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J Pharm Innov (2015) 10:8497

DOI 10.1007/s12247-014-9208-z

RESEARCH ARTICLE

Assessment of Blend and Content Uniformity. Technical


Discussion of Sampling Plans and Application
of ASTM E2709/E2810
James Bergum & Thomas Parks & James Prescott &
Ravindra Tejwani & Jon Clark & William Brown &
Fernando Muzzio & Samir Patel & Charles Hoiberg

Published online: 25 December 2014


# Springer Science+Business Media New York 2014

ABSTRACT 2014. Specific statistical methodologies to construct acceptance


Introduction The FDA withdrew the draft guidance document criteria were not recommended in the paper. This paper pro-
for industry Powder Blends and Finished Dosage Units vides an example and technical discussion of a statistical ap-
Stratified In-Process Dosage Unit Sampling and Assessment. proach that can be inserted into the framework described in the
An FDAs primary concern was a lack of confidence that the Groups paper. There may be other approaches to sampling
results from USP <905> Uniformity of Dosage Units testing plans, statistical analysis, and acceptance criteria that are ac-
ensure the content uniformity of a batch. ISPE sponsored the ceptable to demonstrate content uniformity.
Blend Uniformity and Content Uniformity Group (referred to Method ASTM E2709, Standard Practice for Demonstrating
as Group), which was formed in August 2013 to discuss Capability to Comply with an Acceptance Procedure and
approaches to assess blend and content uniformity. E2810, Standard Practice for Demonstrating Capability to
Modifications to the withdrawn draft stratified sampling guid- Comply with the Test for Uniformity of Dosage Units for
ance document are proposed by the Group for the assessment of demonstrating dosage unit uniformity can be used to evaluate
adequacy of powder mix and content uniformity of the finished content uniformity. These standards are discussed and applied
product in Recommendations for the Assessment of Blend and to the sampling plans given in the Groups paper. The method
Content Uniformity: Modifications to Withdrawn FDA Draft can provide with a high level of confidence that samples from
Stratified Sampling Guidance, accepted by J Pharm Innov, a lot will have a high probability of passing the USP UDU test.

The views presented in this article by the authors do not necessarily reflect
those of their respective companies or organizations.
J. Bergum (*) J. Clark : W. Brown
BergumSTATS, Howell, NJ, USA United States Pharmacopeia-National Formulary, Rockville, MD,
e-mail: james.bergum@BergumSTATS.com USA
J. Clark
T. Parks
e-mail: JEC@USP.org
Eli Lilly and Company, Indianapolis, IN, USA
e-mail: tparks@lilly.com W. Brown
e-mail: WEB@USP.org
J. Prescott
Jenike and Johanson, Inc., Tyngsboro, MA, USA
e-mail: jkprescott@jenike.com
C. Hoiberg
R. Tejwani Pfizer Inc., Silver Springs, MD, USA
Bristol-Myers Squibb Company Research and Development, New e-mail: charles.p.hoiberg@pfizer.com
Brunswick, NJ, USA
e-mail: ravi.tejwani@bms.com

S. Patel F. Muzzio
Teva Pharmaceuticals, North Wales, PA, USA Rutgers University, New Brunswick, NJ, USA
e-mail: Samir.Patel@tevapharm.com e-mail: fjmuzzio@yahoo.com
J Pharm Innov (2015) 10:8497 85

