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Draft
Guidance for Industry, Preparation of the Quality Information for Radiopharmaceuticals
(Schedule C Drugs) using the Quality Information Summary-Radiopharmaceuticals
(QIS-R) and Certified Product Information Document- Radiopharmceuticals (CPID-R)
Templates (PDF Version, 65 kb)
Date: 2001-08-01
Published by authority of the Minister of Health
Draft Date 2001/08/01
Health Products and Food Branch Guidance Document
Our mission is to help the people of Canada maintain and improve their health.
Health Canada
Our mandate is to promote good nutrition and informed use of drugs, food,
medical devices and natural health products, and to maximize the safety and
efficacy of drugs, food, natural health products, medical devices, biologics
and related biotechnology products in the Canadian marketplace and health system.
Health Products and Food Branch
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All this and more is available on the
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© Minister of Public Works and Government Services Canada 2001
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Guidance documents are meant to provide assistance to industry and health care professionals on how to comply with the policies and governing statutes and regulations. They also serve to provide review and compliance guidance to staff, thereby ensuring that mandates are implemented in a fair, consistent and effective manner.
Guidance documents are administrative instruments not having force of law and, as such, allow for flexibility in approach. Alternate approaches to the principles and practices described in this document may be acceptable provided they are supported by adequate scientific justification. Alternate approaches should be discussed in advance with the relevant program area to avoid the possible finding that applicable statutory or regulatory requirements have not been met.
As a corollary to the above, it is equally important to note that Health Canada reserves the right to request information or material, or define conditions not specifically described in this guidance, in order to allow the Department to adequately assess the safety, efficacy or quality of a therapeutic product. Health Canada is committed to ensuring that such requests are justifiable and that decisions are clearly documented.
This document should be read in conjunction with the accompanying notice and the relevant sections of other applicable guidances.
The purpose of this guideline is to provide sponsors of New Drug Submissions (NDSs) and related submissions (responses to information requests during the review, Responses to Notices of Deficiency or Non-Compliance (NODs/NONs), Supplemental New Drug Submissions (SNDSs), and Notifiable Changes (NCs)including Clinical Trial Applications (CTA) with approaches that acceptably meet the regulatory requirements that apply to the "Quality" (chemistry and manufacturing) portions of submissions. Although the approach recommended by the guideline is not mandatory and a different approach may be taken, the sponsor is encouraged to discuss significant variations with Biologics and Genetic Therapies Directorate (BGTD) in advance to avoid rejection of the submission.
This guideline applies to submissions filed for Schedule C drugs.
The guideline interprets the general requirements given in Section C.08.002(2) (a) to (f) and (l), (m), and (n) and Division 3 of the Food and Drug Regulations, and should be considered authoritative regarding the format for presenting data in New Drug Submissions. The Biologics and Genetic Therapies Directorate (BGTD)recognizes that the guideline cannot cover every possible situation and that specific requirements for a drug depend on the properties of the drug substance, the dosage form and whether the drug is a radiopharmaceutical, kit or generator. However, the guideline has been prepared in as much detail as possible to provide the maximum assistance to the radiopharmaceutical industry.
In 1995, the Therapeutic Products Directorate (formerly the Drugs Directorate) implemented a requirement to submit a summary of the quality data included in a submission, called the Comprehensive Summary (Chemistry and Manufacturing) [CS(CM)]. At this time, the Certified Product Information Document (CPID) was also introduced.
The Quality Information Summary (QIS) Template is intended to replace the Comprehensive Summary (Chemistry and Manufacturing)[CS(CM)] which was required in all drug submissions.
The Certified Product Information Document (required for New Drug and Supplemental New Drug Submissions), compiled by sponsors and issued with the Product Monograph is considered as a part of the Notice of Compliance package and captures essential technical information related to the drug product.
For general information on filing a Radiopharmaceutical (Schedule C) Drug Submission with the Biologics and Genetic Therapies Directorate (BGTD), the guideline Preparation of Human New Drug Submissions and the Guidelines for the Preparation of Drugs Submissions For Schedule C Drugs should be consulted. Only information specific to the Quality portion (Chemistry and Manufacturing) of the submission is discussed in this Guideline.
