All Episodes

January 28, 2025 23 mins

Mutagenic impurities are a critical concern in pharmaceutical safety, governed by the ICH M7 guidelines. This deep dive explored the complex interplay of science, regulation, and manufacturing processes designed to identify, assess, and control these potentially harmful impurities.

Key points included the use of tools like QSAR (Quantitative Structure-Activity Relationship) for predicting the mutagenic potential of impurities based on molecular structure and the calculation of Acceptable Daily Intakes (ADI) to set safety thresholds tailored to a drug's intended use—whether chronic or acute.

The discussion highlighted how ICH M7 influences all stages of drug development, from preclinical studies to clinical trials and commercial manufacturing. This includes stringent stability testing to ensure drugs remain safe over time and meticulous documentation via the Common Technical Document (CTD), which ensures traceability and accountability throughout the process.

Good Manufacturing Practices (GMPs) provide the overarching framework for quality control, while specific strategies like calculating purge factors and employing multi-step purification processes minimize risks during manufacturing. Real-world examples underscored the iterative nature of drug development, with adjustments made to improve safety and efficacy.

Finally, the conversation touched on drug-drug interactions and their role in impurity control, illustrating the delicate balance between therapeutic benefits and potential risks. By integrating advanced analytical technologies, proactive risk assessments, and global harmonization efforts, the industry continues to evolve in its mission to develop safe and effective medications for patients worldwide.

Mark as Played
Transcript

Episode Transcript

Available transcripts are automatically generated. Complete accuracy is not guaranteed.
(00:00):
All right, so let's dive right into this deep dive,

(00:03):
all about mutagenic impurities and ICHM7 guidelines.
You sent over a ton of material, actually,
from regulatory documents to scientific studies,
and even some pretty interesting real world examples,
so it seems like you're really trying to understand
how we ensure that the pills we take are safe,

(00:24):
especially when it comes to those potential cancer risks.
Absolutely, yeah.
It's a complex area, for sure.
For sure, yeah.
ICHM7 is all about identifying and controlling,
well, you could think of them as these sneaky little
molecules that could potentially mess with their DNA
and cause all sorts of problems down the line.
Okay, so we're talking about DNA reactive impurities, right?

(00:44):
Right.
But how do scientists even know which impurities
are the troublemakers, and then how much is too much?
Yeah, well, that's where the concept
of risk assessment comes in.
You see, ICHM7 isn't about just eliminating
every single impurity out there.
It's about figuring out the level of risk each one poses,
and then putting in the right controls.

(01:05):
It's a real delicate balance between
making sure things are safe,
but also allowing for development
of new and effective medications.
So how do they actually assess that risk?
I imagine it involves a lot of serious science going on.
Oh, it does, yeah.
One of the key tools that they use is something called QSRR.

(01:27):
Okay.
QSRR is a quantitative structure activity relationship.
Wow.
It's essentially software that can predict
how likely a molecule is to be mutagenic
based on its structure.
So think of it as this, I guess, a virtual detective
for identifying these potential bad actors.
That's really fascinating.
So they're basically analyzing the molecular fingerprint

(01:49):
to try to predict how it's gonna behave.
Yeah, that's a great way to put it.
Okay, so what happens once they flag
these potential mutagenic impurities?
Like, what's next?
Well, then they need to figure out
how much of that impurity is actually acceptable.
That's where the concept of acceptable daily intake
or ADI comes in.
Okay.
And this is the amount of a substance

(02:10):
that a person can be exposed to every day over a lifetime
without any noticeable risk.
Okay, so it's like setting a safety threshold.
Yeah.
But wouldn't that threshold vary
depending on the drug and how it's used?
Yeah.
A short course of antibiotics is different
from a daily medication you take for years.
You're exactly right.

(02:30):
The ADI is calculated differently for chronic treatments.
Okay.
Like, you know, for high blood pressure.
Right.
Versus like acute treatments,
like a course of antibiotics.
Yeah.
For chronic treatments, the ADI is set much, much lower
because that exposure is over a longer period of time.
Okay, that makes sense.
But how do they actually determine these ADIs?
Is it just like based on scientific intuition

(02:52):
or is there like a more rigorous process?
Oh no, it's definitely not based on guesswork.
Okay.
Scientists use pretty sophisticated statistical methods
to analyze data from all sorts of studies.
And it's ensuring a very high degree of confidence
in those calculations.
Think of it like, you know,
you're making sure your measuring tools

