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Indonesian J. Pharm. Vol. 24 No.

4 : 215 – 221
ISSN-p : 2338-9427
DOI: 10.14499/indonesianjpharm24iss4pp215
Review Article

PHARMACEUTICAL EXCIPIENTS: GLOBAL REGULATORY


ISSUES

Dinesh Kumar, Harish Dureja*

Department of ABSTRACT
Pharmaceutical Sciences, An excipient may be defined as an ingredient that is
M.D. University, Rohtak intentionally added to a drug for purposes other than the
India , 124 001. therapeutic or diagnostic effect at the intended dosage. Excipients
have functional roles in pharmaceutical dosage forms which
Submitted: 12-03-2013 include the suitable form of consistency, modulating solubility and
Revised: 04-06-2013 bioavailability of active ingredients, enhancing stability of the
Accepted: 11-08-2013
active ingredients in finished dosage form and many others. In
most of the developed countries, the excipients are regulated as
*Corresponding author
an active pharmaceutical ingredient. In Europe, it is assumed that
Harish Dureja
novel excipients need to be evaluated as new chemical entities. In
Email : United State, the Food and Drug Administration assesses and
harishdureja@gmail.com permits use excipients as part of new drug application. The lack of
harmonized international regulatory guidelines leads to the
formation of the International Pharmaceutical Excipients Council
(IPEC) in 1991. The IPEC was found to calibrate with different
countries like Japan, Europe and China to address prevalent
industry concerns related to the international harmonization of
excipients standards, the introduction of useful new excipients to
market place, and development of safety evaluation guidelines for
the excipients. In the present study, an attempt has been made
to investigate global issues governing regulations of
pharmaceutical excipients.

Key words: pharmaceutical excipient, regulatory guidelines, IPEC

INTRODUCTION and bioavailability of the active ingredient(s);


An excipient is an inactive substance enhancing stability of the active ingredient in
used as a carrier for the active ingredient of a finished dosage forms; helping active
medicine; in addition, excipients can be used to ingredients to maintain preferred polymorphic
aid the process by which a product is form or conformation; maintaining pH and
manufactured. In general, the active substances osmolarity of liquid formulations; acting as
may not be easily administered and absorbed by antioxidants, emulsifying agents, aerosol
the human body; they need to be put in some propellants, tablet binders, tablet disintegrants;
appropriate form. In such cases, the active preventing aggregation or dissociation;
substance is dissolved or mixed with an modulating the immunogenic response of
excipient. Excipients are used to bulk up active ingredients (e.g., adjuvants) and many
formulations with very potent active others (Bhattacharya et al., 2006) .
ingredients, to allow for convenient and Excipients are from various origins:
accurate dosage. Excipients can be used as animal (e.g. lactose, gelatin, stearic acid), plant
binder, disintegrants, dilatants, lubricants, (e.g. starches, sugar, cellulose, and arginates),
glidants, emulsifying-solubilizing agents, mineral (e.g. calcium phosphate, silica) and
sweetening agents, coating agents, antimicrobial synthetic (e.g. PEGs, Polysorbates, Povidone,
preservatives, and so forth. In addition to their etc). Their origin and use do not often
functional performance, ideally, excipients are guarantee the quality required by the
now known to have defined functional roles in pharmaceutical industry, however, these
pharmaceutical dosage forms (Baldrick, 2007). substances need analytical controls. In order to
These functions include: modulating solubility carry out the numerous functions, new classes

Volume 24 Issue 4 (2013) 215


Global Regulatory Issues

Table I. Classification of pharmaceutical excipients


Chemical classification Roles to enhance
Water, alcohols, ether, esters, carboxylic acids Compliance dose precision and accuracy
Glycerides and waxes Stability
Carbohydrates (mono-, di-,and polysaccharides) Manufacturing
Hydrocarbons and halogen derivatives Tolerability
Polymer (natural and synthetic) Dis-aggregation
Minerals Dissolution
Proteins Controlled release
Various preservative, Dyes, Sweeteners, etc. Absorption

Table II. Regulatory classification of excipients in Europe


Classification of excipients Regulatory status
Common excipients No binding regulation available (IPEC PQG GMP-Guide
for Pharmaceuticals Excipients)
Specific excipients EC Directive 2001/83 amended by Directive 2004/27/EC
Fully synthetic polymers Draft
Certain excipients
Novel excipients EC Directive 2001/83 amended by Directive 2004/27/EC
Draft