Sponsors must submit electronic files in the following format:
Sponsors may author the Quality Information Summary (QIS) Template and the Certified Product Information Document (CPID) Template in a different environment(software).However, this software must be compatible with the systems being used by the Biologics and Genetic Therapies Directorate (BGTD).
Quality information (Chemistry and Manufacturing) included in the submission volumes of a Radiopharmaceutical Drug Submission may be organized in a different format than the Template document format. Formats prescribed by a different regulatory agency are now considered acceptable.
During the course of the review of a Radiopharmaceutical Drug Submission, the Biologics and Genetic Therapies Directorate (BGTD) may contact the sponsor by fax to request additional information. As well, a Notice of Deficiency (NOD) or a Notice of Non-Compliance (NON)or a Notice of Non-Satisfactory Letter (NOL)may be issued at the end of the review (see Management of Submissions Policy).
Sponsors are not required to provide a revised version of the completed Quality Information Summary-Radiopharmaceuticals (QIS-R)when filing responses to comments raised by the Directorate unless the magnitude of submission deficiencies warrants the filing of replacement submission volumes.
The Quality Information Summary-Radiopharmaceuticals (QIS-R)for a New Drug Submission should be prepared using the entire portion of the QIS-R template, only when the Drug Substance of the final Drug Product is a synthetic chemical entity. However, if the Drug Substance is a biological entity such as monoclonal antibody, rDNA, Blood products, etc., then the relevant portions of the Drug Substance part (Section S) of the Quality Information Summary - Biologicals (QIS-B) Template should completed.
The Quality Information Summary -Radiopharmaceuticals (QIS-R)for a Supplemental New Drug Submission should be prepared using the relevant portions of the QIS-R template. The use of Section S (Drug Substance) of the QIS-R depends entirely on the nature of the Drug Substance such as Chemical or Biological, according to the principle explained above (1.4.2).
Sponsors are not required to provide a Quality Information Summary-Radiopharmaceuticals (QIS-R)when filing Notifiable Changes, unless the change is significant.
Sponsors are encouraged to use the QIS-R template for the preparation of the CTA submissions. It is recommended that as much as possible (available) relevant Quality (Chemistry and Manufacturing)information with regard to the CTA submission must be provided according to the QIS-R template.
The data requirements are divided into information that should be provided in the Quality Information Summary-Radiopharmaceuticals (QIS-R), and information that should be provided in the submission. The following subsections are intended to provide a further explanation of the information required in the Quality Information Summary-Radiopharmaceuticals (QIS-R)and are numbered according to the template format.
In certain circumstances, the amount of detail provided in the Quality Information Summary-Radiopharmaceuticals (QIS-R)Template is considered satisfactory, no further information in the submission is required. It is then permissible to omit these subsections from the submission.
In this Section, Sponsors are not required to have a corresponding section in the submission or to make reference to sections of the submission. Information to be included by the Biologics and Genetic Therapies Directorate (BGTD) is shaded. All areas which are not shaded should be completed by the sponsor.
This section provides an overview of the submission.
This section provides an overview of the drug described in the submission.
This section is to be completed by the Biologics and Genetic Therapies Directorate (BGTD). Sponsors should not write in this section.
Some of the information required under this section of the Drug Submission may not be available from the sponsor of the Drug Submission (if the Sponsor does not fabricate the Drug Substance). In this case, the supplier of the Drug Substance may file a Drug Master File (formerly Product Master File) directly with Biologics and Genetic Therapies Directorate. This master file will be held in strict confidence and used in support of the new drug only upon the written authorization ("letter of authorization") from the supplier. The above is also applicable for certain radionuclides (not approved for sale in Canada)such as 90Y, 188Re, 18F, 13N, 15O, 11C, etc.