(03:13):
are perfectly calibrated before you start baking.
Okay, so there's a lot of statistical validation
going on there. Right.
What I find interesting is that ICHM7
seems to impact the entire drug development process,
not just, you know, like the final product.
Absolutely, it starts with those really early
preclinical studies. Yeah.
Where they're testing the drug in a lab setting,

(03:34):
often using animal models to gather that initial,
you know, safety and effectiveness data.
Right.
And then as the drug moves into clinical trials
with human participants,
ICHM7 considerations continue to guide the process.
And speaking of clinical trials,
I remember from the materials you shared
that the FDA plays a big role in overseeing

(03:55):
all those trials, right?
Yes, the FDA's role is crucial there.
Yeah.
They, you know, they review the trial design,
they monitor the data,
and they ultimately decide whether the drug
is safe and effective enough to be approved.
Okay.
So they're kind of like, you know,
like the quality control experts,
making sure everything meets the highest standards.
There's not just scientists in a lab.

(04:16):
Right.
There's this whole regulatory system
ensuring patient safety.
Exactly.
Now you mentioned that ICHM7 influences
how those mutagenic impurities are controlled
throughout that whole process.
Yeah.
Can you elaborate on that a little bit?
Sure.
One crucial aspect is the development
of really robust analytical methods.

(04:39):
Okay.
So scientists need incredibly precise tools
to detect and quantify those impurities
even when they're present in tiny amounts.
Like having this, you know, a super powered microscope
that can spot those microscopic trouble makers.
And I bet that gets even more challenging
when you're dealing with like
complex manufacturing processes, right?

(05:00):
Oh, you're right.
Yeah.
Each step in the manufacturing process
has the potential to either introduce or remove impurities.
And that's where the concept of purge factors comes in.
Purge factors, yeah.
These factors, well, they actually measure
how much of a specific impurity is removed during each step.
Okay.
So it's like, you know, having multiple layers of filtration.

(05:20):
Right.
Each one designed to kind of remove
those unwanted impurities.
But how do they ensure that this whole intricate system
is actually working as intended?
That's where meticulous documentation comes in.
Right.
Remember that, remember the common technical document
or CTD?
Yes, the CTD.
From what I understand, it's a really comprehensive

(05:41):
record keeping system.
It kind of tracks the drug's entire journey
from its initial development all the way
to its final approval.
Yeah, exactly.
It's like a detailed log book.
Right.
That ensures traceability and accountability.
Okay.
And within the CTD, there's a very specific section
that's actually dedicated to information

(06:01):
about mutagenic impurities.
So it's not just about, you know, following the rules.
It's about documenting every single step of the way
to really demonstrate that compliance.
Right.
It seems like ICHM7 and the CTD work hand in hand
to create a pretty robust system for ensuring drug safety.
They definitely do.
And in the next part of our deep dive,

(06:23):
we'll delve a little deeper into how these guidelines
are actually applied in these real world scenarios
and explore some specific examples
from drug stability testing
to the development of new drug substances.
That sounds fascinating.
I'm eager to hear more about how all those pieces
actually come together in practice.
Stay tuned.
Yes.
Welcome back to our deep dive into the world

(06:45):
of mutagenic impurities and ICHM7.
We've already laid some groundwork, right?
Exploring those core concepts of risk assessment,
ADI calculations, and of course, the role of QSIR
in identifying those potential culprits.
And we talked about how ICHM7 guidelines
influence everything from, you know,
those early preclinical studies

(07:05):
to those pretty rigorous clinical trials
overseen by the FDA.
It's amazing how much actually goes into making sure
those pills we take are safe.
Oh, it's a complex process for sure.
But it's all about making sure those medications
are both effective and safe for patients.
So let's shift our focus a bit
to the manufacturing process itself.

(07:29):
Okay.
A crucial stage, right?
Where those purge factors we discussed earlier
really come into play.
Right, those multi-stage purification processes
are designed to remove all those unwanted impurities
at each step.
It's like a series of carefully designed filters, you know.
Exactly.
Each one refining the drug substance a little bit further.
Exactly.
And to ensure those manufacturing processes

(07:51):
are really up to par, there's a whole set of regulations
known as good manufacturing practices or GMPs.
And these guidelines are like this strict recipe, right,
that manufacturers have to follow,
ensuring the quality and safety of their products.
GMPs, I've heard that term before,
but can you break it down for me a little bit?

