á232ñ ELEMENTAL IMPURITIES LIMITS

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First Supplement to USP 40 NF 35 Chemical Tests / á232ñ al Impurities Limits 8065 Standard Solution Table 10 (Continued) of Neu5Ac after Labeling (mm) of Neu5Gc after Labeling (mm) 4 0.2 0.01 5 0.4 0.02 Sample solution: Transfer a desalted sample containing approximately 0.5 50 mg of protein (equivalent to about 5 pmol of sialic acid) into a 0.5-mL microcentrifuge tube. Dry in a vacuum centrifuge without heating. Add 25 ml of 2 M acetic acid into the tube and briefly centrifuge to ensure all of the sample is in the well of the tube. Incubate at 80 for 2 h ± 15 min. [NOTE Or use validated sample preparation and time/temperature ranges.] Allow the tube to cool to room temperature for approximately 10 min. Then vortex and centrifuge. Label the solution as directed in Labeling before analysis. USP REFERENCE STANDARDS á11ñ USP N-Acetylneuraminic Acid RS USP N-Glycolylneuraminic Acid RS USP KDN RS 3-Deoxy-D-glycero-D-galacto-2-nonulosonic acid. á232ñ ELEMENTAL IMPURITIES LIMITS INTRODUCTION This chapter specifies limits for the amounts of elemental impurities in drug products. Regardless of the approach used, compliance with the limits specified is required for all drug products unless otherwise specified in an individual monograph or specifically excluded in this Introduction. al impurities include catalysts and environmental contaminants that may be present in drug substances, excipients, or drug products. These impurities may occur naturally, be added intentionally, or be introduced inadvertently (e.g., by interactions with processing equipment and the container closure system). When elemental impurities are known to be present, have been added, or have the potential for introduction, assurance of compliance to the specified levels is required. A riskbased control strategy may be appropriate when analysts determine how to assure compliance with this standard. Due to the ubiquitous nature of arsenic, cadmium, lead, and mercury, they (at the minimum) must be considered in the risk assessment. This chapter does not apply to: Radiopharmaceuticals Articles intended only for veterinary use Vaccines Cell metabolites DNA products Allergenic extracts Cells, whole blood, cellular blood components, or blood derivatives, including plasma and plasma derivatives Products based on genes (gene therapy) Cells (cell therapy) Tissue (tissue engineering) Dialysate solutions not intended for systemic circulation Total parenteral nutritions (TPNs) s that are intentionally included in the drug product for therapeutic benefit Dietary supplements and their ingredients, which are addressed in al Contaminants in Dietary Supplements á2232ñ The limits presented in this chapter do not apply to excipients and drug substances, except where specified in an individual monograph. However, manufacturers of pharmaceutical products need certain information about the content of elemental impurities in drug substances or excipients in order to meet the criteria of this chapter. Drug product manufacturers can use elemental impurity test data on components from tests performed by drug substance or excipient manufacturers, who may provide test data, or if applicable, risk assessments. al impurity data generated by a qualified supplier of drug product components are acceptable for use by a drug product manufacturer to demonstrate compliance with this chapter in the final drug product. Drug substance or excipient manufacturers who choose to perform a risk assessment must conduct that risk assessment using Table 2 in this chapter. s that are inherent in the nature of the material, as in the case of some naturally-sourced materials, must be considered in the risk assessment.

