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Regulatory Sourcebook

Pharmacopoeia Compliance Series

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Global Pharmacopoeia Standards:
Why Harmonization Is Needed
Pharmacopoeia harmonization provides better support for global
regulatory agencies and addresses the global nature of bio/
pharmaceutical manufacturing and supply.

J. MARK WIGGINS AND JOSEPH A. ALBANESE

T
his series of articles continues to take a thor- the pharmacopoeias should be apparent; there is a
ough look at compendial activities that long-standing tradition of evaluating existing, diver-
impact the bio/pharmaceutical industry to gent drug standards and establishing instead a unified
help ensure compliance with requirements system that supports patient access to medicines with
published by the pharmacopoeias. In these consistent quality. This is true whether the divergent
articles, the term “bio/pharmaceutical” should be con- standards existed at the city-level, as were addressed
sidered in the broadest sense and includes innovator, through the creation of the country-specific British
generic, virtual, and start-up companies who discover, Pharmacopoeia (BP), or if the existing standards were at
develop, manufacture, and/or distribute small-mole- the state-level, as were addressed through the creation
cule drug products, biotherapeutic products, and vac-
cines, as well as the drug substances and excipients J. MARK WIGGINS is owner and compendial consultant with Global
Pharmacopoeia Solutions LLC. JOSEPH A. ALBANESE is the director of
used in these products. One aspect of the history of Analytical Strategy and Compliance at Janssen Research and Development, LLC.

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Regulatory Sourcebook Pharmacopoeia Compliance Series

A Practical Guide to Pharmacopoeia Compliance: A Series

In this series of articles, the authors provide an understanding about the need for pharmacopoeia compliance and practical guidance to
assist those who perform this work to establish effective processes, partnerships, and tools to maintain appropriate and timely compliance
across the bio/pharmaceutical industry to the benefit of patients.
The following articles can be found within this ebook and online at www.BioPharmInternational.com/compendia
• Why Pharmacopoeia Compliance Is Necessary
• Why Pharmacopoeia Compliance Is Difficult
• A Brief History of Pharmacopoeias: A Global Perspective
• Global Pharmacopoeia Standards: Why Harmonization Is Needed
• Harmonization Efforts by Pharmacopoeias and Regulatory Agencies

Upcoming articles in this series will include the following:


• Revision Process for Global/National Pharmacopoeias
• Surveillance Process for Industry: Monitoring Pharmacopoeia Revisions
• Monograph Development: Why and When to Participate
• Monograph Development: How to Participate; How to Harmonize
• A Practical Approach to Pharmacopoeia Compliance
• A Case Study in Pharmacopoeia Compliance: Excipients and Raw Materials
• Pharmacopoeia Compliance: Putting it All Together; What Is on the Horizon

of the United States Pharmacopeia the direction and approaches taken A WORD ABOUT
(USP ). T h is is a lso t r ue at a to move toward harmonization at “HARMONIZATION”
regional level, as in the creation a global level. Pharmacopoeia har- T he h istor y of pha r macopoe-
of the European Pharmacopoeia (Ph. monization provides better sup- ias since the earliest times has
Eur.), which established harmo- port for global regulatory agencies reflected the goal of creating con-
nized standards for medicines in and addresses the global nature of sistent standards for medicines that
Europe where individual country- bio/pharmaceutical manufactur- are used by those who need them.
specific standards had previously ing and supply, which ultimately The process of achieving these con-
existed. And this is true in the ini- benefits global patients who rely sistent standards may be described
tial intention of the International on these medicines to extend and as standardization, harmoniza-
Pharmacopoeia (Ph. Int.) to develop improve their lives. This article tion, or any of a number of other
a unif ied phar macopoeia that provides some industry perspective words that have a similar mean-
could be used around the world. on the need to harmonize com- ing. Before delving into some of
In this context, it may be sug- pendial standards, which may be the ongoing activities to achieve
gested t hat ha r mon i z at ion is helpful in considering the future consistent compendial standards
embedded in the development d i rec t ion of pha r macopoeias. in today’s global environment for
and history of the pharmacopoe- These considerations are important medicines, it is prudent to first
ias. However, the pharmacopoeias because the sheer number of phar- address potential concerns with
are themselves embedded within macopoeias and the current lack of the term “harmonization” itself.
the current regulatory and legal broad harmonization add complex- Recent discussion has suggested
framework of the country or region ity to a company’s processes for that it may be preferable to shift
in which they are applicable. The compendial monitoring and com- from using the word “harmoniza-
intersection of the pharmacopoeias pliance. tion” to instead use “convergence”
and regulatory agencies impacts in the context of pharmacopoe-

