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( 2005)

Volume III

Chinese Pharmacopoeia Com ission

People's Medical Publishing House


·. PHARMACOPOEIA
OF THE PEOPLE'S REPUBLIC OF CHINA

(_2005)

Volume ill
PHARMACOPOEIA
OF THE PEOPLE'S REPUBLIC OF CHINA

( 2005)

Volume III

Chinese Pharmacopoeia Commission

People's Medical Publishing House


PHARMACOPOEIA OF THE PEOPLE'S REPUBLIC OF CHINA ISBN 7-117-06984-8
(2005)
Volume ID

This pharmacopoeia is the English version edited from Pharmacopoeia of the


People's Republic of China 2005. The Chinese edition is approved by the
State Food and Drug Administration of the People's Republic of China to be
effective from July 1, 2005, in accordance with the official document
GSYJZ C 2005) 234.

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Compiled by The State Pharmacopoeia Commission of P.R. China


All rights reserved

Executive Editor: CAO Jinhua


Cover Designer: GUO Miao
Format Designer: GAI Wei
Executive Correctors: LI Hua YANG Liqin LI Qiuzhai

ISBN 7-117-06984-8/R • 6985


Copyright © 2005 by People's Medical Publishing House
Published by People's Medical Publishing House
3, 3Qu, Fang Qun Yuan, Fang Zhuang, Fengtai Dist. , Beijing, China, 100078

Printed in the People's Republic of China


GE Sangsuolang (~~~WD GONG Qinyan ( ~iC.\~) GU Jianren (J®i{i!A)
GU Niufan C'®i41!1) GUO Chengming ($15Jvt~) GUO De'an C:~ffi~)
GUO Dianwu ($15~it) HA Mulati • WU Pu'er (~*11fm: • -B-tf1J\)
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HOU Huimin C1*;m~) HOU Shixiang ( 1*1itt$) HU Changqin (gJH!IJ)
HUANG Fei (:~~) HUANG Luqi (j{f]i&~) HUANG Meisheng (j{f~fpf)
JI Shaoliang ( *gij ~) JI Shen (*$) JI Wei cga:,t-t)
JI Yang Cfttrtm) JI Yubin (*~~) JIA Tianzhu (Jr{ jcfi)
JIANG Ning Clf r) JIANG Xiongping C~ntf) JIANG Zhuming Clf*~)
JIANG Zuojun Clff'l::tt) JIN Shaohong (~j;'~) JIN Youyu C~~ID
JIN Yulan C~r=::) KANG Shuanglong (-~ft) KUANG Haixue (~~~)
LAI Shilong (~tit~) LAO Jiahua (JJ*:$) LEI Dianliang ( 1[~ ~)
LI Bo (*~) LI Chang ling ( ** ~) LI Dakui ( *::kti)
LI Defu C*ffilO LI Guangrong (*J'65R) LI Jingyun (*~E)
LI Lianda <*:i!:it) LI Maoliang (*~~) LI Mingfu <*~M)
LI Xudong (*;II!!*) LI Zhenji C*~E) LIANG Guodong (~00~)
LIANG Zujiang C~;ttltr) LIAO Lutan (~}ffffl) LIN Ruichao (if*fMjjffl)
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ZHANG Zhongming (5*,~,f!ij) ZHANG Yu (5*~) ZHAO Jindong CwX:i11:*)
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ZHU Yan C;tJfl) ZHU Yanmin (*~ ~) ZHU Zhifeng (*~"'*)
ZHUANG Hui CB:!t¥) ZOU Jieming (~~"iJf!ij)

Deceased Members: LI Anj uan ( $1c ~) YU Guadian (~~~)

v
Editorial Board of Pharmacopoeia of the People's
Republic of China (2005) Volume ]I[

Senior Adviser:
LU Rushan C!W:tmLLJ)

Editors-in-Chief:
XIANG Jianzhi Crt]:@Z) SANG Guowei (~ 1~1.:1!)

Associate Editors-in-Chief:
ZHANG Yihao (·~$) SHI Jiuhua (5:~$) LU Xiaozeng (?:?}:rt!{)
CHENG Yi CW~) ZHANG Yuhua (5{E'.,tl$) ZHANG Pengfei C5*ffl~)
SHE Qing (~~)

Editors: (Arranged alphabetically according to the names)


CHENG Yi CW~) LU Shiliang C!W± ~) LU Xiaozeng ( p:?}: rt!{ )
MENG Shufang (~~~) SHE Qing (~~) SHI Jiuhua (5:~$)
WANG Junzhi (£~~) WANG Youchun (£{titf) XU Bing C 1* MO
YUAN Peina C~MIID ZHANG Jiankang c•:@J~V ZHANG Pengfei C5*ffl~)
ZHANG Xiaoqun (5-lftiff) ZHANG Yihao (·~$) ZHANG Yuhua C5*i.1$)

Co-workers: (Arranged alphabetically according to the names)


GUO Zhongping C~q:t~) HONG Xiaoxu C#VN··JH)' LIU Daying CxtJ::k~)
LI Yonghong ($7j(tt) QIN Jincai (~*~) REN Yueming Cff~~)
WANG Di (£~) WANG Xiaojuan (£~~JD YUAN Zenglin Ct{rt!{,l',D
ZHANG Shumin C5*~~) ZHANG Yi (5-IEwfJ) ZHUANG Shuqin CB:~~)

VI
Preface

This edition of the Pharmacopoeia of the People's Republic of China (known as the Chinese Pharmacopoeia
2005 or in abbreviation as Ch. P 2005) has been prepared in accordance with the principles and designed
plan decided by the Eighth Chinese Pharmacopoeia Commission and accomplished with the effort made by
Commission members and its Secretariat over more than two years. The Chinese Pharmacopoeia 2005
adopted by the Executive Commission of the Chinese Pharmacopoeia Commission is approved for
implementation by the State Food and Drug Administration of China. This is the eighth edition of Chinese
Pharmacopoeia since the founding of the People's Republic of China.

The Chinese Pharmacopoeia 2005 has been considerably revised and improved in General Notices,
Requirements of Monographs, General Requirements for Preparations in Appendices and new testing
methods, etc. Based on the introduction of advanced technology and experimental methods widely
adopted in China and abroad, the contents of Appendices are revised by and large in consistence with those
nowadays applied internationally for drug quality control. On the premise that every effort should be made
to follow the principle of "safety for use, reliability of therapeutic effect, feasibility of processes,
controllability of manufacturing quality and perfection of specification", the monographs admitted in the
Pharmacopoeia on the whole reflect the actual clinical use of drugs in China. Furthermore, stylistic rules
and layout, wording, units, and symbols, etc. have also been standardized.

The Chinese Pharmacopoeia 2005 is published in three volumes. Volume I contains monographs of
Chinese materia medica and prepared slice, vegetable oil/fat and its extract, Chinese traditional patent
medicines, single ingredient of Chinese crude drug preparations etc. ; Volume II deals with monographs
of chemical drugs, antibiotics, biochemical preparations, radiopharmaceuticals and excipients for
pharmaceutical use; Volume III contains biological products. The Requirements for Biologics of the
People's Republic of China is now incorporated into the Chinese Pharmacopoeia for the first time. Based
on the characteristics and the needs of improvement of Chinese traditional medicines, chemical drugs and
biological products, the research work and the studies are carried out in an active way on drug standards
and methodology. At the same time, great efforts are made to unify the national drug standards and to
bring them in line with the international standards progressively. In addition, emphasis have been put to
harmonization in Appendices of different volumes of Pharmacopoeia, to a sound connection between
individual monographs and the relevant appendices, and to the standardization of text wording so as to
make this edition more precise and better structured.

The increase of the number of monographs in the Chinese Pharmacopoeia 2005 is obvious which contains
up to 3214 monographs of drugs, with 525 new admissions in total. Volume I contains 1146
monographs, with 154 new admissions and 453 revised; Volume II deals with 1967 monographs, with
327 new admissions and 522 revised; Volume III contains 101 monographs, with 44 new admissions and
57 revised. 9 monographs adopted in the Chinese Pharmacopoeia 2000 are not admitted in this edition and
w
123 monographs adopted in the Requirements for Biologics of the People's Republic of China 2000 and in
its Supplement 2000 are not admitted in this edition.

The number of monographs in Appendices of this edition is much expanded. There are 98 monographs
admitted in Appendices of Volume I with 12 new admissions, 31 revised and 1 deleted. There are 137
monographs in Appendices of Volume II with 13 new admissions, 65 revised and 1 deleted. There are 140
monographs in Appendices of Volume Ill with 62 new admissions, 78 revised and 1 deleted. The
monographs in Appendices common to all the three volumes are presented in each volume respectively in a
harmonized and unified form.

Extensive applications of contemporary techniques of analysis are shown in this edition. In Volume I ,
the number of monographs adopting thin layer chromatography in the test for identification reaches 1523
and 45 monographs for content determination; the number of monographs adopting high performance
liquid chromatography (HPLC) reaches 479 and 518 items are involved; and the number of monographs
adopting gas chromatography in the tests for identification and content reaches 47. In Volume II , the
number of monographs, including testing items, adopting HPLC reaches 848 with an increase of 566 in
comparison with that in 2000 edition, and this method is mostly used for the analysis of complex
formulation and those drugs containing much more interfering factors such as impurities or excipients , and
used for content determination in 223 newly admitted monographs. The number of monographs required
for identification by infrared analysis reaches 70; the tests for dissolution and test of content uniformity
are added in test items in 93 and 37 monographs, respectively, and the test for related substances is added
in 226 monographs, and the requirements for systematic suitability testing are more reasonable. Based on
the validation of methodology, the test for bacterial endotoxins instead of pyrogen test in rabbits is
introduced to 73 monographs; on the premise that the drug purity is ensured, the test for undue toxicity
for 42 monographs is deleted.

Significant revisions and expansion are made in the Appendices of this edition leading a great improvement
in the monographs of Appendices. In order to adapt the need of drug administration, new preparations
such as implants, rinsing agents, enemas, paint, and smeared films, etc. are admitted in the General
Requirement for Preparations. Many subtypes of dosage form are also admitted in General Requirement
for Preparations, such as soluble tablets and vaginal effervescent tablets admitted into General
Requirement for tablets; sustained release capsules and controlled release capsules admitted into General
Requirement for capsules, etc. Test for sterility is added in test items in some of preparations of General
Requirement for Preparations. New general testing methods have been admitted, such as Determination
of Total Organic Carbon in the Water for Pharmaceutical Use, Test for Visible Particles in Injections,
Mass Spectrometry, Determination of Cataplasms Adhension, Test for Allergen, Biological Assay of
Calcitonin and Growth Hormone, etc. Furthermore, considerable revisions are made for a number of
Appendices according to modern techniques and practical situation, for example, the tests on 12 pesticides
containing organic phosphorous and 3 pesticides containing pyrethroid are added for determination of
pesticide residues; the test for small volume of injection is included in the Test for Particulate Matter in
Injections; the test for system suitability is admitted for Thin-layer Chromatography; Microbial Limit
Tests is revised according to the requirements of drug administration route and tests for validation are
added; the time of incubation in sterility test has been changed from 7 to 14 days.

In the section of guidelines, such guidelines have been revised to keep pace with the development of
VIH
research and production of drugs as the Guidelines the Stability Testing of Drug Substances and
Preparations and the Guidelines for Sustained, Controlled and Delayed Release Preparations, and new
guidelines are admitted such as the Guidelines for Hygroscopicity and Guidelines for Near-infrared (NIR)
Spectrophotometry, etc. Although those guidelines do not serve as legal requirements, they play an
important role in assessment of drug quality, in establishing, standardizing and implementing uniform
pharmaceutical specification of drugs and medicines.

The safety of pharmaceuticals is another important issue of the Chinese Pharmacopoeia 2005. In
Appendices of Volume I , for example, atomic absorption spectrophotometry or inductively coupled
plasma mass spectrometry is introduced to determine 6 kinds of heavy metals and deleterious elements,
and the limits for lead, cadmium, mercury, arsenic and cupper are stipulated for the first time; the
harmful solvents, such as benzene etc. used in pharmaceuticals should be substituted by other solvents as
far as possible. The Guidelines for Application of Safety Tests for Injection of Traditional Chinese
Medicine is also admitted in this edition; In Volume II, the Test for Particulate Matter in Injections is
applied to 126 Injections intended for intravenous injection; the number of monographs adopting the Test
for Bacterial Endotoxin reaches 112; the Determination of Residual Solvent includes the requirements of
the International Conference on Harmonization CICH) for residual solvents, and the test is required for 24
drug substances; the Guidelines for the Analysis of Impurities in Drugs, Guidance for the Quality Control
of Positron Emission Tomographic and Technetium [99m Tc] Radiopharmaceutical Preparations are also
admitted. In Volume III, new methods such as Determination of Reverse Transcriptase Activity and Test
for Residual Aluminum Content in Human Albumin etc. are admitted, and some test methods are
improved such as the test for residual bovine serum albumin and test for residual CHO cell protein, etc.
On consideration of the status quo of medical industry and practical situation of drugs for clinical use, the
requirements set forth in Detailed Regulations for Clarity Test and Criteria formerly issued by the Ministry
of Health are replaced by the method for Determination of Visible Particles in this edition so as to enhance
the safety of pharmaceuticals including injections.

According to the theory of traditional Chinese medicine--diagnosis and treatment based on an overall
analysis of the illness and the patient's condition, the Indications under the Chinese patent preparations
have been scientifically standardized, so as to avoid the phenomenon of easy misleading usage of drugs and
to give prominence to features of the above theory. At the same time, the attention should be paid to the
fact that a phenomenon of "different diseases having same syndrome" and "same disease having different
syndromes" exists between "Syndrome" in traditional Chinese medicine and "Disease" in Western
medicine. The close combination of "Syndrome" in traditional Chinese medicine and corresponding
"Disease" in Western medicine embodies the scientificity and accuracy of the expression of Indications, so
as to ensure clinicians to understand the Indications precisely and make use of drugs rationally, thus
facilitating the sound development of traditional Chinese medicine in the new era.

The working procedures for preparation of this edition also has been improved. In addition to the
traditional way of requesting for comments, the contents of revised appendices and monographs should be
publicized on the website of the Chinese Pharmacopoeia Commission for three months, aiming at collecting
comments widely from various institutions and organizations. All the feedbacks and inputs should be
reviewed by the relevant subcommittee to ensure the feasibility and practicability of the standards and
methods revised in this edition of Pharmacopoeia, and ensure that the principle of "openness, justice and
fairness" is kept in the process of compiling and editing.

IX
In order to make it easy for reading, the Chinese Pharmacopoeia 2005 adopts the half-measure in its layout
for the first time, and the improvement of quality in printing and binding makes this edition look more
elegant.

Thanks to the well-organized work by the Secretariat of the Chinese Pharmacopoeia Commission, the joint
efforts made by all the participants and the support from institutions and organizations concerned, the
compilation of the Chinese Pharmacopoeia 2005 proceeded smoothly and the goal is reached as designed
despite the heavy work schedule and high requirements for the task. Now the Chinese Pharmacopoeia
2005 is presenting its new style in front of the world and will play a greater role both in initiating new
prospect of national drug administrative work and in the development of the medical industry in China.

Chairman, the eighth Chinese Pharmacopoeia


Commission of the People's Republic of China

(December 2004)

x
History of the Pharmacopoeia of the
People's Republic of China

The Chinese Communist Party and the Chinese Government have attached great importance to medical and
health care of the Chinese people. The People's Republic of China was founded on October 1, 1949 and
right in November of that year the Ministry of Health convened a meeting of medical and pharmaceutical
experts in Beijing on the compilation of a pharmacopoeia. In January 1950, the Ministry of Health invited
Professor Meng Mudi , a well-known pharmacist from Shanghai, to take up the responsibility for the
establishment of the Editorial Commission of Pharmacopoeia of China and its secretariat to deal with daily
work concerning the compilation of such a compendium for new China.

In April 1950, a working seminar was held in Shanghai, at which the principles and guidelines on the
selection of monographs were discussed and the monographs to be included in the Pharmacopoeia were
decided. It was recommended under the direction of the Ministry of Health that the new Pharmacopoeia
should be compiled in such a way that it is in conformity with the Chinese situations and that it should be
nationalistic, scientific and popular in nature. Thereafter, The Ministry of Health invited 49 experts as
members and 35 as correspondent members of the Commission who were appointed to 8 panels
( nomenclature, chemicals, pharmaceutical preparations, medicaments of plant origins, biological
products, medicaments of animal origins, pharmacology, and dosage) respectively. Health Minister Li
Dequan served as the chairperson of the Commission. The first Editorial Commission of Pharmacopoeia of
the People's Republic of China was thus formally established.

The first Editorial Commission meeting composed of all members was held in Beijing April 24-28, 1951,
where resolutions· were made on the title of the Pharmacopoeia, list of selected monographs, the
nomenclatures, units of measurement and weights, format, the order of arrangement etc; Based on
recommendations from the Commission meeting, the draft of the pharmacopoeia was then revised by the
Secretariat and submitted to the Ministry of Health for review and the Culture and Education Commission
of the State Council for approval at the end of 1952. The Ministry of Health published the first Chinese
Pharmacopoeia in 1953.

The Chinese Pharmacopoeia 1953 edition contained 531 monographs of substances and articles, including .
215 chemicals, 65 medicaments from plant origins, oils and fats, 13 medicaments from animal origins, 2
antibiotics, 25 biological products, and 211 pharmaceutical preparations. After the publication of the
Pharmacopoeia the first addendum of the 1953 edition was published in 1957.

The Ministry of Health set up the second Chinese Pharmacopoeia Commission in 1955, with 49 members
and 68 correspondent members. Due to various reasons, this Commission failed to fulfill its mission. The
third Commission was established in 1957, with 80 members (no correspondent members appointed) and
XI
Professor Tang Tenghan, a well-known pharmaceutical chemist, as its chairman. The first meeting of
the third Commission was convened from July 28 to August 5 of the same year. Health Minister Li Dequan
pointed out at the meeting that it was a big flaw that the first Pharmacopoeia did not cover Chinese
traditional medicines that the Chinese people were so used to. At the meeting principles in compiling a
Pharmacopoeia were made and nature and purpose of such a compendium were discussed and constitution of
the Commission was revised. It was agreed unanimously to admit well-defined Chinese traditional
medicines to the Pharmacopoeia. On August 27, six expert committees and a panel under the Commission
were approved and set up by the Ministry of Health, namely, the committees of medicines, chemicals,
pharmaceutical preparations, biochemicals, pharmacognosy and biological products, and a panel of
nomenclature. Under the Commission a Standing Committee was organized, however, routine work in
general was dealt with by its Secretariat.

In 1958, it was recommended by the Standing Committee and approved by the Ministry of Health to invite
8 doctors of Chinese traditional medicine and 3 experts of Chinese traditional medicaments as members of
an expert committee dealing with the quality specifications of crude drugs used as Chinese traditional
medicaments and Chinese patent preparations. Collaborative efforts were made by experts in this field in
many parts of this country to incorporate the theory and practical experience of Chinese traditional
medicine into the monographs concerned.

The second meeting of this Commission was held in Beijing from June 25 to July 5, 1959. A list of
monographs being admitted to the new Pharmacopoeia was proposed and the draft texts reviewed in detail
by the expert committees concerned. The work was accomplished in 1962. The State Council approved
the publication of the Pharmacopoeia of the People's Republic of China 1963 edition. On January 26,
1965, the Ministry of Health issued a document for the Chinese Pharmacopoeia 1963 edition and the
relevant provisions for its implementation.

The Chinese Pharmacopoeia 1963 edition contained 1310 monographs in its two volumes, each with
separated General Notices and relevant appendices. 446 monographs of commonly used Chinese traditional
medicaments and 197 monographs of Chinese traditional patent preparations were admitted to Volume I ,
and 667 monographs of chemical drugs were admitted to Volume II. Additionally, "therapeutic function
and chief indication" were stated in the monographs admitted to Volume I and "action and use" of those
admitted to Volume II.

The Chinese Pharmacopoeia Commission stopped functioning in 1966 due to the turmoil caused by the
"Cultural Revolution". On April 28, 1972, the State Council agreed to the suggestion in the report of the
Ministry of Health that "the Commission should be re-established with the participation of Ministries of
Health, Petroleum and Chemical industry, Commerce and the PLA's Ministry of Health, headed by the
Ministry of Health". A :working meeting of the Chinese Pharmacopoeia Commission was convened under
the above direction from May 31 to June 10 of the same year in Beijing. 88 representatives of various
competent authorities and organizations, including all Provincial ( Autonomous regional or Municipal)
Departments of Drug Policy and Management, Institutes for Drug Control and others attended the
meeting. The focus of the meeting was on the guiding principle, working process, requirements and
objects of the editing of the national Pharmacopoeia. The revision plan was recommended after exchange
of past experiences in various aspects. Arrangements were made for the drafting of individual monographs
by the organizations concerned. The second meeting of the Chinese Pharmacopoeia Commission was held
XII
in Beijing in April 1973. Some guidelines, basic requirements of the Pharmacopoeia and sample
monographs for Chinese traditional medicaments and modern medicinal substance as well as the respective
explanatory notes had been well discussed and appropriate recommendations were made. The drafting of
individual monographs was rearranged according to the place of origin of Chinese medicines and the
conditions of pharmaceutical production. On October 4, 1979 the Ministry of Health promulgated that the
Chinese Pharmacopoeia 1977 edition would come into use on January 1, 1980. The total of monographs
contained in the 1977 edition is 1925. In Volume I , 1152 monographs were admitted, including 882
monographs of Chinese herbal drugs in general used and in the region of national minorities, extracts of
Chinese herbal medicines, oils and fats and some preparation made of single medicinal ingredient. 270
monographs of Chinese traditional patent preparations ( including those preparations used in the region of
national minorities) were also admitted in the Volume I . 773 monographs of chemicals and biological
products etc. were admitted in Volume II.

In 1979 the Ministry of Health invited 112 experts as members to form the fourth Chinese Pharmacopoeia
Commission, and Health Minister Qian Xinzhong was its Chairman. The first plenary meeting of that
Commission was held from Nov. 22 to Nov. 28 in the same year in Beijing. Discussion and amendment were
made on the constitution of the commission, provisions for the management of specifications for
pharmaceutical preparations and its working plan in the meeting. Ten specialized advisory groups were
appointed in the fields of Chinese traditional medicine, Chinese traditional medicaments, medicine and
pharmacology, chemicals, biochemicals, pharmaceutical preparations, antibiotics, biological products,
radiopharmaceuticals and nomenclature respectively. Monographs being admitted to the new
Pharmacopoeia were recommended by the advisory groups concerned. The advisory group on Chinese
traditional medicine had the responsibility to review and select the range of monographs to be included in
Volume I and the advisory group on medicine and pharmacology had the same responsibility for Volume
II. The institutes for drug control and competent authorities or organizations in the locality (provinces,
autonomous regions and municipalities), where the drug substance concerned was produced provided draft
text of individual monograph with prominent experience and excellent quality. Coordinated review and
technical validation were organized by the Secretariat. Some monographs were drafted only after the
completion of objective collaborative studies as required. Finally, members of respective advisory groups
and representatives of institutes for drug control and drug manufacturers concerned reviewed the draft
text, and then sent to the Ministry of Heath for approval. The Chinese Pharmacopoeia 1985 edition was
published in September 1985 as planned. The effective date was set on April 1, 1986 as approved by the
Ministry of Health. In this edition of Pharmacopoeia, 1489 monographs of drugs were admitted. 506
monographs of Chinese traditional medicaments, crude drugs, vegetable oils and fats and preparations of
single ingredient, 207 monographs of Chinese traditional patent preparations, totally amount to 713
monographs were admitted to Volume I. 776 monographs of chemicals, biological products etc. were
admitted to Volume II.

The "Drug Administration Law of the People's Republic of China" came into effect on July 1, 1985. It
stipulated that "the quality of drugs and medicines must comply with a national, provincial, autonomous
regional or municipal standard", and that "the Pharmacopoeia of People's Republic of China and standards
for drugs and medicines published and promulgated by Ministry of Health of the State Council are national
standards for drugs and medicines". It further stated, "The Chinese Pharmacopoeia Commission
subordinate to the Ministry of Health of the State Council is responsible for the stipulation and revision of
national standards for drugs and medicines". It defines clearly the official nature of standards for drugs
and medicines and responsibilities of the Commission.

In 1986 the Ministry of Health reorganized the Chinese Pharmacopoeia Commission in accordance with its
constitution and invited 150 experts as members of the fifth Commission with Health Minister Cui Yueli as
Chairman. The office dealing with routine work was changed to a system with the Secretary General as its
chief executive officer. The first meeting of this Commission was convened May 5-8 of the same year. The
constitution of the Commission was revised. Comments were made on the task of drug standardization
during the seventh Five-year Plan for National Reconstruction. The guidelines and principles of the 1990
edition of the pharmacopoeia were discussed and agreed at the meeting. Panel meetings on Chinese
traditional medicaments, Chinese patent preparations, chemicals, antibiotics, biochemicals and
pharmacology were held respectively for the tasks of drafting different parts of the next edition and
necessary research projects to be carried out. The addendum to the Chinese Pharmacopoeia 1985 edition
was published in November 1987 with 23 new admissions and 172 specific monographs and 21 general
monographs were revised or amended. Based on the Chinese Pharmacopoeia 1985 edition, its first English
version was formally published in October 1988. Also published in that year were the selected notes in
Volume II. By March 1989, the draft text of the new pharmacopoeia was basically ready for comments
through the efforts made by various organizations and associations. The Secretariat of the Chinese
Pharmacopoeia Commission was authorized to organize reviewing and editing. In December 1989, an
extended meeting attended by the chairman, vice-chairmen of the Commission and the chairmen of all
advisory groups was held in Beijing. It was recommended to send the draft text to the Ministry of Health
for comments and approval. The Ministry of Health then publishes it as the Chinese Pharmacopoeia 1990
edition, on December 3, 1990 with effective date on July 1, 1991.

This new edition of the pharmacopoeia is still published in two volumes containing 1751 monographs of
substances and articles. 784 monographs including 509 monographs of Chinese traditional medicaments
and 275 monographs of Chinese traditional patent preparations and single ingredient preparations are
admitted to Volume I , while 967 monographs on chemicals, antibiotics, biological products and
II. In comparison with the preceding edition, 80 new
pharmaceutical preparations are admitted to Volume
monographs are admitted and 3 monographs deleted from Volume I ; 213 new monographs are admitted
(including 5 monographs transferred from Volume I to Volume II) and 25 monographs deleted (3 from
Volume I and 22 from Volume II ). Appropriate changes have been made on titles of certain drug
substances and articles as required. The headings "Action and use" and "Administration and dose" are
changed to "Category" and "Dosage" respectively. "A Guide to Clinical Use of Drugs" was published as a
companion volume to the Chinese Pharmacopoeia to serve as a guiding reference for medical and
pharmaceutical practices. The infrared reference spectra are deleted from the Appendix with the
publication of a separate volume-the Atlas of Infrared Spectra of Drugs.

The sixth Chinese Pharmacopoeia Commission was organized in 1991 with 168 members invited by the
Ministry of Health, and Health Minister Chen Minzhang as its chairman. The first meeting of that
Commission took place May 16-18 of the same year, attended by all members. In this meeting, the
constitution of the Commission was further revised and the working plan for compilation and editing of the
Chinese Pharmacopoeia 1995 edition were discussed and substantial recommendations were made. A
Standing Committee composed of the chairman, vice chairman and 11 other experts were set up with 13
subcommittees in respective specialized fields, namely, Chinese traditional medicine, Chinese traditional
medicaments, Chinese traditional patent medicines, Modern medicine, Pharmacology, Chemicals I , II
and III, Antibiotics, Biochemicals, Biological products, Radiopharmaceuticals and Nomenclature. The
subcommittees then convened extended meetings in their specific fields, respectively, to work out the
programs for revision of the Pharmacopoeia.

Drafts of the appendices of the 1995 edition were sent out in 1993 to relevant local organizations as a
reference for the compilation and revision of the new edition. By July 1994 almost all local drafting had
been finished and the subcommittees started organizing reviews. On Nov. 29, 1994 the drafts were
discussed and further reviewed at an extended meeting of the Standing Committee, and then submitted to
the Ministry of Health for approval. The Chinese Pharmacopoeia 1995 edition came into use as of April 1,
1996 as promulgated by the Ministry of Health.

There are 2375 monographs in that edition. 920 monographs, including 522 monographs of Chinese
traditional crude drugs and of oils and fats, 398 monographs of Chinese traditional patent medicines and of
preparations of single ingredient were admitted to Volume I. In Volume II , it was composed of 1455
monographs of chemicals, antibiotics, biochemicals, radiopharmaceuticals, biological products and some
excipients. In comparison with the previous edition, 142 and 499 new admissions were admitted in
Volume I , II respectively. English titles of drugs and preparation were adopted in Volume II and the
Latin titles were deleted, while Chinese titles only use their official common names and no alternate
names. The first Volume (1995 edition) of "Atlas of Infrared Spectra of Drugs and Medicines" was also
compiled. "A Guide of Clinical Use of Drugs" was revised, and published together with the 1995 edition
· of the Chinese Pharmacopoeia. Ministry of Health approved that the "Indication" and "Dosage" in the
later should be adopted as the basis for promotion of drug administration and management by competent
authorities of drug management and drug manufacturing.

The sixth Chinese Pharmacopoeia Commission published the first and second addenda in 1992 and 1993,
respectively. It also published "Commentary to Volume II of the Chinese Pharmacopoeia 1990 edition".
"Selected Commentary to Volume I of the Chinese Pharmacopoeia 1990 edition", "Atlas of Traditional
Chinese Medicines", "Atlas of Thin Layer Chromatography of Chinese Traditional Medicines" and
"Adopted names of Chinese pharmaceutical products" as references in series relevant to pharmacopoeia.
English version of the Chinese Pharmacopoeia 1990 edition was published in July 1993.

To strengthen standardization of drugs and medicines, the Ministry of Health decided, on May 21, 1993,
that the Secretariat of the Chinese Pharmacopoeia Commission separated from the National Institute for the
Control of Pharmaceutical and Biological Products and subordinated directly to the Ministry of Health.
That was an important reform measure in the restructuring of the Commission.

Approved by the Ministry of Health, the seventh Chinese Pharmacopoeia Commission was set up in May
1996. The Ministry invited 204 members, including 18 honorary members, to form the Commission.
Health Minister Chen Minzhang served as its Chairman. In September 1998 as approved by Document
No. 32 0998) of Central Office of Organization, the name of Pharmacopoeia Commission of the Ministry
of Health was changed to the Chinese Pharmacopoeia Commission, and the administration of the
Commission was transferred to the State Drug Administration (SDA). After change of the management
system and passing away of Health Minister Chen Minzhang, the Standing Committee of the seventh
Pharmacopoeia Commission decided to appoint chairman and vice chairmen of the Commission, as so
stipulated in its Constitution in December 1999. Under that Commission there were 16 specialty
xv
subcommittees: Chinese traditional medicine, Chinese traditional I , II , III, and N,
medicaments
modern medicine, nomenclature, appendices, pharmaceutical preparations, pharmacology, chemicals I
and II , antibiotics, biochemicals, radiopharmaceuticals and biological products.

The first meeting of the seventh Commission was held in 1996, at which the design plans for the 2000
edition of the Chinese Pharmacopoeia were endorsed. The guiding principles decided were that the Volume
I should have special features in content and its quality should be largely improved, and the Volume II
should reflect the combination of improvement and suitability to specific situations in China as well as a
combination of advancement and characteristics. As scheduled in the plans, all subcommittees convened
their own meetings and carried out their tasks starting from October 1996. By the end of 1997, all
revision of the appendixes and general rules for drug and medicine preparations had been finished and sent
to local drafting organizations for comments. A first draft was finalizedat the end of 1998, and after reviews
by related organizationsin different parts of China; the 16 subcommitteesfurther reviewed it by the end of October
1999. The Chinese Pharmacopoeia 2000 edition was finally reviewed and passed by the seventh Chinese
PharmacopoeiaCommission in December 1999, and submitted to the State Drug Administration for approval of
publication. This edition was published in January 2000 and come into effect from July 1, 2000.

The 2000 edition contains a total of 2691 monographs, with 992 ones in Volume I and 1699 in Volume
II. There are 399 new monographs and 562 revised ones in this edition. Appendices have been
considerably improved. There are 10 new and 31 revised appendices in Volume I , and 27 new and 32
revised ones in Volume II. The Volume II has, for the first time, included 6 guidelines for Validation of
Analytical Method Adopted in Pharmaceutical Quality Specification etc. , which will play a role in the
standardization and regulation of testing methods. Application of modern analytical techniques is further
enhanced and stressed in this edition.

The seventh Chinese Pharmacopoeia Commission has also compiled the 1997 and the 1998 addendum of the
Chinese Pharmacopoeia 1995 edition, the "Adopted Names of Chinese Pharmaceutical Products ( 1998
Addendum)", "Atlas of Infrared Spectra of Drugs and Medicines" (Volume II) and the third edition of
"A Guide to Clinical Use of Drugs". The English edition of the Chinese Pharmacopoeia 1995 was
published in 1997. To strengthen exchanges and cooperation, this Commission has decided to publish
concurrently both Chinese and English versions of the Chinese Pharmacopoeia 2000 edition.
"Dosage" and "Precaution" in preceding editions are too simple to reflect accurately the actual clinical use
of drugs therefore deleted from this edition ( Volume II ) as so proposed in the design plans for the
relevant contents of those two headings have been included in "A Guide to Clinical Use of Drugs".

Approved by the State Drug Administration ( redesigned to be State Food and Drug Administration in
September 2003), the eighth Chinese Pharmacopoeia Commission was set up in October 2002. The State
Drug Administration invited 312 experts as members of the Commission and did not appoint any honorary
member. The Commissioner of the State Drug Administration, Mr. Zheng Xiaoyu served as its Chairman.
The Standing Committee of the Commission was assigned as Executive Committee. The plenary session of
the Chinese Pharmacopoeia Commission was authorized to examine and approve the Chinese
Pharmacopoeia and the important items of the national specifications for pharmaceutical preparations. 24
subcommittees of specific duty and/ or appointment are set up under the Commission. On the basis of
previous Commission, 3 new subcommittees were established: namely ethnic medicines, microorganism,
and packing materials and excipients , former subcommittee of biological products was expanded to 6 ones,
namely: blood products, viral vaccines, bacterial vaccines, somatic cell therapy and gene therapy,
recombinant DNA products and diagnostic reagents for in vivo test.

The first meeting of the eighth Chinese Pharmacopoeia Commission and its Executive Committee took place
in October 2002, approved "the design plans for the 2005 edition of the Chinese Pharmacopoeia". The
design plans clearly indicated that the Pharmacopoeia should adhere to guiding principles of "succession
and development" and "theory combined with practice"; and editing principles of pharmacopoeia should be
adhered to scientific, practical and specifical basis. The meeting decided that Requirements for Biologics
of the People's Republic of China, known as the Chinese Requirements for Biologics (CBR), would be
integrated into the pharmacopoeia as its Volume ill; "A Guide to Clinical Use of Traditional Chinese
Patent Preparations" is to be compiled for the first time.

All designated subcommittee meetings have been convened since November 2002, to deal with the assigned
duty recommended on the meeting in various aspects. By July 2003, the draft of appendices was
accomplished at first and sent to relevant authorities and institutions for comments. Early in 2004, the
first draft of appendices and text of pharmaceutical and biological products was basically ready and
consecutively published on the website of the Chinese Pharmacopoeia Commission for 3 months, so as to
get the feedbacks from various organizations and associations. Subcommittees, one after the other,
convened meetings to review and revise the drafts from June to August, the Executive Committee of
eighth Chinese Pharmacopoeia Commission endorsed the Chinese Pharmacopoeia 2005 in September of the
same year. In December 2004, the draft text was sent to the State Food. and Drug Administration for
approval and promulgation. The Chinese Pharmacopoeia 2005 was published on January 2005 with
effective date on July 1, 2005. The number of monographs in the Chinese Pharmacopoeia 2005 is
considerably increased. It contains up to 3214 monographs of drugs and other articles with 525 new
admissions. Volume I contains 1146 monographs, with 154 new admissions and 453 revised; Volume II
deals with 1967 monographs, with 328 new admissions and 522 revised; Volume ill contains 101
monographs, with 44 new admissions and 57 revised. 9 monographs adopted in the Chinese
Pharmacopoeia 2000 are deleted in this edition. 123 monographs adopted in the Requirements for
Biologics of the People's Republic of China 2000 and in its Supplement 2002 are not admitted in this
edition.

The numbers of appendices in this edition are as follows: 98 monographs admitted in Volume I with 12
new admissions, 31 revised and 1 deleted; 137 monographs in Volume II with 13 new admissions, 65
revised and 1 deleted; 140 monographs in Volume ill with 62 new admissions, 78 revised and 1 deleted.
Appropriate monographs common to all three volumes are presented in each volume respectively in a
harmonized and unified form.

Under the active leadership of the Chairman of the Chinese Pharmacopoeia Commission, the issue of
pharmaceutical safety is emphasized particularly. In Volume I , atomic absorption spectrophotometry and
inductively coupled plasma mass spectrometry ~re applied to determine the deleterious elements ( lead,
cadmium, mercury, arsenic and cuppers) and the limits of these elements have been stipulated; the
guidelines of the safety test for the injections of traditional Chinese medicines is also added to the Volume
I. In Volume II , the Test for Particulate Matter in Injections is applied to 126 injections intended for
intravenous injections; the number of monographs adopting the Test for Bacterial Endotoxin reaches 112;
the Determination of Residual Solvents includes the requirements of International Conference on
XVII
Harmonization CICH) for residual solvents, and the test is required for 24 drug substances; In Volume
II , the Guidelines for Analysis of Impurities in Drugs, Guidance for the Quality Control of Positron and
Technetium [99mTc] Radiopharmaceutical Preparations are also admitted. In Volume ill, new methods
such as Determination of Reverse Transcriptase Activity and Test for Residual Aluminum Content in
Human Albumin etc. are admitted, and some test methods are improved such as the test for residual
bovine serum albumin and. test for residual CHO cell protein, etc. On consideration of the status quo of
medical industry and practical situation of drugs for clinical use, the requirements set forth in Detailed
Regulations for Clarity Test and Criteria formerly issued by the Ministry of Health are replaced by the
method for Determination of Visible Particles in this edition so as to enhance the safety of pharmaceuticals
including injections.

The Chinese Pharmacopoeia 2005 attaches great importance to the consistent principle of environmental
protection, therefore the harmful solvents, such as benzene etc. used in pharmaceuticals should be
substituted by other solvents as far as possible.

According to theory of Traditional Chinese Medicine--diagnosis and treatment based on an overall


analysis of the illness and the patient's condition, the Indications under the Chinese patent preparations
have been scientifically standardized so as to provide the assurance of understanding the Indications
precisely and making use of drugs rationally, and to facilitate the healthy development of traditional
Chinese medicine.

J
Volume DI of this edition is originated from CBR. Six editions of the CBR have been promulgated for
implementation since 1951, i.e. the edition 1951 and its addendum 1952, and the edition 1959, 1979,
1990 and 1993 (for diagnostic products), 1995 and 2000 and its supplement were published respectively.
The English version of CBR 2000 was published for the first time in 2002.

The eighth Chinese Pharmacopoeia Commission also has completed the Addendum 2002 and Addendum
2004 of the Chinese Pharmacopoeia 2000, the Adopted Names of Chinese Pharmaceutical Products (2005
edition), Atlas of Infrared Spectra of Drugs and Medicines ( third volume) and "Guide to Clinical Use of
Drugs" ( the first edition for Chinese traditional patent preparations and the fourth edition for chemicals).

The English version of the Chinese Pharmacopoeia 2005 was completed in 2005. In order to enhance the
international cooperation and communication, the Chinese Pharmacopoeia Commission has organized the
first "China-USA joint forum on Pharmacopoeia".

Aiming at the strengthening and improving the efficiency and level of national standard work, the
Secretariat of the Chinese Pharmacopoeia Commission has completed the construction of office automation
and realized standards enacted the Chinese for computer network retrieval and statistical analysis.

XVIII
New Monographs Included in Volume ][ (2005)

Biologics for Prophylaxis


Dysentery Vaccine (Live) of S. flexneri and S. sonnei , Oral
Rubella Vaccine (Rabbit Kidney Cell), Live
Measles and Mumps Combined Vaccine, Live
Hepatitis A (Live) Vaccine, Freeze-dried
Influenza Vaccine (Whole Virion), Inactivated

Biologics for Therapeutic Use


Human Prothrombin Complex
Anti-human T Lymphocyte Porcine Immunoglobulin
Anti-human T Lymphocyte Rabbit Immunoglobulin
Recombinant Human Interferon a 2a for Injection (Yeast)
Recombinant Human Interferon a 2b for Injection (P. putida)
Recombinant Human Interferon a 2b Injection (P. putida)
Recombinant Bovine Basic Fibroblast Growth Factor for External Use, Liquid
Recombinant Bovine Basic Fibroblast Growth Factor for External Use
Recombinant Bovine Basic Fibroblast Growth Factor Eye Drops
Recombinant Human Epidermal Growth Factor for External Use
Recombinant Human Epidermal Growth Factor Derivative for External Use, Liquid
Mouse Monoclonal Antibody against Human CD3 Antigen of T Lymphocyte for Injection

Others
1. Monographs of 17 biologics with both liquid and freeze-dried forms are presented;
2. Three monographs of Poliomyelitis ( Live) Vaccine are included, according to the different animal cell
substrates used for production;
3. Two monographs of Rabies Vaccine for Human Use are included, according to the different animal cell
substrates used for production;
4. Two monographs of Rubella Live Vaccine are included, according to the different animal cell substrates
used for production;
5. Four monographs of Antitoxins are included, according to the different kinds of antitoxins;
6. Four monographs of Snake Antivenins are included, according to the different kinds of snake
antivenins.

XIX
Monographs Deleted from the Previous Editions

Biologics for Prophylaxis


Tick-borne Encephalitis Vaccine, Inactivated
Haemorrhagic Fever With Renal Syndrome (Type I ) Purified Vaccine
Yell ow Fewer Vaccine, Live
Cholera Toxoid and Whole Cell Vaccine, Adsorbed
Live Rota virus Vaccine, Oral
Tracheitis Vaccine
Furunculosis Vaccine
Tracheitis Bacteriolysate Vaccine

Biologics for Therapeutic Use


BCG Polysaccharide and Nucleic Acid Preparation
Brucella Vaccine for Therapeutic Use
Corynebactrium Parvum Preparation
Group A Streptococcus Preparation
Nocadia Rubra Cell Wall Skeleton preparation
Pseudomonas Aeruginosa Preparation
Bacillus Subtilis Preparation for Spraying
Pseudomonas Preparation
Placenta Derived Anti-HBV Transfer Factor Injection
Staphylococcin Injection
Anti-HBV Transfer Factor Injection
Albumin Prepared from Human Placenta
Human Histamine Immunoglobulin
Extract of Human Placenta
Lipid Polysaccharide Prepared from Human Placenta

Probiotics
Live Bifidobacterium Preparation, Oral
Live Combined Bifidobacterium, Lactobacillus and Enterococcus Preparation, Oral
Live Combined Bifidobacterium, Lactobacillus and Str ptococcus thermophilus Tablets, Oral
Live Bacillus licheniformis Preparation, Oral
Live Bacillus cereus Preparation, Oral

Diagnostic Reagents for in vitro Test (2000 edition)


Bacterial Suspensions of Typhoid-paratyphoid and Proteus OX19, OX2 and OXK
Diagnostic Sera for Salmonella
xx
Diagnostic Sera for Shigella
Diagnostic Sera for Entero-pathogenic Escherichia coli
Diagnostic Sera for Leptospira
Diagnostic Sera for Neisseria gonorrhoeae
Diagnostic Sera for Grouping Reagents (Monoclonal Antibody) for Neisseria meningitidis A, Band C
Diagnostic Sera for Group 01 Vibrio Cholera
Diagnostic Reagent of Diphtheria Antibody (Hemagglutination)
Diagnostic Reagent of Tetanus Antibody (Hemagglutination)
Diagnostic Sera for Yersinia pestis
Diagnostic Reagent for Fl Antibody of Yersinia pestis ( Hemagglutination)
Phage for Diagnosis of Yersinia pestis
Diagnostic Sera for Bacillus anthracis
Phage for Diagnosis of Bacillus anthracis
Diagnostic Sera for Botulinum Toxin
Syphilis Rapid Plasma Reagin ( RPR)
Syphilis Toluidine Red Untreated Serum Test (TRUST)
Diagnostic Kit for Antibody to Japanese Encephalitis (Hemagglutination Inhibition)
Diagnostic Kit for IgM Antibody to Hepatitis A Virus (ELISA)
Diagnostic Kit for Antibody to Hepatitis A Virus (ELISA)
Diagnostic Kit for Hepatitis B Surface Antigen (RIA)
Diagnostic Kit for Antibody to Hepatitis B Surface Antigen (RIA)
Diagnostic Kit for Antibody to Hepatitis B Core Antigen (RIA)
Diagnostic Kit for Hepatitis B e Antigen (RIA)
Diagnostic Kit for Antibody to Hepatitis Be Antigen (RIA)
Diagnostic Kit for Hepatitis B Surface Antigen (ELISA)
Diagnostic Kit for Antibody to Hepatitis B Surface Antigen (ELISA)
Diagnostic Kit for Antibody to Hepatitis B Core Antigen (ELISA)
Diagnostic Kit for Hepatitis B e Antigen (ELISA)
Diagnostic Kit for Antibody to Hepatitis B e Antigen (ELISA)
Diagnostic Kit for Antibody to Hepatitis C Virus (ELISA)
Diagnostic Kit for Antibody to Human Immunodeficiency Virus (ELISA)
Anti-A and Anti-B Blood Grouping Reagents (Human Sera)
Anti-A and Anti-B Blood Grouping Reagents (Horse Sera)
Anti-A and Anti-B Blood Grouping Reagents (Monoclonal Antibody)
Human Lymphocyte Subgroup Typing Reagent (Monoclonal Antibody)
Plasma Protein Detection Reagent
Diagnostic Sera for Human Immunoglobulin G, A, M, D and E
Diagnostic Kit for Tissue Plasminogen Activator ( t-PA) (ELISA)
Diagnostic Kit for Alpha-feta-protein (ELISA)
Diagnostic Kit for Carcinoembryonic Antigen (CEA) (ELISA)
Diagnostic Kit for Human Chorionic Gonadotrophin (HCG) (Colloidal Gold)
Essentials for Production and Control of Haemolysin
Essentials for Production and Control of Total Complement
Essentials for Production and Control of Anti-IgG Serum
Essentials for Production and Control of Horseradish Peroxidase ( HRP)
XXI
Labeled Immunoglobulin Conjugate
Essentials for Production and Control of Biotin Labeled lgG
Essentials for Production and Control of Fluorescence Labeled Immunoglobulins
Essentials for Production and Control of Anti-Mouse IgG and Its Subgroup Sera
Essentials for Production and Control of Calciferous Thromboplastin
Essentials for Production and Control of Escherichia coli Endotoxin
Essentials for Production and Control of Immunodiffusion Plate for Human Immunoglobulin G, A, Mand
Complement C3 and C Reactive Protein
Essentials for Production and Control of Quality Control Sera
Essentials for Production and Control of Antigen Used for Glass Slide Test in Veneral Disease Research
Laboratory (VDRL)
Essentials for Production and Control of Yersinia pestis Fl Antigen
Essentials for Production and Control of Antisera to Yersinia pestis Phage
Essentials for Production and Control of Bacillus anthracis Antigen

Diagnostic Reagents for in vitro Test ( 2002 Supplement)


Diagnostic Kit for Antibody to H. pylori Urease (ELISA)
Diagnostic Reagent for Antibody to Schistosoma Egg (Hemagglutination)
Diagnostic Kit for Antibody to Schistosoma Egg (ELISA)
Diagnostic Kit for Circulating Antigen of Cysticercus Cellulsae (ELISA)
Morphine Diagnostic Strips (Colloidal Gold)
Diagnostic Kit for Antibody to Treponema Pallidum (Indirect-ELISA)
Diagnostic Kit for Phenylketonuria
Diagnostic Kit for Luteinizing Hormone (Colloidal Gold)
Diagnostic Kit for Fecal Occult Blood (Colloidal Gold)
Diagnostic Kit for Hepatitis B PreS2 Antigen (ELISA)
Diagnostic Kit for Hepatitis B PreS2 Antibody (ELISA)
Factor IX Deficiency Plasma

Diagnostic Reagents for in vitro Test ( 2000 Interim)


Diagnostic Erythrocytes Sensitized with Groups of N. meningitis and Mixed Antigen, Freeze-dried
Diagnostic Sera for Pseudomonas aeruginosa
Diagnostic Sera for Grouping of Bacillus cereus , Freeze-dried
Diagnostic Sera Labeled with SPA for Grouping Reagents of Bacillus cereus
Diagnostic Sera for Brucella
Bacterial Suspensions of Brucella Used for Tube Agglutination,
Bacterial Suspensions of Brucella Used for Glass Slide Agglutination
Diagnostic Kit for Treponema Pallidum Haemagglutination (TPHA), Freeze-dried
Hemagglutinin of Japanese Encephalitis Virus, Freeze-dried
Diagnostic Sera for Japanese Encephalitis Virus
Hemagglutinin of Measles Virus
Hemagglutinin of Rubella Virus
Diagnostic Sera for Poliomyelitis virus, Freeze-dried
Diagnostic Kit for Antibody to Human Immunodeficiency Virus, Type I (Western Blot)
Diagnostic Kit for IgA to EB Virus (ELISA)
m
Diagnostic Kit for Rotavirus Virus (ELISA)
Diagnostic Erythrocytes for Haemorrhagic Fever
Diagnostic Sera for Anti-human Immunoglobulin Heavy Chain, Type y, a and µ
Diagnostic Sera for Anti-human Immunoglobulin Light Chain, Type K, A
Diagnostic Kit for Human lg E (ELISA)
Diagnostic Erythrocytes of Equine Anti-human lg E, Freeze-dried
Diagnostic Erythrocytes of Alpha-feta-protein, Freeze-dried
Diagnostic Sera for Human Complement C3, Freeze-dried
Diagnostic Reagents for Mouse Monoclonal Antibody PAP for Immune Histochemistry Staining, Freeze-
dried
Diagnostic Reagent for Human Chorionic Gonadotrophin (HCG) (Latex Agglutination Inhibition Test )

XXIII
Appendices Added, Revised and Deleted in
Volume ][ (2005)

Appendices Added in Volume ][ ( 2005)

Appendix I GeneralRequirementsfor Preparations


Appendix I A Injections
Appendix I B Suppositories
Appendix I C Eye Preparations
Appendix I D Liquids for External Application
Appendix I E Tablets
Appendix I F Capsules
Appendix I G Ointments, Emulsions
Appendix I H Sprays
Appendix I J Granules
Appendix I K Powders
Appendix I L Nasal Preparations
Appendix I M Gels

Appendix ][ Spectrophotometry
II A Ultraviolet-visible Spectrophotometry
II B Atomic Absorption Spectrophotometry
II C Fl uorometry
II D Flame Photometry

Appendix ][ Chromatography
III A Paper Chromatography
III B High Performance Liquid Chromatography
III C Gas Chromatography
III D Size Exclusion Chromatography

Appendix N Electrophoresis
N B Agarose Electrophoresis

Appendix V
V B Test for Visible Particles
V C Test for Disintegration
V D Disintegration Test for Suppositories and Vaginal Tablets
V E Test for Tablet Friability
V F Test for Minimum Fill
V G Determination of Particle Size
V H Determination of Osmolality

