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Stability Studies and Testing of Pharmaceuticals: An Overview
Stability Studies and Testing of Pharmaceuticals: An Overview
Stability Studies and Testing of Pharmaceuticals: An Overview
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K. Huynh-Ba and M. W. Dong, Stability Studies and Testing of Pharmaceuticals: An Overview, LCGC North Am.
38(6), 325-336, 2020.
PER SPEC TI V E S
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ICH Q1, was the first quality guidelines method development process, accord- ment of stable formulations and selec-
established by the council, indicating ing to ICH Q1A (R2) and ICH Q2 (R1) tion of suitably packaging
the significant need for harmonization of (8,16). Although regulations mandate • to obtain samples to verify method
global stability requirements. that these studies must be performed, specificity and structure elucidation of
The ICH initially harmonized three the guidance does not provide direc- significant degradation products
geographic regions: the United States, tions on procedures or conditions to use. • to allow the differentiation of impuri-
the European Union, and Japan, which The actual protocols employed appear to ties and degradation products from
encompassed Zone 1 and Zone 2 of the vary widely in different organizations. An the DS, excipients, and other interfer-
World Health Organization (WHO) cli- overview of the chemistry fundamentals ence
matic zones. However, many countries of drug forced degradation studies and • to facilitate the rapid establishment of
outside Zone 1 and 2 joined the ICH, best practices can be found in books, CQAs for selection or elimination of
or voluntarily adopted these guidelines articles, and other resources (17–20). selected testing.
later with various modifications. The cur- Forced degradation studies are per- • to rapidly identify any excipient incom-
rent stability guideline (Q1A [R2]) harmo- formed to investigate the major degra- patibility issues with the DS
nized the storage conditions, frequency dative pathways of the DS and DP and • to generate potential data to support
of required testing, and the minimum support the initial development of the the justification of specifications.
amount of data needed for registration DS stability-indicating methods (3,5,12). Forced degradation studies are con-
(6–8). Table III lists the stability storage High-stress conditions are employed to ducted under high temperature, humid-
conditions established by ICH Q1A (R2) subject DS and DP to conditions more ity, acid/base, oxidative, and light condi-
(8). severe than accelerated conditions to tions in both solid and solution states.
serve several purposes: Table IV lists an example set of stress
Forced Degradation Studies • to provide insight into the degrada- conditions for DS. An important goal of
Forced degradation studies, or stress tion pathways of DS and DP and their forced degradation studies is to gener-
testing, are required by regulations and mechanisms, facilitating the develop- ate a potential level of degradation prod-
scientific necessity during the initial ucts that may form during manufacturing
8 LCGC NORTH AMERICA VOLUME 38 NUMBER 6 JUNE 2020WWW.CHROMATOGRAPHYONLINE.COM
performed to induce quicker degrada- ensure that sample removal is tracked Predictive Tools to
tion than what would be observed in rec- and controlled. Maintenance and service Establish Product Expiry
ommended storage conditions. Results records must be available for inspection Stability data are used to establish the
from these studies are used to estimate during audits. Downtime must be limited, expiry of finished products according to
the stability profile of the DS and DP at and a backup plan must be developed to US FDA Good Manufacturing Practices
long term storage conditions, establish avoid issues that can affect sample stor- regulation 21 CFR 211.137. The data
the actual degradation pathways, and age and data integrity. An annual cham- from the accelerated condition are used
demonstrate the intrinsic stability of the ber inventory program is also necessary to determine a tentative expiration date,
DS. It is recommended that these stud- to track the sample storage and disposi- but testing at full shelf life is necessary to
ies be implemented under GMP condi- tion at any time. confirm the approved expiry.
tions because the results of these studies In this section, we discuss examples
may be used as supporting information Stability Study Strategies of useful software tools and statistical
in regulatory document packages. Full to Expedite “First-in-Human” approaches to evaluate stability data and
shelf-life studies are still needed to verify Clinical Trials to expedite stability studies for establish-
the retest date of the DS and expiration Minimizing “Time to Market” is an essen- ing product expiry.
