisource generic products having a molecule(s) already registered in and requiring BE study, only
section 5.3.3 of Module 5 needs to be supported with actual experimental evidence and where applicable
reference to literature can be considered for other section.
For generic products requiring clinical equivalence study, in cases where comparative clinical evidence of
a pharmacokinetics (PK) BE study cannot be conducted, section 5.3.4 of Module 5 may be required, to be
determined on a case-by-case basis.
The information provided below is not intended to indicate what studies are required for successful
registration. It indicates an appropriate organization for the clinical study reports that need to be
submitted with the application.
The placement of a report should be determined by the primary objective of the study. Each study report
should appear in only one section. Where there are multiple objectives, the study should be cross-
referenced in the various sections. An explanation, such as “not applicable” or “no study conducted”,
should be provided when no report or information is available for a section or subsection.
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the studies are listed should follow the sequence described in Section 5.3 below. Use of a different
sequence should be noted and explained in an introduction to the tabular listing.
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these pathways. Studies using biomaterials to address other properties (e.g., sterility or
pharmacodynamics) should not be placed in the Clinical Study Reports Section, but in the
Nonclinical Study Section (Module 4).
For generic products and if the APIs with the stated dosage form registered in Ethiopia, cross-reference
to relevant literature suffices.
5.3.2.1 Plasma protein binding study reports
Ex vivo protein binding study reports should be provided here. Protein binding data from PK blood
and/or plasma studies should be provided in section 5.3.3.
These assessments should provide a description of the body’s handling of a drug over time, focusing on
maximum plasma concentrations (peak exposure), area-under-curve (total exposure), clearance,
and accumulation of the parent drug and its metabolite(s), in particular, those that have
pharmacological activity. The PK studies whose reports should be included in sections 5.3.3.1 and
5.3.3.2 are generally designed to: (1) measure plasma drug and metabolite concentrations over
time; (2) measure drug and metabolite concentrations in urine or feces, when useful or necessary;
and/or, (3) measure drug and metabolite binding to protein or red blood cells. On occasion, PK
studies may include measurement of drug distribution into other body tissues, body organs, or
fluids (e.g., synovial fluid or cerebrospinal fluid), and the results of these tissue distribution
studies should be included in section 5.3.3.1 to 5.3.3.2, as appropriate.
These studies should characterize the drug’s PK and provide information about the absorption,
distribution, metabolism, and excretion of a drug and any active metabolites in healthy subjects
and/or patients. Studies of mass balance and changes in PK related to dose (e.g., determination of
dose proportionality) or time (e.g., due to enzyme induction or formation of antibodies) are of
particular interest and should be included in sections 5.3.3.1 and/or 5.3.3.2.
Apart from describing mean PK in normal and patient volunteers, PK studies should also describe the
range of individual variability. The study of human PK study reports should fulfill the
requirements for bioequivalence as described in Annex IV of this Guideline.
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5.3.3.3 Intrinsic factor PK study reports
Reports of PK studies to assess effects of intrinsic factors, should be placed in this section. Reports of
PK studies to assess differences in systemic exposure as a result of changes in PK due to intrinsic
(e.g., age, gender, racial, weight, height, disease, genetic polymorphism, and organ dysfunction)
factors should be placed in this section.
Reports of studies with a primary objective of determining the PhD effects of a drug product in humans
should be placed in this section. Reports of studies whose primary objective is to establish
efficacy or to accumulate safety data, however, should be placed in section 5.3.5.
This section should include reports of: (1) studies of pharmacologic properties known or thought to be
related to the desired clinical effects (biomarkers); (2) short-term studies of the main clinical
effect; and, (3) PD studies of other properties not related to the desired clinical effect. Because a
quantitative relationship of these pharmacological effects to dose and/or plasma drug and
metabolite concentrations is usually of interest, PD information is frequently collected in dose
response studies or together with drug concentration information in PK studies (concentration-
response or PK/PD studies).
Relationships between PK and PD effects that are not obtained in well-controlled studies are often
evaluated using an appropriate model and used as a basis for designing further dose-response
studies or, in some cases, for interpreting effects of concentration differences in population
subsets.
Dose-finding, PD, and/or PK-PD studies can be conducted in healthy subjects and/or patients, and can
also be incorporated into the studies that evaluate safety and efficacy in a clinical indication.
Reports of dose-finding, PD, and/or PK/PD studies conducted in healthy subjects should be placed
in section 5.3.4.1, and the reports for those studies conducted in patients should be placed in
section 5.3.4.2.
In some cases, the short-term PD, dose-finding, and/or PK-PD information found in pharmacodynamic
studies conducted in patients will provide data that contribute to assessment of efficacy, either
because they show an effect on an acceptable surrogate marker (e.g., blood pressure) or on a
clinical benefit endpoint (e.g., pain relief). Similarly, a PD study may contain important clinical
safety information. When these studies are part of the efficacy or safety demonstration, they are
considered clinical efficacy and safety studies that should be included in section 5.3.5, not in
section 5.3.4.
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PD and/or PK/PD studies having non-therapeutic objectives in healthy subjects should be placed in this
section.
In cases where the application includes multiple therapeutic indications, the reports should be organized
in a separate section 5.3.5 for each indication. In such cases, if a clinical efficacy study is relevant
to only one of the indications included in the application, it should be included in the appropriate
section 5.3.5; if a clinical efficacy study is relevant to multiple indications, the study report should
be included in the most appropriate section 5.3.5 and referenced as necessary in other sections
5.3.5, for example, section 5.3.5A, section 5.3.5B.