The methodology can be used to evaluate content uniformity unit in the batch and then by a completely random process, pick
data based on a sampling plan that tests either one or more n dosage units. To obtain a true simple random sample is
than one dosage unit from each of multiple locations through- nearly impossible or impractical for sampling a batch of dosage
out the lot. An acceptance limit table based on sample means units. The most common approach is to use the quality control
and standard deviations can be generated that is easy for the release samples which are obtained by sampling the batch at
user to apply to content uniformity results. frequent intervals (e.g., every 10 min) throughout the run and
Results Operating characteristic (OC) curves for process qual- then combining all of the tablets together and finally sampling
ification and continued process verification/routine lot release from this composite. Although this procedure is not truly ran-
sampling plans are presented and compared along with the dom, it is generally a very good approximation and treated as a
USP UDU OC curve. The process qualification criteria/sam- random sample. As the intervals become shorter, the final sample
pling plans are shown to be conservative compared to the comes closer to a truly random sample. Another sample that is
USP UDU test. A two-stage tiered plan is shown that could be generally considered close to random is taking a sample from a
used during continued process monitoring/routine release. coating pan for content uniformity since the tablets have been
Conclusion The ASTM E2709/E2810 methodology provides continuously mixed up during the coating process. Although
acceptance criteria for several sampling plans that could be even in this case, one might take samples from different locations
used for the assessment of content uniformity during process from the coating pan to protect against any possible (but unlikely)
qualification and continued process monitoring/routine re- location effects in the pan.
lease. Passing the acceptance criteria can assure with a high
level of confidence that a lot can meet the USP UDU test.
Stratified Sampling
Keywords Content uniformity . ASTM E2709/E2810 .
One problem with simple random sampling is that, just by
Statistical sampling plans . USP General Chapter <905>
chance, the samples may not contain dosage units from seg-
Uniformity of Dosage Units . Guidance for Industry: Process
ments of the batch of interest. For example, in process valida-
Validation
tion, the beginning and end of the batch may be of interest. So,
although a simple random sample is statistically valid, one
may not be satisfied with a sampling plan that does not include
Sampling Plans
samples taken from the beginning or end of the batch.
Stratified sampling plans partition the batch into strata
There is a wide body of literature on sampling. Sampling
(e.g., first 1/20, second 1/20, , and final 1/20). The combi-
plans are used to provide blend samples or dosage units that
nation of all strata must cover the entire batch. Then random
will be tested to support release of manufactured batches,
sampling is performed within each stratum.
process validation, or for process understanding. A sampling
plan describes where (locations) and how the samples are
taken from the blend or batch and the number of samples Systematic Sampling
(blend amount or dosage units) taken from each location.
Blend locations could be a specific location in a blender, Systematic sampling is performed by taking a sample(s) at
bin, or drum. Sampling plans for blends should include the equal intervals throughout the batch typically by total number
mass or volume collected, as well as the type of sampler that is of dosage units or manufacturing time. The first sample loca-
used. Sampling locations for final dosage units may be based tion is determined at random and then the remaining samples
on specific times during the manufacturing run or on the total are taken at equal intervals. For example, using dosage unit
number of dosage units in the run. If the samples are taken intervals, suppose a batch consists of 1,000,000 dosage units
after the dosage units are put into containers, then the location (tablets in this case) and the sampling plan requires sampling
could be similar to blends where a specific location is deter- 10 tablets with one tablet taken from each of 10 locations.
mined to take the sample. Although there are many possible Then the 1,000,000 are partitioned into 10 equal intervals
sampling plans, the most common plans are simple random, (tablet 1 to 100,000; 100,001 to 200,000; ; and 900,001 to
stratified, and systematic which are described below. 1,000,000). A random time point is chosen from the first
interval, say tablet 60,000, then the sampling plan would be
Simple Random Sampling to take the 60,000th; 160,000th; ; and 960,000th tablet. To
obtain these exact tablet numbers is not practical, so selecting
Simple random sampling gives each possible dosage unit an tablets near these points is acceptable. Additionally, it may be
approximately equal probability of being chosen as a member more practical to set the sampling start point rather than use a
of the samples to be tested. A true random sample of a batch of random start. This is typically acceptable as long as the
tablets could theoretically be obtained by identifying each dosage starting point and subsequent sampling points do not fix the
86 J Pharm Innov (2015) 10:8497

samples in such a way as to potentially miss important ele-


ments of the process.

Comparisons

Figure 1 shows the three sampling plans (random, stratified


(three strata), and systematic) where a total of 12 dosage units
were taken throughout the batch and tested for content unifor-
mity (CU expressed in % label claim (LC)). All three sampling
plans are acceptable statistically. Notice that in the random
sampling plan, most samples were taken in the first 1/3 of the Fig. 2 Batch data without knowledge of between location variability
batch, leaving the remainder of the batch to be more sparsely
sampled. In the stratified plan, each stratum has the same
amount of sampling; however, the last portion of the third strata
was not sampled. With systematic sampling, the different sec- shows two sets of test results: the top set are test results
tions of the batch are equally weighted such that any trends at from a batch where there is location to location varia-
the beginning, middle, or end of the batch are equally repre- tion (Loc) whereas the bottom set is from a batch where
sented in the sample. In addition to insuring that the entire batch there is no location to location variation (No Loc). Note
is examined equally, the systematic plan also allows the loca- that the two sets of data are exactly the same. There is
tions to be easily identified. This can be very useful for follow- no way to determine whether the variation is due to
up analysis of the batch, such as examining trends. between locations or within locations since only one
The three sampling strategies describe how to select loca- tablet was tested from each location.
tions for sampling. Typically for both simple random and Now suppose that sampling plan 2 was used instead
stratified sampling, only one dosage unit is tested from each of sampling plan 1. Figure 3 shows what the data
location. For the purposes of this document, this is called would look like in the case where there is location
sampling plan 1, meaning that at each location only one dosage variation and when there is no location variation. The
unit is tested. For systematic sampling plans, one dosage unit rectangular data points are still identical for both the
(or blend sample) could be tested from each location which is upper and lower plots. However, the second data point
sampling plan 1 or multiple dosage units (blend samples) could (black dot) at each location is added based on whether
be tested from each location. An equal number of samples, the variation is due to within location or between loca-
greater than one, taken from each location is called sampling tions. Notice that in the upper portion of the plot where
plan 2 in this document. The advantage of sampling plan 2 can there is location to location variation, the results at each
be shown as follows. Suppose a sample of 12 dosage units are location are similar but there is variation between the
taken from a batch and tested based on a systematic sampling locations. In the lower portion of the plot where there is
plan using sampling plan 1. There is bound to be variability in no true location to location variability, the within location
the test results. However, one cannot determine whether the variability clearly dominates compared to any observed vari-
variation is caused by differences between locations in the ability between the locations.
batch or if the variability would have been the same if all the
samples had all been taken from the same location. Figure 2