AppendixVI
VI B Determination of Protein Content
Method 3 Biuret Method
VI D Determination of Residual Ethanol Content
VI E Determination of Free Histamine Phosphate Content in Human Histamine Immunoglobulin

Appendix "\I
VIl K Determination of Residual Aluminium Content in Human Albumin
VIl L Determination of Loss on Drying

Appendix yflI
VIII G Determination of Molecular Size for Group A Meningcoccal Polysaccharide
Method 2 Instrumental Method
VIII H Determination of Molecular Size for Typhoid Vi Polysaccharide

Appendix 1X
IX D Determination of Residual Host Bacterial Protein (Pseudomonas)
IX E Determination of Residual Host Yeast Protein
IX G Test for Losing Rate of Plasmid
IX L Determination of. ResiduaLMurine lgG
IX M Test for Reverse Transcriptase Activity
IX N Test for Human Thrombin Activity
IX O Test for Activated Coagulation Factor Activity
IX P Determination of Heparin Content
IX Q Determination of Human Erythrocyte Antibody
IX R Determination of Human Platelet Antibody

Appendix X
X G Biological Activity Test for Recombinant Bovine Basic Fibroblast Growth Factor
X H Biological Activity Test for Recombinant Epidermal Growth Factor
X J Potency Test for Human Coagulation Factor II
X K Potency Test for Human Coagulation Factor VIl
X L Potency Test for Human Coagulation: Factor IX
X M Potency Test for Human Coagulation Factor X
X P Test for Fe Function in Human Immunoglobulin
X Q Potency Test for Anti-human T LymphocyteImmunoglobulin CE-rosetteFormation-inhibitionTest)
X R Potency Test for Anti-human T Lymphocyte Immunoglobulin (Lymphocytotoxicity Test)
Appendix X[
XI D Determination of Flocculation Unit of Toxiod

Appendix XII
XII G Microbial Limit Test

Appendix XIU B
XIII B Test Requirements of Microbes for Laboratory Animals
XIII C Test Requirements of Parasites for Laboratory Animals
XIII D Test Requirements for Calf Serum

Appendix XlV
XlV Culture Media for Biochemical Reactions of Bacteria and Test Method

Appendix "XY
"YN Sterilization

Appendix XVI
XVI Names, Symbols and Atomic Weights

Appendices Revised in Volume ][ ( 2005)

Appendix N
N A Cellulose Acetate Film Electrophoresis
N C SDS-Polyacrylamide Gel Electrophoresis
N D Isoelectric Focusing Electrophoresis

Appendix V
Appendix V A Determination of pH Value

VI
Appendix
VI A Determination of Nitrogen
VI B Determination of Protein Content
Method 1 Keldahl Method
Method 2 Lowry Method
VI C Determination of Sialic Acid Content
VI F Determination of 0-Acetyl Content
VI G Determination of Residual Polyethylene Glycol Content
VI H Determination of Residual Polysorbate 80 Content
VI I Determination of Residual Glutaraldehyde Content
VI J Determination of Tributylphosphate Content
VI K Determination of Sodium Caprylate Content
VI L Determination of Free Formaldehyde Content
VI M Determination of Phenol Content
VI N Determination of Metacresol Content
XXVI
VI O Determination of Trichloromethane Content
VI P Determination of Saccharides and Sugar Alcohol Content in Human Blood Products
VI Q Determination of Polymer Content in Human Albumin
VI R Determination of IgG Monomer and Dimer in Human Immunoglobulins

Appendix "W
VJI A Determination of Phosphorus Content
VJI B Determination of Thimerosal Content
VJI C Determination of Ammonium Sulfate Content
VJI D Determination of Moisture Content
VJI E Determination of Sodium Bisulfite Content
VJI F Determination of Aluminium Hydroxide ( or Aluminium Phosphate) Content
VJI G Determination of Sodium Chloride Content
VJI H Determination of Citrate Content
Method 1 Colourimetric Method
Method 2 HPLC Method
.VJI I Determination of Potassium Content
VJI J Determination of Sodium Content
VJI M Determination of Total Solid

Appendix W
VIII A Immunoblot
VIII B Immunodot
VIII C Double Immunodiffusion
VIII D lmmunoelectrophoresis
VIII E Peptide Mapping
Method 1 Trypsin Cleavage-Reverse Phase HPLC Method
Method 2 Cyanogen Bromide Cleavage Method
VIII F Determination of F (ab), Content in Antitoxin
VIII G Determination of Molecular Size for Group A Meningcoccal Polysaccharide
Method 1 Phosphorous Determination Method

Appendix ]X
IX A Determination of Residual Antibiotics
IX B Determination of Residual Extraneous DNA
IX C Determination of Residual Host Bacterial Protein (E.coli)
IX F Determination of Prekallikrein Activator Content
IX H Test for Nucleotide Sequence of SV40
IX I Test for Blood Group A-like Substance
IX J Test for Anti-A and Anti-B Hemoagglutinins
IX K Test for Anticomplement Activity

Appendix X
X A In vitro Test for Relative Potency of Recombinant Hepatitis B Vaccine (Yeast)
X B In vivo Test for Biological Activity of Recombinant Erythropoietin
X C Biological Activity Test for Interferon
X D Biological Activity Test for Recombinant Human lnterleukin-2
X E Biological Activity Test for Recombinant Human Granulocyte Colony-stimulating Factor
X F BiologicalActivity Test for RecombinantHuman Granulocyte/MacrophageColony-stimulatingFactor
X I Biological Activity Test for Recombinant Streptokinase
X N Potency Test for Human Coagulation Factor VIII
X O Potency Test for Diphtheria Antibody in Human Immunoglobulin

Appendix XI
XI A Potency Test for Rabies Vaccine for Human Use
XI B Potency Test for Adsorbed Tetanus Vaccine
XI C Potency Test for Adsorbed Diphtheria Vaccine
Method 1 Toxin Challenge Method in Guinea· Pig
Method 2 Mouse-Vero Cell Antibody Titration Method
XI E Potency Test for Diphtheria Antitoxin
XI F Potency Test for Tetanus Antitoxin
XI G Potency Test for Gas-gangrene Antitoxin
XI H Potency Test for Botulinum Antitoxin
XI I Potency Test for Snake Antivenins
XI J Potency Test for Rabies Antiserum
XI K Determination of IgG Content
XI L Test for Neurovirulence in Monkeys

Appendix :XU:
XII A Sterility Test
XIIB Test for Mycoplasma
XIIC Test for Adventitious Virus
XIID Pyrogen Test
XIIE Test for Bacterial Endo toxin
XIIF Test for Abnormal Toxicity
XII H Test for Murine Virus

Appendix XIII
XIIl A Test Requirements for SPF Chicken Embryos

Deleted in Volume ]I[ ( 2005)

Determination of Ribose Content


Revised Titles in Volume ][ (2005)

Biologics for Prophylaxis


Dysentery Vaccine (Live) of S. flexneriza and S. sonnei , Oral
(previous title: Live Sh. Flexneri 2a and Sh. Sonnei Combined Vaccine)
Rabies Vaccine (Vero Cell) for Human Use
Rabies Vaccine (Vero Cell) for Human Use, Freeze-dried
Rabies Vaccine (Hamster Kidney cell) for Human Use
(previous title: Rabies Purified Vaccine for Human Use)
Rubella Vaccine (Human Diploid Cell), Live
Rubella Vaccine (Rabbit Kidney Cell), Live
(previous title: Rubella Vaccine, Live)
Poliomyelitis Vaccine in Dragee Candy (Human Diploid Cell), Live
Poliomyelitis (Live) Vaccine (Monkey Kidney Cell), Oral
Poliomyelitis Vaccine in Dragee Candy (Monkey Kidney Cell), Live
(previous title: Poliomyelitis Vaccine, Oral)

Biologics for Therapeutic Use


Human Hepatitis B Immunoglobulin
Human Hepatitis B Immunoglobulin, Freeze-dried
(previous title: Human Hepatitis B Immunoglobulin)
Human Rabies lmmunoglobulin
Human Rabies Immunoglobulin, Freeze-dried
(previous title: Human Rabies Immunoglobulin)
Human Tetanus Immunoglobulin
Human Tetanus Immunoglobulin, Freeze-dried
(previous title: Human Tetanus lmmunoglobulin)
Human Immunoglobulin (pH 4) for Intravenous Injection
Human Immunoglobulin (pH 4) for Intravenous Injection, Freeze-dried
(previoustitle, Human Immunoglobulin (pH 4) for Intravenous Injection)
Human lmmunoglobulin for Intravenous Injection
(previous title: Human Immunoglobulin for Intravenous Injection, Freeze-dried)
Human Coagulation Factor VD1
(previous title: Human Coagulation Factor VD1, Freeze-dried)
Human Fibrinogen
(previous title: Human Fibrinogen , Freeze-dried)
Human Prothrombin Complex
(previous title: Human Prothrombin Complex, Freeze-dried)
Anti-human T Lymphocyte Porcine Immunoglobulin
(previous title: Anti-human T Lymphocyte lmmunoglobulin)
Anti-human T Lymphocyte Rabbit lmmunoglobulin
(previous title: Rabbit Anti-human T Lymphocyte Immunoglobulin)
Mouse Monoclonal Antibody against Human CD3 Antigen of T Lymphocyte for Injection
(previous title: Monoclonal Antibody of Mouse Anti-human CD3 Antigen of T Lymphocyte)
Botulinum Toxin Type A for Injection
(previous title: Botulinum Toxin Type A for Therapeutic Use)
Recombinant Human Interferon alb for Injection
Recombinant Human Interferon alb Injection
(previous title: Recombinant Human Interferon alb)
Recombinant Human Interferon a2a for Injection
Recombinant Human Interferon a2a Injection
(previous title: Recombinant Human Interferon a2a)
Recombinant Human Interferon a2a for Injection (Yeast)
[previous title: Recombinant Human Interferon a2a (Yeast)]
Recombinant Human Interferon a2a Vaginal Suppository
(previous title: Recombinant Human Interferon a2a in Suppository Form)
Recombinant Human Interferon a2b for Injection
Recombinant Human Interferon a2b Injection
(previous title: Recombinant Human Interferon a2b)
Recombinant Human Interferon y for Injection
(previous title: Recombinant Human Interferon y)
Recombinant Human lnterleukin-2 for Injection
(previous title: Recombinant Human lnterleukin-2)
Recombinant Human Erythropoietin For Injection (CHO Cell)
Recombinant Human Erythropoietin Injection (CHO Cell)
(previous title: Recombinant Human Erythropoietin)
Recombinant Human Granulocyte Colony-stimulating Factor Injection
(previous title: Recombinant Human Granulocyte Colony-stimulating Factor)
Recombinant Human Granulocyte/Macrophage Colony-stimulating Factor for Injection
(previous title: Recombinant Human Granulocyte/Macrophage Colony-stimulating Factor)
Recombinant Streptokinase for Injection
(previous title: Recombinant Streptokinase)
Recombinant Bovine Basic Fibroblast Growth Factor for External Use, Liquid
(previous title, Recombinant Bovine Basic Fibroblast Growth Factor for External Use)
Recombinant Human Epidermal Growth Factor Derivative for External Use, Liquid
(previous title: Recombinant Human Epidermal Growth Factor Derivative for External Use)
Diphtheria Antitoxin
Diphtheria Antitoxin, Freeze-dried
Tetanus Antitoxins
Tetanus Antitoxins, Freeze-dried
Gas-gangrene Antitoxin (Mixed),
Gas-gangrene Antitoxin (Mixed), Freeze-dried
Botulinum Antitoxin
Botulinum Antitoxin, Freeze-dried
m
(previous title: Antitoxin)
Agkistrodon halys Antivenin, Equine
Agkistrodon acutus Antivenin, Equine
Bungarus multicinctus Antivenin, Equine
Naja naja (atra) Antivenin, Equine
(previous title: Snake Antivenins)

XXXI
General Notices

The Volume ill of the Pharmacopoeia of the People's Republic of China, known as Volume ill of the
Chinese Pharmacopoeia in abbreviation, serves as official technical standards for supervision and
administration of quality of biological products in China.
Once the Pharmacopoeia of the People's Republic of China is promulgated for implementation by the
National Regulatory Authority ( NRA) , the previous national standards of the same kinds of products
shall become invalid. Unless otherwise stated, the Chinese Pharmacopoeia stated in this edition indicates
the current one.
The General Notices function as a basic guideline for the interpretation and application of the standards in
Volume ill of the Chinese Pharmacopoeia for the production and testing of biological products. The
General Notices provide in summary form regulations for the common issues in individual monographs or
appendices related in the production, quality control and other specifications to obviate the need to repeat
the requirements and other descriptions that are pertinent to numerous instances. The requirements set
forth in the General Notices are official in the Pharmacopoeia.
The expression of "unless otherwise stated" is adopted indicating that appropriate requirement is admitted
in the related monograph wherever it is not conform to that specified in General Notices, General
Requirements or Appendices.
The expression of "keeping to the approved production process, the seed/strain or medium used for
production", or "keeping to the approved validity period of a product" is adopted in individual monographs
indicating that the production process, the seed/ strain or medium used for production, or validity period
of a product has been approved by the NRA.
A formulated preparation must comply throughout its assigned period of validity.

Title and arrangements

1. The adopted Chinese names of biological products admitted in this edition are named according to the
principles for nomenclature of Chinese Approved Drug Names of Pharmaceuticals. The adopted
Chinese names of biological products in the Chinese Pharmacopoeia serve as official names. An English
name shall be given accordingly referring to the WHO requirements or the international practice.
International Nonproprietary Names (INN) adopted for pharmaceuticals can also be used.

2. This edition is composed of three parts: general requirements, monographs and appendices. The
products admitted in the monographs of this edition range from vaccines (including viral and bacterial
vaccines, and combined vaccines), antitoxins and antisera, blood products, recombinant DNA
products, diagnostic reagents for in vivo test to other biologics.
The requirements in each monograph -are stated with respect to the following items: Titles in Chinese
and English and Chinese phonetic alphabet; descriptive definition; basic requirements; manufacturing;
control tests on bulk, final bulk and final product; storage, shipping and validity period. Package
inserts of the products for prophylaxis are also included in monographs.

XXXII
Manufacturing

3. Facilities and production management


The Chinese Good Manufacturing Practice for Pharmaceutical Product shall apply.

( 1) For Bacillus anthracis , Clostridium botulinum and Clostridium tetani , strictly dedicated
facilities shall be utilized for each individual product.
(2) Dedicated facilities and equipment shall be used for the manufacture of medicinal products derived
from human blood or plasma. No products derived from animal proteins shall be handled in the facilities.
(3) BCG vaccine shall be produced in a dedicated facility. The production facilities for BCG and
tuberculin shall be strictly separated and the equipment shall be the dedicated.

4. Bacterial and viral seeds/ strains and cells derived from human or animal, or strains and cells
constructed by recombinant DNA techniques used directly in production and quality control shall be
subject to the approval of the NRA.

5. Source and subsidiary materials


The quality of subsidiary materials and the source materials used in production shall comply with the
specifications set forth in Volume II of the Chinese Pharmacopoeia. For those materials not compiled
in the Pharmacopoeia, the criteria meeting the standards for medicinal use shall be established. The
subsidiary materials used shall be subject to the approval by the NRA.
The culture medium used in production shall be free from any substances that may cause adverse
reactions in humans.

6. Water and apparatus for production


The source water for production shall meet the national standards of potable water, purified water and
water for injection shall meet the standards of the current Chinese Pharmacopoeia. The preparation,
storage, distribution and usage of the water for production shall comply with the requirements set
forth in the Chinese GMP for Pharmaceutical Products.
The apparatus made of metal or glass or other materials used directly in production shall be washed and
cleaned thoroughly and sterilized.

7. Unless otherwise stated, penicillin or ~-lactam antibiotics must not be used at· any stage m the
production process. Non-asbestos filters shall be used for filtration.

8. Animals used in production and control tests

(1) Cell cultures used for the preparation of live vaccines for injection shall come from the animals
which shall satisfy the standards for clean or SPF animals. Cell cultures used for the preparation of oral
and inactivated vaccines shall come from healthy animals drawn from a uniform stock, and shall be
tested for the specific viruses associated with the animals used. In-breed mice shall be used.
(2) Serum of bovine origin used for cell cultures must come from herds certified to be free of bovine
spongiform encephalopathy and the quality of the serum shall comply with the related requirements of
the Pharmacopoeia.
(3) Trypsin used for preparing cell cultures shall be shown free from contamination of adventitious or
endogenous agents.
(4) The flocks from which the chick embryos or embryo cells are provided for production shall be
XXXIII
specific pathogen-free animals, unless otherwise stated.
( 5) Horses used for production shall comply with the Requirements for Quarantine and Immunization
of Horses Used for Preparation of Immune Sera.
( 6) Animals used for quality control shall, unless otherwise stated, satisfy the standards for clean or
SPF animals. Chemical and physical methods or cytological methods shall be used as much as possible
instead of animal method for testing of biological products so as to reduce the use of animals in tests.

9. Quality control shall consist of safety and efficacy, and shall be of controllability. The substances to
be tested as stated in monograph refer to those need to be controlled, during production and storage as
required. When a change of production process is made, testing items and standards shall be modified
accordingly.

10. Testing method shall be available for individual quality standard of product. The testing method shall
be feasible and reproducible with a definite result for evaluation. For a newly established method,
result verification shall be demonstrated by at least three independent laboratories. The precision of
the testing result shall be expressed by the same number of places of significant digits as that of the
value given in the technical requirements.

Precision and accuracy

11. The accuracy for sampling quantity of test material and the precision for testing

( 1) Weight and measure of substances being examined and reagents being used are expressed in
Arabic figures. The required precision or accuracy is expressed by the significant decimals. For
example, the measurement of "O. 1 g" by weight refers to that 0. 06-0. 14 g of the substance may be
weighed, for "O. 2 g', 1. 5-2. 5 g of the substance may be weighed, for "2. 0 g" and "2. 00 g", 1. 95-
2. 05 g and 1. 995-2. 005 g of substances may be weighed, respectively.
Weigh accurately indicates that the measurement shall be made to an accuracy of 0. 1 % ; weigh
indicates an accuracy shall be made to 1 % ; measure accurately indicates that the accuracy of the
volume being measured complies with the national standard of pipette being used for the measurement
of the required volume. Measure indicates that the measuring cylinder or other measuring apparatus
being used complies with the requirements for the measurement of volume to the significant value or
decimal. The word about states that the measuring quantity should not exceed +10 % of the specified
quantity.
(2) Constant weight, unless otherwise stated, used in relation to the process of drying or the
process of ignition means that two consecutive weighings do not differ by more than 0. 3 mg. The
second and the subsequent weighings shall be made after an additional hour of drying each time under
specified conditions, the second weighing of the substance being made after an additional 30 minutes
of ignition.
(3) Blank test refers to a test carried out in the similar manner without the substance being examined
or using the same amount of solvent instead of the solution being tested. The statement of to make
any necessary correction of the result with a blank test refers to that the result is calculated by
subtracting number of milliliters of titrant used in blank test from that consumed in assay of the
substance being examined.
( 4) Diagnostic reagents used in the control tests shall be approved by the NRA, unless otherwise stated.
(5) Water used in tests and assays, unless otherwise stated, refers to purified water. Water used
for measurement of acidity or alkalinity refers to that of freshly boiled and cooled to room
temperature.
XXXlV
(6) Temperature for a test refers to a room temperature whenever the temperature is not stated. In
case that the temperature variation influences significantly to the testing result, it shall be tested at a
temperature of 25°C+2°C, unless otherwise stated.

Testing methods and limitation

12. The assays and tests described in this Pharmacopoeia are the official methods with which the products
should be tested. If other methods are to be used, comparison study on the alternative and stated
methods shall be performed to demonstrate that the method to be adopted will give a result of equivalent
accuracy. In the event of doubt or dispute, the methods of this Pharmacopoeia are alone authoritative.

13. Where limits and various degrees of purity a~ well as the amount of weight or filling and their
permissible deviations stated in the standards are expressed numerically herein, the upper and lower
limits themselves and all intermediate values should be included. The limits expressed in monograph
definitions and tests, regardless of whether the values are expressed as percentages or as absolute
numbers, are considered significant to the last digit shown.
Analytical results observed in the experiment should be compared with the stated limits to determine
whether there is conformance with the test requirements. The observed or calculated values usually
contain one more significant figures than there are in the stated limit, and an observed or calculated
result should be rounded off to the number of places that is in agreement with the limit expression by
the rule of rounding off.
The rule of rounding off:
When rounding off is required for the analytic results obtained in testing or calculation, the standards
for rounding off described in the * GB30101-93 shall apply, which can be summarized as follows.

Example
Rule of rounding off Rounded result ( if one digit m the decimal
U nrounded value
place is retained)

The last figure is unchanged when


the part rejected is smaller than 5 14.2432 14.2
(less than a half-unit).

The last figure is increased by one


when the part rejected is greater 26.4643 26.5
than 5 (exceeds one half-unit).

If there is a figure following 5,


the preceding digit is increased by 11. 0512 11. 1
one.

In case that it is a zero following


5, if it is an odd number before 5, 1. 3500 1. 4
the preceding digit is increased
-,
by 1. 4500 1. 4
one; if it is an even number before 1. 0500 1. 0 (zero is considered as an even number. )
5, the precedingdigit is unchanged
No matter how many digits should
1. 54546 1. 5 (not 1.5455-..1. 546-..1.55~1.6)
be rejected, it shall be done once.
* GB 30101-93: China National Standard 30101-93

mv
Standards, references and reference substances

14. National biological standards and references serve as the standard substances used for determination of
potency, activity or content of biological products or used for identification of and characterization of
biologics. The preparation and calibration shall comply with the Requirements for Preparation and
Calibration of National Standard Substances for Biologics of the General Requirements of this
Pharmacopoeia, and the standard substances shall be distributed by the institutions designated by the
NRA. In-house standards or references shall be calibrated against the national standard substances
before use.
Reference substances refer to the specific reference substances used for biological assays of biological
products, while chemical reference substances (CRS) refer to the specific reference substances used
for chemical testing. Reference substances shall be checked and verified by the NCL. Unless
otherwise stated, reference substances shall be calculated as that of dried materials ( or anhydrous
materials) before use.

Units of measurement

15. Measuring instruments used in tests or assays shall comply with the relevant requirements
promulgated by the National Bureau of Technical Supervision.

16. Units of measurement adopted in the Pharmacopoeia

Cl) The official names and symbols of units of measurement are listed as follows.
Length: m ( meter ) , dm ( decimeter ) , cm ( centimeter ) , mm ( millimeter ) , µm
(micrometer) , nm (nanometer) ;
Volume: L (Ii ter) , ml (milliliter) , µl ( microliter) ;
Mass weight: kg (kilogram), g (gram), mg (milligram), µg (microgram),
ng (nanogram), pg (picogram);
Pressure: MPa (megapascal), kPa (kilopascal) , Pa (pascal),
(2) In this edition of Pharmacopoeia, the strengths or concentrations of the volumetric solutions and
test solutions are expressed in terms of mol/L or mmol/L, and in term of "XXX solution (YYY mol/L)"
for accurate standardization. They are expressed in term of "YYY mol/L XXX solution" for other
purposes without· specific accuracy of their concentration.
(3) Temperature is expressed in °C (degree Celsius).
The temperature of water bath is 98-100°C, unless otherwise stated;
Hot water refers to that at a temperature of 70-80°C;
Slightly warm or warm water refers to that at a temperature of 40-50°C;
Room temperature is at a temperature of 10-30°C;
Cold water refers to that at a temperature of 2-10°C;
Ice bath refers to that the bath temperature is about 0°C;
Allow to cool refers to that the object is cooled to room temperature.
( 4) The symbol "%" is used in the expression of percentage, usually by weight, but the percentage
of solutions, unless otherwise stated, refers to the number of grams of solute in 100 ml of the
solution. The percentage of ethanol refers to the percentage by volume at a temperature of 20°C. The
following symbols may be used when needed:
% (g/ g) expresses the number of grams of solute in 100 g of product/ solution.
% (ml/ml) expresses the number of milliliters of solute in 100 ml of product/ solution.
% (ml/ g) expresses the number of milliliters of solute in 100 g of product/ solution.
% (g/rnl) expresses the number of grams of solute in lOOml of product/ solution.
(5) The Drop of a liquid refers to the conversion that 1. 0 ml of water is equivalent to 20 drops at the
temperature of 20°C.
(6) The expression" 0-10)" following the solution refers to a solution of 10 ml produced by adding
a sufficient quantity of solvent to dissolve 1. 0 g or 1. 0 ml of a solute. It is understood to be an
aqueous solution if the solvent is not specified. In case of two or more solvents are used as a mixture,
a hyphen is inserted between different solvents indicated by names, and the symbol ":" between
numerals in parenthesis expresses the proportion of each solvent by volume ( weight) in the mixture.
(7) Ethanol refers to that of 95% (ml/ml) in strength, unless otherwise stated.
'
17. The atomic weights adopted for calculating the molecular weights and the conversion factors are the
values recommended by the International Table of Relative Atomic Weights.

Packaging, labeling, directions for use, storage and transportation

18. Immediate packaging materials and containers, including stoppers, shall meet the relavent standards
promulgated by the NRA. They shall be not toxic or harmful, and shall be clean and sterile, and not
interact physically or chemically with the products mor shall they affect the quality of the products. The
tightness of sealing of immediate containers for injection shall be validated with an appropriate method.

19. Labels and directions for use of biological products shall comply with the related regulations described
in the General Requirements for Packaging of Biologics in this Pharmacopoeia.

20. Unless otherwise stated, biological products shall be stored at 2-8°C and protected from light.
Shipping by cold-chain in a fastest way shall be adopted so as to reduce the time for transportation.
Freezing shall be avoided for liquid products during shipping in winter.

21. Of each batch of products qualified in control tests, samples shall be retained in duplicate for further
control tests whenever necessary, unless otherwise stated.

22. For clinical use- the diluent used to reconstitute the freeze-dried products shall be approved by the
NRA.

Abbreviations

ATCC American Type Culture Collection


ALT Alanine aminotransferase
BSA Bovine serum albumin
CCID50 Median ( or 50 % ) infective dose of cell culture
CCU Colour change unit
CFU Colony forming unit
CFT Complement fixation test
CH5o Median ( 50 % ) hemolytic unit of complement
CPE Cytopathic effect
CMCC China Medical Culture Collection
CRS Chemical reference substance
DNA Deoxyribonucleic acid
EDso Median ( 50 % ) effective dose
ELISA Enzyme linked immunosorbent assay
EU Endo toxin unit
GMP Good Manufacturing Practice
GLP Good Laboratory Practice
HA Hemaggl utination
HI Hemagglutination inhibition
HAV Hepatitis A virus
HBV Hepatitis B virus
HBsAg Hepatitis B surface antigen
HCV Hepatitis C virus
HIV Human immunodeficiency virus
HPLC High performance liquid chromatography
1. c. lntracerebral (ly)
i. d. Intradermal (ly)
nx, Median ( 50 % ) infective dose
IFA Indirect fluorescent assay
lg Immunoglobulin
1. n. Intranasal (Iy)
1. m. Intramuscular ( ly)
IOU International opacity unit
1, p. Intra peritoneal (ly)
1. v. Intravenous ( ly)
IU International unit
kD Kilo Dalton
Ko Distribution coefficient
LAL Limulus amoebocyte lysate
Lf Flocculation unit of toxin or toxoid
Lf/mg N Flocculation units per milligram of total nitrogen
Lf/mg PN Flocculation units per milligram of protein nitrogen
Lf/mg Pr Flocculation units per milligram of protein
LgX Log10X
L+ Limes tod
LDso Median ( or 50 % ) lethal dose
MEM Minimum essential medium
MHU Minimum hemolysis unit
MLD Minimum lethal 'dose
MOI Multiplicity of infection
MVD Maximum valid dilution
NRA National Regulatory Authority
NCL National Control Laboratory
PB Phosphate buffer
PBS Phosphate buffer saline
XXXVIII
PERT Product enhanced reverse transcription
PFU Plaque forming units
PCR Polymerase chain reaction
pH Hydrogen ion exponent
PHA Passive hemagglutination
PKA Prekallikrein activator
RIA Radioimmunoassay
RNA Ribonucleic acid
RPHA Reverse passive hemagglutination
s. c. Subcutaneous (ly)
SDS Sodium dodecyl sulfate
SDS-PAGE SDS-polyacrylamide gel electrophoreses
SPF Specific pathogen-free
u Unit
vs Volumetric solution
WHO World Health Organization

Glossary of Terms for Biological Substances

This document is prepared to harmonize the terms and interpretations in the requirements for biological
products of 2005 edition. The references are made for the preparation of this document such as the WHO
Glossary of Terms for Biological Substances, Chinese GMP and the WHO Biological Requirements.

Adventitious Agents
Contaminating agents, including bacteria, fungi, mycoplasmas , endogenous and exogenous viruses,
present in the inoculum or the substrate and / or materials used in production of biological product.

Antigenicity
Capacity for a substance to react with appropriate antibodies in a suitable in vitro immunological assay,
such as flocculation, immuno gel diffusion, ELISA.

Attenuated Strains
A bacterium or virus, the virulence of which has been suitably reduced or abolished for a given host.

Batch
A part of final lot derived from a final bulk although a certain homogeneity is expected to exist between all
the final containers of the batch, the degree of homogeneity may be less than that of the final lot,
especially since the risks of contamination during filling may differ between final lots.

Biologics (Biologicals)
Biological Products refer to the drugs prepared from biological substances such as microbes, cells, tissues
or fluids from animal or human origin by using conventional methods or biotechnological techniques, for
the purposes of prophylaxis, treatment and diagnosis of human diseases. Biological products include
bacterial vaccines ( including toxoids ) , viral vaccines, antitoxins and antisera , blood products,
cytokines , growth factors, enzyme, in vivo and in vitro diagnostic reagents, as well as other biological
products such as toxins, antigens, allergens, monoclonal antibodies, antigen-antibody complexes,
XXXlX
immunoregulators and probiotics , etc.

Biological References
See the Requirements for Preparation and Calibration of National Standard Substances of Biologics
described in the General Requirements of this edition.

Biological Standards
See the Requirements for Preparation and Calibration of National Standard Substances of Biologics
described in the General Requirements of this edition.

Bivalent Vaccine or Polyvalent Vaccine


A vaccine formulated with two or more different types (or groups) of antigens.

Blood Products
Plasma protein fractions obtained by separation and purification of healthy human plasma or plasma of
healthy individuals immunized with specific vaccine, or made with recombinant DNA techniques. Blood
cell components are also regarded as blood products. Both plasma protein fractions and blood cell
components can be used for treatment and passive immunoprophylaxis.

Bulk
The homogeneous material which is used to prepare final formulation or final bulk. It is obtained from one
or more single harvests, is generally purified and may yield one or more final bulks. If it contains
microorganisms, it is usually referred to as bulk suspension. If the bulk has been concentrated, a dilution
step precedes the final formulation. In the case of some multivalent products ( e. g. trivalent polio) it is
derived from the mixing of monovalent bulk components.

Carrier
A molecule, generally a protein, to which a microbial polysaccharide is chemically linked for the purpose
of eliciting a T cell dependent immune response and thus modifying the humoral immune response to the
polysaccharide.

Cell Bank
A system whereby successive batches of product are manufactured by culture in cells derived from a
primary cell bank (PCB) and a master cell bank (MCB), which have been fully characterized for identity
and absence of adventitious agents. A number of containers from the master cell bank are used to prepare
a working cell bank. In a finite passage system the production is validated for a passage level or number of
population doublings beyond that achieved during routine production.

Cell Line
Any population of cells-other than those of the primary culture-prepared either by the first subculture or
at any stage during the serial subcultures of a primary culture. Such a population of cells is commonly
heterogeneous.

Cell Strains
Cell populations that have a finite capacity to replicate, do not produce tumors when inoculated into
xxxx
experimental animals, have the karyology of the tissue of origin and are anchorage dependent.

Combined Vaccines
A vaccine formulated with two or more different antigen bulks in proportion as an effective immunogen
with multiple immunogenicity.

Continuous Cell Lines


Cell populations that appear to be capable of unlimited in vitro propagation, do not have the karyology of
the tissue of origin and are usually anchorage independent.

Expiry Date
The date after which it is not longer possible to guarantee that the product meets each of the manufacturing
and control requirements especially the requirement for potency.

Final Bulk
The finished homogeneous material prepared from one or more bulks present in a single container from
which the final containers are filled.

Final Product
Biological product which has undergone all stages of manufacture, including packaging and quality control
and has been released for use.

Good ManufacturingPractice
Good manufacturing practice ( GMP) is that part of quality assurance which ensures that products are
consistently produced and controlled to the quality standards appropriate to their intended use and as
required by the NRA. GMP rules are directed primarily to diminishing the risks, inherent in any biological
production that cannot be prevented completely through the testing of final products. Such risks are
essentially of two types: cross-contamination and errors in labeling.

Homogeneity
The condition of being of uniform structure and composition with respect to one or more specified
properties.

lmmunogenicity
Capacity for a product upon administration to elicit an immune response. In the case of vaccines, such
reactions cause the desired appearance of a specific humoral immunity (antibody production by B cells),
or cellular immunity ( various T cell proliferation) or both, and generally result in the protection of
individuals against infectious diseases.

Master Cell Bank (MCB)


A quantity of fully characterized cells of human, animal or other origin appropriately stored, usually
stored frozen at -130°C or below, in aliquots of uniform composition, derived from a primary cell bank
and usually used for the production of a manufacturer's Working Cell Bank ( MWCB). Any containers
once removed from the cell bank shall not be put back, no matter if they have been opened.

XXXXI
Master Seed Lot
A quantity of virus or bacteria derived from, or used to prepare, an original vaccine, the virus or
bacterial suspension has been processed as a single lot to ensure a uniform composition and is fully
characterized. The master seed lot is used for the preparation of working seed lots.

Manufacturing
A complete cycle of production of a pharmaceutical and biological product.

Manufacturer
Holder of a manufacturing authorization.

National Regulatory Authority ( NRA)


The drug regulatory department under the State Council responsible for drug supervision and
administration nationwide.

National Control Laboratory (NCL)


The drug testing institute, directly under the State Council, responsible for drug testing required for
conducting drug review and approval and controlling drug quality in accordance with law.

Original Vaccine
A vaccine prepared according to the manufacturer's specifications and shown in clinical trials to be safe and
. .
. 1mmunogemc.

Packaging Material
Any material used in the packaging of a biological product, including inner and outer packaging materials,
label, marks against falsity and package inserts.

Plasma
The liquid part remaining after the separation of the cellular elements from one unit of blood collected in a
closed receptacle containing an anticoagulant, or separated by continuous filtration or centrifugation of
anticoagulant blood in an apheresis procedure.

Plasmapheresis and Cytapheresis


A kind of technique for collection of the plasma or specific cell components ( s) from the whole blood by a
separating machine with simultaneous returning the uncollected component ( s) into the donor.

Plasmid
An autonomously replicating, circular, extrachromosomal DNA element. It usually carries a number of
genes, some of which may confer resistance to various antibiotics; such resistance is often used to
discriminate between organisms that contain the plasmid and those that do not.

PrimaryCell Bank ( PCB)


A quantity of fully characterized cells of human, animal or other origin usually stored frozen at -130°C or
below in aliquots of uniform composition derived from a single tissue or cell, one or more of which would
be used for the production of a master cell bank. Any containers once removed from the cell bank shall not
XXXXII
be put back, no matter if they have been opened.

PrimarySeed Lot
A quantity of viral or bacterial suspension, which has been identified by its origin, history and biological
characteristics and demonstrated to be safe and of good immunogenicity in clinical study or the viral/
bacterial suspension used for the preparation of original vaccines, can be used to prepare master seed lot.
The suspension shall be processed as one single batch with a uniform composition and fully characterized.

Potency
Expression of the predicted capacity of a product to achieve its intended role; it is based on the
measurement of some attribute of the product and is determined by a suitable quantitative laboratory
method. In general potencies of biological products tested by different laboratories can be compared in a
meaningful way only if they are expressed in relation to an International standard or an appropriate
Reference 'Material.

Raw.Materials (Source Materials)


All the biological materials and chemicals ( excluding subsidiary materials) used during production of
biological products.

Recombinant DNA Products, rDNA Products


Products of rDNA technology are produced by genetic modification in which DNA coding for the required
product is introduced, usually by means of a plasmid or a viral vector, into a suitable microorganism or
cell line, in which that DNA is expressed and translated into protein. The desired product is then
recovered by extraction and purification. The cell or microorganism before harbouring the vector is referred
to as the host cell, and the stable association of the two used in the manufacturing process is referred to as
the host-vector system.

Single Harvest
A quantity of viral or bacterial suspension derived from substrate ( a group of animals, or a group of
embryonated eggs or cell cultures) that was inoculated with the same viral or bacterial strains, incubated
and harvested together from a single production run in successive sessions.

Sub-lot
One homogeneous final bulk is dispensed separately in several intermediate containers each of which is a
sub-lot that shall then be dispensed in final containers. Or one homogeneous final bulk is dispensed directly
in final containers through several filling machines simultaneously, and the sub-lots are defined based on
the number of corresponding filling machines or freeze-drying chambers used.

Subsidiary Materials
All the subsidiary materials used during the formulation of biological products, such as adjuvant ,
stabilizer, excipient and so on.

Validity Period
The maximum period of the time permitted by the NRA for a released product to be available for clinical
use: the expiry date appears on the label of the final container.

xxm
Vector·
A piece of DNA that can direct its own replication within a host cell and to which other DNA molecules can
be attached and thus amplified. Many vectors are bacterial plasmids; in certain instances a vector may be
integrated into the host-cell chromosome following its introduction into the cell and is maintained in this
form during the growth and multiplication of the host organism.

Whole Blood
Blood collected in an anticoagulant solution with or without the addition of nutrients such as glucose or
adenine.

Working Cell bank (WCB)


A quantity of cells of uniform composition derived from the master cell bank at a finite passage level,
dispensed in aliquot into individual containers and appropriately stored, usually frozen at - 130°C or
below, one or more of which can be used for production purposes. All containers are treated identically
and, anyone removed from storage, shall not be returned to the stock.

Working Seed Lot


A quantity of virus or bacteria of uniform compositions derived from the master seed lot by a single passage
by a method approved by the NRA The working seed lot, which is composed of the dispensed suspension
in aliquot, is used for production.

XXXXlV
GENERAL
REQUIREMENTS
Contents of General Requirements

Requirements for Bacterial and Viral Strains/Seeds Used for Production and
Quality Control of Biologics ··· ······ ··· ··· ··· ··· ··· ··· ··· ··· ··· ·· · ··· ········· ········· ········· ········· ··· ··· ··· ······ 4
Requirements for Preparation and Calibration of National Standard Substances of Biologics 5
Requirements for Defining Batches of Biologics · · · · · · · · ·· · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · 7
Requirements for Filling and Lyophilization of Biologics ··· ··· ··· ······ ··· .. ···· 7
Requirements for Packaging of Biologics ················································································· 9
Requirements for Storage and Shipping of Biologics 10
Requirements for Quarantine and Management of Horses Used for Production of Biologics ··············· 11
Requirements for Source Plasma of Blood Products ········· 13
Requirements for Preparation and Control of Animal Cell Substrates Used for
Production of Biologics · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · 17
Requirements for Bacterial and Viral Strains/Seeds Used for Production and Quality Control of Biologics

submit a written report to the director of the


manufacturer and send a copy to the NCL
annually. The quality assurance department of a
manufacturer shall carry out investigation
Requirements for Bacterial and Viral periodically on the storage, testing and the use of
Strains;Seeds Used for Production and strains/ seeds, and if necessary, make spot-
Quality Control of Biologics checks, or conduct inspections along with the
production department.

:U: Registration of bacterial and viral strainsI


I General consideration seeds
1. The bacterial and viral strains/ seeds stated in 1. All the bacterial and viral strains/ seeds shall be
this edition refer to the bacteria, viruses or serially numbered individually by the NCL, and
rickettsiae , etc. which are used directly in the any arbitrary change or forging of the number shall
production and quality control of biologics. The be forbidden. Any seeds or strains without the
bacterial and viral strains/ seeds are classified above serial number shall not be used for the
according to Article 2 of the Provisions for China production or quality control of biologics.
Medical Culture Collection.
2. There must be a strict registration procedure
2. Bacterial and viral seeds/ strains and cells for custody of the strains/ seeds, and a general
derived from human or animal, or strains and cells account as well as ledgers shall be set up. The
constructed by recombinant DNA techniques used bacterial and viral strains/seeds, when received,
directly in production and quality control shall be shall be given a serial number promptly, and· its
subject to the approval of the NRA. The bacterial scientific name, strain name, history, source,
and viral strains/ seeds used in the production and characteristics, lot number, usage, date of
quality control of biologics by manufacturer shall passaging and/ or of lyophilization and the number
be preserved, tested and distributed by the NCL of containers shall be recorded in detail. The
or by the institutions designated by the NRA. passaging, lyophilization and distribution of the
Where any change of strains/ seeds is to be made, strains/ seeds shall be clearly registered in time and
or any newly isolated or collected strains by the traceable, and the respective number of various
manufacturer are to be used by any manufacturer strains/ seeds in stock shall be checked periodically
for the production and quality control of biologics, it during the preservation period.
shall be subject to the approval of the NRA upon
3. Generally, the bacterial and viral strains/ seeds,
the verification of the NCL. Any strains/ seeds,
when received, shall be subject to control tests
which are intended to be used for new biologics,
promptly. The bacterial strains/ seeds preserved in
must go through the evaluation and approval by
the medium shall be tested immediately.
the NRA according to the Provisions for Drug
Registration issued by the NRA. ][ Control tests on bacterial and viral strainsI
3. The production of biologics shall be based on a seeds
seed lot system. The record, history, source and
biologicalcharacteristics of primary seed lot shall be 1. The bacterial and viral strains/ seeds used for
verified The master seed lot shall be prepared by the production shall be tested periodically
passage and propagation of primary seed lot, and according to their respective requirements.
working seed lot shall be prepared by passage and 2. All the results of the control tests of strains/
propagation of master seed lot The biological seeds shall be timely recorded in a form designed
characteristics of the working seed lot shall be in for the quality control of bacterial and viral
conformitywith that of primary seed lot Each lot of strains/ seeds.
master seed and working seed shall be preserved,
tested and used respectively according to the 3. The virulent and attenuated strains/ seeds of the
requirementsdescribed in individualmonographs. same or different genera shall not be manipulated in
the same clean room at the same time. The
4. The laboratories responsible for the preservation bacterial and viral strains/ seeds of Class 1 and
and testing of the strains/ seeds shall comply with Class 2, bacilli.and fungi must be manipulated in a
the requirements for biosafety laboratory described strictly isolated laboratory with appropriate
in the GeneralNorm of Biosafety for Laboratoriesof biosafety level, and in the room for experimental
Microbiology and Medical Biology ( WS 233- animals. The protection approaches for the
2002). operators shall be strengthened. Manipulations of
5. The quality assurance department of a live bacteria and viruses shall follow strictly the
manufacturer is responsible for the centralized Regulations for Handling Live Bacteria and Live
management of the strains/ seeds, and shall Viruses.
Requirements for Preparation and Calibration of National Standard Substances of Biologics

4. Manipulations of the bacterial and viral strains/


seeds of Class 3 and Class 4 shall be carried out in W Request for and distribution of bacterial
a dedicatedlaboratory with appropriate biosafety levels and viral strains/seeds
as stipulated in respective requirements.
1. Request for or shipping strains/ seeds shall be
N Storage of bacterial and viral strains/seeds implemented according to the Provisions for China
Medical Culture Collection.
1. The bacterial and viral strains/ seeds, after 2. When the strains/ seeds used for production and
control testing, shall be preserved with appropriate quality control are distributed, a detailed record of
methods, preferably at a low temperature or by
history and the results from various control tests
lyophilization based on their respective characters. shall be attached.
2. The strains/ seeds, which can not be preserved by
lyophilization, shall be stored in duplicate or in two
different media for periodicand regular transplantation
and passage, respectively. The containers with
bacterial strains/ seeds preserved in medium shall be Requirements for Preparation and
sealed with paraffin or by fusing. Calibration of National Standard
3. The passage and lyophilization of the preserved Substances of Biologics
bacterial and viral strains/ seeds shall be recorded
in a specified form.
4. A label, which bears the serial number, I Definition
number of passages, lot number and storing date
of the strains/ seeds must be stuck firmly on each The standard substances of biologics refer to the
container. biological standards or references used for deter-
mination of potency, activity or content of biological
V Destruction of bacterial and viral products or used for identificationand characterization
strains /seeds of biologics.

The seeds/ strains which are not worth retammg I Classification of national standard
can be destroyed. The destruction of primary seed substances
lot, master seed lot and working seed lot which
are made of microbes of Class 1 and 2 shall be The national standard substances are divided into
subject to the approval by the director of institution two classes.
and the consent of the health administrative 1. National Biological Standards refer to the
authority of the state or the health department of standard substances calibrated with the international
the people's government of a province, autonomous standards or prepared domestically ( if international
region or municipalities under the State Council. standards are not available) which can be used for
The destruction of seeds/ strains of Class 3 and 4 measuring the potency or toxicity of a given
shall be subject to the approval by the director of product. The biological activity is expressed m
institution. The records of any strains/ seeds international units (IU) or in units (U).
destroyed shall be cancelled, and the reason for
2. National Biological References refer to
and the date of destruction as well as the way used
biological diagnostic reagents, biomaterials or
shall be recorded.
specific antisera calibrated with the international
reference reagents or prepared domestically ( if
VI Exchange of bacterial and viral
international reference reagents are not available)
strains /seeds which can be used for the qualitative identification
of microorganisms ( or its derivatives) or for
1. The bacterial and viral strains/ seeds shall be
disease diagnosis. Biological references also refer
preferably lyophilized and sealed under vacuum
to the reference materials used for the quantitative
before release. If impossible, the viral strains/
determination of biological potency of certain
seeds in the form of tissue or cell suspension, and
biological products, such as reference materials
the bacterial strains/ seeds preserved in medium in
for titration of virus content of live measles
a tightly sealed container can be released. The
vaccine, or of flocculation units of toxoid , by
outer package shall be unbreakable.
which the potency can be expressed in units ( U)
2. All the bacterial and viral strains/ seeds exchanged of specific activity rather than in international
between manufacturers and other institutions, units.
which are used directly for the production and
quality control of biologics, shall be subject to the
consent of the NCL upon examination.
Requirements for Preparation and Calibration of National Standard Substances of Biologics

The accelerated destruction test shall be carried


][ Preparation and calibration of standard out to study the stability. The substances with
substances different properties concerned shall be placed at
different temperatures ( 4°C, 25°C, 37°C and -20°C)
1. The laboratories and clean rooms for preparing to test the activity at different period of storage.
standard substances. shall comply with the The activity of established standard substances
requirements of the Chinese Good Manufacturing shall be compared with that of the international
Practice for Pharmaceutical Products ( GMP) or standard substances periodically to find out if the
the Chinese Good Laboratory Practice ( GLP). activity decreases.
2. The NCL is responsible for preparing and 4. Preparation and calibration of the substitute lot
calibrating the standard substances, and applying of standard substances
to WHO for the international standards and ( 1 ) The NCL is responsible for the preparation and
international references, which shall be kept, calibration.
used and distributed by the NCL. ( 2) The biological and biochemical properties of
the source materials for preparing the substitute
3. Research and development of new standard lot of standard substance. shall be identical as much
substances as possible to those of the substituted lot.
(1) Selection of source materials
The nature of the source materials of biological
standard substances shall be identical to that of the
N Approval of the standard substances
sample to be tested. The source materials shall 1. The collaboratively calibrated results of a
not contain any interfering matters. They shall be newly established standard substance shall be
sufficient in quantity and of adequate stability and reviewed by the NCL and, if accepted, submitted
high specificity. to the NRA for approval and issuing the certificate·
( 2 ) Formulation, filling, lyophilization and sealing of the standard substances.
of containers
The formulation and dilution of the standard 2. The substitute lot of standard substance shall
substances shall be performed as required. The be reviewed and accepted by the NCL.
stabilizers or other materials, which need to be 3. The newly established standard substance shall
added, shall be of no influence on the activity and be released for use only after the certificate is
stability of the standard substances as well as on issued.
the assaying process, and shall not volatilize
during lyophilization. V Labels and package inserts
The substances qualified in control tests shall be
dispensed accurately with a precision of + 1 %. 1. Labels and package inserts shall be issued for
The substances that need to be dried for the qualified standard substances by the quality
preservation shall be sealed immediately after assurance department of the NCL.
lyophilization. The residual moisture in the freeze-
2. The name, lot number and the stated amount
dried substances shall be not more than 3%.
It is necessary to ensure the consistency of potency ( the quantity of solid substance containing 1 IU,
IU per mg, or IU per container) shall be indicated
and stability in each container during the course of
on the label.
filling, lyophilization and sealing.
(3) Calibration 3. Package inserts shall be attached to the
(DCollaborative calibration standard substances and reference materials, and
The development and calibration of the standard the following items shall be indicated in the package
substances to be established shall be conducted inserts: The name in Chinese and English, component
collaboratively in three experienced laboratories at and properties, filling quantity and the stated
least. The same protocols, methods and record amount, lot number, storage conditions, usage,
forms shall be · adopted unanimously by the expiry date, and distributor, etc.
participants, and the analysis of the calibrated
results shall be performed statistically ( the VI Request for and storage of standard
calibrated result necessitates five independent valid substances
results at least).
(Z)Confinnationof activity ( potency unit or toxicity 1. The request for the standard substances should
unit) be made directly to the NCL. The national
The activity is expressed usually by the mean value standard substances are provided to the manufacturers
of the calibrated results obtained by participating for calibrating working standards or for quality
laboratories. All the data shall be collected and control.
analyzed statistically by the NCL and submitted to 2. The standard substances shall be stored at a
the NRA for approval. suitable temperature and humidity that shall be
( 4) Study on stability checked periodically and recorded.
Requirements for Filling and Lyophilization of Biologics

3. The person specially assigned shall be responsible sub-lot numbers shall be defined accordingly.
for keeping and releasing the standard substances. ( 5) Another sub-lot number shall be defined to
the product when any part of the filling set is
changed during filling process.
5. The used apparatus for filling a given batch
Requirements for Defining Batches shall not be used for another batch before being
washed and sterilized.
of Biologics
6. The batch number of the same product must
not be repeated; and the same batch number shall
The batch number serves as a marker for defining not be used for the same product with different
and identification of batches of biological products. specifications.
In order to avoid confusionor error, all final products
shall be serially numbered in batch according to the
Requirements, unless otherwise stated.
1. The batch number of biologicsshall be compiledby Requirements for Filling and
the production department and approved by the Lyophilization of Biologics
quality assurance department.
2. The principle for coding batch number is: Year+
Month+serial number. The 'Year' shall be four- The Requirements are applied to all the injections
figure number of the Gregorian calendar year, of biologics which make up a majority in the forms
two-figure number for the 'Month'. Two or three of biological products. The filling requirements
digits can be used as the serial number according to and the actual filling quantity of other forms,
the number of product lots produced by the such as capsules, tablets, powder, eye drops,
manufacturer. Prior to the serial number a suppositories or those not mentioned in the
Chinese character or an English letter can be added requirements shall comply with the relevant
to indicate some specified implications. requirements in the General Requirements for
Preparations in the Appendix I of this Pharma-
3. The constituents of a given batch of biologics copoeia.
must be completely ·identical, i. e. the origin and
the quality of the biologics in any container of the I Acceptance by quality assurance department
same batch must be identical to that in any one
among the rest containers. Therefore, the The final bulk to be filled and/ or lyophilized shall
assessment of a whole batch of biologics can be be subject to the examination or testing. by the
made by sampling and checking part of the quality assurance department. To those qualified
containers ( except for single-donor and small-pool in control tests a Notice for Filling shall be issued
blood products). before filling or lyophilization after filling, unless
4. Defining batch number otherwise stated specially.
(1) Before filling, the final bulk made at the last
step of bulk mixing, formulation, and dilution or ll Containers and apparatus for filling
filtration after dilution of the product shall be and lyophilization
serially numbered. If a given batch has to be
divided into several big bottles, a sub-lot number 1. The quality of source materials of final containers
suffixed to the given batch number, shall be given for filling and lyophilization shall comply with the
to each of bottles. The same product 'diluted, relavent national standards of packaging materials
mixed, adsorbed and/ or filtrated not at the same and containers for medicaments. The glassware
time shall not be defined as the same batch. shall be sterilized by autoclave at 121°C for 1 hour,
(2) If the mixed or diluted product is filtered with or by dry heat at 180°C for 2 hours at least, or by
more than two filters, the batch number (or sub- other means with the same effectiveness. During
lot number) shall be defined by different filters. sterilization there shall be no glass flakes falling off
If the same product is filtered at different times, or alkaline substances separated out.
different batch numbers ( or sub-lot numbers) 2. The filling apparatus and containers contacting
shall be defined accordingly. directly with different products shall be washed
(3) The product diluted in a tank shall be defined separately. The filling apparatus as well as
as one batch for filling with several filling containers shall be used dedicatedly for sera ,
machines. And the sub-lot numbers shall be blood products, BCG or tuberculin, etc.
defined respectively according to the different
filling machines used. ][ Workshops for filling and lyophilization
( 4) For the same batch of product lyophilized with
different freeze-dryers or at different times, the 1. The workshops for filling and lyophilization
Requirements for Filling and Lyophilization of Biologics

shall comply with the requirements described in the 3. The filled containers, if ampoules used, shall
Chinese GMP for Pharmaceutical Products. be sealed by fusing immediately after filling; if
2. The inactivated. vaccines, recombinant vaccines, glass or plastic vials are used, the container shall
be stoppered and then sealed with sterilized
toxoids, and cellular extracts, when their inactivation
aluminum cap immediately. The sealed containers
or purification. is completed, can be dispensed or
shall be subject to inspection of leakage by reduced
lyophilizedin the same workshop of filling or the same
pressure or by other methods, unless otherwise
facilities for filling· and lyophilization, but not at the
stated.
same time as they are done for other products without
living organism, provided that thorough cleaning and 4. During filling process, the ambient temperature
sterilization are conducted upon the completion of for live vaccines and other temperature-sensitive
filling of each kind of product, and the validation of products shall be below 25°C, or effective measures
cleaning effectivenessshall be carried out periodically. shall be taken to lower the temperature for the
filled products, unless otherwise stated. The
N Personnel filled products shall be transferred to the cold room
of 2-8°C as quick as possible (for those specified,
Physical examination shall be carried out at least the requirements in the relevant monograph shall
once a year for the personnel taking part directly in apply).
filling and lyophilization work. Those with active 5. The product containing adsorbent or other
tuberculosis, infection of viral hepatitis or other suspensions shall be maintained homogeneously
infectious diseases, which· could contaminate the during filling process.
product potentially, shall be forbidden to go in for
6. The final containers and stoppers used in filling
filling and lyophilization work. shall have no adverse influence on the potency,
clarity and pH value of the said product.
V Requirements for the product to be filled
7. Filling quantity
1. The time elapsed from the last sterility test of The actual filling quantity in the container shall be
the product to be filled shall not exceed 6 months. more than the stated value. It is necessary to
If it has elapsed over 6 months, the sterility test supplement the filling amount of lOb ml with 4. 0
shall be repeated. ml, of 50 ml with 1. 0 ml, of 20 ml with 0. 60 ml,
of 10 ml with 0. 50 ml, of 5 ml with 0. 30 ml, of 2
2. The labels of the products to be dispensed must ml with 0. 15 ml, of 1. 0 ml with 0. 10 ml and of
be intact and distinctive. The product name and 0. 5 ml with 0. 10 ml. It shall be guaranteed that
batch number must accord completely with those in the aspirated amount withdrawn from each
the Notice for Filling. The mouth of container container shall be not less than the stated value.
shall be wrapped tightly. The stopper shall be For antitoxin, in addition to the above mentioned
intact and no cracks shall be found on the supplements, 10% or 20 % shall be supplemented
container. The appearance of the product shall in terms of units.
meet the requirements for the said product in The actual quantity of product in prefilled syringe
monograph. shall be not lower than the stated value.
3. Meticulous measures should be taken to avoid
contamination during storage and transfer of the W Requirements for lyophilization
products to be dispensed.
1. The lyophilization process and the lyophilization
vI Requirements for filling curve adapted to the characteristics of the product
shall be selected, and the freeze-dryer should be
1. Prior to filling it is necessary to check everything equipped with an automatic scanning device for
concerned in order to avoid wrong or confused recording. It is required that strictly aseptic
batches. Different products with the same colour or operation be conducted during the whole process of
the same filling specifications, or live vaccines and lyophilization of any product.
other products shall not be filled simultaneously 2. The appropriate excipient shall be selected
in the same room. · according the property of different products. The
2. Aseptic manipulations shall be practiced strictly excipients to be used shall comply with the
throughout the whole filling process. The product requirements of the current Chinese Pharmacopoeia
shall be dispensed directly as far as possible from or relevant national standards. The kind and the
the original container, unless otherwise stated. amount of excipient to be used in the product shall
The filling of the product from one container be innocuous, and shall have no adverse influence
should be completed preferably within the same on the safety and efficacy of the product or shall
day, if not, it shall be completed on the next day. not interfere with the stated testing methods.
The filling apparatus shall not be used consecutively 3. Containers sealed under vacuum shall be
for different sub-lots of the same product. subject to the test of vacuum, and those nitrogen-
Requirements for Packaging of Biologics

filled shall be adequately filled with nitrogen. The indicating evidently the name and batch number of
purity of nitrogen shall be not less than 99. 99 %. the product being packed.