Regardless of whether a Drug Master File is cross-referenced, the sponsor should be able to provide most of the required information on the drug substance, except possibly information in subsections S.2.2 through S.2.4 (see below). It is the responsibility of the sponsor to obtain all other information from the supplier of the drug substance and include this information in the submission. In addition, the submission sponsor is responsible for ensuring that acceptable specifications and properly validated test methods for the drug substance are developed, and also for providing the results of batch analyses performed by the company responsible for routine release testing of the drug substance.
For further information on requirements for Drug Master Files, the Biologics and Genetic Therapies Directorate (BGTD) guideline Drug Master Files should be referred to.
NOTE: For well characterized drug substances
(old drug substances) in new drug products, submit only sections
S.3.1 and S.3.2; delete all other drug substance sections.
For all radionuclides submit S.1.1, S.1.3(a), S.1.4,
S.2.1, S.2.2, S.2.3, S.2.4, S.3.1, S.3.2, S.3.3, S.3.4, S.3.5, S.3.6 and S.4
S.1 Nomenclature and Characterization
NOTE: Where applicable, details of any studies performed, including test method descriptions, should be provided. Scans or spectra obtained in polymorphic investigations should be provided.
NOTE: Where appropriate, elemental analysis is normally required as confirmation of structure, in addition to ultraviolet, infrared, nuclear magnetic resonance, and mass spectra. Copies of the actual spectra with assignments should be provided.
Details of any studies conducted on isomers should be provided.
(a) Name and address of all facilities involved in production of drug substance:
Provide the name and address of all companies involved in all aspects of drug substance production. If certain companies are responsible only for specific steps, this should be indicated.
If a Drug Master File (DMF) filed with the Biologics and Genetic Therapies Directorate (BGTD) is cross-referenced, provide the Directorate assigned DMF number. Confirm that a letter of authorization, and indicate the location of the letter in the submission.
NOTE: The drug submission should contain the following information:
A complete description of all manufacturing steps should be provided. This information should include typical reaction conditions such as time, temperature, and catalysts. Names and amounts of substances and percent yields for each step should be included. Reaction steps which have low yields should be discussed.
For radionuclides include the nuclear reaction involved for the production of the desired radioisotope such as 18O(p,n)18F, etc.
A detailed description of the isolation and purification of the drug substance is also required. If the drug substance is prepared sterile, a complete description of the method used to sterilize each batch should be provided.
For subsequent market entry products, a comparison with any published route(s) of synthesis should be provided where available.
Note: This information could, alternatively, be included in (a) or (b) above. In this case, include a reference statement (e.g., "See (a), above").
Note: Provide a brief rationale for any unique in-process control tests or limits.
Provide a brief description of the in-process controls used to monitor the fabrication, such as completion of individual reaction steps (e.g., Step 3: HPLC, NLT 95%).
Note: This information could, alternatively, be included in S.2.2 above. In this case, include a reference statement (e.g., "See S.2.3(b), above").
A copy of the actual specifications used by the company responsible for routine release testing should be provided.
Specifications that will ensure batch-to-batch uniformity must be developed based on the data obtained during development. The major regulatory and industry concern is to reproduce, for marketing, a drug substance of a quality equal or superior to that used in the toxicological, pharmacological, and clinical testing. To assure this reproducibility, the specifications for the drug substance must ensure:
Although the specifications developed depend on the nature of the drug substance, these would normally include physical characteristics, identity, purity, and potency. The physical characteristics might include such properties as appearance, odour, particle size distribution, or X-ray diffraction pattern.
One of the most important functions of the specifications is to unequivocally identify the drug substance. If the drug substance is composed of more than one moiety, then each moiety should be specifically identified (e.g., in the case of a hydrochloric acid salt, both the base and the salt should be identified). In the interests of cost and science, it is desirable to use a single test or only that combination of identity tests that will unequivocally identify the drug substance. The use of several identity tests, which specifically identify the drug substance only when taken together, is not encouraged. The infra-red spectrum should be included in the specifications for all drug substances, whenever practical and meaningful.