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Harmonization Efforts by Pharmacopoeias and Regulatory Agencies

There are many pathways to achieve compendial harmonization; several approaches are currently underway. The
pharmacopoeias and regulatory agencies around the world, in collaboration with their stakeholders, have been actively
and successfully working toward this goal for quite some time. In “Harmonization Efforts by Pharmacopoeias and
Regulatory Agencies” in this series, the authors take a closer look at these ongoing efforts to harmonize compendial
standards, with perspective that may be helpful in considering the future direction of pharmacopoeias.
The following topics are discussed:
• Pharmacopoeial Discussion Group. One long-standing activity focused on harmonization of compendial
requirements is that of the Pharmacopoeial Discussion Group (PDG), which comprises the European
Pharmacopoeia (Ph. Eur.), Japanese Pharmacopoeia (JP), and United States Pharmacopeia (USP). Information
about the work of PDG is provided in this article, including their accomplishments to achieve consistent
pharmacopoeia standards in the Ph. Eur., JP, and USP. The challenge remains how to expand the harmonization
outcomes, recognizing the scope of the PDG activities is somewhat limited. These limitations in the PDG
work have led to additional harmonization activities to support and supplement the overall goal of global
pharmacopoeia standards.
• International Council for Harmonization. The International Council for Harmonization (ICH) brings together
the regulatory authorities and pharmaceutical industry to discuss scientific and technical aspects of drug
registration. ICH’s mission is to achieve greater harmonization worldwide to support safe, effective, and high-
quality medicines. Representatives from Ph. Eur., JP, and USP are either members or observers to the ICH process.
However, the connection between harmonization activities carried out by PDG and ICH is not well understood, and
further explanation is provided, with discussion of the ICH Q3 and Q4 guidelines and annexes.
• Contributions of the World Health Organization. The International Pharmacopoeia (Ph. Int.) from the World
Health Organization (WHO) supports the needs of developing countries by providing quality standards for
medicines that are listed in the WHO Model List of Essential Medicines. As an observer to the harmonization work
of both ICH and PDG, WHO is uniquely positioned to leverage the outcomes of that work and bring advantage by
expanding its reach throughout the world. WHO has taken a leadership role through several initiatives, convening
the International Meetings of World Pharmacopoeias (IMWP) to work toward harmonization of pharmaceutical
standards to safeguard quality and improve access to medicines. WHO has also facilitated the development of the
Good Pharmacopoeial Practices (GPhP) to encourage harmonization of compendial standards.
• Prospective and informal harmonization. The initiatives described thus far have focused on harmonization of
compendial standards already listed in the various pharmacopoeias—so-called “retrospective harmonization”.
The GPhP guidance shifts the focus away from retrospective harmonization to facilitate “prospective
harmonization”. This harmonization initiative has been undertaken through a collaboration between the bio/
pharmaceutical industry and the pharmacopoeias, in particular USP, Ph. Eur., and BP, with visibility provided
to other pharmacopoeias. The “prospective harmonization” effort has evolved to an “informal harmonization”
process between the participants and has resulted in the successful completion of several new, harmonized
monographs for small-molecule drug substances and products.
Global pharmacopoeia standards would help to support the availability of medicines with consistent quality for patients
around the world. Several approaches to achieve compendial harmonization are currently underway, including
the important work by PDG and WHO. Compendial harmonization is also taking place at the intersection of the
pharmacopoeias and ICH activities. The IMWP meetings have fostered greater collaboration among the pharmacopoeias
of the world and resulted in the GPhP guidance documents to help in the development of new standards that are
harmonized. Industry supports these ongoing harmonization activities.
Click here to read the full article.

