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MJH Life Sciences Not For Distribution: Harmonization Efforts by Pharmacopoeias and Regulatory Agencies
MJH Life Sciences Not For Distribution: Harmonization Efforts by Pharmacopoeias and Regulatory Agencies
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MJH Life Sciences
Harmonization Efforts by
Not for distribution
Pharmacopoeias and Regulatory
Agencies
The authors take a closer look at these ongoing efforts to harmonize
compendial standards, with perspective that may be helpful in
considering the future direction of pharmacopoeias.
J. MARK WIGGINS AND JOSEPH A. ALBANESE
T
he pharmacopoeias and regulatory agencies PHARMACOPOEIAL DISCUSSION GROUP
around the world, in collaboration with their One of the long-standing activities focused on har-
stakeholders, have been actively and success- monization of compendial requirements is that
fully working toward the goal of compendial of the Pharmacopoeial Discussion Group (PDG),
harmonization for quite some time. The fol- which comprises the European Pharmacopoeia (Ph.
lowing takes a closer look at these ongoing efforts to Eur.), Japanese Pharmacopoeia (JP), and United States
harmonize compendial standards, with perspective
that may be helpful in considering the future direc- J. MARK WIGGINS is owner and compendial consultant with Global
Pharmacopoeia Solutions LLC. JOSEPH A. ALBANESE is the director of
tion of pharmacopoeias. Analytical Strategy and Compliance at Janssen Research and Development, LLC.
In this series of articles, the authors provide an understanding about the need for pharmacopoeia compliance and practical guidance to
assist those who perform this work to establish effective processes, partnerships, and tools to maintain appropriate and timely compliance
across the bio/pharmaceutical industry to the benefit of patients.
The following articles can be found within this ebook and online at www.BioPharmInternational.com:
• Why Pharmacopoeia Compliance is Necessary
• Why Pharmacopoeia Compliance is Difficult
• A Brief History of Pharmacopoeias: A Global Perspective
• Global Pharmacopoeia Standards: Why Harmonization is Needed
• Harmonization Efforts by Pharmacopoeias and Regulatory Agencies
Pharmacopeia (USP). Each of the on selected excipient monographs st rea m l i ned t hei r work st r uc-
pa r t ic ipat i ng pha r macopoe - and general chapters in the phar- ture, eliminating two stages of
ia s ha s i n for mat ion on t he i r macopoeias. To date, harmoni- the harmonization process (Figure
w e b s i t e r e g a r d i n g P D G (s e e zation work has been completed 1), with the objective of trying
Table I), and the following sum- on 28 of the 31 general chapters to achieve harmonized outcomes
mary highlights some key aspects and 46 of the 60 excipient mono- more quickly.
of this work. graphs on the current PDG work PDG has provided a practical
PDG was formed in 1989 with program. These harmonized com- definition of harmonization; a
representatives from the European pendial standards are an impor- pharmacopoeial monograph or
D i re c torate for t he Q u a l it y tant achievement and reflect the general chapter is harmonized
of Me d ic i nes & Hea lt hC a re long-term commitment by the when a pharmaceutical substance
(EDQM/Ph. Eur.), the Ministr y PDG partners to establish con- or product tested by the docu-
of Health, Labour, and Welfare sistent standards for use in these ment ’s ha r mon i zed procedu re
( M H LW/J P ), a n d t h e Un it e d three major regions of the world. yields the same results and the
States Pharmacopeial Convention But it can also be arg ued that sa me accept/rejec t dec ision is
( USP), w it h t he World Hea lt h the process has taken too long reached. When full harmoniza-
Organization (WHO) joining as to reach the established goals. tion cannot be achieved through
an observer in 2001. During its Indeed, retrospective harmoniza- PDG disc ussions, an approach
30-year history, PDG has met on tion of existing compendial stan- termed “harmonization by attri-
a regular basis to advance harmo- dards is challenging and complex. bute” is pursued, in which some
nization work in Europe, Japan, Recog nizing t he concer n over elements of the monograph or
and the United States, focusing timely progress, PDG has recently general chapter are harmonized,
Table I. Pharmacopoeial Discussion activities is somewhat limited. ment of ICH guidelines in four
Group (PDG) members. The focus of PDG harmonization categories— quality, safety, effi-
is on excipient monographs and c ac y, a nd mu lt id isc ipl i na r y—
Pharmacopoeia Website
general chapters, but their cur- through a process of scientific
www.usp.org/ rent work program includes only consensus with reg ulatory and
US Pharmacopeial
harmonized-
Convention (USP) a fraction of the total number of industry experts working side-by-
standards/pdg
excipient monographs and gen- side. Initially, ICH included six
European Directorate www.edqm.eu/
eral chapters in the pharmaco- members: representatives from
for the Quality en/international-
of Medicines & harmonisation-614. poeias. The PDG activities do not the regulatory agencies and indus-
HealthCare (EDQM) html include harmonization of mono- try associations of Europe, Japan,
www.pmda.go.jp/ graphs for drug products or APIs. a nd t he US. In cont inuing to
Pharmaceuticals english/rs-sb- The pharmacopoeias participat- address the larger global situation
and Medical Devices std/standards- ing in the PDG work represent for medicines, ICH has expanded
Agency (MHLW) development/ three major regions of the world, to include seven additional regu-
jp/0012.html
and the standards are accepted latory members and three addi-
in many countries outside the t ion a l i ndu s t r y me mb e r s, a s
but others are not. This situation geographical boundaries of these well as more than 30 observers,
occurs when there is lack of full countries and regions, but there including WHO.
