Advancing the Science of Gamma Irradiation Continuous improvement in radiation sterilization

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Advancing the Science of Gamma Irradiation Continuous improvement in radiation sterilization Fatima Hasanain, Polymer Materials Specialist www.nordion.com

Why are we here today? 2

Overview Radiation sterilization technology Irradiations of sensitive and combination products Sterilization of pharmaceuticals 3

Radiation Sterilization Technology Overview 4

Ionizing Radiation 5

How Does Radiation Sterilization Work? Radiation Biological Interaction 6

Radiation Effect on Materials 7

Radiation Dose Dose refers to the amount of energy transferred to the product by the radiation 1 kgy = 1 kj/kg Required minimum dose for sterility is the amount of energy transfer required to reduce the microbiological population by a SAL of 10-6 Maximum dose is established by evaluating material properties and stability of sample 8

How does Gamma work? 9

Dose Distribution Distribution of dose through the product stack Dose ratio (DUR) depends on stack size, density and irradiator design 10

Dose Distribution Dose from both passes Dose from first pass Dose from second pass 11

Achieving Sterility Minimum dose for sterility Verification testing Sterility Assurance Level (SAL) Microbiological Controls Maximum dose for functionality Radiation resistance of materials Product testing to determine or establish maximum dose 12

Sterilization Standards Trademarks are property of respective parties. 13

Irradiation of Sensitive and Combination Products 14

Gamma Sterilization Standard Method High volume Low value Wide acceptable dose window High minimum dose to guarantee SAL 10-6 Modified Methods Re-evaluate the minimum dose requirements Environmental conditions during irradiation 15

CASE 1 Human Tissues and Biologics Chronology of Tissue Irradiation Past Initial studies in 1950s and 1960s Standard processing techniques Outcome Poor mechanical results Present Re-evaluate the minimum dose requirements Environmental conditions during irradiation Pre/post treatment and radioprotectants 16

Human Tissues and Biologics Low temperature irradiations used to minimize mechanical degradation Dry ice irradiations to Low temp chamber 17

CASE 2 Bone Grafts Objective Investigate gamma irradiation effect on demineralized bone matrix and polymeric materials for the reconstruction of bone Irradiation conditions Room temperature irradiations Doses 8-15 kgy Precise dosing and tight dose uniformity ratio 18

Results of Bone Grafts Results Samples have osteoinductive potentials 19

CASE 3 Virus Inactivation Objective To irradiate Rhabdovirus to generate a non-replicating particles that retained bioactivity (cytotoxic) Results 4ºC study particles did NOT maintain cytotoxic properties Low temperature (-80ºC) generated a non-replicating bioparticles that retained bioactivity (cytotoxic) 20

Results of Virus Inactivation First study at 4ºC Second study at -80ºC 21

CASE 4 Subcellular fractions of liver samples Objective To find a dose that substantially reduces a microbial load and makes them a suitable pro-carcinogen activator Irradiation Conditions Doses 10-40 kgy Temperature -80ºC Tests Sterility Test on of the subcellular fractions Enzymatic activity CYP marker activity on 7-ethoxy cumarine O-dealkylase (ECOD) 22

Results of Liver Samples Effects of gamma irradiation on ECOD activity in Type 1 S9 fraction Results At 10 or 20 kgy elimination of microbial load was achieved with acceptable associated preservation of relevant enzymatic activity. Effects of gamma irradiation on ECOD activity in Type 2 S9 fraction 23

Sterilization of Pharmaceuticals Review Paper 24

Gamma Sterilization Of Pharmaceuticals Review Paper - we looked at: Class of pharmaceuticals Different irradiation conditions Characterization methods Investigational outcomes 25

Gamma Sterilization Of Pharmaceuticals Irradiation Conditions Oxygen Deprivation Cold temperature Irradiation Solid/Liquid Samples Precise Dose Delivery Radiation Effect Oxygen cause oxidations No Oxygen reduces the chances of oxidation Temperature range: -10 C to - 100 C Less degradation Solid samples Relatively more radiation resistant. Liquid samples Less radiation resistant Precise and uniform dose. 26

What is the bioburden? Can the product withstand dose established? Can irradiation conditions improve outcome? Validate and Irradiate Can product withstand 10-6 dose with adjunct processing? Can the process be improved to reduce bioburden? Is the process aseptic? Can the product be modified? What SAL can be justified? Can the product withstand dose established? Look at other sterilization options 27

Conclusion Pharmaceuticals need to be evaluated on a case by case basis The selection of the irradiation conditions may allow to terminally sterilize a product while maintaining its functional properties Effective radiation sterilization of combination products and pharmaceuticals are happening today Effective radiation sterilization techniques are available to provide a safe and effective drug/product 28

Questions? Thank you! 29