"\I Cards and records for filling ll Visual inspection


and lyophilization
1. The sealed containers shall be subject to
The filling and lyophilization cards shall be filled in inspection of leakage by reduced pressure or other
for each batch of filled product with the product methods. The containers shall not be sunk in a
name, batch number, sub-lot number, specifi- liquid while reduced pressure method is used.
cations, filling date, etc. At the same time the 2. The products shall be subject to the visual
filling and lyophilization records shall also be kept, inspection before packaging according to the
including the signatures of staff responsible for respective requirements described in the mono-
filling, sealing, stoppering and capping as well as graph. The requirements and standards for the
the signatures of those responsible for checking. inspection of products are as follows.
(1) Fluorescence lamp (of 1000-3000 LX) is used
lX Sampling for sterility test for the inspection of containers, and the adjustment
of background and intensity of illumination should
Each batch or each sub-lot of filled and freeze-dried depend on the character of the product.
product shall be subject to sterility test (Appendix (2) The workers responsible for the inspection of .
XII A). Samples shall be taken randomly at the containers shall be subject to vision test once half a
early, middle and late stages during filling year and the visual acuity shall be equal to or above
process, or from separate compartments of the 4. 9 and the corrected visual acuity shall be equal to
same freeze-dryer for sterility test which will be or above 5. 0, and they shall be of no colour
performed by the quality control department. blindness.
The test samples of different freeze-dried products (3)Any product with abnormal colour, transparen-
in different compartments of freeze-dryer shall be
cy or concentration, or with foreign matters, clumps
taken separately for sterility and moisture content
not dispersed on shaking, crystals separated out,
tests.
sealing defect, burned black tip of the container
in sealing or cracks in the containers shall be
discarded, for those specified, the requirements in
the relevant monograph shall apply.
Requirements for Packaging of
Biologics ]I[ Label
1. The labels of drugs shall comply with the
requirements set forth in the Drug Law of the
I General Requirements People's Republic of China and the certain regulations
issued by the NRA. The content of label for
1. Packaging of biological products shall be different package shall be in conformity to the
performed according to the related regulations above mentioned regulations.
described in the Provisions for the Management of 2. The description of the drug label shall be
Package Inserts and Labels of Drugs issued by the compiled by the manufacturer based on the drug
NRA. package inserts approved by the NRA The content
2. The facilities for packaging shall comply with shall not include those beyond the approved content
the requirements of the current Chinese GMP for of package inserts, no unrelated wording or pattern
Pharmaceutical Products. Packaging materials shall be added.
shall meet the criteria for drug packaging materials 3. The content and pattern of drug labels on both
and containers set fourth in the officialregulations. inner and outer packages shall comply with the
3. The filled or lyophilized products can be relevant regulations is-sued by the NRA.
packaged only when the Notice for Packaging is
received based on that the products are qualified in N Packaging
control tests and the comprehensive evaluations are
made by the quality assurance department, unless 1. Before packaging, the labels of containers or
otherwise stated. the stamp with expiry date shall be prepared
according to the Notice for Packaging issued by the
4. There shall be segregations in the packaging
quality assurance department. The words printed
site where several packaging lines are running
on the labels must be clear.
simultaneously. The products with similar appearance
shall not be packed on the neighboring lines. 2. To prevent wrong package, it is necessary to
There shall be a label on each packaging line check the batch number of the product against the
Requirements for Storage and Shipping of Biologics

Notice for Packaging. In the process of packaging, characters, indications, specifications, administration
any product with abnormal appearance, or foreign and dosage, adverse reactions, contraindications,
matters, or the containers with leakage shall be precautions, storage, package, validity period,
discarded. standards for implementation, product license
3. The ambient temperature for packaging shall number and manufacturer ( name, address, zip
be at 25°C or below, for those specified, the code, telephone number, fax, web site).
requirements in the relevant monograph shall The content of package inserts shall also include
apply. the drug administration for women during lactation
4. The labels shall be stuck firmly on the containers period or in pregnancy, drug interactions, the drug
not easy to fall off and not to be blurred. The content for pediatric use and for geriatric use, overdosage ,
of label shall not be altered or supplemented by study on pharmacology, , toxicology and pharmaco-
means of sticking or clipping and pasting. The kinetics. The above mentioned contents shall be
printed words, numbers and letters directly on the compiled according to the regulations issued by the
containers shall be clear and discernable. NRA.
5. For different products or the same product with 4. The content of package inserts of diagnostic
different specifications, their package inserts and reagents in vivo shall include the drug name
labels shall be different in colour or in form in ( including adopted Chinese name, English name
order to be discernable. and Chinese phonetic alphabet), constituents
and characters, function and usage, eligible,
6. The content of label of the outer package shall administration and dosage, result evaluation,
be printed directly on the carton. The batch
contraindications' adverse reactions' precautions'
number and expiry date shall be printed directly on
specifications, storage, package, validity period,
the carton with appropriate numbering machine,
product license number and manufacturer (name,
and the printed words shall be clear and not easy to
address, zip code, telephone number, fax, web
be blurred.
site).
7. The clearance of the packaging site on completion
Notice: Specifications refer to the potency ( or
of an operation shall be carried out and the
content and potency) of the active ingredients and
clearance record shall be filled in.
the filling quantity ( or volume of diluent for
8. The packed products shall be stored in a control reconstitution of the freeze-dried product) in each
area before the certificate . for Qualification is container.
issued, and the packed product qualified in control
test shall be removed to the warehouse for final
product and the form for stock is filled in.
9. A package insert shall be attached in each
smallest pack.
Requirements for Storage and Shipping
of Biologics
V Package inserts
1. Package inserts of drugs shall comply with the The Requirements shall be followed for biological
requirements set forth in the Drug Law of the products during production, staging period for
People's Republic of China and the certain testing and for sale, and during distribution so as
regulations issued by the NRA. The package to keep the stability of product quality.
inserts shall be compiled according to the approved 1. Any manufacturer shall, according to the
instructions by the NRA. Chinese GMP for Pharmaceutical Products, have
2. The content of package inserts of the products dedicated refrigerating facilities for storage of
for prophylaxis shall include the drug name harvests, bulks, final bulks and final products of
( including adopted Chinese name, English name biologics.
and Chinese phonetic alphabet) , constituents 2. The harvests, bulks, final bulks and final
and characters, eligible, function and usage, products listed below shall be separately stored.
specifications, administration and dosage, adverse There shall be facilities with segregations in order
reactions, contraindications, precautions, storage, to avoid confusion.
package, validity period, standard for implementa- ( 1) The harvest or bulk that has not been processed
tion, product license number and manufacturer or is being processed shall be stored separately by
(name, , address, zip code, telephone number, fax, the production department.
web site). ( 2) The ready made bulk or final bulk shall also
3. The content of package inserts of the products be stored separately by the production department
for therapeutic use shall include the drug name before control test results are concluded.
( including adopted Chinese name, English name ( 3) The final bulk to be filled, the filled final
and Chinese phonetic alphabet) , constituents and bulk to be tested or those qualified in control tests
Requirements for Quarantine and Management of Horses Used for Production of Biologics

but to be packed shall be stored separately by antisera.


filling and packaging departments. The areas for the quarantine and immunization of
( 4) The packed products qualified in control tests horses and mules shall be separated strictly. The
shall be stored in the warehouse for final products. equipment and apparatus used in different areas
3. The containers with a given harvest, bulk, shall be dedicated. Visitors and personnel not
final bulk or final product shall be labelled indicating involved in or other kinds of animals are not
evidently the product name, batch ( sub-lot) allowed to enter these areas. The veterinarians
number, specifications, . quantity as well as the trained professionally shall be responsible for the
date of storage. quarantine, raising and management, treatment
and autopsy of the animals as well as the technical
4. Persons specially assigned shall be in charge of work concerned.
the stocks of bulks, final bulks and final products.
The storage site card and inventory record shall be
established for each kind of stored bulks, final I Purchase and shipment
bulks and final products. The person in charge
shall fill in record and sign timely upon acceptance 1. Purchase of animals
and release of stocks. (1) The animals, i.e. horses and mules without
any infectious diseases, shall be healthy and good
5. The mouth of the container containing bulk or in nutrition, and at the age of 4-15 years. The
final bulk shall be wrapped tightly or sealed, animals in black, white or pale colour are not
6. Bulks, final bulks or final products shall be stored suitable for the production of prophylactics and
under the specified conditions ( temperature, therapeutics.
humidity and light protection) according to the ( 2 ) Animals shall not be purchased from the
requirements of the said products. Temperature epizootic areas.
and humidity of the stock rooms shall be recorded ( 3 ) The animals shall be tested on spot for
as scheduled. Generally the storage temperature glanders infection with mallein applied to the
shall be 2-8°C, unless otherwise stated. conjunctiva by eyedrops. The tests for equine
infectious anemia and infections caused by
7. Persons specially assigned shall be responsible
Salmonella abortus equi shall be conducted, if
for the management of warehouses for bulks, final
permits.
bulks and final products.
( 4) The animals that have received penicillin or
8. The bulks, final bulks or final products to be human blood products shall not be purchased.
tested must be marked evidently with" RESERVE
for TESTING". 2. The selected animals shall be isolated and
immunized with tetanus toxoid.
9. The bulks, final bulks or final products
unqualified in control tests shall be marked 3. Personnel specially assigned are responsible for
evidently with "UNQAULIFIED" and shall be the shipment of animals. The vehicles for
disposed in time according to the relevant stipulations. shipment shall be disinfected in advance. During
shipment much attention shall be paid to safety.
10. The bulks, final bulks or the final products
qualified in control tests shall be marked evidently
with "QAULIFIED" and shall be dealt with
n Quarantine
according to the relevant stipulations. 1. Quarantine of new animals
11. Shipping of biologics shall follow the principles (1) The new animals entering the quarantine area
below. shall be numbered, branded, quarantined, trained
( 1) The quickest way shall be adopted for shipping so and inoculated with necessary vaccinesfor prophylaxis.
as to shorten shipping period. (2) Animals shall be· quarantined for 90 days.
(2) Shipping shall be under refrigeration. During this period, besides systemic physical
( 3) Freezing shall be prevented during shipping examination, the animals shall be subject to the
biologics in winter season. following tests according to the methods and
standards described in relevant regulations issued
by the Ministry of Agriculture of People's Republic
of China.
CI)Glanders
Requirements for Quarantineand Eyedrop test with mallein shall be carried out. If
Management of Horses Used for· necessary, other tests such as anaphylactic test or
Production of Biologics complement fixation test shall be performed.
@Equine infectious anemia
Complement fixation test or agar gel diffusion test
The Requirements apply to the quarantine, immuni- shall be carried out, and fluorescent antibody test
zation, raismg and management of horses and may be used.
mules used for the preparation of antitoxins and @Brucellosis
Requirements for Quarantine and Management of Horses Used for Production of Biologics

Agglutination test shall be carried out. The primary immunization for horses shall be
@Salmonellosis performed before hyperimmunization. An implementa-
Agglutination test shall be carried out. tion plan shall be drafted according to different
Routine tests and tests for other infectious diseases antigens to be used and to the practical conditions
shall be carried out, . if necessary. . as well as the experiences.
(2) Hyperimmunization
2. The immunized animals shall be tested for
The schedules for effective hyperimmunization and
glanders once or twice a year, for equine infectious
blood collection shall be laid down on the basis of
anemia at least twice a year ( prior and post to. the
the practical conditions of primary immunization
fly and mosquito season respectively). Testing for
and previous immunization protocols.
malignancy and other infectious diseases shall be
( 3) Blood collection
performed, if necessary.
Blood shall be collected from successfully immunized
3. The animals with positive or suspicious results horses and the potency of the serum titer shall be
in any tests shall be disposed promptly with not less than the standards described in relevant
effective measures and shall not be used for monograph. The quantity of blood to be collected
production. shall depend on the health condition and body
weight of the horse. Generally, 14-20 ml per kg
][ Immunization and blood collection body weight can be collected. An appropriate
anticoagulant shall be added into the collected
1. Horses used for immunization blood.
( 1) The horses used for immunization shall comply The horses used for blood collection should not be
with the requirements given in Sections I and II of fed with fine forage at least 6 hours prior to the
the Requirements. co]lection. The horses suffering from serious
( 2 ) Immunization or blood collection shall be jaundice or other serious diseases shall not be used
suspended immediately whenever the horses are for blood collection.
found with infectious diseases or other serious
diseases. N Plasma separation
( 3) The horses which failed to response to one
kind of antigen after immunization may be 1. Plasma separation shall be carried out under
immunized with other kinds of antigens or shall not aseptic conditions; it is preferably to separate the
be used for production. plasma from each horse individually. The plasma
( 4) Horses used for the production of antitoxins shall be sampled for sterility test and determination
and antisera must not be treated with penicillin or of titer. An appropriate preservative shall be
streptomycin. added and the plasma shall be stored at low
temperature in a dark place.
2. Antigen and adjuvant
( 1) The antigens with satisfactory antigenicity 2. Care shall be taken to prevent blood cells
shall be used for immunization such as bacteria, mixing into plasma during blood separation.
viruses and refined toxoids or toxins. If necessary, Plasmas with serious hemolysis or serious jaundice
antigens undetoxified or detoxified incompletely, shall not be pooled.
or polymer of antigens may be used for immuni- 3. The horses which are found suffering from
zation. infectious anemia shall be investigated and traced.
(2) Different kinds of antigens shall be evidently The plasma collected after the last quarantine as
marked for strict distinguishment. well as the final bulks and final products
(3) Antigens shall be stored at 2-8°C in dark contaminated with the plasma shall be discarded.
place; filling and formulation shall be carried out The horses which are found suffering from
aseptically. If contaminating organisms are found, carcinomas or glanders shall be investigated and
the antigens shall be discarded. traced. Plasmas collected within 3 months before
( 4) The containers or syringes which have been finding of these kinds of diseases as well as the
used for the antigens undetoxified or detoxified final bulks and final products contaminated with
incompletely must be sterilized before cleaning. the plasma shall be discarded.
(5) The adjuvant for immunization shall be of
4. The containers, apparatus and solutions which
good quality, safety, with high efficacy, without
contact directly with horse blood and plasma shall
antigenicity, and shall contain no macromolecular
be sterile. Care shall be taken to prevent contamination
components derived from human origin.
by pyrogen or toxic substances.
3. Immunization and blood collection
5. The chemicals added to horse blood or plasma
Operations shall be conducted following strict
shall comply with the relevant specifications,
checking procedures. The horse blood shall be
stipulations described in the current China Pharma-
collected in such a way as to minimize the risk of
copoeia and other relevant national standards.
contamination.
( 1) Primary immunization 6. Potency determination
Requirements for Source Plasma of Blood Products

The titer of horse immune serum or plasma can be handled in a specified laboratory and disposed after
determined with an appropriate method. The autopsy by veterinarian, and if necessary,
results shall be in compliancewith those determined pathological examination shall be conducted.
with the methods stated in the relevant Appendix The blood or plasma shall be discarded if there is
of this edition for respective antitoxins or antisera. evidence of infectious disease or malignant tumor in
autopsy of the animals.
V Management for horses The animal corpses shall be disposed according to
the regulations in the Tentative Requirements for
1. The immunized animals shall be fed with protein Hygienic Examination of Meat Products issued
and vitamins enriched forage. The digestible protein jointly by the Ministry of Agriculture and the
in daily forage for each animal shall be not less Ministry of Health of the People's Republic of
than 720 g ( contained in about 4 kg of fined China.
forage). The animals should take appropriate
physical exercise. The stall, stadium, water
trough, feeding trough and the animals shall
be kept clean. The stall and stadium shall be
disinfected periodically. And the animals shall be Requirements for Source Plasma of
weighed and have the hoofs cut periodically. The Blood Products
workers shall take good care of the animals and pay
attention to their health status.
2. Attention shall be paid to the safety in the area Source plasma for preparing plasma protein pre-
where animals are raised. The forage grass shall parations refers to the plasma collected from
be kept properly and prevented from rottenness, healthy human by means of plasmapheresis.
and fires shall be avoided at the forage stock site.
I Plasma donors
3. The blood can be collected from the animals
that suffer from non-infectious diseases, or the In selecting individuals for plasma donation it is
immunization can be given provided that the important to determine whether the person is
veterinarian consents. suitable to donate blood by means of inquiring his
4. The following principles shall apply to dealing health condition, physical examination and laboratory
with the animals that suffer from infectious findings. Only the experienced or well-trained
diseases. Measures for prevention and treatment physician shall decide the eligible donors based on
in detail shall be taken. the above information. The candidate for donation
(1) The sick animals or the animals with positive shall be informed about the methods and process of
results in any tests found in the early stage shall be collecting plasma, the likelihood of reactions and
disposed promptly. It is necessary to isolate those potential risks during plasma collection. The form
suspected animals for observation, and effective of physical examination can only be given to the
measures for prevention shall be adopted for the candidate provided that he or she has consented
animals with negative results. orally or in written form to donation of plasma,
(2) The management and nutrition for the animals and then the physical examination can be undertaken.
shall be strengthened. Individuals who pass the physical examination and
( 3) The corpses of animals with fulminating laboratory· testing can be accepted as donors of
infectious diseases or with positive results in the plasma.
tests shall be incinerated or buried deeply, and ( I ) Inquiry about health status
their feces and the environment shall be strictly
disinfected. The source of the disease shall be 1. Individuals with the following conditions and
searched so as to refrain from the disease prevalence. history shall be excluded from donation:
A report shall be submitted to the superior. The (1) Weak constitution, frequent dizziness, dim-
event shall be handled according to the regulations sighted, tinnitus, faint during puncture and
issued by the Ministry of Agriculture in cooperation bleeding, or frequent fainting and with a history
with local veterinary institutions. of Meniere's syndrome.
( 2 ) Venereal diseases, leprosy, AIDS or anti-
5. The blood can be totally collected if the horses HIV-1 and/or anti-HIV-2 positive.
show severe reactions after immunization, weak (3) A history of hepatopathy , HBsAg positive,
constitution intolerable for continuing immunizations, anti-HCV antibody positive, or ALT elevation in
and those suffer from incurable, non-infectious two consecutive determinations· ( a recovered patient
diseases, rupture of liver; and those in other with hepatitis A for over one year whose
special conditions. determinations of ALT are normal for three
6.· Autopsy consecutive times at intervals of one month can be
The animals that die in collection of total blood or a candidate for plasma donation).
illness ( infectious diseases excluded) shall be ( 4 ) Recurrent allergic diseases, urticaria, bronchial
Requirements for Source Plasma of Blood Products

asthma, or drug allergy ( the patient with simple of certain infectious diseases or the areas specified
urticaria not at acute stage can be a candidate for by the anti-epidemic sectors; individuals in less
plasma donation). than half a year after recovery from dysentery;
( 5) A history of pulmonary tuberculosis, renal individuals in less than one year. after recovery
tuberculosis, tuberculosis of lymph nodes, or from typhoid fever or brucellosis; or individuals
tuberculosis of bones. with a history of malaria within 3 years.
( 6) A history of cardiovascular diseases, various ( 5) Individuals who have received blood transfusion
heart diseases, hypertension, hypotension, myo- therapy shall be excluded from donation within 2
cardi tis, or thrombophlebitis. years.
( 7) Respiratory system diseases such as chronic 3. Collection of plasma from the donor after immu-
bronchitis, emphysema, bronchiectasis , or· func- nization
tional insufficiency of lung. The plasma from symptom-free donors who have
( 8 ) Gastric ulcer and duodenal ulcer, chronic been immunized recently can be accepted with the
gastroenteritis, acute and chronic nephritis, chronic following exceptions:
urinary system infections, nephrotic syndrome,
Cl) Those receiving live attenuated vaccines such
or chronic pancreatitis.
as measles, mumps, yellow fever, poliomyelitis
( 9 ) Various blood diseases· such as anemia,
or hepatitis A vaccine shall be excluded until 2
leukemia, polycythemia vera or various hemor-
weeks after the last immunization or injection.
rhagic and blood coagulating diseases.
Those receiving live attenuated rubella vaccine and
(10) .,Endocrinopathy or metabolism disorders such
rabies vaccine shall be excluded until 4 weeks after
as hyperthyroidism, acromegaly , or diabetes
the last injection. Those who had been bitten by
insipidus, diabetes mellitus , etc.
rabid animals receiving rabies vaccine for post-
( 11 ) Organic diseases in nervous system or
exposure treatment shall be excluded until one year
psychosis such as CJD, vCJD, encephalitis,
after the last injection.
sequelae of brain trauma, epilepsy, schizophrenia,
(2) Those receiving passive immunization using
hysteria, or severe neurasthenia, etc. animal serum products shall be excluded until 4
(12) Parasitosis or endemic diseases such as kala- weeks after the last injection.
azar , schistosomiasis, filariasis, hookworm disease, ( 3) Donation need not be postponed for the
taeniasis, paragonimiasis, Ke-shan disease, Kaschin- healthy individuals who has produced antibody
Beck disease, etc. after hepatitis B immunizations.
(13) Malignant tumor, or benign tumor affecting
health. ( II ) Physical examination
(14) A history of nephrectomy , splenectorny , 1. Age
pneumonectomy, cholecystectomy or gastrectorny , 18-55 years old.
etc.
2. Body weight
(15) Contacting with harmful substances or
Male: Not less than 50 kg; female: not less than
radioactive substances.
45 kg.
(16) Drug abuse, homosexuality or multiple sexual
partners. 3. Blood pressure
(17) A history of treatment with hormones derived Blood pressure: 12-20 kPa/8-12 kPa (90-140 mmHg/
from animal hypophysis such as growth hormones, 60-90 mmHg) ;
gonadotropic hormones, thyroid-stimulating hor- Pulse pressure: above 4 kPa ( 30 mmHg).
mones; or transplantation of organs including 4. Pulse
cornea, bone marrow or dura mater etc. 60-100 beats/min.
(18) Other diseases considered by the physician.
5. Body temperature
2. Postponement of donation for those with one of Normal.
the following conditions:
6. Thorax
(1) Donors with a history of tooth extraction or Normal heart ( including physiologicalheart murmur) ,
other minor surgery within half a month prior to normal in fluoroscopy of lungs ( calcification of
donation; lung tuberculosis for more than 3 years). Fluoroscopic
(2) Women within 3 days before or after menstrua- examination shall be carried out once a year.
tion, with irregular menses, during pregnancy, in Fluoroscopy for chest is required for new donors.
less than 6 months after abortion, or in less than
one year from parturition or lactation; 7. Abdomen
(3) Individuals in less than one week after recovery Normal, no splenohepatornegaly, no mass and
from common cold or acute gastroenteritis, in less no tenderness.
than one month after recovery from acute urinary 8. Others
system infections, or in less than half a year from Normal development, no jaundice, no infectious
pneurnoruaj skin diseases, no enlargement of superficial lymph
(4) Individuals from endemic and high risk areas nodes, no cervical lymph node enlargement and no
Requirements for Source Plasma of Blood Products

Kaposi sarcoma in limbs. set, the bacterial endotoxin content in the effluent
No serious illness in eyes, ears, nose and oral shall be less than 0. 5 EU/ml determined by the
cavity, no thyroid enlargement and no serious limit test of gel-clot method in Appendix XII E).
deformity in limbs, no redness and swelling and Each lot of sets shall bear a label with the product
functional disorder in joints. license number, lot number, expiry date and
(III) Standards of laboratory findings manufacturer. Before use, the blood bag shall be
checked one by one, and the damaged ones and
1. Hemoglobin those with a leakage shall not be used.
Copper sulfate method shall be used. ( 2) The anticoagulant solution shall be sterilized
Male: not less than 125 g/L; female: not less and free from pyrogen , preservative or antibiotics.
than 115 g/L. A portion of 4% ( g/ml) of sodium citrate
2. Serum protein (C6H5Na307 • 2H20) for injection, pH 7. 2-7. 6,
The serum protein shall be not less than 60 g/L or other suitable anticoagulants can be used. The
determined with Biuret method (Appendix VI B, sets with sterilized anticoagulant shall be sampled
method 3). proportionally for checking the filling quantity of
3. Blood grouping the anticoagulant, and the mean error shall be not
The approved anti-A and anti-B grouping reagents more than 5 % . Inspect the transparency of
shall be used. The blood grouping for ABO shall anticoagulant bag by bag before blood collection,
be determined by testing the red cells with anti-A and those with foreign matters or turbidity shall
and anti-B serum ( forward method) and by not be used. The bacterial endotoxin content sh~ll
testing the serum or plasma with known group A be less than 5. 56 EU/ml determined by the limit
red cells and known group B red cells ( reverse test of gel-clot method in Appendix XII E. Each lot
method). of anticoagulant shall bear a label with product lot
number, license number, validity period and
4. Alanine aminotransferase (ALT) manufacturer.
It shall be not more than 25 units with Reitman-
(3) The quality of sodium chloride injection shall
Frankel method or other approved methods.
accord with the requirements of the current Chinese
5. Hepatitis B surface antigen Pharmacopoeia, and each lot of the solution shall
The result shall be negative detected with the bear a label with product license number, lot
approved diagnostic kit. number and manufacturer. The sodium chloride
6. Serum electrophoresis injection used in plasma collection must be used by
It shall be performed once a year, and the the principle of one bottle of the solution for one
electrophoretic profile shall be normal with the person exclusively at one time.
albumin content of not less than 50%. 3. Plasmapheresis procedure
7. Syphilis ( 1) Donors shall be identified and checked with
The result shall be negative detected with the his or her Certificate for Blood Donation before
approved diagnostic kit. donation.
( 2) Physical examination and laboratory testing
8. Anti-HIV-1/anti-HIV-2 shall be carried out as required, and only the
The result shall be negative detected with the qualified can be accepted for donation .
. approved diagnostic kit. ( 3 ) Plasma shall be collected by plasmapheresis
9. Anti-HCV device.
The result shall be negative detected with the ( 4) The volume of each donation shall be not more
approved diagnostic kit. than 580 ml ( containing anticoagulant, and it
shall not exceed 600 g in terms of conversion from
ll . Plasma collection volume ratio to mass ratio).
(5) The sets (including syringe and the apparatus)
1. Plasmapheresis center used in plasmapheresis for plasma collection shall
The plasmapheresis center shall be established in be disposable, and sterilized and destroyed after
conformity with the requirements of the Minimal use immediately.
Standards for Plasmapheresis Center issued by the 4. Donation frequency and volume limitation
Ministry of Health of the People's Republic of The plasma volume collected from one donor shall
China. be not more than 12000 ml each year and not more
2. Materials for plasma collection than 1200 ml each month, and the interval
(1) All the disposable sets that contact directly between two donations shall be not less than 2
with blood or plasma shall be sterilized and weeks. Each donor should have a card of record
pyrogen-free. Each lot of sets shall be sampled for bearing the dates of all donations, and the
bacterial endotoxin test and the test result shall stipulation for the interval between donations shall
meet the requirements (100 ml of sodium chloride be strictly followed, and it is not allowed to
solution for injection shall be passed through the shorten the interval between donations or collect
Requirements for Source Plasma of Blood Products

plasma frequently. 2. Source plasma shall be well packed with an


intact outer package so as to avoid damage during
5. Tests on plasma
shipping. There shall be a packaging sheet, the
Each bag of plasma shall be subject to the following
laboratory finding sheet and the plasma samples for
tests.
checking in each carton.
( 1) Appearance
It should be light yellow, yellow or light green in 3. During shipping when the temperature rises by
colour; no chyle , no fibrin separating out, no accident, the plasma can be dealt with according to
hemolysis or discernible foreign matters shall be the requirements described in Section ill.
found. The frozen plasma should present an intact
form and firm shape. V Donor immunization for preparing specific
(2) Protein content immunoglobulins
The protein content shall be not less than 55 g/L
determined with Biuret method ( Appendix VI B, 1. Plasma
method 3) or by other approved methods. ( 1) The plasma shall be collected from the donors
(3) Alanine aminotransferase (ALT) immunized with licensed vaccines or immunogens ,
It shall be not more than 25 units detected by such as hepatitis A, hepatitis B, adsorbed tetanus,
Reitman-Frankel method. and rabies vaccines, etc. The titer of the antibody
( 4) Hepatitis B surface antigen against the corresponding immunogens in the
It shall be negative detected with the approved plasma shall reach to the required level.
diagnostic kit. ( 2) The immune plasma from naturally infected
(5) Syphilis donor whose antibody titer has reached to the
It shall be negative detected with the approved required level can be used.
(3) The standards of qualified plasma for antibody
diagnostic kit.
titer of both single-donor plasma and pooled
(6) Anti-HIV-1/anti-HIV-2
plasma shall be laid down, respectively, unless
It shall be negative detected with the approved
otherwise specified.
diagnostic kit.
( 4) The collection and quality of the plasma from
(7) Anti-HCV
the above donors shall accord with the requirements
It shall be negative detected with the approved
described in Section I to Section N.
diagnostic kit.
2. Donors
6. Package and label ( 1 ) The health criteria for donors shall meet the
(1) Package
requirements described in Section I.
Plastic bags for filling blood shall comply with ( 2) The donors shall be informed in advance the
the current national standards described in * GB- details of the likelihood of systemic or local
14232. The bags shall be intact. Plasma in the reactions after immunization. The immunization of
sample tube shall be completely the same as that in donors requires an informed consent in a written
the bag. form or signing up a contract.
(2) The content of label shall be complete and
include donator's name, card number, blood 3. Immunization of donors
group, plasma serial number, date of blood ( 1) The vaccines or other immunogens used for
collection, weight of plasma and the name of donor immunization shall be approved. Every
plasmapheresis center. effort shall be made to use the minimum dose of
immunogenand the least injectionsfor immunization
][ Plasma storage ( 2) Immunization with more than one kind of
immunogens can not be conducted before the safety
The plasma shall be frozen. within 6 hours after of such immunizations is demonstrated.
collection, and stored at or below - 20°C. The (3) The immunization schedule for the donor can
storage period shall not exceed 24 months, unless be different from that for routine immunization.
otherwise specified. However it can not be adopted before the safety of
There shall be temperature records during storage such special schedule is demonstrated and approved
of plasma. If the frozen plasma thaws for not more by the NRA.
than 72 hours due to temperature rising by (4) In order to avoid unforseen accidents, donors
accident, the thawed plasma can still be used for shall be observed for at least 30 minutes following
the fractionation of albumin and immunoglobulins. each immunization to see whether an instant
adverse reaction occurs.
N Plasma shipping ( 5) There must be specified requirements for the
donors who will be immunized with erythrocytes,
1. The liquid plasma shall be shipped at 2-8°C and and the requirements must be approved.
the frozen one shall be shipped at -15 °C or below, * G~14232: National standards of 14232.
and a temperature record shall be available during
shipping.
Requirements for Preparation and Control of Animal Cell Substrates Used for Production of Biologics

shall be described, such as the physical, chemical


or biological procedures used, the added nucleotide
sequences, the cell growth character and the
composition of culture medium. The description of
Requirements for Preparation and any genetic manipulation or method used in cell
Control of Animal Cell Substrates Used selection shall be provided. And the information
for Production of Biologics regarding the identification and characterization of
these cells and the test results for endogenous and
adventitious agents shall be provided.
The Requirement apply to the cell substrates that The composition of the culture medium shall be
are used for the production and control tests of described in detail, especially for the information
biologics covering the cells with a cell banking regarding the materials of human or animal origin
system and primary cell cultures. The cell substrates such as serum, trypsin, protein hydrolysates , or
of this monograph refer to the continuous cell other bioactive materials. The description of above
lines, diploid cells as well as primary cell cultures compositions shall include the source, method for
derived from human or animal sources and used for preparation and quality control, test results, and
the production of biologics. quality assurance.
For the non-recombinant products, the cell sub-
( II ) Establishment of cell banks
strates refer to the cultures of primary cells and the
unmodified cell line/ strain chosen for preparation The establishment of cell bank system makes it
of master .cell bank. For the recombinant products, possible that biological products are produced with
the cell substrates refer to the transfected cells the cells derived from the cell bank system, which
containing the desired sequences, which have been have been well characterized, and proved consistency
cloned from a single cell progenitor, For the in quality and stability in continuous passage.
products from hybridomas , the cell substrates 1. Source materials
refer to the hybridorna cell line which is derived by The donors of all kinds of cells for establishment of
fusion of the cell from a parental myeloma cell line cell bank shall comply with the relevant requirements
with another parental cell.
for quality control of cells in Section l ( ID ) .
Cells from neurological origin shall not be used in
I General requirements for cell substrates the manufacture of biological products.
of cell banks The bovine serum used in the cultivation of cells
shall be purchased from the area without pre-
The cell lines/ strains used for the production and
valence of bovine spongiform encephalopathy. The
control tests of biologics shall be fully characterized
and be approved by the NRA and the following quality of serum shall comply with the related
documents shall be available. requirements in Appendix XIII D.
The human serum shall not be used in the culture
( I ) History of cell line/ strain medium. If human albumin is required, the
1. Source of cell line/ strain licensed product shall be used.
The source of the cells should be stated including The trypsin used in the dispersion of cells shall be
the name of the supplier, the information about proved free from contamination of cultivable
the species, age, sex and health status of the cell bacteria, fungi, mycoplasmas and infectiousviruses
donor. Information obtained directly from the especiallythose viruses, e.g. parvovirusespotentially
source laboratory is preferable. When this is not carried by the animals from which the trypsin was
available, literature references may be utilized. derived.
For human cell line/ strain, the following character- Penicillin or ~-lactam antibiotics shall not be present
istics of the original donor shall be stated: tissue or in the cultures used for the production of biologics.
organ of origin, ethnic and geographical origin, The chemicals used for preparation of any kinds of
age, sex and general 'physiological conditions. solutions shall comply with the requirements in
For animal cell line/ strain, the following character- Volume II of the Chinese Pharmacopoeia or other
istics of the original donor shall be stated: species, relevant national standards.
strains, breeding conditions, tissue or organ of
2. Requirements of practice for cell manipulation
origin, geographical origin, age and sex, the
The manipulation of cells shall comply with the
results of tests for pathogenic agents, and general Chinese GMP for Pharmaceutical Products. The
physiological condition of the original donor. personnel concerned shall take a physicalexamination
2. Cultivation history of cell line/ strain periodically. In the production area, handling of
The cultivation history of cell line/ strain shall be cells or microorganisms that are not used in the
documented. production is prohibited. On the same working
The methods and procedures used for the isolation day, the workers are pro hibi ted to handle or
and cultivation in vitro of the cells as well as the contact with infectious microorganisms or animals
procedures used to establish the cell line/ strain before handling cells.
Requirements for Preparation and Control of Animal Cell Substrates Used for Production of Biologics

3. Generation of cell banks The MCB and WCB shall be stored separately.
The cell bank system should consist of three tiers: Cells not used for production shall be stored
i.e. primary cell bank (PCB), master cell bank separately from those used for production.
(MCB) and working cell bank (WCB). For the (III) Quality control of cell banks
introduced cells, two tiers of MCB and WCB are
generally adopted. For some special cases, a The characterization and testing of the cells in cell
single-tier of WCB may be used and shall be banks mainly include cell identity test, tests for
subject to the approval of the NRA. the presence of exogenous and endogenous agents
and test for tumorigenicity, etc. In some cases,
(1) Primary cell bank (PCB) the karyological examination may be carried out if
A cell population, developed from a primary cell necessary. All the tests above mentioned are
population, that is consistent in subculture, or a applicable to the MCB and the WCB.
homogeneous cell population derived from cloning Generally, the laboratory for generating cell banks
cultivation which is demonstrated, through quality shall perform the overall tests on the MCB at least
control, to be suitable for production and quality once, and the tests include those for identity,
control of biologics can be established as the sterility, bacteria, fungi, mycoplasma, and adven-
primary cell bank. titious viruses, etc.
Under specified conditions, a certain amount of The newly established WCB shall be tested according
the cell suspension of uniform composition is to the related requirements.
dispensed in containers in aliquots, stored in liquid
nitrogen or at -130°C or below. The primary cell 1. Identity test
bank is used to prepare MCB. The identity test shall be carried out on the cells
(2) Master cell bank (MCB). from newly established cell line/ strain, the cell
Master cell bank (MCB) is made of the cells from banks (MCB and WCB) and the cell cultures at
the PCB which are propagated up to an amount of the end of production of biologics to reconfirm that
cells and then pooled homogeneously and dispensed the cells should be the same as the original and not
in. aliquots in containers. The MCB shall be stored contaminated by other kinds of cells. Any one of
in liquid nitrogen or at -130°C or below. These the following methods can be used: cytogenetics
cells must be tested according to the specified tests ( e. g. for chromosomal markers) , test for
quality control requirements, and shall not be genetic markers ( e. g. DNA finger printing, STR
used as the master cell bank until all the control mapping, genomic dinucleotide repeats), immu-
tests are satisfactory. The master cell bank is used nological test ( e. g. human leucocyte antigen
to prepare WCB. and species specific antiserum ) and biochemical
(3) Working cell bank (WCB) determinations (e.g. isozyme analysis). Any one
Working cell bank ( WCB) is made of the cells of above methods can be used with the consent of
from the MCB which are propagated up to an the NCL. The phenotypic combined with genotypic
amount of cells and then pooled homogeneously characterizationsmay be more useful for the identity.
and dispensed in aliquots in containers. These 2. Tests for the presence of bacteria and fungi
containers shall be stored in liquid nitrogen or at The test samples from the pooled supernatants of
-130°C or below. The frozen cells shall be at the cell cultures shall comply with sterility test
passage level which, after recovery, shall be able (Appendix VII A).
to propagate sufficient cells for the production of
3. Test for the presence of mycoplasmas
one lot or one sub-lot of biologics. The passage
level of the cells at this stage after propagation The supernatant fluids of the cell cultures shall
shall be within the approved passage limit level comply with the test for mycoplasmas ( Appendix
used for the production of biologics. The cells of VII B).
the WCB qualified in control tests can only be used 4. Tests for the presence of adventitious and endo-
for the production of biologics, as required for genous viruses
quality control of cells in Section! (III). The tests on the cell line/ strain shall be carried out
4. Management of cell banks for the presence of infectious viruses potentially
The inventory ledger for every cell bank shall be existing in the species from which the cells are
set up including the storage location, the storage derived, and the possibly contaminated extraneous
container's number, quantity of cell vials and its viruses due to accidental operations. The kinds of
utilization. The label, stuck on each vial of every potentially contaminated virus to be tested and the
cell bank, shall bear the cell line/ strain name, choice of tests should depend upon the origin of
number of generations, vial number, the date of cell species, origin of the tissue and the cell
storage, and the storage container's number. characteristics.
The survival rate of frozen cells shall be more than ( 1) Observation on cell culture and haemadsorp-
90 % . The frozen cells shall be recovered once at tion test
least for continuous passage till the cells show The sample from pooled cells is inoculated into at
decrepit. During passage it is required to examine least six flasks or Petri dishes. The medium is
the cell growth status at different passage levels. replaced with maintenance medium when cells are
Requirements for Preparation and Control of Animal Cell Substrates Used for Production of Biologics

confluent. The cells shall remain normal in should be incubated for at least 14 days. On the
morphologicalappearance microscopically during 14 7th day, the supernatants from the two flasks are
day observation. inoculated respectively onto cell cultures of the
Add 0. 2 %-0. 5 % of guinea pig red cells mixed same kind of cells for one blind passage. After
with chicken red cells onto the cell sheet of one 7-day incubation, ·observe the CPE and the
third of cell culture flasks or Petri dishes after at observation of the cell morphological appearance
least 14 day incubation. Put the flasks or Petri and the haemadsorption test shall be performed.
dishes successively at 4-8°C for 30 minutes and If the cells being tested are known to be capable of
then at 20-25°C for 30 minutes to observe haem- supporting the growth of human cytomegalovirus ,
adsorption by microscopy. Both · results shall be the human diploid cell cultures inoculated with the
negative. tested sample shall be observed for at least 28 days
The freshly collected red cells shall be stored at 2- and no CPE shall be found. At the same time the
80C for not more than 7 days and the preservative haemadsorption test shall be carried out and the
solution for red cells shall not contain calcium or result shall be negative.
magnesi um ion. (3) Tests for the presence of viral agents using
( 2) Test for the presence of viral agents using animals and chicken embryos
different cell cultures The cells from MCB or WCB and the cells
The cells derived from the MCB or the WCB are propagated to or beyond the maximum culture age
inoculated onto the following three kinds of cells: in vitro used for the production of biologics shall
simian. cell cultures, human diploid cell cultures, be tested for the presence of adventitious viral
and the cell cultures of the same kind but not the agents with inoculation of animals. The tests in
same batch. At least 107 live cells or disrupted animals and chicken embryos for adventitious
cells and the spent culture fluids shall be agents are listed in Table 1. More than 80 % of the
inoculated onto each kind of cell cultures, not less inoculated animals or chicken embryos shall remain
than two flasks for each. The amount of inoculum healthy and survive the observation period. And
shall account for more than one fourth of that of the evaluation should be finalized with reference to
the maintenance medium. The inoculated cultures other tests.

Table 1 Tests for the adventitious agents with animals and chicken embryos
Route for Cell concentration Dosage Days of
Test in Specification Number (ml) Result
inoculation ( viables/ ml) observation

Within 24 hours More than i. c 0.01


Suckling mice >107 21 Healthy survival
after birth 10(2 nests) i. p 0.1
1. C 0.03
Adult mice 15-20 g 10 >2Xl06 21 Healthy survival
i. p 0.5
.
Hemagglutination
Chicken
9-11 days 10 Allantoic cavity >5Xl06 0.2 3-4 of Allantoic
embryos"
fluid negative

Chicken
5-6 days 10 Yolk sac >2Xlp6 0. 5 5 Survival
embryos

Healthy survival,
Guinea pigs 350-500 g 5 i. p >4Xl05 5.0 42 no tuberculous
lesions in autopsy

s. c. 9.0 No abnormal
Rabbits 1. 5-2. 5 kg 5 >2Xl05 21 findings, healthy
i. d** o. 1 X 10 survival

* Hemagglutination test is performed with mixed red cells of guinea pigs and chicken at the end of the observation period.
** 0. 1 ml is injected to each of 10 spots on the skin of an individual rabbit.

