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Critical Quality Attributes CQAs #Quality by Design- Part 4 — Transcript

by Simplify Pharma · 1,916 words · 354 segments · language en · Watch on YouTube

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  1. 0:01Welcome to Simplify Pharma.
  2. 0:03In this lecture, we will discuss the
  3. 0:05step two of quality by design.
  4. 0:08How the concept of critical quality
  5. 0:11attributes was developed, what does it
  6. 0:14mean,
  7. 0:15and how it is beneficial for
  8. 0:17pharmaceutical industries.
  9. 0:19An effort has been made to simplify it
  10. 0:22further.
  11. 0:23So, please like and subscribe to my
  12. 0:25channel and press the bell icon to get
  13. 0:28the new video updates.
  14. 0:30If you remember in my last video,
  15. 0:33we saw the step one for execution of
  16. 0:36QBD, that was to define product profile.
  17. 0:39Now, how do we define product profile?
  18. 0:41How do we design a product profile?
  19. 0:45It is on basis of two things, based upon
  20. 0:48the patient needs and the labeling
  21. 0:50condition.
  22. 0:51So, on that based upon that, there are
  23. 0:54two types of product profile. One is
  24. 0:56target product profile, which we called
  25. 0:58as TPP, and the second one is quality
  26. 1:01target product profile, which we called
  27. 1:04as QTPP. And if you remember, the TPP
  28. 1:07constituted of the entire information
  29. 1:10about the drug, starting from usage
  30. 1:13information, indication, administration,
  31. 1:16dosage form, strength, contraindication,
  32. 1:20precautionary warning, adverse reaction,
  33. 1:23overdose information, then
  34. 1:26information about clinical and
  35. 1:28non-clinical pharmacology, clinical
  36. 1:30studies, references,
  37. 1:32information about storage, handling, and
  38. 1:35also about the patient counseling. Then,
  39. 1:38the difference between TPP and QTPP,
  40. 1:41wherein TPP constitutes the entire
  41. 1:44information about the drug product,
  42. 1:47starting from description
  43. 1:49till the clinical studies, the entire
  44. 1:51information.
  45. 1:52On the other hand, the QTPP, it
  46. 1:54constitutes the information that is
  47. 1:57related to the quality of the drug
  48. 1:59product, the characteristics that can
  49. 2:01affect the quality of the drug product.
  50. 2:05So, we can say TPP constitutes the of
  51. 2:08the overall information of the drug
  52. 2:10product, and QTPP constitutes of
  53. 2:14the factors that can affect the quality
  54. 2:16of the drug product.
  55. 2:19The components of QTPP, they are further
  56. 2:22subdivided into critical and
  57. 2:24non-critical. Critical factors, they are
  58. 2:27based on the severity of harm to a
  59. 2:29patient's safety and efficacy
  60. 2:32resulting from failure to meet the
  61. 2:34quality attributes. So, if the quality
  62. 2:37attributes, we fail to meet the quality
  63. 2:39attributes, how much harm
  64. 2:42they can cause to the patient? Based on
  65. 2:45that, we define the critical and
  66. 2:47non-critical factors.
  67. 2:49For example, if the dissolution
  68. 2:50properties assay
  69. 2:52or the content uniformity, if there are
  70. 2:54variations in these properties, that
  71. 2:56will that can cause harm to a patient.
  72. 2:59Whereas, the odor, the appearance, the
  73. 3:03physical factors,
  74. 3:05you know, if there is any change in the
  75. 3:07physical factors, the severity of harm
  76. 3:09to a patient,
  77. 3:11that won't be much severe.
  78. 3:14See, when we talk about strength and
  79. 3:15dosage form, obviously, dosage form,
  80. 3:19it
  81. 3:20dosage form is constant, it is fixed.
  82. 3:23There cannot be any variation in the
  83. 3:24dosage form.
