Why you should consider controlling your potentially mutagenic impurities outside the lab - Using Calculations to Support Purge Arguments Under ICH M7

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Why you should consider controlling your potentially mutagenic impurities outside the lab - Using Calculations to Support Purge Arguments Under ICH M7
Why you should consider
controlling your potentially
  mutagenic impurities
      outside the lab
        Using Calculations to Support
       Purge Arguments Under ICH M7

Slides prepared for a webinar in collaboration
with Lhasa Limited
Why you should consider controlling your potentially mutagenic impurities outside the lab - Using Calculations to Support Purge Arguments Under ICH M7
Outline

Background – Concept

Introduction to approach – key factors

How to calculate purge factors

Relationship to ICH M7

Regulatory advocacy

Case Study – Candesartan

Potential benefits
Why you should consider controlling your potentially mutagenic impurities outside the lab - Using Calculations to Support Purge Arguments Under ICH M7
Concept
Why you should consider controlling your potentially mutagenic impurities outside the lab - Using Calculations to Support Purge Arguments Under ICH M7
Background

• The threat posed by (potential)
  mutagenic impurities, (P)MIs, in drug
  substances arises from the use of
  reagents such as alkylating agents
  within the synthesis.

• What makes them useful reagents in
  synthesis, is also what makes them
  (P)MIs.

• Virtually all syntheses will involve the
  use of mutagenic or potentially
  mutagenic reagents or possess potential
  risk arising from a (P)MI formed in the
  process.

• Any synthetic drug therefore may have a
  latent (P)MI-related risk.

                                             4
Why you should consider controlling your potentially mutagenic impurities outside the lab - Using Calculations to Support Purge Arguments Under ICH M7
Evaluating Risk Posed by Mutagenic
Impurities
• Fundamentally there is a need to assess the risk posed by mutagenic
  impurities.
• Are there any mutagenic impurities present in the final product at
  levels of concern?
• Historically the emphasis has been to analytically test for every MI.
   • Significant analytical challenges.
   • Also takes little account of knowledge of intrinsic reactivity / physico-
     chemical parameters.
• Question Posed – Could a systematic way be found that takes into
  account factors that reduce the risk of potential carryover?

                                                                                 5
Why you should consider controlling your potentially mutagenic impurities outside the lab - Using Calculations to Support Purge Arguments Under ICH M7
Example of the analytical challenge
     • Synthetic Intermediate – multiple stages from final API
                                                                O
        •   Exists in two forms                    O

        •   Thermally sensitive               HO           HO
                                                                HO
        •   Non-chromophoric                           O
                                                                     Cl
        •   Involatile
        •   Derivatisation also very tricky

Required use of
NMR yet purge
calculation
showed purge
>100,000

                                                                          6
Why you should consider controlling your potentially mutagenic impurities outside the lab - Using Calculations to Support Purge Arguments Under ICH M7
Introduction
to approach
Key factors
Why you should consider controlling your potentially mutagenic impurities outside the lab - Using Calculations to Support Purge Arguments Under ICH M7
The following key factors were defined in order
              to assess the potential carry-over of a MI:

              • reactivity, solubility, volatility, and any additional physical
                process designed to eliminate impurities e.g.
Purge           chromatography.

              Score assigned on the basis of the
Factor        physicochemical properties of the MI relative
              to the process conditions.
Calculation   • These are then simply multiplied together to determine a

– Basic
                ‘purge factor’ (for each stage)

              The overall purge factor is a multiple of the
Principles    factors for individual stages.

              Predicted purge is then compared to required
              purge (this being based on the safety limit and
              initial level introduced into the process).

                                                                             8
Why you should consider controlling your potentially mutagenic impurities outside the lab - Using Calculations to Support Purge Arguments Under ICH M7
• Reactivity was set as 1, 10 and 100 based on correlation
               with likely analytical data

             • Volatility based on comparative boiling points solvent vs
               impurity – focused on small mwt. Alkyl halides in first
  Original     instance

   Purge     • Solubility based on principle that most MIs were reactants
Prediction     used in an optimised process, hence soluble in the reaction
               system and retained in the mother liquors, kept
  Scoring      conservative based on:
                 • Absolute solubility in pure solvent may not directly
  System           correlate with solvent system at end of reaction / work
                   up
                 • Crystallisation may be uncontrolled – crash out
                 • Also linked to desire NOT to overpredict.

