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Using Statistical Innovation to Impact Regulatory Thinking Harry Yang, Ph.D. MedImmune, LLC May 20, 2014 How Do We Influence Regulatory Thinking? 2 04/14/2008 – 6:00pm An Old Tried and True Method Throw statisticians at the deep end of regulatory interactions 3 04/14/2008 – 6:00pm An Old Tried and True Method (Cont’d) Throw statisticians at the deep end of regulatory interactions – Low success rate – Lost potential/opportunities 4 04/14/2008 – 6:00pm A More Effective Approach to Influencing Regulatory Thinking Identify opportunities Opportunities Understand our own strengths Influence thru collaboration 5 Three Case Examples Acceptable limits of residual host cell DNA Risk-based pre-filtration limits Bridging assays as opposed to clinical studies 6 Acceptable Residual DNA Limits Biological product contains residual DNA from host cell Residual DNA could encode or harbor oncogenes and infectious agents Mitigate oncogenic and infective risk thru restriction on DNA amount per dose and size WHO and FDA guidelines recommend – Amount ≤ 10 ng/dose – Size ≤ 200 base pairs (bp) 7 Safety Factor Safety factor (Pedan, et al., 2006) – Number of doses taken to induce an oncogenic or infective event Om SF . mi I0 E[U ] M Om : I0 : mi: M: E[U]: Amount of oncogenes to induce an event Number of oncogenes in host genome Oncogene sizes Host genome size Expected amount of residual hose DNA/dose Revised Safety Factor (Lewis et al., 2001) Om SF . m P * I 0 i E[U ] M Om : I0 : mi: M: E[U]: P: Amount of oncogenes to induce an event Number of oncogenes in host genome Oncogene sizes Host genome size Expected amount of residual hose DNA/dose Percent of DNA with size ≥ oncogene size DNA Inactivation 10 Relationship between Enzyme Cutting Efficiency and Median DNA Size (Yang, et al., 2010) Probability of enzyme cutting thru two adjacent nucleotides, p, and median DNA size Med satisfy p 1 2 1 Med 11 Safety Factor Based on Probabilistic Modeling (Yang et al., 2010) I0 : mi: M: Med0: E[U]: Number of oncogenes in host genome Oncogene sizes Host genome size Median residual DNA size Expected amount of residual hose DNA/dose Method Comparison Theoretically it can be shown FDA methods either over- or underestimate safety factor (Yang, 2013) Risk-based Specifications 14 DNA Content and Size Can Be Outside of Regulatory Limits without Compromising Safety! 15 Establishing Pre-filtration Bioburden Test Limit 16 EMA Guidance (2008): Notes for Guidance on Manufacture of Finished Dosage Form 17 EMA Guidance (2008): Notes for Guidance on Manufacture of Finished Dosage Form 18 Risk Associated with Three Different Test Schemes 5% 20 CFU 63 CFU 32 CFU 19 Mitigating Risk of Larger Number of Bioburden thru Sterial Filtration 20 Sterile Filtration FDA guidance requires that filters used for the final filtration should be validated to reproducibly remove microorganisms from a carrier solution containing bioburden of a high concentration of at least 107 CFU/cm2 of effective filter area (EFA) 21 Upper Bound of Probability p0 for a CFU to Go Thru Sterile Filter (Yang, et al., 2013) 22 Upper Bound of Probability of Having at least 1 CFU in Final Filtered Solution It’s a function of batch size S, pre-filtration test volume V, and the maximum bioburden level D0 of the pre-filtration solution By choosing the batch size, this probability can be bounded by a pre-specified small number δ. 23 Maximum Batch Sizes Based on Risks and Prefiltration Test Schemes 24 Bridging Assays as Opposed to Clinical Studies FFA and TCID50 are different assays but both used for clinical trial material release (Yang, et al., 2006) Theoretical mean difference 25 04/14/2008 – 6:00pm Other Ways to Influence Regulatory Thinking Serve on committees such as USP Statistics Expert, CMC Working Groups, Industry Consortiums Organize joint meetings/conferences/workshops 26 USP Bioassay Guidelines Originally USP <111> and EP 5.3 <111> was split into two chapters, USP <1032> Design and Development of Biological Assays and USP <1034> Analysis of Biological Assays <1033> Biological Assay Validation added to the suite “Roadmap” chapter (to include glossary) 27 27 Parallelism Testing Significance vs. equivalence test (Hauck et al., 2005) Feasibility of implementation (Yang et al., 2012) Method comparison based on ROC analysis (Yang and Zhang, 2012) Bayesian solution (Novick, Yang, and Peterson, 2012) 28 Testing Assay Linearity Directly testing linearity (Novick and Yang, 2013) Testing linearity over a prespecified range (Yang, Novick, and LeBlond, 2014) The method is being considered to be included in a new USP chapter on statistical tools for method validation 29 A Few Additional Thoughts 30 Conduct Innovative Statistical Research on Regulatory Issues Solutions based on published methods are more likely accepted by regulatory agencies 31 Take a Good Statistical Lead in Resolving Regulatory Issues 32 Regularly Communicate with Regulatory Authorities 33 Conduct Joint Training 34 04/14/2008 – 6:00pm References H. Yang, S.J. Novick, and D. LeBlond. (2014). Testing linearity over a pre-specified range. Submitted. H. Yang, N. Li and S. Chang. (2013). A risk-based approach to setting sterile filtration bioburden limits. PDA J. of Pharm. Science and Technology. Vol. 67: 601-609 D. LeBlond, C. Tan and H. Yang (2013). Confirmation of analytical method calibration linearity. May – June Issue, Pharmacopeia Forum. 39(3). D. LeBlond, C. Tan and H. Yang. (2013). Confirmation of analytical method calibration linearity: practical application. September - October Issue. Pharmacopeia Forum S. Novick and H. Yang. (2013). Directly testing the linearity assumption for assay validation. Journal of Chemometrics. DOI: 10.1002/cem.2500 H. Yang. Establishing acceptable limits of residual DNA (2013). PDA J. of Pharm. Sci. and Technol., March – April Issue. 67:155-163 S. Novick, H. Yang and J. Peterson. A Bayesian approach to parallelism testing (2012). Statistics in Biopharmaceutical Research. Vol. 4, Issue 4, 357-374. H. Yang, J. Kim, L. Zhang, R. Strouse, M. Schenerman, and X. Jiang. (2012). Parallelism testing of 4-parameter logistic curves for bioassay. PDA J. of Pharm. Sci. and Technol. May-June Issue, 262-269. H. Yang and L. Zhang. Evaluations of parallelism test methods using ROC analysis (2012). Statistics in Biopharmaceutical Research. Volume 4, Issue 2, p 162-173 H. Yang, L. Zhang and M. Galinski. (2010). A probabilistic model for risk assessment of residual host cell DNA in biological product. Vaccine 28 3308-3311 H. Yang and I. Cho. (2006) Theoretical Relationship between a Direct and Indirect Potency Assays for Biological Product of Live Virus. Proceedings of 2006 JSM. 35 Q&A 36 04/14/2008 – 6:00pm