Critical Quality Attributes CQAs #Quality by Design- Part 4 — Transcript
Full transcript
- 0:01Welcome to Simplify Pharma.
- 0:03In this lecture, we will discuss the
- 0:05step two of quality by design.
- 0:08How the concept of critical quality
- 0:11attributes was developed, what does it
- 0:14mean,
- 0:15and how it is beneficial for
- 0:17pharmaceutical industries.
- 0:19An effort has been made to simplify it
- 0:22further.
- 0:23So, please like and subscribe to my
- 0:25channel and press the bell icon to get
- 0:28the new video updates.
- 0:30If you remember in my last video,
- 0:33we saw the step one for execution of
- 0:36QBD, that was to define product profile.
- 0:39Now, how do we define product profile?
- 0:41How do we design a product profile?
- 0:45It is on basis of two things, based upon
- 0:48the patient needs and the labeling
- 0:50condition.
- 0:51So, on that based upon that, there are
- 0:54two types of product profile. One is
- 0:56target product profile, which we called
- 0:58as TPP, and the second one is quality
- 1:01target product profile, which we called
- 1:04as QTPP. And if you remember, the TPP
- 1:07constituted of the entire information
- 1:10about the drug, starting from usage
- 1:13information, indication, administration,
- 1:16dosage form, strength, contraindication,
- 1:20precautionary warning, adverse reaction,
- 1:23overdose information, then
- 1:26information about clinical and
- 1:28non-clinical pharmacology, clinical
- 1:30studies, references,
- 1:32information about storage, handling, and
- 1:35also about the patient counseling. Then,
- 1:38the difference between TPP and QTPP,
- 1:41wherein TPP constitutes the entire
- 1:44information about the drug product,
- 1:47starting from description
- 1:49till the clinical studies, the entire
- 1:51information.
- 1:52On the other hand, the QTPP, it
- 1:54constitutes the information that is
- 1:57related to the quality of the drug
- 1:59product, the characteristics that can
- 2:01affect the quality of the drug product.
- 2:05So, we can say TPP constitutes the of
- 2:08the overall information of the drug
- 2:10product, and QTPP constitutes of
- 2:14the factors that can affect the quality
- 2:16of the drug product.
- 2:19The components of QTPP, they are further
- 2:22subdivided into critical and
- 2:24non-critical. Critical factors, they are
- 2:27based on the severity of harm to a
- 2:29patient's safety and efficacy
- 2:32resulting from failure to meet the
- 2:34quality attributes. So, if the quality
- 2:37attributes, we fail to meet the quality
- 2:39attributes, how much harm
- 2:42they can cause to the patient? Based on
- 2:45that, we define the critical and
- 2:47non-critical factors.
- 2:49For example, if the dissolution
- 2:50properties assay
- 2:52or the content uniformity, if there are
- 2:54variations in these properties, that
- 2:56will that can cause harm to a patient.
- 2:59Whereas, the odor, the appearance, the
- 3:03physical factors,
- 3:05you know, if there is any change in the
- 3:07physical factors, the severity of harm
- 3:09to a patient,
- 3:11that won't be much severe.
- 3:14See, when we talk about strength and
- 3:15dosage form, obviously, dosage form,
- 3:19it
- 3:20dosage form is constant, it is fixed.
- 3:23There cannot be any variation in the
- 3:24dosage form.
- 3:25Also, the strength of the product, that
- 3:28is also fixed. There cannot be any
- 3:30variation, that's why they come under
- 3:32non-critical factors.
- 3:34So, the components of QTPP, they are
- 3:37again subdivided into variable and
- 3:39fixed. Variable elements, they may have
- 3:42a range of acceptable values.
- 3:45As we can see, dissolution properties
- 3:48assay, content uniformity, there is a
- 3:51range because these elements, they vary
- 3:55based upon other factors. Whereas, the
- 3:57strength, dosage form, these are the
- 3:59fixed factors. The strength is not going
- 4:02to change, the dosage form is not going
- 4:04to change.
- 4:05So, coming to the step two of QBD
- 4:08approach, that is to identify CQA,
- 4:12critical quality attributes.
- 4:16Once we are done framing the QTPP, the
- 4:20second step involves identifying the
- 4:22important quality characteristics of the
- 4:25drug product, which can be useful in
- 4:27regulating the consistency in product
- 4:30quality. And there comes the picture of
- 4:33CQA, that is a critical quality
- 4:36attributes.
- 4:37It includes
- 4:39critical parameters that are likely to
- 4:41change based upon variations in raw
- 4:44materials and processes.
