Creating a Holistic Extractables and Leachables (E&L) Program for Biotechnology Products

The risk mitigation of extractables and leachables presents significant challenges to regulators and drug manufacturers with respect to the development, as well as the lifecycle management, of drug products. A holistic program is proposed, using a science- and risk-based strategy for testing extractables and leachables from primary containers, drug delivery devices, and single-use systems for the manufacture of biotechnology products. The strategy adopts the principles and concepts from ICH Q9 and ICH Q8(R2). The strategy is phase-appropriate, progressing from extractables testing for material screening/selection/qualification through leachables testing of final products. The strategy is designed primarily to ensure patient safety and product quality of biotechnology products. The holistic program requires robust extraction studies using model solvents, with careful consideration of solvation effect, pH, ionic strength, temperature, and product-contact surface and duration. From a wide variety of process- and product-contact materials, such extraction studies have identified and quantified over 200 organic extractable compounds. The most commonly observed compounds were siloxanes, fatty acid amides, and methacrylates. Toxicology assessments were conducted on these compounds using risk-based decision analysis. Parenteral permitted daily exposure limits were derived, as appropriate, for the majority of these compounds. Analysis of the derived parenteral permitted daily exposure limits helped to establish action thresholds to target high-risk leachables in drug products on stability until expiry. Action thresholds serve to trigger quality investigations to determine potential product impact. The holistic program also evaluates the potential risk for immunogenicity. This approach for primary drug containers and delivery devices is also applicable to single-use systems when justified with a historical knowledge base and understanding of the manufacturing processes of biotechnology products. LAY ABSTRACT: In the development of a drug product, careful consideration is given to impurities that may originate from manufacturing equipment, process components, and packaging materials. The majority of such impurities are common chemical additives used to improve the physicochemical properties of a wide range of plastic materials. Suppliers and drug manufacturers conduct studies to extract chemical additives from the plastic materials in order to screen and predict those that may leach into a drug product. In this context, the term extractables refers to a profile of extracted compounds observed in studies under harsh conditions. In contrast, the term leachables refers to those impurities that leach from the materials under real-use conditions and may be present in final drug products. The purpose of this article is to present a holistic approach that effectively minimizes the risk of leachables to patient safety and product quality.

[1]  Shan S. Wong,et al.  Chemistry of Protein Conjugation and Cross Linking , 1991 .

[2]  Roger O McClellan,et al.  Development of safety qualification thresholds and their use in orally inhaled and nasal drug product evaluation. , 2007, Toxicological sciences : an official journal of the Society of Toxicology.

[3]  Yamamoto Kenji,et al.  The acute toxicity of butylated hydroxytoluene and its metabolites in mice , 1980 .

[4]  Brian M. Murphy,et al.  Stability of Protein Pharmaceuticals: An Update , 2010, Pharmaceutical Research.

[5]  Yijia Jiang,et al.  Root Cause Analysis of Tungsten-Induced Protein Aggregation in Pre-filled Syringes. , 2010, PDA journal of pharmaceutical science and technology.

[6]  David W Roberts,et al.  Mechanistic applicability domains for nonanimal-based prediction of toxicological end points: general principles and application to reactive toxicity. , 2006, Chemical research in toxicology.

[7]  Robert Fischer,et al.  Tungsten-Induced Denaturation and Aggregation of Epoetin Alfa During Primary Packaging as a Cause of Immunogenicity , 2011, Pharmaceutical Research.

[8]  Jennifer J. Otten,et al.  DRI, Dietary reference intakes : the essential guide to nutrient requirements , 2006 .

[9]  Alex Ni,et al.  Antimicrobial preservative use in parenteral products: past and present. , 2007, Journal of pharmaceutical sciences.

[10]  Romualdo Benigni,et al.  Structure alerts for carcinogenicity, and the Salmonella assay system: a novel insight through the chemical relational databases technology. , 2008, Mutation research.

