Hi,
For question 1), I concur with the answers already given (i.e., both sites must have a validated process to allow for commercial use of the manufactured API).
For question 2), I would agree that in general comparability at API level should suffice, as you say; this may include stability data on at least one batch. I recommend referring to the excellent 2018 FDA draft guidance concerning post-approval changes of the drug substance manufacturing, as it provides useful recommendations on the science-based risk assessment that should be the base of the data package when major changes are implemented (including new manufacturing sites).
Regarding the point of including only one site in your initial NDA, to minimize PAI-related risks, I would counteract that has not been my experience. Unless you are using "problematic" CMOs, with a history of inspectional issues, or you are rushing things through, the risk for a failed PAI, hence a CRL, is extremely low (thinking of small molecules, obviously, since you are talking about tablets). In fact, it's much easier and far less cumbersome to include both sites in the first application, rather than dealing with time-consuming post-approval changes (which in this case could be a CBE-30 or a PAS). This applies to most regions ex-US, with few exceptions. As a matter of fact, FDA strongly prefers to see at least two sites each, for DS and DP, because it helps reduce the risk of drug shortages, which is one of their biggest concerns nowadays.
I have contributed to or seen multiple NDAs with at least two API manufacturing sites in the initial NDA, never experienced issues in any of the major territories because of that strategy.
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Maurizio Franzini
Regulatory Affairs CMC, Director
San Francisco CA
United States
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Original Message:
Sent: 02-Jun-2022 15:17
From: Anonymous Member
Subject: NDA approval of two API suppliers
This message was posted by a user wishing to remain anonymous
We are entering Phase 3 and will use drug substance from supplier A to manufacture tablets for the clinical studies. We are considering qualification of a second API supplier and submit both suppliers in the NDA. A tech transfer of the process with be performed from supplier A to supplier B so both will use same process and controls and same/similar equipment
1) For validation purposes, does each API site need to validate independently (i.e. 3 batches at each site)? Or could we perform a "co-validation", for example make 2 batches at site A and 1 batch at site B since same process?
2) Can the comparability between the two API sites be demonstrated at the API level? Or would we need to make tablets with API from site B and compare tablets used in the clinical studies using API from site A? I know in the past when I've submitted sNDA's post approval to qualify a second API supplier we did make tablets and include release testing results on the tablets, but I don't if that is a requirement vs just being conservative.
We are focusing on US market for now, but could pursue ex-US approvals afterward.
Thank you