For newly established cell line/ strain, the guinea other endogenous agents or viral nucleic acids
pigs and rabbits shall be inoculated (see Table D. The cells from the MCB or the WCB and the cells
Guinea pigs are mainly used for testing Myco- propagated to or beyond the maximum culture age
bacterium tuberculosis in the cells, and the tuberculin limit in vitro used for the production of biologics
test in guinea pigs shall be performed 4 weeks shall be tested for retroviruses by the following
before inoculation, respectively, and the results methods:
shall be negative. The test in rabbits for the (DReverse transcriptase (RT) assay: The activity of
presence of B virus in the cells of simian origin may reverse transcriptase ( RT) in the supernatant of
be replaced by a test in rabbit kidney-cell cultures. cell cultures shall be tested by a highly sensitive
( 4 ) T ests for the presence of retroviruses and method, such as Product of Enhanced Reverse
Requirements for Preparation and Control of Animal Cell Substrates Used for Production of Biologics

Transcriptase assay (PERT assay) or other sensitive including those having been demonstrated to be
assays. non-tumorigenic within a certain passage level and
@Transmission electron microscopic ( TEM) those to be tumorigenic beyond the certain passage
examination: The cells to be tested are harvested level, the tumorigenicity test must be performed.
by centrifugation at low speed. Discard the Human epithelial cell lines, diploid cell strains and
supernatant, and there shall be 1 X 107 cells in the all cell lines/ strains used for the live virus vaccine
pellet in which the viability of cells shall be less production shall be tested for the tumorigenicity.
than 99%. The cell pellet is fixed with a fixative A newly established cell line/ strain shall be tested
and then stored at 4°C or embedded directly to for tumorigenicity.
make ultrathin sections which are stained on the In some cases, the cells to be used in somatic cell
bronze sieve and examined by transmission electron therapy or gene therapy shall be tested for tumor-
microscopy. igenicity.
®Infectivity assay: The cells susceptible to The cells from the MCB or WCB propagated to or
retroviruses shall be inoculated with the cells to be beyond the culture age limit in vitro for production
tested.· It should be necessary to use the cells shall be tested for tumortigenicity.
which are even more sensitive to the virus possibly One of the following test methods for tumor-
present in tested cells for the infectivity assay igenicity can be used.
according to the species origins of the cells to be <l)Nudemice: The cells to be tested are suspended in
tested. a quantity of serum-free medium to make the final
The above mentioned three methods are different concentration of at least 5 X 107 cells/ml. The cell
in the specificity and sensitivity. So it is recom- suspension of 0. 2 ml is inoculated s. c. or i. m into
mended to use different methods in coordination to each of at least ten nude mice. Hela cells. or Hep-2
test for the presence of retroviruses. cells are used as the positive control and each of at
If the result of reverse transcriptase assay is least ten animals is inoculated with 0. 2 ml of 106
positive, it is recommended to perform the TEM cells by the same route as that for the cells to be
or infectivity assay to reconfirmor deny the presence tested. Human diploid cells may be used as the
of the infectious retroviruses particles. negative control. The negative control group consists
The cell lines derived from murine origin and other of at least ten animals, each of which should be
rodents or their hybridoma cell lines may potentially inoculated with 0. 2 ml of 107 cells.
carry retroviruses. Therefore, it is necessary to @New born mice ( 3-5 days old) : Each of ten
test for the presence of the specific retroviruses in animals weighing 8-10 g is inoculated with 0. 1 ml
human-murine hybridoma cell lines. The murine of anti-thymocyte serum or globulin on days O, 2,
cell line which is used for the production of 7 and 14 after birth Then each animal is inoculated
monoclonal antibody may not be tested for the s. c. with 0. 2 ml of 107 cells as above mentioned.
specificretroviruses, but it is necessary to implement The positive control group is set up, in which at
an additional procedure for removal/inactivation of least ten animals shall be inoculated.
viruses during the production process. Result evaluation
(5) Tests for selected adventitious viruses <l) The animals shall be observed and palpated at
The cells from the MCB or the WCB shall be tested regular intervals for the formation of nodules at the
for selected viruses depending on the species of site of injection. Any nodules formed shall be
animal from which the cell line/ strain is derived measured in two dimensions and the data of the
and the original tissue of the cell line/ strain. measurements shall be recorded.
The species-specific viruses present in murine cell @The test for tumorigenicity is valid provided that
lines may be detected by mouse, rat and hamster at least nine out of ten animals in positive control
antibody production tests. group progressively grow tumors.
Human cell lines should be screened for human ®Animals with progressively growing nodules or
virus pathogens, such as Epstein-Barr virus, suspicious focus shall be observed for 1-2 weeks at
human cytomegalovirus, human retroviruses, least. Animals showing nodules which begin to
hepatitis B and C viruses. Under certain conditions, regress during the period of observation shall be
specific testing for the presence of other transfor- killed before the nodules are no longer palpable,
ming viruses, such as human papillomavirus , and processed for histopathological examination.
adenovirus and herpes simplex virus may be @Among those without nodule formation, half of
indicated. Appropriate techniques in vitro may be the animals shall be observed for 21 days and half
used for the detection of these viruses. for 12 weeks before they are killed and processed
5. Tumorigenicity test for histological examination. A necropsy shall be
If the continuous cell lines have already been performed on each animal including examination
demonstrated to be tumorigenic such as BHK21, for gross evidence of tumour formation in lymph
CHO and Cl27, or if the cells belong to tumorigenic nodes and various organs. If any suspicions,
ones, for example hybridism, it is not necessary histopathological examination shall be performed,
to carry out the tumorigenicity test. and there shall be no metastasis.
However, for some cell lines ( e. g. Vero cells) In addition to in vivo testing, several in vitro test
Requirements for Preparation and Control of Animal Cell Substrates Used for Production of Biologics

systems, e. g. colon formation in soft · agar or and haemadsorption test in Section I C ill ) 4 C 1).
growth in organ culture can be used for tumorigenicity If multiple harvest pools are prepared at different
assay, which is particularly applicable to continuous times, the control of cell cultures shall be tested at
cell lines of non-tumorigenicity in animals at low the time of the collection of each pool.
passage levels.
:n[ Specified requirements for human diploid
( N) Cell cultures for production of biologics
cell strains
The requirements for source materials and cell
manipulation shall comply with the requirements The following documents are required for the
for the establishment of cell banks in Section I CID. establishment of new cell strain: the age and sex
The cells from one or more frozen vials of the WCB of the fetus used for the establishment of cell strain
are taken, and pooled for propagation up to a and the reason for the termination of pregnancy;
passage level for the production of biologics. And the age, occupation and health conditions ( a
the level shall not exceed the maximum passage certificate of good health signed by physician,
limit level of the cells for the production. The free from potential infectious diseases and hereditary
propagated cells of the cell seed taken from the defects) of the fetus' parents. There must be a
WCB must not be restored in the freezer for report of investigation to demonstrate that the
further production. preceding three generations of the parents shall be
evidently free from hereditary defects.
Age counting of cell culture in vitro
For human diploid cell strain, during the early
The 'age for diploid cells is counted in terms of cell
stage of passages, an appropriate generation level
population doublings. Taking the number of cells
of cells ( 2-8 generations) shall be selected to
in a vessel as the base, each doubling shall be one
propagate up to a sufficient amount of cells for the
generation, i.e. one vessel is transferred into two
preparation of cell suspension, which is dispensed
vessels Cl : 2 subculture ratio). The transferred
into containers in aliquots, and stored in liquid
cells that have grown into a confluent sheet in
nitrogen or at - 130°C or below. It can only be
these two vessels shall be regarded as one
defined as the primary cell bank when qualified in
generation; one into four vessels (1 : 4) shall be
overall control tests, and used for preparing the
two generations; and one into eight vessels (1 :
master cell bank.
8) shall be three generations. The age of the cells
for the production of biologics shall be limited to 1. Examination on chromosomes and criteria for
the early two-thirds of the life span. judgment
The passage for continuous cell line is performed A newly established diploid cell strain and its cell
by dilution method, and each transfer is a passage. banks must be examined for chromosomal character-
ization.
ll Specified requirements for continuous cell line If cell banks are established from the identified
human diploid cell lines ( such as Wl-:-38, MRC-5,
Continuous cell lines are generally derived from 2BS, KMBl 7), the chromosomal recharacter-
tumor tissues of human or animal origin, or from ization is not required unless the cells have been
the passage or transformation of normal tissues. genetically modified.
The cells can be cultivated in suspension or on ( 1) Examination on chromosomes
carriers for production on a large scale. These Examination on chromosomes shall be carried out
cells can be propagated indefinitely but the tumori- every 8-12 generations during the course of
genicity can be enhanced after certain passages. establishing new cell strain. There shall be at least
Therefore the continuous cells for the production 4 times of results of chromosome examinations
of biologics shall be tested rigidly. The character- throughout the entire life span of the cell strain
ization of cell banks shall be carried out according during continuous cultivation.
to the requirements for quality control on cells in The number, morphology and structure of the
Section I ( ill ) . The requirements for the cell chromosomes of at least 1000 metaphase cells shall
cultures during the production are as follows: be examined randomly, and the record shall be
kept for rechecking. Photomicrography shall be
1. Cell passage level used for production of biologics
performed for at least 50 metaphase cells and the
The number of cell passages of the continuous
karyotype analysis be made. At the same time,
cell line used for production shall be defined. The
the frequency of polyploidy among 500 metaphase
maximum of cell passage level used for the produc-
cells shall be investigated and recorded.
tion shall be approved.
The chromosome slides are prepared by using the
2. Test for adventitious viruses at the end of cultures of the mixed cells taken from different
production culture flasks of the same generation. The slides
For virus vaccines, the control of cell cultures after examination shall be retained for rechecking.
shall be tested at the end of the production for The techniques of G banding and Q banding can be .
haemadsorbing viruses according to the requirements used to examine the chromosome band types of 50
for observation on cell morphological appearance metaphase cells. Photographs shall be taken to
Requirements for Preparation and Control of Animal Cell Substrates Used for Production of Biologics

make band type analysis. metaphase cells, respectively; the upper limits for
(2) Criteria for judgment qualification are shown in Table 2 ( the limit of
Examine the abnormality rate among 1000 and 500 90 % confidence, Poison method).

Table 2 Upper limits for cells with abnormal chromosomes


Number of cells investigated
Items of abnormality
1000 500 100

Chromosomal monomer and


47 26 8
chromosome breakage

Abnormal structure 17 10 2

Hyperdiploid 8 5 2

Hypodiploid * 180 90 18
Polyploid** 30 17 4

* If the hypodiploid exceeds the upper limit, which may result from the loss of chromosomes caused artificially during slide
preparation, the counting shall be repeated with the specimen of the same batch.
•• The metaphase cell with more than 53 chromosomes is defined as a polyploid.

2. Tests for the presence of bacteria and fungi It shall comply with the test for mycoplasmas
The cell cultures shall be tested for sterility every (Appendix XII B).
8-12 generations (Appendix :XO: A). (5) Tests for the presence of adventitious agents
For virus vaccines, on the same day of inoculating
3. Test for the presence of mycoplasmas
virus or at the last time of inoculating virus to the
The cell cultures shall be tested for mycoplasmas
cell cultures during continuoµs passage of the
every 8-12 generations (Appendix :XO: B).
virus, 2%-5% of the cell cultures uninoculated
4. Tests for selected viruses shall be reserved as the cell control after replacement
During the passage of diploid cell strain the tests of maintenance medium. The control cell cultures
shall be carried out at least at two different passage shall be incubated under the same condition as that
levels for the presence of inclusion bodies, of the virus-inoculated cultures and observed for 2
hepatitis Band C viruses, EB virus and HIV, and weeks. The tests for the presence of adventitious
the electron microscopic examination be carried agents shall be carried out according to the
out, and all the results shall be negative. requirements for observation on cell culture and
haemadsorption test, and the tests for the
5. Tumorigenicity test
presence of viral agents using different cell cultures
The tumorigenicity test shall be carried out once
in Sections I (III) 4 (1) and (2).
every 8-12 generations according to the require-
ments for the tumorigenicity test in Section I
(III). 5. The results shall be negative.
N Specified requirements for the
recombinant cells
6. Tests on the cell cultures during production
of biologics The recombinant cell line is obtained through
( 1) Examination on chromosomes r-DNA technology and contains the desired gene
The usefulness of chromosomal characterization· sequence. Information regarding the methodologies
depends on the nature of the biological products utilized in developing the cell line shall be provided,
and the manufacturing process. In general, products for example, cell fusion, transfection, selection,
that might contain live cells or be insufficiently colony isolation, cloning, gene amplification and
purified in the downstream will require chromo- the adaptation to specific culture conditions or
somal characterization and· evaluation of the cell media. The characterization of the cell bank shall
line ( see the requirements for examination on be carried out according to the requirements for
chromosomes and control standards in Section III quality control of cells in Section I ( III ) . In
1). No recharacterization of the karyology of cell addition, the following tests shall be preformed.
substrates will be required if the established human 1. Cell substrate stability
diploid cells are used in production. The manufacturer shall demonstrate and provide
(2) Identity test the information on the stability of the desired gene
The identity test shall be carried out according to in the cell line used for production, including the
the requirements for the identity test on cells in genetic stability of the recombinant cell line, the
Section I ( III ) 1. expression stability of the desired gene, the
( 3) Tests for the presence of bacteria and fungi consistency in the production of the intended
It shall comply with the tests for sterility (Appendix product and the retention of production capacity
XII A). of the cell line during storage under defined
(4) Tests for the presence of mycoplasmas conditions.
Requirements for Preparation and Control of Animal Cell Substrates Used for Production of Biologics

2. Identity test before taking out the fetus.


The desired gene or the intended protein shall be (II) Tests on primary cell cultures
examined in addition to the test for identity of cells
described in Section I C ill) 1. The animals used for preparing cells shall be
normal in autopsy. The extracted organs that are
3. Tests for adventitious viral agents in the
intended to prepare cells shall be normal,
products of recombinant cells
otherwise it shall not be used.
The cell lysates or unprocessed bulk and culture
medium shall be tested for the adventitious and 1. Tests of source materials for cell cultures and
endogenous viruses according to the requirements operations of cell cultures
for observation on cell culture and haemadsorption The tests of source materials for cell cultures and
test, and the tests for the presence of viral agents operations of cell cultures shall comply with the
using different cell cultures in Sections I ( ID) 4 requirements for selection of source materials and
Cl) and (2). the requirements of practice for cell manipulation
in Sections I ( II ) 1 and 2.
V Requirements for primary cells 2. Tests on cell cultures
( 1) Cell morphology examination
The primary cells shall be derived from the normal Before used in production or inoculated with virus,
tissues of viscera or embryos of healthy animals, the cell cultures shall be examined visually and
including monkey kidney, hamster kidney, gerbil microscopically. There shall be no any suspicions,
kidney, rabbit kidney, dog kidney, chicken abnormalities or cytopathic effects and, if any, it
embryos, quail embryos and other normal tissues. shall not be used for production.
The primary cell cultures are prepared from the (2) Tests on control cells
dispersed cells obtained by the trypsinization of A portion of 5%-10% (or at least 500 ml) of cell
normal tissues. It is unlikely to set up the cell suspension of each batch of cell cultures shall
bank system for the primary cells for which the remain uninoculatedwith virus. The cell concentration
characterization in advance is impossible. Therefore and treatment of the cell suspension shall be the
only the primary cells or those within a few same as that for the production and the cell
passages shall be used for the production of suspension shall be reserved and observed for at
biologics. In view of the difference between least 14 days. The following tests shall be carried
primary cell cultures and continuous cell lines, the out and the results shall be negative.
management and operation measures shall be (DTests for the presence of bacteria and fungi
specified for primary cells to ensure the quality of The tests shall comply with the test for sterility
biologics. (Appendix XII A).
( I ) Source of animal tissues and other materials @Test for the presence of mycoplasmas
The test shall comply with the test for mycoplasmas
1. Source of animal tissues
(Appendix XI[ B).
It shall comply with the relevant requirements in
®Tests for the presence of adventitious viruses
the General Notices.
At the end of the observation period, cells shall be
There shall be distinct requirements for the health
tested for the adventitious viruses according to
status and cleanliness level of various animals.
requirements for observation on cell culture and
2. Monkeys used for . production of biologics and haemadsorption test, and the tests for the
quality control presence of viral agents with different cell cultures
African green monkey and rhesus monkey are in Sections I C ill) 4 Cl) and (2).
mostly used and the latter is mainly used in China. @ Tests for the presence of selected viruses in
The monkeys shall be heal thy and raised in cages primary cell cultures
or in small groups. The quarantine period shall be The primary monkey kidney cell cultures shall be
at least 6 weeks before using the animals to tested for SV40, simian immunodeficiency virus
prepare cells. During the quarantine period, if and B virus emphatically by using Vero cells,
any monkey shows signs of ill health or new primary green monkey kidney cells or rabbit kidney
monkeys get in, the quarantine shall be carried out cells. The primary hamster kidney cell cultures
again. The newly introduced monkeys shall be shall be tested with· BHK21 cell cultures to observe
subject to tuberculin test and the test for the the cell morphology, if any suspicions, one blind
presence of simian herpes virus type 1 CB virus). passage on the same cells for further observation is
Fetal monkey kidney can be used for production required.
and the pregnant monkey must be quarantined
MONOGRAPHS·
Contents of Monographs

Contents of Monographs

I Biologics for Prophylaxis Vaccine, Live 122


Influenza Vaccine (Whole Virion) ,
Typhoid Vaccine .. · · · .. · · · .. · · .... · .. · · · · · · · · · · · · 29
Typhoid and Paratyphoid A Combined Inactivated ··· ··· ········· ········· ··· ··· ··· ··· ··· 124
Hepatitis B Vaccine Made by Recombinant
Vaccine ·········································· 32 DNA Techniques in Yeast · 127
Typhoid and Paratyphoid A &. B Combined
Hepatitis B Vaccine Made by Recombinant
Vaccine ·········································· 34
Vi Polysaccharide Typhoid Vaccine············ 36 DNA Techniques in CHO Cell · 130
Dysentery Vaccine (Live) of S. flexneri and Hepatitis A Vaccine, Live · 133
Hepatitis A (Live) Vaccine,
S. sonnei , Oral · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · 39
Group A Meningococcal Polysaccharide Freeze-dried ··· ··· ··· ··· ··· ··· ··· ··· ········· ··· 136
Poliomyelitis Vaccine in Dragee Candy
Vaccine ·········································· 42
(Human Diploid Cell), Live 138
Leptospira Vaccine · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · 45
Plague Vaccine (Live) for Percutaneous Poliomyelitis (Live) Vaccine (Monkey
Kidney Cell}, Oral 142
Scarification · · · · ·· · ·· · · · ·· · · ·· · ·· · · · · ·· · · · · ·· · ·· 48
Anthrax Vaccine (Live) for Percutaneous Poliomyelitis Vaccine in Dragee Candy
(Monkey Kidney Cell), Live 146
Scarification ················ ········ ········· ··· 51
Brucellosis Vaccine (Live) for Percutaneous ll Biologics for Therapeutic Use
Scarification · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · 54
Diphtheria Antitoxin · 150
BCG Vaccine for Intradermal Injection ······ 57
Diphtheria and Pertussis Combined Diphtheria Antitoxin, Freeze-dried ··· 151
Tetanus Antitoxin 153
Vaccine, Adsorbed · · · · · · · · · · · · · · · · · · · · · · · · · · · 60
Diphtheria, Tetanus and Pertussis Tetanus Antitoxin, Freeze-dried 155
Gas-gangrene Antitoxin (Mixed) 157
Combined Vaccine, Adsorbed · · · · · · · · · · · · · · · 62
Diphtheria, Tetanus and Acellular Pertussis Gas-gangrene Antitoxin (Mixed),
Combined Vaccine, Adsorbed · · · · · · · · · · · · · · · 6 7 Freeze-dried ··· ··· ··············· ··· ··· ········· 159
Tetanus Vaccine, Adsorbed 71 Botulinum Antitoxins 160
Diphtheria Vaccine, Adsorbed 75 Botulinum Antitoxins, Freeze-dried 162
Diphtheria Vaccine for Adults and Agkistrodon halys Antivenin, Equine · .. · .. 164
Adolescents, Adsorbed 78 Agkistrodon acutus Antivenin,
Diphtheria and Tetanus Combined Vaccine, Equine ·········································· 166
Adsorbed · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · 80 Bungarus multicinctus Antivenin,
Diphtheria and Tetanus Combined Vaccine for Equine ···········································168
Adults and Adolescents, Adsorbed 82 Naja naja (atra) Antivenin,
Japanese Encephalitis Vaccine, Equine 170
Inactivated ··· ········· ··· ··· ··· ··· ··· ··· ··· ··· ··· 84 Anthrax Antiserum .. · · .. · · .. · .. · · .. · · .. · · · 172
Japanese Encephalitis Vaccine, Live ........ · 88 Rabies Antiserum 173
Haemorrhagic Fever with Renal Syndrome Human Albumin ·· ·· .. ·· · .. ·· ·· 175
(Type I) Vaccine, Inactivated 91 Human Albumin, Freeze-dried ·· 178
Haemorrhagic Fever with Renal Syndrome Human Immunoglobulin 180
(Type II) Vaccine, Inactivated 94 Human Immunoglobulin,
Haemorrhagic Fever with Renal Syndrome Freeze-dried ··· ··· ·· ···· ··· ··· ··· ··· ········· ··· 181
Bivalent Vaccine, Inactivated 97 Human Hepatitis B Immunoglobulin 183
Rabies Vaccine (Vero Cell) for Human Human Hepatitis B Immunoglobulin ,
Use················································ 100 Freeze-dried ··· ··· ··· ··· ··· ········· ··· ··· ··· ··· 185
Rabies Vaccine (Vero Cell) for Human Human Rabies Immunoglobulin · ..... ·· .... · .. 186
Use, Freeze-dried 103 Human Rabies Immunoglobulin,
Rabies Vaccine (Hamster Kidney Cell) Freeze-dried · ·· ·· · · ·· · ·· · · · ·· · · ·· · · · ·· · ·· · · ·· · · · 188
for Human Use · · 107 Human Tetanus Immunoglobulin ·· .... ·· · ... 190
Measles Vaccine, Live llO Human Tetanus Immunoglobulin,
Rubella Vaccine (Human Diploid Cell), Freeze-dried · · · ·· · ·· · · · · ·· · · ·· ·· · ·· · · ·· · ·· · · · ·· ~ 192
Live ············································· 113 Human Immunoglobulin (pH4) for
Rubella Vaccine (Rabbit Kidney Cell), Intravenous Injection ...... · .. ·· .... ·· ...... · 193
Live ··· ········· ·················· ··· ··· ·· ······· 116 Human Immunoglobulin (pH4) for
Mumps Vaccine, Live ll9 Intravenous Injection, Freeze-dried ...... 195
Measles and Mumps Combined Human Immunoglobulin for Intravenous
Contents of Monographs

Injection ·· · ··· ·· · · ·· · · · ·· · ··· · · · · ·· · · · · · · · · · · ·· ·· · 197 for Injection · · · · · · · · · ·· · · ·· · · · ·· · · ·· · · · ·· · · ·· · · · 237


Human Coagulation Factor VIII •• • • • • • •• •• .. • • 199 Recombinant Human lnterleukin-2
Human Fibrinogen ······························ 201 for Injection ·· · ·· · · · · ·· · · · · ·· · · · · ·· · · · · ·· · · · · · · · 239
Human Prothrombin Complex ··············· 203 Recombinant Human Erythropoietin
Anti-human T Lymphocyte Porcine for Injection ( CHO Cell) · · · · · · · · · · · · · · · · · · 242
lmmunoglobulin · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · 204 Recombinant Human Erythropoietin
Anti-human T Lymphocyte Rabbit Injection (CHO Cell) 245
lmmunoglobulin · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · 207 Recombinant Human Granulocyte
Mouse Monoclonal Antibody Against Human Colony-stimulating Factor Injection · · · · · · 247
CD3 Antigen of T Lymphocyte for Recombinant Human Granulocyte/
Injection · ·· ·· · ·· · · · · ··· · ·· · · · ·· · ··· ··· ··· ·· · ·· · · ·· 209 Macrophage Colony-stimulating Factor
Botulinum Toxin Type A for Injection ...... 211 for Injection ··· ··· ··· ··· ··· ··· ··· ··· · ..... ··· ·· · 249
Recombinant Human Interferon alb for Recombinant Streptokinase for
Injection ·· · · ..... · ·· .. · ... ·· · ··· · · · ·· · · .. · · · · .. ·· · 213 Injection ··· · · · ·· · · ·· · · · · · · · ·· · · · · · · · · · · · · ·· · · · · · · · 251
Recombinant Human Interferon alb Recombinant Bovine Basic Fibroblast Growth
Injection ·· · · ·· · ·· · ·· ·· · · · · ·· · · · · · ·· ··· · ·· · · · · · · · · · 215 Factor for External Use, Liquid ··· ·· · · ·· 254
Recombinant Human Interferon alb Recombinant Bovine Basic Fibroblast Growth
Eye Drops ······································· 217 Factor for External Use ····················· 256
Recombinant Human Interferon a2a Recombinant Bovine Basic Fibroblast Growth
for Injection · ·· · ·· · 219 Factor Eye Drops ······························ 258
Recombinant Human Interferon a2a Recombinant Human Epidermal Growth
Injection · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · 221 Factor for External Use ··· ·· · ·· · ·· · · · · ·· · ··· 260
Recombinant Human Interferon a2a Recombinant Human Epidermal Growth
for Injection (Yeast) · .. · · · · · · .... · · · · · · .. · · · 224 Factor Derivative for External Use,
Recombinant Human lnterf eron a2a Liquid············································· 262
Vaginal Suppository ·· 0••••••••••••••••••••••• 226 ][ Diagnostic Reagents for in vivo Test
Recombinant Human Interferon a2b
for Injection · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · 228 Purified Protein Derivative of Tuberculin
Recombinant Human Interferon a2b (TB-PPD) ···································· 265
Injection · ·· · · · ·· · ·· · · ·· · · · ··· ··· ·· · · ·· · ·· · · · ··· ·· · 230 Purified Protein Derivative of BCG
Recombinant Human Interferon a2b (BCG-PPD) ···································· 267
for Injection (P. putida) ··· ···· ·· ·· · ··· · · · 232 Purified Protein Derivative of Brucellin
Recombinant Human Interferon a2b (BR-PPD) ·· · · ·· · · · ··· ··· · · · · · · ·· · · ·· · · · · · · ·· · 270
Injection (P. putida) ··· ··· ··· ······ ··· ······ 235 Schick Test Toxin · · · · ·· ·· · · ·· · · · ·· · ··· · ·· · · · ·· · 273
Recombinant Human lnterf eron y
Typhoid Vaccine

I Biologics for Prophylaxis

(Appendix XIV) , and shall be oxidase-negative.


2. 1. 4. 3 Serological characteristics
(1) Slide agglutination test
Typhoid Vaccine The fresh culture of the bacterial seed to be tested
shall agglutinate strongly with anti-Vi and anti- H-
Typhoid vaccine is a suspension of Salmonella
d reference sera ( +++ or more) , but show
little or no agglutination with anti-0-9 reference
typhi made by cultivation, inactivation with
serum.
formaldehyde and dilution with PBS. It is used to
(2) Quantitative agglutination test
prevent typhoid fever.
The fresh culture of the bacterial seed to be tested
1 Basic requirements shall be diluted with PBS to a suspension
The facilities, water, source and subsidiary containing 6. 0 X 108 bacteria/ml, and a quantitative
materials, apparatus, and animals used for produc- agglutination test shall be performed on the
tion and control tests shall comply with the suspension with reference sera for typhoid. The
requirements set forth in the General Notices. suspension shall be mixed with the serum, allow
2 Manufacturing to stand at 35-37°C overnight, and the results
shall be observed visually. The highest dilution of
2. 1 Bacterial seeds serum which gives an agglutination ( +) is
The bacterial seeds for production shall comply regarded as agglutination titer, and the
with the Requirements for Bacterial and Viral agglutination titer shall be not less than half of the
Strains/Seeds Used for Production and Quality original titer of the serum.
Control of Biologics.
2. 1. 4. 4 Virulence test
2. 1. 1 Name and origin of bacterial strains The bacterial culture after incubation on agar at
The bacterial strains for production shall be strains 35-37°C for 12-16 hours shall be diluted with
of Salmonella typhi. physiological saline to suspensions containing
2. 1. 2 Establishment of seed lot system 6. 0 X 108 , 3. 0 X 108 , 1. 5 X 108 and 7. 5 X 107
It complies with the Requirements for Bacterial and bacteria/ml, respectively ( dilution may change
Viral Strains/Seeds Used for Production and according to the virulence of the strain). Inject
Quality Control of Biologics. i. p. 0. 5 ml of each dilution of suspension into
each of at least five mice, weighing 14-16 g, and
2. 1. 3 Passage of seed lot observe the mice for 3 days. The minimum dose of
The subculture of the seed from master seed lot suspension that kills all of mice is regarded as
shall not exceed five passages; the subculture of 1 MLD. One MLD shall contain not more than
the seed from working seed lot inoculated onto a 1. 5 X 108 bacteria.
production medium shall not exceed five passages.
2. 1. 4. 5 Toxicity test
2. 1. 4 Control tests on seed lots The bacterial culture after incubation on agar at
2. 1. 4. 1 Cultural characteristics and microscopic 35-37°C for 18-20 hours shall be suspended in
examinationof stained smears PBS, and heated at 56°C for 1 hour ( or
The bacterial seed to be tested shall be inoculated inactivated by other methods). No preservative
onto broth agar, Martin agar or other appropriate shall be added. The suspension qualified in
media, and incubated at 37°C for 18-20 hours. bactericidal test shall be diluted to the
The colonies shall be smooth, round, colourless, concentrations of 6. 0 X 109, 3. 0 X 109 and 1. 5 X
translucent, humid and with regular border. The 109 bacteria/ml, respectively. Inject i. p. 0. 5 ml
cultures shall be Gram-negative rods by of each concentration of suspension into each of
microscopic examination of stained smears. five mice, weighing 15-18 g, and observe the mice
for 3 days. All of the mice inoculated with 7. 5 X
2. 1. 4. 2 Biochemical characteristics
108 bacteria shall survive and three of five mice
The cultures shall ferment glucose, maltose, and
receiving 1. 5 X 109 bacteria may die.
mannitol with production of acid but not gas.
They shall not ferment lactose or sucrose 2. 1. 4. 6 Immunity test
Typhoid Vaccine

The preservative-free bacterial suspension inactivated Primary seed lot and master seed lot shall be
by heating at 56°C for 30 minutes ( or other lyophilized and preserved at 2-8°C; working seed
methods) is diluted to a concentration of 2. 5 X 108 lot shall be preserved in appropriate medium at 2-
bacteria/ml. Each of at least thirty mice, 80C.
weighing 14-16 g, shall be given two injections of
2. 2 Bulk
0. 5 ml of the suspension by subcutaneous route at
an interval of 7 days. The mice shall be challenged 2. 2. 1 Working seed lots for production
with virulent bacteria 9-11 days after the last After all characteristics are examined as qualified,
injection. Each mouse in immunized group is the bacterial seed derived from working seed lot
challenged i. p. with 0. 5 ml containing 1 MLD of shall be inoculated onto a modified semisynthetic
virulent bacteria, and each mouse in three control medium or other appropriate media to prepare
groups ( at least five mice in each group ) is working seed for production.
challenged i. p. with 0. 5 ml of 2, 1, and 1/2 2. 2. 2 Production medium
MLD of virulent bacteria, respectively. The mice Media pH 7. 2-7. 4, such as Martin agar, broth
in immunized group· and control groups have the agar or other approved media shall be used for
same feeding conditions or the same body weights. production.
The mice shall be observed for 3 days. The mice
in control groups challenged with 2 MLD and 1 2. 2. 3 Inoculation and cultivation
MLD shall totally die, and those with 1/2 MLD After inoculation on medium by method of
shall partially die, while at least 70 % of mice in smearing, the cultures shall be cultivated at 35-
immunized group shall survive. 37°C for 18-24 hours.
Immunity test may also be performed by the 2. 2. 4 Harvest
method of LD50 challenge. The preservative-free The bulk shall be prepared from the collected
bacterial suspension inactivated by heating at 56°C bacterial lawn by suspending in PBS, and tested
for 30 minutes (or other methods) shall be diluted for bacterial purity. Samples taken from each
to a concentration of 2. 5 X 108 bacteria/ml. Each bottle of bulk shall be inoculated onto two tubes of
of at least thirty mice, weighing 14-16 g, shall be agar slant, and incubated at 35-37°C for 2 days
given two injections of 0. 5 ml of the suspension by and at 24,...26°C for one day, respectively. If any
subcutaneous route at an interval of 7 days. The contaminating microorganisms are found, the bulk
mice shall be challenged with virulent bacteria 9-11 shall be discarded.
days after the last injection. The lawn after
incubation for 12-16 hours shall be diluted with 2. 2. 5 Killing
broth p'H 7. 2-7. 4 or physiological saline to an The bulk qualified in bacterial purity test shall be
appropriate concentration and used for challenge. inactivated by addition of formalin to a final
Each mouse in immunized group shall be infected concentration of 1. 0 %-1. 2 % and placed at 37°C
with more than 100. LD50 of virulent bacteria, and for a period not exceeding 7 days, then stored at 2-
each mouse in three to four control groups ( at 80C.
least five mice in each group) injected with various 2. 2. 6 Sterility test
doses of virulent bacteria, respectively. The mice After killing of organisms, the samples taken from
in immunized group and control groups have the bulk shall be inoculated onto thioglycollate medium
same feeding conditions or the same body weights. containing no agar and common agar slant
Each mouse in both groups shall be challenged i. p. respectively, and incubated at 35-37°C for 5 days.
with 0. 5 ml of virulent bacteria and observed for 3 If growth of Salmonella typhi is found, retest
days, and LD50 shall be determined. At least 70 % shall be performed with double amount of the
of mice in immunized group shall survive. medium. If any contaminating microorganisms are
The reference vaccine shall be used as a control found, the bulk shall be discarded.
simultaneously.
2. 2. 7 Pooling
2. 1. 4. 7 Antigenicity test The bulks qualified in sterility test, from the same
Each of at least three healthy rabbits, weighing strain or those with the same production date,
about 2 kg, shall be given three injections of 0. 5
shall be pooled respectively, following removal of
ml of the preservative-free bacterial suspension
agar and other impurities. Phenol or other
inactivated by heating at 56°C for 30 minutes ( or
appropriate preservatives, at a final concentration
other methods) , by intravenous route at intervals
of not more than 3. 0 g/L, shall be added to the
of 7 days. First dose contains 7. 0 X 108 bacteria,
pooled bulk, which shall be stored at 2-8°C.
second dose 1. 4 X 109 bacteria, and third dose
2. 1 X 109 bacteria. Collect blood sample and 2. 2. 8 Control tests on bulk
perform a quantitative agglutination test 10-14 See Section 3. 1.
days after the last injection, The serum 2. 2. 9 Storage and storage period
agglutination titers of two-thirds of rabbits shall be The bulk shall be stored at 2-8°C. The duration
not less than 1 : 12800. from harvest of bulk to vaccine dilution shall be
2. 1. 5 Storage of seed lot not less than 4 months. The storage period is 30
Typhoid Vaccine

months starting from the date of harvest. Sterility test


It complies with the test for sterility (Appendix XI[
2. 3 Final bulk
A).
2. 3. 1 Formulation
Before dilution, the bulks prepared from different 3. 3 Control tests on final product
bacterial strains shall be mixed with the equal 3. 3. 1 Identity test
number of bacteria. The bacterial number of each A slide agglutination test shall be performed with
strain is permitted to increase or decrease within the corresponding serum, and distinct aggluti-
the range of 40 % but the total number of bacteria nation shall be observed.
shall remain unchanged. The bulk shall be diluted
3. 3. 2 Inspection on final containers
with PBS containing not more than 3. 0 g/L of
The vaccine shall be a milky-white suspension free
phenol or other appropriate preservatives. The
of foreign matters and clumps not dispersed on
concentration following dilution shall be 3. 0 X 108
shaking.
bacteria/ ml.
3. 3. 3 Chemical tests
2. 3. 2 Control tests on final bulk
See Section 3. 2. 3. 3. 3.1 pH
2. 4 Final product
The pH shall be 6. 8-7. 4 (Appendix V A).
3. 3.3.2 Phenol content
2. 4. 1 Defining batches
The phenol content shall be not more than 3. 0 g/L
The -Requirements for Defining Batches of
(Appendix VI M).
Biologics shall apply.
2. 4. 2 . Filling 3. 3. 4 Bacterial morphology and purity
The bacteria shall be Gram-negative rods by
The Requirements for Filling and Lyophilization of
microscopic examination of stained smear. At least
Biologics shall apply.
ten fields shall be observed. On an average, there
2. 4. 3 Specifications shall be · not more than ten atypical bacteria
5 ml per container. Each single human dose is 0. 2- (thready, gross or abnormally stained bacteria) in
1. 0 ml - ( depending on the age of eligible and each field, and free from contaminating micro-
number of injections) containing 6. 0 X 107 -3. 0 X orgamsms.
108 bacteria.
3. 3. 5 Sterility test
2. 4. 4 Packaging It complies with the test for sterility ( Appendix
The Requirements for Packaging of Biologics shall XI[ A).
apply.
3. 3. 6 Test for abnormal toxicity
3 Control tests It complies with the test for abnormal toxicrty
3. 1 Control tests on bulk ( Appendix X F). The injecting dose of the
product for each guinea pig shall be 1. 5 ml.
3. 1. 1 Microscopic examination of stained smears
The Gram-negative rods shall be observed. No 4 Storage, shipping, and validity period
contaminating microorganisms shall be found. Store and ship at 2-8°C, protected from light.
The validity period is 18 months starting from the
3. 1. 2 Agglutination test date of filling of final product. The validity period
A quantitative agglutination test shall be performed shall be shortened correspondingly if the bulk has
on the bulk with corresponding serum. The been stored for more than 12 months before
agglutination titer shall be not less than half of the
dilution. The total validity period shall not exceed
titer of the original serum. 30 months starting from the date of harvest.
3. 1. 3 Bacterial content
5 Package inserts
The bacterial content shall be determined against
the National Standard of Bacterial Opacity. Directions for Use of Typhoid Vaccine
3. 1. 4 Sterility test [Drug nameJ
It complies with the test for sterility ( Appendix Adopted name: Typhoid Vaccine
XI[ A). [Constituents and characters]
3. 1. 5 Immunity test Typhoid vaccine is a suspension of Salmonella
The bulk qualified in sterility test shall be tested typhi made by cultivation, inactivated with
for immunity. The batches to be sampled for the formaldehyde and diluted with PBS. The final
test shall be not less than one-fifth of the total product is a milky-white suspension containing
production batches. See Section 2. 1. 4. 6. At least phenol as a preservative.
fifteen mice shall be used in each group. The test [Eligibles]
is qualified if not less than 60 % of mice in Military personnel, port and railway workers,
immunized group survive. sewage and rubbish disposal workers, caterers,
3. 2 Control tests on final bulk medical and antiepidemic personnel, boat dwellers,
Typhoid and Paratyphoid A Combined Vaccine

and residents of endemic areas of typhoid fever. J


[Manufacturer
Name:
[Function and usageJ
Address:
The vaccine can induce immune response m
Zip code:
recipients following immunization. It is used to
Tel:
prevent typhoid fever.
Fax:
[ Specifications J Web site:
5 ml per container. Each single human dose is 0. 2-
1. 0 ml ( depending on the age of eligible and the
number of injections) containing 6. 0 X 107 -3. 0 X
108 bacteria. Typhoid and Paratyphoid A Combined
[Administration and dosage] Vaccine
(1) The vaccine should be injected s. c. at deltoid
insertion area of the lateral upper arm.
( 2) Primary immunization: three injections shall Typhoid and paratyphoid A combined vaccine is a
be given at intervals of 7-10 days. The dosages are suspension of Salmonella typhi and Salmonella
as follows: paratyphi A made by cultivation, inactivation
Children at 1-6 years of age: first injection -0. 2 ml, with formaldehyde and dilution with PBS. It is
second injection 0. 3 ml, and third injection used to prevent typhoid fever and paratyphoid A
0. 3 ml. fever.
Children at 7-14 years of age: first injection 0. 3 ml, · 1 Basic requirements
second injection 0. 5 ml, and third injection The facilities, water, source and subsidiary
0. 5 ml. materials, apparatus, and animals used for
Persons over 14 years of age: first injection 0. 5 ml, production and control tests shall comply with the
second injection 1. 0 ml, and third , injection requirements set forth in the General Notices.
1. 0 ml. 2 Manufacturing
The dosage for booster is the same as that for the
third injection. 2. 1 Monovalent bulk before mixing
[ Adverse reactionsJ 2. 1. 1 Bulk typhoid vaccine shall comply with the
Erythema and swelling may occur at the injection requirements given in Sections 2. 1-2. 2 and 3. 1 of
site. Systemic manifestations may include chill, the requirements for Typhoid Vaccine.
fever and headache, which can be relieved 2. 1. 2 Bulk paratyphoid A vaccine shall comply
spontaneously. with the requirements given in Sections 2. 1-2. 2
[ ContraindicationsJ and 3. 1 of the requirements for Typhoid Vaccine.
The vaccine should not be administered to the The bacterial strain for production shall be
subjects with the following conditions: Salmonella paratyphi A. The virulence of
(1) Fever, serious hypertension, cardiac, hepatic, Salmonella paratyphi A shall be 1 MLD
and renal diseases, and active tuberculosis. containing not more than 7. 5 X 108 bacteria in
(2) Pregnancy, menstruation and lactation. Section 2. 1. 4. 4. The concentration of Salmonella
( 3) A history of allergic reactions. paratyphi A for immunization shall be 5. 0 X 108
bacteria/ml, and at least 60 % · of mice in
[Precautions J Salmonella paratyphi A suspension-immunized
(1) Shake container before use. Do not use the group shall survive the challenge in Section
vaccineif any leakage of container, foreign matters or 2. 1. 4. 6. The serum agglutination titer of rabbits
clumps not dispersed on shaking are found, or the immunized with Salmonella paratyphi A
product has been frozen. suspension shall be not less than 1 : 6400 in
(2) The recipients shall take a rest for a while on Section 2. 1. 4. 7. Bulk paratyphoid A vaccine shall
site following immunization. Adrenaline should be be inactivated by addition of formalin to a final
available for first aid in case of severe anaphylactic concentration of 1. 3 %-1. 5 % in Section 2. 2. 5.
reactions.
2. 2 Final bulk
(3) Freezing is strictly contraindicated.
2. 2. 1 Formula
[Storage]
The final bulk shall contain 1. 5 X 108 Salmonella
Store and ship at 2-8°C, protected from light.
typhi/ml and 1. 5 X 108 Salmonella paratyphi
[Packaging] A/ml.
[Validity period] 2. 2. 2 Pooling and dilution
18 months. The bulk prepared from different bacterial species
shall be mixed proportionally. The bacterial
[Standardfor Jmplementation]
number of each species is permitted to increase or
[Product license numberJ decrease within the range of 20% but the total
Typhoid and Paratyphoid A Combined Vaccine

number of bacteria shall remain unchanged. The ten fields shall be observed. On an average, there
bulk prepared from different bacterial strains of shall be not more than ten atypical bacteria
the same species shall be mixed with the equal (thready, gross or abnormally stained bacteria) in
number of bacteria. The bacterial number of each each field, and free from contaminating micro-
strain is allowed to increase or decrease within the orgamsms.
range of 40 % , but the total number of bacteria 3. 2. 5 Sterility test
shall remain unchanged. The vaccine shall be It complies with the test for sterility ( Appendix
diluted with PBS containing not more than 0 g/L3: XI[ A).
of phenol or other appropriate preservatives to a
concentration of 1. 5 X 108 Salmonella typhi/ml 3. 2. 6 Test for abnormal toxicity
and 1. 5 X 108 Salmonella paratyphi A/ml. It complies with the test for abnormal toxicity
(Appendix XI[ F). The injecting dose for each
2. 2. 3 Control tests on final bulk guinea pig shall . be 1. 5 ml.
See Section 3. 1.
4 Storage, shipping and validity period
2. 3 Final product Store and ship at 2-8°C , protected from light.
2. 3. 1 Defining batches The validity period is 18 months starting from the
The Requirements for Defining of Biologics shall date of filling of final product. The validity period
apply. shall be shortened correspondingly if the bulk has
2. 3. 2 Filling been stored for more than 12 months before
The Requirements for Filling and Lyophilization of dilution. The total validity period shall not exceed
Biologics shall apply. 30 months starting from the date of harvest.

2. 3. 3 Specifications 5 Package inserts


5 ml per container. Each single human dose is 0. 2- Directions for Use of Typhoid and Paratyphoid
1. 0 ml ( depending on the age of eligible and the A Combined Vaccine
number of injections) containing 3. 0 X 107 -1. 5 X [Drug name]
108 Salmonella typhi and 3. 0 X 107 -1. 5 X 108
Adopted name: Typhoid and Paratyphoid A
Salmonella paratyphi A. Combined Vaccine
2. 3. 4 Packaging
[ Constituents and characters]
The Requirements for Packaging of Biologics shall The vaccine is a suspension made by cultivation of
apply.
Salmonella typhi and Salmonella paratyphi A,
3 Control tests inactivation with formaldehyde and dilution with
3. 1 Control tests on final bulk PBS. It is a milky-white suspension containing
Sterility test phenol as a preservative.
It complies with the test for sterility (Appendix XI[ [Eligibles]
A). Military personnel, port and railway workers,
3. 2 Control tests on final product sewage and rubbish disposal workers, caterers,
medical and antiepidemic personnel, boat dwellers,
3. 2. 1 Identity test and residents of endemic areas of typhoid fever and
A slide agglutination test shall be performed with paratyphoid A fever.
the corresponding serum, and distinct agglutina-
tion shall be observed. [Function and usage J
The vaccine is used to prevent typhoid fever and
3. 2. 2 Inspection on final container paratyphoid A fever.
The vaccine shall be a milky-white suspension free
of foreign matters and clumps not dispersed on [ Specifications J
shaking. 5 ml per container. Each single human dose is 0. 2-
1. 0 ml ( depending on the age of eligible and the
3. 2. 3 Chemical tests number of injections) containing 3. 0 X 107 -1. 5 X
3. 2. 3. 1 pH 108 Salmonella typhi and 3. 0 X 107 -1. 5 X 108
The pH shall be 6. 8-7. 4 ( Appendix V A). Salmonella paratyphi A.
3. 2. 3. 2 Phenol content [ Administration and dosage J
The phenol content shall be not more than 3. 0 g/L ( 1) The vaccine should be injected s. c. at deltoid
(Appendix VI M). insertion area of the lateral upper arm.
(2) Primary immunization: three injections shall
3. 2. 3. 3 Free formaldehyde content be given at intervals of 7-10 days. The dosages are
The free formaldehyde content shall be not more as follows:
than 0. 2 g/L (Appendix VI L). Children at 1-6 years of age: first injection 0. 2 ml,
3. 2. 4 Bacterial morphology and purity second injection 0. 3 ml, and third injection
The bacteria shall be Gram-negative rods by 0. 3 ml.
microscopic examination of stained smear. At least Children at 7-14 years of age: first injection 0. 3 ml,
Typhoid ~nd Paratyphoid A & B Combined Vaccine

second injection 0. 5 ml, and third injection The facilities, water, source and subsidiary materials,
0. 5 ml. apparatus, and animals used · for production and
Persons over 14 years of age: first injection 0. 5 ml, control tests shall comply with the requirements
second injection 1. 0 ml, and third injection set forth in the General Notices.
1. 0 ml. 2 Manufacturing
The dosage for booster is the same as that for the
third injection. 2. 1 Monovalent bulk before mixing
2. 1. 1 Bulk typhoid vaccine shall comply with the
[ Adverse reactionsJ
requirements given in Sections 2. 1-2. 2 and 3. 1 of
Erythema and swelling may occur at the injection
the Typhoid Vaccine.
site. Systemic manifestations may include chill,
fever and headache, which can be relieved 2. 1. 2 Bulk paratyphoid A vaccine shall comply
spontaneously. with the requirements given in Section 2. 1. 2 of the
Typhoid and Paratyphoid A Combined Vaccine.
[ Contraindications]
The vaccine should not be administered to the 2. 1. 3 Bulk paratyphoid B vaccine shall comply
subjects with the following conditions: with the requirements given in Sections 2. 1-2. 2
( 1) Fever, serious heart diseases, hypertension, and 3. 1 of the Typhoid Vaccine. The bacterial strain
hepatic and renal diseases, and active tuberculosis. for production shall be Salmonella paratyphi B. The
(2) Pregnancy, menstruation and lactation. serum agglutination titer of rabbits immunized
( 3) A history of allergic reactions. with Salmonella paratyphi B suspension shall be
not less than 1 : 6400 in Section 2. 1. 4. 7. Bulk
[Precautions J
paratyphoid B vaccine shall be inactivated by
( 1) Shake container before use. Do not use the
addition of formalin to a final concentration of
vaccineif any leakage of container, foreign matters or
1. 6 %-2. 0% in Section 2. 2. ·5.
clumps not dispersed on shaking are found, or the
product has been frozen. 2. 2 Final bulk
(2) The recipients shall take a rest for a while on 2. 2. 1 Formula
site following immunization. Adrenaline should be The final bulk shall contain 1. 5 X 108 Salmonella
available for first aid in case of. severe anaphylactic typhi/ml, 7. 5 X 107 Salmonella paratyphi A/ml
reactions. and 7. 5 X 107 Salmonella paratyphi B/ml.
(3) Freezing is strictly contraindicated.
2. 2. 2 Pooling and dilution
[Storage] The bulk prepared from different bacterial species
Store and ship at 2-8°C, protected from light. shall be mixed proportionally. The bacterial
[Packaging] number of each species is permitted to increase or
[Validity period] decrease within the range of 20 % but the total
number of the bacteria shall remain unchanged.
18 months.
The bulks prepared from different bacterial strains
[Standard for implementation] of the same species shall be mixed with an equal
[Product license number] number of bacteria. The bacterial number of each
strain is allowed to increase or decrease within the
[Manufacturer J range of 40 % but the total number of the bacteria
Name: shall remain unchanged. The vaccine shall be
Address: diluted with PBS containing no more than 3. 0 g/L
Zip code: of phenol or other appropriate preservatives to a
Tel: concentration of 1. 5 X 108 Salmonella typhi/ml,
Fax: 7. 5 X 107 Salmonella paratyphi A/ml and 7. 5 X
Web site: 107 Salmonella paratyphi B/ml.
2. 2. 3 Control tests on final bulk
See Section 3. 1.
Typhoid and ParatyphoidA & B 2. 3 Final product
Combined Vaccine 2. 3. 1 Defining batches
The Requirements for Defining Batches of
Biologics shall apply.
Typhoid and paratyphoid A&B combined vaccine is
a suspension of Salmonella typhi and Salmonella 2. 3. 2 Filling
paratyphi A&B made by cultivation, inactivation The Requirements for Filling and Lyophilization of
with formaldehyde and dilution with PBS. It is Biologics shall apply.
used to prevent typhoid fever and paratyphoid
2. 3. 3 Specifications
A&B fever.
5 ml per container. Each single human dose is 0. 2-
1 Basic requirements 1. 0 ml ( depending on the age of eligible and the
Typhoid and Paratyphoid A & B Combined Vaccine

number of injections) containing 3. 0 X 107 -1. 5 X Directions for Use of Typhoid and Paratyphoid
108 Salmonella typhi, 1. 5 X 107-7. 5 X 107 A & B Combined Vaccine
Salmonella paratyphi A and 1. 5 X 107 -7. 5 X 107 [Drug name]
Salmonella paratyphi B. Adopted name: Typhoid and Paratyphoid A & B
2. 3. 4 Packaging Combined Vaccine
The Requirements for Packaging of Biologics shall [ Constituents and charactersJ
apply. The vaccine is a suspension made by cultivation of
3 Control tests Salmonella typhi and Salmonella paratyphi
3. 1 Control tests on final bulk
A&B, inactivation with formaldehyde and dilution
with PBS. It is a milky-white suspension contain-
Sterility test
ing phenol as a preservative.
It complies with the test for sterility ( Appendix
XII A). [Eligibles]
Military personnel, port and railway workers,
3. 2 Control tests on final product
sewage and rubbish disposal workers, caterers,
3. 2. 1 Identity test medical and antiepidemic personnel, boat dwellers,
A slide agglutination test shall be performed with and residents of endemic areas of typhoid fever and
the corresponding serum, and distinct aggluti- paratyphoid A&B fever.
nation shall be observed. ·
[Function and usageJ
3. 2. 2 " Inspection on final containers The vaccine can induce immune response m
The vaccine shall be a milky-white suspension free recipients following immunization. It is used to
of foreign matters and clumps not dispersed on prevent typhoid fever and paratyphoid A&B fever.
shaking.
[Specifications J
3. 2. 3 Chemical tests 5. 0 ml per container. Each single human dose is
3. 2. 3. 1 pH O. 2-1. 0 ml ( depending on' the age of eligible and
The pH shall be 6. 8-7. 4 (Appendix V A). the number of injections) containing 3. 0 X 107 -
1. 5 X 108 Salmonella typhi, 1. 5 X 107 -7. 5 X 107
3. 2. 3. 2 Phenol content Salmonella paratyphi A and 1. 5 X 107-7. 5 X 107
The phenol content shall be not more than 3. 0 g/L Salmonella paratyphi B.
( Appendix v1 M).
[Administration and dosage]
3. 2. 3. 3 Free formaldehyde content (1) The vaccine should be injected s. c. at deltoid
The free formaldehyde content shall be not more insertion area of the lateral upper arm.
than 0. 2 g/L (Appendix v1 L). (2) Primary immunization: three injections shall
3. 2. 4 Bacterial morphology and purity be given at intervals of 7-10 days. The dosages are
The bacteria shall be Gram-negative rods by as follows:
microscopic examination of stained smear. At least Children at 1-6 years of age: first injection 0. 2 ml,
ten fields shall be observed. On an average, there second injection 0. 3 ml, and third injection
shall be not more than ten atypical bacteria 0. 3 ml.
(thready, gross or abnormal stained bacteria) in Children at 7-14 years of age: first injection 0. 3 ml,
each field, and free from contaminating micro- second injection 0. 5 ml, and third injection
organisms. 0. 5 ml.
Persons over 14 years of age: first injection 0. 5 ml,
3. 2. 5 Sterility test second injection 1. 0 ml, and third injection
It complies with the test for sterility ( Appendix
1. 0 ml.
XII A). The dosage for booster is the same as that for the
3. 2. 6 Test for abnormal toxicity third injection.
It complies with the test for abnormal toxicity
[ Adverse reactionsJ
( Appendix XII F). The injecting dose for each Erythema and swelling may occur at the injection
guinea pig shall be 1. 5 ml. site. Systemic manifestations may include chill,
4 Storage, shipping and validity period fever and headache, which can be relieved sponta-
Store and ship at 2-8°C, protected from light. neously.
The validity period is 18 months starting from the [ ContraindlcatlonsJ
date of filling of final product. The validity period The vaccine should not be administered to the
shall be shortened correspondingly if the bulk has subjects with the following conditions:
been stored for more than 12 months before (1) Fever, serious heart diseases, hypertension,
dilution. The total validity period shall not exceed hepatic and renal diseases, and active tuberculosis.
30 months starting from the date of bulk harvest. (2) Pregnancy, menstruation and lactation.
5 Package inserts ( 3) A history of allergic reactions,
[Precautions J
Vi Polysaccharide Typhoid Vaccine