5.3.5.1 Study reports of controlled clinical studies pertinent to the claimed indication
The controlled clinical study reports should be sequenced by type of control:
Placebo control (could include other control groups, such as an active comparator or other
doses);
No-treatment control;
Dose-response (without placebo);
Active control (without placebo); or,
External (historical) control, regardless of the control treatment.
Within each control type, where relevant to the assessment of drug effect, studies should be organized
by treatment duration. Studies of indications other than the one proposed in the application, but
that provide support for efficacy in the proposed use, should be included in section 5.3.5.1.
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A report of a detailed analysis of bridging, considering formal bridging studies, other relevant clinical
studies, and other appropriate information (e.g., PK and PD information), should be placed in this
section if the analysis is too lengthy for inclusion in the Clinical Summary.
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APPENDIX 1:
APPLICATION FORM FOR REGISTRATION
National Medicine Regulatory Authority, 120, Norris Canal Road, Sri Lanka
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(indicate per batch in
Kg, L, etc.)
Add/delete as many rows
and columns as needed.
16. Statement of similarity and difference of clinical, bio-batch, stability, validation, and
commercial batch sizes
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CERTIFICATION BY A RESPONSIBLE PERSON IN THE APPLICANT COMPANY
I, the undersigned, certify that all the information in the accompanying documentation concerning
an application for a marketing authorization for;
Signature
Name
Position in company
Date:
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APPENDIX 2 :
A product registration certificate is valid for five years. Therefore, an applicant is required to apply
for re-registration within six months prior to the due date.
The application for reregistration should include:
1. Information and dossiers indicated in Module 1 of this Guideline.
2. Summary of the Annual Product Report (APR) for batches produced and marketed in Sri
Lanka since the grant of marketing authorization. For the purpose of reregistration, the APR should
include all batches produced over the prior five years and a product quality review should be
submitted with the objective of verifying the consistency of the quality of the FPP and its
manufacturing process.
Rejected batches should not be included in the analysis, but must be reported separately together
with the reports of failure investigations, as indicated below.
3. Reviews should be conducted with not less than 10 consecutive batches manufactured over
the period of the last 12 months or, where 10 batches were not manufactured in the last 12 months,
not less than 25 consecutive batches manufactured over the period of the last 36 months, and should
include at least:
1) Review of starting and primary packaging materials used in the FPP, especially those from
new sources;
2) Tabulated review and statistical analysis of quality control and in-process control results;
3) Review of all batches that failed to meet established specification(s);
4) Review of all critical deviations or non-conformances and related investigations;
5) Review of all changes carried out to the processes or analytical methods;
6) Review of the results of the stability-monitoring program;
7) Review of all quality-related returns, complaints and recalls, including export- only medicinal
products;
8) Review of the adequacy of previous corrective actions;
9) List of validated analytical and manufacturing procedures and their re-validation dates;
10) Summary of sterilization validation for components and assembly, where applicable;
11) Summary of recent media-fill validation exercises;
12) Conclusion of the Annual Product Review;
13) Commitment letter that prospective validation will be conducted in the future; and, the
Protocol.
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4. Tabular summary of any variations notified, accepted, and pending with the Authority since
the grant of marketing authorization.
5. Copies of the current API and FPP specifications, duly signed and dated, including the test
methods. The specifications should indicate the reference number, version number, effective date,
and change history, if any.
6. Samples of actual products
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APPENDIX 3:
SUMMARY OF PRODUCT CHARACTERISTICS
3. Pharmaceutical form
4. Clinical particulars
1. Therapeutic indications
2. Posology and method of administration
a. Children and adolescents (4 to 17 years of age)
b. General administration recommendations
c. Special dosing considerations in adults
3. Contraindications
4. Special warnings and special precautions for use
5. Interaction with other fpps and other forms of interaction
6. Use in Pregnancy and lactation
7. Undesirable effects [See example below.]
8. Overdose
5. Pharmacological properties
5.1 Pharmacodynamic properties
1. Pharmacotherapeutic group: {group}
2. ATC code:
3. Mechanism of action
4. Pharmacodynamic effects
Adults
Pediatric patients if recommended
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5.3. Preclinical safety data
Data reveal no special hazard for humans based on conventional studies of safety pharmacology,
repeated dose toxicity, genotoxicity, carcinogenic potential, toxicity to reproduction
5. Pharmaceutical particulars
1. List of excipients
2. Incompatibilities
3. In the absence of compatibility studies, this medicinal product must not be mixed with other
medicinal products. “This medicinal product must not be mixed with other medicinal products “
4. Shelf life
5. Special precautions for storage
6. Special precautions for usage / preparation before use . Ex:
Products to be reconstituted -
Method of preparation, the diluent to be use and shelf-life after preparation
Tablets –
Division of the tablet –state whether tablet can be divided or not
Special equipment for use, administration or implantation
Special precautions for disposal and other handling
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19. REFERENCE LIST
20. FEEDBACK
22.1Staff and customers may provide feedback about this document by emailing info@nmra.gov.lk
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21. APPROVAL AND REVIEW
NAME SIGNATURE
Prepared by
Reviewed By
Recommended By
Approved by
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