[11]  Philippe Thevenaz,et al.  Inhalation Toxicology of Octamethylcyclotetrasiloxane (D4) Following a 3-Month Nose-Only Exposure in Fischer 344 Rats , 2002, International journal of toxicology.

[12]  J H Weisburger,et al.  Carcinogenesis bioassay of acetamide, hexanamide, adipamide, urea and P-tolylurea in mice and rats. , 1979, Journal of environmental pathology and toxicology.

[13]  S. Enoch,et al.  Identification of mechanisms of toxic action for skin sensitisation using a SMARTS pattern based approach , 2008, SAR and QSAR in environmental research.

[14]  J. R. Woodward,et al.  The chronic toxicity of diphenylamine for dogs. , 1967, Toxicology and applied pharmacology.

[15]  Dennis Jenke,et al.  The Product Quality Research Institute (PQRI) Leachables and Extractables Working Group Initiatives for Parenteral and Ophthalmic Drug Product (PODP) , 2013, PDA Journal of Pharmaceutical Science and Technology.

[16]  D C Villeneuve,et al.  Results of a short-term toxicity study for three organic chemicals found in Niagara river drinking water , 1988, Bulletin of environmental contamination and toxicology.

[17]  M T D Cronin,et al.  A review of the electrophilic reaction chemistry involved in covalent protein binding relevant to toxicity , 2011, Critical reviews in toxicology.

[18]  Mithat Gonen,et al.  A Phase I Clinical Trial of Safingol in Combination with Cisplatin in Advanced Solid Tumors , 2011, Clinical Cancer Research.

[19]  Dennis Jenke,et al.  A Compilation of Safety Impact Information for Extractables Associated with Materials Used in Pharmaceutical Packaging, Delivery, Administration, and Manufacturing Systems , 2014, PDA Journal of Pharmaceutical Science and Technology.

[20]  Chung C. Hsu,et al.  Site-Specific Tryptophan Oxidation Induced by Autocatalytic Reaction of Polysorbate 20 in Protein Formulation , 2011, Pharmaceutical Research.

[21]  Yasser Nashed-Samuel,et al.  Interactions between Therapeutic Proteins and Acrylic Acid Leachable , 2012, PDA Journal of Pharmaceutical Science and Technology.

[22]  J Autian,et al.  Embryonic-fetal toxicity and teratogenic effects of adipic acid esters in rats. , 1973, Journal of pharmaceutical sciences.

[23]  Hanns-Christian Mahler,et al.  The Degradation of Polysorbates 20 and 80 and its Potential Impact on the Stability of Biotherapeutics , 2011, Pharmaceutical Research.

[24]  Sarfaraz Niazi - Impurities: Guideline for Residual Solvents , 2016 .

[25]  Phamhuuchanh Toxicological studies of the N-n-propyl and N-n-butyl derivatives of formamide , 1973 .

[26]  Daniel Otzen,et al.  Protein-surfactant interactions: a tale of many states. , 2011, Biochimica et biophysica acta.

[27]  Lilli Møller Andersen,et al.  Quality Risk Management , 2021, Handbook of Pharmaceutical Manufacturing Formulations, Second Edition.

[28]  Pham Huu-Chanh,et al.  Toxicological studies of the N-n-propyl and N-n-butyl derivatives of formamide. , 1973, Toxicology and applied pharmacology.

[29]  Luc Capdevila,et al.  Document , 2003 .

[30]  Zhongqi Zhang,et al.  G/U and certain wobble position mismatches as possible main causes of amino acid misincorporations. , 2013, Biochemistry.

[31]  CASRN Provisional Peer-Reviewed Toxicity Values for Diethylene Glycol Monoethyl Ether (DGEE) (CASRN 111-90-0) , 2009 .

[32]  Norman S. Allen,et al.  Fundamentals of polymer degradation and stabilisation , 1992 .

[33]  M. Brennen,et al.  PROFILE , 2004 .