  84. 3:25Also, the strength of the product, that
  85. 3:28is also fixed. There cannot be any
  86. 3:30variation, that's why they come under
  87. 3:32non-critical factors.
  88. 3:34So, the components of QTPP, they are
  89. 3:37again subdivided into variable and
  90. 3:39fixed. Variable elements, they may have
  91. 3:42a range of acceptable values.
  92. 3:45As we can see, dissolution properties
  93. 3:48assay, content uniformity, there is a
  94. 3:51range because these elements, they vary
  95. 3:55based upon other factors. Whereas, the
  96. 3:57strength, dosage form, these are the
  97. 3:59fixed factors. The strength is not going
  98. 4:02to change, the dosage form is not going
  99. 4:04to change.
  100. 4:05So, coming to the step two of QBD
  101. 4:08approach, that is to identify CQA,
  102. 4:12critical quality attributes.
  103. 4:16Once we are done framing the QTPP, the
  104. 4:20second step involves identifying the
  105. 4:22important quality characteristics of the
  106. 4:25drug product, which can be useful in
  107. 4:27regulating the consistency in product
  108. 4:30quality. And there comes the picture of
  109. 4:33CQA, that is a critical quality
  110. 4:36attributes.
  111. 4:37It includes
  112. 4:39critical parameters that are likely to
  113. 4:41change based upon variations in raw
  114. 4:44materials and processes.
  115. 4:47So, CQAs are nothing but subset of QTPP.
  116. 4:51We have to identify a CQA based on the
  117. 4:54severity of harm to a patient, patient
  118. 4:58safety and efficacy resulting from
  119. 5:00failure to meet the quality attribute.
  120. 5:04So, based upon this, we identify a CQA.
  121. 5:09The potential varieties of CQAs include
  122. 5:13the physical attributes, chemical,
  123. 5:15biological, microbiological attributes
  124. 5:18of the product.
  125. 5:20And they are usually kept within
  126. 5:21appropriate limit or within appropriate
  127. 5:24range distribution to ensure the desired
  128. 5:27product quality.
  129. 5:29And
  130. 5:30they directly affect the product
  131. 5:32quality. That's why they are critical
  132. 5:34quality attributes.
  133. 5:36They can be critical quality attributes
  134. 5:38for drug product, drug substance,
  135. 5:40intermediates, excipients.
  136. 5:43CQAs are subsets of QTPP.
  137. 5:47And they have potential to be altered by
  138. 5:51change in formulation or process
  139. 5:53variables.
  140. 5:55Let's take a simple example.
  141. 5:57QTPP may include additional quality
  142. 6:00attributes of the drug product, such as
  143. 6:02strength and dosage form,
  144. 6:04which are not part of CQA. Why? Because
  145. 6:07they will not change during drug
  146. 6:08development process.
  147. 6:10The dosage form, for example, we are
  148. 6:12making a paracetamol tablet
  149. 6:14of 500 mg. See, there can be other
  150. 6:17variations. There can be variations in
  151. 6:19raw material, there can be variations in
  152. 6:21excipients, the process that we use, but
  153. 6:25the tablet won't change into injectable.
  154. 6:28We are going to manufacture paracetamol
  155. 6:31tablet, that is fixed. We are going to
  156. 6:33manufacture paracetamol tablet of 500
  157. 6:35mg, that's the strength, that is also
  158. 6:37fixed. So, these two things are fixed.
  159. 6:41Other things, variation should not bring
  160. 6:43any change to these two things. That's
  161. 6:46why they are not CQA.
  162. 6:49However, the QTPP attributes, such as
  163. 6:52assay,
  164. 6:53content uniformity, dissolution,
  165. 6:55permeation flux,
  166. 6:57they can be CQA. Why? Because they may
  167. 7:01be altered by formulation or process
  168. 7:03variables. Other factors can bring
  169. 7:06change or variations to these factors,
  170. 7:09that's why we can consider them as CQA.