agreement between the PDG part- are many other important phar- Representatives from the Ph.
ners as to the specific tests, meth- macopoeias and regions that are Eur., JP, and USP—the pharmaco-
ods, or acceptance criteria needed not part of this harmonization poeias that form the PDG —are
in the monograph for a particular work, so global applicability has either members or observers to
Figure 1. Pharmacopeial Discussion Group (PDG) revised working procedure: low-on Q4A topic. On the ICH
5-stage approach for harmonization (2). website, the brief note regarding
Q4A goes a bit further that that
Stage 1: Preparation of first draft provided for Q4, to state that ICH
Upon PDG approval to add the revision to the workplan, the coordinating pharmacopoeia (CP) prepares will receive progress reports from
and forwards the Stage 1 draft and supporting data to PDG for pharmacopoeial expert committee PDG on the pharmacopoeia har-
review/comment. The CP reviews comments received and, if all three pharmacopoeias agree, the monization work. Unlike other
proposed harmonized draft document moves forward for public comment/inquiry.
ICH topics, there are no specific
guidelines associated with either
Stage 2: Official inquiry
ICH Q4 or Q4A.
The Stage 2 draft and commentary are published in the respective forum of each pharmacopoeia. Each
pharmacopoeia analyzes comments received during the public comment/inquiry stage and submits
its consolidated comments to the CP for review. If appropriate, the CP prepares a draft harmonized Q4B WORKING GROUP
document (Stage 3A) and commentary, which are sent to the other two PDG pharmacopoeias. EXAMINES INTERCHANGEABILITY
Recognizing the imperfect out-
Stage 3: Consensus comes ref lected in PDG’s har-
The Stage 3A draft is reviewed and commented on by the other pharmacopoeias. Any
m o n i z at i o n b y at t r i b ut e , i n
remaining differences are resolved, or they are assigned as non-harmonized attributes or
local requirements. When agreement is reached, a Stage 3B draft is sent by CP to the other 20 03, indust r y requested t hat
pharmacopoeias for final confirmation and sign-off. ICH establish t he Q4B E xper t
Wo r k i n g G r o u p ( E WG) t o
Stage 4: Regional adoption and implementation address how regulatory author-
Stage 4 takes place individually according to the procedures established by each
pharmacopoeia. The harmonized document is submitted for adoption by the responsible
ities in the ICH regions would
pharmacopoeia organization. Each pharmacopoeia incorporates the harmonized content according to recognize the interchangeabil-
Q6A guideline, there is specific topics (3). On the ICH website, cover a wide range of pharma-
reference to the pharmacopoeias there is a brief note regarding ICH copoeia general chapters, includ-
and the work of the PDG; it is Q4, which can be paraphrased as ing Residue on Ignition/Sulphated
stated that pharmacopoeial pro- follows: ICH will trust the PDG Ash, Disintegration, Dissolution,
cedures should be used wherever process to achieve pharmacopoeia Un i for m it y of D o s age Un it s,
they are appropriate. This inter- harmonization for the 11 com- Extractable Volume of Parenteral
sec t ion of t he ICH g uidelines pendial chapters. Perhaps due to P repa r at ion s, M ic robiolog ic a l
and the pharmacopoeia chapters, the slow pace of the PDG harmo- E xa m i nat ion of Non- Ster i le
which were undergoing harmoni- nization work, ICH added a fol- Products, Sterility, and Capillary
E le c t r ophor e si s . E ac h of t he the understanding that an ana- another area where the harmo-
a n ne xes prov ides t he Q4B lyst using any of the interchange- nization activities overlap. Most
Outcome regarding interchange- able methods will reach the same recently, the development of the
ability of the harmonized com- accept/reject decision irrespective ICH Q3D guideline on control of
pendial test chapters, along with of which PDG pharmacopoeia is elemental impurities in drug prod-
the conditions, considerations, used. ucts was completed. This guide-
and timelines to assist in the line addressed a long-standing
implementation and use of the The Ph. Eur. in issue associated with the phar-
referenced pharmacopoeial text macopoeia test for heavy metals
by stakeholders. particular has taken a in pharmaceutical products and
T he cond it ions i nc luded i n ingredients, while expanding on
the Q4B annexes address point- pro-active approach regulatory guidance from Europe
by-point the residual differences that established limits for the resi-
between the Ph. Eur., JP, and USP in adopting the dues of metal catalysts or metal