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ias. There is perhaps some merit global pharmacopoeia standards copoeias has long been a challenge
in this suggestion, as it might also will be provided later, but first, it to be addressed by the bio/phar-
be perceived as embodying a reg- is appropriate to ask why this goal maceutical industry. The value and
ulatory dimension of compendial is important. benefits of global pharmacopoeia
interchangeability, which is essen- standards to industry and patients
tial to the ultimate goal of consis- Compliance with have been noted by the differ-
tent requirements for medicines. ent pharmacopoeia organizations.
However, it may also be suggested differing quality USP has written, “Harmonization
that the terms “harmonization” reduces manufacturers’ burden of
and “convergence” in fact have sim- standards across the having to perform analytical pro-
ilar meanings. One definition of cedures in different ways, using dif-
“harmonization” is the “process many pharmacopoeias ferent acceptance criteria, in order
and/or results of adjusting differ- to satisfy pharmacopoeial require-
ences or inconsistencies to bring has long been a ments that vary across regions” (3).
significant features into agreement” The Ph. Eur. notes the practical con-
(1). The term “convergence” means challenge. sideration of international trade as
“moving toward union or unifor- it relates to the availability of medi-
mity” (2). THE NEED FOR GLOBAL cines. “Globalisation and expan-
It should be noted in regard to PHARMACOPOEIA STANDARDS: sion in international trade present
pharmacopoeias that “harmoni- MAKING THE CASE a growing need to develop global
zation” or “convergence” do not The challenge of compliance with quality standards for medicines” (4).
necessarily mean “unison” or “iden- the separate, often divergent com- For medicines, the standardized test
tical”. Although the availability of pendial requirements contained in methods and specifications in the
completely “identical” compendial the various pharmacopoeias around pharmacopoeias must “ensure con-
standards might be a desired goal the world provides a strong argu- sistent product quality, regardless of
to overcome the challenges of non- ment to support the need for global its source … especially in view of the
harmonized standards in the phar- pharmacopoeia standards. The ben- shift of API production from Europe
macopoeias, it should be recognized efits seem obvious in having global and the [United States] US to India
that “identical” standards are prob- pharmacopoeia standards to ensure and China” (5). It is also noted that
ably not achievable for a number of consistent quality of medicines. a “harmonized regulatory system,
practical reasons. Fundamentally, Manufacturing and supply-chains with mutual recognition of assess-
the standards published in the for the bio/pharmaceutical industry ment/decision-making by licensing
pharmacopoeias must be available today are global. There is benefit to authorities and inspectors, including
in the languages needed by their the industry in having consistent globally harmonized pharmacopoe-
users, regardless of the country. standards with which to comply. ias, would be beneficial in several
Compendial standards that are There is benefit to regulators who ways” (5). Pharmacopoeias can “also
equivalent or interchangeable in a can review drug applications and play an important role in protecting
practical or functional way should inspect pharmaceutical facilities any- patients from some of the downsides
be the goal. Any level of harmoni- where, without the complication of of globalization, namely adultera-
zation is beneficial and moves in divergent pharmacopoeia standards. tion and counterfeiting of medi-
the right direction to help provide Most importantly, the patient pop- cines,” however the “prevention of
medicines with consistent quality ulation today is global. Ultimately, drug adulteration or counterfeiting is
to patients around the world. there is benefit to patients located not achievable by a pharmacopoeia
To further enable the develop- around the world who can receive or any other stakeholder alone” (5).
ment of consistent standards for medicines with the same quality, Still, it seems evident that global
medicines, it is proposed to shift evaluated against consistent speci- pharmacopoeia standards could help
the focus away from the process fications included in all the phar- in this objective, providing consis-
(i.e., harmonization or conver- macopoeias, regardless of where the tent standards of quality for medi-
gence) and instead emphasize the product or its ingredients were man- cines to support patients around the
intended outcome: global phar- ufactured. world, whereas divergent compendial
macop o e ia st a nd a rd s. D et a i l s Compliance with differing quality standards only serve to complicate
about ongoing activities to achieve standards across the many pharma- the situation.