date of the DP. tial strategy for most pharmaceutical Most tools are science- and risk-based,
While discussions on forced degrada- companies (1). Given that by regulatory and have a robust statistical underpin-
tion studies for NCEs in NDA applications agencies expect to see three months ning that conforms to the principles of
are generally plentiful, those for abbrevi- of stability data in IND filings to enable QbD and DoE, which are endorsed by
ated NDA (ANDA) are often insufficient Phase 1 clinical trials, it is customary to regulatory agencies for pharmaceutical
and may result in regulatory deficiencies. perform preliminary accelerated stability development (9).
For instance, the impurity profiles may studies on the Good Laboratory Prac-
not be completely derived or sufficiently tices (GLP) toxicological DS and proto- Modern Predictive
discussed (20). In addition, the labeling type DP batches to provide supporting Methods and Approaches
for generic drug products should be con- data for quicker IND submissions. Early- One widely used approach is the Accel-
cordant with that of the reference listed phase stability studies are typically short, erated Stability Assessment Program
drug (RLD) and with a compendial mono- as shown in Table VII, and the study con- (ASAP), which uses a modified Arrhenius
graph, as applicable (20). ditions depend on where the clinical tri- approximation. This approach uses deg-
als will take place. During Phase 1, the radation kinetics at a few stressed con-
Stability Storage analytical procedures are usually not fully ditions in 1–2 weeks, and extrapolates
Stability samples are kept in a con- validated, though specificity, accuracy, to lower temperatures and humidity for
trolled temperature and humidity stabil- linearity, and precision studies should be longer timeframes. The advantages of
ity chambers. The ICH Q1A (R2) guide- completed. These time-saving strategies this strategy are that the length of these
line requires that these chambers be allow the pharmaceutical companies to experiments is short and the experi-
controlled within ±2 oC and ±5% RH start Phase I clinical trials as soon as pos- ments use fewer resources. The accuracy
for chambers operated at 25 °C/60% sible after the nomination of the drug of this model assumes a first-order reac-
RH, 30 °C/65% RH, and 40 °C/75% RH. candidates. tion, which is often the case for hydro-
The refrigerated condition is controlled Characterization studies of the API and lysis-based degradation (6,21). The dis-
at 5 oC ± 3 oC (2 to 8 oC) with ambient DP continue during formulation develop- advantage is that the presumed kinetic
humidity (monitored but not controlled). ment. It is recommended that the forced model limits the degradation to less than
These chambers are equipped with sen- degradation studies be repeated before a percent and requires extrapolation of
sors for continuous monitoring temper- the release testing and the initiation of three factors simultaneously: time, tem-
ature and relative humidity. These data the formal stability studies under GMP perature, and humidity. These disadvan-
are captured electronically or by chart regulations and ICH Q1A (R2) guideline tages are minimized when the DS and DP
recorders with backup power. Excur- (8). Examples of standard stability proto- have a simple kinetic pathway, and the
sions will be noted with an alarm system. cols that are listed for different dosage primary stability drivers are temperature
When the chambers are out of tolerance forms at different drug development and humidity (22). Another drawback
(see above), investigations must be per- phases are discussed elsewhere (6,7). could occur when the kinetic route is
formed to identify the cause of the issue Results of the formal stability studies complex or nonlinear or involves physical
and determine the impact of the stored used to determine the drug products’ changes, which may result in the linear
samples (7). expiration are included in the stability model not being accurate. Recently, this
The stability chambers are fully quali- section of the NDA or ANDA. approach was also used to select appro-
fied and maintained, and their access priate packaging based on its thermal
is limited to authorized personnel to and moisture-barrier characteristics, and
10 LCGC NORTH AMERICA VOLUME 38 NUMBER 6 JUNE 2020WWW.CHROMATOGRAPHYONLINE.COM
to optimize the drug:excipient ratio of determination of shelf life through the sizes; thus, stability samples stored in
the formulation based on the moisture analysis of data based on a quantitative the 100 mL containers are not tested.
