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  • 1.  Stability requirements for Placebo in CMC section of IND

    Posted 08-Nov-2016 17:47

    I recently took the RAPS CMC course, which I found extremely informative.  However, I'm still looking for clarification on the stability requirements for placebo in the CMC section of an IND. 

    The RAPS course states that, while requirements will differ depending on the area, to "provide information regarding the manufacture and controls for the placebo to the same level of detail as that provided for the drug product." My question is whether this recommendation extends to stability studies. I do know:

    1.  The EMA clearly states for the IMPDs that, "Stability studies are only required in cases where there is reason to suspect that the placebo product will undergo changes in its physical characteristics or degradation... In all other cases, a short justification of the assigned shelf-life will suffice."

    2.  However, the non-requirement for placebo stability studies is not clearly stated for INDs, as far as I can find. The FDA Guidance for Industry: Content and Format of INDs for Phase 1 Studies simply states a requirement for "A brief general description of the composition, manufacture, and control of any placebo to be used in the proposed clinical trial(s)". 

    3.  The FDA Guidance for Industry: INDs for Phase 2 and Phase 3 studies states "A brief, general description of the composition, manufacture and control of the placebo... should be updated or provided... This information and any updates to this information should be provided in an information amendment. When placebos are used in clinical trials, the placebo clinical study materials should be tested to demonstrate the absence of the drug substance.  The results from the placebo testing should be submitted in an annual report."

    Does anyone have experience with placebo stability studies and their reporting in INDs?

    As a sidenote, the ICH definition of investigational product appears to include both drug product and placebo: "A pharmaceutical form of an active ingredient or placebo being tested or used as a reference in a clinical trial..."  While FDA uses the term "drug product," could this mean the ICH intends requirements for drug products be extended to placebo?

    Thank you for reading my lengthy question!

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    Kelly Dolezal
    Ames IA
    United States
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  • 2.  RE: Stability requirements for Placebo in CMC section of IND

    Posted 09-Nov-2016 15:11

    Hi Kelly,

     

    At my company we don't conduct stability studies on placebo.  In the IND we include a statement such as "Due to the character of the placebo formulation (which is totally inert) no stability studies will

    be initiated".  We also assign a shelf-life of 5 years for placebo tablets.

     

    Tom

    Chicago, IL






  • 3.  RE: Stability requirements for Placebo in CMC section of IND

    Posted 11-Nov-2016 13:54

    Thank you so much for sharing your experience, Tom! 

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    Kelly Dolezal
    Ames IA
    United States



  • 4.  RE: Stability requirements for Placebo in CMC section of IND

    Posted 12-Nov-2016 08:55

    Hi Tom,

    I am wondering how you come up with 5 Year shelf-life for placebo? 

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    Yogesh Patel RAC, MS
    Edison NJ
    United States



  • 5.  RE: Stability requirements for Placebo in CMC section of IND

    Posted 17-Nov-2016 17:15

    Hi Yogesh,

    Sorry for late response.  I believe the 5-yr expiry for placebo is justified by the common excipients used in pharmaceutical manufacturing (typically tablets and capsules). If there is something unique about the dosage form (such as a unique excipient, or maybe a suspension) then 5-yr may not be appropriate.  At my previous company we did put placebo on stability and justified the shelf-life based on available stability data, but then we were acquired and it is this new parent company that has been following this strategy of not conducting stability on placebo and assigning 5-yr shelf life.  Since then, I know we have submitted a few INDs have never been challenged by FDA on this.

     

    Regards,

    Tom

     






  • 6.  RE: Stability requirements for Placebo in CMC section of IND

    Posted 18-Nov-2016 09:24

    A safer way to do it, because it includes a stronger justification, is to piggyback on your stability studies from your active. As your placebo does not contain API it will be likely be at least as stable as the active.

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    Kevin Fettes
    FTS Pharma Consulting, LLC
    Medfield MA
    United States



  • 7.  RE: Stability requirements for Placebo in CMC section of IND

    Posted 19-Nov-2016 09:21

    Thanks Tom

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    Yogesh Patel RAC, MS
    Bridgewater NJ
    United States