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1.
What are pharmaceutical excipients?
2.
How are pharmaceutical excipients classified?
3.
Why are excipients important in a drug product?
4.
What are the most common pharmaceutical excipients used in
U.S.-manufactured drug products?
5.
Who sets standards for the quality, etc., of pharmaceutical
excipients?
6.
What information is contained in these compendia and what
status do they have?
7.
How are excipients "approved" for use in pharmaceutical
products?
8.
How are new excipients permitted for use in U.S. drug products?
Would the procedure be similar in the case of a previously
allowed (GRAS) excipient for a new pharmaceutical use?
9.
What is a Type IV Drug Master File (DMF) and what information
is contained in this type of DMF?
10.
How can one assure that excipients used in the formulation
of a new drug undergoing clinical trials will continue to
be available for purchase when the product reaches the market
­ three to five years later?
11.Can
USP/NF grade excipients be used in drug applications in other
countries?
12.
If it is so difficult to qualify a new excipient for pharmaceutical
use, doesn't that have a chilling effect on the ability of
finished drug manufacturers to develop better delivery systems
for new, improved drug therapy for heart disease, cancer,
and other serious conditions?
1. What
are pharmaceutical excipients?
Pharmaceutical excipients are substances other than the pharmacologically
active drug or prodrug which are included in the manufacturing
process or are contained in a finished pharmaceutical product
dosage form. [Top]
2.
How are pharmaceutical excipients classified?
They are classified by the functions they perform in a pharmaceutical
dosage form. Principal excipient classifications (functions)
are the following:
- Binders
- Disintegrants
- Fillers (diluents)
- Lubricants
- Glidants (flow
enhancers)
- Compression
aids
- Colors
- Sweeteners
- Preservatives
- Suspensing/dispersing
agents
- Film formers/coatings
- Flavors
- Printing inks
[Top]
3.
Why are excipients important in a drug product?
For many reasons. Some, for example, comprise the product's
delivery system. These transport the active drug to the site
in the body where the drug is intended to exert its action.
Others will keep the drug from being released too early in the
assimilation process in places where it could damage tender
tissue and create gastric irritation or stomach upset. Others
help the drug to disintegrate into particles small enough to
reach the blood stream more quickly and still others protect
the product's stability so it will be at maximum effectiveness
at time of use. In addition, some excipients are used to aid
the identification of a drug product. Last, but not least, some
excipients are used simply to make the product taste and look
better. This improves patient compliance, especially in children.
Although technically "inactive" from a therapeutic
sense, pharmaceutical excipients are critical and essential
components of a modern drug product. In many products, excipients
make up the bulk of the total dosage form. [Top]
4.
What are the most common pharmaceutical excipients used in U.S.-manufactured
drug products?
The following are
the most commonly used excipients in U.S.-manufactured drug
products:
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Magnesium
Stearate
Lactose
Microcrystalline Cellulose
Starch (corn)
Silicon
Dioxide
Titanium Dioxide
Stearic
Acid
Sodium Starch Glycolate
Gelatin
Talc
Sucrose
Calcium
Stearate
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Povidone
Pregelatinized Starch
Hydroxy Propyl Methylcellulose
OPA products (coatings & inks)
Croscarmellose
Hydroxy
Propyl Cellulose
Ethylcellulose
Calcium
Phosphate (dibasic)
Crospovidone
Shellac (and Glaze)
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[Top]
5.
Who sets standards for the quality, etc., of pharmaceutical
excipients?
Committees of the
U.S. Pharmacopeial Convention Inc., an independent body that
publishes and maintains the United States Pharmacopeia, National
Formulary (NF), and USP Reference Standards. [Top]
6.
What information is contained in these compendia and what status
do they have?
Since 1980 the United
States Pharmacopeia and the National Formulary have been published
under the same cover. Today, USP-NF contains legally recognized
and scientifically valid standards of identity, strength, quality,
purity, packaging and labeling for more than 3,500 drugs. NF
also includes similar standards for more than 250 excipients,
vitamins, minerals, and botanicals. Standards (monographs) for
substances which have an FDA-approved use as a drug are published
in USP. Monographs for substances which are considered to be
primarily excipients, a vitamin, mineral, botanical, or herbal
are published in NF, provided they have been established as
safe. "USP Reference Standards" is not a separate
document per se but instead are substances used with official
test methods in analytical testing to demonstrate a drug or
excipient's identity, strength, quality and purity. Once final
standards are published in USP-NF they are recognized as official
and U.S. and state government agencies are authorized to enforce
them to assure that pharmaceutical products marketed in the
U.S. are in total compliance.
Source: U.S. Pharmacopeial
Convention, Inc. [Top]
7.
How are excipients "approved" for use in pharmaceutical
products?
Under U.S. law, an
excipient, unlike an active drug substance, has no regulatory
status and may not be sold for use in food or approved drugs
unless it can be qualified through one or more of the three
U.S. Food and Drug Administration (FDA) approval mechanisms
that are available for components used in food and/or finished
new drug dosage forms.