of excipients have now become available, excipient is presented in table II. Regulation
which can be derived from old and new of the excipients differs from one country
materials either alone or in combination. to another. In the present study, global
Presently, more than one thousand different regulatory issues governing pharmaceutical
materials are used in the pharmaceutical excipients are investigated.
industry to fulfill the various requirements such
as diluents, bulking agents, etc. (Pifferi and REGULATORY ISSUES IN DIFFERENT
Restani, 2003). COUNTRIES
The excipients are set out according to Pharmaceutical excipients have a vital
their class and the chemical function that can role in drug formulations. The safety
contribute their reactivity. The first category is assessment of pharmaceutical excipient is the
the approved excipient, which are used in the major issues in different countries (DeMerlis,
pharmaceutical industry. Second is intermediate 1999). The regulatory considerations in
excipients (essentially new excipients), covers different countries are as follows:
compounds obtained by means of the structural Food and drug administration
modification of the excipients already approved FDA defined an excipient as “any
or those already used in the food or cosmetic component of a drug product other than active
industries. Third category covers new ingredient” (21CFR218.3(C) (b)). FDA has also
compounds, never previously used in the defined new excipient “as any ingredient that
pharmaceutical field and it is growing rapidly are intentionally added to therapeutic and
due to the present interest in modern high diagnostic product, but which (a) are not
productivity. The chemical classification and intended dosage (b) are not fully qualified by
role of various excipients are tabulated in table existing safety data. The regulation of drug
I. In Europe, the excipients are also classified inactive ingredients initiated after the
on the basis of regulatory consideration, such sulfanilamide disaster, in which 107 people died
as common excipient did not need any binding as a result of the use of an inactive ingredient
regulation. The regulatory classification of and dramatized the need to establish drug

216 Volume 24 Issue 4 (2013)


Dinesh Kumar

Table III. Specifications for starting material


No Name
1 Description: Name, internal code, Pharmacopoeial references, approved suppliers
2 Sampling and testing directions
3 Qualitative and quantitative requirements with acceptance limits
4 Storage condition and precaution
5 Maximum period of storage before examination

safety before marketing and provide the European legislation


impetus to pass the Federal Food, Drug and In Europe, the European Council
Cosmetic Act of 1938. Inactive ingredients (EC) has published the different directives
(21CFR 330.1 and 330.10) are considered related to medicinal product for human use.
separately from active ingredients and need to These directives provide the legal basis for the
be suitable and safe. To assist in developing marketing of medicinal products. Colouring
drug products to pharmaceutical industry FDA matters shall satisfy the requirement of
is updating “Inactive Ingredients Database” directive 78/25/EEC and 94/36/EC (color for
quarterly on its website. The industry can use use in foodstuff), in addition, colouring matters
this information to assist in developing in medicinal product have to comply with the
drug products (Steinberg et al., 2001). specification to the directive 95/45/EC. The
There are 400 excipient monographs listed in residual solvent in pharmaceutical excipients
the USP28-NF23, in which 32 new should be in accordance with ICH guidelines
monographs are admitted in 2005. The (DeMerlis, 1999; Robertson, 1999).
approval mechanism for an excipient according For a novel excipient, a dossier
to U.S law: Approval of a food additive petition should be established containing the same
under 21 CFR 171; As contained in a New data as required for new active substance.
Drug Application (NDA) approval for a The marketing authorization of new
specific drug product and for a particular excipient guidance is given by the European
function and for a particular function or use in Union; Wray, pharmalicensing.com), In
that dosage form (Steinberg and Kinoshipa addition, the regulation for the inclusion of
2007). antioxidants and antimicrobial preservatives in
An excipient can only be considered if it medicinal products, the requirements vary
has been used in the FDA approved list or depending upon whether or not the excipient is
generally recognized as safe (GRAS) list. Under listed in the European Pharmacopeia or a
21CFR 211, excipient as with active drug member state Pharmacopeia. Stability data
substances, are required to be manufactured should be provided as ICH Q1A “Note for
under current Good Manufacturing Practices Guidance on stability testing of new drug
(GMP). The FDA does not review excipients substances and products” (CPMP/ICH/
separately from formulations. They are only 2736/99). The test procedure and acceptance
approved as part of the IND or NDA. For a criteria for new drug substance (CPMP/ICH/
novel excipient, the manufacturer must 367/96) are not necessary.
essentially develop the same amount of safety The regulation 91/356/EEC described
data required for new active ingredient (Chang, the principles and guidelines of GMPs for the
2007). FDA address the safety testing for the medicinal products for human use, which are
novel and potential excipient through used for manufacturing authorization and as a
“Nonclinical Studies for Development of basis for inspection. The regulation described
Pharmaceutical Excipients” which address various documentation requirements for star-
safety related issues under an IND or NDA in ting material including excipients such as writ-
support of proposals for the use of excipients ten procedures, records and standard operating
in new drug products. procedures (Table III) (DeMerlis, 1999).