Purity tests - such as loss on drying, residue on ignition, specific rotation, and heavy metal content should be included, depending on the synthetic route or nature of the drug substance. In all cases, a test or tests for possible contaminants or impurities having structures related to the drug substance must be included. This test should ensure that all batches of the drug substance meet the same criteria of purity as those batches used in the toxicological, pharmacological, and clinical testing. It is normally expected that individual unidentified impurities be limited to less than 0.1%.
Most specifications include an assay procedure with its limits. HPLC is recommended whenever feasible. A non-specific assay method would be considered acceptable if the identity test is specific and the impurities are rigidly controlled.
In case of radionuclides (cyclotron or reactor produced), decay characteristics must be explained by means of decay schema. In case of generators, nuclear reaction should be indicated along with the half-life of both the parent and daughter radionuclide. Radionuclidic purity assay should be performed for all of the above cases, and the assay
method must be validated. All the radioactive and non-radioactive impurities must be characterized. Any uncharacterized impurities (radioactive or non-radioactive) must be limited to a lowest possible limit; if a higher amount is allowed that must be scientifically justified.
Provide the specifications by completing all sections of the specifications Table provided.
"Method Type/Code/Source" should be described, for example, as "HPLC/XG-324-01/House". The test method revision number should be included under "Code", regardless of whether it is part of the official code for the method. The appropriate pharmacopoeia should be cited under "Source" when a general method in the pharmacopoeia is followed (e.g., loss on drying), regardless of whether a monograph exists for the drug.
Note: Copies of the actual test methods used to test the drug substance should be provided. The raw data generated in the validation study should also be provided. For a CTA (IND) submission validation study is an optional requirement, and should be provided if the study data is available.
Sponsors are encouraged to consult the guideline Acceptable Methods for assistance with method validation.
Test methods and validation may be found in Appendix numbers:
Provide the Appendix reference where all test methods and accompanying validations are located. Do not provide actual test methods or validation data in this section.
Generally, only methods such as UV, TLC, HPLC, and GC need to be described in the Appendices. The test method and validation data should be used for this purpose. The Tables should be used without revision, except in cases where there are several impurities. In this case, additional rows may be added to existing Tables in order to encompass additional impurities.
If there are other unique tests which the sponsor feels should be described in the summary, a Table may be developed by the sponsor for this purpose.
(a) Potential drug related impurities (starting materials, intermediates, by-products, degradation products):
Provide a description of the potential drug related impurities by completing all sections of the impurities Table provided. All potential impurities should be described, regardless of whether they have been detected in any batches. The Table may be expanded to include more rows as necessary. If the Table expands beyond one page, the impurities Table should be appended to this document.
For impurities which appear in the manufacturing flow sheet of the drug substance, the code name and chemical or common name should be consistent with those appearing in the flow sheet. The structure should show the absolute configuration, where applicable. The origin should be as detailed as possible (e.g., by-product formed in step 3 of the synthesis). It should be indicated whether the impurity is also a metabolite in humans.
(b) Potential process-related impurities (residual solvents, reagents):
Provide a list of the residual solvents and reagents which may potentially remain in the drug substance. The source of these elements should be obvious from the fabrication flow sheet of the drug substance.
(c) Actual drug substance purity:
Provide a summary of the purity of several batches of the drug substance.
Where feasible, the results of impurity analysis should be provided for all batches included in the submission. The actual levels of all impurities found should be reported rather than vague statements such as "within limits" or "conforms". In cases where a large number of batches have been produced, it is acceptable to specify the total number of batches analyzed and provide a range of results. Results may be categorized, if appropriate, to emphasize an event or a change (e.g. higher levels of impurities in earlier batches prior to refinement of the process and/or the purification method). If numerous trace impurities (i.e. < 0.1% each) are present, it is sufficient in the summary to report their total level and number. Toxic and named impurities present at > 0.1% should be reported separately.
(d) Discussion of values close to or outside of current limits:
In the event of a specification change, discuss impurities (if any) that have
been close to or outside of the current specifications limits.
(e) Justification for proposed limits:
Similar to the (d)above scenario, change of the specifications for the impurities must be justified.