             • Scoring system originally designed to be conservative:
                 • On validation this was experimentally observed.
                 • Decided this should be retained rather than seeking
                   absolute parity.
                                                                           9
Why you should consider controlling your potentially mutagenic impurities outside the lab - Using Calculations to Support Purge Arguments Under ICH M7
Overall scoring system
Purge Factor
Glossary (ICH M7 (R1))

 Purge factor
   • Purge reflects the ability of a process to reduce the level of an impurity, and the
     purge factor is defined as the level of an impurity at an upstream point in a process
     divided by the level of an impurity at a downstream point in a process
   • Purge factors may be measured or predicted
<Example of purge factor calculation>

                        1. reaction                                               level of an impurity at an upstream point
  starting material A                        intermediate B   Purge factor   =
                        2. crystallization
                                                                                 level of an impurity at a downstream point
           +                                       +
                             Stage X                                             100 ppm
      impurity C                              impurity C                     =
      (100 ppm)                               ( 1 ppm)
                                                                                  1 ppm

                                                                             = 100
Is this simply about avoiding
analytical testing?                                                                                                                          3-aminopropan-1-ol

                                                                                                                                                      THF

            3 MIs of concern                                                                                            AZD9056 Aldehyde
                                                                                                                                                                                            AZD9056 Imine
                                                                                                                                                                            THF

            Example 1 – AZ9056 Aldehyde
            Step 1 – reductive amination:                                                                                                                                                AZD9506 Free Base

            Reactivity = 100 – based on in process control.
            Solubility = 1 – not isolated – no purging
            Volatility = 1 – not volatile                                                                                   Isopropyl chloride
                                                                                                                             (by-product)

            Step 2 – Isolation of HCl salt :
            Reactivity = 1                                                                                                                            .HCl

            Solubility = 10 – desired product isolated,                                                                                                                                  AZD 9056 Chloride
                                                                                                                                                                                         (minor by-product)
                                                                                                                             AZD9056 HCl
            residual Aldehyde remains in solution.
            Volatility = 1
             Step 1 (Predicted)                                       Step 2 (Predicted)                                        Step 3 (predicted)                                      Pure Stage
                                                                                                                                                        Pure
             Reactivity       Solubility    Volatility    Predicted   Reactivity      Solubility   Volatility   Predicted       Reactivity       Solubility    Volatility   Predicted   Predicted     Measured
                                                          Purge                                                 Purge                                                       Purge       Purge         Purge
                                                          Factor                                                Factor                                                      Factor      Factor        Factor

AZD9056      100              1             1             100         1               10           1            10              1                10            1            10          10,000        112,000
Aldehyde

AZD9056      Not present      Not present   Not present   N/A         1               1            1            1               1                3             1            3
Chloride                                                                                                                                                                                3             10
Isopropyl    Not present      Not present   Not present   N/A         1               10           10           100             1                10            10           100         10,000        38,500
Chloride
How to
calculate
Purge Factors
Risk assessment of mutagenic impurities using purge factor

Hazard assessment of impurities
 • Selection of actual and potential
   impurities                                                  Select mutagenic impurities requiring management
 • Database searches and (Q)SAR
   assessment

Basic information related to impurities
 • Initial concentration                          Calculate Required purge factor based on control level of mutagenic impurity
 • Acceptable intake
                                                                                Maximum level of mutagenic impurity (ppm)
 • Maximum daily dose of API                          Required purge factor =
                                                                                    Acceptable limit in the API (ppm)
 • Duration of treatment
                                                                                                                                          re-evaluation of
                                                                                                                                          purge factor
Scientific rationale for purge assessment
 • Experimental data
                                                            Calculate Predicted purge factor for mutagenic impurity
 • Fate and purge of impurity
 • Physicochemical properties of impurity
                                            Predicted purge factor = reactivity×solubility×volatility×ionizability×physical processes
 • Related literature reports
 • Expert commentary