  171. 7:13As per ICH guideline Q9, we identify CQA
  172. 7:17through risk assessment. But also, we
  173. 7:21require prior product knowledge or some
  174. 7:24lab data, non-clinical, clinical data,
  175. 7:28that is also that also helps in making
  176. 7:30the risk assessments.
  177. 7:32CQA cannot be controlled directly, but
  178. 7:36indirectly through input factors, such
  179. 7:38as CME and CPP, that is critical
  180. 7:41material attributes and critical process
  181. 7:44parameters.
  182. 7:45Now, let us see over here, this is an
  183. 7:48example. For example, this is a list of
  184. 7:50QTPPs. Now, how are we going to identify
  185. 7:54a CQA from this list?
  186. 7:57First is dosage form.
  187. 7:59It won't change. Route of
  188. 8:00administration, that will also not
  189. 8:02change. Strength, that will also not
  190. 8:05change. Weight,
  191. 8:07even though it can change because of
  192. 8:10change in any raw material or excipient,
  193. 8:13but the harm that it can cause to the
  194. 8:15patient is not much.
  195. 8:17Then comes the pharmacokinetics,
  196. 8:19appearance, identity.
  197. 8:22All this, the harm that is caused to the
  198. 8:24patient is not much. Then, what do we
  199. 8:26consider as CQA?
  200. 8:29Impurities, dissolution properties
  201. 8:31assay, content uniformity. If there is
  202. 8:34any variation in these factors, that can
  203. 8:37cause harm to the patient, so they come
  204. 8:39under
  205. 8:41very critical factors.
  206. 8:43And that's why they are
  207. 8:46they come under the CQA category.
  208. 8:50Now, let's take a simple quiz
  209. 8:53to understand whether you all have
  210. 8:55understood the concept of critical
  211. 8:57quality at
  212. 8:59Now, I will flash few factors. You have
  213. 9:03to take pause the video, take a
  214. 9:05notebook, divide into two columns,
  215. 9:08whether it is a CQA or not a CQA. I will
  216. 9:11flash few factors and you have to write
  217. 9:13it down under whether it is a CQA or
  218. 9:15whether it is not a CQA.
  219. 9:18Let's start, and then after
  220. 9:21that, I will flash the result and you
  221. 9:23can check whether you have understood
  222. 9:25the concept or not.
  223. 9:26So, let's start the quiz.
  224. 9:29Odor.
  225. 9:30You have to write it down
  226. 9:32in between the two
  227. 9:34columns, whether it is a CQA or not.
  228. 9:38Appearance.
  229. 9:41Think carefully.
  230. 9:43Dissolution properties.
  231. 9:47Strength.
  232. 9:51Dosage form.
  233. 9:55Assay.
  234. 9:57Content
  235. 9:59content uniformity
  236. 10:05So this is a result. You can check your
  237. 10:07result whether you have understood the
  238. 10:08concept of critical quality attributes.
  239. 10:13So as you can see over here order
  240. 10:15appearance strength, dosage form They
  241. 10:19are not CQA.
  242. 10:21Whereas dissolution properties essay
  243. 10:24content uniformity
  244. 10:26API level These are CQAs.
  245. 10:29Now let us understand why.
  246. 10:31If you consider order, appearance
  247. 10:35These are likely something that if they
  248. 10:37fell out of a certain range or a certain
  249. 10:39limit they're likely not going to cause
  250. 10:42any harm to a patient.
  251. 10:44However if the active ingredient level
  252. 10:47is decreased or increased
  253. 10:49or if there was an increase in
  254. 10:51degradation product or the dissolution
  255. 10:54properties are changed of the product
  256. 10:56all of these could potentially impact
  257. 10:59how the drug works in a patient and
  258. 11:02could potentially cause harm to the
  259. 11:04patient. So that's why all these would
  260. 11:07fall in a category of CQA.
  261. 11:10Now this is another example how a CQA
  262. 11:14document looks like.
