APIMFs, the APIMF procedure, and API Prequalification Dr Antony Fake 1| APIMFs and API Prequalification – 4th & 5th of April 2011 Abbreviations API – Active pharmaceutical Ingredient. Drug substance, or active ingredient APIMF – Active pharmaceutical ingredient master file. FPP – Finished pharmaceutical product 2| APIMFs and API Prequalification – 4th & 5th of April 2011 Outline APIMFs The APIMF procedure Active Pharmaceutical Ingredient (API) Prequalification 3| APIMFs and API Prequalification – 4th & 5th of April 2011 Active Ingredient Master File (APIMF) 4| APIMFs and API Prequalification – 4th & 5th of April 2011 What is an APIMF? It describes the preparation, control and stability of the API. It is Module 3.2.S of the ICH CTD format. It is prepared by the API manufacturer (or agent). It typically has an open and restricted section. The open section is shared with FPP manufacturers and WHO The restricted section is shared only with the WHO. 5| APIMFs and API Prequalification – 4th & 5th of April 2011 Common deficiencies Lack of discussion in the relevant sections of the APIMF, just data being submitted. Choice of API starting material. The molecule is often too complex. Lack of information on the source and preparation of the API starting material. Long-term stability study storage conditions not at 30°C/65%RH or 30°C/75%RH. Use of recovered solvents not described in sufficient detail. 6| APIMFs and API Prequalification – 4th & 5th of April 2011 Common deficiencies (2) Cover letters not referencing an APIMF number, or no cover letter at all. Unlabelled CDs and DVDs. Consistency in APIMF version numbering. Poor summary of changes document. Poorly updated APIMFs. 7| APIMFs and API Prequalification – 4th & 5th of April 2011 Expected content of an APIMF An excellent guide to the expected content of an APIMF can be found in the document: Guideline on submission of documentation for a multisource (generic) finished pharmaceutical product (FPP): Quality Part. Throughout this year, information on the expected content of APIMF amendments (changes) will be published on the PQ website to help applicants. 8| APIMFs and API Prequalification – 4th & 5th of April 2011 How APIMFs are used in PQ APIMF Procedure APIMFs (FPP Prequalification) API Prequalification (New) APIMFs are used to support FPP Prequalification and API prequalification. 9| APIMFs and API Prequalification – 4th & 5th of April 2011 APIMF Procedure (March 2008) 10 | APIMFs and API Prequalification – 4th & 5th of April 2011 The APIMF Procedure It is solely used to support the evaluation of FPP prequalification applications and has been active since March 2008. Verification of the API manufacturers GMP is undertaken on a riskbased approach and is therefore not necessarily undertaken for every API manufacturer. Sources of API are deemed acceptable with respect to a given FPP application. 11 | APIMFs and API Prequalification – 4th & 5th of April 2011 The APIMF Procedure (2) API + FPP APIMF + S&E The APIMF Procedure Components of a FPP application for Prequalification 12 | APIMFs and API Prequalification – 4th & 5th of April 2011 or EDQM CEP or 3.2.S The APIMF Procedure (3) FPP applicant APIMF holder APIMF submission to APIMF focal point Letter of Access FPP submission APIMF assessment APIMF acceptance FPP assessment FPP prequalification 13 | APIMFs and API Prequalification – 4th & 5th of April 2011 Advantages of the APIMF Procedure It allows the submission of confidential information by the API manufacturer without disclosure to the FPP applicant. One APIMF may be used to support multiple FPP applications without the need for repeated evaluations. It is applicable to both pharmacopoeial and nonpharmacopoeial APIs. FPPs supported by an APIMF have reduced variation requirements. The APIMF holder prepares and maintains the APIMF information and answers all queries directly. 14 | APIMFs and API Prequalification – 4th & 5th of April 2011 Post-acceptance: API-related changes There are advantages for FPP manufacturers using an APIMF Normally all API-related changes would require the submission of a variation from associated FPP manufacturers. For FPPs supported by an APIMF there are reduced requirements. The process is initiated by the APIMF holder through the submission of an amendment. The amendment acceptance letter will confirm if a variation is required by the associated FPP manufacturer. 15 | APIMFs and API Prequalification – 4th & 5th of April 2011 Post-acceptance: API-related changes (2) Depending on the type of change in the APIMF amendment, an FPP manufacturer will required to: Take no further action (i.e. no variation required) – Typically for changes to the closed part of the APIMF only. Submit an APIMF-related notification – Typically for changes that do not impact on API specs and methods. – It may be implemented immediately. – FPP manufacturer has 12 months to submit the API-related notification. Submit a variation – Typically for changes to API specifications or test methods. 