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SUPPLIMENT NEW DRUG APPLICATION
           (SNDA)

Variations to a prequalified product




         By sakshi dahiya
          mpharm 1st year
   Supplement A supplement is an application to
    allow a company to make changes in a product
    that already has an approved new drug
    application (NDA). CDER must approve all
    important NDA changes (in packaging or
    ingredients, for instance) to ensure the conditions
    originally set for the product are still met.




                                                          2
   Supplement Number A supplement number is
    associated with an existing FDA New Drug
    Application (NDA) number. Companies are
    allowed to make changes to drugs or their labels
    after they have been approved. To change a
    label, market a new dosage or strength of a
    drug, or change the way it manufactures a
    drug, a company must submit a supplemental
    new drug application (sNDA). Each sNDA is
    assigned a number which is usually, but not
    always, sequential, starting with 001.


                                                       3
   Supplement Type Companies are allowed to
    make changes to drugs or their labels after they
    have been approved. To change a label, market a
    new dosage or strength of a drug, or change the
    way it manufactures a drug, a company must
    submit a supplemental new drug application
    (sNDA). The supplement type refers to the kind
    of change that was approved by FDA. This
    includes changes in manufacturing, patient
    population, and formulation.



                                                       4
 Why change is required:
  May wish to alter / improve the product
   or to introduce additional safeguard
  To meet the market requirements--
   scale up, add manufactuing site.




                                             5
Post approval changes include:
 (1) components and composition, (2)

 manufacturing sites, (3) manufacturing
  process, (4) specifications, (5) container
  closure system,
 and (6) labeling, as well as (7)
  miscellaneous changes and (8) multiple
  related changes.
 An applicant should consider all relevant
  CDER guidance documents &submit all
  necessary information to support a given
  change.
                                               6
CONDITION

Changes may have potential impact on the
  quality, safety or efficacy of products.
 Any change to prequalified products are
   subject to approval by FDA &CDER.




                                             7
GUIDANCE ON VARIATION AS PER US FDA
 Three  categories of variations according to
  their potential impact on pharmaceutical
  quality
 Major changes:substantial potential to
  have an adverse effect on the
 identity, strength, quality, purity, or
  potency of a drug product as these factors
 may relate to the safety or effectiveness of
  the drug product.
 These are labelled as Prior Approval
  Supplement.                                    8
 Moderate   changes: moderate potential to
  have an adverse effect.
 2 types

 1 requires the submission of a supplement
  to FDA at least 30 days before the
  distribution of drug product.labelled as
 Supplement - Changes Being Effected
  in 30 Days.
 2 for which distribution can occur when
  FDA receives the supplement.labelled as
 Supplement - Changes Being Effected.

                                              9
 IfFDA disapproves may cease
  distribution.
 FDA say prior approval suppliment is
  required.
 Information is missing: distribution is
  delayed untill amendment is made.
 Minor changes:has minimal potential to
  have an adverse effect.The applicant must
  describe minor changes in its next
  Annual Report


                                              10
GUIDANCE ON VARIATION TO A
PREQUALIFIED PRODUCT

 To facilitate classification of various types of
   changes, the variation guide is composed of 4
   Appendixes
 -   Appendix I: lists minor changes, including
     notification (N).
 -   Appendix II: definition and examples of
     major changes
 -   Appendix III: changes that make a new
     application /extension application necessary
 -   Appendix IV: stability requirements for
     variations and changes to Pre-qualified FPPs   11
APPENDIX I – MINOR CHANGES
    Only few types of variation
     predominantly occur
     Change in batch size of FPP
      Additional new API source

      Extension shelf life of FPP

      Addition of FPP manufacturing site




                                            12
APPENDIX II – MAJOR CHANGES
    Major changes
     Exceed the scope of minor changes—doesn't
     fulfil the conditions

        Do not yet reach the scope of Appendix
         III—new application necessary
    Examples:
        Change in the manufacturing process
         of the API
        Change in the composition of the FPP
        Change to the immediate primary
         packaging of the FPP
    Applicant's responsibility to provide the
     relevant documentation to prove that the         13
     intended change will not affect the quality of
     the prequalified product negatively
APPENDIX III – CHANGES MAKING A NEW
APPLICATION /EXTENSION APPLICATION
NECESSARY

   Changes to the API
      Change of the API to a different API, e.g.
      different salt/ester/derivative, different isomer
   Changes to the pharmaceutical form/
    dosage form
      Change from an immediate-release product to a
      modified release dosage form or vice versa
      Change from a liquid to a powder for
      reconstitution, or vice versa
   Change or addition of a new route of
    administration.
                                                          14
APPENDIX IV - STABILITY REQUIREMENTS
FOR VARIATIONS TO PRE-QUALIFIED FPPS