- 4:47So, CQAs are nothing but subset of QTPP.
- 4:51We have to identify a CQA based on the
- 4:54severity of harm to a patient, patient
- 4:58safety and efficacy resulting from
- 5:00failure to meet the quality attribute.
- 5:04So, based upon this, we identify a CQA.
- 5:09The potential varieties of CQAs include
- 5:13the physical attributes, chemical,
- 5:15biological, microbiological attributes
- 5:18of the product.
- 5:20And they are usually kept within
- 5:21appropriate limit or within appropriate
- 5:24range distribution to ensure the desired
- 5:27product quality.
- 5:29And
- 5:30they directly affect the product
- 5:32quality. That's why they are critical
- 5:34quality attributes.
- 5:36They can be critical quality attributes
- 5:38for drug product, drug substance,
- 5:40intermediates, excipients.
- 5:43CQAs are subsets of QTPP.
- 5:47And they have potential to be altered by
- 5:51change in formulation or process
- 5:53variables.
- 5:55Let's take a simple example.
- 5:57QTPP may include additional quality
- 6:00attributes of the drug product, such as
- 6:02strength and dosage form,
- 6:04which are not part of CQA. Why? Because
- 6:07they will not change during drug
- 6:08development process.
- 6:10The dosage form, for example, we are
- 6:12making a paracetamol tablet
- 6:14of 500 mg. See, there can be other
- 6:17variations. There can be variations in
- 6:19raw material, there can be variations in
- 6:21excipients, the process that we use, but
- 6:25the tablet won't change into injectable.
- 6:28We are going to manufacture paracetamol
- 6:31tablet, that is fixed. We are going to
- 6:33manufacture paracetamol tablet of 500
- 6:35mg, that's the strength, that is also
- 6:37fixed. So, these two things are fixed.
- 6:41Other things, variation should not bring
- 6:43any change to these two things. That's
- 6:46why they are not CQA.
- 6:49However, the QTPP attributes, such as
- 6:52assay,
- 6:53content uniformity, dissolution,
- 6:55permeation flux,
- 6:57they can be CQA. Why? Because they may
- 7:01be altered by formulation or process
- 7:03variables. Other factors can bring
- 7:06change or variations to these factors,
- 7:09that's why we can consider them as CQA.
- 7:13As per ICH guideline Q9, we identify CQA
- 7:17through risk assessment. But also, we
- 7:21require prior product knowledge or some
- 7:24lab data, non-clinical, clinical data,
- 7:28that is also that also helps in making
- 7:30the risk assessments.
- 7:32CQA cannot be controlled directly, but
- 7:36indirectly through input factors, such
- 7:38as CME and CPP, that is critical
- 7:41material attributes and critical process
- 7:44parameters.
- 7:45Now, let us see over here, this is an
- 7:48example. For example, this is a list of
- 7:50QTPPs. Now, how are we going to identify
- 7:54a CQA from this list?
- 7:57First is dosage form.
- 7:59It won't change. Route of
- 8:00administration, that will also not
- 8:02change. Strength, that will also not
- 8:05change. Weight,
- 8:07even though it can change because of
- 8:10change in any raw material or excipient,
- 8:13but the harm that it can cause to the
- 8:15patient is not much.
- 8:17Then comes the pharmacokinetics,
- 8:19appearance, identity.
- 8:22All this, the harm that is caused to the
- 8:24patient is not much. Then, what do we
- 8:26consider as CQA?
- 8:29Impurities, dissolution properties
- 8:31assay, content uniformity. If there is
- 8:34any variation in these factors, that can
- 8:37cause harm to the patient, so they come
- 8:39under
- 8:41very critical factors.
- 8:43And that's why they are
- 8:46they come under the CQA category.
- 8:50Now, let's take a simple quiz
- 8:53to understand whether you all have
- 8:55understood the concept of critical
- 8:57quality at
- 8:59Now, I will flash few factors. You have
- 9:03to take pause the video, take a
- 9:05notebook, divide into two columns,
- 9:08whether it is a CQA or not a CQA. I will
- 9:11flash few factors and you have to write
- 9:13it down under whether it is a CQA or
- 9:15whether it is not a CQA.
- 9:18Let's start, and then after
- 9:21that, I will flash the result and you
- 9:23can check whether you have understood
- 9:25the concept or not.
- 9:26So, let's start the quiz.
- 9:29Odor.
- 9:30You have to write it down
- 9:32in between the two
- 9:34columns, whether it is a CQA or not.
- 9:38Appearance.
- 9:41Think carefully.
- 9:43Dissolution properties.
- 9:47Strength.