16 | APIMFs and API Prequalification – 4th & 5th of April 2011 Statistics May 2010 April 2011 Total number active 88 APIMFs 112 APIMFs Accepted 20 APIMFs 48 APIMFs In progress 46 APIMFs 58 APIMFs Queued for assessment 22 APIMFs 10 APIMFs 17 | APIMFs and API Prequalification – 4th & 5th of April 2011 Statistics (2) Jan 09 to Mar 2011: Work-In verses Work-Out 40 35 Pieces of work 30 25 Work out 20 Work in 15 10 5 Ja n09 M ar -0 M 9 ay -0 9 Ju l-0 9 Se p09 No v09 Ja n10 M ar -1 M 0 ay -1 0 Ju l-1 0 Se p10 No v10 Ja n11 M ar -1 1 0 Month 18 | APIMFs and API Prequalification – 4th & 5th of April 2011 API Prequalification (October 2010) 19 | APIMFs and API Prequalification – 4th & 5th of April 2011 http://apps.who.int/prequal/info_applicants/API_info_applicants.htm 20 | APIMFs and API Prequalification – 4th & 5th of April 2011 Goals of API Prequalification A new initiative in the Prequalification of Medicines Programme. To identify APIs that are of an assured quality and manufactured in accordance with GMP. To publicly recognise these APIs. To maximize the usefulness of prequalification status to API manufacturers, FPP manufacturers, UN agencies and national medicine authorities. 21 | APIMFs and API Prequalification – 4th & 5th of April 2011 Recognising Prequalified APIs + Website (Public) 22 | APIMFs and API Prequalification – 4th & 5th of April 2011 Confirmation Document API PQ Website – List of PQ APIs Published publically The assigned WHO application number. The APIMF version number. The INN name of the active pharmaceutical ingredient. The API specification version number. The primary and secondary packaging components. The assigned re-test period. The recommended storage conditions. Confirmation of API PQ document issue date The date of prequalification. The name of the applicant company. The sites of API manufacture. Intended for: UN agencies, National medicine authorities, FPP manufacturers, public 23 | APIMFs and API Prequalification – 4th & 5th of April 2011 Confirmation of API-PQ Document Provided to the API manufacturer for distribution at their discretion The assigned WHO application number. The INN name of the active pharmaceutical ingredient. API manufacturer company name. The API specification version number. A copy of the API specifications. A copy of the assay and related substances test methodology. Intended for: UN agencies, National medicine authorities, FPP manufacturers 24 | APIMFs and API Prequalification – 4th & 5th of April 2011 Prequalification Process Expression of interest (EOI) Application for API pre-qualification Applicant Information requested Screening Application accepted for assessment APIMF Assessment GMP assessment Information requested Applicant Information requested Review of GMP Certification, Inspection reports, Site Master Files (SMF). Corrective and preventative actions Inspection Accepted Accepted Final decision on prequalification Variations Complaints Random sampling 25 | Listing on WHO website APIMFs and API Prequalification – 4th & 5th of April 2011 Manufacturers 2nd Invitation for EOI A 2nd invitation for Expressions of Interest (EOI) has now been announced. It essentially covers those APIs listed in the associated FPP EOIs for HIV, anti-TB, Malaria and reproductive health. See website for the invitation: http://apps.who.int/prequal/info_applicants/API_info_applicants.htm 26 | APIMFs and API Prequalification – 4th & 5th of April 2011 2nd Invitation for EOI (2) Disease HIV Invited Active Pharmaceutical Ingredient Abacavir, Atazanavir, Darunavir, Didanosine, Efavirenz, Emtricitabine, Etravirine, Lamivudine, Lopinavir, Nevirapine, Raltegravir, Ritonavir, Stavudine, Tenofovir, Zidovudine Anti-malarial Amodiaquine, Artemether, Artesunate, Dihydroartemisinin, Lumefantrine, Mefloquine, Piperaquine, Pyrimethamine, Sulfadoxine Anti-tuberculosis Amikacin, Capreomycin, Cycloserine, Ethambutol, Ethionamide, Isoniazid, Kanamycin, Levofloxacin, Moxifloxacin, Ofloxacin, ParaAminosalicylic Acid (PAS), Prothionamide, Pyrazinamide, Rifampicin, Streptomycin, Terizidone Reproductive health Desogestrel, Estradiol, Ethinylestradiol, Etonogestrel, Levonorgestrel, Medroxyprogesterone, Mifepristone, Misoprostol, Norethisterone, Norgestrel, Oxytocin 27 | APIMFs and API Prequalification – 4th & 5th of April 2011 Using APIMFs previously submitted to PQ Many API manufacturers have APIMFs accepted in the APIMF procedure. API manufacturers that have APIMFs currently accepted or pending with WHO PQ are encouraged to consider API-PQ. 28 | APIMFs and API Prequalification – 4th & 5th of April 2011 Using APIMFs previously submitted to PQ (2) An APIMF submitted and accepted in the FPP prequalification programme need not be resubmitted if: – We hold a revised up-to-date version of the APIMF – The APIMF includes signed, dated and version controlled API specifications. Reference to an existing APIMF should be stated in the cover letter. 29 | APIMFs and API Prequalification – 4th & 5th of April 2011 Questions Antony Fake [email protected] 30 | APIMFs and API Prequalification – 4th & 5th of April 2011
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