( 1) Shake container before use. Do not use the 2. 1. 4 Control tests on seed lots
vaccine if any leakage of container, foreign 2. 1. 4. 1 Cultural characteristics and microscopic
matters or clumps not dispersed on shaking are examination of stained smears
found, or the product has been frozen.
The bacterial seed shall be inoculated onto broth
(2) The recipients shall take a rest for a while on agar, Martin agar or other appropriate media of
site following immunization. Adrenaline should be pH 7.2-7.4, and incubated at 35-37°C for 16-20
available for first aid in case of severe anaphylactic hours. The colonies shall be smooth, round,
reactions. colourless, translucent, humid and with regular
(3) Freezing is strictly contraindicated. border. The cultures shall be Gram-negative rods
[Storage] by microscopic examination of stained smears.
Store and ship at 2-8°C, protected from light. 2. 1. 4. 2 Biochemical characteristics
[Packaging] The cultures shall ferment glucose, maltose, and
mannitol with production of acid but not gas.
[Validity period]
They shall not_ ferment lactose or sucrose
18 months.
(Appendix XIV) and shall be oxidase-negative.
[Standard for implementation]
2. 1. 4. 3 Serological characteristics
[Product license numberJ (1) Slide agglutination test

[Manufacturer J The fresh cultures of the bacterial seed shall


Name: agglutinate strongly with anti-Vi and anti-Fl-d
Address: reference sera ( +++ or more), but show little
Zip code: or no agglutination with anti-0-9 serum.
Tel: (2) Quantitative agglutination test
Fax: The fresh cultures of the bacterial seed shall be
Web site: diluted with PBS to a suspension containing 6. 0 X
108 bacteria/ ml. The bacterial suspension shall be
inactivated by adding formalin to a final concen-
tration of 0. 5 %. Quantitative agglutination test
shall be performed on the inactivated suspension or
Vi Polysaccharide Typhoid Vaccine a live suspension with anti-Vi serum. The test
shall· also be performed on the bacterial suspension
inactivated by heating at l00°C for 30 minutes with
Vi polysaccharide typhoid vaccine is a purified Vi
reference anti-O serum .. The highest dilution of
polysaccharide antigen extracted from the culture
of Salmonella typhi and diluted with PBS. It is
serum which gives an agglutination ( +) is
regarded as agglutination titer, and the aggluti-
used to prevent typhoid fever.
nation titer shall be not less than half of the titer of
1 Basic requirements the original serum.
The facilities, water, source and subsidiary materials,
2. 1. 5 Storage of seed lot
apparatus, and animals used for production and
Primary seed lot and master seed lot shall be
control tests shall comply with the requirements
lyophilized and preserved at 2-8°C; working seed
set forth in the General Notices.
lot shall be preserved in appropriate medium at 2-
2 Manufacturing 80C.
2. 1 Bacterial seeds 2. 2 Bulk
The bacterial seeds used for production shall
2. 2. 1 Working seed lots for production
comply with the Requirements for Bacterial and
After all characteristics are examined as qualified,
Viral Strains/Seeds Used for Production and
the bacterial seed derived from working seed lot
Quality Control of Biologics.
shall be inoculated onto a modified semisynthetic
2. 1. 1 Name and origin of bacterial strains medium or other appropriate media to prepare a
The strain of bacterium used for production shall quantity of working seeds for production.
be S. typhi strain Ty2.
2. 2. 2 Production medium
2. 1. 2 Establishment of seed lot system The modified semisynthetic medium or other
It complies with the Requirements for Bacterial and approved media shall be used for production. The
Viral Strains/Seeds Used for Production and media shall be free from ingredients that may form
Quality Control of Biologics. precipitate upon addition of hexadecyltrimethyl-
2. 1. 3 Passage of seed lot ammoni um bromide.
The subculture of the seed from master seed lot 2. 2. 3 Cultivation
shall not exceed five passages; the subculture of Inoculate the bacterial seed into the liquid medium
the seed from working seed lot inoculated into a in a fermentor. Take samples during cultivation
fermenter shall not exceed five passages. and before killing and test for bacterial content,
Vi Polysaccharide Typhoid Vaccine

and for purity by microscopic examination of 2.· 2. 7 Storage and storage period
Gram-stained smears. If any contaminating micro- The bulk shall be stored at or below -20°C. The
orgamsms are found, the culture shall be storage period is 60 months starting from the date
discarded. when crude polysaccharide is produced.
2. 2. 4 Killing 2. 3 Final bulk
The cultures shall be harvested during the late 2. 3. 1 Formulation
logarithmic or early stationary phase. The The final bulk shall be prepared from a single
harvested bacteria shall be killed by addition of batch or by pooling a number of single batches of
formalin to a final concentration of 0. 5%-2. 0%. bulk polysaccharide, It shall be diluted with
It is proper to ensure complete killing of bacteria sterile, pyrogen-free PBS ( pH 6 .. 5-7. 5) and a
without damage to its polysaccharide antigen. quantity of preservative may be added. Each single
2. 2. 5 Purification human dose shall contain not less than 30 µg of
polysaccharide.
2. 2. 5. 1 Removal of nucleic acid
After killing the bacteria, centrifuge the cultures 2. 3. 2 . Control tests on final bulk
(a single harvest or pooled harvests), and collect See Section 3. 2.
the supernatant To the supernatant, add hexadecyl- 2. 4 Final product
trimethy lammoni um bromide and mix well to form
a precipitate. Collect the precipitate by centrifu- 2. 4. 1 Defining batches
The Requirements for Defining Batches of
gation. Dissolve the precipitate with water for
Biologics shall apply.
injection, add a quantity of 1 mol/L sodium
chloride ( or 2 mol/L calcium chloride) solution, 2. 4. 2 Filling
and shake or agitate for 1 hour to dissociate the The Requirements for Filling and Lyophilization of
polysaccharide from hexadecyltrimethylammonium Biologics shall apply.
bromide. Add ethanol to a final concentration of 2. 4. 3 Specifications
25 % , and allow to stand for 1-3 hours or 5 ml (10 human doses), 1 ml ( 2 human doses),
overnight at 2-8°C. Centrifuge and collect the or 0. 5 ml ( single human dose) per container.
clear supernatant. Each single human dose is 0. 5 ml containing not
2. 2. 5. 2 Precipitation of polysaccharide less than 30 µg of Vi polysaccharide.
To the above mentioned supernatant, add cold 2. 4. 4 Packaging
ethanol to a final concentration of 80 % , mix well The. Requirements for Packaging of Biologics shall
to precipitate the polysaccharide , and collect the apply.
precipitate by centrifugation. Wash the precipitate
twice with absolute ethanol and acetone, 3 Controltests
respectively, allow to dry and obtain the crude 3. 1 Control tests on bulk
polysaccharide. Store the crude polysaccharide at
3. 1. 1 Identity test
or below -20°C for purification.
Carry out the identity test by the method of double
2. 2. 5. 3 Purification of polysaccharide immunodiffusion ( Appendix VD1 C). The bulk Vi
Dissolve the crude polysaccharide in 1/10 saturated polysaccharide shall form an apparent precipitation
neutral sodium acetate solution to a concentration line with anti-Vi serum within 48 hours, but no
of 5-20 mg/ml, then extract several times with precipitation line with anti-O serum.
twice its volume of cold phenol ( dissolve 100 g
3. 1. 2 Chemical test
crystalline phenol in 40 ml of 1/10 saturated
sodium acetate ) . Collect the supernatant by 3. 1. 2. 1 Total solid
centrifugation, and dialyse against 0. 1 mol/L It complies with the determination of total solid
calcium chloride solution or other appropriate content (Appendix VI[ M).
solutions. Other methods may be · adopted to 3. 1. 2. 2 Protein co~tent
remove the endotoxic activity, if necessary. To the The protein content shall be less than 10 mg/ g
supernatant, add ethanol to a final concentration of ( Appendix VI B, method 2).
75 %-80 %. Collect the precipitated polysaccharide
by centrifugation, and wash it with absolute 3. 1. 2. 3 Nucleic acid content
ethanol and acetone for 2 times or more, respectively. The nucleic acid content shall be less than
After drying, dissolve the precipitate in sterile water 20 mg/ g. The extinction coefficient ( El~ ) of
for injection and prepare the bulk purified poly- nucleic acid at 260 nm shall be 200 ( Appendix
saccharide. Purification process shall be carried I[ A).
out at or below 15°C. 3. 1. 2. 4 0-acetyl content
The 0-acetyl · content shall be not less than
2. 2. 6 Control tests on bulk
2 mmol/g (Appendix VI F).
Take samples from the bulk purified polysaccharide
after sterilization by filtration. See Section 3. 1. 3. 1. 2. 5 Molecular size of polysaccharide
Vi Polysaccharide Typhoid Vaccine

At least 50% of Vi polysaccharide shall be be not less than 30 µg per single human dose.
recovered in eluents before a distribution constant 3. 3. 4Sterility test
(K0) of 0. 25 is reached (Appendix Vlll H). It complies with the test for sterility ( Appendix
3. 1. 3Sterility test XII A).
It complies with the test for sterility ( Appendix 3. 3. 5Test for abnormal toxicity
XII A). It complies with the test for abnormal toxicity
3. 2 Control tests on final bulk ( Appendix XII F).
3. 2. 1 Vi polysaccharide content 3. 3. 6 Pyrogen test
Add 0. 6 g of agarose into 40 ml of O. 05 mol/L It complies with the pyrogen test ( Appendix
barbital buffer (pH 8. 6), and swell it by heating. XII D). The injecting dose shall be 0. 025 µg/kg of
Add 1 ml of anti-Vi serum into it when cooled to rabbit body weight.
56°C, mix well and rapidly pour onto a clean glass 4 Storage, shipping, and validity period
plate. After coagulation of the gel, dig wells Store and ship at 2-8°C, protected from light.
3 mm in diameter at 1. 5 cm away from the bottom The validity period is 24 months starting from the
edge. Add diluted typhoid Vi antigen standard date of filling of final product.
solution ( the concentrations are 100 «s- 50 µg,
2·5 µg, 12. 5 µg and 6. 25 µg/ml, respectively) 5 Package inserts
and 5 µl of the sample ( in duplicate) into the Directions for Use of Vi Polysaccharide
wells', respectively. Add 10 µl of bromophenol Typhoid Vaccine
blue indicator into the well next to the edge. After
[Drug name]
loading sample, mount the glass plate on eletro-
Adopted name: Vi PolysaccharideTyphoid Vaccine
phoresis trough, and connect the end of sample
loading with cathode of electrophoretic apparatus J
[ Constituents and characters
by using filter paper. Using 0. 05 mol/L barbital Vi polysaccharide typhoid vaccine is a purified Vi
buffer pl-I 8. 6 as electrode buffer solution, polysaccharide antigen extracted from the culture
perform electrophoresis under a constant voltage of of Salmonella typhi and diluted with PBS. It is a
8 V/ cm until the indicator migrates to the front. clear, colourless liquid.
Immerse the glass plate in physiological 'saline for [Eligibles]
1-2 hours, then cover it with clean filter paper and Military personnel, port and railway workers,
put into a incubator overnight for drying. Stain sewage and rubbish disposal workers, caterers,
the gel with Coomassee brilliant blue staining medical and antiepidemic personnel, boat dwellers,
solution until the rocket peak appears. Destain the and residents of endemic areas of typhoid fever.
gel in methanol-acetic acid destaining solution until
the background of the gel is clear. Measure [Function and usage]
accurately the peak heights. A linear regression The vaccine can induce humoral immune response
equation is obtained by regressing the log of in recipients following immunization. It is used to
concentration of standards with their peak heights. prevent typhoid fever.
The concentration of the sample is obtained by [ Specifications J
inserting average value of its peak height into the 5 ml (10 human doses), 1 ml ( 2 human doses),
regression equation. or 0. 5 ml ( single human dose) per container.
3. 2. 2 Sterility test Each single human dose is 0. 5 ml containing not
It complies with the test for sterility ( Appendix less than 30 µg of typhoid Vi polysaccharide.
XII A). [ Administrationand dosageJ
3. 3 Control tests on final product Cl) The vaccine should be injected i. m. in the
deltoid muscle of the lateral upper arm.
3. 3. 1 Identity test (2) A single injection ofO, 5 ml shall be given to
See Section 3. 1. 1. each recipient.
3. 3. 2 Inspection on final containers [ Adverse reactionsJ
The final product shall be a clear, colourless liquid The adverse reactions are mild. Transient low
free of foreign matters . fever occurs occasionally. Slight tenderness at the
3. 3. 3 Chemical tests injection site may occur, which can be relieved
spontaneously.
pH
3. 3. 3. 1
The pH shall be 6. 5-7. 5 (Appendix V A). [ Contraindications]
The vaccine should not be administered to the
3. 3. 3. 2 Preservative content
subjects with the following conditions:
The content of phenol as a preservative shall be not (1) Fever, serious heart diseases, hypertension,
more than 3. 0 g/L (Appendix VI M). hepatic and renal diseases, and active tuberculosis.
3. 3. 3. 3Vi polysaccharide content (2) Pregnancy, menstruation and lactation.
See Section 3. 2. 1 Vi polysaccharide content shall ( 3) A history of allergic reactions.
Dysentery Vaccine (Live) of S. flexneri and S. sonnei, Oral

[Precautions] FS strain shall be Gram-negative bacilli and the


(1) Do not use the vaccine if any foreign matters smooth, translucent and colourless colonies shall
or leakage of container is found. grow on solid agar plate.
(2) Freezing is strictly contraindicated.
2. 1. 4. 2 Biochemical reactions
[Storage] FS strain shall ferment glucose and mannitol and
Store and ship at 2-:8°C, protected from light. slowly ferment galactose without production of
[Packaging] gas. It shall not ferment lactose, maltose or
sucrose. The strain shall be nonmotile ( Appendix
[Validity period] XIV).
24 months.
2. 1. 4. 3 Serological tests
[Standard for implementation] (1) Slide agglutination test
[Product license numberJ Slide agglutination test shall be performed on the
culture after incubation at 35-37°C for 18-20 hours
[Manufacturer J
with anti-S. flexneri II : 3, 4 reference serum and
Name:
anti-S. sonnei phase I reference serum, respectively.
Address:
Agglutination shall be observed within 1 minute.
Zip code:
(2) Quantitative agglutination test
Tel:
After incubation at 35-37°C for 18-20 hours, the
Fax:
culture shall be diluted with sterile PBS pH 7. 2-
Web s.ite:
7. 4 to a suspension containing 1. 0 X 109 bacilli/ ml.
Quantitative agglutination test shall be performed
on the suspension with anti-S. flexneri II : 3, 4
reference serum and anti-S, sonnei phase. I· reference
Dysentery Vaccine(Live)of S. flexneri serum, respectively. The suspension shall be mixed
and S. sonnei, Oral thoroughly with the corresponding serum and
allowed to stand at 35-37°C overnight The highest
dilution of serum, which gives an agglutination ( +)
Dysentery vaccine of Shigella f lexneri & Shigella observed visually, is regarded as agglutination
sonnet is a preparation made by cultivation and titer. The agglutination titer shall be not less than
harvest of FS strain expressing antigens of half of the original titer of the reference serum.
S. f lexneri 2a and S. sonnei and lyophilization
following addition of a stabilizer. It is used to 2. 1. 4. 4 Guinea pig corneo-conjunctival virulence
prevent bacillary dysentery. test
Two Hartley guinea pigs each weighing 300-500 g
1 Basic requirements
are used as experimental models. One inoculating
The facilities, water, source and subsidiary
loop ( 3 mm in diameter, containing approximate
materials, apparatus, and animals used for produc-
5 X 1010 viable bacilli ) of the bacterial lawn
tion and control tests shall comply with the
incubated at 35-37°C for 18-20 hours is applied on
requirements set forth in the General Notices.
their comeo-conjunctivae. The animals are observed
2 Manufacturing for 7 days and no inflammatory reaction shall be
2. 1 Bacterial seeds seen.
The bacterial seeds for production shall comply 2. 1. 4. 5 Immunity test
with the Requirements for Bacterial and Viral Forty mice each weighing 14-16 g are divided into
Strains/Seeds Used for Production and Quality four groups with 10 mice each group. Two groups
Control of Biologics. of animals are injected s. c. with 2. 5 X 109 bacilli,
2. 1. 1 Name and origin of bacterial strains and the other two with saline as a control. All the
The bacterial strains used for production shall be animals are immunized 3 times at an interval of 3
genetically engineered FS strain expressing days. Fourteen days after the last immunization,
antigens of both S. f lexneri 2a and S. sonnei. both the immunized groups and the control groups
shall be challenged with 50 LDso of S. f lexneri 2a
2. 1. 2 Establishment of seed lot system and S. sonnei strains and observed for 3 days. The
It complies with the Requirements for Bacterial and protection rate shall be more than 70%.
Viral Strains/Seeds Used for Production and
Quality Control of Biologics. 2. 1. 4. 6 lmmunogenecity test
Inoculate the FS strain onto Hottinger slant or
2. 1. 3 Passage of seed lots other appropriate media and incubate at 35-37°C
The subculture of the seed from master seed lot for 18-20 hours. Collect and suspend the lawn into
shall not exceed five passages. sterile PBS pH 7. 2-7. 4 and dilute it to a certain
2. 1. 4 Control tests on seed lots concentration. Immunize three rabbits each
2. 1. 4. 1 Cultural characteristics and microscopic weighing about 2 kg 4 times through auricular
examination of stained smears veins with 0. 5 ml of the bacterial suspension at an
Dysentery Vaccine (Live) of S. flexneri and S. sonnei , Oral

interval of 5-7 days. Four injecting doses contain with PBS containing 5 % of sucrose and 0. 5 % of
2. 5 X 108, 5. 0 X 108, 1. 0 X 109 and 2. 0 X 109 gelatin, The final bulk can be prepared from either
bacilli, respectively. Collect blood sample for a single batch or pooled batches of bulk.
quantitative agglutination test to determine serum
2. 3. 2 Control tests on final bulk
antibody titer 10-14 days after the last injection.
See Section 3. 2.
The serum agglutination titers shall be not less
than 1 : 1280 for S. flexneri 2a and not less than 2. 4 Final product
1 : 320 for S. sonnei. The FS strain is judged as 2. 4. 1 Defining batches
qualified if the agglutination titers of serum in two- The Requirements for Defining Batches of
thirds of rabbits reach the above levels. Biologics shall apply.
2. 1. 4. 7 Plasmid DNA test 2. 4. 2 Filling and lyophilization
The plasmid DNA is extracted from FS culture by The Requirements for Filling and Lyophilization of
Kado-Liu method. A typical plasmid map of the Biologics shall apply. The final product shall be
strain shall be shown by 0. 8 % agarose gel lyophilized immediately after filling. The temper-
electrophoresis and there shall be two large ature of product shall be not higher than 30°C
plasmid bands with molecular weights of 49 MD during lyophilization. After lyophilization, the
and 7 4 MD respectively and two small plasmid container shall be sealed immediately under
bands. vacuum or after filling with nitrogen.
2. 1. 5, Storage of bacterial seeds 2. 4. 3 Specifications
The bacterial seeds shall be lyophilized and stored 1 ml of reconstituted vaccine per container
at 2-8°C. containing 1. 0 X 1011 bacilli, with the number of
2. 2 Bulk culturable particles not less than 2. 0 X 1010•
2. 2. 1 Working seed lots for production 2. 4. 4 Packaging
Working seed lots can be used within 2 years after The Requirements for Packaging of Biologics shall
satisfactory control tests. They shall be subject to apply.
overall test before each production and only those 3 Control tests
qualified in the test can be used for production.
The freeze-dried seeds from working seed lot shall 3. 1 Control tests on bulk
be reconstituted with sterile PBS pH 7. 2-7. 4 or 3. 1. 1 Bacterial purity test
Hottinger broth and inoculated onto Hottinger The sample shall be inoculated onto Hottinger agar
slant or into Hottinger liquid media. The culture slant and incubated at 35-37°C for 48 hours. No
shall be incubated at 35-37°C for 18-20 hours. The growth of contaminating microorganisms shall be
second and third passages of strains shall be observed.
inoculated into Hottinger liquid medium and
3. 1. 2 Bacterial content
-incubated at 35-37°C for 6-8 hours to prepare the
The bacterial content shall be determined against
working seed for production.
the National Standard of Bacterial Opacity.
2. 2. 2 Production medium
3. 2 Control tests on final bulk
The Hottinger liquid medium or other appropriate
media shall be used. 3. 2. 1 Bacterial purity test
See Section 3. 1. 1.
2. 2. 3 Inoculation and cultivation of bacterial seed
The bacterial seed qualified in bacterial purity test 3. 2. 2 Test for percentage of culturable particles
shall be inoculated into medium in a fermentor to The bacterial suspension shall be diluted to a
an initial concentration of 4 X 108 bacilli/ml or more concentration of 1. 0 X 1011 bacilli/ml according to
and cultivated at 35-37°C for 8-11 hours. The the National Standard of Bacterial Opacity. The
samples shall be taken for microscopic examination number of culturable particles shall be determined
during cultivation. If any contaminating micro- by plate count method and its percentage shall be
organisms are found, the culture shall be discarded. not less than 25 %.
2. 2. · 4 Harvest 3. 3 Control tests on final product
Harvest the bacteria during the late logarithmic Other than the determination of moisture content,
phase and suspend in a sterile stabilizer after the product shall be reconstituted with sterile PBS
centrifugation. (pH 7. 2-7. 4) as stated on the label and subject to
the following tests.
2. 2. 5 Control tests on bulk
See Section 3. 1. 3. 3. 1 Identity test
The product shall be streaked onto Hottinger agar
2. 3 Final bulk
slant and incubated at 35-37°C for 18-20 hours.
2. 3. 1 Formulation The lawn shall be collected for slide agglutination
The bacteria suspended in a stabilizer shall be tests with anti-S. flexneri IT : 3, 4 sera and anti-
diluted to a concentration of 1. 0 X 1011 bacilli/ml s. sonnei phase I serum. Distinct agglutination
Dysentery Vaccine (Live) of S. flexneri and S. sonnei , Oral

shall be observed. stabilizer. It looks like a milky-white or slightly


3. 3. 2 Inspection on final containers yellow crisp cake.
The product looks like a milky-white or slightly [Eligibles] .
yellow crisp cake and shall be reconstituted with All age groups are suitable for immunization.
sterile PBS within 1 minute. [Function and useJ
3. 3. 3 Moisture content The vaccine can induce immune response in
The residual moisture content shall be not more recipients following oral administration. It is used
than 3. 0% (Appendix VI[ D). to prevent bacillary dysentery.
3. 3. 4 Bacterial purity test [ Specifications J
See Section 3. 1. 1. 1 ml per container containing 1. 0 X 1011 bacilli with
the number of culturable particles not less than
3. 3. 5 Test for number of culturable particles
2. OX 1010•
The number of culturable particles shall be
determined by plate count method. The number of [ Administration and dosageJ
culturable particles of final product shall be not Three doses should be given orally at an interval of
less than 2. 0 X 1010 particles/ ml. 5-7 days. For adult, one container of the vaccine
should be administered for the first dose and two
3. 3. 6 Immunogenecity test
containers for the · second and third doses,
One container of the final product shall be inoculated
separately; for children aged 6-13 years, half of
onto Hottinger slant after reconstitution. The culture
the adult dosage should be given; for children
shall be incubated at 35-37°C for 18-20 hours. The
under 5 years, one-third of the adult dosage
lawn shall be collected and suspended in sterile
should be given.
PBS pH 7. 2-7. 4 (See Section 2. 1. 4. 6). One of
Dissolve one bag of powder ( 0. 1-0. 2 g of sodium
every ten batches shall be sampled for the test.
bicarbonate, 0. 05-0. 1 g of sodium ascorbate and
3. 3. 7 Guinea pig corneo-conjunctival virulence test 0. 05-0. 1 g of molasses) in 50 ml of cool boiled
See Section 2.. 1. 4. 4. water to prepare diluent solution. Open the
3. 3. 8 Safety test vaccine container, add a small amount of the
Weigh five mice weighing 18-22 s- respectively, solution into the container with an accompanying
and feed each with 1. 0 X 10~0 bacteria. Observe the pipette. Transfer the reconstituted product in the
animals for 7 · days, and they shall survive with diluent solution and mix well for oral adminis-
weight gain. The test may be repeated in ten mice tration.
if the results fail to meet the above-mentioned [ Adverse reactionsJ
requirements. Occasionally slight reactions such as nausea and
3. 4 Control tests on diluent abdominal discomfort may occur.
Each bag shall contain 0. 1-0. 2 g of sodium [ Contraindications]
bicarbonate, 0. 05-0. 1 g of sodium ascorbate and The vaccine should not be administered to the
0. 05-0. 1 g of molasses, which are dissolved in subjects with the following conditions:
50 ml of water for injection. ( 1) Immunodeficiencyor immunologicinadequacy.
3. 4.1 pH (2) Gastrointestinal, cardiac, hepatic and renal
The pH shall be 7. 5-8. 5 (Appendix V A). diseases.
(3) Acute infectious diseases or fever.
3. 4. 2 Microbial limit test
It complies with the test for microbial limit [Precautions J
(Appendix XII G). ( 1) Injection is strictly contraindicated!
( 2) Orally administer the vaccine before or 2 hours
4 Storage, shipping and validity period after a meal.
Store and ship at 2-8°C, protected from light. (3) Administer the vaccine immediately following
The validity period is 12 months starting from the opening the container.
date of filling of final product.
[Storage]
5 Package inserts Store and ship at 2-8°C, protected from light.
Directions for Use of Dysentery Vaccine (Live) [Packaging]
of S. f lexneri & S. sonnei, Oral
[Validity period]
[Drug name] 12 months.
Adopted name: Dysentery Vaccine (Live) of
S. f lexneri and S. sonnei , Oral [Standardfor implementation]

[ Constituents and charactersJ [Product license numberJ


The product is made by cultivation and harvest of J
[Manufacturer
FS strain expressing antigens of S. f lexneri 2a and Name:
S. sonnei and lyophilization after addition of a Address:
Group A Meningococcal Polysaccharide Vaccine

Zip code: with production of acid but not gas. They shall
Tel: not ferment lactase , mannitol, fructose or sucrose
Fax: (Appendix XIV).
Web site: 2. 1. 4. 3 Serum agglutination test
After incubation at 35-37°C for 16-20 hours, the
lawn shall be inactivated by suspending in the
physiological saline containing 0. 5 % formalin or
Group A Meningococcal Polysaccharide by heating at 56°C for 30 minutes. Dilute the
Vaccine suspension to a concentration of 1. 0 X 109-2. 0 X
109 bacteria/ml. Perform a quantitative agglutination
test with reference group A serum. The mixture
Group A meningococcal polysaccharide vaccine is a shall be kept at 35-37°C overnight and then at
purified capsular polysaccharide antigen extracted room temperature for 2 hours the day after and
from the culture of Neisseria meningitidis group A observed visually. The highest dilution of serum
and lyophilized after addition of an appropriate which gives a clear agglutination ( +) is regarded
stabilizer. It is used to prevent epidemic cerebro- as the agglutination titer. The agglutination titer
spinal meningitis caused by Neisseria meningitidis shall be not less than half of the original titer of
group A. the serum.
1 Basic requirements 2. 1. 5 Storage of seed lot
The facilities,water, source and subsidiary materials, Primary seed lot and. master seed lot shall be stored
apparatus, and animals used for production and lyophilized at 2-8°C.
control tests shall comply with the requirements
set forth in the General Notices. 2. 2 Bulk
2. 2. 1 Working seed lots for production
2 Manufacturing After all characteristics are examined as qualified,
2. 1 Bacterial seeds the bacterial seed derived from working seed lot
The bacterial seeds used for production shall shall be inoculated onto a modified semisynthetic
comply with the Requirements for Bacterial and medium or other appropriate media to prepare a
Viral Strains/Seeds Used for Production and quantity of working seeds for production.
Quality Control of Biologics. 2. 2. 2 Production medium
2. 1. 1 Name and origin of bacterial strains The modified semisynthetic medium or other
The bacterial strain used for production shall be appropriate media shall be used for production.
Neisseria meningitidis group A strain CMCC The media shall be free from ingredientsthat may form
292021 (A4). precipitate with hexadecyltrimethylammonium
bromide.
2. 1. 2 Establishment of seed lot system
It complies with the Requirements for Bacterial and 2. 2. 3 Cultivation
Viral Strains/Seeds Used for Production and Inoculate the bacterial seed into liquid medium in a
Quality Control of Biologics. fermentor. Take samples during cultivation and
test for bacterial purity by microscopic examination
2. 1. 3 Passage of seed lot
of Gram-stained smears. If any contaminating
The subculture of the seed from master seed lot
microorganisms are found, the cultures shall be
shall not exceed five passages; the subculture of
discarded.
the seed from working seed lot inoculated into a
fermentor shall not exceed five passages. 2. 2. 4 Harvest and killing
Terminate cultivation at the late logarithmic or
2. 1. 4 Control tests on seed lots
early stationary phase, and take samples to test
2. 1. 4. 1 Cultural characteristics and microscopic
for bacterial content and purity. After qualified in
· examination of stained smears
the tests, the harvested bacteria shall be killed by
When the bacterial seed is inoculated onto a
addition ·of formalin or by heating. It is proper to
common agar medium containing 10% sheep
ensure complete killing of bacteria without damage
blood, meningococci shall not grow at 25°C. The
to its polysaccharide antigen.
bacteria shall be incubated at 35-37°C in Carbon
dioxide incubator for 16-20 hours, and smooth, 2. 2. 5 Purification
humid and greyish-white colonies shall grow. The 2. 2. 5. 1 Removal of nucleic acid
lawns shall be removed easily and can be made into After killing of the bacteria, centrifuge the
a homogeneous suspension in physiological saline. cultures ( a single harvest or pooled harvests) ,
The cultures shall be Gram-negative diplococci or and collect the supernatant. To the supernatant,
single cocci by microscopic examination of stained add hexadecyltrimethylammonium bromide and
smears. mix well to form a precipitate. To the precipitate,
2. 1. 4. 2 Biochemical reactions add a quantity of calcium chloride solution to a
The cultures shall ferment glucose and maltose final concentration of 1 mol/L, and dissociate the
Group A Meningococcal Polysaccharide Vaccine

polysaccharide from hexadecyltrimethylammonium during lyophilization shall be not higher than 30°C.
bromide. Add ethanol to a final concentration of The container shall be sealed under vacuum or
25% and allow to stand at 2-8°C for 1-3 hours or after filling with nitrogen.
overnight. Collect the clear supernatant by 2. 4. 3 Specifications
centrifugation . 150 µg or 300 µg per container. Polysaccharide
2. 2. 5. 2 Precipitation of polysaccharide content shall be not less than 30 µg per single
To the above-mentioned supernatant add cold human dose.
ethanol to a final concentration of 80 % , mix well 2. 4. 4 Packaging
to precipitate the polysaccharide , and collect the The Requirements for Packaging of Biologics shall
precipitate following centrifugation. Wash the apply.
precipitate with absolute ethanol and acetone for 2
times or more, respectively, to prepare crude 3 Control Tests
polysaccharide. Store the crude polysaccharide at 3. 1 Control tests on bulk
or below -20°C for purification.
3. 1. 1 Identity test
2. 2. 5. 3 Purification of polysaccharide Carry out the identity test by the method of double
Dissolve the crude polysaccharide in 1/10 saturated immunodiffusion ( Appendix VIII C). The sample
neutral sodium acetate solution to a concentration shall form an apparent precipitation line with the
of 10-20 mg/ml, then extract several times with antibody to Neisseria meningitides group A.
twice its volume of cold phenol (dissolve 100 g of
3. 1. 2 Chemical tests
crystalline phenol in 40 ml of 1/10 saturated
sodium acetate ) . Collect the supernatant by 3. 1. 2. 1 Total solid
centrifugation, and dialyse against 0. 1 mol/L It complies with the determination of total solid
calcium chloride solution or other appropriate content (Appendix VJI M).
solutions. To the supernatant, add ethanol to a 3. 1. 2. 2 Protein content
final concentration of 7 5 %-80 % . Collect the The protein content shall be less than 10 mg/ g
precipitated polysaccharide by centrifugation, and (Appendix VI B, method 2).
wash it with absolute ethanol and acetone for 2
times or more, respectively. After drying, dissolve 3. 1. 2. 3 Nucleic acid content
the precipitate in sterile water for injection to The nucleic acid content shall be less than 10 mg/ g
prepare the bulk purified polysaccharide. Purifi- ( A~endix II A ) . The extinction coefficient
cation process shall be carried out at or below (Er~) of nucleic acid at 260 nm shall be 200.
15°C. 3. 1. 2. 4 0-acetyl content
2. 2. 6 Control tests on bulk The 0-acetyl content shall be not less than
Take samples from the bulk purified poly- 2 mmol/g (Appendix VI F).
saccharide after sterilization by filtration. See 3. 1. 2. 5 Phosphorus content
Section 3. 1. The phosphorus content shall be not less than
2. 2. 7 Storage and storage period 80 mg/ g ( Appendix VIl A).
The bulk shall be stored at or below -20°C. The 3. 1. 2. 6 Molecular size of polysaccharide
storage period is 60 months starting from the date The distribution constant (Ko) of the poly-
when crude polysaccharide is produced. saccharide molecule shall be not more than 0. 40.
2. 3 Final bulk At least 65 % of the polysaccharide shall be
recovered in eluents before Ko value of 0. 5 is
2. 3. 1 Formulation reached ( Appendix VIII G).
The final bulk shall be prepared from either a
3. 1. 3 Sterility test
single batch or pooled batches of bulk poly-
It complies with the test for sterility ( Appendix
saccharide. Add sterile pyrogen-free lactose and
dilute with sterile water for injection. Each single
XII A).
human dose contains 30 µg of polysaccharide and 3. 1. 4 Test for bacterial endotoxin
2. 5-3. 0 mg of lactose. Endotoxin content of polysaccharide shall be not
more than 100 EU/ µg (Appendix XII E, gel limit
2. 3. 2 Control tests on final bulk
test). Alternatively, pyrogen test can be carried
See Section 3. 2.
out (Appendix XII D). The injecting dose shall be
2. 4 Final product 0. 025 µg of polysaccharide/kg of rabbit body
2. 4. 1 Defining batches weight.
The Requirements for Defining Batches of 3. 2 Control tests on final bulk
Biologics shall apply. Sterility test
2. 4. 2 Filling and lyophilization It complies with the test for sterility ( Appendix
The Requirements for Filling and Lyophilization of XII A).
Biologics shall apply. The temperature of product 3. 3 Control tests on final product
Group A Meningococcal Polysaccharide Vaccine

Other than the determination of moisture content, It complies with the test for abnormal toxicity
the product shall be reconstituted with sterile PBS ( Appendix XII F).
as stated on the label and subject to the following
3. 4. 4 Pyrogen test
tests.
It complies w1th the test for pyrogen ( Appendix
3. 3. 1 Identity test XII D). The injecting dose shall be 1 ml/kg of
Carry out the identity test by the method of double rabbit body weight.
immunodiffusion ( Appendix VIIl C ) . The poly-
4 Storage, shipping and validity period
saccharide product shall form an apparent
Store and ship at 2-8°C, protected from light.
precipitation line with antibody to Neisseria
The validity period is 24 months starting from the
meningitides group A.
date of filling of final product.
3. 3. 2 Inspection on final, containers
The freeze-dried product looks like a white crisp 5 Package inserts
cake. After reconstitution with PBS as stated on Directions for Use of Group A Meningococcal
the label, it shall .turn into a clear liquid free of Polysaccharide Vaccine
foreign matters.
[Drug name]
3. 3. 3 Chemical tests Adopted namer Group A Meningococcal Polysac-
3. 3. 3. 1 Moisture content charide Vaccine
The .residual moisture content shall be not more [ Constituents and charactersJ
than 3. 0% (Appendix VIl D). The vaccine is a purified capsular polysaccharide
3. 3. 3. 2 Polysaccharide content antigen extracted from the culture of Neisseria
The polysaccharide content shall be not less than meningitidis group A and lyophilized after the
30 µg per single human dose: According to the addition of an appropriate stabilizer. The final
formula specified by WHO Requirements ( the product looks like a white crisp cake. After
ratio of polysaccharide content to phosphorus reconstitution it shall turn into a clear liquid
content is 1000 : 75), polysaccharide content shall [Eligibles]
be calculated following determination of phosphorus Children at the age of 6 months to 15 years.
content which shall be not less than 2. 25 µg per
dose (Appendix VIl A). [Function and use]
The vaccine can induce humoral immune response
3. 3. 3. 3 Molecular size of polysaccharide in recipients following immunization. It is used to
At least one of every five batches shall be sampled prevent epidemic cerebrospinal meningitis caused
for determination of molecular size of poly- by Neisseria meningitidis group A.
saccharide. The distribution constant (Ko) shall
be not more than 0. 40. At least 65 % of the [Specifications J
polysaccharide shall be recovered from the column 150 µg or 300 µg of polysaccharide per container.
before Ko value of 0. 5 is reached ( Appendix Each single human dose contains 30 µg of poly-
VIIl G). saccharide.
3. 3. 4 Sterility test [ Administration and dosageJ
It complies with the test for sterility ( Appendix (1) Open the container and reconstitute vaccme
XII A). . with the accompanying diluent as stated on the
label. Shake and inject immediately.
3. 3. 5 Test for abnormal toxicity
(2) The vaccine should be injected s. c. at deltoid.
It complies with the test for abnormal toxicity
insertion area of the lateral upper arm at a dosage
( Appendix XII F). The injecting dose for each
of not less than 30 µg of polysaccharide ( in 0. 2 ml
guinea pig shall be 500 µg/ ml and for each mouse
or 0. 5 ml),
shall be 10? µg/0. 5 ml.
(3) The primary immunization consisting of two '
3. 3. 6 Pyrogen test injections for children shall begin at 6 months of
It complies with the test fo~ pyrogen ( Appendix age, at an interval of 3 months. One booster shall
XII D). The injecting dose shall be 0. 025 µg of be given to the children at 3 years of age or older
polysaccharide/kg of rabbit body weight. before the epidemic season.
3. 4 Control tests on diluent Revaccinations may be given every 3 years, if
The diluent is sterile pyrogen-free PBS. needed. The vaccine may be administered to other
age groups for emergent vaccination during
3. 4. 1 pH epidemic.
The pH shall be 6. 8-7. 2 (Appendix V A).
[ Adverse reactionsJ
3. 4. 2 Sterility test The adverse reactions are mild. Transient low
It complies with the test for sterility ( Appendix fever occurs occasionally. Slight tenderness at the
XII A). injection site may occur, which can be relieved
3. 4. 3 Test for abnormal toxicity spontaneously.
Leptospira Vaccine

[ ContraindicationsJ Serogroup Sero var Strain Virulence


The vaccine should not be administered to the Icterohaemorrhagiae Lai Lai,017, High
subjects with the following conditions: Jiang 4, 70091
( 1) Epilepsy, convulsion, brain diseases, and a Canicola Canicola ~11,Gui 44 Low
history of allergic reactions. Pyrogens Pyrogens [4],HBS 5 High
( 2) Renal diseases, heart diseases, and active Autumnal is Autumanlis Lin 4 High
tuberculosis. Australis Australis Wo 34,115,620 Low
(3) Acute infectious diseases and fever. Pomona Pomona Luo, 109 Low
[Precautions J Grippotyphosa Linhai Lin 6 High
( 1) Do not use the vaccine if loose stopper, 401,Guang
Hebdomadis Hebdomadis Low
229,245
leakage of container or foreign matters after
reconstitution are found. 2. 1. 2 Establishment of leptospiral strains
( 2) Once the product in a container is recon- It complies with the Requirements for Bacterial and
stituted, it shall be used up at one time according Viral Strains/Seeds for Production and Quality
to the specified dosage. The remaining vaccine Control of Biologics.
shall be discarded.
2. 1. 3 Control tests on leptospiral strains
[Storage] The leptospiral strains shall be passaged by
Store and ship at 2-8°C, protected from light. inoculation in guinea pigs, each weighing 120-220g.
[Packaging] The heart blood shall be drawn or liver tissue shall
be taken 2-3 days after inoculation or on the brink
[Validity period]
of death to inoculate onto production medium or
24 months.
other appropriate media, and control tests shall be
[Standard for implementation] performed on leptospiral cultures of 4th passage or
more.:
[Product license numberJ
[Manufacturer] 2. 1. 3. 1 Morphologicaland cultural characteristics
Name: The leptospiral strain shall be inoculated into
Address: production medium with an inoculum of less
Zip code: than 5 % and incubated at 28-32°C for 5-10 days.
Tel: The cultures shall contain more than 100
Fax: organisms/ 400 X microscopic field. The cultures
Web site: shall be transparent with opalescence, and slightly
turbid on shaking. Leptospira appear as mobile
rods with regular shapes and both ends curved.
2. 1. 3. 2 Serum agglutination test
Leptospira Vaccine A quantitative agglutination test shall be performed
with reference serum on live, 3-10-day-old cultures
containing 50-100 mobile organisms/400X microscopic
Leptospira vaccine is a monovalent or polyvalent field, without self-agglutination. The agglutination
vaccine made by cultivation and inactivation of the titer shall be not less than half of the titer of the
cultures of different serovars of leptospira inter- original serum. The number of leptospira
rogans , which are mainly prevalent in various decreasing by 50 % shall be judged as the endpoint
areas. It is used to prevent leptospirosis. of titer. Serological typing shall be performed on
new leptospiral strains by agglutinin cross
1 Basic requirements
absorption test.
·The facilities, water, source and subsidiary materials,
apparatus and animals used for production and 2. 1. 3. 3 Virulence test
control tests shall comply with the requirements The test shall be performed by subcutaneous
set forth in the General Notices. injection of 2 ml of live 5-10-day-old cultures to be
tested containing 50-100 organisms/400 X microscopic
2 Manufacturing
field into each of six guinea pigs weighing 180-
2. 1 Leptospiral strains 220 g of two groups, . respectively. In one group,
The leptospiral strains for production shall comply the blood shall be drawn from heart of guinea pigs
with the Requirements for Bacterial and Viral 48 hours after injection. Inoculate the blood Cl%
Strains/Seeds for Production and Quality Control in proportion to the medium) into two tubes of
of Biologics. production medium or other appropriate media,
2. 1. 1 Name and origin of strains incubate for 14 days, and examine by microscopy.
The main strains of leptospira for production shall If the cultures are positive (growth of leptospira),
be as follows: the strain shall be judged as low virulent strain. In
the other group, the guinea pigs are observed for
10 days after injection. It shall be judged as highly
Leptospira Vaccine

virulent strain if at least two guinea pigs die of can be used for passage if the determination is
leptospirosis. qualified.
For known low or highly virulent strains stored 2. 1. 4. 2 Storage of leptospiral strains
through passages, the virulence test shall also be Leptospiral strains shall be stored in medium
performed by the above corresponding method, containing rabbit serum or other appropriate media
respectively. It is judged as qualified if the strain at 18-22°C in dark place. The strains shall be
meets the requirements for low or highly virulent passaged at regular intervals or stored in liquid
strain. nitrogen.
2. 1. 3. 4 Immunity test 2. 2 Bulk
The 5-10-day-old leptospiral cultures containing One strain of each serovar of leptospira shall be
70-100 organisms/ 400 X microscopic field is used for vaccine production.
inactivated by heating at 56-58°C for 1 hour or
adding 3. 0 g/L of phenol, and diluted 3-fold with 2. 2. 1 Working strains for production
physiological saline. Each of three guinea pigs Each guinea pig weighing 120-220 g shall be
weighing 120-220 g ( the three guinea-pigs in injected s. c. with 2 ml of well-grown 5-10-day-old
control group should be fed at the same time) leptospiral cultures. Heart blood shall be drawn
shall be given two injections of the diluted cultures and liver tissue shall be taken 2-3 days after
by subcutaneous route at an interval of 5 days. injection or on the brink of death. Less than 1 %
Thedosage is 0. 5 ml for the first injection, and 1 of inoculation amount of blood or liver tissue shall
ml for the second injection. The guinea pigs shall be inoculated into production medium or other
be challenged s. c. 10-12 days after the last appropriate media, incubated at 28-32°C for 7-18
injection with 2 ml of 5-10-day-old cultures of the days, and up to 30 days for individual strain which
same or homotypic strain containing 50-100 grows with difficulty. After qualified in the test
organisms/ 400 X microscopic field. for bacterial purity and serological characteristics,
Highly virulent strain: The guinea pigs shall be the strains shall be passaged in production medium
observed for 10 days after challenge. The animals or other appropriate media for at least four
in immunized group shall survive, and have normal passages. Only the well-grown, mobile, and
appearance, appetite, activity, and weight gain, pure cultures can be used for inoculation in large
and no pilo-erection or jaundice. If at least two amounts.
guinea pigs in control group die of leptospirosis , it The strain stored in liquid nitrogen shall be used
shall be judged as qualified. for production immediately after reconstitution.
Low virulent strain: Draw blood from the heart of 2. 2. 2 Production medium
guinea pigs 24 hours after challenge, inoculate one Synthetic or semisynthetic medium shall be used
to two drops of blood ( about 1 % of inocula) into for production.
each of two tubes of medium containing 5 %-8 %
rabbit serum, and incubate for 14 days. The test 2. 2. 3 Cultivation
shall be judged as qualified if more than two thirds Leptospiral strains shall be cultivated by aeration
of heart blood cultures in immunized group are in 10 L bottles or in Iermentor at 28-32°C for 4-14
negative, and all cultures in control group are days, and the number of leptospira shall reach
positive. 300/ 400 X microscopic field or more. Samples of
the cultures shall be taken for bacterial purity test
2. 1. 3. 5 Antigenicity test and microscopic examination, and no contami-
The 5-10-day-old leptospiral cultures containing nating microorganisms shall be found. The
70-100 organisms/ 400 X microscopic field are cultures shall be concentrated by appropriate
inactivated by heating at 56°C for 1 hour. Each of methods.
three healthy rabbits weighing 2. 0-2. 5 kg shall be
given three injections of 1 ml, 2 ml and 5 ml of the 2. 2. 4 Killing
leptospiral cultures by intravenous routes respectively, The cultures shall be inactivated with phenol Cits
at intervals of 5 days. An agglutination test shall be content shall be not more than 3. 0 g/L) or other
performed with the rabbit serum on the cultures of appropriate bactericides. The cultures shall be
the same strain 10-15 days after the last injection. placed for at least 30 minutes. Samples of cultures
The test shall be judged as qualified if the serum shall be taken for microscopic examination for
titers of at least two rabbits reach 1 : 10000 or effective inactivation. Cultures in fermentor can be
more. pooled and then inactivated. Each bottle shall be
retested for sterility before pooling if leptospiral
2. 1. 4 Passage and storage of leptospiral strains suspension is stored for more than 6 months.
2. 1. 4. 1 Passage of leptospiral strains 2. 2. 5 Control tests on bulk
To preserve the virulence and purity of the See Section 3. 1.
leptospiral strains, after 3-6 passages, the strain
shall be passaged in guinea pigs each weighing 120- 2. 2. 6 Storage of bulk
220 g, and determined for serological and The bulk shall be stored at 2-8°C.
biological characteristics. The leptospiral strain 2. 3 Final bulk
Leptospira Vaccine

2. 3. 1 After inactivation the leptospiral cultures the serovars included in the vaccine, and specific
of various serovars shall be mixed into one batch agglutination shall occur.
according to predetermined proportion. 3. 3. 2 Inspection on final containers
2. 3. 2 Vaccine shall be made from the leptospiral The product is a liquid with slight opalescence,
cultures consisting of the main epidemic serovars. free of abnormal odour, foreign matters and
In the vaccine of not more than pentavalent, each clumps not dispersed on shaking.
serovar shall contain not less than 1. 5 X 108
3. 3. 3 Chemical tests
leptospira/ ml; in the vaccine of not less than
hexavalent, each serovar shall contain not less 3. 3. 3. 1 pH
than 1. 0 X 108 leptospira/ ml. The content of The pH shall be 6. 4-7. 4 (Appendix V A).
leptospira for various serovars shall not deviate 3. 3. 3. 2 Sodium chloride content
from the required content by more than 10 % , and The sodium chloride content shall be 7. 5-9. 5 g/L
the total content of leptospira shall not exceed (Appendix VII G).
1. 25 X 109 leptospira/ml.
3.3.3.3 Phenol content
2. 3. 3 Sodium chloride shall be added to the The phenol content shall be not more than 3. 0 g/L
vaccine to a final concentration of 7. 5-9. 5 g/L. ( Appendix VI M).
2. 3. 4 Control tests on final bulk 3. 3. 4 Potency test
See Section 3. 2. The potency tests shall be performed based on the
2. 4 Fina1 product serovars of leptospira included in the vaccine. The
2. 4. 1 Defining batches vaccine shall be diluted with physiological saline to
The Requirements for Defining Batches of a concentration of 5 X 107 leptospira/ml. See
Biologics shall apply. Section 2. 1. 3. 4.

