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 Slides prepared for a webinar in collaboration with Lhasa Limited
Outline Background – Concept Introduction to approach – key factors How to calculate purge factors Relationship to ICH M7 Regulatory advocacy Case Study – Candesartan Potential benefits
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
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
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
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
• 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
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
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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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