(08:11):
Sure.
How do they actually relate to ICHM7
and the control of mutagenic impurities?
Well, think of GMPs as the overarching framework
for quality control and pharmaceutical manufacturing.
They cover, well, they cover everything.
From facility design and equipment maintenance
to personnel training and documentation procedures.

(08:34):
So GMPs are kind of like the foundation
upon which ICHM7 is built.
Precisely.
ICHM7 is specifically focused on mutagenic impurities,
but it operates within this broader context of GMPs.
Got it.
So by controlling those impurities
throughout the whole manufacturing process,
companies can actually demonstrate their adherence

(08:55):
to these GMP principles and ultimately ensure
the quality and safety of that final product.
Okay, so we've got ICHM7 addressing mutagenic impurities
specifically, right?
Right.
And GMPs acting as this broader quality control framework.
It sounds like a pretty intricate dance.
It is.

(09:15):
Between the science, the regulation,
and the manufacturing.
It certainly is.
But there's another crucial player in this dance
that we can't forget.
Okay.
Documentation.
Remember the common technical document, the CTD?
Yes, the CTD.
That really detailed record keeping system
that tracks the drugs' entire journey.

(09:36):
Yeah.
Like a detective's case file.
Exactly.
And GMPs are essential for ensuring
that the CTD is complete and accurate.
Okay.
Every step of the manufacturing process,
from the raw materials that are used to,
even the cleaning procedures for the equipment.
Right.
All of that has to be meticulously documented.
So it's not just about following the recipe.
It's about keeping this detailed record

(09:59):
of every ingredient at every step along the way.
That's right.
And we're really starting to see how these pieces
fit together.
ICHM7, GMPs, and the CPD.
They all work in concert to create this robust system.
They do.
For ensuring the safety of medications.

(10:19):
They certainly do.
And here's where it gets even more interesting.
Okay.
Remember those preclinical studies we talked about?
Yes.
Well, GMP principles actually extend to those,
those early stages of drug development as well.
Really?
I thought GMPs were,
I thought they were mainly focused on,

(10:39):
the manufacturing of the final product.
Right.
Why would they be relevant in preclinical research?
Well, while GMPs are,
I mean, they're most critical
during that commercial manufacturing phase.
Yeah.
They also play a role in preclinical studies
because the data generated in those early stages
can actually influence the design
of that manufacturing process later on.
It's about building a culture of quality

(11:02):
from the very beginning.
So it's like laying the foundation for GMP compliance
right from the start.
Exactly.
But adhering to these principles early on,
companies kind of set themselves up for success.
Right.
And ensure the quality and safety of their product
down the line.
Exactly.
It's a very proactive approach
that helps to minimize potential problems

(11:24):
and ensures consistency
throughout the entire drug development process.
It's all about creating a seamless transition
from the lab to the manufacturing plant.
I see.
So GMPs are applied from the very beginning.
Right.
And that meticulous documentation feeds into the CTD, right?
Yes.

(11:45):
Ensuring that traceability and accountability.
This all makes sense.
But I'm still curious
about how those purge factors work in practice.
Could you give me like a specific example?
Sure.
Let's say you're developing a new drug substance, right?
During that synthesis process,
there's a potential for a certain mutagenic impurity to form.

(12:06):
So to control this,
you might introduce a very specific purification step,
like crystallization, for example.
That's designed to remove that particular impurity.
Okay, so crystallization acts like a filter,
removing the unwanted impurity from that drug substance.
Precisely.
The purge factor for that crystallization step

(12:26):
would then be calculated
based on how much of that specific impurity was removed.
Okay.
So a higher purge factor,
well, that indicates a more effective purification step.
That makes sense.
So they're essentially quantifying the effectiveness
of each purification step.
Right.
But what happens if a particular step

(12:46):
isn't as effective as they'd like it to be?
Well, that's where the iterative nature
of drug development really comes in.
They might need to go back to the drawing board,
you know, and optimize that step.
Perhaps they need to adjust the temperature or the solvent,
or even the duration of that crystallization process

(13:06):
to improve its effectiveness.
So it's a process of continuous improvement, really.
Always striving to refine those purification steps
and minimize the risk of those mutagenic impurities
making their way into the final product.
You got it.
And this meticulous attention to detail
is documented every step of the way,

(13:29):
providing this clear trail of evidence
for those regulatory agencies like the FDA.
This is all starting to make a lot more sense now.
But I'm still curious about one thing.
You mentioned that GMP principles
extend to preclinical studies as well.
Could you give me an example
of how that plays out in practice?
Certainly.