  263. 11:16There will be key
  264. 11:17columns like this in which the first
  265. 11:19column is which all QT QTPP elements are
  266. 11:22there.
  267. 11:23What is the target?
  268. 11:25What is the justification for that?
  269. 11:27Now this is one I have pulled up from
  270. 11:30the FDA website.
  271. 11:32Here the author has outlined different
  272. 11:34elements that they're concerned about in
  273. 11:37the QTPP.
  274. 11:39Then they have a column for what is the
  275. 11:41target goal
  276. 11:42for that element. Then they have also
  277. 11:44put in a justification.
  278. 11:46Why did they choose that target?
  279. 11:49And as you'll see in the QTPP elements,
  280. 11:52most of these really focus on things
  281. 11:54that are related to the drug product
  282. 11:57itself.
  283. 11:58So focusing on things like stability of
  284. 12:00the product or different quality
  285. 12:02attributes such as physical attributes,
  286. 12:04identification of the product.
  287. 12:07It also focuses on things like container
  288. 12:09closure system which would be really
  289. 12:11important not only for drug stability
  290. 12:14but also for ease of use by the patient.
  291. 12:18And as you can see there's one column
  292. 12:20whether this QTPP is a CQA or not.
  293. 12:25So physical attributes like appearance,
  294. 12:27order, size they are not CQA.
  295. 12:31Whereas essay, content uniformity,
  296. 12:34dissolution
  297. 12:36they all fall under the
  298. 12:38type of CQA.
  299. 12:40Then we can see residual solution,
  300. 12:43degradation product they all are CQA.
  301. 12:48One more case study we'll see. This
  302. 12:50again I pulled up from the internet
  303. 12:52wherein this is a research article
  304. 12:54quality by design based formulation and
  305. 12:57evaluation of fast dissolving tablet of
  306. 12:59aspirin.
  307. 13:01And as you can see over here the CQA
  308. 13:02profile
  309. 13:04These are the factors and whether they
  310. 13:06are considered as CQA or not and they
  311. 13:08have given justification for that.
  312. 13:11Physical attributes color, order,
  313. 13:12appearance no they are not considered as
  314. 13:14CQA. Justification
  315. 13:16physical attributes of the formulation
  316. 13:19are not directly linked to the efficacy
  317. 13:21and safety.
  318. 13:23Then we can see hardness, disintegration
  319. 13:26yes yes they are considered as CQA. Why?
  320. 13:29Because hardness will affect friability,
  321. 13:31disintegration, dissolution that can
  322. 13:34impact the bioavailability.
  323. 13:36Both formulation and process variables
  324. 13:38affect the hardness. So you can see
  325. 13:42on what basis we can consider a
  326. 13:44particular attribute as CQA or not.
  327. 13:47There is a justification that we have to
  328. 13:49give for that.
  329. 13:50There is one more research paper that I
  330. 13:52have pulled up from the internet.
  331. 13:54This is again uh for a mucoadhesive
  332. 13:57extended release tablet.
  333. 13:59And as we can see over here
  334. 14:01uh the physical attributes they are not
  335. 14:03considered as CQA except the hardness
  336. 14:06since it is a
  337. 14:07mucoadhesive extended release tablet
  338. 14:10that may affect the disintegration
  339. 14:12that's why. Then other than that drug
  340. 14:15content, dissolution, mucoadhesion time
  341. 14:17all these are CQAs and there even the
  342. 14:20justification is given for that.
  343. 14:23Then
  344. 14:24for the drug substance and for drug
  345. 14:27product for example the paracetamol
  346. 14:30drug and the paracetamol tablet how a
  347. 14:33CQA is written for both. This is given
  348. 14:36in this table.
  349. 14:38So this was all about critical quality
  350. 14:40attributes.
  351. 14:42Please like and subscribe to my channel.
  352. 14:44And in my next video we will discuss the
  353. 14:47next step. Thank you. Thank you for
  354. 14:49watching.

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