2. 4. 2 Filling 3. 3. 5 Sterility test


The Requirem~nts for Filling and Lyophilization of It complies with the test for sterility ( Appendix
Biologics shall apply. XI[ A).
2. 4. 3 Specifications 3. 3. 6 Test for abnormal toxicity
5 ml per container. It complies with the test for abnormal toxicity
(Appendix XI[ F).
2. 4. 4 Packaging
The Requirements for Packaging of Biologics shall 4 Storage, shipping and validity period
apply. Store and ship at 2-8°C, protected from light.
The validity period is 18 months starting from the
3 Control tests date of filling of final product.
3. 1 Control tests on bulk 5 Package inserts
3. 1. 1 Bacterial content Directions for Use of LeptospiraVaccine
The content of leptospira shall be determined by
the method of microscopic counting. [Drug name]
Adopted name: Leptospira Vaccine
3. 1. 2 Phenol content
The phenol content shall be not more than 3. 0 g/L [ Constituents and characters]
(Appendix VI M). The product is a monovalent or polyvalent vaccine
made by cultivation and inactivation of the cultures
3. 1. 3 Sterility test
of different serovars of leptospira interrogans ,
It complies with the test for sterility ( Appendix
which are mainly prevalent in various areas. It is a
XII A). liquid with slight opalescence, and contains phenol
The cultures from each bottle shall be tested for
as a preservative.
sterility if incubated in large bottles.
[Eligibles]
3. 2 Control test on final bulk
People at 7-60 years of age in epidemic areas.
Sterility .test
It complies with the test for sterility ( Appendix [Function and use]
XII A). The vaccine can induce immune response in the
If the cultures in fermentor are trans£erred into recipients following immunization. It is used to
large bottles, samples shall · be taken at the prevent leptospirosis.
beginning, middle, and late transferring stages [ Specifications J
for sterility test. 5 ml per container.
3. 3 Control tests on final products [ Administrationand dosageJ
3. 3. 1 Identity test Cl) The vaccine should be injected s. c. at deltoid
A seroagglutination test shall be performed on the insertion area of the lateral upper arm.
product with antisera to the leptospiral antigens of (2) Adults: first injection of 0. 5 ml and second
Plague Vaccine (Live) for Percutaneous Scarification

injection of 1. 0 ml shall be given at an interval of 1 Basic requirements


7-10 days. The facilities, water, source and subsidiary materials,
Children at 7-13 years of age: the dosage shall he apparatus, and animals used for production and
half of the adult dosage. control tests shall comply with the requirements
Children under 7 years of age: a proper dosage, set forth in the General Notices.
but not more than one fourth of adult dosage shall 2 Manufacturing ·
be injected if necessary.
Vaccination shall be completed before epidemic 2.· 1 Bacterial seeds
seasons. The bacterial seeds used for production shall
comply with the Requirements for Bacterial and
[ Adverse reactionsJ
Viral Strains/Seeds Used for Production and
Systemic and local reactions are generally mild.
Quality Control of Biologics.
Fever as well as local pain, erythema and swelling
at the injection site may occur occasionally, which 2. 1. 1 Name and origin of bacterial strains
can be relieved spontaneously. The attenuated EV strain of Yersinia pestis shall
be used for vaccine production.
[ ContraindicationsJ
The vaccine shall not be administered to the 2. 1. 2 Establishment of seed lot system
subjects with the following conditions: It complies with the Requirements for Bacterial and
( 1) Fever, acute infectious diseases, serious heart Viral Strains/Seeds Used for Production and
diseases, hypertension, hepatic and renal diseases, Quality Control of Biologics.
neuropathy and psychosis. 2. 1. 3 Passages of seed lots
(2) Pregnancy, lactation and menstruation. The subculture of freeze-dried working seed used
( 3) A history of allergic reactions. for production shall be the second or third passage.
[Precautions] The fourth passage of the bacterial seed shall not
( 1 ) Do not use the vaccine if any leakage of be used for production.
container, foreign matters or clumps not dispersed 2. 1. 4 Control tests on seed lots
on shaking are found, or the product has been 2. 1. 4. 1 Cultural characteristics and microscopic
frozen. examination of stained smears
(2) The recipients shall take a rest for a while on Inoculate the seed onto agar plates and incubate at
site following immunization. Adrenaline should be 35-37°C for 44-48 hours. The colonies shall be
available for first aid in case of severe anaphylactic rough type. The bacilli cultivated in broth medium
reactions. shall form a thin pellicle on the surface and a
(3) Freezing is strictly contraindicated. precipitate at the bottom of the broth, while the
[Storage] broth itself shall remain clear. The cultures shall
Store and ship at 2-8°C, protected from light. be Gram-negative rods by microscopic examination
of stained smears.
[Packaging]
2. 1. 4. 2 Biochemical reactions
[Validity period]
The cultures shall ferment glucose with the
18 months.
production of acid but not gas, and turn the litmus
[Standard for implementation] milk into slight red. No acid or gas shall be
[Product license numberJ produced in glycerin medium (Appendix XIV).
[Manufacturer J 2. 1. 4. 3 Phage bacteriolytic test
Name: Inoculate and spread the bacteria of EV strain onto
Address: agar plate and add one drop of plague phage at a
Zip code: dilution of not less than 10-6• Incubate the plate at
Tel: 28°C for 44-48 hours. There shall be no growth of
Fax: the bacteria at the site where the plague phage was
Web site: dropped.
2 .. 1. 4. 4 Tests for residual virulence
Inject s. c. each of three guinea pigs weighing 300-
400 g with a suspension of 1. 2 X 1010 bacilli ( the
Plague Vaccine (Live) for cultures cultivated at 28-30°C for 44-48 hours).
One guinea pig shall be autopsied on the 6th day
PercutaneousScarification and the other two on the 21st day after injection.
Examine visually the injection site, spleen, liver
Live plague vaccine for percutaneous scarification and lung, and incubate the samples taken from
is a preparation made by the cultivation and spleen, liver, lung and heart blood. No growth
harvest of a live attenuated strain of Yersinia pestis of the bacilli shall be found in the cultures of heart
and lyophilizationfollowingaddition of a stabilizer. It blood and· lung tissue. Congestion and the
is used to prevent plague. infiltration that may turn into abscess may occur at
Plague Vaccine (Live) for Percutaneous Scarification

the injection site, and papule-like nodules may with a quantity of physiological saline to make a
occur in the liver and spleen, but no specific homogenous suspension. Inoculate the suspension
plague lesions shall be found in the lungs. If the into culture bottles and cultivate at 28-30°C for 44-
specific plague lesions appear obviously in the 48 hours. The culture bottles shall be inspected
lungs, the test shall be repeated with the same one by one, and the contaminated ones shall be
number of guinea pigs. If the specific plague discarded.
lesions are still found, the seed shall be discarded.
2. 2. 4 Harvest and pooling
2. 1. 4. 5 Immunity test Harvest the cultures by washing down the
Immunize s. c. each of ten guinea pigs weighing bacterial lawn with a stabilizer containing sucrose,
200-250 g with a suspension of 7. 0 X 109 bacilli gelatin, thiourea , sodium glutamate and urea
( the cultures cultivated at 28-30°C for 44-48 (remove the condensed water before washing), or
hours). Challenge s. c, each of the immunized by scraping the bacterial lawn into the stabilizer.
guinea pigs with 200 MLD of Yersinia pestis 20-25 The harvests can be pooled to prepare a bulk if the
days after immunization. At the same time, three test for the absence of contaminating micro-
groups each consisting of three guinea pigs shall be organisms proved qualified.
used as controls. The guinea pigs in the three
2. 2. 5 Control tests on bulk
control groups shall be injected each with
See Section 3. 1.
0. 5 MLD, 1 MLD and 2 MLD of Yersinia pestis ,
respectively. Both the immunized and the control 2. 3 Final bulk
groups shall be observed for at least 25 days. The 2. 3. 1 Formulation
immunity test is qualified if at least eight animals Dilute the bulk with a stabilizer to a concentration
in the immunized group survive, while in the of 7 X 108-9 X 108 bacilli per single human dose
control groups, the animals injected with according to the bacterial content determined in
0. 5 MLD of bacilli die partially, and those with Section 3. 1. 2.
1 MLD or 2 MLD die totally.
2. 3. 2 Control tests on final bulk
2. 1. 5 Storage of seed lots See Section 3. 2.
The seed lots shall be stored lyophilized at 2-8°C,
and protected from light. 2. 4 Final product
2. 2 Bulk 2. 4. 1 Defining batches
The Requirements for Defining batches of Biologics
2. 2. 1 Working seed lots for production shall apply.
2. 2. 1. 1 The first passage of bacterial seed 2. 4. 2 Filling and lyophilization
Inoculate the bacterial seed from working seed lot The Requirements for Filling and Lyophilization of
on Hottinger agar medium and incubate at 28-30°C
Biologics shall apply. The products shall be
for 44-48 hours to prepare the first passage of
lyophilized immediately after filling. The final
seed. It shall be stored at 2-8°C and can be used
containers shall be sealed under vacuum or after
within 15 days.
filling with nitrogen.
2. 2. 1. 2 The second passage of bacterial seed
2. 4. 3 Specifications
Wash down the bacterial lawn of the first passage
8X 109 bacilli per container for ten human doses,
with physiological saline and inoculate into seed
or 1. 6 X 1010 bacilli per container for twenty human
bottles. Incubate at 28-30°C for 44-48 hours to
doses. Each single human dose shall contain more
obtain the second passage from which a quantity of
than 3. 6 X 108 live bacilli.
working seeds for production shall be prepared.
2. 4. 4 Packaging
2. 2. 1. 3 . The third passage of bacterial seed
The Requirements for Packaging of Biologics shall
If the second passage of bacterial seed is not
apply.
enough for production, wash down the bacterial
lawn of the second passage with physiological 3 Control tests
saline and inoculate into seed bottles. Incubate at 3. 1 Control tests on bulk
28-30°C for 44-48 hours to obtain the third passage 3. 1. 1 Test for the absence of contaminating micro-
from which a quantity of working seeds for organisms
production shall be prepared. It complies with the bacterial purity test
2. 2. 2 · Production medium ( Appendix XII A ) . No contaminating micro-
The Hottinger agar medium pH 6. 8-7. 2 or other organisms shall be found in the cultures by
approved appropriate media shall be used for microscopic examination of stained smears. The
production. bacteria shall meet the characteristics of Yersinia
pestis EV strain.
2. 2. 3 Inoculation and cultivation
If no contaminating microorganisms are found in 3. 1. 2 Bacterial content
the second or third passage of bacterial seed by The bacterial content shall be determined against
visual inspection, wash down the bacterial lawn the National Standard of Bacterial Opacity.
Plague Vaccine (Live) for Percutaneous Scarification

3. 2 Control tests on final bulk guinea pigs in the three control groups shall be
It complies with the bacterial purity test injected s. c. each with 0. 5 MLD, 1 MLD and
( Appendix XII A ) . No contaminating micro- 2 MLD of Yersinia pestis , respectively. The
organisms shall be found in the cultures by animals in each group shall be observed for 25
microscopic examination of stained smears. The days. The product is qualified in potency test if .at
bacteria shall meet the characteristics of Yersinia least eight animals in the immunized group
pestis EV strain. survive, while in the control groups, the animals
injected with 0. 5 MLD die partially, and those
3. 3 Control tests on final product
Other than the determination of moisture content, with 1 MLD or 2 MLD die totally.
the product shall be reconstituted with sodium 3. J. 9 Specific toxicity .test
chloride injection as stated on the label and subject Each of two guinea pigs weighing 250-350 g shall
to the following tests. be injected s. c. with the product at a dosage of
1. 2 X 1010 bacilli. Weigh the animals on the 6th
3. 3. 1 Identity test
day after the injection, and autopsy one of them.
See Section 2. 1. 4. 3.
The loss of body weight shall be not more than
3. 3. 2 Inspection on final containers 20 % . The other guinea pig shall be autopsied on
The freeze-dried product looks like a white or the 21st day after injection. The tests shall be
yellowish crisp cake. The product shall be recon- · carried out according to the methods given in
stituted into a homogenous suspension within half Section 2. 1. 4. 4.
a minute after addition of physiological saline as
3. 3. 10 Diluent
stated on the label.
The diluent shall be sodium chloride injection.
3. 3. 3 Moisture content
4 Storage, shipping and validity period
The residual moisture content shall be not more
Store and ship at 2-8°C, protected from light.
than 3. 0% (Appendix VIl D).
The validity period is 12 months starting from the
3. 3. 4 Test for the absence of contaminating micro-
date when the test for the number of culturable
orgamsms
particles proved qualified.
It complieswith the bacterial purity test (Appendix
XII A). No contaminating microorganisms shall be 5 Package inserts
found in the cultures by microscopic examination of Directions for Use of Plague Vaccine (Live)
stained smears. The bacteria shall meet the for Percutaneous Scarification
characteristics of Yersinia pestis EV strain.
[Drug name]
3. 3. 5 Inspection for morphology and colony of Adopted name: Plague Vaccine ( Live ) for
bacilli Percutaneous Scarification
The bacilli shall be Gram-negative rods by
microscopic examination of stained smears and the [Constituents and characters]
colony shall be typically rough. Plague vaccine for percutaneous scarification is a
preparation made by cultivation and harvest of a
3. 3. 6 Bacterial content live attenuated strain of Yersinia pestis and
The bacterial content shall be determined against lyophilization following addition of a stabilizer. It
the National Standard of Bacterial Opacity. Each looks like a white or yellowish crisp cake and shall
human dose of the vaccine shall contain 7 X 108-9 X be a homogenous suspension after reconstitution.
108 bacilli.
[Eligibles]
3. 3. 7 Test for the number of culturable particles Inhabitants living in the endemic area and those
Reconstitute the product in three containers into a who intend to enter the area from non-endemic
homogeneous bacterial suspension with physiological area.
saline. The suspension shall be diluted to a
concentration of 1. 0 X 103 bacilli/ml. Inoculate [Function and useJ
0. 1 ml of diluted suspension onto each of five The vaccine can induce immune response in the
plates and spread evenly, and incubate at 28-30°C recipients following immunization. It is used to
for 2-3 days. Each human dose of the vaccine shall prevent plague.
contain more than 3. 6 X 108 bacilli. [ Specifications J
3. 3. 8 Potency test 8. 0 X 109 bacilli per container for ten human doses,
The first batch of every five . batches shall be or 1. 6 X 1010 bacilli per container for twenty human
sampled for the potency test. Immunize s. c. each doses. Each single human dose shall contain more
of ten guinea pigs weighing 250-300 g with the than 3. 6 X 108 live bacilli.
product containing 5. 0 X 107 bacilli. Challenge [ Administration and dosageJ
s. c. each of the guinea pigs with 200 MLD of ( 1) Reconstitute the vaccine with sodium chloride
Yersinia pestis 20-25 days after immunization. At injection as stated on the label. Add 1. 0 ml of
the same time, three groups each consisting of sodium chloride injection to the final container
three guinea pigs shall be used as controls. The containing twenty human doses, and 0. 5 ml to
Anthrax Vaccine (Live) for Percutaneous Scarification

that containingten human doses. The vaccineshall be


used up within 3 hours after reconstitution.
( 2) The vaccine shall be inoculated by percutaneous
scarification at the insertion of deltoid muscle area Anthrax Vaccine (Live) for
of the lateral upper arm. A dose of vaccine ( 0. 05 ml)
shall be dropped to the inoculation site and then Percutaneous Scarification
make a scarifying mark of "# " about 1. 0-1. 5 cm
in length with a sterile needle. The scarified place Live anthrax vaccine for percutaneous scarification
shall have a trace of oozed blood and then be is a live bacterial suspension made by the
pressed over with the needle for at least 10 times to cultivation of an attenuated strain of Bacillus
let the vaccine penetrate into the skin· fully. After anthracis and dilution after harvest. It is used to
inoculation, the arm shall remain uncovered for at prevent anthrax.
least 5 minutes.
1 Basic requirements
(3) For the children under the age of 14 years,
The facilities, water, source and subsidiary
the vaccine shall be applied by scarifying two
materials, apparatus, and animals used for
marks of " # " on the skin; and, for the
production and control tests shall comply with the
recipients over 14 years of age, three marks of
requirements set forth in the General Notices.
"#" shall be scarified. It shall be 2-3 cm apart The facilities for anthrax vaccine production shall
between marks.
be separated from other biologics production area.
( 4) The vaccinators shall be immunized once a
The apparatus for anthrax vaccine production shall
year.
be used exclusively.
[ Adverse reactionsJ
2 Manufacturing
The adverse reactions are mild. Infiltration at the
scarified site occurs occasionally, which may not 2. 1 Bacterial seeds
affect working in general. Transient fever occurs The bacterial seeds used for production shall
occasionally and can be relieved spontaneously. comply with the Requirements for Bacterial and
Viral Strains/Seeds Used for Production and
[ Contraindications]
Quality Control of Biologics.
The vaccine shall not be administered to the
subjects with serious diseases or immunodeficiency 2. 1. 1 Name and origin of bacterial strains
or receiving immunosuppressive therapy, and the The live attenuated CMCC63001 ( Al6R) strain
women in pregnancy or at the first 6 months of used for vaccine production shall be edematous type
lactation. without capsule and shall remain some residual
virulence.
[Precautions]
( 1) This vaccine is only for percutaneous use and 2. 1. 2 Establishment of seed lot system
the injection is rigidly forbidden! It complies with the Requirements for Bacterial and
( 2 ) The vaccine shall be kept away from · Viral Strains/Seeds Used for Production and
disinfectant when the vaccine container is opened Quality Control of Biologics.
or immunization is performed. 2. 1. 3 Control tests on seed lots
( 3) The vaccine shall not be used if any leakage of Overall tests for cultural characteristics, residual
the container or illegible label is found. virulence, specific virulence and immunity shall be
[Storage] carried out on the bacterial strain every 3-5 years.
Store and ship at 2-8°C, protected from light. Before production, the tests for morphology,
cultural characteristics and phage specificity of the
[Packaging]
bacilli shall be carried out.
[Validity period]
2. 1. 3. 1 Cultural characteristics and biochemical
12 months.
reactions
[Standard for implementation] The colonies of the bacilli grown on beef digest
[Product license numberJ agar medium or other appropriate solid media shall
be of curled hair-like appearance, opaque and
[Manufacturer J greyish-white in colour. They shall be Gram-
Name: positive bacilli in chain-like array, and be able to
Address: form spores. They shall form floccules in liquid
Zip code: media but fail to form capsules and shall be
Tel: nonmotile in serum media. They shall ferment
Fax: glucose, maltose and sucrose but fail to dissociate
Web site: salicin (Appendix XIV).
2. 1. 3. 2 Tests for residual virulence
Inject s. c. 1. 0 ml of the bacterial suspension of
5. 0 X 107 bacilli/ml into each of five guinea pigs
Anthrax Vaccine (Live) for Percutaneous Scarification

weighing 350-400 g, and inject s. c. 0. 1 ml of Inoculate the seed cultures qualified in control tests
bacterial suspension of the same concentration into onto beef digest agar medium, and cultivate at 33-
each of five mice weighing 18-20 g. After 10-day 34°C. More than 80 % of cultures shall be typical
observation, specific deaths may occur, but only matured spores. The cultures are harvested if it is
Bacilli anthracis without capsules shall be found free from contaminating microorganisms.
by the microscopic examination of stained smears
2. 2. 4 Harvest
of the organs. Edema shall appear in some
Harvest the cultures by scraping off the bacterial
animals. If no edema appears in animals, the test
lawn into the bottles containing 50 % glycerol
shall be repeated. If no edema appears in the
solution and make a homogenous suspension by
repeat test, the seed lot shall not be used for
shaking. Samples shall be taken from each bottle
production.
and tested for the absence of contaminating micro-
2. 1. 3. 3 Tests for specific virulence organisms ( Appendix XI[ A). No contaminating
Inject s. c. 1 ml of the bacterial suspension of microorganisms shall be found in the cultures by
2. 5 X 108 bacilli/ml into each of ten rabbits microscopic examination of stained smears. The
weighing 2. 0'--2. 5 kg. All of the animals shall bacteria shall meet the characteristics of Bacillus
survive the 10-day observation period, and edema anthracis CMCC63001 strain (Al6R).
may appear at the injection sites. If any animal
2. 2. 5 Pooling
dies, the test shall be repeated with the same
Pool the bulks qualified in the tests for absence of
number of animals; if the deaths of animals still
contaminating microorganisms and define batches.
occurin the repeat test, the seed lot shall not be
used for production. 2. 2. 6 Control tests on bulk
See Section 3. 1.
2. 1. 3. 4 Immunity test
Inject s. c. 1 ml of the bacterial suspension of 2. 3 Final bulk
2. 5 X 108 bacilli/ml into each of ten rabbits weighing
2. 3. 1 Formulation
2. 0-2. 5 kg. Each rabbit shall be challenged s. c.
Dilute the bulk with sterile 50 % glycerol solution
with 20 MLD of Bacilli anthracis 18-20 days after
to a concentration of 4. OX 109 bacilli/ml.
injection. At the same time, inject s. c. 1 MLD
of the same bacilli into each of three rabbits with 2. 3. 2 Control tests on final bulk
the same body weight as control. After 10-day See Section 3. 2.
observation, all the animals in the control group 2. 4 Final product
shall die and not less than 60% of those in the test
group shall survive. 2. 4. 1 Defining batches
The Requirements for Defining batches of Biologics
2. 1. -3. 5 Phage bacteriolytic test shall apply.
Inoculate and spread the bacterial suspension onto
the agar plates, then add one drop of B. anthracis 2. 4. 2 Filling
phage at working concentration. After incubation The Requirements for Filling and Lyophilization of
at 33-34°C no growth of B. anthracis shall be found Biologics shall apply.
on the site where the phage was dropped. 2. 4. 3 Specifications
2. 1. 4 Storage of seed lots 0. 5 ml containing 2. 0 X 109 bacilli per container for
The seed lots shall be stored lyophilized or · stored ten human doses, or 1 ml containing 4. 0 X 109
at 2-8°C in 50 % glycerol solution. · bacilli per container for twenty human doses.
2. 2 Bulk 2. 4. 4 Packaging
The Requirements for Packaging of Biologics shall
2. 2. 1 Working seed lots for production
apply.
Inoculate the bacterial seed onto beef digest agar
medium or other appropriate media, and cultivate 3 Control tests
at 33-34°C for 18-20 hours. If no contaminating 3. 1 Control tests on bulk
microorganisms are found, it shall be stored at 2- 3. 1. 1 Tests for the absence of contaminating
8 °C and used within 2 weeks. microorganisms
2. 2. 2 Production medium It complies with the bacterial purity test
The beef digest agar medium ( pH 7. 2-7. 4) or ( Appendix XI[ A ) . No contaminating micro-
other approved media shall be used for production. organisms shall be found in the cultures by
microscopic examination of stained smears. The
2. 2. 3 Inoculation and cultivation
bacteria shall meet the characteristics of Bacillus
Inoculate the bacterial seed into a beef digest
anthracis CMCC6300l (Al6R) strain.
medium, and incubate at 33-34°C for 18-24 hours.
The cultural characteristics, morphology and the 3. 1. 2 Bacterial content
results from the test for absence of contaminating The bacterial content shall be determined against
microorganisms shall comply with the require- the National Standard of Bacterial Opacity. It
ments given in Section 2. 1. 3. 1. shall be 3. 2 X 109 -4. 8 X 109 bacilli/ ml.
Anthrax Vaccine (Live) for Percutaneous Scarification

3. 2 Control tests on final bulk Adopted name: Anthrax Vaccine ( Live) for
Test for the absence of contaminating micro- Percutaneous Scarification
organisms
[Constituents and characters]
It complies with the bacterial purity test
The product is a greyish-white homogenous
( Appendix XII A ) . No contaminating micro-
bacterial suspension made by cultivation of a live
organisms shall be found in the cultures by
attenuated strain of B. anthracis and dilution after
microscopic examination of stained smears. The
harvest.
bacteria shall meet the characteristics of Bacillus
anthracis CMCC63001 (A16R) strain. [Eligibles]
People living in prevalent area, those engaged in
3. 3 Control tests on final product
fur or leather processing, herds and those closely
3. 3. 1 Identity test contacting livestocks.
See Section 2. 1. 3. 5.
[Function and use]
3. 3. 2 Inspection on final containers The vaccine can induce immune response in
The product shall be a greyish-white homogenous recipients following immunization. It is used to
suspension free of foreign matters or clumps not prevent anthrax.
dispersed on shaking.
[Specifications J
3. 3. 3 · Test for the absence of contaminating micro-
0. 5 ml containing 2. 0 X 109 bacilli per container for
organisms
ten human doses, or 1 ml containing 4. 0 X 109
It complies with the bacterial purity test
bacilli per container for twenty human doses.
( Appendix XII A ) . No contaminating micro-
organisms shall be found in the cultures by [ Administration and dosageJ
microscopic examination of stained smears. The (1) Draw the vaccine with a sterile syringe, apply
bacteria shall meet the characteristics of Bacillus two drops of the vaccine separately at two different
anthracis CMCC63001 (A16R) strain. sites, which shall be 3-4 cm apart, on the skin
over the insertion of deltoid muscle of the lateral
3. 3. 4 Bacterial content
The bacterial content shall be determined against
a
upper arm. Scarify mark of " # " on the skin,
where the vaccine was dropped, about 1. 0-1. 5 cm
the National Standard of Bacterial Opacity. It
in length with a disinfected needle. The scarified
shall be 3. 2 X 109-4. 8 X 109 bacilli/ml.
places shall have a trace of oozed blood.
3. 3. 5 Test for number of culturable particles (2) Spread and press over the marks with the
Three containers of final product are pooled and same needle repeatedly to let the vaccine penetrate
diluted to a concentration of 1. 0 X 103 bacilli/ml. into the skin fully. After inoculation the arm shall
Inoculate 0. 1 ml of the suspension onto each of remain uncovered for at least 5-10 minutes.
five plates, spread evenly and cultivate at 35-37°C (3) Repeat the inoculation if the person have no
for 24 hours. Each human dose of the vaccine shall reactions at the site of scarification 24 hours after
contain more than 1. 0 X 108 live bacilli. the primary inoculation. '
3. 3. 6 Potency test [ Adverse reactionsJ
The first batch of every five batches shall be Slight congestion at the injection site may occur,
sampled for the potency test according to the but no special treatment is needed. Transient low
requirements given in Section 2. 1. 3. 4. fe~er may occur occasionally, which can be
3. 3. 7 Specific toxicity test relieved spontaneously. If the recipient develops a
Inject s. c. 1 ml bacterial suspension contammg persistent fever or local abscess' symptomatic
2. 5 X 108 bacilli into each of five rabbits weighing treatment shall be given.
2. 0-2. 5 kg. All the animals shall survive the 10- [ Contraindications J
day observation period, and edema at the injection The vaccine shall not be administered to the
site may appear. If any deaths occur, the test subjects with serious diseases, serious dermatosis ,
shall be repeated with a double number of animals. immunodeficiency or receiving immunosuppressive
If any animal dies in the repeat test, the product therapy or those with a history of serious allergic
shall be judged as unqualified. reaction.
4 Storage, shipping and validity period [Precautions J
Store and ship at 2-8°C, protected from light. ( 1) The vaccine is only for percutaneous use, and
The validity period is 24 months starting from the injection is rigidly. forbidden !
date when the test for number of culturahle (2) The vaccine shall be kept away from disin-
particles of final product proved qualified. fectant when the vaccine container is opened or
5 Package inserts immunization is performed.
( 3 ) Do not use the vaccine if any leakage of
Directions for Use of Anthrax Vaccine (Live) container or clumps not dispersed on shaking are
for Percutaneous Scarification found.
[Drug name] (4) Shake the container before use. Only ethanol
Brucellosis Vaccine (Live) for Percutaneous Scarification

but not iodine tincture can be 'used for disinfecting 2. 1. 3. 1 Cultural characteristics
skin. The bacterial seeds shall grow on the medium
<.. ~) 'Ibe "'vo.tt)Tlt sba\\ 'oe useo up witnin ~ nours contarmng 1 . _ ~\)\)\)\) 'oasic iucnsm, out sna\\ not
after the container is opened. grow on the medium contammg the same
( 6) The containers with remaining vaccine, the concentration of thionine ( alternatively tested by
used containers or apparatus shall be discarded paper strip). A trace amount of hydrogen sulfide
after sterilization by boiling for 30 minutes in 3 % can be produced on liver infusion agar slant. The
sodium carbonate solution. bacilli shall be Gram-negative coccobacilli.
(7) Freezing is strictly contraindicated.
2. 1. 3. 2 Tests for dissociation
[Storage] Dilute the fresh cultures into a bacterial suspension
Store and ship at 2-8°C, protected from light. of 2. 5 X 109-3. 0 X 109 bacilli/ml with physiological
[Packaging] saline. Put the bacterial suspension in 90°C water
bath for 30 minutes, and mix the suspension at the
[Validity period] same concentration with an equal volume of 1: 1000
24 months. trypaflavine solution and place at 37°C for 24
[Standard for implementation] hours. No agglutination shall be found in both
cases. Examine the bacillary colonies with crystal
[Product license numberJ violet staining method and the dissociation rate
[ManufacturerJ shall be not more than 3 % .
Name: 2. 1. 3. 3 Phage bacteriolytic test
Address: Inoculate and spread the bacterial seed onto the
Zip code: liver infusion agar plate and then add one drop of
Tel: brucella Tb phage. After incubation at 35-37°C for
Fax: 44-48 hours, no growth of bacilli shall be found on
Web site: the site where the phage was dropped.
2. 1. 3. 4 Serological test
Dilute the fresh culture into a bacterial suspension
of 5. 0 X 109 bacilli/ml with physiological saline.
Brucellosis Vaccine (Live) for An agglutination test shall be performed with
PercutaneousScarification reference brucella serum, and the agglutination
titer shall be not less than the original titer of
Live Brucellosis vaccine for percutaneous scarifi- serum.
cation is a preparation made by the cultivation and 2. 1. 3. 5 Test for residual virulence
harvest of a live attenuated strain of Brucella Dilute the fresh cultures, which have been
abortus and lyophilization following addition of a incubated on liver infusion agar slant at 35-37°C for
stabilizer. It is used to prevent brucellosis. 44-48 hours, with physiological saline into bacterial
1 Basic requirements suspensions at concentrationsof 1. 5 X 109 , 3. 0 X 109 ,
The facilities,water, source and subsidiary materials, 6. 0 X 109, 1. 2 X 1010, and 2. 4 X 1010 bacilli/ml,
apparatus, and animals used for production and respectively. Divide twenty-five mice each weighing
control tests shall comply with the requirements 18-20 g into five groups equally, and inject i. p.
set forth in the General Notices. each with 0. 5 ml of the bacterial suspension of the
five dilutions, respectively. Observe the animals
2 Manufacturing for 7 days and calculate the LD5o, and the LD50
2. 1 Bacterial seeds shall be 1. 0 X 109 -2. 0 X 109 bacilli.
The bacterial seeds used for production shall 2. 1. 3. 6 Immunity test
comply with the Requirements for Bacterial and Immunity test of the bacterial seed shall be carried
Viral Strains/Seeds Used for Production and out at least once every 3-5 years. Dilute the fresh
Quality Control of Biologics. culture of the first passage of seed into a bacterial
2. 1. 1 Name and origin of bacterial strains suspension of 2. 0 X 108 bacilli/ml with physi-
The live attenuated Brucella abortus 104 M strain ological saline. Immunize s. c. 1 ml of the
shall be used for vaccine production. suspension into each of ten guinea pigs weighing
300-350 g. Challenge s. c. the animals with 10 or
2. 1. 2 Establishment of seed lot system 20 MID ( minimum infectious dose) of Brucella
It complies with the Requirements for Bacterial and melitensis 25-30 days after immunization. At the
Viral Strains/Seeds Used for Production and same time, inject 1 MID into each of three guinea
Quality Control of Biologics. pigs in the control group. Autopsy the guinea pigs
The use of bacterial strain passaged in animal is in both immunized and control groups after 25-30-
forbidden for vaccine production.
day observation. Take out the lymph nodes
2. 1. 3 Control tests on seed lots adjacent to abdominal aorta and inguinal lymph
Brucellosis Vaccine ( Live) for Percutaneous Scarification

nodes, livers and spleens, inoculate separately be made into a bulk. The bulk shall be stored at 2-
onto liver infusion agar slants and incubate at 35- 80C.
37°C for 10 days. If the growth of any Brucella is 2. 2. 5 Control tests on bulk
found in the cultures of the immunized animal See Section 3. 1.
tissues, the species and biotype shall be
differentiated by using thionine medium cultivation 2. 3 Final bulk
method (or by paper strip) and hydrogen sulfide 2. 3. 1 Formulation
reaction method. All the three guinea pigs in the The pooled bulk shall be diluted to a concentration
control group shall be systemically infected, that of 1. 8 X 1011-2. 0 X 1011 bacilli/ml to prepare the
is, the Brucella melitensis shall be isolated from final bulk. Each single human dose shall contain
the livers or spleens. If the immunized group is 9. 0 X 109-10. 0 X 109 bacilli. The final bulk
challenged with 10 MID, Brucella melitensis shall qualified in the test for the absence of contami-
not be isolated from more than two of the ten nating microorganisms can be dispensed and
immunized guinea pigs. If the challenge dose is 20 lyophilized, The time interval between bulk
MID, Brucella melitensis shall not be isolated collection and lyophilization shall be not more than
from more than three of the ten immunized guinea 7 days.
pigs.
' 2. 3. 2 Control tests on final bulk
2. 1. 4 Storage of seed lots See Section 3. 2.
The seed lots shall be stored lyophilized at 2-8°C.
2. 4 Final product
2. 2 Bulk
2. 4. 1 Defining batches
2. 2. 1 Working seed lots for production The Requirements for Defining Batches of
2. 2. 1. 1 Inoculate the bacterial seed derived from Biologics shall apply.
working seed lots onto liver infusion agar slant or 2. 4. 2 Filling and lyophilization
other appropriate media and incubate at 35-37°C The Requirements for Filling and Lyophilization of
for 44-48 · hours to prepare the first passage of Biologics shall apply. The products shall be
seed. The first passage shall be subject to the slide lyophilized immediately after filling. The final
agglutination test with 1 : 500 trypaflavine , and containers shall be sealed under vacuum or after
no agglutination shall be found. Only the seed filling with nitrogen.
with smooth surface can be used for the vaccine 2. 4. 3 Specifications
production. The slant inoculated with the first Ten human doses per container. Each single
passage of seeds can he stored at 2-8°C for 15 days. human dose contains 9. 0 X 109-10. 0 X 109 bacilli.
2. 2. 1. 2 Inoculate the seed of the first passage 2. 4. 4 Packaging
onto liver infusion agar medium . or other The Requirements for Packaging of Biologics shall
appropriate media and incubate at 35-37°C for 44- apply.
48 hours to prepare the second passage of seed. If
no contaminating microorganisms are found by 3 Control tests
visual inspection, remove the condensed water and 3. 1 Control tests on bulk
dilute the culture with sterile physiological saline Test for the absence of contaminating micro-
into a bacterial suspension. This seed suspension organisms
shall be used as the working seed for vaccine It complies with the bacterial purity test
production. ( Appendix XII A ) . No contaminating micro-
2. 2. 2 Production medium organisms shall be found by microscopic exami-
The liver infusion agar medium at pH 6. 6-7. 2 or nation of stained smears.
other approved media shall be used for production. 3. 2 Control tests on final bulk
2. 2. 3 Inoculation and cultivation Test for the absence of contaminating micro-
The second passage of seed shall be inoculated onto orgamsms
the media described in Section 2. 2. 2 and incubated It complies with the bacterial purity test ( Appendix
at 35-37°C for 44-48 hours. The culture bottles XII A). No contaminating microorganisms shall
shall be inspected one by one and the contaminated be found by microscopic examination of stained
ones shall be discarded. smears.

2. 2. 4 Harvest 3. 3 Control tests on final product


Harvest the cultures by washing down the Other than the determination of moisture content,
bacterial lawn with the stabilizer consisting of the product shall be reconstituted with sodium
sucrose, gelatin, thiourea and sodium glutamate, chloride injection as stated on the label and subject
or by scraping off the bacterial lawn into the to the following tests.
stabilizer. Cultures from several bottles can be 3. 3. 1 Identity test
pooled into one vessel containing the stabilizer. An agglutination test shall be performed with the
When control tests proved qualified, the pools tan specific serum, and distinct agglutination shall be
Brucellosis Vaccine (Live) for Percutaneous Scarification

observed. Alternatively, see Section 2. 1. 3. 3. and incubate at 37°C for 10 days. 'If the growth of
any Brucella are found on the cultures of the
3. 3. 2 Inspection on final containers
immunized animal tissues, the bacillary species
The freeze-dried product looks like a milky-white
and biotype shall be differentiated by using
crisp cake. The product shall be reconstituted into
thionine medium cultivation method ( or by paper
a homogenous suspension within 1 minute after
pad) and hydrogen sulfide reaction method. All
addition of physiological saline as stated on the
the three guinea pigs in the control group shall be
label.
systemically infected, that is, Brucella melitensis
3. 3. 3 Moisture content shall be isolated from the livers or spleens. If the
The residual moisture content shall be not more immunized group is challenged with' 10 MID,
than 3. 0% (Appendix VII D). Brucella melitensis shall not be isolated from more
3. 3. 4 Test for the absence of contaminatingmicro- than three of the ten immunized guinea pigs. If the
orgamsms challenge dose is 20 MID, Brucella melitensis
It complieswith the bacterial purity test (Appendix shall not be found in more than four of the ten
XI[ A). No contaminating microorganisms shall be immunized guinea pigs.
found in the cultures by microscopic examination of
3. 3. 9 Specific toxicity test
stained smears.
Three samples of final products shall be taken from
3. 3. 5 Tests for bacterial species every sub-lot. Inject s. c. each of five mice
Each sub-lot of vaccine shall be tested for the weighing 18-20 g with O. 5 ml of the bacterial
bacterial species by using thionine medium suspension containing 1. 0 X 109 bacilli/ml. The
cultivation method ( or by paper strip) and mice shall survive the 7-day observation period. If
hydrogen sulfide reaction method. The results any deaths occur, the test shall be repeated. If
shall be identical to that of Brucella abortus. any deaths still occur in the repeat test, the
vaccine shall be discarded.
3. 3. 6 Bacterial content
The bacterial content shall be determined against 3. 3. 10 Diluent
the National Standard of Bacterial Opacity. Each The diluent shall be sodium chloride injection.
single human dose shall contain 9. 0 X 109-10. 0 X 4 Storage, shipping and validity period
109 bacilli. Store and ship at 2-8°C, protected from light.
3. 3. 7 Test for number of culturable particles and The validity period is 12 months starting from the
colony dissociation date when the test for number of culturable
Three containers of final products shall be sampled particles proved qualified.
from every sub-lot to prepare a homogeneous
bacterial suspension with physiological saline. 5 Package inserts
After the opacity test, the suspension shall be Directions for Use of Brucellosis Vaccine (Live)
diluted to a concentration of 1. 0 X 103 bacilli/ml. for Percutaneous Scarification
Inoculate 0. 1 ml of the suspension onto each of
[Drug name]
five plates, spread evenly with a L-shaped glass
Adopted name: Brucellosis Vaccine ( Live) for
rod, and incubate at 35-37°C for 4-5 days. The
Percutaneous Scarification
number of culturable particles in the suspension
shall be more than 5. 0 X 109 CFU/ml. At the [ Constituents and charactersJ
same time colonies shall be examined by the crystal The vaccine is a preparation made by the
violet colony staining method and the dissociation cultivation and harvest of a live attenuated strain of
rate shall be not more than 10%. Brucella abortus and lyophilization following
addition of a stabilizer. It looks like a milky-white
3. 3. 8 Potency test
crisp cake and shall be a homogeneous suspension
The first batch of every five batches shall be
after reconstitution.
sampled for the potency test. Reconstitute the
freeze-dried product with sterile physiological saline [Eligibles]
to prepare a suspension of 5. 0 X 108 bacilli/ml. The close contacts of the infectious source of
Immunize s. c. each of ten guinea pigs weighing brucellosis shall be immunized once a year, and
300-350 g with 1 ml of the suspension. Challenge the brucellin-positive people may not be immunized.
s. c. each of the animals with 10 or 20 MID [Function and use]
(minimum infectious dose) of Brucella melitensis The vaccine can induce immune response m
25-30 days after immunization. At the same time, recipients following immunization. It is used to
each of three guinea pigs shall be injected s. c. prevent brucellosis.
with 1 MID of Brucella melitensis as a control.
Autopsy the guinea pigs in both immunized and [Specifications J
control groups after 25-30 day observation. Take Ten human doses per container. Each single
out the lymph nodes adjacent to abdominal· aorta human dose contains 9. 0 X 109-10. 0 X 109 bacilli.
and inguinal lymph nodes, livers and spleens, [ Administration and dosageJ
inoculate separately onto liver infusion agar slants (1) Reconstitute the vaccine of each container
BCG Vaccine for lntradermal Injection

with 0. 5 ml of sodium chloride injection. The Fax:


vaccine shall be used up within 3 hours after Web site:
reconstitution, and the remaining vaccine shall be
discarded.
( 2) The vaccine shall be inoculated by percutaneous
scarification at the insertion of deltoid muscle area BCG Vaccine for lntradermal Injection
of the lateral upper arm. A drop of vaccine
( 0. 05 ml) should be applied to the inoculation
area and then make a scarifying mark of " # " BCG vaccine is a freeze-dried product made by
about 1-1. 5cm in length with a sterile needle. The cultivation and harvest of Bacillus of Calmette and
scarified place should have a trace of oozed blood. Guerin ( BCG ) and lyophilization following
The scarified place shall be pressed over with the addition of a stabilizer. It is used to prevent
needle for at least 10 times to let the vaccine tuberculosis.
penetrate into the skin fully. After inoculation,
1 Basic requirements
the arm shall remain uncovered for at least
The facilities, water, source and subsidiary
5 minutes.
(3) For children under the age of 10 years and the materials, apparatus, and animals used for
persons to be revaccinated, the vaccine should be production and control tests shall comply with the
applied by scarifying one mark of "# ". For the requirements set forth in the General Notices.
primary vaccinees above 10 years old, two marks The production area for BCG vaccine shall be
of "#" shall be scarified. It shall be 2-3 cm apart separated from the production area for other
between marks. biologics. The apparatus for BCG vaccine
production shall be used exclusively. BCG vaccine
[ Adverse reactionsJ shall be protected from light at all stages of
The adverse reactions are mild. Slight infiltration manufacture, packaging and storage.
at the scarified site occurs occasionally, which may The workers engaged in production of the product
not affect working in general. Transient fever or those entering the production area frequently
occurs occasionally and can be relieved sponta- shall be healthy. They shall be free from
neously. Any recipients who manifest symptoms tuberculosis and subject to one or two X-ray
suggestive to acute brucellosis caused by a wrong examinations of the chest each year. If 'suspected
route of inoculation, shall be regarded as a patient tuberculosis is revealed in an X-ray examination,
with acute brucellosis and shall be treated the worker shall be kept away from BCG vaccine
radically. production temporarily.
[ ContraindicationsJ 2 Manufacturing
The vaccine shall not be administered to the subjects
with serious diseases or immunodeficiency, or 2. 1 Bacterial seeds
receiving immunosuppressive therapy, and the The bacterial seeds used for production shall
women in pregnancy or at the first 6 months of comply with the Requirements for Bacterial and
lactation. Viral Strains/Seeds Used for· Production and
Quality Control of Biologics.
[Precautions]
( 1) This vaccine is only for percutaneous use, and 2. 1. 1 Name and origin of bacterial strains
injection is rigidly forbidden. The bacterial strain D2PB302 shall be used for the
( 2) The vaccine shall be kept away from disin- production of BCG vaccine. The use of bacterial
fectant when the vaccine container is opened or strains passaged in animal is forbidden for
immunization is performed. production.
( 3) The vaccine shall not be used if any leakage of 2. 1. 2 Establishment of seed lot system
the container or illegible label is found. It complies with the Requirements for Bacterial and
[Storage] Viral Strains/Seeds Used for Production and
Store and ship at 2-8°C, protected from light. Quality Control of Biologics.
[Packaging] 2. 1. 3 Passage of seed lots
The total number of subcultures of a single harvest
[Validity period] from working seed lot shall not exceed twelve
12 months. passages.
[Standard for implementation] 2. 1. 4 Control tests on seed lots
[Product license numberJ 2. 1. 4. 1 Cultural characteristics
[ManufacturerJ BCG shall grow well in Sauton medium at 37-39°C,
Name: which shall be acid-fast staining-positive. BCG
Address: cultivated on Sauton potato medium shall be
Zip code: crumpled and yellowish colonies and shall be
Tel: greyish mucoid lawns on ox bile potato medium.
BCG Vaccine for lntradermal Injection

The BCG grown on egg-based medium shall form statistically, and the difference between the two
two types ( crumpled and diffused) of yellowish groups shall be significant.
colonies with protuberances. The BCG grown in
2. 1. 5 Storage ofseed lots
Sauton medium shall form rugous and yellowish
The freeze-dried bacterial seeds shall be stored at
pellicles on the surface of the medium. 2-8°C.
2. 1. 4. 2 Virulence test
2. 2 Bulk
Inject i. p. 1 ml of bacterial suspension (5 mg/ml)
into each of four purified protein derivative of 2. 2. 1 Production medium
tuberculin (TB-PPD) ( i. d. injection of 0. 2 ml Sauton potato medium, ox bile potato medium or
containing 10 IU)-negative guinea pigs of the same liquid Sauton medium shall be used for production.
sex, weighing 300-400 g. Weigh the animals once 2. 2. 2 Working seed for production
a week for 5 weeks, and the body weights of The working seed subcultured once on Sauton
animals shall not decrease. The guinea pigs shall potato medium or ox bile potato medium or in
be autopsied 5 weeks after injection. Pustules on liquid Sauton medium is regarded as one passage.
greater omen tum, mesenteric lymph nodes The storage of bacterial seed cultivated on potato
enlargement and splenomegaly may be found. media in refrigerator shall not exceed 2 months.
However, no lesions in liver or other organs shall
be found visually. 2. 2. 3 Inoculation and cultivation
Inoculate well grown pellicles onto the surface of
2. 1.4. 3 Test for the absence of virulent rnyco- the modified Sauton synthetic medium or other
bacteria approved media, and perform static cultivation at
Inject s. c. 1 ml of bacterial suspension (10 mg/ml) 37°C.
at the upper medial side of thigh into each of six
TB-PPD ( i. d. injection of 0. 2 ml containing 2. 2. 4 Harvest and pooling
10 IU)-negative guinea pigs of the same sex, The culture bottles shall be examined one by one at
weighing 300-400 g. The animals shall be weighed the end of cultivation. If the contaminating micro-
before injection. The injection site and changes of organism, turbidity or wet pellicles are found,
regional lymph nodes shall be observed. once a the cultures shall be discarded. The pellicles shall
week following injection. The animals shall be be collected, dried by pressing, and transferred
weighed every 2 weeks, and the body weights of into a bottle filled with stainless steel beads. The
animals shall not decrease. Three guinea pigs shall proportion of steel beads to the bacteria shall
be autopsied at the end of the 6th week, and the depend upon the speed of grinder. The pellicles
other 3 months after injection for the examination shall preferably be ground at a lower temperature,
of visceral tuberculosis. No tuberculous lesions and diluted with a quantity of sensibiligen-free
shall be found visually. If suspected tuberculous stabilizer to prepare a bulk.
focus is found, stained smears and histological 2. 2. 5 Control tests on bulk
sections shall be examined microscopically. Take See Section 3. 1.
samples from some foci, grind and mix well with a
quantity of physiological saline. The mixture shall 2. 3 Final bulk
be injected s. c. into two guinea pigs. The BCG 2. 3. 1 Formulation
strain shall be discarded if the tuberculous lesion is The bulk shall be diluted with a stabilizer to a
confirmed. Any animal that dies within 3 months concentration of 1. 0 mg/ml or 0. 5 mg/ml.
shall be subjected to a postmortem examination. If
suspected tuberculosis focus is found, the above 2. 3. 2 Control tests on final bulk
mentioned procedures shall be performed. The See Section 3. 2.
BCG strain shall be discarded if the tuberculous 2. 4 Final product
lesion is confirmed. The test shall be repeated if
2. 4. 1 Defining batches
non-specific death is confirmed and more than one
The Requirements for Defining Batches of
animal die.
Biologics shall apply.
2. 1. 4. 4 Immunity test
2. 4. 2 Filling and lyophilization
Inject s. c. 0. 2 ml ( one-tenth of human dose) of
The Requirements for Filling and Lyophilization of
BCG vaccine prepared from the seed lot into each
Biologics shall apply. · The vaccine shall be kept in
of four guinea pigs weighing 300-400g, and inject
homogenous form during filling and lyophilized
s. c. · 0. 2 ml of physiological saline into guinea pigs
immediately after filling. The containers shall be
in control group. Challenge s. c. the animals with
sealed immediately after lyophilization .
103-104 virulent Mycobacterium tuberculosis hominis 4-
5 weeks later. The animals shall be autopsied 5-6 2. 4. 3 Specifications
weeks after challenge. The logarithms of path- 0. 5 mg per container for ten human doses, or
ological indexes and the number of tubercle 0. 25 mg per container for five human doses. 1 mg
bacillus isolated from the spleen of guinea pigs in shall contain not less than 1. 0 X 106 CFU of
immunized and control groups shall be analyzed culturable particles.
BCG Vaccine for lntradermal Injection

2. 4. 4 Packaging shall be not less than 5 mm in diameter.