These mechanisms
are:
1. determination
by FDA that the substance is "generally recognized as safe"
(GRAS) pursuant to Title 21, U.S. Code of Federal Regulations,
Parts 182, 184 or 186 (21 CFR 182, 184 & 186);
2. approval of a
food additive petition as set forth in 21 CFR 171; or
3. the excipient
is referenced in, and part of, an approved new drug application
(NDA) for a particular function in that specific drug product.
Excipients contained
in over-the-counter (OTC) drug products subject to FDA monographs
referenced in 21 CFR Parts 331-358 must comply with the requirements
in 21 CFR 330.1(e) which reads as follows:
"The product
contains only suitable inactive ingredients which are safe
in the amounts administered and do not interfere with the
effectiveness of the preparation or with suitable tests or
assays to determine if the product meets its professed standards
of identity, strength, quality, and purity. Color additives
may be used only in accordance with section 721 of the Act
and subchapter A of this chapter."
[Top]
8.
How are new excipients permitted for use in U.S. drug products?
Would the procedure be similar in the case of a previously allowed
(GRAS) excipient for a new pharmaceutical use?
As noted in the answer
to the previous question, data supporting the safety and functionality
of an excipient in a drug product is included in data and clinical
reports submitted to support a new drug application (NDA). In
the case of a new pharmaceutical use for an excipient, it is
likely that some necessary data may exist in a confidential
drug master file at FDA. However, in all instances involving
pharmaceutical use, FDA will require an applicant to provide
data demonstrating that 1) the excipient is safe in the amount
it will be used or consumed in the finished drug throughout
the product's recommended or prescribed duration of use by those
who will take the product. In addition, the applicant must 2)
demonstrate that the substance meets applicable compendial standards
where they apply; 3) that it performs its intended function
in the product; that it 4) does not adversely affect the bioavailability
and performance of the active drug; and 5) is manufactured in
accordance with appropriate standards of good manufacturing
practice suitable to that kind of excipient. Still, as noted
earlier, there is no FDA regulatory approval system that is
exclusively applicable to pharmaceutical excipients. Thus, the
scope and amount of necessary data to support a substance or
its use always must be negotiated with FDA and will be determined
on a case by case basis. [Top]
9.
What is a Type IV Drug Master File (DMF) and what information
is contained in this type of DMF?
A Type IV DMF is
a file within the FDA which can be used by excipient manufacturers
to submit confidential formulation, safety and manufacturing
information about the excipient that may be needed by the agency
in reviewing a new drug application (NDA) for a drug product
containing that excipient. These files are only referenced by
FDA as part of a specific NDA review and are not authorized
or approved by FDA.
Users of the excipient
are required to submit a DMF reference letter from the excipient
manufacturer to the FDA as part of their NDA to allow FDA authority
to access the DMF for their application. An FDA guidance document
exists which describes what types of information are required
in a Type IV DMF and the format which should be used. Not a
lot of detailed information is required. Mostly, it is up to
the excipient manufacturer to determine what types of information
they want to include in the DMF. Further, there is no requirement
that an excipient have a DMF. This determination is entirely
up to the manufacturer of the excipient, depending on the nature
of any confidential information which may exist. [Top]
10.
How can one assure that excipients used in the formulation of
a new drug undergoing clinical trials will continue to be available
for purchase when the product reaches the market ­ three
to five years later?
There is no absolute
answer. However, if established, previously used excipients
made in conformance with good manufacturing practice are used
to formulate a new drug, the risk would seem to be minimized.
If new excipients are to be used, availability from the supplier
should be assured. A finished drug manufacturer, therefore,
probably would be wise to purchase excipients made by firms
with a good business history who are able to guarantee future
deliveries. [Top]
11.
Can USP/NF grade excipients be used in drug applications in
other countries?
This depends on the
countries in question and whether the excipient has had a previous
precedent of use in a drug application in that country. The
USP/NF is a recognized compendia in many countries around the
world; however, in various regions local or regional pharmacopeias
take precedent over USP/NF requirements. For example, in the
European Union, an excipient must meet the criteria of the European
Pharmacopeia (PhEur) if a monograph for that excipient exists
in PhEur. However, if no monograph exists in PhEur, the use
of USP/NF grade excipients may be acceptable.
A similar situation
exists in Japan. If a monograph exists in the Japanese Pharmacopeia
(JP) or the Japanese Pharmaceutical Excipients (JPE), the excipient
must meet the requirements of the respective monograph. However,
if the excipient has previously been used in an approved Japanese
drug application and no standard exists in JP or JPE, then USP/NF
grade material may be acceptable until such time as a monograph
is developed in JP or JPE. [Top]
12.
If it is so difficult to qualify a new excipient for pharmaceutical
use, doesn't that have a chilling effect on the ability of finished
drug manufacturers to develop better delivery systems for new,
improved drug therapy for heart disease, cancer, and other serious
conditions?
Yes. This is why
far-sighted makers and users of excipients used in finished
drug dosage forms joined together in 1991 to form the International
Pharmaceutical Excipients Council (IPEC). We have made progress,
as you will see on other pages of our website, but there still
is a long way to go. Will you join us?
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