[34]  Sebastian K. Boell,et al.  What is an Information System? , 2015, 2015 48th Hawaii International Conference on System Sciences.

[35]  A. M. Jha,et al.  Germ cell mutagenicity of phthalic acid in mice. , 1998, Mutation research.

[36]  R A Ford,et al.  Estimation of toxic hazard--a decision tree approach. , 1978, Food and cosmetics toxicology.

[37]  R. Kroes Structure-Based Thresholds of Toxicological Concern (TTC): Guidance for Application to Substances Present at Low Levels in the Diet , 2004, Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association.

[38]  S. Singh,et al.  Impact of product-related factors on immunogenicity of biotherapeutics. , 2011, Journal of pharmaceutical sciences.

[39]  Ord,et al.  Integrated Risk Information System , 2013 .

[40]  Joey Pollastrini,et al.  Tungsten-induced protein aggregation: solution behavior. , 2009, Journal of pharmaceutical sciences.

[41]  Programmierbarer Thermoblock,et al.  From industry , 1991 .

[42]  T Mizutani,et al.  The acute toxicity of butylated hydroxytoluene and its metabolites in mice. , 1980, Toxicology letters.

[43]  D. Jenke,et al.  Materials in Manufacturing and Packaging Systems as Sources of Elemental Impurities in Packaged Drug Products: A Literature Review , 2015, PDA Journal of Pharmaceutical Science and Technology.

[44]  C. Schöneich,et al.  Oxidative degradation of pharmaceuticals: theory, mechanisms and inhibition. , 2001, Journal of pharmaceutical sciences.

[45]  G. Patlewicz,et al.  An evaluation of the implementation of the Cramer classification scheme in the Toxtree software , 2008, SAR and QSAR in environmental research.

[46]  J C Dacre,et al.  Toxicologic studies with 2,6-di-tert-butyl-4-hydroxymethylphenol in the rat. , 1970, Toxicology and applied pharmacology.

[47]  L A Gephart,et al.  Subchronic feeding study in beagle dogs of 2,2'-oxamidobis[ethyl 3(3,5-di-tert-butyl-4-hydroxyphenyl) propionate]. , 1985, Journal of toxicology and environmental health.

[48]  D. Medeiros,et al.  Dietary Reference Intakes: the Essential Guide to Nutrient Requirements edited by JJ Otten, JP Hellwig, and LD Meyers, 2006, 560 pages, hardcover, $44.96. The National Academies Press, Washington, DC. , 2007 .

[49]  Daniel C Liebler,et al.  Safety Assessment of Cyclomethicone, Cyclotetrasiloxane, Cyclopentasiloxane, Cyclohexasiloxane, and Cycloheptasiloxane , 2011, International journal of toxicology.

[50]  Linda O. Narhi,et al.  Chemical Modifications in Therapeutic Protein Aggregates Generated under Different Stress Conditions , 2011, The Journal of Biological Chemistry.

[51]  Dennis Jenke,et al.  The Use of TOC Reconciliation as a Means of Establishing the Degree to Which Chromatographic Screening of Plastic Material Extracts for Organic Extractables Is Complete , 2014, PDA Journal of Pharmaceutical Science and Technology.

[52]  Sarfaraz Niazi Impurities in New Drug Substances , 2009 .

[53]  C. H. Powell,et al.  Patty's Toxicology , 2001 .

[54]  B. Leaderer,et al.  Determination of the Mass Extractable in Organic Solvents by Evaporative Light-Scattering Detection , 1992 .

[55]  Curtis D. Klaassen,et al.  Mechanisms of toxicity. , 1969, British medical journal.

[56]  T. Schultz,et al.  Verification of the structural alerts for Michael acceptors. , 2007, Chemical research in toxicology.

[57]  A. Saillenfait,et al.  Developmental toxicity of N-methyl-2-pyrrolidone administered orally to rats. , 2002, Food and chemical toxicology : an international journal published for the British Industrial Biological Research Association.