(13:49):
So imagine you're conducting a preclinical study
to evaluate the safety of a new drug candidate.
GMP principles would dictate that you use
well-characterized cell lines or animal models,
ensuring that your results are reliable and reproducible.
So it's about controlling for any potential variables

(14:09):
that could skew those results, right?
Just like you would in a manufacturing setting.
Exactly.
And it extends to the handling and storage
of that drug substance as well.
You would need to follow very strict protocols, right?
To prevent any contamination or degradation,
ensuring that the material used in the study
is representative of what would eventually be used

(14:32):
in that final product.
It's fascinating how this attention to quality
extends to every stage of that process.
I'm starting to see how these seemingly small details
can have a big impact on the overall safety
and effectiveness of the drug.
They absolutely do.
And that's why GMP compliance is so crucial.

(14:54):
It's about creating this culture of quality
that permeates every aspect of drug development,
ensuring that patient safety is always the top priority.
Well said.
Now, I know we've been focusing a lot
on the technical aspects of ICHM7 and GMPs.
But I'm also curious about that human element.

(15:16):
Are there any ethical considerations
that come into play when we're talking
about mutagenic impurities?
That's an important question.
While we haven't dived into specific ethical dilemmas
today, it is crucial to remember that ICHM7 is ultimately

(15:38):
about protecting patients.
These guidelines are designed to minimize
those potential risks and ensure that the
medications people rely on are as safe as possible.
That's a good reminder that at the end of the day,
it's all about ensuring that those medications are both
effective and safe for the people who need them.

(15:59):
Absolutely.
And that's why these seemingly complex regulations
and guidelines are so important.
They provide a framework for making informed decisions,
balancing the potential benefits
with those potential risks.
It's like a delicate balancing act.
It is.
But it's one that's absolutely essential for public health.

(16:21):
Precisely.
And in the final part of our deep dive,
we'll explore some real world examples
of how these guidelines are applied in practice
from stability testing to drug interactions.
So stay tuned for even more insights
into this fascinating world of pharmaceutical safety.

(16:42):
OK, so we're back for the final part
of our deep dive into mutagenic impurities and ICHM7
guidelines.
And we've covered a lot of ground,
from the nitty gritty of risk assessment and ADI
calculations to the broader context of GMPs
and the importance of meticulous documentation.

(17:02):
Yeah, we've really explored how ICHM7 impacts that entire drug
development process, from those early preclinical studies
all the way to that complex world of manufacturing,
ensuring that those medications we rely on
are both effective and safe.
And I really appreciate how you've
emphasized the interconnectedness of it all,
the ICHM7 GMPs, the CTD.
They all work together to create this really robust system

(17:25):
for ensuring patient safety.
They do.
But I think what would really help solidify my understanding
is seeing how these guidelines are actually
applied in real world situations.
Absolutely.
Sometimes those regulations and guidelines
can feel a bit abstract until you see them in action.

(17:46):
So let's dive into some specific examples,
starting with drug stability testing.
Remember how we talked about the need
to ensure those medications remain
safe and effective over time?
Yes, we touched on how drugs can degrade over time,
potentially forming harmful byproducts.
And that's where stability testing comes in.
To make sure that they stay potent

(18:07):
and don't pose any new risks.
Exactly.
And ICHM7 considerations are actually
woven into those stability testing protocols.
So for instance, companies need to demonstrate
that their manufacturing processes effectively
remove or control any potential mutagenic impurities that
might pop up during storage.
So it's not just about the initial purity of the drug.

(18:29):
It's about making sure it stays that way
throughout its entire shelf life.
Precisely.
And those meticulous records we discussed,
they come into play here as well.
Companies need to maintain very detailed records
of their stability testing results
to demonstrate compliance with ICHM7 and other regulations.
It's like having this long term monitoring system constantly

(18:51):
checking in on the drug's safety.
It's like having this built in safety net
to make sure nothing slips through the cracks.
And do these stability testing requirements
extend to different formulations of a drug?
For example, if a company wants to develop a new tablet
form of an existing medication where

(19:12):
they need to run new tests.
Absolutely.
Even seemingly minor changes to a medication,
like a new formulation, can trigger
a whole new round of testing.
They need to ensure that the new tablet form doesn't introduce
any new risks or lead to the formation
of new mutagenic impurities.
That's fascinating.