Fig. 1 Comparison of sampling plans Fig. 3 Batch data with and without location variability
J Pharm Innov (2015) 10:8497 87

ASTM E2709/E2810 Table 1 Sampling plan


1 acceptance limit table Sample mean Sample standard
for USP UDU test 90 % (% LC) deviation
The USP Uniformity of Dosage Units (UDU) given in General confidence interval, upper limit (% LC)
Chapter <905> Uniformity of Dosage Units is a market stan- 95 % coverage, n=30
dard. The USP General Notices include the following statement 100.0 4.48
about compendial standards [1]. The similarity to statistical 99.0 or 101.0 4.22
procedures may seem to suggest intent to make inference to 98.0 or 102.0 3.95
some larger group of units, but in all cases, statements about 97.0 or 103.0 3.68
whether the compendial standard is met apply only to the units
tested. Therefore, the UDU procedure is not intended for
for a sample mean of 99.0 % is 4.22 %. Therefore, this sample
inspecting uniformity of finished product for lot/batch release
meets the criterion.
or as a lot inspection procedure. Passing the UDU test once does
Meeting the standard deviation limit assures, with 90 %
not provide a statistical assurance that a batch of drug product
confidence, that a sample taken for testing against the USP
meets specified statistical quality control criteria. Therefore, a
UDU test has at least a 95 % chance of passing the UDU test.
procedure was needed that can provide this assurance.
The 90 % confidence with 95 % coverage is an example
A methodology was developed in the mid 1980s to address
chosen to illustrate an acceptable approach to demonstrating
both the need to provide this assurance and as a response to FDA
content uniformity. The chosen criteria for a given sampling
statements that validation should show that a process does what it
plan point to a certain probability of meeting the limits
purports to do. The method (originally called CuDAL (content
established in the harmonized method for a future test of a
uniformity and dissolution acceptance limits)) was developed by
sample from the batch. A more conservative or liberal limit
James Bergum [2] and updated by Bergum and Li [3] for the
can be chosen based on the therapeutic window considerations
ICH UDU harmonized test. A good reference describing the
on a product by product basis. For new drugs, this can be a
method as well as examples is the process validation chapter in
topic of discussion with the regulatory authority at the time of
the Encyclopedia of Bio-Pharmaceutical Statistics [4].
application.
The methodology resulted in the following standards: ASTM
To construct an acceptance limit, the table requires the
E2709 [5], Standard Practice for Demonstrating Capability to
following information: sampling plan (sampling plan 1 or 2),
Comply with an Acceptance Procedure and ASTM E2810 [6],
sample size, confidence level (e.g., 90 % for validation), and a
Standard Practice for Demonstrating Capability to Comply with
coverage probability (e.g., 95 %). In this paper, coverage is
the Test for Uniformity of Dosage Units. ASTM E2709 pro-
defined as the desired probability of passing the USP UDU
vides the statistical aspects of the methodology. ASTM E2810
test in future performances of the test for that lot.
applies the general methodology of ASTM E2709 specifically to
Figure 4 provides a pictorial of the method. The methodology
the UDU test as well as 2.9.40 Uniformity of Dosage Units of the
computes, at a prescribed confidence level, a lower bound on the
Ph. Eur. and 6.02 Uniformity of Dosage Units of the JP. All of
probability of passing an acceptance procedure (coverage) using
these versions are virtually interchangeable. This methodology
estimates of the parameters of the distribution of test results from
has general application to multiple stage tests with multiple
a sampled population. The 95 % lower bound showing the
acceptance criteria.
The approach is to show that specific quality attributes
could meet associated testing standards such as the USP
Uniformity of Dosage Units (UDU) <905>. The goal is to
develop limits based on the process validation sample results
that would provide confidence that any samples used in the
UDU test would pass the testing standard.
As an example, suppose that a random sample of 30 dosage
units were taken from a lot using sampling plan 1 with a
confidence level of 90 % and coverage of 95 % where cover-
age is the probability of passing the UDU test for future
samples from the same batch. Table 1 is a subset of the entire
acceptance table for this situation. A more complete table of
acceptance limits for 90 % confidence for 95 % coverage for
various sample sizes is available [7].
Suppose that the sample mean and standard deviation from Fig. 4 ASTM E2810: content uniformity acceptable parameter region,
the 30 results are 99.0 and 2.46 % label claim, respectively. confidence interval (region)*, and acceptance region. *Z is a normal critical
From Table 1, the upper limit on the sample standard deviation value and ULS is the upper confidence limit on the standard deviation
88 J Pharm Innov (2015) 10:8497

