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Article CommentaryCommentary

Principles for Management of Extractables and Leachables in Ophthalmic Drug Products

Christopher T. Houston, Andrea Desantis Rodrigues, Brenda Birkestrand Smith, Tao Wang and Mary Richardson
PDA Journal of Pharmaceutical Science and Technology May 2022, 76 (3) 278-294; DOI: https://doi.org/10.5731/pdajpst.2022.012744
Christopher T. Houston
1Bausch & Lomb, 1400 North Goodman St., Rochester, NY 14609;
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  • For correspondence: christopher.houston@bausch.com
Andrea Desantis Rodrigues
2PYC Therapeutics, 3210 Merryfield Row, San Diego, CA 92121;
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Brenda Birkestrand Smith
3Vir Biotechnology, 499 Illinois St., San Francisco, CA 94158;
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Tao Wang
4AbbVie, 2525 Dupont Drive, Irvine, CA 92612; and
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Mary Richardson
5iuvo BioScience, 7500 West Henrietta Rd, Rush, NY 14543
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Article Figures & Data

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  • Figure 1
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    Figure 1

    Impact of storage temperature on concentration profiles of secondary packaging leachables. Example comparison of real-time and accelerated data for a unit carton leachable observed in the same lot of ODP with an LDPE primary container. In this case, the product is not encapsulated in a foil pouch. LDPE, low-density polyethylene; ODP, ophthalmic drug product; RH, relative humidity.

Tables

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    TABLE I

    Comparison of Total Daily Intake to Concentration Values: Relationship to Dosing Frequency

    Total Daily Intake (µg/Day)Number of Eyes TreatedDaily Dosing FrequencyConcentration (ppm)a
    1.5 µg/day1215.0
    1.5 µg/day227.5
    1.5 µg/day243.8
    5 µg/day1250.0
    5 µg/day2225.0
    5 µg/day2412.5
    • ↵a Assumes 50 µL dose.

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    TABLE II

    LLNA Potency Classification

    LLNA EC3 (μg/cm2)Potency Classification
    <100Strong
    100–1,000Moderate
    1,000–10,000Weak
    >10,000Extremely Weak
    NCaNonsensitizer
    • EC3, concentration expected to give a 3-fold stimulation of lymph node cell proliferation; LLNA, local lymph node assay; NC, not calculated.

    • ↵a No positive response is obtained at any concentration tested; therefore, an EC3 value cannot be calculated. (Table from Gerberick et al. [21]).

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    TABLE III

    Summary of Leachables

    Peak #Compound ClassConcentration (ppm)Total Daily Exposure, µg/day (acute indication)Total Daily Exposure, µg/day (chronic indication)
    1Plasticizer134.22.1
    2Antioxidant72.21.1
    3Preservative1.50.480.24
    4resin intermediate2273.5
    5unknown<1 ppmNot calculatedNot calculated
    6unknown<1 ppmNot calculatedNot calculated
    • View popup
    TABLE IV

    Summary of Available Literature for Key Leachables

    CompoundGenetic ToxicityOcular Irritation/ToxicitySensitization
    AntioxidantNo data availableMinimal reversible irritancy observed at 800× concentration on eyeNo indication of sensitization at doses higher than leachable level
    PlasticizerNegative genotoxicity but listed on California Proposition 65 list of hazardous substances with a recommended safe level of 9.8 µg/day (from all sources)NonirritantNo indication of sensitization at doses higher than leachable level
    Resin intermediateNegative in all test systemsStrongly irritating when tested neat (10 mg) on rabbit eye; no data at lower concentrationsNo indication of sensitization
    • View popup
    TABLE V

    Sample Assessment: Highest Concentrations Detected and Estimated Total Daily Doses

    Leachablea
    Highest Concentration Detectedx ppm
    Estimated Total Daily Exposure Following Topical Ocular Administration (Both Eyes Combined)≤ y.yy μg/dayb,c
    • ↵aRecord name of leachable or relative retention time if unidentified.

    • ↵bGiven the administration instructions available for the product (i.e., instill 2 drops to both eyes daily; use actual drop size).

    • ↵cppm = mg/L; leachable conc. (mg/L; μg/1000 μL) × drop size (μL/drop) × number drops/eye/day × 2 eyes = y.yy μg/day.

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    TABLE VI

    Example Tool to Aid in Assessment (Add or Delete Categories as Applicable). Complete for Each Leachable

    NOAELSafety Margin above Observed Leachable Concentrations (x ppm or x mg/kg)a
    Local Tolerance
    Genotoxicity/Carcinogenicity
    Sensitization
    • Repeat for Leachable 2, if applicable.

    • NOAEL, no-observed-adverse-effect-level

    • ↵a Calculated as the NOAEL obtained from studies or literature, divided by concentration of the leachable.

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PDA Journal of Pharmaceutical Science and Technology: 76 (3)
PDA Journal of Pharmaceutical Science and Technology
Vol. 76, Issue 3
May/June 2022
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Principles for Management of Extractables and Leachables in Ophthalmic Drug Products
Christopher T. Houston, Andrea Desantis Rodrigues, Brenda Birkestrand Smith, Tao Wang, Mary Richardson
PDA Journal of Pharmaceutical Science and Technology May 2022, 76 (3) 278-294; DOI: 10.5731/pdajpst.2022.012744

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Principles for Management of Extractables and Leachables in Ophthalmic Drug Products
Christopher T. Houston, Andrea Desantis Rodrigues, Brenda Birkestrand Smith, Tao Wang, Mary Richardson
PDA Journal of Pharmaceutical Science and Technology May 2022, 76 (3) 278-294; DOI: 10.5731/pdajpst.2022.012744
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  • Article
    • Abstract
    • Background
    • Importance of Assessing Leachables in ODPs
    • Current Regulatory Approaches
    • Specific Considerations for Managing Leachables in ODPs
    • Potential Sources and Common Classes of Leachables for ODPs
    • False Negatives Observed during Extractable Testing of Secondary Packaging Components and Leachable Testing of Drug Products for Which Secondary Packaging Components Are Critical
    • Experimental Design Considerations: Extraction/Simulation Studies for ODPs
    • Experimental Design Considerations: Leachable Studies for ODPs
    • Analytical Evaluation Threshold
    • Summary of Analytical Challenges for Extractables and Leachables in ODPs
    • Toxicological Considerations for Leachables in ODPs
    • Safety Qualification for Leachables in ODPs
    • Conclusion: Toxicological Considerations for Leachables in ODPs
    • Case Study on the Safety Qualification of Leachables in an ODP
    • General Sample Evaluation (with Examples of Assessment Tables)
    • Conclusion: Case Study
    • Conflict of Interest Declaration
    • Acknowledgment
    • Footnotes
    • References
  • Figures & Data
  • References
  • Info & Metrics
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  • Retrospective Evaluation of Cycled Resin in Viral Clearance Studies - A Multiple Company Collaboration - Post ICH Q5A(R2) Review
  • Addressing Medical Device Extractables and Leachables via Non-Target Analysis (NTA); The Analytical Evaluation Threshold (AET) and Quantitation
  • Expanding the Use of Moist Heat for Terminal Sterilization
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Keywords

  • Extractables
  • Leachables
  • Ophthalmics
  • Toxicity
  • Endpoints
  • Migrant
  • Simulation

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