content (21). This approach has gained attribute that is expected to change over Similarly, the 100 mg and 250 mg tablet
popularity, mainly to set expiry for clini- time is to determine the period of time at strengths are bracketed by the 50 mg
cal materials, and has been accepted by which the 95% one-sided (or two-sided) and 500 mg strengths. Assuming that
multiple regulatory agencies (23). confidence limit for the mean curve inter- the stability profiles of these different
Another successful tool is the Predic- sects the acceptance criterion (26,27). The strength formulations are the same
tive Characterization Study (PCS), a rapid annual commitment lots should also be and the compositions of these tablets
development of robust stability models evaluated against the product trend to are similar, regardless of strength, then
using a semi-empirical design space. It assure the consistency of the stability pro- the testing of 100 mg and 250 mg tab-
is a systematic study that evaluates the file of the DP and verify if there is any unin- lets may not be needed. ICH Q1A (R2)
product data of samples exposed to tended change that may impact the DP. requires that three batches (A, B, C) be
a series of storage conditions to build made available for submission. Accord-
predictive stability models to establish Reduced Testing with ing to the guidelines, a pharmaceutical
the design space and control strategy Bracketing and Matrixing company could reduce its testing from
based on the QbD concept, such as Conducting stability programs is expen- potentially 36 configurations to only 12
setting specifications and selecting pro- sive and time consuming. To reduce configurations, resulting in significant
posed container–closure systems. This costs and increase the efficiency of the savings of resources and time (6,7).
approach is also found acceptable by stability program while maintaining reg- Table IX lists some factors to which
many regulatory agencies (22–24). ulatory compliance, many companies a bracketing approach can potentially
Improved modeling tools have employ bracketing or matrixing options apply, assuming that the container–clo-
enabled stability predictions with accel- that reduce the amount of testing and sure system and the headspace of the
erated timeframes compared to those of resources required (6,7). ICH Q1A (R2) containers do not have any impact. The
the traditional extrapolation approach. and ICH Q1D are guidelines to refer disadvantage of bracketing concept is
Besides providing a more accurate way to when reduced testing is applied. that when one of the results is out-of-
to justify an expiry assignment, these Although the bracketing and matrixing specification, then all bracketed con-
models are used to increase the under- concepts are included in multiple global figurations data could then be at risk.
standing of the critical factors that influ- stability guidelines, limited numbers of Full testing would need to be activated
ence the quality of the DS and DP, as published applications can be found. mid-study, complicating the data set,
demonstrated in empirical science and It is even more challenging to provide and negating the benefit of any testing
risk-based approaches detailed in ICH examples for the matrixing for an NCE. reduction. In addition, all bracketed fac-
Q8–Q11. These approaches are often Here, we explain the similarities and dif- tors (for example strengths/formulations
utilized by large pharmaceutical com- ferences between these approaches to and package configurations) will need to
panies with better modeling resources illustrate this application. be registered in all end markets, even
and expertise. A regulatory template if only a subset will be commercialized.
has been shared to standardize on criti- Bracketing Due to the risk, the bracketing concept
cal elements to use risk-based predictive Bracketing refers to a study design in is used more often for post-approval or
stability data for setting up shelf life to which only the extreme variables, such annual product monitoring stability stud-
support clinical development. (25) as extreme strengths, container sizes, ies rather than for DPs from NCEs.
or container fills, are tested. The plan
Trending Analysis assumes that the stability behaviors of Matrixing
The purpose of the stability program products manufactured or packaged at Matrixing is a statistical design of the sta-
is to establish a retest period for DS these extreme levels (such as, for exam- bility schedule in which a selected group
or shelf life for DP that will apply to all ple, highest vs. lowest strength, or larg- of samples of the total number of pos-
future commercial batches. Stability data est vs. smallest package size) encompass sible samples is tested at a specific time
of CQAs of individual batches should and represent the stability behaviors of point. At the next time point, a different
remain within specification throughout products of the intermediate levels, elim- group should be tested. At each time
the assigned retest period of the DS or inating the need for testing at the inter- point, the stability data of that group of
shelf life of DP. Therefore, the trending of mediate levels. A bracketing schedule samples will represent the stability of the
all stability data is very important. Most can be applied to multiple strengths of whole set of studies.