acceptable parameter region is shown in Fig. 4. Any combination the sample mean and standard deviation used in Fig. 4 result in a
of the population lot mean and standard deviation below the confidence interval that contains a point on the acceptable pa-
lower bound has at least a 95 % probability of passing the USP rameter region. For this particular sample mean, the associated
UDU test. For a prescribed lower probability bound, the meth- standard deviation is the largest sample standard deviation that
odology can also generate an acceptance limit table, which would not result in going above the acceptable param-
defines a set of sample statistics (for example, sample averages eter region. This sample mean and standard deviation
and standard deviations) that would pass the acceptance proce- would be included in the set of sample means and
dure at a prescribed confidence level. This is done by generating standard deviations making up the acceptance region
a confidence region for the lot mean and standard deviation. The for n=10. The acceptance region for samples of size
confidence region is a triangle which is shown in Fig. 4. Note that 10 and 100 are given in Fig. 4.

Fig. 5 ac OC curves for


sampling plan 1 (90 % conf/95 %
cov). OC curve=prob (passing
acceptance limit table for specific
true lot mean and standard
deviation)
J Pharm Innov (2015) 10:8497 89

Table 2 Sampling plan passing the acceptance limit table for various sample sizes given
2 (203) example data Location Dosage unit
the true underlying lot mean and standard deviation. Figure 5
1 2 3 shows the OC curves based on 90 % confidence intervals for
true (i.e., actual population) lot means of 96, 98, and 100 % LC
1 98.1 96.9 97.4 and sample sizes from 10, 20, 30, 60, 90, and 500 using
2 99.1 103.3 102.0 sampling plan 1. Suppose based on lab data and current knowl-
3 99.1 98.2 99.3 edge of the product that we do not expect a true lot mean to be
4 101.4 99.0 105.3 below 98 % LC or the true lot standard deviation to be greater
5 102.1 104.6 104.3 than 3 %. The dashed vertical line is for a true lot mean of 98 %
6 103.1 102.6 102.9 with a true lot standard deviation of 3 %. So if we want a good
7 100.5 98.3 98.2 chance of passing the acceptance limit table, a sample size of 30
8 97.6 96.9 97.8 would be reasonable. As can be seen from Fig. 5b, even with a
9 103.5 102.5 100.6 sample of 30 tablets, a true lot mean of 98 % with a true lot
10 99.2 99.3 100.8 standard deviation of 3 % would easily pass.
11 97.0 97.9 102.2 Sampling plan 2 is a sampling plan where more than one
12 100.4 102.9 100.0 dosage unit is tested from each location and is typically,
13 101.3 101.1 104.2 though not necessarily, systematic. This plan can be used for
14 95.7 98.5 97.0 process validation. Suppose that a lot is sampled using a
15 95.3 103.7 94.5 systematic plan at 20 locations evenly distributed throughout
16 100.3 96.3 98.5 the lot with three dosage units tested at each location. Table 2
17 102.2 94.7 102.4 shows the data. Figure 6 is a plot of the data which can be
18 101.2 98.6 97.7 useful to look for trends or unusual patterns in the data.
19 99.7 94.5 98.0 Plotting the data is highly recommended.
20 96.8 92.8 94.2 A variance component analysis should be used as part of
the data review. Variance components split the overall vari-
ability into between and within location components.
In the example, the variance components are given in
As can be seen in Fig. 4, the acceptance region becomes Table 3. The between location variability is significant (P
larger as the sample size increases. Therefore, the probability of value=0.001) and represents 42.6 % of the total variation.
passing an acceptance limit table increases as the sample size The total standard deviation is 2.97 % LC. A company would
increases. Operating characteristic (OC) curves are used to have to decide if a total standard deviation of 2.97 % with about
decide on a sample size. OC curves show the probability of half of the variation due to locations is worth the resources to

Fig. 6 Sampling plan 2data


display
90 J Pharm Innov (2015) 10:8497

Table 3 Between and within location variance components variance Table 5 90 % conf/95 % prob(pass USP)
components
Standard deviation of location means
Component Variance % of Plot % Standard
component total deviation 2.2 2.3 2.4