The Requirements for Packaging of Biologics shall 3. 3. 6 Test for number of culturable particles
apply.
The culturable particles shall be counted after
3 Control tests lyophilization on each sub-lot of batches produced
3. 1 Control tests on bulk from the same lot of bacterial seed, by recon-
stituting and pooling of five containers. The
3. 1. 1 Bacterial purity test number of culturable particles of the freeze-dried
It complies with the bacterial purity test (Appendix vaccine after incubation for 4 weeks shall be more
XII A). No contaminating microorganisms shall be than 1. 0 X 106 CFU/mg. Thermostability test can
found by microscopicexamination·of stained smears. be performed at the same time.
3. 1. 2 Bacterial content 3. 3. 7 Test for the absence of virulent mycobacteria
The bacterial content shall be determined against The test shall be performed by subcutaneous
the National Standard for Bacterial Opacity by injection of a dose equivalent to 50 human doses of
spectrophotometry or other methods with the BCG sample into each of six TB-PPD (i. d. injection of
reference preparation distributed by the NCL. 0. 2 ml containing 10 IU)-negative guinea pigs of
3. 2 Control tests on final bulk the same sex, weighing 300-400 g. The animals
shall be weighed every 2 weeks and observed for
3. 2. 1 Bacterial purity test
6 weeks, and the body weight of animals shall not
It complies with the bacterial purity test (Appendix
decrease. The guinea pigs shall be autopsied at the
XII A); No contaminating microorganisms shall
end of the 6th week for the examination of visceral
be found by microscopic examination of stained
tuberculosis. If no tuberculous lesion is found in
smears.
liver, spleen or lung, the vaccine shall be judged
3. 2. 2 Bacterial content as qualified. If the animals die or a suspected
See Section 3. 1. 2. tuberculous focus is found, the test shall be
3. 2. 3 Test for number of culturable particles carried out according to Section 2. 1. 4. 3.
The number of culturable particles shall be not less 3. 3. 8 Thermostability test
than 1. OX107 CFU/mg. Each sub-lot of vaccine shall be exposed at 37°C for
3. 3 Control tests on final product 28 days and the number of culturable particles shall
Other than the tests for moisture content, the be compared with that of the vaccine of the same
numbers of culturable particles and thermostability, batch stored at 4°C. The number of culturable
the product shall be reconstituted with sterile particles of the vaccine exposed at 37°C shall be not
water for injection as stated on the label and less than 2. 5 X 105 CFU / mg which shall be not less
subject to the following tests. than 25 % of that of the vaccine stored at 4°C.
Samples of vaccine shall be taken from each freeze-
3. 3. 1 Identity test
dryer for the test.
The final product shall be subject to the microscopic
examination of acid-fast stained smears, and 3. 3. 9 Diluent
the morphology and characteristics of the bacteria The diluent shall be sterile water for injection.
shall meet those of BCG. 4 Storage, shipping and validity period
3. 3. 2 Inspection on final containers Store and ship at 2-8°C, protected from light.
Freeze-dried BCG looks like a white crisp cake or The approved validity period shall apply, starting
powder. After addition of water for injection as from the date of filling of final product.
stated on the label, it shall turn into a homo- S Package inserts
geneous suspension within 3 minutes.
Directions for Use of BCG Vaccine for
3. 3. 3 Moisture content Intradermal Injection
The residual moisture content shall be not more
than 3. 0% (Appendix VIl D). [Drug name]
Adopted name: BCG Vaccine for lntradermal
3. 3. 4 Bacterial purity test
Injection
It complies with the bacterial purity test (Appendix
XII A). No contaminating microorganisms shall be [Constituents and characters]
found by microscopicexaminationof stained smears. The vaccine is a freeze-dried product made by the
cultivation and harvest of BCG and lyophilization
3. 3. 5 Potency test
following addition of a stabilizer. It looks like a
Each of four TB-PPD ( i. d. injection of 0. 2 ml
white crisp cake or powder. After reconstitution,
containing 10 IU)-negative guinea pigs of the same
it shall turn into a homogenous suspension.
sex, weighing 300-400 g, shall be injected s. c.
with 0. 5 mg of the sample, and shall be injected [Eligibles]
i. d. with 10 IU/0. 2 ml of TB-PPD 5 weeks later. Infants under 3 months of age and PPD ( 5 IU)-
The result shall be read 24 hours after injection of negative children ( the induration less than 5mm in
TB-PPD, and the induration at the injection site diameter 48-72 hours following PPD test).
Diphtheria and Pertussis Combined Vaccine, Adsorbed

[Function and usage] [Product license numberJ


The vaccine can induce cellular immune response in
[ManufacturerJ
recipients following immunization. It is used to
Name:
prevent tuberculosis. Address:
[Specifications] Zip code:
0. 5 mg per container for ten human doses, or · Tel:
0. 25 mg per container for five human doses. 1 mg Fax:
shall contain not less than 1. 0 X 106 CFU of Web site:
culturable particles.
[Dosage and administration]
(1) Add 1 ml of the accompanying diluent to the
container of ten human doses, and add 0. 5 ml to Diphtheria and Pertussis Combined
that of five human doses. Allow to stand for one Vaccine, Adsorbed
minute and shake the container to make a
homogenous suspension. The vaccine shall be
Adsorbed diphtheria and pertussis combined
used up within half an hour after reconstitution.
vaccine is a preparation of bulk pertussis vaccine
(2) Draw 0. 1 ml of the homogenous vaccine after
and bulk diphtheria toxoid adsorbed onto
shaking into a sterile 1 ml syringe with blue
aluminium hydroxide. It is used as a booster to
plunger (gauge 25-26 needle), and inject i. d. at
prevent pertussis and diphtheria.
the middle area of deltoid muscle of the lateral
upper arm. 1 Basic requirements
The facilities, water, source and subsidiary
[ Adverse reactionsJ
materials, apparatus, and animals used for
Erythema , swelling and infiltration may occur at
production and control tests shall comply with the
the injection site about 2 weeks after vaccination.
requirements set forth in the General Notices.
If the infiltration site suppurates and ulcerates,
1 % gentian violet shall be applied to prevent 2 Manufacturing
infection. The ulcer scab generally occurs 8-12 2. 1 Monovalent bulks before mixing
weeks after injection. If the regional lymph nodes
enlarge, soften and form pustule, the recipient 2. 1. 1 Production of bulk pertussis vaccine shall
shall see a doctor in time. meet the requirements given in Annex 1 of the
Diphtheria, Tetanus, Pertussis Combined Vaccine,
[ ContraindicationsJ Adsorbed.
The vaccine shall not be administered to the subjects
2. 1. 2 Production of bulk diphtheria toxoid shall
with the following conditions:
(1) Tuberculosis, acute infectious diseases, nephritis,
meet the requirements given in Sections 2. 1-2. 2 of
the Diphtheria Vaccine, Adsorbed.
or heart diseases.
(2) Eczema or other dermatosis. 2. 1. 3 Control tests on bulk
( 3) Immunodeficiency. 2. 1. 3. 1 Pertussis vaccine
[Precautions J See Section 2 of Annex 1 of the Diphtheria, Tetanus
( 1 ) Injection by subcutaneous or . intramuscular and Pertussis Combined Vaccine, Adsorbed.
route is rigidly forbidden! 2. 1. 3. 2 Diphtheria toxoid
( 2) Do not use the vaccine if any leakage of the See Section 3. 1 of the Diphtheria Vaccine,
container is found. Adsorbed.
(3) Record shall be kept in detail, including the
name, sex, age and address of recipients, batch 2. 2 Final bulk
number and sub-lot number of vaccine, manu- 2. 2. 1 Formula
facturer and vaccination date. The following antigens shall be contained in 1 ml
(4) In order to prevent suppurative reaction, the of the final bulk:
syringe shall be used exclusively for immunization Bordetella pertussis not more than 9. 0 X 109
of BCG vaccine. bacteria ( not more than
( 5) The vaccine shall be protected from light even 30 IOU)
while using. Diphtheria toxoid 20 Lf
[Storage] 2. 2. 2 Formulation
Store and ship at 2-8°C, protected from light.
2. 2. 2. 1 Dilution of aluminum hydroxide
[Packaging] Dilute the aluminum hydroxide with water for
injection to make a final concentration of 1. 0-1. 5
[Validity period]
mg/ml in the final product. Thimerosal content
12 months.
shall be not more than 0. 1 g/L and sodium
[Standards for Implementation] chloride content shall be made up to 8. 5 g/L.
Diphtheria and Pertussis Combined Vaccine, Adsorbed

2. 2. 2. 2 Adsorption suspension free of foreign matters and clumps not


Add a quantity of the bulks of diphtheria toxoid dispersed on shaking.
and the pertussis vaccine based on the calculation 3. 2. 3 Chemical tests
into the diluted adjuvant and adjust pH to 5. 8-7. 2.
3. 2. 3. 1 pH
2. 2. 3 Control tests on final bulk The pH shall be 5. 8-7. 2 (Appendix V A).
See Section 3. 1.
3. 2. 3. 2 Sodium chloride content
2. 3 Final product The sodium chloride content shall be 7. 5-9. 5 g/L
2. 3. 1 Defining batches ( Appendix VIl G).
The Requirements for Defining Batches of 3. 2. 3. 3 Aluminum hydroxide content
Biologics shall apply. The aluminum hydroxide content shall be 1. 0-
2. 3. 2 Filling 1. 5 mg/ml (Appendix VIl F).
The Requirements for Filling and Lyophilization of 3. 2. 3. 4 Thimerosal content
Biologics shall apply. The thimerosal content shall be not more than
2. 3. 3 Specifications 0. 1 g/L ( Appendix VIl B).
0. 5 ml, 1. 0 ml, 2. 0 ml or 5. 0 ml per container. 3. 2. 3. 5 Free formaldehyde content
Each single human dose is 0. 5 ml containing not The free formaldehyde content shall be not more
less than 4. 0 IU of pertussis vaccine and not less than 0. 2 g/L (Appendix VI L).
than 30 IU of diphtheria toxoid.
3. 2. 4 · Potency tests
2. 3. 4 Packaging
The Requirements for Packaging of Biologics shall 3. 2. 4. 1 Pertussis vaccine
apply. See Annex 2 of the Diphtheria, Tetanus, Pertussis
Combined Vaccine (Adsorbed). The potency per
3 Control tests single human dose shall be not less than 4. 0 IU
3. 1 Control tests on final bulk and the lower 9 5 % confidence limit shall be not
Sterility test less than 2. 0 IU. It is allowable to repeat the test
It complies with the test for sterility ( Appendix if the results fail to meet the above requirements,
XI[ A). but the potency shall be calculated by geometric
mean from the results of valid test ( or by
3. 2 Control tests on final product weighted geometric means when using probit
3. 2. 1 Identity test analysis). The vaccine is judged as qualified if the
result meets the above requirements.
3. 2. 1. 1 Pertussis vaccine
See Annex 2 of the Diphtheria, Tetanus and 3. 2. 4. 2 Diphtheria toxoid
Pertussis Combined Vaccine, Adsorbed. The The potency of diphtheria toxoid per single human
corresponding antibody shall be induced in the dose shall be not less than 30 IU ( Appendix
animals immunized with the vaccine. Alter- XI C).
natively, agglutination test can be carried out with 3. 2. 5 Sterility test
the corresponding antiserum after dissolving the It complies with the test for sterility ( Appendix
adjuvant with sodium citrate or sodium carbonate XI[ A).
and separating pertussis bacteria by centrifugation.
Distinct agglutination shall be observed ( See 3. 2. 6 Specific toxicity test
Section 2. 3 of Annex 1 of the Diphtheria, Tetanus 3. 2. 6. 1 Pertussis vaccine
and Pertussis Combined Vaccine, Adsorbed). It complies with the requirements given in Annex 3
3. 2. 1. 2 Diphtheria toxoid of the Diphtheria, Tetanus and Pertussis Combined
Carry out the identity test by one of the following · Vaccine, Adsorbed.
methods: 3. 2. 6. 2 Diphtheria vaccine
( 1) The corresponding antibody shall be induced Inject s. c. 2. 5 ml of the vaccine from each batch
in the animals injected with the toxoid (Appendix to each of at least four guinea pigs weighing 250-
XI C); 350 g at both sides of abdomen, each side
(2) Flocculation test can be carried out after 1. 25 ml. Observe the animals for 30 days.
dissolving the adjuvant with sodium citrate or Infiltrations at the injection sites may be observed,
sodium carbonate, and flocculation shall be which might become indurations 5-10 days after
observed (Appendix XI D); injection and may not be completely resolved
( 3) Gel immuno--precipitation test can be carried within 30 days. Weigh each animal on days 10, 20
out after adjusting pH of the toxoid to 9. 0, and and 30. The test is judged as qualified if the weight
immuno-precipitation reaction shall be observed of each animal increases at the end of observation
(Appendix VIH C). in comparison with that before injection, and no
3. 2. 2 Inspection on final containers signs of advanced paralysis is observed.
The vaccine shall be a milky-white homogenous 4 Storage, shipping and validity period
Diphtheria, Tetanus and Pertussis Combined Vaccine, Adsorbed

Store and ship at 2-8°C, protected from light. which may subside gradually. The second
The validity period is 18 months starting from the injection shall be given on the other side.
date of adsorption. When the storage period of bulk (3) The recipients shall take a rest for a while on
pertussis vaccine is more than 18 months, the total site following immunization. Adrenaline should be
validity period of the vaccine shall be not more than available for first aid in case of severe anaphylactic
36 months starting from the date of harvest. reactions.
S Package inserts ( 4) If abnormal conditions such as a high fever or
convulsion occur after the first injection, the
Directions for Use of Diphtheria and Pertussis second injection should not be given.
Combined Vaccine, Adsorbed (5) Freezing is strictly contraindicated.
[Drug name] [Storage]
Adopted 'name, Diphtheria and Pertussis Combined Store and ship at 2-8°C, protected from light.
Vaccine, Adsorbed
[Packaging]
[Constituents and characters]
This vaccine is prepared by adsorbing the bulks of [Validity period]
pertussis vaccineand diphtheria toxoid on to aluminum 36 months.
hydroxide. It is a milky-white suspension containinga [Standard for implementation]
preservative. A precipitate may form after a long
period .of storage' which can be dispersed evenly [Product license numberJ
on shaking. [Manufacturer J
[Eligibles] Name:
Children aged 3 months to 6 years. Address:
Zip code:
[Function and use] Tel:
The vaccine can induce immune response in Fax:
recipients following immunization. It is used as a Web site:
booster to prevent pertussis and diphtheria.
[ SpecificationsJ
O. 5 ml, 1. 0 ml, 2. 0 ml or 5. 0 ml per container.
Each single human dose is 0. 5 ml containing not Diphtheria, Tetanus and Pertussis
less than 4. 0 IU of pertussis vaccine and not less
than 30 IU of diphtheria toxoid.
Combined Vaccine, Adsorbed
[ Administration and dosageJ
(1) Inject i. m. the vaccine at the buttock or m Adsorbed diphtheria, tetanus and pertussis
. the deltoid muscle of the lateral upper arm. combined vaccine is a preparation of bulks of
(2) The injecting dose is 0. 5 ml. pertussis vaccine, diphtheria and tetanus toxoids
adsorbed onto aluminum hydroxide. It is used to
[ Adverse reactionsJ prevent diphtheria; tetanus and pertussis.
Erythema or swelling, pain or itch may occur at
the injection site. Systemic manifestation may 1 Basic requirements
include low fever, fatigue, headache, etc. , - The facilities, water, source and subsidiary
which can be relieved spontaneously. Medical materials, apparatus, and animals used for
treatments should be given in time to recipients production and control tests shall comply with the
with serious reactions. requirements set forth in the General Notices.
[ Contraindication] 2 Manufacturing
( 1) The vaccine shall not be administered • to the 2. 1 Monovalent bulks before mixing
subjects with history of epilepsy, nervous system
diseases or convulsion. 2. 1. 1 Production of bulk pertussis vaccine shall
(2) Immunization shall be postponed to the comply with the Requirements for Bulk Pertussis
subjects with acute infectious diseases ( including Vaccine in Annex 1.
convalescents) or with fever. 2. 1. 2 Production of bulk diphtheria toxoid shall
(3) The vaccine shall not be administered to the comply with the requirements given in Sections
subjects with history of allergic reactions. 2. 1-2. 2 of the Diphtheria Vaccine, Adsorbed.
[PrecautionsJ 2. 1. 3 Production of bulk tetanus toxoid shall
( 1) Shake the container before use. Do not use comply with the requirements given in Sections
the vaccine if any foreign matters, leakage of 2. 1-2. 2 of the Tetanus Vaccine, Adsorbed.
container, illegible label or the clumps not
2. 1. 4 Control tests on bulk
dispersed on shaking are found, or the product has
been frozen. 2. 1. 4. 1 Pertussis vaccine
(2) Indurations may be found at the injection site, See Section 2 of Annex .1.
Diphtheria, Tetanus and Pertussis Combined Vaccine, Adsorbed

2. 1. 4. 2 Diphtheria toxoid the animals immunized with the . vaccme.


See Section 3. 1 of the Diphtheria Vaccine, Alternatively, agglutination test can be carried out
Adsorbed. with the corresponding antiserum after dissolving
the adjuvant with sodium citrate or sodium
2. 1. 4. 3 Tetanus toxoid
carbonate and separating pertussis bacteria by
See Section 3. 1 of the Tetanus Vaccine,
centrifugation. Distinct agglutination shall be
Adsorbed.
observed. See Section 2. 3 of Annex 1.
2. 2 Final bulk
I 3. 2. 1. 2 Diphtheria toxoid
2. 2. 1 Formula Carry out the identity test by one of the following
The following antigens shall be contained in 1 ml methods:
of the final bulk: (1) The corresponding antibody shall be induced
Pertussis vaccine ~9.0X109 bacteria(~ 30 IOU) in the animals injected with the toxoid (Appendix
Diphtheria toxoid 20 Lf XI C);
Tetanus toxoid 5 Lf ( 2 ) Flocculation test can be carried out after
2. 2. 2 Formulation dissolving the adjuvant with sodium citrate or
sodium carbonate, and flocculation shall be
2. 2. 2. 1 Dilution of aluminum hydroxide observed, (Appendix XI D);
Dilute the aluminum hydroxide with water for ( 3) Gel immuno-precipitation test can be carried
injection to make a final concentration of 1. 0- out after adjusting pH of the toxoid to 9. 0, and
1. 5 mg/ ml in the final product. Thimerosal content immuno-precipitation reaction shall be observed
shall be not more than 0. 1 g/L and sodium chloride (Appendix Vlll C).
content shall be made up to 8. 5 g/L.
3. 2. 1. 3 Tetanus toxoid
2. 2. 2. 2 Adsorption Carry out the identity test by one of the following
Add a quantity of the bulks of diphtheria toxoid, methods:
tetanus toxoid and the pertussis vaccine based on ( 1) The tetanus antibody shall be induced in the
the calculation into the diluted adjuvant and adjust animals injected with the toxoid (Appendix XI B);
pH to 5. 8-7. 2. (2) Flocculation test can be carried out after
2. 2. 3 Control tests on final bulk dissolving the adjuvant with sodium citrate or
See Section 3. 1. sodium carbonate, and flocculation shall be
observed (Appendix XI D);
2. 3 Final product (3) Gel immuno-precipitation test can be carried
2. 3. 1 Defining batches out after adjusting pH of the toxoid to 9. 0, and
The Requirements for Defining Batches of immuno-precipitation reaction shall be observed
Biologics shall apply. (Appendix Vlll C).
2. 3. 2 Filling 3. 2. 2 Inspection on final containers
The Requirements for Filling and Lyophilization of The vaccine shall be a homogeneous, milky-white
Biologics shall apply. suspension free of foreign matters and clumps not
dispersed on shaking.
2. 3. 3 · Specifications
0. 5 ml, 1. 0 ml, 2. 0 ml or 5. 0 ml per container. 3. 2. 3 Chemical tests
Each single human dose is 0. 5 ml containing not 3. 2. 3. 1 pH
less than 4. 0 IU of pertussis vaccine, not less than The pH shall be 5. 8-7. 2 (Appendix V A).
30 IU of diphtheria toxoid and not less than 40 IU
(guinea pig method) or 60 IU (mouse method) of 3. 2. 3. 2 Sodium chloride content
The sodium chloride content shall be 7. 5-9. 5 g/L
tetanus toxoid.
( Appendix VIl G).
2. 3. 4 Packaging
3. 2. 3. 3 Aluminum hydroxide content
The Requirements for Packaging of Biologics shall
The aluminum hydroxide content shall be 1. 0-1. 5
apply.
mg/ ml ( Appendix VIl F).
3 Control tests
3. 2. 3. 4 Thimerosal content
3. 1 Control tests on final bulk The thimerosal content shall be not more than
Sterility test 0. 1 g/L (Appendix VIl B).
It complies with the test for sterility ( Appendix
3. 2. 3. 5 Free formaldehyde content
XII A). The free formaldehyde content shall be not more
3. 2 Control tests on final product than 0. 2 g/L (Appendix VI L).
3. 2. 1 Identity test 3. 2. 4 Potency test
3. 2. 1. 1 Pertussis vaccine 3. 2. 4. 1 Pertussis component
Carry out the potency test according to Annex 2, See Annex 2. The potency of pertussis component
and the corresponding antibody shall be induced in per single human dose shall be not less than 4. 0 IU
Diphtheria, Tetanus and Pertussis Combined Vaccine, Adsorbed

and the lower 95 % confidence limit shall be not diluted with PBS. It is used for the production of
less than 2. 0 IU. It is allowable to repeat the test diphtheria, tetanus and pertussis combined
if the results fail to meet the above requirements, vaccine.
but the potency shall be calculated by geometric 1 Manufacturing
mean from the results of valid test ( or by
weighted geometric mean when using probit 1. 1 Bacterial seed
analysis). The vaccine is judged as qualified if the The bacterial seed for production shall comply with
results meet the above-mentioned requirements. the Requirements for Bacterial and Viral Strains/
. I
Seeds Used for Production and Quality Control of
3. 2. 4. 2 Diphtheria component Biologicals.
It complies with the potency test for diphtheria
toxoid ( Appendix XI C). The potency of diphtheria 1. 1. 1 Name and origin of bacterial strains
toxoid per single human dose shall be not less than The bacterial strains for production shall be phase
30 IU. I strain of Bordetella pertussis containing
agglutinogen types 1, 2, and 3.
3. 2. 4. 3 Potency test for tetanus component
It complies with the potency test for tetanus toxoid 1. 1. 2 Establishment of seed lot system
(Appendix XI B). The potency of tetanus toxoid It complies with the Requirements for Bacterial and
per single human dose shall be not less than 40 IU Viral Strains/Seeds Used for Production and
( Appendix XI B, guinea pig method) , or not less Quality Control of Biologics.
than 60 IU (Appendix XI B, mouse method). 1. 1. 3 Control tests on seed lots
3. 2. 5 Sterility test 1. 1. 3. 1 Cultural characteristics
It complies with the test for sterility ( Appendix The seed shall be cultivated on to Bordet-Gengou
XI[ A). medium or other appropriate media, and shall
3. 2. 6 Specific toxicity test grow with typical morphology and biochemical
characteristics.
3. 2. 6. 1 Pertussis component
It complies with the requirements given in Annex 1. 1. 3. 2 Serological test
3. Suspend the bacterial lawn, which has been
cultivated at 35-37°C for 40-48 hours, in physi-
3. 2. 6. 2 Diphtheria and tetanus toxoids ological saline or PBS to make an appropriate
Inject s. c. 2. 5 ml of the vaccine from each batch concentration of bacterial suspension. A quan-
to each of at least four guinea pigs weighing 250- titative agglutination test shall be performed on the
350 g at both sides of abdomen, 1. 25 ml for each suspension with reference phase I serum, and the
side. Observe the animals for 30 days. agglutination titer shall be not less than half of the
Infiltrations at the injection sites may be observed, original serum titer. At the same time, carry out
which might become indurations 5-10 days after a qualitative agglutination test with monovalent
injection and may not be completely resolved typing serum. The type of the bacterial strain
within 30 days. Weigh each animal on days 10, 20 shall be identical to the stated type of the
and 30. The test is judged as qualified if the weight bacterium.
of each animal increases at the end of observation
in comparison with that before injection, and no 1. 1. 3. 3 Skin necrosis test
local suppuration or necrosis, symptoms of tetanus or· Suspend the bacterial lawn, which has been
signs of advanced paralysis are observed cultivated for 40-48 hours, in PBS and dilute the
suspension to several different concentrations.
4 Storage, shipping and validity period Inject i. d. the diluted suspensions into rabbits (or
Store and ship at 2-8°C, protected from light. guinea pigs), at least two animals for each
The validity period is 18 months starting from the dilution, 0. 1 ml per injection, and observe for
date of adsorption. When the storage period of 72 hours. If hemorrhagic necrosis occurs at the
bulk pertussis vaccine is more than 18 months, the injection site of one of two animals injected with
total validity period of the vaccine shall be not the suspension containing less than 4. 0 X 107
more than 36 months starting from the date of bacteria, the test result shall be regarded as
harvest. positive and the seed lot is qualified.
5 Annexes 1. 1. 3. 4 Virulence test
Annex 1 Requirements for bulk pertussis vaccine Carry out the test with at least three groups of
Annex 2 Potency test for bulk pertussis vaccine mice, at least ten mice in each group, each weighing
Annex 3 Toxicity test for bulk pertussis vaccine 16-18 g. Anesthetize the mice and inoculate intra-
6 . Package inserts nasally each with 0. 05 ml of the bacterial
suspension derived from a bacterial lawn cultivated
Annex 1 Requirements for Bulk Pertussis Vaccine 20-24 hours and diluted with PBS. Observe the
This bulk is a suspension prepared by the mice for 14 days and record the number of death.
cultivation of phase I strain of Bordetella Calculate LD50 according to Reed-Muench method.
pertussis, killed with a suitable bactericide, and The number of bacteria in one LD50 shall be not
Diphtheria, Tetanus and Pertussis Combined Vaccine, Adsorbed

more than 1. 2 X 108• dilute to the concentration of final product for


1. 1. 3. 5 Potency test microscope examination of stained smears. The
Carry out the test according to the method given in bacteria shall be Gram-negative coccobacillus. No
Annex 2 after killing the bacteria with appropriate· contaminating microorganisms shall be found in at
method. least ten fields.

1. 1. 4 Storage of bacterial seed 2. 3 Serological test


The bacterial seed shall be stored Iyophilized. A quantitative agglutination test shall be
performed on the sample from each bottle of bulk
1. 2 Bulk vaccine with reference phase I serum, and the
1. 2. 1 Working seed lot for production agglutination titer shall be not less than half of the
Inoculate the bacterial seed derived from the original serum titer. If the results fail to meet the
working seed lots onto a modified Bordet-Gengou above requirements, potency test shall be carried
medium, an active carbon semisynthetic medium, out. The bulk vaccine can be used if the test
or other appropriate media and incubate at 35-37°C results are qualified. A qualitative agglutination
for not more than 72 hours to prepare the first test with monovalent typing serum shall be
passage of working seeds, while all the passages performed and its type shall be identical to that of
hereafter shall be incubated for not more than the strain for bulk vaccine production.
48 hours. The storage period of working seeds 2. 4 Potency test
shall be not more than 14 days. The subculture of See Annex 2.
freeze-dried working seed lots used for production
shall not exceed ten passages. 2. 5 Sterility test
It complies with the test for sterility ( Appendix
1. 2. 2 Cultivation XI[ A).
Incubate the bacterial seed with an appropriate
method for not more than 48 hours. Harvest the 2. 6 Specific toxicity test
bacteria qualified in bacterial purity test with an See Annex 3.
appropriate· method and suspend in PBS pH 7. 0- 2. 7 Storage and validity period
7. 4. Bulk vaccine shall be stored at 2-8°C. The validity
1. 2. 3 Bacterial purity test period of bulk vaccine is 36 months starting from
Take samples from each bottle ( or tank) and the date of harvest.
inoculate into each tube of common agar slant and Annex 2 Potency Test for Bulk Pertussis Vaccine
blood agar slant ( or active carbon semisynthetic
medium). Incubate at 35-37°G for 2 days and at 1 Materials
24-26°C for one day. If any contaminating micro- 1. 1 Animals
organismsate found, the harvest shall be discarded. NIH mice of the same sex or equal numbers of
1. 2. 4 Killing both sexes, each weighing 10-12 g.
The bacteria shall be killed with formalin at a final 1. 2 Reference for pertussis vaccine
concentration of 0. 1 %. Other approved appropriate The reference shall be distributed by the NCL.
bactericides and methods for killing of bacteria may The reference shall be diluted to 1 IU/ml with
also be used. physiological saline and further diluted 5-fold
1. 2. 5 Sterility test serially.
It complies with the test for sterility (Appendix XI[ 1. 3 Bulk pertussis vaccine to be tested
A). At the same time, inoculate the samples onto The bulk vaccine is diluted with physiological
common blood agar slant ( or active carbon semi- saline to 6. 0 X 108 bacteria/ml and further diluted
synthetic medium). Incubate at 35-37°C for 72 5-fold serially until ED50 falls into the dilution
hours and at 24-26°C for 24 hours. If any growth range.
of microorganisms is found, the harvest shall be
discarded. The harvests from different seeds or 1. 4 Challenge strain and challenge bacterial
prepared at different dates shall be pooled suspension
separately. A quantity of preservative can be 1. 4. 1 The challenge strain is B. pertussis CMCC
added after pooling. Store at 2-8°C. 58030 (18323).
2 Control tests 1. 4. 2 Medium
2. 1 Bacterial content Bordet-Gengou medium containing 20 %-30 % of
The bacterial content in each bottle of bulk vaccine sheep blood can be used.
shall be determined. against the national standards 1. 4. 3 Temperature and time of cultivation
of bacterial opacity. The dilution of bulk shall be The first passage of bacterial strain shall be
calculated based on its concentration. cultivated at 35-37°C for not more than 72 hours,
2. 2 Microscopic examination of stained smears and can be stored at 2-8°C for 2 weeks. The challeng-
Take samples from each bottle of bulk vaccine and ing strain shall be cultivated for 20-24 hours.
Diphtheria, Tetanus and Pertussis Combined Vaccine, Adsorbed

1. 4. 4 Preparation of challenging bacterial suspension 5. 1. 1 The ED50 of the standard and the sample
Scrape the bacterial lawn which has been cultivated fall into the range of the highest and the lowest
for 20-24 hours and proved as a pure culture by immunizing doses.
visual inspection, and suspend into physiological 5. 1. 2 No significant deviations are found in the
saline or PBS pH 7. 2-7. 4. Filter the suspension parallelism and the linearity of the dose-response
through sterile absorbent cotton. Determine the curves between the. standard and sample.
concentration and then dilute with casein hydro- 5. 1. 3 One LD50 shall fall into the range of 100-
lysate pH 7. 0-7. 2, peptone water or broth to a 1000 bacteria calculated by Reed-Muench method.
concentration of 8. 0 X 104 bacteria per 0. 03ml, 5. 2 Test duration ·
which is used as the challenging bacterial The time duration shall be within 2. 5 hours
suspension. And then make a serial dilutions of starting from the preparation of challenging
suspensions containing 8000, 800, 80 and 8 bacterial suspension ( beginning with scraping the
bacteria per 0. 03 ml respectively. Use the above bacterial lawn) to the injection of challenging
five dilutions to determine the LD50 of the strain into the last mouse.
challenging bacterial suspension.
Annex 3 Toxicity Test for Bulk Pertussis Vaccine
2 Procedure
1 Materials
2. 1 Immunization ,
1. 1 Animals
Immunize mice of the same sex or equal numbers of
NIH mice each weighing 14-16 g of the same sex or
both sexes with at least three dilutions of standard
equal numbers of both sexes are selected.
and sample ( not more than 5-fold between two
Withhold the mice from feeding 2 hours before
dilutions) separately, at least sixteen mice for
injection and feed as usual after injection. Weigh
each dilution. Inject i. p. 0. 5 ml to each mouse.
At the same time, fifty-five mice shall be kept and the total body weight of each group of animals
before injection.
used as a control.
2. 2 Challenge 1. 2 Sample
At least 94 % of the mice immunized with each Bulk pertussis vaccine can be diluted with
dilution of standard or sample shall remain healthy physiological saline or PBS ( pH 7. 2-7. 4). The
and survive the observation period of 14-16 days bacterial content shall be not less than half of a
after immunization. Challenge i. c. each mouse single human dose.
with 0. 03 ml of bacterial suspension containing 2 Procedure
8. 0 X 104 bacteria by using a 0. 25 ml syringe and
2. 1 Inject i. p. 0. 5 ml of diluted bulk into each
then challenge the mice in control group to
of at least ten mice of the same sex or equal
determine LD50 of the challenge suspension, ten
numbers of both sexes for each batch.
mice for each dilution.
2. 2 As a control, inject i. p. 0. 5 ml of physiological
3 Result observation
saline or PBS (pH 7. 2-7. 4) used for dilution into
At least sixteen mice are grouped on the second
the mice of the same number, the same body
day of challenge. Observe the animals for 14 days
weight and the same sex as in the test group or
and record the numbers of survival daily. The
equal numbers of both sexes. The concentration of
animals dying within the first 3 days are excluded
preservative in the control shall be the same as that
from statistical analysis. On the 14th day, any
for vaccine.
animals showing signs of paralysis, head swelling,
hunchback or distinct hair erection are counted as 3 Result evaluation
death. 3. 1 Weigh the total body weight of the mice in
4 Result calculation and evaluation test and control groups 72 hours and 7 days after
Calculate the potency of vaccine by parallel lines injection respectively.
analysis.
3. 2 The total body weight of the mice in test
The potency per single human dose shall be not
group 72 hours after injection shall be not less than
less than 4. 0 IU and the lower 95 % confidence
that before injection.
limit shall be not less than 2. 0 IU. It is allowable
to repeat the test if the results fail to meet the 3. 3 The average body weight gain of mice in test
above requirements, but the potency shall be group 7 days after injection shall be not less than
calculated by geometric mean from the results of 60 % of that in control group.
valid test ( or by weighted geometric mean when 3. 4 All the ~ice in test group shall survive.
using pro bit analysis). The bulk vaccine is judged If the result meets the above requirements, the
as qualified if the results meet the above-mentioned toxicity test of the bulk is judged as qualified. If
.requirements. the result fails to meet the above requirements,
5 Notes the. test may be repeated after the bulk vaccine has
5·. 1 Validity of the test been stored at 2-8°C for 3-4 months. The toxicity
The test is valid provided that: test of the bulk is judged as unqualified if the
Diphtheria, Tetanus and Acellular Pertussis Combined Vaccine, Adsorbed

repeated test result fails to meet the requirements. frozen.


(2) Indurations may be found at the injection site,
Directions for Use of Diphtheria, Tetanus and
Pertussis Combined Vaccine, Adsorbed which may subside gradually. The second injection
shall be given on the other side.
[Drug name] (3) The recipients shall take a rest for a while on
Adopted name: Diphtheria, Tetanus and Pertussis site following immunization. Adrenaline should be
Combined Vaccine, Adsorbed available for first aid in case of severe anaphylactic
[Constituents and characters] reactions.
The vaccine is prepared by the adsorption of bulks ( 4) If abnormal conditions such as a high fever or
of pertussis vaccine, diphtheria toxoid and tetanus convulsion occur after the first injection, the
toxoid on to aluminum hydroxide. It is a milky- second injection should not be given.
white suspension containing preservatives. A ( 5) Freezing is strictly contraindicated.
precipitate may form after long period of storage, [Storage]
which can be dispersed evenly on shaking. Store and ship at 2-8°C, protected from light.
[Eligibles] [Packaging]
Children at the age of 3 months to 6 years.
[Validity period]
[Function and use] 18 months.
The product can induce immune response m
[Standardfor implementation]
recipients following immunization. It is used to
prevent diphtheria, tetanus and pertussis. [Product license numberJ
[ Specifications J J
[Manufacturer
0. 5 ml, 1. 0 ml, 2. 0 ml or 5. 0 ml per container. Name:
Each single human dose is 0. 5 ml containing not Address:
less than 4. 0 IU of pertussis vaccine, not less than Zip code:
30 IU of diphtheria toxoid and not less than 40 IU Tel:
( guinea pig method) or 60 IU ( mouse method) of Fax:
tetanus toxoid. · Web site:
[Administration and dosage]
(1) The vaccine shall be injected i. m. at the
buttock or in the deltoid muscle of the lateral upper
arm. Diphtheria, Tetanus and Acellular
(2) Primary immunization consisting of three Pertussis Combined Vaccine, Adsorbed
injections shall begin at the age of 3 months and
complete at the age of 12 months; 0. 5 ml per
Adsorbed diphtheria, tetanus and acellular pertussis
injection at the intervals of 4-6 weeks. A booster
combined vaccine is a preparation of bulks of
of 0. 5 ml shall be given at the age of 18-24
acellular pertussis vaccine, tetanus toxoid and
months.
diphtheria toxoid adsorbed onto aluminum hydroxide.
[ Adverse reactionsJ It is used to prevent diphtheria, tetanus and
Erythema and swelling, pain or itch may occur at pertussis.
the injection site. Systemic manifestation may
1 Basic requirements
include low fever, fatigue arid headache, which
The facilities, water, source .and subsidiary
can be relieved spontaneously. materials, apparatus, and animals used for
Symptomatic treatment might be given in time to production and control tests shall comply with the
the subjects with severe reactions. requirements set forth in the General Notices.
[ ContraindicationsJ 2 Manufacturing
( 1) The vaccine shall not be administered to the
subjects with a history of epilepsy, nervous 2. 1 Monovalent bulks before mixing
system diseases or convulsion. 2. 1. 1 Production of bulk acellular pertussis vaccine
(2) Immunization shall be postponed to the shall meet the requirements given in Annex 1.
subjects with acute infectious diseases ( including
convalescents) or with fever. 2. 1. 2 Production of bulk diphtheria toxoid shall
( 3) The vaccine shall not be administered to the meet the requirements given in Sections 2. 1-2. 2 of
subjects with a history of allergic reactions. the Diphtheria Vaccine, Adsorbed.
2. 1. 3 Production of bulk tetanus toxoid shall
[Precautions J meet the requirements given in Sections 2. 1-2. 2 of
( 1) Shake the container before use. Do not use the Tetanus Vaccine, Adsorbed.
the vaccine if any foreign matters, leakage of
container, illegible label or clumps not dispersed 2. 1. 4 Control tests on bulk
on shaking are found, or the product has been 2. 1. 4. 1 Control tests on bulk acellular pertussis
Diphtheria, Tetanus and Acellular Pertussis Combined Vaccine, Adsorbed

vaccine 3. 2 Control tests on final product


See Section 2 of Annex 1. 3. 2. 1 Identity test
2. 1. 4. 2 Control tests on bulk diphtheria toxoid
3. 2. 1. 1 Acellular pertussis antigens
See Section 3. 1 of the Diphtheria Vaccine, Adsorbed
The corresponding antibody shall be induced in the
2. 1. 4. 3 Control tests on bulk tetanus .toxoid animals immunized· with the sample ( the same
See Section 3. 1 of the Tetanus Vaccine, Adsorbed method as described in Section 3. 2. 4. 1 ). Other
2. 2 Final bulk appropriate antigen-antibody reaction test can also
be used.
2. 2. 1 Formula
The following antigens shall be contained in 1 ml 3. 2. 1. 2 Diphtheria toxoid
of the final bulk: ' Carry out the identity test by one of the following
Bulk acellular pertussis components 18 µg PN methods:
( 1) The corresponding antibody shall be induced
Diphtheria toxoid 25 Lf
Tetanus toxoid 7 Lf
in the animals immunized with the toxoid
(Appendix XI C);
2. 2. 2 Preparation of adjuvant (2) Flocculation test can be carried out after
2. 2. 2. 1 Aluminum hydroxide can be prepared by dissolving the adjuvant with sodium citrate or sodium
the reaction of aluminum chloride with ammonium carbonate, and flocculation shall be observed
hydroxide or with sodium hydroxide. Remove (Appendix XI D) ;
residual ammonia by dialysis when ammonium (3) Gel immuno-precipitation test can be carried
hydroxide is used. Other appropriate methods for out after adjusting pH of the toxoid to 9. 0, and
preparation of aluminum hydroxide can also be immuno-precipitation reaction shall be observed
used. ( Appendix VIII C).
2. 2. 2. 2 The bulk of aluminum hydroxide shall 3. 2. 1. 3 Tetanus toxoid
be a light blue or milky-white colloidal suspension, Carry out the identity test by one of the following
free of precipitate and foreign matters. methods:
(1) The tetanus antibody shall be induced in the
2. 2. 2. 3 The bulk of aluminum hydroxide shall animals immunized with the toxoid ( Appendix
be tested for the contents of aluminum hydroxide XI B);
and sodium chloride. ( 2 ) Flocculation test can be carried out after
2. 2. 3 Pooling and dilution dissolving the adjuvant with sodium citrate or
Add a quantity of the bulks of diphtheria toxoid, sodium carbonate, and flocculation shall be
tetanus toxoid and acellular pertussis vaccine into observed (Appendix XI D);
the diluted adjuvant and adjust pH to 5. 8-7. 2. (3) Gel immuno-precipitation test can be carried
out after adjusting pH of the toxoid to 9. 0, and
2. 2. 4 Control tests on final bulk
immuno-precipitation reaction shall be observed
See Section 3. 1.
(Appendix VIII C).
2. 3 Final product
3. 2. 2 Inspection on final containers
2. 3. 1 Defining batches The vaccine is a milky-white homogenous suspension
The Requirements for Defining Batches of free of foreign matters or clumps not dispersed on
Biologics shall apply. shaking.
2. 3. 2 Filling 3. 2. 3 Chemical tests
The Requirements for Filling and Lyophilization of
3. 2. 3. 1 pH
Biologics shall apply.
The pH shall be 5. 8-7. 2 (Appendix V A).
2. 3. 3 Specifications
3. 2. 3. 2 Sodium chloride content
0. 5 ml, 1. 0 ml, 2. 0 ml or 5. 0 ml per container.
The sodium chloride content shall be 7. 5-9. 5 g/L
Each single human dose is 0. 5 ml containing not
( Appendix W G).
less than 4. 0 IU of pertussis vaccine, not less than
30 IU of diphtheria toxoid and not less than 40 IU 3. 2. 3. 3 Aluminum hydroxide content
of tetanus toxoid. The aluminum hydroxide content shall be 1. 0-
1. 5 mg/ ml ( Appendix W F).
2. 3. 4 Packaging
The Requirements for Packaging of Biologics shall 3. 2. 3. 4 Thimerosal content
apply. The thimerosal content shall be not more than
0. 1 g/L ( Appendix W B).
3 Control tests
3. 2. 3. 5 Free formaldehyde content
3. 1 Control tests on final bulk
The free formaldehyde content shall be not more
Sterility test
than 0. 2 g/L (AppendixV] L).
It complies with the test for sterility ( Appendix
XII A). 3. 2. 3. 6 Glutaraldehyde content
Diphtheria, Tetanus and Acellular Pertussis Combined Vaccine, Adsorbed

The glutaraldehyde content shall be less than 5 Annex


0. 01 g/L ( Appendix VI I). Requirements for bulk acellular pertussis vaccine
3. 2. 4 Potency test 6 Package inserts
3. 2. 4. 1 Acellular pertussis component Annex Requirements for Bulk
See Annex 2 of the Diphtheria, Tetanus and Acellular Pertussis Vaccine
Pertussis Combined Vaccine, Adsorbed. The The bulk consists of active ingredients including
sample shall be diluted properly to the first pertussis toxin ( PT ) and filamentous hemag-
immunizing dose and further diluted 5-fold glutinin ( FHA) co-purified from the culture of
serially. Challenge the mice 21 days after the Bordetella pertussis· or its supernatant by
immunization. The potency per single human dose ammonium sulfate fractionation and density
shall be not less than 4. 0 IU and the lower 95 % gradient centrifugation. After detoxification, it is
confidence limit shall be not less than 2. 0 IU. It is used for the formulation of diphtheria, tetanus and
allowable to repeat the test if the results fail to acellular pertussis combined vaccine (adsorbed).
meet the above requirements, but the potency
shall be calculated by geometric mean from the 1 Manufacturing
results of valid test ( or by weighted geometric 1. 1 Bacterial seeds
mean when using probit analysis). The vaccine The bacterial seeds for production shall comply
shall be judged as qualified if the result meets the with the Requirements for Bacterial and Viral
above-mentioned requirements. Strains/Seeds Used for Production and Quality
3. 2. 4. 2 Diphtheria component . Control of Biologics.
The potency of diphtheria toxoid per single human 1. 1. 1 Name and origin of bacterial strains
dose shall be not less than 30 IU ( Appendix Phase I of Bordetella pertussis CS strain or other
XI C). appropriate strains shall be used for production.
3. 2. 4. 3 Tetanus component 1. 1. 2 Establishment of seed lot system
The potency of tetanus toxoid per single human It complies with the Requirements for Bacterial and
dose shall be not less than 40 IU ( Appendix Viral Strains/Seeds Used for Production and
XI B). Quality Control of Biologics. ·
3. 2. 5 Sterility test 1. 1. 3 Control tests on seed lot
It complies with the test for sterility ( Appendix
1. 1. 3. 1 Cultural characteristics
XII A). The seed shall be inoculated onto Bordet-Gengou
3. 2. 6 Specific toxicity test medium or other appropriate media, and shall
grow with typical morphology and biochemical
3. 2. 6. 1 Acellular pertussis component
characteristics.
See Section 2. 5 of Annex .
1. 1. 3. 2 Serological tests
3. 2. 6. 2 Diphtheria and tetanus components
Suspend the bacterial lawn, which has been
Inject s. c. 2. 5 ml of the vaccine from each batch
cultivated at 35-37°C for 40-48 hours, in physi-
to each of at least four guinea pigs weighing 250-
ological saline or PBS to make an appropriate
350 g at both sides of abdomen, 1. 25 ml for each
concentration of bacterial suspension. , A quantitative
side. Infiltrations at the injection sites may be
agglutination test shall be performed on the
observed, which might become indurations 5-10
suspension with reference phase I serum, and the
days after injection and may not be completely
agglutination titer shall be not less than half of the
resolved within 30 days. Weigh each animal on
original serum titer. At the same time, carry out
days 10, 20 and 30. The test is judged as qualified
a qualitative agglutination test with monovalent
if the weight of each animal increases at the end of
typing serum. The type of the bacterial strain
observation in comparison with that before
shall be identical to the stated type of the
injection, and no local suppuration or necrosis ,
bacterium.
symptoms of tetanus or signs of advanced paralysis
are observed. 1. 1. 3. 3 Skin necrosis test
Suspend the bacterial lawn, which has been.
3. 2. 7 Test for reversion to toxicity
cultivated for 40-48 hours; in PBS and dilute the
Incubate the sample taken from each batch at 37°C
suspension to several different concentrations.
for 4 weeks and then carry out the test according to
Inject i. d. the diluted suspensions into rabbits or
the requirements given in Section 2. 6 of Annex .
guinea pigs, at least two animals for each dilution,
4 Storage, shipping and validity period 0. 1 ml per injection, and observe for 72 hours. If
Store and ship at 2-8°C, protected from light. hemorrhagic necrosis occurs at the injection site of
The validity period is 24 months starting from the one of two animals injected with the suspension
date of adsorption. The total validity period of the containing less than 4. 0 X 107 bacteria, the test
vaccine shall be not more than 36 months starting result shall be regarded as positive and the seed lot
from the date of detoxification. is qualified.
Diphtheria, Tetanus and Acellular Pertussis Combined Vaccine, Adsorbed

1. 1. 3. 4 Virulence test and FHA shall be not less than 85 % of total


Carry out the test with at least three groups of protein.
mice, at least ten mice in each group, each
1. 2. 8 Detoxification and homogenization
weighing 16-18 g. Anesthetize the mice and inoculate
Detoxify the bulk with formalin or glutaraldehyde
intranasally each with 0. 05 ml of the bacterial
solution and remove the detoxifying agents by
suspension derived from a bacterial lawn cultivated
appropriate methods. The bulk is obtained after
20-24 hours and diluted with PBS. Observe the
ultrasonic homogenization.
mice for 14 days and record the number of death.
Calculate LD50 according to Reed-Muench method. 2 Control tests
The number of bacteria in one LD50 shall be not 2. 1 Microscopic examination of stained smears
more than 1. 2 X 108• Centrifuge the test sample, and examine micro-
1. 1. 3. 5 Potency test scopicallythe Gram-stained smears of the precipitate.
See Annex 2 of the Diphtheria, Tetanus and No Bordetella pertussis or other bacilli shall be
Pertussis Combined Vaccine, Adsorbed. Diluted found.
the sample to the concentration of final product, 2. 2 Potency test
then dilute properly to the first immunizing dose See Annex 2 of the Diphtheria, Tetanus and
and further dilute 5-fold serially. Challenge the Pertussis Combined Vaccine, Adsorbed. Diluted
mice 21 days after the immunization. the sample to the concentration of final product,
1. 2. Bulk then dilute properly to the first immunizing dose
1. 2. 1 Working seed lots for production and further dilute 5-fold serially. Challenge the
Inoculate the bacterial seed derived · from the mice 21 days after the immunization.
working seed lots onto a modified Bordet-Gengou 2. 3 Sterility test
medium or other appropriate media and incubate at It complies with the test for sterility ( Appendix
35-37°C for not more than 72 hours to prepare the XII A).
first passage of working seeds, while the second
2. 4 Test for thermolabile toxins
passage shall be incubated for not more than 48
Dilute the sample with physiological saline to the
hours. Inoculate the second passage onto S-S
double concentration of final bulk. Inject i. d.
( Stainer-Scholte) medium or other appropriate
0. 025 ml of the diluted sample into each of at least
media and incubate at 35-37°C for not more than 48
four suckling mice aged 48-72 hours, or 0. 1 ml
hours, from which the working seeds for
into each of at least two rabbits weighing 2. 5 kg.
production shall be prepared. The storage period
Observe the animals for 4 days. No local reactions
of working seeds shall be not more than 14 days.
caused by thermolabile toxins shall be found.
The subculture of freeze-dried working seed lots
used for production shall not exceed ten passages. 2. 5 Specific toxicity test
The toxicity reference preparation shall be diluted
1. 2. 2 Production medium
3-fold serially with physiological saline, and the
The approved medium shall be used for pro-
duction. sample shall be diluted to the same concentration
of final product. Inject i. p. each of NIH mice
1. 2. 3 Cultivation weighing 14-16 g with 0. 5 ml of each dilution of
Cultivation may be carried out by stationary toxicity reference and the diluted sample, at least
method or by using a fermentor. Samples shall be ten mice in each group. Carry out the tests
taken for bacterial purity test during cultivation. according to the methods given in Sections 2. 5. 1-
1. 2. 4 Harvest and killing 2. 5. 3 separately.
Harvest the culture at the late logarithmic growth 2. 5. 1 Mouse body weight decreasing ( BWD)
phase or early stationary phase. Kill the bacteria test
by the addition of thimerosal to the cultures. Record the body weight of each mouse before and
1. 2. 5 Purification 16 hours after the injection. The BWD toxicity of
Remove the endotoxins by· ammonium sulfate the test sample shall be not more than 10 BWDU/ ml
precipitation or sucrose density gradient centri- upon statistical comparison of the result with that
fugation and collect active fractions including PT of reference.
and FHA 2. 5. 2 Mouse leucocytosis promotion (LP) test
1. 2. 6 Protein nitrogen content Collect the peripheral blood samples of the mice
Carry out the determination of protein nitrogen 3 days after injection and count leucocytes. The
content (Appendix VI B,. method 2). LP toxicity of the test sample shall be not more
than 0. 5 LPU/ml upon statistical comparison of
1. 2. 7 Purity test
the result with that of reference.
Two protein bands of PT and FHA shall be mainly
shown on PAGE or SDS-PAGE profile. The ratio 2. 5. 3 Mouse histamine sensitizing ( HS) test
of these two components shall be consistent from Four days after injection, each mouse shall be
batch to batch. The active fractions including PT injected i. p. with 0. 5 ml of solution containing
Tetanus Vaccine, Adsorbed

4 mg of histamine dihydrochloride or 2 mg of given in time to the subjects with severe reactions.