                                                                                                                                        Additional experimental data
                                                                 Determine Purge Ratio for mutagenic impurity                            • Measured purge factor
                                                                                                                                         • Analytical data of impurities
                                                                              Predicted or Measured purge factor                         • Verification of physicochemical
                                                              Purge Ratio =
                                                                                     Required purge factor                                 parameters
                                                                                                                                         • Expert commentary

                                                                   Select control option based on Purge Ratio

                                                          Modified from Regul. Toxicol. Pharmacol. 90 (2017) 22-28

               Reproduced with kind permission of Yusuke Nagato – Fuji film
How to evaluate                                • STEPS INVOLVED:

Reactivity                                       • Evaluate the potential
                                                   chemical reactivity of
                                                   impurities under both
                                                   reaction and work-up
                                                   conditions
                                                 • This is done by
                                                   examining the physico-
 reactivity                                        chemical properties of
                reactivity class       score       the impurity and
  criteria
                                                   correlating those with
conversion                                        the process and work
                 highly reactive       100         up conditions
   99%
                                                 • Reaction monitoring
   90%                                            data for impurities in a
conversion    moderately reactive      10         given process, may be
                                                   used to score by the
    99%
                                                   reaction conversion of
                                                   the impurities
conversion             low
                                        1
   90%         reactivity/unreactive
• If there are no experimental data on the
               reaction conversion, it is possible to calculate
               the reactivity by predicting the reactivity.
               Potential points to consider:
                 • Reactivity data with similar compounds
                 • Reactivity data for similar reactions
                 • Supporting literature references related to
How to              reactivity
                 • Reaction rate constants and half-life data
evaluate            under process conditions
                 • Behavior of extremely highly reactive
reactivity          species (e.g., thionyl chloride)
                 • Expert review on reactivity

                • What though if I could do this using an in
                  silico model ?
How to evaluate Solubility
    • Impurities can be removed after reaction               solubility criteria (USP)        solubility class    score
      remaining within the process solvent after
                                                              solubility  100 mg/mL           freely soluble      10
      isolation of the desired product through
      crystallisation                                    33 mg/mL  solubility  100 mg/mL   moderately Soluble    3
    • Originally suggested to use USP solubility
      criteria – but these relate to pharmaceuticals           solubility  33 mg/mL          sparingly soluble    1

• Scoring based solely on solubility defined in the USP may not be realistic in the context of factors
such as:
    • Low levels of impurities compared to solvent volumes
    • Solvent systems may be mixed
    • At end of reaction the system may be saturated
    • As a consequence of these factors a deliberate conservative approach is taken to the scoring of
      solubility

•    It is possible to predict the solubility purge factor by considering the following:
    • Solubility data of similar compounds
    • Physical property value (e.g., Log P value)
    • Physicochemical properties of impurities
    • Solubility prediction models
Extractions
/ Ionisability
/ Solubility
Proposed Best practice
Extraction best practice
• The extraction term refers to a unit process which agitates two immiscible
  solvents and subsequently separates them.
   • Either an impurity is extracted, or the intermediate/API is.
   • Discourage the use of the term wash due to overlap with liquid-solid systems

                                                                         Q: 1 or 3
                                                                         processes?

  A: Both
   “Without experimental evidence, a single solubility purge for entire extraction process (I.e.
   multiple extractions of the same or similar composition) should be applied consistent with
   the solubility purge factor criteria, however, where experimental evidence is available then
   solubility purges for each separate extraction can be applied and are justified. While this
   evidence would not necessarily be provided automatically, it should already be available in
   the event of a regulatory request.”
Liquid (PMI) - Solid systems

 • Terminology can be
   open to interpretation
   which can lead to
   confusion
 • Ideally terminology
   usage would become
   consistent
Solubility Predictions -
Augmentation
• Approaches continued
  Extrapolation
      • It is possible to extrapolate solubility from one solvent to another
      • It is even possible to do ‘ab initio’ calculations.

  Surrogate data
      • May be possible to find data for
    similar structures in the literature
    at least for chemical transformations.