Location 3.753 42.6 1.937 SE LL UL LL UL LL UL


Within 5.056 57.4 2.249 2.2 93.8 106.2 94.1 105.9 94.5 105.5
Total 8.809 100.0 2.968 2.3 93.9 106.1 94.2 105.8 94.6 105.4
2.4 94.0 106.0 94.4 105.6 94.7 105.3
Overall mean, 99.56

investigate the between location variability. Note that the within www.ispe.org/samplingtables) including for the complete
standard deviation is 2.25 %, so reducing or eliminating the 203 table.
location to location variability may only result in reducing the Note that 95 % coverage means future samples from
total standard deviation to about 2.25 %. It is important to note the batch have at least a 95 % probability of passing
that the tests and acceptance criteria proposed assume that all the USP UDU test.) The first column is the within-in
dosage units in a given batch have an equal probability of location standard deviation (SE), and the first row is the
reaching a given consumer. One way to look at this is that all standard deviation of the location means. To use the
dosage units are blended together such than any location dif- acceptance limit table, the SE and standard deviation
ferences are minimized, prior to final packaging. If a single of location means are rounded up to the nearest tenth
location could remain intact through to final packaging, (e.g., a from 2.25 to 2.3 and 2.33 to 2.4, respectively, to be
consumer receives all dosage units from location 20 only), then conservative. The limits on the overall mean are 94.6 to
the sampling, testing, and acceptance criteria should be assessed 105.4 % LC. Since the overall mean is 99.56 % LC, the
at the specified worst case location and additional samples may sample passes the limits.
be required for this assessment.
The statistics required to use the acceptance limit table for
sampling plan 2 are the overall mean, the within-location Example of Sampling Plans for Process Qualification
standard deviation (i.e., the square root of the average of the Using ASTM E2709/E2810 Acceptance Criteria
20 location variances which is the same as the within location
standard deviation from the variance component analysis), A possible sampling plan for process qualification (stage 2
and the standard deviation of the 20 location means (Note that validation) can be to sample at least three dosage units from each
this is not the square root of the between location variance of at least 40 locations. The 40 sampling locations are split in this
component). Table 4 shows the overall mean, the within document to have 20 locations (typically including beginning
location standard deviation (SE), and the between location and end samples) that are initially tested and then the remaining
standard deviation. 20 locations tested if needed (values should not be weight
Table 5 is a subset of the entire acceptance table that is corrected). Three dosage units are to be tested from each of the
available [7] for sampling plan 2 that contains limits for initial 20 location (called 203 in this document). If the criteria
the overall mean instead of the sample standard deviation for the 203 plan are not met, test the remaining 20 locations
used in sampling plan 1. Acceptance criteria tables have with 3 tablets per location and perform VCA. In total, there are
been posted for the ASTM E2709/E2810 approach (http:// 40 locations with three dosage units per location tested (called
403 in this document) for a total of 120 test results. The test
results are then compared to the criteria for the 403 plan. Both
the 203 and 403 are sampling plan 2 type plans. All individ-
Table 4 Example: sampling plan 2 ual values should be between 75.0 and 125.0 % (non-weight
corrected). Acceptance criteria tables for both the 203 and 40
Descriptive statistics (% label claim)
3 plan are posted at http://www.ispe.org/samplingtables8. To
Overall mean 99.56 show uniformity of blend the same analysis can be performed
SE (within-location standard deviation) 2.25 on the weight corrected results. If the results comply with the
Standard deviation of location means 2.33 acceptance criteria, dosage unit uniformity is demonstrated. If
not, the dosage units are not uniform.
J Pharm Innov (2015) 10:8497 91

Fig. 7 OC curves 90 %
conf/95 % prob(pass USP), 203
plan, and true lot mean=100 %

The performance characteristics of the 203 and 403 3 plans with true percent (of total) location to location standard
plans can be evaluated using OC curves. All of the following deviations of 0, 50, and 90 % as well as the OC curve for the
OC curves are based on 90 % confidence level and 95 % USP as a reference (CICOVPlan in the legend denotes the
coverage (i.e., 95 % prob(pass USP UDU)). The curves de- confidence level, coverage, and sampling plan). Notice how
pend on the true total lot standard deviation and the true the OC curves shift left as the proportion of variance attributed
percent of the total lot standard deviation due to between to location increases requiring smaller standard deviations to
locations. Figure 7 shows the OC curves for the 203 plan pass the acceptance criteria. Also, notice how the strategy of
with a true lot mean of 100 % label claim and true between performing a 203 test requires a smaller standard deviation
location percentages of 0, 30, 50, 70, and 90 % of the total to pass than a 403 plan for nearly all proportions of vari-
variance. Note that as the percent of between location vari- ability attributed to location (there is a small overlap for the
ability increases, the probability of passing the acceptance 203 plan with 0 % location variability and the 403 plan
limit table decreases. This can be explained as follows. If there with 90 % location variability). This means that when the
were no location to location variation, then the curves are second set of samples is needed, resulting in the 403 plan,
similar to a table with 60 results using sampling plan 1 but if the standard deviation that passes the acceptance criteria in-
all of the variation is due to between locations, the curves are creases compared to the initial 203 plan while maintaining
similar to a table with only 20 results using sampling plan 1 the same confidence/coverage. This is supported due to the
since there are only 20 locations. better variability estimates obtained with the larger sample
Figures 8 and 9 show for true lot means of 100 and 96 % size. Additionally, this strategy is an efficient use of resources
label claim and a confidence level of 90 %, the 203 and 40 since the additional samples increase the acceptance region.