8066 á232ñ al Impurities Limits / Chemical Tests First Supplement to USP 40 NF 35 SPECIATION The determination of the oxidation state, organic complex, or combination is termed speciation. Each of the elemental impurities has the potential to be present in differing oxidation or complexation states. However, arsenic and mercury are of particular concern because of the differing toxicities of their inorganic and complexed organic forms. The arsenic limits are based on the inorganic (most toxic) form. Arsenic can be measured using a total-arsenic procedure under the assumption that all arsenic contained in the material under test is in the inorganic form. Where the limit is exceeded using a total-arsenic procedure, it may be possible to show, via a procedure that quantifies the different forms, that the inorganic form meets the specification. The mercury limits are based upon the inorganic (2 + ) oxidation state. The methyl mercury form (most toxic) is rarely an issue for pharmaceuticals. Thus, the limit was established assuming the most common (mercuric) inorganic form. Limits for articles that have the potential to contain methyl mercury (e.g., materials derived from fish) are to be provided in the monograph. ROUTES OF EXPOSURE The elements included in the tables below have been placed into three classes, based on their toxicity and likelihood of occurrence in the drug product. The classification scheme is intended to focus the risk assessment on those elements that are the most toxic but also have a reasonable probability of inclusion in the drug product (see Table 2). The toxicity of an elemental impurity is related to its extent of exposure (bioavailability). The extent of exposure has been determined for each of the elemental impurities of interest for three routes of administration: oral, parenteral, and inhalational. These limits are based on chronic exposure. Consider the oral permissible daily exposures (PDEs) in Table 1 as a starting point in developing specific PDEs for other routes of administration, except where otherwise stated in the individual monograph. [NOTE The routes of administration of drug products are defined in Pharmaceutical Dosage Forms á1151ñ.] DRUG PRODUCTS The limits described in the third through fifth columns of Table 1 are the base daily dose PDEs of the elemental impurities of interest for a drug product taken by a patient according to indicated routes of administration. Parenteral Products Parenteral drug products with maximum daily volumes up to 2 L may use the maximum daily volume to calculate permissible concentrations from PDEs. For products whose daily volumes, as specified by labeling and/or established by clinical practice, may exceed 2 L (e.g., saline, dextrose, and solutions for irrigation), a 2-L volume may be used to calculate permissible concentrations from PDEs. Table 1. Permitted Daily Exposures for al Impurities Oral PDE Parenteral PDE Inhalation PDE Cadmium 1 5 2 2 Lead 1 5 5 5 Arsenic 1 15 15 2 Mercury 1 30 3 1 Cobalt 2A 50 5 3 Vanadium 2A 100 10 1 Nickel 2A 200 20 5 Thallium 2B 8 8 8 Gold 2B 100 100 1 Palladium 2B 100 10 1 Iridium 2B 100 10 1 Osmium 2B 100 10 1 Rhodium 2B 100 10 1 Ruthenium 2B 100 10 1 Selenium 2B 150 80 130

First Supplement to USP 40 NF 35 Chemical Tests / á232ñ al Impurities Limits 8067 Table 1. Permitted Daily Exposures for al Impurities (Continued) Oral PDE Parenteral PDE Inhalation PDE Silver 2B 150 10 7 Platinum 2B 100 10 1 Lithium 3 550 250 25 Antimony 3 1200 90 20 Barium 3 1400 700 300 Molybdenum 3 3000 1500 10 Copper 3 3000 300 30 Tin 3 6000 600 60 Chromium 3 11000 1100 3 Recommendations for s to be Considered in the Risk Assessment Table 2 identifies elemental impurities for inclusion in the risk assessment. This table can be applied to all sources of elemental impurities in the drug product. Table 2. s to be Considered in the Risk Assessment If Intentionally Added (All Routes) If Not Intentionally Added Oral Parenteral Inhalation Cadmium 1 Yes Yes Yes Yes Lead 1 Yes Yes Yes Yes Arsenic 1 Yes Yes Yes Yes Mercury 1 Yes Yes Yes Yes Cobalt 2A Yes Yes Yes Yes Vanadium 2A Yes Yes Yes Yes Nickel 2A Yes Yes Yes Yes Thallium 2B Yes No No No Gold 2B Yes No No No Palladium 2B Yes No No No Iridium 2B Yes No No No Osmium 2B Yes No No No Rhodium 2B Yes No No No Ruthenium 2B Yes No No No Selenium 2B Yes No No No Silver 2B Yes No No No Platinum 2B Yes No No No Lithium 3 Yes No Yes Yes Antimony 3 Yes No Yes Yes Barium 3 Yes No No Yes Molybdenum 3 Yes No No Yes Copper 3 Yes No Yes Yes Tin 3 Yes No No Yes Chromium 3 Yes No No Yes Options for Demonstrating Compliance DRUG PRODUCT ANALYSIS OPTION The results obtained from the analysis of a typical dosage unit, scaled to a maximum daily dose, are compared to the Daily Dose PDE. Daily Dose PDE ³ measured value maximum daily dose (g/day)