texts following the completion of reagents that may be present in
the PDG harmonization activities, concepts of the ICH pharmaceutical substances or drug
thereby enabling the use of any products. With the publication of
of the referenced pharmacopoeia Q3A/B guidelines. the Q3D guideline, the PDG began
chapters as interchangeable in the the process of adopting the new
ICH regions. The need to include In 2010, after finalizing the 16 requirements, while moving to
conditions is based on the degree annexes, ICH disbanded the Q4B eliminate the historical chapters
to which the harmonized chap- EWG as it was concluded that on heavy metals, which employed
products also represent an area the Ph. Eur., JP, and USP. Efforts to rationale that challenged some of
of overlap with the pharmaco- expand the participating pharma- the content contained in the PDG
poeias, which control impurities copoeias in PDG have been dis- harmonized chapters, including
through specific requirements in cussed but not pursued because particulate contamination, dissolu-
monographs for dr ug products it is recognized that retrospec- tion, microbiological, and steril-
and ingredients. The Ph. Eur. in tive harmonization between the ity testing. The meeting in China
particular has taken a pro-active current three pharmacopeias is serves as a reminder of the diffi-
approach in adopting the con- already difficult. culties in achieving harmonized
cepts of the ICH Q3A/B guide- compendial standards and expand-
lines, with general chapters and WHO is uniquely ing their adoption once available.
monographs that help ensure con- Still, there are additional activities
trol of identified and unidentified positioned to leverage being pursued, aimed at facilitat-
impurities and set limits for both ing the development and use of
specified and unspecified impuri- the outcomes of global pharmacopoeia standards.
ties. Each of the ICH Q3A/B/C/D
guidelines has strengthened the the ICH and PDG CONTRIBUTIONS OF WHO
connection between the regula- WHO’s International Pharmacopoeia
tory agencies and pharmacopoeias harmonization work (Ph. Int.) supports the needs of
in the ICH regions, to the benefit developing countries by provid-
of industry through consistent and bring advantage ing quality standards for medi-
quality standards, and ultimately cines that are listed in the WHO
to patients through consistent by expanding its Model List of Essential Medicines.
to medicines (8). Representatives “Pharmacopoeial Specifications– ias, and with input provided by
from pharmacopoeias from 23 Need for a Worldwide Approach?”, stakeholders who reviewed early
countries came together at the in Hong Kong. This led to further drafts, the Good Pharmacopoeial
first IM W P and committed to discussions among regulators at Practices document was finalized
work i ng f u r t he r towa rd ha r- subsequent ICDRA meetings and in 2016 (11).
monization and strengthening at other international events dur- The GPhPs define approaches
WHO’s role in developing global ing the following years, including and policies, along with techni-
standards for the production and discussions with and among the cal guidance for the development
testing of medicines. This unprec- pharmacopoeias on this topic. of monographs for APIs and fin-
edented commitment by WHO ished pharmaceutical prepara-
and the pharmacopoeias to work Global tions. The guidance is intended
together to strengthen interna- to facilitate collaboration and
tional standards has continued pharmacopoeia possible work-sharing among the
through additional IMWP meet- pharmacopoeias, with the ulti-
ings, which have occurred on a standards would mate goal of harmonization of
reg u la r basis since 2 012 . T he compendial standards. Additional
most recent IMWP, the 10th such help to support GPhP chapters were completed in
meeting, was hosted by WHO in 2018 to address the development
Geneva in March 2019, with repre- the availability of of monographs for compounded
sentation of national and regional preparations and herbal medicines
p h a r m a c o p o e i a l a u t h o r it i e s , medicines with (12, 13). An essential element con-
including those in Brazil, China, tributing to the completion of the
consistent quality for
MJH Life Sciences
Europe, India, Indonesia, Japan, GPhP guidance documents was
Russia, and the US. One concrete the collaborative environment that
step toward strengthened coopera- patients around the was engendered among the phar-
tion has been the development of macopoeias and WHO through
a rapid alert system to exchange
information and take urgent action
during health emergencies. The
Not for distribution world.