 Responsibility of the pre-qualified supplier
   to investigate whether or not the intended
   change will have an impact on the quality
   characteristics of APIs and /or FPPs and
   consequently on their stability.
        Base on the knowledge and experience
         acquired on APIs and FPPs (Stress testing,
         supportive data, accelerated and long-
         term testing)

        At the time of submission, 3 or 6 months
         stability data should be provided
         according to the nature of the change,
         stability of the API, dosage form of the     15
         FPP,etc
CHANGES IN MANUFACTURING SITE:-
 Major changes eg:-
 Move to new site never inspected by FDA
  or cGMP.
 Transfer of aseptically processed sterile
  drug substance eg lyophilized drug.
 Finished drug product sterilized by
  terminal process.
 Manufacture of primery package when it
  control doge delivered eg aerosols
 Moderate changes eg:-

 Manufacture of drug product that is not.    16
 otherwise  provided for in this guidence.
 Minor changes eg:-

  for secondary packaging
 For labelling.

 Manufacture of drug substance
  intermediate other then the final
  intermediate.
 Ink imprinting of solid oral dogage form
  drug product.
 Sterilization site for packaging component
  when process is same.

                                               17
CHANGES IN MANUFACTURING PROCESS
 Major  changes eg:-
 When it effect release of drug eg modified
  release or controlled release.
 Change in sterility method.
 Addition or deletion of sterilization
  procedure.
 Replacing sterilizer with other of different
  principle.
 Addition of new equipment.
 Replace Class 100 aseptic fill area with
  barrier system.
 Change to aseptic process methed beyond
  50%.                                           18
 Replacing  lyophilization equipment of
  different size.
 Change in sterilizer load limit from pre
  validated load limit.
 Change in pore size of filter.
 For natural product:-change in source
  material eg microbe,cell,plant.
 Change in process:-
 from dry to wet granulation.
 One type of drying to another.
 Change in route of synthesis of drug
  substance.
 Synthesis of drug substance that may effect
  impurity.
 Addition of ink cod imprint not currently
  used in CDER.                                 19
   Moderate changes:-
 In  drug substance or product except as
  otherwise provided for in this guidance.
 Change in filteration parameters flow
  rate, pressure, time.
 change from single to dual sterilizing
  filters.
 increase the bulk solution storage time by
  more than 50%
 Supplement - Changes Being Effected.

 A change in methods that provides
  increased assurance that the drug
  substance will have the characteristics of   20


  identity, strength, quality, purity.
 Minor  changes:-
 changes to equipment of the same design

 minor change in an existing code imprint

 Addition or change in ink imprint when
  the ink is currently used on CDER-
  approved drug product.
 change in the order of addition of
  ingredients.
 increase the bulk solution storage time by
  no more than 50 percent.
 For natural increase or decrease in
  production.
                                               21
 Replacement with equipment of the same
  design.
 Specifications (i.e., tests, analytical
  procedures, and acceptance criteria) are
  the quality standards.
 acceptance criteria are numerical
  limits, ranges, or other criteria for the
  tests described.
 regulatory analytical procedure i.e
  specified in USP/NF.
 CONTAINER CLOSURE SYSTEM

 Major Changes:-

 Change from ampule to vial.

 Change that may effect drug product
  sterility assurance.                        22


 From single dose to multiple dose.
 change  to a flexible container system.
 change to a prefilled syringe dosage.
 Change in size of sterile container.
 Deletion of 2ndary package when it
  provide light,moisture protection.
 Addition of secondary package when it
  may effect impurity.
 Moderate changes:-
 Change in container size no of units in
  unit dosage form.
 Change in label amount.
 Addiion deletion of desiccant.
 Minor changes:-
                                            23
 Change from metal to plastic.
 Change   in child resistant pack.
 Increasing the wall thickness.

 change in or addition of a cap liner.

 Change in antioxidant,colorant,stabilizer.

 Change to new container already in NDA.

 A change in or addition of a seal.

 LABELING:-

 Major Changes:-

 Changes based on data from preclinical
  studies.
 Changes to the clinical pharmacology.

 Claims of superiority to another drug        24

  product.
 Changes  based on postmarketing study
  results with new indication use.
 Revision of population based on data.

 Change in the labeled storage conditions.

 Moderate Changes:-

 Addition of an adverse event.

 Addition of a
  precaution,warning,contraindication
  arising out of a postmarketing study,
 adds about drug abuse,
  dependence,psycological effect.