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Global Regulatory Issues

Table IV. Data required for safety evaluation of excipients


No Evaluation of excipients
1 Toxicity –acute;
2 Toxicity-sub acute
3 Toxicity-chronic
4 Effect on reproduction
5 Dependency
6 Antigenicity
7 Mutagenicity
8 Carcinogenicity
9 Local irritation (human patch test)
(1-4, 7: mandatory); (1-8: foreign data are acceptable); (9: a domestic trial required)

Table V. Comparative regulatory guidelines for safety pharmacology


Safety Issues ICH U.S. FDA EMEA/CPMP JAPAN/MHW
Safety assessment M3 non clinical safety Guidelines for The new drugs
of pharmaceuticals studies for the industry: - division's
conduct of human nonclinical safety notification no.
clinical trials for studies for the /99: guidelines
pharmaceuticals conduct of human for toxicity
clinical trials for studies of drugs
pharmaceuticals
Safety S6 preclinical safety Guidance for Note for guidance
assessment of evaluation of industry: providing on comparability -
biotech biotechnology-derived clinical evidence of of medicinal
therapeutics pharmaceuticals effectiveness for products
human drug and containing
biological products biotechnology-
derived protein as
a drug substance
Safety Guidance for industry: Guidance for CPMP: note for Notification no.4-
pharmacology S7A safety industry: S7A guidance on safety guidelines for
pharmacology studies safety pharmacology general
for human pharmacology studies in pharmacology
pharmaceuticals studies for human medicinal product
pharmaceuticals development
QT interval Safety pharmacology - CPMP points to
( Heart rate) studies for assessing consider the -
the potential for assessment of the
delayed ventricular potential for QT
Repolarization(QT interval
interval prolongation by
prolongation)by non-cardiovascular
human medicinal product
pharmaceuticals

Japan legislatio on regulatory provision on excipients. JP


The regulation of pharmaceutical resides in the pharmaceutical affair bureau
excipients in Japan does not differ markedly of the Ministry of Health, Labour and Welfare
from other countries. The Pharmacopoeia of organization (MHLW). The monographs
Japan (JP) and the Japanese Standard of contained in JP establish mandatory standards
Pharmaceutical Ingredient (JSPI) issue guidelines for the most widely used excipients.

218 Volume 24 Issue 4 (2013)


Dinesh Kumar

Table VI. IPEC Excipients Guidelines


Trans ihalation/
Oral Mucosal Topic Parenteral Ocular
dermal Intranasal
APPENDIX 1 (for exposures of less then 2 weeks)
Base set
Application site
- A A A A A
evaluation
Acute dermal toxicity A* A A A A A A
Chromosomal damage A A A A A A A
Eye irritation A A A A A A A
Acute oral toxicity A A A A A A A
Skin sensitization A A A A A A A
Acute Parenteral Toxicity - - - - A - -
Acute inhalation toxicity B** B B B B B B
Bacterial gene mutation A A A A A A A
Pulmonary sensitization - - - - - A -
Photo toxicity/ photo
A A - - -
allergy
Skin irritation A A A A A A A
28-day toxicity (2 species) A A A A A A A
ADME-intended A A A A A A A
APPENDIX 2 (for exposures of 2-6 weeks)
Teratology (rat/rabbit) A A A A A A A
90 day toxicity A A A A A A A
Genotoxicity assays A A A A A A A
Additional assays B B B B B B B
APPENDIX 3 (for exposures greater than 6 weeks)
I generation reproduction A A A A A A A
Chronic toxicity B B B B B B B
Carcinogenicity B B B B B B -
Photo carcinogenicity - - B B - - -
A*, required; B**, conditional.

The quality and safety of the excipient is the excipient, including a description of its uses
evaluated by a sub-committee on overseas and its characteristics as well as
pharmaceutical excipient of the Central comparison with other excipients and data
Pharmaceutical Affair Council (CPAC) related to stability and safety as well (Uchiyama,
concurrently with the approval process 1999).
undertaken from pharmaceuticals and Medical
Devices Evaluation Center (PMDE) with a part China and Australia legislation
of the National Institute of Health Sciences China’s State Food and Drug
(Baldrick, 2007; Uchiyama, 1999). Administration (SFDA) control the excipient
There are several reference materials that regulation. SFDA treat excipients like APIs,
must be attached to an application for approval requiring clinical study data, drug master file
of a new pharmaceutical product containing data and good manufacturing practices
new excipients. The list of safety data required certificates. The regulation established new
for new excipient is given in Table IV. All GMP and manufacturing rules for excipients
applications require information concerning the produced in China and new requirements for
reasons for the excipient inclusion in the obtaining an import license for pharmaceutical
preparation, precedents of use and description excipient ingredient produced outside China.
of quality standards. It is necessary to provide Under the guidelines, excipient manufacturers
information on the origin and development of would require to provide additional detailed