degradation trends of API are linear; identical or closely related formulations. Similar to the bracketing approach, this
however, the degradation pathway could Table VIII shows an example in which design also assumes that all the batches
be a linear, quadratic, or cubic function. the 100 mL container size is bracketed have similar stability profiles; thus, there
The typical ICH Q1E approach for the by the 50 mL and 250 mL container is no need to generate all the results. The
WWW.CHROMATOGRAPHYONLINE.COM JUNE 2020 LCGC NORTH AMERICA VOLUME 38 NUMBER 6 11
long-term trends of all configurations are lines; however, a lack of knowledge of be evaluated to determine the consis-
approximately linear across the whole set matrixing among regulatory reviewers tency of the representative stability data
of all studies, and the comparative sta- and internal quality and regulatory pro- and trends with respect to the manufac-
bility of each presentation can be evalu- fessionals may hinder the use of this turing process and analytical method, by
ated with the reduced schedule. Many application to reduced stability testing. comparing the intercepts and the slopes
options are available with the matrixing of all batches (6,7,23).
concept, which could reduce the testing Stability Reports and
schedule by a third, a half, or two thirds, Regulatory Submissions Summary and Conclusions
depending on the aggressiveness of the Stability reports are required in all phases A robust and science-based stability pro-
statistical extrapolations and risk assess- of regulatory submissions regardless of gram is required for the registration and
ment for the design (6,7). lifecycle state (such as NDA, ANDA, or commercialization of any pharmaceutical
Table X shows an example of a two- supplement NDA). The stability data- product. Regulations in this area are well
thirds factorial matrixing design. In this base comprises laboratory data gen- established; however, the application
schedule, there are two strengths and erated and stored electronically or as and interpretation of the regulations vary
three batches made of each strength. printed reports. These stability data are between companies and regions. ICH
All presentations are tested at time zero, entered into stability reports, which are harmonizes the main regions to help
12 months, and the end of the study (36 essential to communicate information companies use a standardized approach.
months) for the highest possible preci- internally for audit purposes, product This article provides a high-level
sion as these time points are critical investigations, justification of specifica- summary of regulations and regula-
to the DP stability profile. For all other tions, to support product development, tory expectations of stability programs.
time points (3, 6, 9, 18, and 24 months), or simply as a communication tool. All It reviews the goals and practices of
only two-thirds of the presentations get detailed information in the report must forced degradation studies to generate
tested at a rotating schedule. Therefore, be verified for accuracy. For an NDA or sample data to confirm method speci-
all configurations are tested at different ANDA submission, the stability report is ficity. A strategy for conducting accel-
time points for the same amount of times typically the most extensive non-clinical erated stability studies on preliminary
in total. section to summarize the stability data batches to expedite initial regulatory
The matrixing approach requires that of the product during its shelf life (6,27). filing is described. Finally, predictive
all samples be placed in stability cham- Stability data can be presented in a stability software-based and statistical
bers, including at the timepoints that tabular format, in a graphical represen- approaches such as trending, bracketing,
are reduced. Therefore, when there is an tation, a narrative, or a combination of and matrixing are explained.
instability issue, the testing schedule can formats. Table XII is an example of a sta-
be changed to test all configurations. If bility data record. The data tables can Acknowledgments
some data points are not available, there be generated manually in a document The authors express their gratitude to the
will be a minimum impact on the entire or printed out from a laboratory infor- following colleagues for their time and
study of multiple presentations. mation management system (LIMS) or efforts to provide timely reviews of the
Table XI lists some examples of factors stability management software. All infor- manuscript to improve content accuracy
where matrixing can be used to reduce mation and data must be reviewed and and clarity: Jane Weitzel of Zinata, Jing
testing. Matrixing also provides more verified. The conclusion of the stability Capucao of J&J, Mike Shifflet of John-
flexibility because different reduced report discusses whether the data indi- son and Johnson Consumer Health Care;
testing options can be performed for cate that the product continues to meet Adrijana Torbovska of Farmahem; Alice
various tests depending on the test- the quality specifications or acceptance Krumenaker of TW Metals, LLC; Mark
ing confidence. Realistically, matrixing criteria established for the study and Shapiro of MCS Pharma Consulting;
should be used only for label storage whether the data support the proposed Madhavi Mahavadi of BioMarin Pharma-
conditions. The accelerated stability data or approved expiration dating period ceuticals; Joshua Ayers of ASQ Solutions.