- 9:51Dosage form.
- 9:55Assay.
- 9:57Content
- 9:59content uniformity
- 10:05So this is a result. You can check your
- 10:07result whether you have understood the
- 10:08concept of critical quality attributes.
- 10:13So as you can see over here order
- 10:15appearance strength, dosage form They
- 10:19are not CQA.
- 10:21Whereas dissolution properties essay
- 10:24content uniformity
- 10:26API level These are CQAs.
- 10:29Now let us understand why.
- 10:31If you consider order, appearance
- 10:35These are likely something that if they
- 10:37fell out of a certain range or a certain
- 10:39limit they're likely not going to cause
- 10:42any harm to a patient.
- 10:44However if the active ingredient level
- 10:47is decreased or increased
- 10:49or if there was an increase in
- 10:51degradation product or the dissolution
- 10:54properties are changed of the product
- 10:56all of these could potentially impact
- 10:59how the drug works in a patient and
- 11:02could potentially cause harm to the
- 11:04patient. So that's why all these would
- 11:07fall in a category of CQA.
- 11:10Now this is another example how a CQA
- 11:14document looks like.
- 11:16There will be key
- 11:17columns like this in which the first
- 11:19column is which all QT QTPP elements are
- 11:22there.
- 11:23What is the target?
- 11:25What is the justification for that?
- 11:27Now this is one I have pulled up from
- 11:30the FDA website.
- 11:32Here the author has outlined different
- 11:34elements that they're concerned about in
- 11:37the QTPP.
- 11:39Then they have a column for what is the
- 11:41target goal
- 11:42for that element. Then they have also
- 11:44put in a justification.
- 11:46Why did they choose that target?
- 11:49And as you'll see in the QTPP elements,
- 11:52most of these really focus on things
- 11:54that are related to the drug product
- 11:57itself.
- 11:58So focusing on things like stability of
- 12:00the product or different quality
- 12:02attributes such as physical attributes,
- 12:04identification of the product.
- 12:07It also focuses on things like container
- 12:09closure system which would be really
- 12:11important not only for drug stability
- 12:14but also for ease of use by the patient.
- 12:18And as you can see there's one column
- 12:20whether this QTPP is a CQA or not.
- 12:25So physical attributes like appearance,
- 12:27order, size they are not CQA.
- 12:31Whereas essay, content uniformity,
- 12:34dissolution
- 12:36they all fall under the
- 12:38type of CQA.
- 12:40Then we can see residual solution,
- 12:43degradation product they all are CQA.
- 12:48One more case study we'll see. This
- 12:50again I pulled up from the internet
- 12:52wherein this is a research article
- 12:54quality by design based formulation and
- 12:57evaluation of fast dissolving tablet of
- 12:59aspirin.
- 13:01And as you can see over here the CQA
- 13:02profile
- 13:04These are the factors and whether they
- 13:06are considered as CQA or not and they
- 13:08have given justification for that.
- 13:11Physical attributes color, order,
- 13:12appearance no they are not considered as
- 13:14CQA. Justification
- 13:16physical attributes of the formulation
- 13:19are not directly linked to the efficacy
- 13:21and safety.
- 13:23Then we can see hardness, disintegration
- 13:26yes yes they are considered as CQA. Why?
- 13:29Because hardness will affect friability,
- 13:31disintegration, dissolution that can
- 13:34impact the bioavailability.
- 13:36Both formulation and process variables
- 13:38affect the hardness. So you can see
- 13:42on what basis we can consider a
- 13:44particular attribute as CQA or not.
- 13:47There is a justification that we have to
- 13:49give for that.
- 13:50There is one more research paper that I
- 13:52have pulled up from the internet.
- 13:54This is again uh for a mucoadhesive
- 13:57extended release tablet.
- 13:59And as we can see over here
- 14:01uh the physical attributes they are not
- 14:03considered as CQA except the hardness
- 14:06since it is a
- 14:07mucoadhesive extended release tablet
- 14:10that may affect the disintegration
- 14:12that's why. Then other than that drug
- 14:15content, dissolution, mucoadhesion time
- 14:17all these are CQAs and there even the
- 14:20justification is given for that.
- 14:23Then
- 14:24for the drug substance and for drug
- 14:27product for example the paracetamol
- 14:30drug and the paracetamol tablet how a
- 14:33CQA is written for both. This is given
- 14:36in this table.
- 14:38So this was all about critical quality
- 14:40attributes.
- 14:42Please like and subscribe to my channel.
- 14:44And in my next video we will discuss the
- 14:47next step. Thank you. Thank you for
- 14:49watching.
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