                                                                                          Literature data – range of solvents >10g/l

                                                    Theoretical impurity (level
Relationship to ICH M7
ICH M7: Control
Strategy Options for
Mutagenic Impurities
Section 8 - CONTROL
• Greater capability in terms of
  mechanism to prove absence.
    • Options other than to simply test for
      presence in final API.
    • Ability to more widely use chemical
      / process based arguments to assess
      purging.
• Expressed in terms of a series of control
  options.

                                              23
ICH M7 – Mutagenic Impurities
Section 8 – CONTROL
• What does the guideline state?

• Where the control strategy relies on process controls in lieu of analytical testing
  there must be understanding of how the process chemistry and process
  parameters impact levels of mutagenic impurities.

• The risk assessment can be based on physicochemical properties and process
  factors that influence the fate and purge of an impurity
    • This includes chemical reactivity, solubility, volatility, ionisability and any
      physical process steps designed to remove impurities.

• These factors are built into both the paper-based approach and also Mirabilis

                                                                                        24
ICH M7 – Mutagenic Impurities
 Section 8 – CONTROL - Defines a series of control
 options

Option 4                           Option 2
• Predicted to be removed by       • Test for the impurity in the
processing based on process        specification for a raw material,
understanding – no testing         starting material or
required.                          intermediate at permitted level.

Option 3                           Option 1
• Test at intermediate stage       • Test for the impurity in the
with a higher limit +              drug substance.
understanding of process       Impacted by purge
capacity.                      predictions

What is the right order?
                                                                       25
Which data are required?
• The principle of relating the physico-chemical
                      properties of the mutagenic impurity to the chemical
Control Option 4      process is defined in the concept of purge factor
 How do I apply       calculations.
this in practice?   • OPRD paper referenced directly in ICH M7

                                                                         26
Purge Tool
How do predicted
values compare to
actual measured?
• Several examples by
  consortium members
  indicate the system shows a
  systematic bias.

• It under-predicts – typically
  by a factor of around 10.

• This is important! In order
  to maintain robustness it
  should not over-predict.

                                  27
Example of Purge Predictions in the
Context of ICH M7: MK-8876

                                                                                   Measured
                                                                      Predicted

                                                                                    (to LOD)
                                                    (P)MI
                                                    EDC              1010         >50,000*

                                                    MeI              106            > 105

                                                  ICH2Cl             106          > 2 x 105

                                                 ArB(OH)2           3 x 104         > 106

                                                   BBA              1000          > 250,000

                                                Carbazole            100           > 375

                                              *LOD after 3 stages

 Org. Process Res. Dev. 2015, 19, 1531-1535                                                    28
Impurity Carry-over Workflow
                           API synthesis

                                                            Implement

Knowledge of physicochemical                         Reactive              High utility
        properties                Plan             functionality           Efficient syntheses

                                                    Mutagenic?

                                                   Experimental
                                                      toxicity
                                              Unknown

                                                 In-silico toxicity
                                                    prediction

                                              Mutagenic

                                                 Impurity Control                                  In-vitro toxicity     Non-mutagenic
                                                                              Option 1 or 2

                                           Option 3 or 4                                                     Mutagenic
      Purge calculations
                                                                                    Not
                                           Assess likelihood of impurity           Purged
                                                                                                  Test for impurity
                                                     persisting
                                                                                                 Analytical challenge
                                                 Purged                                          Time consuming
                                                                                    Option 3

                                                     Testing
                                                   unnecessary

                                                                                                                                         29
Defining data collection requirement

  • General approach to use of data
  • Providing an initial workflow to show how existing data and
    predictions can support an initial assessment if the user
    chooses.
  • Highlight data collection is NOT part of the initial
    assessment
  • Further data collection is subject to final PR requirements

                    Initial assessment         Purge ratio        PR > 1000      No further
                       (Expert only)            obtained                      support required

                                                      PR < 1000
                   Help/Guidance

                                              Obtain adequate
                           • Predictive
                                                 supporting
                         equations/software                                   Data collection*
                                              arguments/data
                          • Existing data
                                              where necessary

*Data collection does not automatically imply trace data collection.
What support could be appropriate and when –
            proposals
       • Aim is to identify the level of evidence that should be provided as support
         to a purge ratio where further support is required (I.e.
Regulatory
Advocacy
Purge prediction principles and scoring rubric well
             established and used in paper assessments.

