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A Risk-Based Assessment for Determining the Pharmacokinetic Comparability Requirements of Biologic-Device Combination
Mark Klitgaard Nøhr1, Shaik Rizwan Waheed2, Rasmus Juul Kildemoes3
1Regulatory Affairs, Chemistry, Manufacturing and Controls, Novo Nordisk A/S, Søborg, Denmark.
A new risk-based process helps assess biologic-device combination products for quality, safety, and efficacy. This method aids regulatory approval and manages manufacturing changes for parenteral medicines.
Area of Science:
- Pharmaceutical Science
- Biotechnology
- Regulatory Science
Background:
- Advancements in large molecule drug therapies and biologic-device combination products (e.g., prefilled syringes, autoinjectors) have transformed disease treatment and parenteral medicine administration.
- Ensuring product quality, safety, and efficacy is critical for regulatory approval of new combination products and for managing post-approval changes.
Purpose of the Study:
- To present a standardized, risk-based process for evaluating the impact of changes on biologic-device combination products.
- To provide a framework for determining appropriate regulatory actions related to chemistry, manufacturing, and control (CMC) changes.
Main Methods:
- A risk assessment methodology was developed, standardizing the evaluation of CMC risk factors and pharmacokinetic risk factors with weighted scoring.
- A two-dimensional risk grid was utilized to integrate CMC and pharmacokinetic risks, guiding regulatory recommendations.
- Three case studies (two clinical, one post-approval) were employed to illustrate the application and effectiveness of the risk assessment process.
Main Results:
- The proposed risk-based process provides a structured approach to assess the potential impact of CMC changes on combination product quality, safety, and efficacy.
- The methodology facilitates the determination of necessary regulatory actions, ensuring product integrity throughout its lifecycle.
- Case studies demonstrated the practical application of the risk assessment, highlighting its utility in decision-making for combination products.
Conclusions:
- The risk-based assessment framework is a valuable tool for sponsors navigating regulatory requirements for biologic-device combination products.
- This approach supports informed decision-making regarding CMC changes, ultimately contributing to patient safety and therapeutic efficacy.
- The standardized methodology enhances consistency and predictability in the regulatory review process for combination products.
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