Note: This section applies to radionuclide reference standards. Complete for the non-radioactive drug substance if applicable.
a) Source of reference standard used in analysis in the submission.
b) Source of reference standard for use in routine post market substance and drug product testing. Reference point (a), if applicable.
c) Certificate of analysis for the reference standard may be found in Volume/Page.
If a house reference standard is used, complete the following:
d) Information on the house reference standard
Description of container(s)/closure(s) and labelling:
This section should include such pertinent information as on the importance of desiccants, absence of oxygen and container preparation intended to avoid adsorption of the substance on the glass or plastic surface, etc.
Note: This section does not apply to radionuclides.
Note: This does not apply to radionuclides.
Proposed storage conditions (including warnings) and duration permitted before
retesting and/or proposed expiration period:
The conclusion stated in this section must be substantiated by data presented
in section S.5.1.
The studies should include the following:
(a) BGTD assigned DMF number, subject matter, and confirmation that an appropriate
letter of authorization has been provided for any aspects of production or
component formulation described in a cross-referenced Drug Master File:
Provide in Tabular form a list of drug master files which have been referenced
in the submission. This list should include the DMF number, the subject and
a reference to the volume/page of the submission. For each DMF a letter of
authorization (addressed to BGTD) must be included in the submission and the
volume/page should be provided in this Table.
(b) Name, address, and most recent GMP rating (including reference date) of all facilities involved in the production of the drug product:
(a) For Generators:
Include a detailed description of the radiochemistry of the generator, which should include nuclear reaction (parent to daughter), generator components (column, adsorbent, eluent, sterile filters, collection vial, etc.). Also provide a quantitative list (by weight or radioactivity) of components where applicable.
(b) For Kits and Radiopharmaceuticals:
Provide a quantitative list of all the ingredients present in the kit or in the radiopharmaceutical.
The nature of in-process control required will depend on the type of drug being fabricated. For example, for radiopharmaceuticals containing particulates in-process assessments of particle size would clearly be required. The list below serves as an example, and is not intended to be all inclusive.
a) Generators:
b) Kits and Radiopharmaceuticals:
Processes used in the fabrication of the drug product which can impact in the quality of the drug product must be validated. This would apply for example, steam sterilization and freeze-drying processes. Note that this not applicable for CTA submissions.
Fill in the Table provided.
Specifications and the limits should be sufficiently precise to adequately characterize the drug product or radiopharmaceutical kits which contain a reducing agent, measurement of nitrogen and oxygen in the vial headspace. Also for radiopharmaceuticals and/or Kits regardless of whether it contain a chemical or biological entity the following measurements may be required.
The following tests are only an example and are not all in encompassing.
Provide a list of proposed control test methods for each specification criteria and justify the method and specification limit.
Test methods and validation studies must be given in a numbered Appendix. Note that validation studies are not required for CTA submissions. However, if the study data is available the sponsor may consider to include in the above Appendix.
Complete all the items (a-f) under section P.4.4.
Name and address of the Supplier(s) for container/closure.
A detailed description of the container/closure should be provided including Pharmacopoeia references (where applicable).
A list of materials used in the fabrication of the above container/closure such as elastomeric components, glass vials, etc. should be provided.
Provide complete specification in a Tabular format.
The summary of qualification studies should contain a list of test parameters and their limits.
For kits, studies are required for both kit and radiolabelled form of the
drug. Stress studies should incorporate criteria which will simulate extremes
of temperature during shipping and transportation.
For Kits, Radiopharmaceuticals and Generators study data are required to support
the proposed expiry in recommended storage conditions.
Complete the sections in P.6.1(a) or P.6.1(b) as applicable to the present submission.
The study conclusion should be based on the studies given in section(s) P.6.1(a) or P.6.1(b). Also indicate the recommended storage condition(s) for the proposed expiration date or time post calibration.
A detailed description of the protocol must be provided. This should include all the information in section 6.3 (i-iv). Note that this section is not applicable for CTA submissions.
Complete the Table (according to the submission type).