The main suggestion emerg-
ing from all these events was the
the IMWP meetings. This engage-
ment has also contributed to other
compendial harmonization initia-
connection between ICH and PDG development of good pharmaco- tives, including bilateral and mul-
also continues to strengthen. At poeial practices (GPhP) to encour- tilateral agreements, memoranda
the March 2019 PDG videoconfer- age harmonization, facilitated by of understanding (MoUs), regional
ence, a discussion took place on the WHO Expert Committee on activ ities bet ween the various
how information on the progress Specifications for Pharmaceutical pharmacopoeias, and collabora-
made by PDG should be shared Preparations, and benefiting from tion to support the development of
amongst the PDG member phar- its well-established international global pharmacopoeia standards.
macopoeias and other pharmaco- standard-setting processes and
poeias participating in the IMWP. procedures. The important work PROSPECTIVE AND
These discussions will continue at of preparing the GPhPs began INFORMAL HARMONIZATION
the next face-to-face PDG meet- with the first IMWP meeting and Most of the initiatives described
ing, hosted by JP in October 2019 continued through later meet- thus far have foc used on har-
in Tokyo, which will also celebrate ings, with formation of an ini- monization of compendial stan-
the 30th anniversary of PDG (9). tial drafting group comprising dards already listed in the various
There are additional contribu- pharmacopoeia representatives pharmacopoeias, to resolve dif-
tions from WHO. The initiative from Argentina, Brazil, Europe, ferences bet ween t he ex ist ing
to reopen discussion on interna- India, Japan, Mexico, the Russian standards—so-called “retrospec-
tional harmonization of quality Federation, Ukraine, the UK, and tive harmonization”. This is diffi-
control specifications on a global US (10). As a truly global initia- cult, as evidenced by the efforts of
scale began back in 20 02, dur- tive, the entire process was open the PDG pharmacopoeias to har-
ing meetings held at the 10th to all pharmacopeias. With focus monize existing general chapters
International Conference of Drug a nd persistence by W HO a nd and excipient monographs result-
Regulatory Authorities (ICDRA), the participating pharmacopoe- ing in harmonization by attribute.
It is also reflected in the discussion USP, Ph. Eur., and BP, with visibil- ich.org/fileadmin/Public_Web_Site/
ICH_Products/Guidelines/Quality/Q4B/
on how China might adopt the ity provided to other pharmaco- Presentation/Q4B_Presentations.pdf
topic-specific ICH Q4B outcomes, poeias, including those in Japan, 5. ICH, Q4B Guideline: Evaluation and
China, Korea, and India. This Recommendation of Pharmacopoeial
an issue that other countries will
Texts for Use in the ICH Regions
also face as they join in the mem- effort, which has resulted in the (ICH, November 2007), www.ich.
bership of ICH. The underlying successful completion of several org/fileadmin/Public_Web_Site/
ICH_Products/Guidelines/Quality/Q4B/
question for retrospective harmo- new, prospectively harmonized Step4/Q4B_Guideline.pdf
nization is why a pharmacopoeia monographs for small-molecule 6. ICH, Final Minutes, ICH Assembly,
14-15 November 2018, Charlotte, NC,
should change from a standard dr ug substances and products, USA, ICH.org, www.ich.org/fileadmin/
that has been developed and used has evolved to an “informal har- Public_Web_Site/Meetings/Ass_MC_
to control the quality of medicines mon i z at ion” process b et ween Meetings_Reports/ICH37Charlotte_
Assembly_Minutes_Final_2019_0108.
in that particular country, and to the participants pdf
adopt a different compendial stan- 7. ChP, “Adoption of the ICH Q4
Pharmacopoeial Test Method Workshop
dard that was “not invented here.” CONCLUSION was held in Beijing” with presentations
Even with the effective collabora- Global pharmacopoeia standards from the workshop, wp.chp.org.cn,
tion achieved through the IMWP would help to support the avail- http://wp.chp.org.cn/en/content.htm
l?id=ff80808166e8124b016776d
meetings, much time has been ability of medicines with consis- ea6160182
devoted to discussing harmoniza- tent quality for patients around 8. WHO, “International Meetings of World
Pharmacopoeias,” WHO.int, https://
tion of existing standards in the the world. There are many path- www.who.int/medicines/areas/quality_
various pharmacopoeias. ways to achieve compendial har- safety/quality_assurance/resources/
qas_worldpharmmeetings/en/
T he G Ph P g u id a nc e d o c u - monization and several approaches
9. EDQM, Pharmacopoeial Discussion
ments shift the focus away from are currently underway, including Group videoconference meeting, 25