                                              25
 Minor   Changes:-

 Editorial   changes eg distributer name
  add.
 Foreign language versions of the labeling.

 Changes in the layout of the package
  label.




                                               26
CONCLUSION
 Any change to the content of the pre-qualified
  dossier should be reported
 The change should not adversely affect the
  quality, safety and efficacy of the pre-qualified
  product
 Position correctly the variation and submit
  necessary data
 Contact prequalification for assistance in
  classifying an unforeseen change pre-submission.



                                                      27
Thank You


THANK YOU
                 28

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Snda

  • 1. SUPPLIMENT NEW DRUG APPLICATION (SNDA) Variations to a prequalified product By sakshi dahiya mpharm 1st year
  • 2. Supplement A supplement is an application to allow a company to make changes in a product that already has an approved new drug application (NDA). CDER must approve all important NDA changes (in packaging or ingredients, for instance) to ensure the conditions originally set for the product are still met. 2
  • 3. Supplement Number A supplement number is associated with an existing FDA New Drug Application (NDA) number. Companies are allowed to make changes to drugs or their labels after they have been approved. To change a label, market a new dosage or strength of a drug, or change the way it manufactures a drug, a company must submit a supplemental new drug application (sNDA). Each sNDA is assigned a number which is usually, but not always, sequential, starting with 001. 3
  • 4. Supplement Type Companies are allowed to make changes to drugs or their labels after they have been approved. To change a label, market a new dosage or strength of a drug, or change the way it manufactures a drug, a company must submit a supplemental new drug application (sNDA). The supplement type refers to the kind of change that was approved by FDA. This includes changes in manufacturing, patient population, and formulation. 4
  • 5.  Why change is required:  May wish to alter / improve the product or to introduce additional safeguard  To meet the market requirements-- scale up, add manufactuing site. 5
  • 6. Post approval changes include:  (1) components and composition, (2)  manufacturing sites, (3) manufacturing process, (4) specifications, (5) container closure system,  and (6) labeling, as well as (7) miscellaneous changes and (8) multiple related changes.  An applicant should consider all relevant CDER guidance documents &submit all necessary information to support a given change. 6
  • 7. CONDITION Changes may have potential impact on the quality, safety or efficacy of products. Any change to prequalified products are subject to approval by FDA &CDER. 7
  • 8. GUIDANCE ON VARIATION AS PER US FDA  Three categories of variations according to their potential impact on pharmaceutical quality  Major changes:substantial potential to have an adverse effect on the  identity, strength, quality, purity, or potency of a drug product as these factors  may relate to the safety or effectiveness of the drug product.  These are labelled as Prior Approval Supplement. 8
  • 9.  Moderate changes: moderate potential to have an adverse effect.  2 types  1 requires the submission of a supplement to FDA at least 30 days before the distribution of drug product.labelled as  Supplement - Changes Being Effected in 30 Days.  2 for which distribution can occur when FDA receives the supplement.labelled as  Supplement - Changes Being Effected. 9
  • 10.  IfFDA disapproves may cease distribution.  FDA say prior approval suppliment is required.  Information is missing: distribution is delayed untill amendment is made.  Minor changes:has minimal potential to have an adverse effect.The applicant must describe minor changes in its next Annual Report 10
  • 11. GUIDANCE ON VARIATION TO A PREQUALIFIED PRODUCT To facilitate classification of various types of changes, the variation guide is composed of 4 Appendixes - Appendix I: lists minor changes, including notification (N). - Appendix II: definition and examples of major changes - Appendix III: changes that make a new application /extension application necessary - Appendix IV: stability requirements for variations and changes to Pre-qualified FPPs 11
  • 12. APPENDIX I – MINOR CHANGES  Only few types of variation predominantly occur Change in batch size of FPP  Additional new API source  Extension shelf life of FPP  Addition of FPP manufacturing site 12
  • 13. APPENDIX II – MAJOR CHANGES  Major changes Exceed the scope of minor changes—doesn't fulfil the conditions  Do not yet reach the scope of Appendix III—new application necessary  Examples:  Change in the manufacturing process of the API  Change in the composition of the FPP  Change to the immediate primary packaging of the FPP  Applicant's responsibility to provide the relevant documentation to prove that the 13 intended change will not affect the quality of the prequalified product negatively
  • 14. APPENDIX III – CHANGES MAKING A NEW APPLICATION /EXTENSION APPLICATION NECESSARY  Changes to the API Change of the API to a different API, e.g. different salt/ester/derivative, different isomer  Changes to the pharmaceutical form/ dosage form Change from an immediate-release product to a modified release dosage form or vice versa Change from a liquid to a powder for reconstitution, or vice versa  Change or addition of a new route of administration. 14
