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The second revision of the “Guideline for Elemental Impurities Q3D(R2)” has achieved “step 4” (adoption by the Regulatory Members of the ICH Assembly) on April 26, 2022 and is available on the ICH website.

Compared with the draft dated September 2020, the final version of this second revision includes some revisions and adaptations:

§  Appendix 2: Established PDEs for Elemental Impurities PDEs (Permitted Daily Exposure) values for Gold, Silver and Nickel have been adjusted

§  Appendix 3: Individual Safety Assessments Gold and Silver monographs were revised

§  Appendix 5: Limits for Elemental Impurities by the Cutaneous and Transcutaneous Route was added in the second revision of the guideline and contains information on the limits for impurities for cutaneously or transcutaneously applied medicinal products.

The appendix focuses on the forms of impurities most likely to be detected following the application of pharmaceuticals to human skin. It also considers both local and systemic toxicities.

“[…] ICH decided to adopt a “generic approach” instead of an element-by-element one.

The reason for the choice is due to the results of the studies consulted. Indeed, these would tend to report a “disappearance” of impurities in the skin rather than transcutaneous absorption.”

The “Harmonized Guideline for Elemental Impurities Q3D(R2)” can be found on the ICH website.

Last May, EMA opened a brief, one-month public consultation procedure (13 May 2022 – 13 June 2022), on a draft question and answer document on remote certification of batches by the Qualified Person (QP): “Public Consultation concerning the physical Attendance and the Location of Personal Residency of The Qualified Person“.

The COVID-19 pandemic has affected standard way of working, requiring the need to work remotely to ensure operations under business continuity mode.

To minimise risks of shortages while ensuring that the high standards of quality, safety and efficacy of medicines made available to patients in the EU were maintained, EMA has therefore developed, in cooperation between the European Commission and the Coordination Group for Mutual Recognition and Decentralised Procedures – Human Medicine (“CMDh”), guidance on adapting “regulatory expectations” as a result of the new context created.

This guidance contemplates the possibility that the work of QPs needs to be adapted to allow remote batch certification when on-site presence is not possible. The GMDP inspectors’ working group is currently evaluating the possible flexibility for the physical presence of the QP at the authorised manufacturing site when batch certification or confirmation is carried out routinely and not only on an emergency basis.

The draft Q&A document, published on May 11, discusses the appropriate requirements and conditions for allowing QP work remotely.

The text clarifies that since the ultimate responsibility for the interpretation of EU legislation lies with the European Court of Justice, the content of this document is therefore subject to any other interpretation by the European Court of Justice.

Proceeding from the requirements in Annex 16 regarding validation and certification activities carried out by the QP, the text outlines four clarifications, expressed in question-and-answer form:

1.    Is remote batch certification/ batch confirmation by the QP allowed on a routine basis?

2.    Where remote QP certification / confirmation is allowed on a routine basis, what conditions should apply?

3.    Is the QP required to be a resident in the Member State where the authorised site is located?

4.    What are the technical requirements for the remote access and the signature used for batch certification / confirmation?

Commissione Europea, EMA ed HMAs – Q&A on regulatory expectations for medicinal products for human use during the COVID-19 pandemic

The U.S. Food and Drug Administration (FDA) has updated (Revision 1) its Guidance for Industry on Out-of-Specification (OOS) Results. The first version of the document was dated October 2006.

The guide follows a step-by-step approach consisting of three main phases for investigating OOS test results

  • LABORATORY INVESTIGATION
  • FULL-SCALE OOS INVESTIGATION
  • CONCLUDING THE INVESTIGATION

The process outlined in the text follows quite closely the requirements laid out in 21 CFR part 211.

Definition

The definition of “OOS” has not changed.

«the term “OOS results” includes all test results that fall outside the specifications or acceptance criteria established in drug applications, drug master files (DMFs), official compendia, or by the manufacturer.  The term also applies to all in-process laboratory tests that are outside of established specifications

Comparison with the 2006 version

The revision of the guideline contains some formal adjustments from the previous version, and also focuses on updating references to other FDA relevant guidelines and regulatory requirements (USP chapters, CFR paragraphs, etc.)

In addition, the new text contains some clarifications or rewordings from the 2006 edition, the following changes are worth mentioning:

  • section IV.C.2.: the wording on “Outlier Tests” has been amended as follows:
  • Version October 2006“Occasionally, an outlier test may be of some value in estimating the probability that the OOS result is discordant from a data set, and this information can be used in an auxiliary fashion, along with all other data from the investigation, to evaluate the significance of the result.”
  • Version May 2022“Occasionally, an outlier test may be of some value in understanding how discordant from a data set a result is, but can be used solely in an informational capacity in the course of an investigation to determine the distance of a result from the mean.”
  • Section V.B. – Cautions: has been divided into three subsections:
  1. Averaging results from multiple sample preparations from the original sample
  2. Averaging results from same final sample preparation
  3. Borderline results that are within specification

Both versions of the guideline can be downloaded from the FDA homepage.

On 28 January 2022, the Veterinary Medicinal Products Regulation (Regulation (EU) 2019/6), updating the existing rules on the authorization and use of veterinary medicinal products in the European Union, entered into force.

Regulation (EU) 2019/6 repealed Directive 2001/82/EC; bringing new measures to increase the availability and safety of veterinary medicines, it should also strengthen EU action against antimicrobial resistance. In addition, it amended the provisions of Regulation (EU) 726/2004 on the authorization and supervision of veterinary medicinal products, which currently governs the centralized marketing authorization procedure for both human and veterinary medicinal products.

In accordance with Regulation (EU) 2019/6, the European Commission added two standalone GDP regulations, all documents can be found in Eudralex Volume 4:

The documents were developed analogously to the GDP guidelines for for medicinal products for human use and related active substances.