(19:33):
So it's not a one and done kind of deal.
It's this ongoing process of evaluation and monitoring.
Exactly.
Now what about the development of entirely new drug
substances?
How does ICHM7 come into play at that early stage?
It plays a crucial role right from the start.
When scientists are developing a new drug substance,

(19:55):
they need to assess its potential
to form mutagenic impurities during the synthesis
or manufacturing process.
And this involves a combination of scientific knowledge, data
analysis, and risk assessment tools
to identify any potential red flags.
So it's like a proactive risk assessment
trying to anticipate and address any potential problems

(20:18):
before they even arise.
Exactly.
And if they do identify a potential risk,
they need to develop strategies to mitigate it.
This might involve modifying the synthesis route,
adding additional purification steps, or even selecting
a completely different starting material.
They have a whole toolkit of strategies
to address these challenges.

(20:41):
It's like they're playing a game of molecular chess, really.
Strategically planning each move to outmaneuver
those potential mutagenic impurities.
That's a great analogy.
And of course, GMP principles are also
critical at this stage, right?
Absolutely.
They need to ensure that their manufacturing processes
for those new drug substances adhere

(21:03):
to those very strict quality standards
right from the get go.
Right.
Minimizing the risk of contamination
or the formation of unwanted impurities.
It really is a fascinating web of interconnected processes,
all working together to ensure that those medications are
as safe as possible.
Now, I know we touched on this earlier,
but let's explore the concept of drug interactions

(21:27):
a little bit further.
How does ICHM7 play a role in assessing those?
That's another crucial area where ICHM7 guidelines
come into play.
When evaluating potential drug interactions,
companies need to consider whether that combination
of medications could increase the risk of forming

(21:49):
mutagenic impurities or even enhance their effects.
It's like adding another layer of complexity to the puzzle.
So they're not just looking at how those drugs interact
with each other in terms of their therapeutic effects,
but also how they might interact in terms
of forming those potentially harmful impurities.

(22:09):
You got it.
It's a complex and challenging area of research,
but it's absolutely vital for ensuring patient safety.
After all, many people take multiple medications,
and understanding these interactions
is really crucial for minimizing those potential risks.
It's like this delicate balancing act,

(22:30):
trying to optimize those therapeutic benefits
while minimizing any potential harm.
Precisely.
And ICHM7 provides a framework for navigating that balance,
guiding researchers and manufacturers
and making informed decisions throughout that entire drug
development process.
Well, I have to say, this deep dive

(22:51):
has been incredibly insightful.
I feel like I've gained a whole new appreciation
for this complex world of pharmaceutical safety
and the crucial role that ICHM7 guidelines
play in protecting patients.
I'm glad to hear that.
It's a fascinating and ever-evolving field.
It is.

(23:11):
And it's all driven by the ultimate goal
of developing medications that are both effective and safe
for the people who need them.
Absolutely.
And I think you've done a fantastic job of highlighting
that balance between scientific innovation and patient safety.
So that brings us to the end of our deep dive today.
But we hope you'll join us again next time
as we explore another fascinating topic

(23:32):
in the world of pharmaceuticals.
Thanks for listening.
Advertise With Us

Popular Podcasts

Crime Junkie

Crime Junkie

Does hearing about a true crime case always leave you scouring the internet for the truth behind the story? Dive into your next mystery with Crime Junkie. Every Monday, join your host Ashley Flowers as she unravels all the details of infamous and underreported true crime cases with her best friend Brit Prawat. From cold cases to missing persons and heroes in our community who seek justice, Crime Junkie is your destination for theories and stories you won’t hear anywhere else. Whether you're a seasoned true crime enthusiast or new to the genre, you'll find yourself on the edge of your seat awaiting a new episode every Monday. If you can never get enough true crime... Congratulations, you’ve found your people. Follow to join a community of Crime Junkies! Crime Junkie is presented by audiochuck Media Company.

24/7 News: The Latest

24/7 News: The Latest

The latest news in 4 minutes updated every hour, every day.

Stuff You Should Know

Stuff You Should Know

If you've ever wanted to know about champagne, satanism, the Stonewall Uprising, chaos theory, LSD, El Nino, true crime and Rosa Parks, then look no further. Josh and Chuck have you covered.

Music, radio and podcasts, all free. Listen online or download the iHeart App.

Connect

© 2025 iHeartMedia, Inc.