  • 15. APPENDIX IV - STABILITY REQUIREMENTS FOR VARIATIONS TO PRE-QUALIFIED FPPS Responsibility of the pre-qualified supplier to investigate whether or not the intended change will have an impact on the quality characteristics of APIs and /or FPPs and consequently on their stability.  Base on the knowledge and experience acquired on APIs and FPPs (Stress testing, supportive data, accelerated and long- term testing)  At the time of submission, 3 or 6 months stability data should be provided according to the nature of the change, stability of the API, dosage form of the 15 FPP,etc
  • 16. CHANGES IN MANUFACTURING SITE:-  Major changes eg:-  Move to new site never inspected by FDA or cGMP.  Transfer of aseptically processed sterile drug substance eg lyophilized drug.  Finished drug product sterilized by terminal process.  Manufacture of primery package when it control doge delivered eg aerosols  Moderate changes eg:-  Manufacture of drug product that is not. 16
  • 17.  otherwise provided for in this guidence.  Minor changes eg:- for secondary packaging  For labelling.  Manufacture of drug substance intermediate other then the final intermediate.  Ink imprinting of solid oral dogage form drug product.  Sterilization site for packaging component when process is same. 17
  • 18. CHANGES IN MANUFACTURING PROCESS  Major changes eg:-  When it effect release of drug eg modified release or controlled release.  Change in sterility method.  Addition or deletion of sterilization procedure.  Replacing sterilizer with other of different principle.  Addition of new equipment.  Replace Class 100 aseptic fill area with barrier system.  Change to aseptic process methed beyond 50%. 18
  • 19.  Replacing lyophilization equipment of different size.  Change in sterilizer load limit from pre validated load limit.  Change in pore size of filter.  For natural product:-change in source material eg microbe,cell,plant.  Change in process:-  from dry to wet granulation.  One type of drying to another.  Change in route of synthesis of drug substance.  Synthesis of drug substance that may effect impurity.  Addition of ink cod imprint not currently used in CDER. 19
  • 20. Moderate changes:-  In drug substance or product except as otherwise provided for in this guidance.  Change in filteration parameters flow rate, pressure, time.  change from single to dual sterilizing filters.  increase the bulk solution storage time by more than 50%  Supplement - Changes Being Effected.  A change in methods that provides increased assurance that the drug substance will have the characteristics of 20 identity, strength, quality, purity.
  • 21.  Minor changes:-  changes to equipment of the same design  minor change in an existing code imprint  Addition or change in ink imprint when the ink is currently used on CDER- approved drug product.  change in the order of addition of ingredients.  increase the bulk solution storage time by no more than 50 percent.  For natural increase or decrease in production. 21  Replacement with equipment of the same design.
  • 22.  Specifications (i.e., tests, analytical procedures, and acceptance criteria) are the quality standards.  acceptance criteria are numerical limits, ranges, or other criteria for the tests described.  regulatory analytical procedure i.e specified in USP/NF.  CONTAINER CLOSURE SYSTEM  Major Changes:-  Change from ampule to vial.  Change that may effect drug product sterility assurance. 22  From single dose to multiple dose.
  • 23.  change to a flexible container system.  change to a prefilled syringe dosage.  Change in size of sterile container.  Deletion of 2ndary package when it provide light,moisture protection.  Addition of secondary package when it may effect impurity.  Moderate changes:-  Change in container size no of units in unit dosage form.  Change in label amount.  Addiion deletion of desiccant.  Minor changes:- 23  Change from metal to plastic.
  • 24.  Change in child resistant pack.  Increasing the wall thickness.  change in or addition of a cap liner.  Change in antioxidant,colorant,stabilizer.  Change to new container already in NDA.  A change in or addition of a seal.  LABELING:-  Major Changes:-  Changes based on data from preclinical studies.  Changes to the clinical pharmacology.  Claims of superiority to another drug 24 product.
  • 25.  Changes based on postmarketing study results with new indication use.  Revision of population based on data.  Change in the labeled storage conditions.  Moderate Changes:-  Addition of an adverse event.  Addition of a precaution,warning,contraindication arising out of a postmarketing study,  adds about drug abuse, dependence,psycological effect. 25
  • 26.  Minor Changes:-  Editorial changes eg distributer name add.  Foreign language versions of the labeling.  Changes in the layout of the package label. 26
  • 27. CONCLUSION  Any change to the content of the pre-qualified dossier should be reported  The change should not adversely affect the quality, safety and efficacy of the pre-qualified product  Position correctly the variation and submit necessary data  Contact prequalification for assistance in classifying an unforeseen change pre-submission. 27