Fig. 8 OC curves 90 %
conf/95 % prob(pass USP) for
203 and 403 plans, mean=
100 %, and USP UDU
92 J Pharm Innov (2015) 10:8497

Fig. 9 OC curves 90 %
conf/95 % prob(pass USP) for
203 and 403 plans, mean=
96 %, and USP UDU

Example of Sampling Plan for Continued Process the acceptance limit table must be less than the probability of
Verification/Routine Lot Release Using ASTM passing the USP UDU test. Therefore, the operating charac-
E2709/E2810 Acceptance Criteria teristic curve will always be below and to the left of the USP
UDU curve. As the confidence level or coverage increases or
It is necessary during both process qualification (stage 2 vali- the sample size decreases, the OC curve will move further to
dation) and continued process verification/routine testing (stage the left since increasing the confidence level and/or coverage
3 validation) to assure uniformity of the dosage units for solid provides a greater assurance of passing the USP UDU test. In
oral dosage forms. In process qualification, the purpose is to the remainder of this paper, curves that fall further to the left of
demonstrate that the process is capable of consistently produc- the USP UDU test will be considered more conservative. So
ing lots that meet this requirement. During continued process the level of conservativeness is determined through the
verification/routine lot release, the focus is to provide assurance choices of confidence and coverage. For process qualifica-
that the specific lot being released will meet the UDU criteria on tion, a high level of confidence and coverage are recom-
any future representative sample from that lot. ASTM E2810 mended. For solid oral dosage forms that have typical
can be used to support both of these objectives. patient safety and efficacy profiles, one may use 90 %
Since the goal of process qualification is to assure process confidence/95 % coverage as previously discussed [8].
capability for ongoing production, conservative criteria are For products with narrow therapeutic windows, it may
typically established to assure the process will meet specifi- be desirable to tighten one or both of these levels. For
cation requirements. Since the ASTM E2810 provides assur- products with a wide therapeutic window and safety pro-
ance of passing the USP UDU test, the probability of passing file, lower levels may be justified.

Fig. 10 Comparison of tiered


and untiered plans, true mean=
100 %
J Pharm Innov (2015) 10:8497 93

Fig. 11 Comparison of tiered and


untiered plans, true mean=96 %

After process qualification has successfully been demon- passing USP UDU for 101 and 301 sampling plan 1 as
strated, continued process monitoring/routine batch release well as 90 % confidence/95 % probability of passing USP
needs to continue demonstration of each lots ability to meet UDU for n1 sampling plan 1 for various n from 10 to 500.
requirements and to continue demonstrating that the process is
in a state of control and is capable. Toward that end, lot release
criteria should be set that are conservative with respect to the Relationships Between the Sampling Plans Used
USP criteria but not more restrictive than process qualification During Process Qualification and Continued Process
criteria. One choice of criteria that could be considered ac- Verification/Routine Lot Release and Rationale
ceptable is using 50 % confidence/95 % coverage. Additional for Acceptability of the 50 % Conf/95 % Prob(Pass USP)
rationale for this choice is discussed later in this paper. Plan

Tiered Approaches During process qualification, the testing and acceptance


criteria are the most rigorous to assure capability of the
The two-staged tiered approach discussed below keeps the process. During continued process verification/routine
sample sizes as in the USP UDU test where at the first tier lot release, the criteria are comparatively relaxed versus
(stage 1), 10 dosage units are tested and compared to the process qualification, but still maintained at a conserva-
ASTM E2810 acceptance limit table criteria for n=10. If the tive level with respect to USP criteria. Figures 12
criterion is met, the lot passes the uniformity requirement. If through 13 depict two types of OC curves to understand
the criterion is not met, then the second tier (stage 2) is the relationships of the performances of the example
conducted by testing another 20 dosage units. The entire 30 plans with each other and with respect to the USP
dosage unit test results are compared to the acceptance limit UDU test.
table criteria for n=30. If the criteria are met, the lot passes the Consider Fig. 12. Leftmost is the 203 sampling plan
uniformity requirement. Otherwise, the lot fails the uniformity which is the most conservative requiring the smallest
requirement. This two-stage approach of testing n=10 and standard deviations to pass acceptance criteria. Next is
then n=20 additional dosage units if needed is referred to as the 40 3 plan which provides some loosening of the
a tiered 10:30 plan. standard deviation. Both of these are used in process
OC curves for both the n=30 untiered and 10:30 tiered qualification and represent very conservative criteria rel-
plans are shown in Figs. 10 and 11 for true lot means of 100 ative to the USP. It is observed that for the loosest OC
and 96 % label claim. Also included is the USP UDU OC curve of these plans (solid red line), when SD5.6 %,
curve. Note that the OC curves for the untiered and tiered there is only an approximate 5 % chance of passing this
plans are very similar. criteria. However, at that same standard deviation, there is
Acceptance criteria tables have also been posted for the approximately a 98 % chance of passing the USP.
ASTM E2709/E2810 approach (http://www.ispe.org/ Another way to compare the criteria is through OC
samplingtables) for 50 % confidence/95 % probability of curves based on the probability of passing the USP
94 J Pharm Innov (2015) 10:8497