             ICH M7 provides framework for control strategy
             options.

Regulatory
Advocacy     Mirabilis provides a partially automated and living
             knowledge base to assist scientists and regulators
             in making and reporting purge predictions.

             The Mirabilis consortium developed a framework
             to implement this technology consistently into
             (P)MI workflows throughout development and
             commercialization.
             • Goal: consistent application and presentation of purge
               prediction science to help drive broad regulatory acceptance.

                                                                               33
Mirabilis regulatory workflow
publication

Goal: establish framework to leverage purge predictions to inform selection
of control strategy during development, which in turn informs both data
collection and regulatory reporting recommendations
                                                                              34
Mirabilis (P)MI Purge Prediction Decision Tree
Key premise: purge excess dictates data collection needs and regulatory reporting practices

                                           Impurity requires management as (P)MI

                                 Determine Purge Ratio (PR) in current API route for (P)MI

                                                      Predicted purge factor for (P)MI
                       Purge Ratio = -----------------------------------------------------------------------------
                                      Required purge factor to achieve TTC or PDE for (P)MI

          Select initial ICH M7 control strategy for (P)MI during development based on Purge Ratio. Implement
            recommended experimental data collection and regulatory reporting strategies based upon Purge
                                                       Ratio (next slide)

      Select ICH M7 Option 4                               Does final data                                     Select ICH M7 Option 1,2
       commercial strategy                                package support                                      or 3 commercial strategy,
                                                         commercial ICH M7                                           as appropriate
                                  Yes                    Option 4 strategy ?                         No

                                                                                                                                           35
Example of calculation of Purge
  Ratio
Purge Ratio prediction of (P)MI “X” (a process reagent)
• Assume TTC is 100 ppm
• Assume charge (initial conc) is 1 eq or 106 ppm
• 104 purge factor (106 / 100 ppm) needed to achieve TTC
• Therefore to achieve a 103 Purge Ratio (i.e. three order magnitude
   more purge predicted than required to achieve TTC), Mirabilis must
   predict a 107 cumulative purge factor

                         Predicted purge factor for (P)MI
     Purge Ratio = -----------------------------------------------------------------------------
                     Required purge factor to achieve TTC or PDE for (P)MI

So how does one consistently apply the (P)MI Purge Ratio to
lab workflows and regulatory reporting ?
                                                                                                   36
When Purge Ratio > 1000…
Data Collection Recommendations
Collection of additional experimental data not necessary to support
scientific rationale for non-commercial or commercial API routes.
Regulatory Reporting Recommendations
Report “unlikely to persist” or cumulative predicted purge factor and Purge
Ratio for non-commercial API routes in regulatory submissions.

Replace with summary of key elements of predicted purge factor
calculations and Purge Ratio for commercial API routes in regulatory
submissions.

                   Option 4 recommended
                                                                              37
Example presentation in regulatory dossier
  when Purge Ratio > 1000 in commercial route
                          Point of introduction              Stage 2 of 5
                          (P)MI TTC                          50 ppm
                          Assumed initial concentration      106 ppm at start of Stage 2 because
                          and rationale for selection        “X” charge is 1 equivalent
                          Required Purge Factor to achieve   2 x 104 = 106 ppm initial conc / 50
                                          2 x 108 (source Mirabilis software vx.x)
                                                             Key factors: 1000x purge in Stage 2
                          Predicted Purge Factor
                                                             driven by reactivity and solubility,
                                                             purge in Stages 3-5 driven by solubility
                          Purge Ratio                        1 x 104 = 2 x 108 / 2 x 104
                          Control Strategy                   Option 4

             No supporting experimental data collection
             recommended when Purge Ratio is large
                                                                                                        38
When Purge Ratios > 100x and
Example presentation in regulatory dossier when
   Purge Ratio > 100x and
When Purge Ratios
Example presentation in regulatory dossier
   when Purge Ratio
Key Observations

• Data show a strong preference in reporting MI risk for
  the use of control option 4.

