1.1 Introduction
A core part of the medicines development process is an understanding of the chemical and physical behavior of the active ingredient and the medicinal product into which it is incorporated under the storage and usage conditions they are likely to encounter. The International Conference on Harmonisation of Technical Requirements for the Registration of Pharmaceuticals for Human Use (ICH) stability guidance provides a foundation and framework for this endeavor.
Stability testing was one of the first quality, safety, and efficacy topics harmonized across the ICH territories (Europe, USA, Japan, Canada, and Switzerland) in tripartite guidance. The latest revision of ICHQ1A Stability Testing of New Drug Substances and Products was adopted in 2003 [1]. It forms the parent guideline to a suite of associated guidelines providing more details on recommended stability practice. The guideline provides information on storage conditions and duration and testing requirements that should be used to generate the core stability data package in support of product registration in the ICH regions. To encompass the behavior of different drug delivery platforms and their input drug substances, the guideline contains some flexibility in the requirements. Importantly, the guideline also includes an introductory statement recognizing that alternative stability approaches can be used if scientifically justified. A short annex to the parent stability guideline is embodied in ICHQ1C, which addresses the stability requirements for a new dosage form when an applicant develops a new product variant following an original drug substance and drug product application [2].
As worldwide registration is the goal for many medicinal products, the standardization and simplification of the global supply chain for a new medicine, via harmonized stability and labeling practice, is desirable. While the intent of the guideline is to recommend the data sets required to register new drug substance and products in the three main ICH regions, its content is cited and used much more widely. The ICH guidelines are also referenced in territorial guidance beyond the ICH regions either on a standâalone basis or in support of local stability guidance. For example, the World Health Organization (WHO) is a longâstanding observer of the ICH process, leading to the incorporation of much of the content of the ICH into its own stability guidance [3].
The ICH stability guidance not only is intended for registration purposes but also informs stability practice during development, for example, the storage conditions described in the guidance can provide a framework for the development stability protocols used to underwrite the quality, safety, and efficacy of drug product used in clinical studies.
While the guidance embodies a traditional approach to stability protocols, the principles described in terms of the stability performance requirements for pharmaceutical products have also been translated into targets for predictive stability screening tools. These tools can provide assurance that when formal stability studies to support product registration are performed in accordance with ICH guidance, the likelihood of obtaining unexpected results is reduced.
Some stability testing requirements are linked with specific product platforms and are detailed in other guidance. Examples include instructions relating to studies that justify inâuse storage, strategies to demonstrate the suitability of protective secondary packaging, and specific studies to underwrite temperature excursions during storage and transportation.
In the âquality by designâ era, where pharmaceutical development practice is guided by scienceâ and riskâbased approaches, highlighted in three more recent ICH guidelines on pharmaceutical development [4], risk management [5], and pharmaceutical quality system [6], the focus for stability studies has evolved further to emphasize the importance of generating detailed stability knowledge and understanding. This may include establishing the attributes of the input materials (drug substance and excipient) and any processing parameters that are critical to stability performance. Following identification of the attributes critical to stability, an integrated control strategy should be established to ensure the attributes remain within acceptable limits, thereby assuring that the required stability performance is demonstrated. The use of risk management tools to ensure development activities are focused on the areas that will have the most influence on the control of stability (and therefore quality safety and efficacy) is also a feature.
From a practical perspective, the goal of performing stability testing on products intended for global registration remains challenging, requiring the development of a protocol that will result in a high probability of approval in all major markets. Regions with their own specific stability requirements can make the development of a truly âglobalâ registration protocol more challenging. For example, the guidance on stability study requirements for the registration of drug products in countries forming the ASEAN region of Southeast Asia recommends a different longâterm storage condition compared with the ICH regions [7].
This chapter aims to provide an understanding of the fundamental principles behind stability testing and then demonstrate how the guidance is typically applied during pharmaceuti...