may provide some insight into the sta- (6,7).
bility profile of the product at the label Stability reports should include a sta- References
storage conditions. Because matrixing is tistical evaluation of the currently avail- (1) R.G. Hill and H.P. Rang, Eds., Drug Dis-
a statistical concept, evaluation of data able data and a discussion of the results covery and Development: Technology in
Transition (Churchill Livingston, Elsevier,
can be more involved, and assessment according to ICH Q1E or statements Edinburgh, Scotland, 2nd Ed., 2012)
of all the presentations as a complete that no overall trends and little variabil- (2) M.W. Dong, Drug Development Process,
set is more complicated, which explains ity are observed in the dataset. Table Short Course presented at Pittcon, Phila-
why this approach is not used widely. XIII lists typical questions that should delphia, Pennsylvania, March 2019.
These reduced testing approaches are be addressed in the stability conclusion. (3) M.W. Dong, LCGC North Am. 33(11),
764–775 (2015).
discussed in detail in many global guide- “Poolability” of different batches should
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(4) D. Kou, L. Wigman, P. Yehl, and M.W. Dong, Analysis, S. Ahuja and M. W. Dong, Eds.,
LCGC North Am. 33(12), 900–909, (2015). (Elsevier, Amsterdam, 2005), Chapter 6.
(5) M.W. Dong, HPLC and UHPLC for Practic- (19) M.W. Dong and H.T. Rasmussen, HPLC
ing Scientists (John Wiley & Sons, Hobo- Method Development Short Course,
ken, New Jersey, 2nd Ed., 2019), Chap- Eastern Analytical Symposium, Somer-
ters 9–11. set, New Jersey, 2004.
(6) K. Huynh-Ba, Ed., Handbook of Stabil- (20) R. Maheswaran, Pharm. Technol. 36(5),
ity Testing of Pharmaceutical Products: 1–6 (2012).
Regulations, Methodologies and Best (21) K. Waterman, Understanding and Pre-
Practices (Springer, New York, 2009). dicting Pharmaceutical product Shelf life,
(7) K. Huynh-Ba, Ed., Pharmaceutical Stabil- In Handbook of Stability Testing of Phar-
ity Testing to Support Global Markets maceutical Products: Regulations, Meth-
(Springer, New York, 2010). odologies and Best Practices (Springer,
(8) International Council for Harmonisation New York, 2009), Chapter 6.
of Technical Requirements for Pharma- (22) K. HuynhBa et al., Meeting Report,
ceuticals for Human Use (ICH) Q1A (R2), Analytical Approaches to Ensure Prod-
Stability Testing of New Pharmaceutical uct Quality – AAPS Joint Face-to-Face
Products (Geneva, Switzerland, 2003). Meeting of the Stability, the Pharmaceu- ABOUT THE CO-AUTHOR
(9) International Council for Harmonisation tical Impurities, and the CMC Statistics
of Technical Requirements for Pharma- Focus Group, AAPS Open 3 (1), 2017. Kim Huynh-Ba
ceuticals for Human Use (ICH) Q8(R2), https://aapsopen.springeropen.com/ is the managing director
Pharmaceutical Development (Geneva, articles/10.1186/s41120-017-0011-z of Pharmalytik LLC. (www.