• Provide Further strong evidence in support of the
  principles outlined by Teasdale et al, 2013.

                                                           44
45
Not all risks are
  equivalent
    Candesartan Story

                        46
Modified
Synthesis of
Valsartan
(used by
Zhejian
Huahai
Pharma Co)
Example -
Candesartan

•   Although contains the
    same tetrazole ring as
    Valsartan however the
    synthesis is very
    different:

     •   DMF not used in
         tetrazole stage
     •   Tetrazole stage
         multiple stages
         from API

                             48
Process Control
In no instance are all the constituents for formation of N-nitrosamines present in the manufacturing process
                                                                                                High purge factor for dimethylamine
 Potential source of                                                                               and other secondary amines
 secondary amines                                                                                            (8x1017)

                                       DMF                                                                                                   Sodium nitrite
                                                            Purge of DMF, triethylamine and
                                                             any potential secondary amine                      High purge factor
         Triethylamine                                                                                          for DMF (7x109)
                                                Purged                      Purged                Purged        and NEt3 (8x108)
                                             (if present)

                                                                                                                                                                ]
                                                                         (if present)          (if present)

NPA                         MNA                                  BAN                     MBN                     BEC

                                                                                                                            Purged
                                                                                                                                         [         MET
                                                                                                                                              (Tetrazole ring
                                                                                                                                             formation step)

 The magnitude of the calculated purge factors preclude the formation of nitrosamine
 impurities during the tetrazole ring formation stage. In no instance are all of the                                        Purge of
 constituents for formation of N-nitrosamines present in the manufacturing process.                                       sodium nitrite
                                                                                                                                                       Purged

  After formation of the tetrazole ring, the final 4
                                                                                        DMF
process steps provide multiple unit operations for                                                                       Triethylamine
    additional purging before drug substance

  TCV-116                       Crude TCV-116                      TCV-116(T)                      CV11974(T)                                  CV-11974

                                                                                                                                         High purge factor for
                                                            Source of                                                        DMF
   Starting
                 Intermediate
                                  Drug        Source of
                                                            secondary                                                                    sodium nitrite (1x106)
   material                     substance      nitrite
                                                              amine

                                                                                                                                                                    49
Candesartan - Outcome of testing

  • Initially > 40 batches of API tested – NDMA not detected Limit
    150ppb
      • Limit of detection reduced now to ~1ppb

  • DMA Not detected in Stage 5 (tetrazole)
Impact
Annual Scale of Operations

          Based on a Mid/large company

            •    Each project will have to deal with 5 PMIs introduced in the synthetic
                 route
                • Estimated at 4.1 by Elder and Teasdale1
                •     However recent experience at AZ suggests this is closer to 5

1) Elder, D.P., Teasdale, A., 2015. Is Avoidance of Genotoxic Intermediates/Impurities Tenable for
Complex, Multistep Syntheses? Org. Process Res. Dev. 19, 1437–1446.
Analytical Workflow
                            Additional
                           studies e.g.
                            solubility
                           Spike/Purge
                             and fate
                              studies
 Develop     Re-develop    Re-develop
analytical    analytical    analytical
methods       methods       methods

 Phase I       Phase II    Phase III      Post Approval

 Analyse      Analyse       Analyse        Analyse
 batches      batches       batches        batches
Based on the scale of operations suggested,
                  annual analytical effort for PMIs could
                  involve;

                     •   50 Analytical methods
                     •
In Practise –        •
                         7 Re-developed analytical methods
                         4 Spike/purge and fate studies
Annual               •   4 Additional studies
                     •
Analysis Effort          250 Analytical methods conducted

                     • Total hours spent = 10,944

                                                             54
In Practise – Time Saved

       • Expected annual analytical effort for a mid/large company)
                No Purge Approach                                     Purge Approach

                         50               Analytical methods             10

                                                                                          Time saved
                         7          Re-developed analytical methods     1.75
10, 944 hours

                         4            Spike/purge and fate studies        2

                                                                                   4,252 hours
                         4                 Additional studies             2

                        250          Analytical methods conducted        130
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