Fig. 12 OC Curves for Tiered


Plan, Sampling Plans 203 and
403 (Varying % total variation
due to between location), and
USP UDU versus True Lot
Standard Deviation (True Lot
Mean = 100 %)

Fig. 13 OC curves for Tiered


Plan, Sampling Plans 203 and
403 (Varying % total variation
due to between location), and
USP UDU Proportion of
Individuals Between 85-115 %
LC (True Lot Mean = 100%)

Fig. 14 OC curves for Tiered


Plan, Sampling Plans 203 and
203 (Varying % of total
variation due to between
location), and USP UDU versus
True Lot Standard Deviation
(True Lot Mean = 96 %)
J Pharm Innov (2015) 10:8497 95

Fig. 15 OC Curves for Tiered


Plan, Sampling Plans 203 and
403 (Varying % total variation
due to between location), and
USP UDU versus Proportion of
Individual Results Between 85-
115 % LC (True Lot Mean = 96
%)

UDU criteria given the proportion of individual UDU differences in the probabilities of passing lots in this range
results that are between 85 and 115 % (normality as- of standard deviations is relatively small (<9 %). This
sumed). Figure 13 provides this comparison. In this fig- makes the risk of lots failing the criteria during continued
ure, it is intuitively obvious that the performance of the verification that would have passed during performance
10:30, 50 %/95 % OC curve is much more conservative qualification small.
than the USP UDU curve. For example, consider when 3. It has a high probability of lots failing the acceptance criteria
99 % of the individual content uniformity test results are that would still pass the USP UDU criteria a high percentage
between 85 and 115 %. When this is true, the lot will fail of the time. Consider when SD=6.4 %. There is a 90 %
the 10:30, 50 %/95 % criterion 68 % of the time whereas chance the lot will pass the USP criteria. However, the same
the lot will pass the USP UDU test 98 % of the time. lot will have an 86 % chance of failing the criterion for the
Figures 14 and 15 depict the same relative relationships 10:30, 50 %/95 % plan (a sample with a standard deviation
between the sampling plans and criteria when the true mean is of 6.4 % may raise concerns about the content uniformity
96 %. and may require additional assessment). Additionally, when
Now, consider what performance characteristics of a sam- there is still as high as a 65 % chance of passing the USP
pling plan and acceptance criteria would be desirable during criterion at SD=7.25 %, the lot would pass the 10:30, 50 %/
continued process verification. 95 % plan criterion only 5 % of the time. Therefore, the
10:30, 50 %/95 % plan is much more conservative than the
1. The amount of testing should be reduced to a reasonable USP UDU criteria.
level.
2. The acceptance criterion needs to be consistent with per-
formance qualification criteria. Specifically, given a stan- Additional Discussion on 50 % Conf/95 % Cov
dard deviation of the process that passes performance (Prob(Pass USP UDU))
qualification criteria, standard deviation should also pass
continued process verification criteria. Otherwise, a pro- The endpoint of a one-sided 50 % confidence interval is the
cess could pass performance qualification and fail contin- best estimate of the parameter being estimated. For example, if
ued process verification given identical lot quality/ a sample of size n is taken, the average of these n results is the
variability. endpoint of a one-sided 50 % confidence estimate of the true
3. The acceptance criteria should be conservative with re- mean for the lot. This average is the best estimate of the true
spect to the USP UDU. mean of the lot. The 50 % confidence level does not mean
there is a 50 % chance of failing the criterion but rather that the
The tiered 10:30, 50 % conf/95 % prob(pass USP) criteria estimate has a 50 % chance of falling either above or below the
demonstrate all these properties. 95 % coverage point. As the sample size increases, the 50 %
tolerance interval result will become closer to the population
1. It matches the amount of testing to that of the USP, i.e., 10 95 % coverage point.
or 30 dosage units.
2. Its operating characteristics have only a small amount of
overlap with the 403 plan. In that region, there is some Consumer and Producer Risks and Operational
risk of lots failing the criteria during continued Characteristic Curves
verification/routine lot release that would have passed
the criteria during process qualification. However, that The 90 % confidence/95 % coverage validation plans used in
region is small (4.0 %SD4.9 %). Additionally, the the prior example result in very conservative OC curves as
96 J Pharm Innov (2015) 10:8497