8068 á232ñ al Impurities Limits / Chemical Tests First Supplement to USP 40 NF 35 The measured amount of each impurity is NMT the Daily Dose PDE, unless otherwise stated in the individual monograph. SUMMATION OPTION Separately, add the amounts of each elemental impurity (in mg/g) present in each of the components of the drug product: Daily Dose PDE ³ [S M 1(C M W M )] D D M = each ingredient used to manufacture a dosage unit C M = element concentration in component (drug substance or excipient) W M = weight of component in a dosage unit (g/dosage unit) D D = number of units in the maximum daily dose (unit/day) The result of the summation of each impurity is NMT the Daily Dose PDE, unless otherwise stated in the individual monograph. Before products can be evaluated using this option, the manufacturer must ensure that additional elemental impurities cannot be inadvertently added through the manufacturing process or via the container closure system over the shelf life of the product. INDIVIDUAL COMPONENT OPTION For drug products with a daily dose of NMT 10 g, if all drug substances and excipients in a formulation meet the concentration limits shown in Table 3, then these components may be used in any proportion. No further calculation is necessary. While elemental impurities derived from the manufacturing process or the container closure system are not specifically provided for in the Individual Component Option, it is expected that the drug product manufacturer will ensure that these sources do not contribute significantly to the total content of elemental impurities. DRUG SUBSTANCE AND EXCIPIENTS The acceptable levels of elemental impurities depend on the material's ultimate use. Therefore, manufacturers of pharmaceutical products need certain information about the content of elemental impurities in drug substances or excipients in order to meet the criteria of this chapter. Drug product manufacturers can use elemental impurity test data on components from tests performed by drug substance manufacturers or excipient manufacturers, who may provide test data, or, if applicable, risk assessments. al impurity data generated by a qualified supplier of drug product components are acceptable for use by a drug product manufacturer to demonstrate compliance with this chapter in the final drug product. Drug substance or excipient manufacturers who choose to perform a risk assessment must conduct that risk assessment using Table 2 in this chapter. s that are inherent in the nature of the material, as in the case of some naturally-sourced materials, must be considered in the risk assessment. The values provided in Table 3 are example concentration limits for components (drug substances and excipients) of drug products dosed at a maximum daily dose of 10 g/day. These values serve as default concentration limits to aid discussions between drug product manufacturers and the suppliers of the components of their drug products. [NOTE Individual components may need to be limited at levels different from those in the table depending on monograph-specific mitigating factors.] Table 3. Permitted s of al Impurities for Individual Component Option Oral Parenteral Inhalation Cadmium 1 0.5 0.2 0.2 Lead 1 0.5 0.5 0.5 Arsenic 1 1.5 1.5 0.2 Mercury 1 3 0.3 0.1 Cobalt 2A 5 0.5 0.3 Vanadium 2A 10 1 0.1 Nickel 2A 20 2 0.5 Thallium 2B 0.8 0.8 0.8 Gold 2B 10 10 0.1 Palladium 2B 10 1 0.1 Iridium 2B 10 1 0.1 Osmium 2B 10 1 0.1

First Supplement to USP 40 NF 35 Chemical Tests / á371ñ Cobalamin Radiotracer Assay 8069 Table 3. Permitted s of al Impurities for Individual Component Option (Continued) Oral Parenteral Inhalation Rhodium 2B 10 1 0.1 Ruthenium 2B 10 1 0.1 Selenium 2B 15 8 13 Silver 2B 15 1 0.7 Platinum 2B 10 1 0.1 Lithium 3 55 25 2.5 Antimony 3 120 9 2 Barium 3 140 70 30 Molybdenum 3 300 150 1 Copper 3 300 30 3 Tin 3 600 60 6 Chromium 3 1100 110 0.3 ANALYTICAL TESTING If, by process monitoring and supply-chain control, manufacturers can demonstrate compliance, then further testing may not be needed. When testing is done to demonstrate compliance, proceed as directed in al Impurities Procedures á233ñ. OTHER TESTS AND ASSAYS Delete the following: á371ñ COBALAMIN RADIOTRACER ASSAY All radioactive determinations required by this method should be made with a suitable counting assembly over a period of time optimal for the particular counting assembly used. All procedures should be performed in replicate to obtain the greatest accuracy. USP Cyanocobalamin RS. USP REFERENCE STANDARD á11ñ CYANOCOBALAMIN TRACER REAGENT Dilute an accurately measured volume of a solution of radioactive cyanocobalamin* with water to yield a solution having a radioactivity between 500 and 5000 counts per minute per ml. Add 1 drop of cresol per L of solution prepared, and store in a refrigerator. Standardization Prepare a solution of a weighed quantity of USP Cyanocobalamin RS in water to contain 20 to 50 mg per ml. Perform the entire assay on a 10.0-mL portion of this solution, proceeding as directed under Assay Preparation, beginning with Add water to make a measured volume. * A solution of cyanocobalamin made radioactive by the incorporation of 60 Co is available from Merck and Co., Inc., Rahway, NJ 07065.