Switzerland, 2009). (23) H. Williams et al., Pharm. Technol. 41(3), pharmaly tik.com), which
(10) International Council for Harmonisation 52–57 (2017). provides consulting ser-
of Technical Requirements for Pharma- (24) D. Lavrich, Rapid Development of Robust vices in Stability Sciences, Quality
ceuticals for Human Use (ICH), Q3A(R2), Stability Models Using Semi-Empirical Management Systems, and Analytical
Impurities in New Drug Substance, Design Space, AAPS Webinar, March 24, Development. She is an Adjunct Pro-
Q3B(R2), Impurities in New Drug Prod- 2016. https://aapsopen.springeropen. fessor at Temple University’s School
ucts (Geneva, Switzerland, 2006). com/articles/10.1186/s41120-017-0018- of Pharmacy and Illinois Institute of
(11) International Council for Harmonisa- 5#article-info Technology (IIT). Kim is a member of
tion of Technical Requirements for (25) H. Williams, Pharm Technol. 42(8), 42–47 the US Pharmacopeia’s Council of
Pharmaceuticals for Human Use (ICH) (2018). Experts, and the chair of the Chemical
Q6A, Specifications: Test Procedures (26) WHO Expert Committee on Specifica- Medicines Monograph IV Expert Com-
and Acceptance Criteria for New Drug tions for Pharmaceutical Preparations mittee, USP Good Documentation
Substances and New Drug Products, Fifty-second report, annex 10, Stability Practices Expert Panel, USP Organic
(Geneva, Switzerland, 1999). testing of active pharmaceutical ingredi- Impurities of Drug Substance and
(12) H. Bruemmer and N. Belikova, Pharm. ents and finished pharmaceutical prod- Drug Products Expert Panel. She is on
Technol. 41(9), 46–52 (2017). ucts (World Health Organization, 2018). the editorial board of AAPS Open, the
(13) 21 Code of Federal Regulations (CFR), (27) International Council for Harmonisation Journal of GXP Compliance, and the
Part 211.194(a), Current Good Manufac- of Technical Requirements for Pharma- Journal of Validation Technology. Kim
turing Practice for Finished Pharmaceu- ceuticals for Human Use (ICH) Q1E, Eval- has authored ~30 technical publica-
tical Products (US Government Printing uation of Stability Data (Geneva, Switzer- tions and is the editor of two books on
Office, Washington, DC, 2019). land, 2003). stability testing to support registration
(14) United States Pharmacopeia Conven- in global markets.
tion, USP 37/NF 32, General Chapter
USP <1225>, Validation of Compendial
Methods, (United States Pharmacopeial ABOUT THE AUTHOR
Convention, Rockville, Maryland, 2013).
Michael W. Dong
(15) United States Pharmacopeia Conven- is a principal of MWD
tion, USP 37/NF 32, General Chapter USP
Consulting, which provides
<1226>, Verification of Compendial Pro-
training and consulting
cedures (United States Pharmacopeial
Convention, Rockville, Maryland, 2013, services in HPLC and UHPLC,
revised 2018). method improvements, pharmaceutical
analysis, and drug quality. He was formerly
(16) International Council for Harmonisation
a Senior Scientist at Genentech, Research
of Technical Requirements for Pharma-
Fellow at Purdue Pharma, and Senior
ceuticals for Human Use (ICH) Q2 (R1),
Validation of Analytical Procedures: Staff Scientist at Applied Biosystems/
Methodology (Geneva, Switzerland, PerkinElmer. He holds a PhD in Analytical
November 1996, updated 2015). Chemistry from City University of New York.
He has more than 100 publications and
(17) S.W. Baertschi, K.M. Alsante and R.A.
a best-selling book in chromatography.
Reed, Eds., Pharmaceutical Stress Test-
ing: Predicting Drug Degradation (CRC He is an editorial advisory board
Press, Boca Raton, Florida, 2nd Ed., 2011). member of LCGC North America and
the Chinese American Chromatography
(18) H.T. Rasmussen, W. Li, D. Redlich, M.I.
Association. Direct correspondence to:
Jimidar, HPLC Method Development, In
LCGCedit@MMHGroup.com
Handbook of HPLC in Pharmaceutical