Fig. 16 OC curves for sampling CICOV Plan


plans 203, 403, and tiered
10:30 at 50 % conf/95 %
prob(pass USP), true lot mean=
100 %, and USP UDU versus true
lot standard deviation

shown in many of the prior figures. These are conservative in qualification batches each passed using the 203 plans.
the sense that the consumer risk of receiving low quality However, if one or more batches required use of the
product is extremely low while the producer has a high risk 403 plan, there is sufficient overlap in the curves that
of failing the acceptance criteria for a batch of high quality. either a lower confidence/coverage level may be needed
Therefore, depending on the therapeutic properties of the drug or a higher number of samples taken to prevent contin-
product and/or known challenges with the particular formula- ued process verification/routine release batches from
tion, less conservative criteria may be justified. For example, failing criteria when they are of the same quality as
continuing with the use of ASTM criteria, it may be appro- batches that passed qualification.
priate to reduce the confidence and/or coverage levels to
achieve an OC curve (or curves) consistent with the therapeu-
tic properties. Figure 16 shows OC curves for the previously
mentioned 20 3 and 40 3 sample plans where the Conclusions
confidence/coverage are 50 %/95 % and the between location
variability proportion is 0 or 90 %. The 50 %/95 % tiered This paper has provided a discussion and rationale regard-
10:30 and the USP OC curves are also shown. For products ing the use of various types of sampling plans with the
with a relatively broad therapeutic index, a 50 %/95 % plan recommendation to use systematic sampling. It has also
can provide an acceptable balance of producer and consumer provided an example and discussion for the use of the
risks. ASTM E2709/E2810 methodology including the use of
From Fig. 16, it is observed that the qualification sample plan 1- and sample plan 2-type plans.1 Further,
plans have moved to the right compared to the curves OC curves of the example plans for process qualification
of Fig. 12 while still providing high levels of protection and continued process verification/routine lot release were
against consumer risk. Specifically, when the True presented and compared along with the USP UDU OC
Batch Std Dev is approximately 6.2 %, there is approx- curve. It was shown that the process qualification criteria/
imately a 95 % probability of any given sample from sampling plans are very conservative compared to the
the batch passing the USP UDU test. This indicates that USP UDU test and that lower confidence/coverage levels
a True Batch Std Dev of 6.2 % should, in general, be (e.g., 50 %/95 %) may be appropriate while still demon-
considered of good quality from a consumer risk per- strating assurance of meeting USP UDU. Additionally, it
spective. However, at this level of variability, there is was shown that the 10:30, 50 %/95 % criteria/sampling
approximately an 89 % chance that the batch would fail plan met desirable characteristics for a plan that would be
the acceptance criteria for any of the qualification sam- used during continued process monitoring/routine release
pling plans. Therefore, these plans are still conservative,
though not as stringent as the 90 %/95 % plans.
1
Also in Fig. 16, the 50 %/95 % tiered 10:30 plan Tables for the plans discussed in this paper are available as well as
additional tables can be found at the ISPE website [7]. The website also
may still be appropriate for routine release (stage 3 includes a validated SAS program that applies the ASTM E2709/E2810
continuous process verification) if the stage 2 process methodology that can be used to generate acceptance limit tables.
J Pharm Innov (2015) 10:8497 97

and that this plan is much more conservative than the 3. Bergum J, Li H. Acceptance limits for the New ICH USP 29 Content
Uniformity Test, Pharm Technol, 2007: 90100.
USP UDU test.
4. Bergum JS, Utter ML. Process validation, encyclopedia of bio-
There may be other plans and criteria that are acceptable to pharmaceutical statistics. 3rd ed. New York: Marcel Dekker; 2010.
demonstrate content uniformity. p. 107082.
5. Standard practice for demonstrating capability to comply with an
acceptance procedure, ASTM E2709-11, 2011.
6. Standard practice for demonstrating capability to comply with
References the test for uniformity of dosage units, ASTM E2810-11,
2011.
7. Blend uniformity and content uniformity (BUCU) tools, http://www.
1. USP 37 NF 32, General notices and requirements Section 3.10 ispe.org/samplingtables.
Applicability of standards. 8. Recommendations for the assessment of blend and content uniformity.
2. Bergum JS. Constructing acceptance limits for multiple stage tests. Modifications to withdrawn FDA draft stratified sampling guidance,
Drug Deve Ind Pharm. 1990;16:215366. submitted to J Pharm Innov. 2014.

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