Volume 24 Issue 4 (2013) 219


Global Regulatory Issues

information concerning the manufacture of ceutical excipient. IPEC comprise three


pharmaceutical ingredient and specific regional organizations-US, Europe and Japan.
additional data to substantiate the excipient IPEC have same objective regarding
safety for its intended use. The regulation the International Harmonization of Excipient
would apply to new excipients and commonly Standards. The IPEC’s main function is to
used compendial excipients. SFDA revised his introduction of novel excipient to market place
excipient regulations in 2007, after a serious and development of safety evaluation
tragedy in panama in which more than 100 guidelines. The Safety Committee of IPEC
people died after administration of a syrup (SCIPEC) includes qualified scientist which
having glycerin as an excipient adulterated with develops safety testing of the excipient. The
the diethylene glycol. Then SFDA revised his guidelines are based on chemical and
excipient regulation with harmonization with physical properties of the excipient, review
international agencies like IPEC (Schoneker, of the scientific literature, exposure, condition
2007). (Including dose, dose duration, frequency,
In Australia, the regulation of new route and user population), and absence
excipient is controlled under the Australian or presence of pharmacological activity.
Regulatory Guidelines for Complementary The IPEC proposed the guidelines for the
safety evaluation of new excipients and good
medicines (ARGCM). New substances, which
manufacturing guide for bulk pharmaceutical
are excipients, will usually be evaluated via the excipients. The guidelines provide sufficient
same route as the products in which they are to data to define safe condition of use of
be used. The British Pharmacopoeia (BP) is the new excipients. The excipient toxicity
official standard for regulatory purposes in guidelines are summarized in table VI, which
Australia. The new active pharmaceutical were developed with reference to the FDA
ingredient is evaluated by drug safety and proposed implementation document (Steinberg
et al., 1996; Rios, 2006. ICH has approved
evaluation branch (DSEB). Data requirement
guidance documents on technical requirements
for the registration of medicines evaluated by for drug products containing new ingredients.
the DSEB have been closely aligned with Excipients are controlled closely by defined
European Union data required for applications specification, or monographs, compiled in three
for marketing authorization of a medicine. The major Pharmacopoeias in the U.S., Japan, and
comparative regulatory guidelines for safety Europe. Pharmacopoeial Harmonization also
pharmacology are tabulated in Table IV (Gad, helps to avoid unnecessary delays in the
regulatory process, while ensuring their
2004).
quality, safety, and efficacy. Pharmacopoeial
Discussion Group (PDG) established in 1989,
INTERNATIONAL PHARMACEUTICAL
harmonization may be carried out
EXCIPIENT COUNCIL (IPEC)
retrospectively for existing monographs or
The purpose of IPEC is to encourage chapters or prospectively for new monographs.
the harmonization of different standards for At present 25 of the 35 general chapter and 39
manufacturing and use of pharmaceutical of the 62 excipient monograph have been
excipient, develop improved consumer safety in harmonized.
the manufacture and use of pharmaceutical
excipient, and introduction of new pharmaceu- CONCLUSION
tical excipient. There are various national Pharmaceutical excipients are additives
excipient regulation registration systems they used in the formulation of pharmacologically
have not yet to be internationally harmonized. active drugs and can be viewed as any
The lack of regulatory provision is to be ingredient of a medicinal product other than
identified by IPEC. IPEC is an industrial the active ingredient. From an International
association with worldwide pharmaceutical, regulatory point of view, it is assumed
chemical and food processing firm, which that novel excipients need to be evaluated as
develop, manufacture, sell and use of pharma- new chemical entities. The lack of harmonized

220 Volume 24 Issue 4 (2013)


Dinesh Kumar

international regulatory guidelines led to the Pharmaceutical Development and Approval,


formation of the International Pharmaceutical CRC Press LLC, Florida, pp. 18.
Excipients Council (IPEC) in 1991. This MP., 2005, The New-Drug Approval Process-
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international standardization of excipients, the Regulatory Process, Informa Healthcare
introduction of useful new excipients, and USA, 2nd ed., pp. 47-53.
the development of safety evaluation Pifferi G., and Restani P., 2003, The safety of
guidelines. The International Conference on pharmaceutical excipients. Il Farmaco. 58
Harmonization (ICH) and Pharmacopoeial (7): 541-550.
harmonization are other association working on Rios M., 2006, Debating Excipient Functionality
harmonization of excipients. Harmonization Special Report. September. International
will lower the cost of goods and the trade Pharmaceutical Excipients Council.
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approval process. http://ipecamericas.org/newsletters/PT
9-30-06e.pdf. (Accessed on July 24th,
ACKNOWLEDGMENT 2012).
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Pharmaceutical Sciences, M.D. University. excipients. Int. J. Pharm., 187: 273-276.
Schoneker DR., 2007, Excipients control
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