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IDEAL PHARMACOPOEIA AND The ideal tion and achieving harmonization


COMPENDIAL GLOBALIZATION– through standardized practices
AN INDUSTRY PERSPECTIVE pharmacopoeia would a nd col laborat ion a mong t he
The bio/pharmaceutical indus- pha r macop o eia s a nd hea lt h
try has itself been discussing the provide a single authorities (7). This article dis-
benefits of “harmonization” in cusses the need for “consistent
today ’s globa l pha r macopoeia compendial standard and appropriate quality require-
environment. The purpose and me nt s for me d ic i ne s b e c au se
role of the pharmacopoeias and that could be used d i s h a r mo n i z e d s t a nd a r d s d o
the global picture were described not provide additional value or
in previous articles in this series. worldwide. benefit, but rather increase the
There are as many as 40 pharma- cost and complexity of bringing
copoeias published by authori- medicines to patients worldwide.”
t ies a rou nd t he world. T he The approach to harmonization
pharmacopoeias were established Considering each of these points described as compendial global-
and evolved to ensure the qual- in turn, appropriate standardiza- ization “provides a basis for the
ity of medicines and their ingre- tion means the pharmacopoeia pharmacopoeias to work together
dients for patients in a country would focus on the specific con- in new ways with consistent pro-
or region. Today’s global patient tent that provides the greatest cesses coupled with sharing of
population was not necessarily value to the bio/pharmaceutical information and work.” The three
part of the overall consideration industry for the quality control of principles that support compen-
for the phar macopoeias, espe- drugs. Facilitating drug registra- dial globalization are:
cially early in their development. tion would be achieved by simpli- • Standardized pharmacopoeial
As a result, the standards con- fying the preparation (by industry) prac tices, which establish a
tained in the various pharmaco- and assessment (by regulators) of consistent approach for t he
poeias were not generally aligned, drug applications using reference pharmacopoeias to elaborate
c r e at i n g a c h a l le n ge for t he to a common standard for gener- compendial standards
industry to comply with all the ally accepted quality parameters • Pharmacopoeial collaboration,
applicable requirements. Having for pharmaceutical products and which enhances the
struggled with the challenge of ingredients. Alignment between cooperation among the
differing compendial standards the pharmacopoeias and regulators pha r macopoeias to enable
for many years, discussion was is essential, so the ideal pharma- t he d e ve lop me nt , s h a r i n g ,
initiated between p ­ harmaceutical copoeia would include standards and adoption of harmonized
i ndust r y representat ives f rom that are consistent with the needs compendial standards
t he Ph a r m ac e ut ic a l Re s e a r c h and expectations of regulatory • Regulatory acceptance, which
and Manufact urers of A merica authorities. Most importantly, the ensu res t he pa r t ic ipat ion
( P h R M A) a n d t h e E u r o p e a n ideal pharmacopoeia would pro- and agreement by regulatory
Fe de rat ion of Pha r mace ut ic a l vide a single compendial standard authorities with the
I ndust r ies a nd A ssoc iat ions that could be used worldwide. The h a r mo n i z e d p r o c e s s e s a nd
(EFPIA) to explore what might industry perspective on the ideal outcomes in those countries
be described as the “ideal” phar- pharmacopoeia provides a model where t he pha r macopoeia
macopoeia. The result of these for the future: a long-term goal standards apply.
d isc ussions was a posit ion that could achieve harmonization The pharmacopoeias and regu-
paper, published in 20 08, that of compendial standards, further lators around the world, in col-
presents this industry perspec- enhancing the role of the phar- laboration with their stakeholders,
tive (6). The paper stated that macopoeias to support and pro- have been actively and success-
the ideal ­p harmacopoeia would mote global public health through fully working toward the goal of
provide appropriate standardiza- safe and effective medicines with har monization for quite some
tion to facilitate drug registration appropr iate qualit y to benef it time. These ongoing harmoni-
and support ­regulatory agencies patients around the world. zation efforts are supported and
through a single, global compen- Another article from industry encouraged by the bio/pharma-
dial standard. describes compendial globaliza- ceutical industry.

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Continued progress the cost and complexity of com- ability of medicines with consis-
pliance, potentially hindering the tent quality for patients around the
toward this goal is in export and import of products world. There are many pathways
between countries and creating to achieve compendial harmoni-
the interest of global uncertainty in the supply of medi- zation, and several approaches are
cines to the patients who need currently underway. Industry’s per-
patients and society as them. There are important initia- spective on the ideal pharmaco-
tives underway to bring more con- poeia and approaches to achieve
a whole. sistency between pharmacopoeia compendial globalization sup -
standards, including retrospective port these ongoing harmonization
A WORLD WITHOUT TRANSLATION and prospective harmonization, activities. Subsequent articles in
The principles of the ideal pharma- the World Health Organization’s this series will describe how the
copoeia and compendial globaliza- ( W HO’s) Good Phar macopoeial industry still faces challenges in
tion reflect industry’s support for Practices (9), and greater collabora- complying with compendial stan-
and alignment with pharmacopoeia tion among the pharmacopoeias. dards, whether those standards are
initiatives that move toward har- Attendees at the joint workshop harmonized or not.
monization. Industry’s view of an were asked to imagine consistent
aspirational goal for harmoniza- standards published by the pharma- ACKNOWLEDGMENT
tion to achieve global pharmaco- copoeias in the languages needed The authors gratefully acknowl-
poeia standards was presented at a by their stakeholders … to imag- edge the contribution of Susan J.
joint workshop held between the ine a global pharmaceutical indus- Schniepp for her technical review
European Directorate for the Quality try that can ensure compliance and helpful suggestions during the
of Med ic i nes a nd Hea lt hC a re with these standards, because they preparation of this series of articles.
(EDQM/Ph. Eur.) and the Chinese contain consistent requirements
Pharmacopoeia (ChP) in 2016. Invited … and to imagine regulators who
remarks were provided on behalf can use these globally consistent REFERENCES
of EFPIA, the trade association rep- pharmacopoeia standards to help 1. The Free Dictionary, www.
thefreedictionary.com/harmonization
resenting the research-based phar- ensure the quality of medicines. 2. Merriam-Webster Dictionary, www.
maceutical industry in Europe, Ultimately, attendees were asked merriam-webster.com/dictionary/
convergence
and whose members supply many to imagine the patients around the 3. USP, “Pharmacopeial Discussion
important medicines that contribute world who would be able to receive Group (PDG),” USP.org, www.usp.org/
to the health of patients in Europe, medicines with consistent quality, harmonized-standards/pdg
4. EDQM, “International
China, and around the world. In wherever the medicines are man- Harmonisation,”EDQM.eu, www.
these remarks (8), it was noted that ufactured. To imagine this world, edqm.eu/en/international-
harmonisation-614.html
the pharmacopoeias and industry where there is no need for trans-
5. S. Keitel, Pharmaceutical Technology 34
share a common goal, which is to lation, because the pharmacopoe- (4), pp. 120-121 (April 2010).
ensure the availability of medicines ias are saying the same thing. How 6. J. M. Wiggins, J. A. Skutnik, J. L.
Shimek-Cox, and N. A. Schwarzwalder,
for people around the world. The do we get there? Pharmacopoeias Pharmaceutical Technology 32 (11), pp.
pharmacopoeia’s core mission is pro- and stakeholders get there through 122-125 (November 2008).
tecting public health by creating retrospective, prospective, and 7. J. M. Wiggins and H. D. Schneider, Jr.,
Pharmaceutical Technology 36 (4), pp.
public standards to help ensure the informal harmonization to achieve 94-101 (April 2012).
quality of medicines. The bio/phar- global pharmacopoeia standards, 8. J. M. Wiggins, “Importance of
Pharmacopoeia Standards: Their
maceutical industry’s mission is to through implementation of WHO’s Added Value for Stakeholders,”
provide medicines that extend and Good Pharmacopoeial Practices and Remarks provided on behalf of the
improve the lives of patients around through ongoing collaboration. European Federation of Pharmaceutical
Industries and Associations (EFPIA)
the world, medicines with consistent Continued progress toward this goal at the Workshop “The Chinese and
quality, complying with the appli- is in the interest of global patients European Pharmacopoeias–The New
Editions,” Strasbourg, France, October
cable regulatory and pharmacopoeia and society as a whole. 17, 2016.
requirements. 9. WHO, Good Pharmacopoeial Practices,
When the standards published CONCLUSION WHO Expert Committee on Specifications
for Pharmaceutical Preparations Fiftieth
by the pharmacopoeias are not Global pharmacopoeia standards Report, Technical Report Series No.
aligned, the differences increase would help to support the avail- 996, Annex 1, pp. 67-85 (2016). BP

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