histamine diphosphate. Record the rect~l temper- [ Contraindications J
ature of each mouse 30 minutes later. The HS ( 1) The vaccine shall not be administrated to the
toxicity of the test sample shall be not more than subjects with history of epilepsy, nervous system
0. 8 HSU/ml upon statistical comparison of the diseases or convulsion.
result with that of reference. (2) Immunization shall be postponed to the
2. 6 Test f~r reversion to toxicity subjects with acute infectious diseases ( including
Take samples from each batch and incubate at 37°C convalescents) or with fever.
for 4 weeks. Then carry out the test according to (3) The vaccine shall not be administrated to the
the requirements given in Section 2. 5. 3. subjects with history of allergic reactions.
2. 7 Pyrogen test [Precautions J
It complies with the test for pyrogen ( Appendix (1) Shake the container before use. Do not use
XII D). Dilute the sample with physiological saline the vaccine· if any foreign matters, leakage of
to the 1/50 of concentration of final bulk. The container, illegible label or clumps not dispersed
injecting dose shall be 1 ml/kg of rabbit body on shaking are found, or the product has been
weight. frozen.
(2) Indurations may be found at the injection site,
3 Storage, shipping and validity period
which may subside gradually. The second
Store and ship at 2-8°C, protected from light.
injection shall be given on the other side.
The validity period is 36 months starting from the
(3) The recipients shall take a rest for a while on
date of detoxification.
site following immunization. Adrenaline should be
Directions for Use of Diphtheria, Tetanus and available for first aid in case of severe anaphylactic
Acellular Pertussis Combined Vaccine, Adsorbed reactions.
[Drug name] ( 4) If abnormal conditions such as a high fever or
Adopted name: Diphtheria, Tetanus and Acellular convulsion occur after the first injection, the
Pertussis Combined Vaccine, Adsorbed second injection should not be given,
( 5) Freezing is strictly contraindicated.
[ Constituents and charactersJ
The vaccine is prepared by the adsorption of bulks [Storage]
of acellular pertussis vaccine, diphtheria toxoid Store and ship at 2-8°C, protected from light.
and tetanus toxoid onto aluminum hydroxide. It is [Packaging]
a milky-white suspension containing preservative. [Validity period]
A precipitate may form after a long period of 24 months.
storage, which can be dispersed on shaking.
[Standardfor implementation]
[Eligibles]
Children at 3 months to 6 years of age. [Product license numberJ
[Function and useJ J
[Manufacturer
The product can induce immune response in Name:
recipients following immunization. It is used to Address:
prevent diphtheria, tetanus and pertussis. Zip code:
Tel:
[Specifications J Fax:
0. 5 ml, 1. 0 ml, 2. 0 ml or 5. 0 ml per container. Web site:
Each single human dose is 0. 5 ml containing not
less than 4. 0 IU of pertussis vaccine, not less than
30 IU of diphtheria toxoid and not less than 40 IU
of tetanus toxoid.
Tetanus Vaccine, Adsorbed
[ Administration and dosageJ
(1) Inject "i. m. the vaccine at the buttock or in
the deltoid muscle of the lateral upper arm. Adsorbed tetanus vaccine is a preparation of
(2) Primary immunization consisting of three purified tetanus toxoid adsorbed onto aluminum
injections shall begin at the age of 3 months and hydroxide. The toxoid is made from the toxin by
complete at the age of 12 months; 0. 5 ml per the cultivation of a strain of Clostridium tetani in a
injection at intervals of 4-6 weeks. A booster of suitable medium, and detoxified by formaldehyde
0. 5 ml shall be given at the age of 18-24 months. and purified. The vaccine is used to prevent
[ Adverse reactionsJ tetanus.
Generally, there is no adverse reaction. Occa- 1 Basic requirements
sionally, slight redness or itch at the injection site The facilities, water, source and subsidiary
or low fever may occur, which can be relieved materials, apparatus, and animals used for
spontaneously. Symptomatic treatment might be production and control tests shall comply with the
Tetanus Vaccine, Adsorbed

requirements set forth in the General Notices. daily after injection, Apparent symptoms of
2 Manufacturing tetanus and death shall be found in positive control
group, while the mice in test group shall survive.
2. 1 Bacterial seeds
The bacterial seed for production shall comply with 2. 1. 5 Storage of seed lot
Requirements for Bacterial and Viral Strains/Seeds The seed lot shall be preserved at 2-8°C.
Used for Production and Quality Control of 2. 2 Bulk toxoid
Biologics.
2. 2. 1 Toxin
2. 1. 1 Name - and origin of bacterial strains
2. 2. 1. 1 Working seed for production
A highly toxinogenic and immunogenic strain of
Bacterial seed from the working seed lot shall be
Clostridium tetani shall be used for production.
subject to overall test before production, and only
2. 1. 2 Establishment of seed lot system those qualified in the test can be used for
It complies with the Requirements for Bacterial and production.
Viral Strains/Seeds Used for Production and Bacterial seed from the working seed lot shall be
Quality Control of Biologics. inoculated into seed tubes containing toxin-
2. 1. 3 Passage of seed lot producing medium and subcultured for two to three
The subculture of the seed from master seed lot passages, which shall be then transplanted into
shall not exceed five passages. The subculture of seed bottles containing the same medium.
the seed from working seed lot shall not exceed ten 2. 2. 1. 2 Production medium
passages. Intensively digested casein, soybean protein or
2. 1. 4 Control tests on seed lot beef medium shall be used for toxin production.
2. 1. 4. 1 Cultural characteristics 2. 2. 1. 3 Toxin production
The bacterium is an obligate anaerobe that grows Microbial contamination shall be avoided during
well at 37°C. When it is inoculated into cooked the cultivation of bacteria. If any contaminating
meat broth, the culture shall be turbid with microorganisms are found in bacterial purity test
production of gas and foul odour. The colonies by microscopic examination of stained smears, the
grown on blood agar plate shall grow diffusely. cultures shall be discarded.
When stab cultivation in semisolid medium has The potency of toxin in the cultures after
been performed, the growth shall reveal flagella sterilization by filtration shall be not less than
motility. 40 Lf/ml.
2. 1. 4. 2 Microscopicexaminationof stained smears 2. 2. 2 Detoxification
In early cultures the bacilli shall be Gram-positive 2. 2. 2. 1 Detoxification of toxin or purified toxin
rods, and spores shall be rarely seen. In 48 hour- Add a quantity of formalin into toxin or purified
cultures many of the bacilli shall be Gram-negative toxin and incubate at an appropriate temperature
drumstick-shaped rods with spherical spores at for detoxification.
their poles.
2. 2. 2. 2 Detoxification test
2. 1. 4. 3 Biochemical reactions Inoculate s. c. 500 Lf of the sample from each
The cultures fail to ferment carbohydrates. They bottle of crude toxoid into each of at least two
shall liquefy gelatin, produce hydrogen sulfide, guinea pigs weighing 300-400 g.
and form indole, and shall not reduce nitrate Dilute the sample from each bottle of the purified
( Appendix XIV). toxin after detoxification with physiological saline
2. 1. 4. 4 Test for toxin production to a concentration of 100 Lf/ml and inoculate s. c.
Inoculate bacterial seed into toxin-producing medium 5 ml into each of two guinea pigs. Observe the
and sterilize the cultures by filtration. Inject 0.1 animals on days 7, 14 and 21. No symptoms of
ml of the filtrate s. c. at the tail into each of at tetanus shall be found at the end of observation
least four mice weighing 18-22 g. Observe the period and the weight of each animal shall not
animals 12-24 hours after injection, and the signs decrease in comparison with that before injection.
including rigidity and erection of tail, hind leg If the weight of the test animal decreases, the test
tonic spasm or generalized spasm, even death shall shall be repeated. If the animal shows symptoms
appear. of tetanus, the toxin shall be further detoxified.
2. 1. 4. 5 Specific toxicity test 2. 2. 2. 3 The toxoid qualified in detoxificationtest
A quantity of filtrate from toxin-producing cultures shall be tested for the Lf content. The toxoid shall
is neutralized in vitro with diluted tetanus be a clear, yellow or brownish yellow liquid.
antitoxin. Inject 0. 4 ml of the filtrate s. c. at
2. 2. 3 Purification
abdomen to each of at least four mice weighing 18-
22 g. At the same time the mice injected with the 2. 2. 3. 1 Isoelectric precipitation, ultrafiltration,
filtrate not neutralized with tetanus antitoxin are ammonium sulfate fractionation or other approved
used as a positive control. Observe the animals appropriate methods shall be used for purification
Tetanus Vaccine, Adsorbed

of the toxin or toxoid. 3. 1 Control tests on bulk toxoid


2. 2. 3. 2 The toxoid used for purification shall be 3. 1. 1 pH
clear and free from visible contamination. The pH shall be 6. 6-7. 4 (Appendix V A).
2. 2. 3. 3 Thimerosal shall be added as a preser- 3. 1. 2 Determination of L£ unit
vative at a concentration of 0. 1 g/L. The purified It complies with the determination of L£ unit
toxoid shall be sterilized by filtration immediately. (Appendix XI D).
2. 2. 3. 4 The toxoid produced with the same 3. 1. 3 Purity test
bacterial strain, same medium and mixed homo- The purity shall be not less than 1500 Lf/mg PN.
geneously in one container followed by sterilization
by filtration shall be defined as one batch. 3. 1. 4 Sterility test
#, It complies with the test for sterility ( Appendix
2. 2. 4 Control tests on bulk toxoid XI[ A).
See Section 3. 1.
3. 1. 5 Specific toxicity test
2. 2. 5 Storage and validity period Mix equal volumes of the samples from each bottle
Store at 2-8°C. The 'validity period is 42 months of bulk toxoid and dilute the mixture with
starting from the date of purification ( detoxified physiologicalsaline to a concentration of 250 Lf / ml.
before purification) or the date when detoxification Inject s. c. 2 ml of the diluted toxoid to each of
test proved qualified ( detoxified after purification). four guinea pigs weighing 250-350 g and observe
2. 3 F1.nal bulk the animals on days 7, 14 and 21. No fester or
necrosis at injection sites or symptoms of tetanus
2. 3. 1 Preparation of adjuvant shall be found and the weight of each animal on
2. 3. 1. 1 Aluminum hydroxide can be prepared by day 21 shall increase in comparison with that
the reaction of aluminum chloride with ammonium before injection.
hydroxide or with sodium hydroxide. Remove
residual ammonia by· dialysis when ammonium 3. 1. 6 Test for reversion to toxicity
hydroxide is used. Dilute the samples from each bottle of bulk toxoid
with PBS pH 7. 0-7. 4 to a concentration of 7-
2. 3. 1. 2 The bulk of aluminum hydroxide shall 10 Lf/ml, respectively, and incubate at 37°C for
be a light blue or milky-white colloidal suspension,
42 days. Inoculate s. c. 5 ml of the sample into
free of precipitate and foreign matters. each of four guinea pigs weighing 250-350 g and
2. 3. 1. 3 The bulk of aluminum hydroxide shall observe the animals on· days 7, 14 and 21. No
be tested for the contents of aluminum hydroxide symptoms of tetanus shall be found and the weight
and sodium chloride. of each animal on day 21 shall increase in
2. 3. 2 Formulation of adsorbed toxoid comparison with that before injection.

2. 3. 2. 1 The content of tetanus toxoid shall be 7- 3. 2 Control test on final bulk


10 Lf/ml. Sterility test
It complies with the test for sterility ( Appendix
2. 3. 2. 2 The content of aluminum hydroxide shall XI[ A).
be not more than 3. 0 mg/ml.
3. 3 Control tests on final product
2. 3. 2. 3 Thimerosal can be added as a preser-
vative at the concentration of 0. 05-0. 10 g/L 3. 3. 1 Identity test
Carry out the identity test by one of the following
2. 3. 3 Control tests on final bulk methods:
See Section 3. 2. ( 1) The tetanus antibody shall be induced in the
2. 4 Final product animals immunized with the vaccine ( Appendix
2. 4. 1 Defining batches
XI B);
(2) Flocculation test can be carried out after
The Requirements for Defining Batches of Biologics
dissolving the adjuvant with sodium citrate or
shall apply.
sodium carbonate, and flocculation shall be.
2. 4. 2 Filling
observed (Appendix XI D);
The Requirements for Filling and Lyophilization of
( 3) Gel immuno-precipitation test can be carried
Biologics shall apply.
out after adjusting pH of the vaccine to 9. 0, and
2. 4. 3 Specifications
immuno-precipitation reaction shall be observed
0. 5 ml, 1. 0 ml, 2. 0 ml or 5. 0 ml per container.
(Appendix VIH C).
Each single human dose is 0. 5 ml containing not
less than 40 IU of tetanus toxoid. 3. 3. 2 Inspection on final containers
2. 4. 4 Packaging The vaccine is a milky-white homogeneous sus-
The Requirements for Packaging of Biologics shall pension, free of foreign matters and clumps not
apply. dispersed on shaking.
3 Control tests 3. 3. 3 Chemical tests
Tetanus Vaccine, Adsorbed

3. 3. 3. 1 pH which can be dispersed evenly on shaking, and the


The pH shall be 6. 0-7. 0 (Appendix V A). upper layer of the solution shall be clear and
3. 3. 3. 2 Aluminum hydroxide content colourless.
The aluminum hydroxide content shall be not more [Eligibles]
than 3. 0 mg/ml (Appendix VIl F). Persons prone to be wounded are main eligibles.
3. 3. 3. 3 Sodium chloride content Pregnant women immunized with the vaccine can
The sodium chloride content shall be 7. 5-9. 5 g/L prevent puerperal and neonatal· tetanus.
( Appendix VIl G). [Function and useJ
3. 3. 3. 4 Thimerosal content The product can induce humoral immune response
The thimerosal content shall be not more than in recipients following immunization. It is used to
o. 1 g/L (Appendix VIl B). prevent tetanus.
3. 3. 3. 5 Free formaldehyde content [Specifications]
The free formaldehyde content shall be not more 0. 5 ml, 1. 0 ml, 2. 0 ml or 5. 0 ml per container.
than 0. 2 g/L (Appendix VI L). Each single human dose is 0. 5 ml containing not
less than 40 IU of tetanus toxoid.
3. 3. 4 Potency test
The potency of tetanus toxoid shall be not less [ Administration and dosageJ
than 40 IU per single human dose ( Appendix The vaccine shall be injected i. m. m the deltoid
XI B ;, guinea pig method). muscle of the lateral upper arm.
(1) Persons who have not been immunized with
3. 3. 5 Sterility test the tetanus toxoid shall be given three injections,
It complies with the test for sterility ( Appendix each 0. 5 ml, for the primary immunization. In
XI[ A).
the first year two injections should be given at an
3. 3. 6 Specific toxicity test interval of 4-8 weeks and one injection give one
Mix equal volumes of the samples from each sub- year later. Normally one booster dose should be
lot of the vaccine. Inject s. c. 2. 5 ml of the given every 10 years or every 5 years in particular
mixture into each of four guinea pigs weighing 250- situation.
350 g at abdomen. Observe the animals on days 7, (2) Persons who have had the primary and booster
14 and 21. No fester or necrosis at the injection immunizations need no vaccination within 3 years
sites, or symptoms of tetanus shall be found and from the last injection when wounded, but need a
the weight of each animal on day 21 shall increase booster injection beyond 3 years from the last
in comparison with that before injection. injection. For the persons wounded with severe
3. 3. 7 Stability test contamination or without primary immunization,
Stability test shall be carried out when any change in addition to this vaccine, tetanus antitoxin or
of production process occurs. Final products human tetanus immunoglobulin can be given at the
manufactured from three consecutive batches of other side of the injection site.
bulk purified toxoid shall be kept at 2-8°C for the (3) Persons who have had primary immunization
inspection on final containers and the tests for p'H, with combined vaccine containing tetanus toxoid
specific toxicity and potency at the end of validity shall be boosted every 10 years.
period, and all the test results shall meet the (4) For pregnant woman, the first injection can
requirements. be given at the 4th month of pregnancy and the
second injection at the 6th to the 7th month. The
4 ; Storage, shipping and validity period dosage for each injection is 0. 5 ml.
Store and ship at 2-8°C, protected from light.
The validity period is 42 months starting from the [ Adverse reactionsJ
date of filling of final product. Erythema and swelling, pain or itch may occur at
the injection site. Systemic manifestations may
S Package inserts include low fever, fatigue, headache, etc. , which
Directions for Use of Tetanus Vaccine, Adsorbed can be relieved spontaneously.
[Drug name] [ Contraindications J
Adopted name: Tetanus Vaccine, Adsorbed The vaccine shall not be administered to the
subjects with serious diseases, fever, or with a
[ Constituents and charactersJ
history of allergy or of nervous system reactions
Adsorbed tetanus vaccine is a preparation of
following the injection of tetanus toxoid.
purified tetanus toxoid adsorbed onto aluminum
hydroxide. The toxoid is made from the toxin by [Precautions]
the cultivation of a strain of Clostridium tetani in a ( 1) Shake the container before use. Do not use
suitable medium and detoxified by formaldehyde the vaccine if foreign matters, leakage of
and purified. The vaccine is a milky-white container, illegible label or clumps not dispersed
homogeneoussuspension containing a preservative. A on shaking are found, or the product has been
precipitate may form after a long period of storage, frozen.
Diphtheria Vaccine, Adsorbed

(2) Indurations may be found at the injection site, 2. 1. 3 Passage of seed lot
which can subside within 1 to 2 months after The subculture of the bacterial seed from master
injection. The second injection shall be given on seed lot shall not exceed five passages.
the other side.
2. 1. 4 Control tests on seed lots
(3) The recipients shall take a rest for a while on
site following immunization. Adrenaline should be 2. 1. 4. 1 Cultural characteristics
available for first aid in case of severe anaphylactic The colonies grown on Loeffler serum medium
reactions. shall be circular, protuberant and grey in colour
( 4) Freezing is strictly contraindicated. with a smooth surface and regular border; those
grown on potassium tellurite agar medium shall be
[Storage]
shining and grey-black in colour; those grown on
Store and ship at 2-8°C, protected from light.
blood agar medium shall be opaque, grey in
[Packaging] colour, and produce no c-hemolysin.
[Validity period] 2. 1. 4. 2 Microscopicexaminationof stained smears
42 months. The bacterium shall be Gram-positive rod with
[Standard for implementation] metachromatic.granules, and club-shaped swellings
at its poles, the bacilli arrange themselves in
[Product license numberJ palisades, X or Y shape.
· [Manufacturer J 2. 1. 4. 3 Biochemical reactions
Name: The cultures shall ferment glucose, maltose,
Address: galactose and dextrin with production of acid but
Zip code: not gas. They shall not ferment sucrose, mannitol,
Tel: lactose or soluble starch (Appendix XIV).
Fax:
Web site: 2. 1. 4. 4 Specific neutralization test
When the bacterial seed is inoculated onto Elek
agar medium, an apparent white precipitation line
shall b~ observed.
Diphtheria Vaccine, Adsorbed 2. 1. 5 Storage of seed lot
The seed lot shall be preserved at 2-8°C.
2. 2 Bulktoxoid
Adsorbed diphtheria vaccine is a preparation of
purified diphtheria toxoid adsorbed onto aluminum 2. 2. 1 Toxin
hydroxide. The toxoid is made from the toxin by 2. 2. 1. 1 Working seed lots for production
the cultivation of a strain of Corynebacterium Bacterial seed from working seed lot shall be
diphtheriae in a suitable medium and detoxified by subject to overall test before production, and only
formaldehyde and purified. The vaccine is used for those qualified in the test can be used for
children at the age of 6 months to 12 years to production. The bacterial seed from working seed
prevent diphtheria. lot shall be inoculated onto appropriate medium
1 Basic requirements and subcultured in toxin-producing medium for two
The facilities, water, source and subsidiary to three passages, which shall be then trans-
materials, apparatus, and animals used for planted into seed bottles containing the same
production and control tests shall comply with the medium.
requirements set forth in the General Notices. 2. 2. 1. 2 Production medium
2 Manufacturing Trypsin digested beef medium or other approved
appropriate media shall be used for the production
2. 1 Bacterial seeds
of diphtheria toxin.
The bacterial seeds for production shall comply
with the Requirements for Bacterial and Viral 2. 2. 1. 3 Microbial contamination shall be avoided
Strains/Seeds Used for Production and Quality during toxin production. If any contaminating
Control of Biologics. microorganisms are found by microscopic exami-
nation or by bacterial purity test, the cultures
2. 1. 1 Name and origin of bacterial strains
shall be discarded. The potency of toxin in the
The strain of Corynebacterium di phtheriae PW8 or
cultu~es after sterilization by filtration shall be not·
highly toxinogenic and immunogenic strains derived
less than 150 Lf/ml.
from the PW8 strain shall be used for production.
2. 2. 2 Purification
2. 1. 2 Establishment of seed lot system
It complies with the Requirements for Bacterial and 2. 2. 2. 1 Ammonium sulfate-active carbon fraction-
Viral Strains/Seeds Used for Production and ation method or other approved appropriate
Quality Control of Biologics. methods shall be used.
Diphtheria Vaccine, Adsorbed

2. 2. 2. 2 A quantity of preservative may be added 2. 3. 2. 1 The diphtheria toxoid content shall be


in the process of dialysis. If any contaminating 30-50 Lf/ml.
microorganisms are found by visual inspection, 2. 3. 2. 2 The aluminum hydroxide content shall be
the contaminated ones shall be discarded.
not more than 3. 0 mg/ ml.
2. 2. 2. 3 Toxoid produced with the same seed, same
2. 3. 2. 3 Thimerosal can be added as a preser-
medium, and purified by the same method, which
vative at the concentration of 0. 05-0. 1 g/L.
are pooled in one container followed by sterilization
by filtration shall be defined as one batch. 2. 3. 2. 4 Sodium chloride shall be added to the
concentration of 7. 5-9. 5 g/L.
2. 2. 3 Detoxification
2. 3. 3 Control tests on final bulk
2. 2. 3. 1 Add a quantity of formalin into tqxin or
See Section 3. 2
purified toxin and incubate at an appropriate
temperature for detoxification. Alternatively, 2. 4 Final product
lysine may be added to the purified toxin before 2. 4. 1 Defining batches
detoxification.
The Requirements for Defining Batches of
2. 2. 3. 2 · Detoxification test Biologics shall apply.
Dilute the samples from each bottle of toxoid or
2. 4. 2 Filling
purified toxoid to a concentration of 100 Lf/ml
The Requirements for Filling and Lyophilization of
with. physiological saline separately. Inoculate
Biologics shall apply.
i. d. 0. 1 ml of the diluted samples and 25-fold
dilution of Schick test toxin to each of two rabbits, 2. 4. 3 Specifications
weighing about 2. 0 kg, separately, using 0. 1 ml 0. 5 ml, 1. 0 ml, 2. 0 ml or 5. 0 ml per container.
of sterile physiological saline as a negative control. Each single human dose is 0. 5 ml containing not
Observe the result 96 hours after injection. The less than 30 IU of diphtheria toxoid.
reaction at the injection site of sample shall be 2. 4. 4 Packaging
negative or almost undetectable, while the The Requirements for Packaging of Biologics shall
reaction of Schick test toxin shall be positive and apply.
that of control shall be negative.
3 Control tests
2. 2. 3. 3 Detoxificationshall be continued if it is not
complete. Additional formalin may be added if 3. 1 Control tests on bulk toxoid
necessary. 3. 1. 1
pH
2. 2. 3. 4 Thimerosal can be added to toxoid as a The pH shall be 6. 6-7. 4 (Appendix V A).
preservative at the concentration of 0. 1 g/L. 3. 1. 2 Determination of flocculation unit (Lf)
Preservative may not be added in the purified It complies with the determination of flocculation
toxoid prepared from purified toxin if free unit (Appendix XI D).
formaldehyde has not been removed.
3. 1. 3 Purity test
2. 2. 4 Control tests on bulk toxoid The purity shall be not less than 1500 Lf/mg PN.
See Section 3. 1.
3. 1. 4 Sterility test
2. 2. 5 Storage and storage period
It complies with the test for sterility ( Appendix
Store at 2-8°C, protected from light. The storage
XII A).
period of the bulk toxoid is 42 months starting
from the date when detoxification test proved 3. 1. 5 Specific toxicity test
qualified. Mix equal volumes of the samples from each bottle
of bulk toxoid and dilute to 50 Lf/ml with
2. 3 Final bulk
physiological saline. Inject s. c. 5 ml of the diluted
2. 3. 1 Preparation of adjuvant toxoid at abdomen to each of four guinea pigs,
2. 3. 1. 1 Aluminum hydroxide can be prepared by weighing 250-350 g, and observe the animals for
the reaction of aluminum chloride with ammonium 30 days. Observe carefully the injection sites in
hydroxide or with sodium hydroxide. Remove the first 5 days, and weigh each animal on days
residual ammonia by dialysis when ammonium 10, 20 and 30. Each animal shall not loss its
hydroxide is used. . weight continuously during the observation period.
At the end of observation, the weight of each
2. 3. 1. 2 The bulk of aluminum hydroxide shall animal shall increase in comparison with that
be a light blue or milky-white colloidal suspension, before injection. No necrosis at the injection site,
free of precipitate and foreign matters. desquamation , depilation or signs of advanced
2. 3. 1. 3 The bulk of aluminum hydroxide shall paralysis shall be found.
be tested for the contents of aluminum hydroxide 3. 1. 6 Test for reversion to toxicity
and sodium chloride. Dilute the samples from each bottle of purified
2. 3. 2 Formulation of adsorbed toxoid toxoid with PBS pH 7. 0-7. 4 to a concentration of
Diphtheria Vaccine, Adsorbed

30-50 Lf/ml and incubate at 37°C for 42 days. 3. 3. 6 Specific toxicity test
Inoculate i. d. 0. 1 ml of the diluted sample and Mix equal volumes of samples from each sub-lot of
0. 1 ml of 25-fold dilution of Schick test toxin to the vaccine and inoculate s. c. 2. 5 ml of the
each of two rabbits, weighing about 2 kg, mixture into each of four guinea pigs weighing 250-
separately, using 0. 1 ml of PBS as negative 350 g at abdomen. Observe the animals for 30
control. Observe the result 72 hours after the days. Infiltrations at the injection sites may be
injection. The diameter of erythema and swelling observed which might become indurations 5 to 10
reactions at the injection sites of the test sample days after injection and may not be completely
shall be less than 15 mm. The reaction of Schick absorbed within 30 days. Weigh each animal on
test toxin shall be positive, and that of control days 10, 20 and 3Q. The test is judged as qualified
shall be negative. if the weight of each animal increases at the end of
3. 2 Control test on final bulk , observation in comparison with that before
Sterility test injection and no signs of advanced paralysis are
It complies with the test for sterility ( Appendix observed.
XI[ A). 3. 3. 7 Stability test
3. 3 Control tests on final product Stability test shall be carried out when any change
of production process occurs. The samples of final
3. 3. 1 Identity test products from three consecutive batches of bulk
Carry out the identity test by one of the following purified toxoid shall be kept at 2-8°C for the
methods: inspection on final containers and the tests for pH,
(1) The corresponding antibody shall.be induced specific toxicity and potency at the end of validity
in the animals injected with the vaccine ( the same period. All the test results shall meet the
method as that for potency test, see Section requirements.
3. 3. 4);
C 2 ) Flocculation test can be carried out after 4 Storage, shipping and validity period
dissolving the adjuvant with sodium citrate or Store and ship at 2-8°C, protected from light.
sodium carbonate, and flocculation shall be The validity period is 36 months starting from the
observed (Appendix XI D); date of filling of final product.
(3) Gel immuno-precipitation test can be carried 5 Package inserts
out after adjusting pH of the vaccine to 9. 0, and
immuno-precipitation reaction shall be observed Directions for Use of Diphtheria Vaccine, Adsorbed
(Appendix VII C). [Drug name]
3. 3. 2 Inspection on final containers Adopted name: Diphtheria Vaccine, Adsorbed
The vaccine is a milky-white homogeneous suspension [ Constituents and charactersJ
free of foreign matters and clumps not dispersed on Adsorbed diphtheria vaccine is a preparation of
shaking. purified diphtheria toxoid adsorbed onto aluminum
3. 3. 3 Chemical tests hydroxide. The toxoid is made from the toxin by
3. 3. 3. 1 pH the cultivation of a strain of Corynebacterium
The pH shall be 6. 0-7. 0 (Appendix V A). diphtheria in a suitable medium and detoxification
by formaldehyde and purification. The vaccine is a
3. 3. 3. 2 Aluminum hydroxide content milky-white. homogeneous suspension containing a
The aluminum hydroxide content shall be not more preservative. A precipitate may form after a long
than 3. 0 mg/ ml ( Appendix VII F). period of storage, which can be dispersed on
3. 3. 3. 3 Sodium chloride content shaking.
The sodium chloride content shall be 7. 5-9. 5 g/L [Eligibles]
C Appendix Vll G). Children at the age of 6 months to 12 years.
3. 3. 3. 4 Thimerosal content [Function and use]
The thimerosal content shall be not more than The product can induce humoral immune response
O. 1 g/L (Appendix Vll B). in recipients following immunization. It is used for
3. 3. 3. 5 Free formaldehyde content children at the age of 6 months to 12 years to
The free formaldehyde content shall be not more prevent diphtheria.
than 0. 2 g/L (Appendix VI K). [ Specifications J
3. 3. 4 Potency test 0. 5 ml, 1. 0 ml, 2. 0 ml, or 5. 0 ml per container.
The potency of diphtheria toxoid shall be not less Each single human dose is 0. 5 ml containing not
than 30 IU per single human dose ( Appendix less than 30 H}' of diphtheria toxoid.
XI C). [ Administration and dosageJ
3. 3. 5 Sterility test ( 1) The vaccine shall be injected i. m. m the
It complies with the test for sterility ( Appendix deltoid muscle of the lateral upper arm.
XI[ A). ( 2) Three injections of 0. 5 ml each should be
Diphtheria Vaccine for Adults and Adolescents, Adsorbed

given for the primary immunization. In the first an emergent immunization.


year two injections should be given at an interval 1 Bask requirements
of 4-8 weeks and one injection given one year later. The facilities, water, source and subsidiary
One booster dose of 0. 5 ml should be adminis- materials, apparatus, and animals used for
trated 3-5 years after the complete course of production and control tests shall comply with the
primary immunization.
requirements set forth in the General Notices.
[ Adverse reactionsJ 2 Manufacturing
Erythema and swelling, pain or itch may occur at
the injection site. Systemic manifestation may 2. 1 Bacterial seeds
include low fever, fatigue, headache, etc. , which See Section 2. 1 of the Diphtheria Vaccine,
can be relieved spontaneously. Adsorbed.
[ ContraindicationsJ , 2. 2 Bulk
The vaccine shall not be administered to the 2. 2. 1 Preparation of bulk
subjects with serious diseases, fever, or with a See Section 2. 2 of the Diphtheria Vaccine,
history of allergy or of nervous system reactions Adsorbed.
following the injection of diphtheria toxoid.
2. 2. 2 Control tests on bulk
[Precautions] See Section 3. 1.
( 1) Shake the container before use. Do not use
the vaccine if foreign matters, leakage of container, 2. 3 Final bulk
illegible label or any clumps not dispersed on shaking 2. 3. 1 Preparation of adjuvant
are found, or the product has beenfrozen,
2. 3. 1. 1 Aluminum hydroxide can be prepared by
(2) Indurations may be found at the injection site,
the reaction of aluminum chloride with ammonium
which may subside within 1 to 2 months after
hydroxide or with sodium hydroxide. Remove
injection. The second injection shall be given on
residual ammonia by dialysis when ammonium
the other side.
hydroxide is used.
(3) The recipients shall take a rest for a while on
site following immunization. Adrenaline should be 2. 3. 1. 2 The bulk of aluminum hydroxide shall
available for first aid in case of severe anaphylactic be a light blue or milky-white colloidal suspension,
reactions. free of precipitate and foreign matters.
( 4) Freezing is strictly contraindicated. 2. 3. 1. 3 The bulk of aluminum hydroxide shall
[Storage] be tested for the contents of aluminum hydroxide
Store and ship at 2-8°C, protected from light. and sodium chloride.
Prevent freezing. 2. 3. 2 Formulation of adsorbed toxoid
[Packaging] 2. 3. 2. 1 The content of bulk diphtheria toxoid
[Validity period] shall be 4 Lf/ml, and its purity shall be not less
36 months. than 2000 Lf/mg PN.
[Standardfor implementation] 2. 3. 2. 2 The aluminum hydroxide content shall
[Product license numberJ . be not more than 2. 5 mg/ ml.

J
[Manufacturer 2. 3. 2. 3 Thimerosal can be added as a preser-
Name: vative at a concentration of. 0. 05-0. 1. g/L.
Address: 2. 3. 3 Control tests on final bulk
Zip code: See Section 3. 2.
Tel:
2. 4 Final product
Fax:
Web site: 2. 4. 1 Defining batches
The Requirements for Defining Batches of
Biologics shall apply.
2. 4. 2 Filling
Diphtheria Vaccine for Adults and The Requirements for Filling and Lyophilization of
Adolescents, Adsorbed Biologics shall apply.
2. 4. 3 Specifications
0. 5 ml, 1. 0 ml, 2. 0 ml or 5. 0 ml per container.
Adsorbed diphtheria vaccine for adults and
adolescents is a preparation of bulk diphtheria Each single human dose is 0. 5 ml containing not
less than 2 IU of diphtheria toxoid.
toxoid adsorbed onto aluminum hydroxide. The
vaccine is used as a booster for adults and 2. 4. 4 Packaging
adolescents who have received a primary immu- The Requirements for Packaging of Biologics shall
nization of diphtheria vaccine. It is also used for apply.
Diphtheria Vaccine for Adults and Adolescents, Adsorbed

3 Control tests (3) Gel immuno-precipitation test can be carried


out after adjusting pH of the vaccine to 9. 0, and
3. 1 Control tests on bulk toxoid
immuno-precipitation reaction shall be observed
3. 1. 1 pH (Appendix VIII C).
The pH shall be 6. 6-7. 4 (Appendix V A).
3. 3. 2 Inspection on final containers
3. 1. 2 Determination of flocculation unit (Lf) The vaccine is a milky-white homogeneous
It complies with the determination of flocculation suspension free of foreign matters and clumps not
unit (Appendix XI D). dispersed on shaking.
3. 1. 3 Purity 3. 3. 3 Chemical tests
The purity shall be not less than 2000 Lf/mg PN.
3. 3. 3. 1 pH
3. 1. 4 Sterility test The pH shall be 6. 0-7. 0 (Appendix V A).
It complies with the test for sterility ( Appendix
XI[ A). 3. 3. 3. 2 Aluminum hydroxide content
The aluminum hydroxide content shall be not more
3. 1. 5 Specific toxicity test than 2. 5 mg/ ml (Appendix VIl F).
Mix equal volumes of samples from each bottle of
bulk toxoid and dilute to 50 Lf/ml with physi- 3. 3. 3. 3 Sodium chloride content
ological saline. Inject s. c. 5 ml of the diluted The sodium chloride content shall be 7. 5-9. 5 g/L
toxoid to each of four guinea pigs weighing 250-350 ( Appendix VIl G).
g at abdomen, and observe the animals for 30 3. 3. 3. 4 Thimerosal content
days. Observe carefully.fhe injection sites in the The thimerosal content shall be not more than
first 5 days, and weigh each animal on days 10, 0. 10 g/L (Appendix VIl B).
20 and 30. Each animal shall not loss its weight
3. 3. 3. 5 Free formaldehyde content
continuously during the observation period. At
The free formaldehyde content shall be not more
the end of observation, the weight of each animal
than 0. 2 g/L (Appendix VI L).
shall increase in comparison with that before
injection, No necrosis at the injection site, 3. 3. 4 Potency test
desquamation, depilation or signs of advanced The potency of diphtheria toxoid shall be not less
paralysis shall be found. than 2 IU per single human. dose ( Appendix
3. 1. 6 Test for reversion to toxicity
XI C). '
Dilute the samples from each bottle of bulk toxoid 3. 3. 5 Sterility test
with PBS pH 7. 0-7. 4 to a concentration of 30- It complies with the test for sterility ( Appendix
50 Lf/ml and incubate at 37°C for 42 days. XI[ A).
Inoculate i. d. 0. 1 ml of the diluted sample and 3. 3. 6 Specific toxicity test
0. 1 ml of 25-fold dilution of Schick test toxin to Mix equal volumes of samples from each sub-lot of
each of two rabbits, weighing about 2 kg, the vaccine and inoculate s. c. 2. 5 ml of the
separately, using O. 1 ml of PBS as negative mixture to each of four guinea pigs, weighing 250-
control. Observe the result 72 hours after the 350 g. Observe the animals for 30 days. Infiltration
injection. The diameter of erythema and swelling at the injection sites may be observed which might
reactions at the injection sites of the test sample become indurations 5 to 10 days after injection and
shall be less than 15 mm. The reaction of Schick may not be completely absorbed within 30 days.
test toxin shall be positive, and that of control Weigh each animal on days 10, 20 and 30. The
shall be negative. test is judged as qualified if the weight of each
3. 2 Control test on final bulk animal increases at the end of observation in
Sterility test comparison with that before injection and no signs
It complies with the test for sterility ( Appendix of advanced paralysis are observed.
XI[ A).
3. 3. 7 Stability test
3. 3 Control tests on final product Stability test shall be carried out when any change
of production process occurs. Final products
3. 3. 1 Identity test
manufactured from three consecutive batches of
Carry out the identity test by one of the following
bulk purified toxoid shall be kept at 2-8°C for the
methods:
inspection on final containers and the test for pH,
( 1) The corresponding antibody shall be induced
specific toxicity and potency at the end of validity
in the animals injected with the vaccine ( the same
period. All the test results shall meet the
method as that for potency test, see Section
requirements.
3. 3. 4);
(2) Flocculation test can be carried out after 4 Storage, shipping and validity period
dissolving the adjuvant with sodium citrate or Store and ship at 2-8°C, protected from light.
sodium carbonate, and flocculation shall be The validity period is 36 months starting from the
observed (Appendix XI D); date of filling of final product.
Diphtheria and Tetanus Combined Vaccine, Adsorbed

S Package inserts Store and ship at 2-8°C, protected from light.


Directions for Use of Diphtheria Vaccine for [Packaging]
Adults and Adolescents, Adsorbed
[Validity period]
[Drug name] 36 months.
Adopted name: Diphtheria Vaccine for Adults and
[Standard for implementation]
Adolescents,Adsorbed
[Product license number J
[ Constituents and characters J
Adsorbed diphtheria vaccine for adults and [Manufacturer J
adolescents is a preparation of bulk diphtheria Name:
toxoid adsorbed onto aluminum hydroxide. The Address:
vaccine is a milky-white homogeneous suspension Zip code:
containing a preservative. A precipitate may form Tel:
after a long period of storage, which can be Fax:
dispersed on. shaking. Web site:
[Eligibles]
People older than 12 years of age.
[Function and use] Diphtheria and Tetanus Combined
The product can induce humoral immune response
in recipients followingimmunization, It is used as Vaccine, Adsorbed
a booster for adults and adolescents who have
received primary immunization of diphtheria Adsorbed diphtheria and tetanus combined vaccine
vaccine. It is also used for an emergent immuni- is a preparation of bulk diphtheria and tetanus
zation. toxoids adsorbed onto aluminum hydroxide. It is
[ Specifications J used as a booster for children who have received
0. 5 ml, 1. 0 ml, 2. 0 ml or 5. 0 ml per container. primary immunization of pertussis, diphtheria and
Each single human dose is 0. 5 ml containing not tetanus combined vaccine.
less than 2 IU of diphtheria toxoid. 1 Basic requirements
[ Administration and dosage J The facilities, water, source and subsidiary
(1) The vaccine should be injected i. m. m the materials, apparatus, and animals used for
deltoid muscle of the lateral upper arm. production and control tests shall comply with the
(2) Dosage: One single injection of 0. 5 ml. requirements set forth in the General Notices.
[ Adverse reactions J 2 Manufacturing
(1) Erythema, swelling, indurations , pain or 2. 1 Monovalent bulks before mixing
itch may occur at the injection sites. Systemic
manifestations may include low fever, fatigue, 2. 1. 1 Production of bulk diphtheria toxoid shall
headache, etc. , which can be relieved sponta- meet the requirements given in the Sections 2. 1-
neously. 2. 2 of the Diphtheria Vaccine, Adsorbed.
(2) Indurations may be found at the injection site, 2. 1. 2 Production of bulk tetanus toxoid shall
which may subside within 1-2 months after meet the requirements given in the Sections 2. 1-
injection. 2. 2 of the Tetanus Vaccine, Adsorbed.
[ Contraindications] 2. 1. 3 Control tests on bulk
The vaccine shall not be administered to the See Section 3. 1 of the Diphtheria Vaccine,
subjects with serious diseases, fever, or with a Adsorbed and the Tetanus Vaccine, Adsorbed.
history of allergic or of nervous system reactions
2. 2 Final bulk
following the injection of diphtheria toxoid.
2. 2. 1 Formulation
[Precautions J
( 1) Shake the container before use. Do' not use 2. 2. 1. 1 Formula
the vaccine if any foreign matters, leakage of The following antigens shall be contained in 1 ml
container, illegible label or clumps not dispersed of the final bulk:
on shaking are found, or the product has been Bulk diphtheria toxoid not more than 20 Lf
frozen. Bulk Tetanus toxoid not more than 3 Lf
( 2) The recipients shall take a rest for a while on 2. 2. 1. 2 Preparation of adjuvant
site following immunization. Adrenaline should be ( 1) Aluminum hydroxide can be prepared by the
available for first aid in case of severe anaphylactic reaction of aluminum chloride with ammonium
reactions. hydroxide or with sodium hydroxide. Remove
(3) Freezing is strictly contraindicated. residual ammonia by dialysis when ammonium
[Storage] hydroxide is used.
Diphtheria and Tetanus Combined Vaccine, Adsorbed

(2) The bulk of aluminum hydroxide shall be a (2) Flocculation test can be carried out after
light blue or milky-white colloidal suspension, dissolving the adjuvant with sodium citrate or
free of precipitate and foreign matters. sodium carbonate, and flocculation shall be
(3) The bulk of aluminum hydroxide shall be observed (Appendix XI D);
tested for the contents of aluminum hydroxide and (3) Gel immune-precipitation test can be carried
sodium chloride. The aluminum hydroxide content out after adjusting pH of the vaccine to 9. 0, and
shall be not more than 3. 0 mg/ml. immuno-precipitation reaction shall be observed
2. 2. 1. 3 The sodium chloride content shall be (Appendix VIII C).
8. 5 g/L. 3. 2. 2 Inspection on final containers
2. 2. 1. 4 Thimerosal can be added as a preser- The vaccine is a milky-white homogeneous sus-
vative at the concentration of 0. 05-0. 10 g/L. pension, free of foreign matters and clumps not
dispersed on shaking.
2. 2. 2 Control test on final bulk
See Section 3. 1. , 3. 2. 3 Chemical tests
2. 3 Final product 3. 2. 3. 1 pH
The pH shall be 6. 0-7. 0 (Appendix V A).
2. 3. i Defining batches
The Requirements for Defining Batches of 3. 2. 3. 2 Aluminum hydroxide content
Biologics shall apply. The aluminum hydroxide content shall be not more
than 2. 5 mg/ml (Appendix VIl F).
2. 3. 2 Fi'lling
The Requirements for Filling and Lyophilization of 3. 2. 3. 3 Sodium chloride content
Biologics shall apply. . The sodium chloride content shall be 7. 5-9. 5 g/L
( Appendix VIl G).
2. 3. 3 Specifications _
0. 5 ml, 1. 0 ml, 2. 0 mi ;i
5. 0 ml per container. 3. 2. 3. 4 Thimerosal content
Each single human dose is 0. 5 ml containing not The thimerosal content shall be not more than
less than 30 IU of diphtheria toxoid and not less O. 1 g/L (Appendix VIl B).
than 40 IU of tetanus toxoid. 3. 2. 3. 5 Free formaldehyde content
2. 3. 4 Packaging The free formaldehyde content shall be not more
The Requirements for Packaging of Biologics shall than 0. 2 g/L (Appendix VI L).
apply. 3. 2. 4 Potency test
3 Control tests 3. 2. 4. 1 Diphtheria toxoid
3. 1 Control test on final bulk The potency of diphtheria toxoid shall be not less
Sterility test than 30 IU per single human dose ( Appendix
It complies with the test for sterility ( Appendix XI C).
XII A). 3. 2. 4. 2 Tetanus toxoid
3. 2 Control tests on final product The ·potency of tetanus toxoid shall be not less
than 40 IU per single human dose ( Appendix
3. 2. 1 Identity test
XI B).
3. 2. 1. 1 Diphtheria toxoid
3. 2. 5 Sterility test
Carry out the identity test by one of the following
It complies with the test for sterility ( Appendix
methods:
XI[ A).
(1) The corresponding antibody shall be induced
in the animals injected with the vaccine ( the same 3. 2. 6 Specific toxicity test
method as that for potency test, see Section Mix equal volumes of samples from each sub-lot of
3. 2. 4. 1); the vaccine and inoculate s. c. 2. 5 ml of the
(2) Flocculation test can be carried out after mixture to each of four guinea pigs weighing 250-
dissolving the adjuvant with sodium citrate or 350 g at abdomen. Observe the animals for 30
sodium carbonate, and flocculation shall be days. Infiltrations at the injection sites may be
observed (Appendix XI D); observed which may· become indurations 5 to 10
(3) Gel immuno-precipitation test can be carried days after injection and may not be completely
out after adjusting pH of the. vaccine to 9. 0, and absorbed within 30 days. Weigh each animal on
immuno-precipitation reaction shall be observed days 10, 20 and 30. The test is judged as qualified
(Appendix VIII C). if the weight of each animal increases at the end of
observation period in comparison with that before
3. 2. 1. 2 Tetanus toxoid
injection and no fester or necrosis at the injection
Carry out the identity test by one of the following
sites, signs of advanced paralysis or symptoms of
methods:
tetanus are observed.
( 1) The tetanus antibody shall be induced in the
animals injected with the vaccine ( Appendix XI 4 Storage, shipping and validity period
B); Store and ship at 2-8°C, protected from light.
Diphtheria and Tetanus Combined Vaccine for Adults and Adolescents, Adsorbed

The validity period is 36 months starting from the [Storage]


date of filling of final product. Store and ship at 2-8°C, protected from light.
5 Package inserts [Packaging]
Directions for Use of Diphtheria and Tetanus [Validity period]
Combined Vaccine, Adsorbed 36 months.
[Drug name] [Standard for implementation]
Adopted name: Diphtheria and Tetanus Combined
[Product license numberJ
Vaccine, Adsorbed
[Manufacturer J
[ Constituents and characters] Name:
Adsorbed diphtheria and tetanus combined vaccine
Address:
is a preparation of bulk diphtheria and tetanus
Zip code:
toxoids adsorbed onto alumin~m hydroxide. The
Tel:
vaccine is a milky-white homogeneous suspension
Fax:
containing thimerosal . as a preservative. A preci-
Web site:
pitate may form after a long period of storage,
which can be dispersed on shaking.
[Eligibles]
Children younger than 12 years of age. Diphtheria and 'Ietanus Combined Vaccine
[Function and use] for Adults and Adolescents, Adsorbed
The product can induce immune response in
recipients following immunization. It is used as a
booster for children 'who have received primary Adsorbed diphtheria and tetanus combined vaccine
immunization of pertussis, diphtheria and tetanus for adults and adolescents is a preparation of bulk
combined vaccine. diphtheria and tetanus toxoids adsorbed onto
aluminum hydroxide. The vaccine is used as a
[ SpecificationsJ booster for adults and adolescents who have
0. 5 ml, 1. 0 ml, 2. 0 ml, or 5. 0 ml per received primary immunization of diphtheria and
container. Each single human dose is 0. 5 ml tetanus vaccine and is used for an emergent
containing not less than 30 IU of diphtheria toxoid immunization of diphtheria.
and not less than 40 IU of tetanus toxoid.
1 Basic requirements
[ Administration and dosageJ The facilities, water, source and subsidiary
( 1) The vaccine shall be injected i. m. m the materials, apparatus, and animals used for
deltoid muscle of the lateral upper arm. production and control tests shall comply with the
(2) Dosage: One single injection of 0. 5 ml. requirements set forth in the General Notices.
[ Adverse reactionsJ 2 Manufacturing
Erythema and swelling, pain or itch may occur at
the injection site. Systemic manifestation may 2. 1 Monovalent bulks before mixing
include low fever, fatigue, headache, etc. , which 2. 1. 1 Production of bulk diphtheria toxoid shall
can be relieved spontaneously. Indurations may be meet the requirements given in Sections 2. 1-2. 2 of
found at the injection site, which may subside the Diphtheria Vaccine, Adsorbed.
within 1-2 months after injection.
2. 1. 2 Production of bulk tetanus toxoid shall
[ ContraindicationsJ meet the requirements given in Sections 2. 1-2. 2 of
The vaccine shall not be administered to the the Tetanus Vaccine, Adsorbed.
subjects with severe diseases, fever, or with a
history of allergy or of nervous system reactions 2. 1. 3 Control tests on bulk
following the injection of diphtheria or tetanus See Section 3. 1 of the Diphtheria Vaccine,
toxoid. Adsorbed and the Tetanus Vaccine, Adsorbed.
[Precautions] 2. 2 Final bulk
( 1) Shake the vaccine before use. Do not use the 2. 2. 1 Formulation of final bulk
vaccine if any foreign matters, leakage of
2. 2. 1. 1 Formula
container, illegible label or clump not dispersed on
The following antigens shall be contained in 1 ml
shaking are found, or the product has been
of the final bulk:
frozen.
Bulk diphtheria toxoid not more than 4 Lf
(2) The recipients shall take a rest for a while on
Bulk tetanus toxoid not more than 5 Lf
site following immunization. Adrenaline should be
available for first aid in case of severe anaphylactic 2. 2. 1. 2 Preparation of adjuvant
reactions. (1) Aluminum hydroxide can be prepared by the
(3) Freezing is strictly contraindicated. reaction of aluminum chloride with ammonium
Diphtheria and Tetanus Combined Vaccine for Adults and Adolescents, Adsorbed

hydroxide or with sodium hydroxide. Remove ( 1) The tetanus antibody shall be induced in the
residual ammonia by dialysis when ammonium animals injected with the vaccine ( Appendix XI
hydroxide is used. B);
(2) The bulk of aluminum hydroxide shall be a (2) Flocculation test can be carried out after
light blue or milky-white colloidal suspension, dissolving the adjuvant with sodium citrate or
free of precipitate and foreign matters. sodium carbonate, and flocculation shall be
( 3) The bulk of aluminum hydroxide shall be observed (Appendix XI D);
tested for the contents of aluminum hydroxide and (3) Gel immuno-precipitation test can be carried
sodium chloride. The aluminum hydroxide content out after adjusting pH of the vaccine to 9. 0, and
shall be not more than 3. 0 mg/ ml. immuno-precipitation reaction shall be observed
2. 2. 1. 3 The sodium chloride content shall be (Appendix VIIl C).
7. 5-9. 5 g/L. 3. 2. 2 Inspection on final containers
2. 2. 1. 4 Thimerosal can be added as a preser- The vaccine is a milky-white homogeneous sus-
vative at the concentration of 0. 05-0. 10 g/L, pension, free of foreign matters and clumps not
dispersed on shaking.
2. 2. 2 Control tests on final bulk
See Section 3. 1. 3. 2. 3 · Chemical tests

2. 3 Final product 3. 2. 3. 1 pH
The pH shall be 6. 0-7. 0 (Appendix V A).
2. 3. 1 Defining batches
The Requirements for Defining Batches of . 3. 2. 3: 2 Aluminum hydroxide content
Biologics shall apply. The aluminum hydroxide content shall be not more
than 2. 5 mg/ml (Appendix VII F).
2. 3. 2 Filling
The Requirements for Filling and Lyophilization of 3. 2. 3. 3 Sodium chloride content
Biologics shall apply. The sodium chloride content shall be 7. 5-9. 5 g/L
( Appendix VII G).
2. 3. 3 Specifications
0. 5 ml, 1. 0 ml, 2. 0 ml or 5. 0 ml per container. 3. 2. 3. 4 Thimerosal content
Each single human dose is 0. 5 ml containing not The thimerosal content shall be not more than
less than 2 IU of diphtheria toxoid and not less o. 1 g/L (Appendix VII B).
than 40 IU of tetanus toxoid.
3. 2. 3. 5 Free formaldehyde content
2. 3. 4 Packaging The free formaldehyde content shall be not more
The Requirements for Packaging of Biologics shall than 0. 2 g/L (Appendix VI L).
apply.
3. 2. 4 Potency test
3 Control tests
3. 2. 4. 1 Diphtheria toxoid
3. 1 Control test on final bulk The potency of diphtheria toxoid shall be not less
Sterility test than 2 IU per single human dose ( Appendix
It complies with the test for sterility ( Appendix XI C).
XI[ A).
3. 2. 4. 2 Tetanus toxoid
3. 2 Control tests on final product The potency of tetanus toxoid shall be not less
3. 2. 1 Identity test than 40 IU per single human dose ( Appendix
XI B).
3. 2. 1. 1 Diphtheria toxoid
Carry out the identity test by one of the following 3. 2. 5 Sterility test
methods: It complies with the test for sterility ( Appendix
Cl) The corresponding antibody shall be induced XI[ A).
in the animals injected with the vaccine ( the same 3. 2. 6 Specific toxicity test
I
method as that for potency test, see Section Mix equal volumes of samples from each sub-lot of
3. 2. 4. 1); the vaccine and inoculate s. c. 2. 5 ml of the
(2) Flocculation test can be carried out after mixture to each of four guinea pigs weighing 250-
dissolving the adjuvant with sodium citrate or 350 g at abdomen. Observe the animals for 30
sodium carbonate, and flocculation shall be days. Infiltration at the injection sites may be
observed (Appendix XI D); observed which might form indurations 5 to 10
(3) Gel immuno-precipitation test can be carried days after injection and may not be completely
out after adjusting pH of the vaccine to 9. 0, and resolved within 30 days. Weigh each animal on
immuno-precipitation reaction shall be observed days 10, 20 and 30. The test is judged as qualified
(Appendix VDI C). if the weight of each animal increases at the end of
3. 2. 1. 2 Tetanus toxoid observation period in comparison with that before
Carry out the identity test by one of the following injection and no purulence or necrosis at the
methods: injection site, symptoms of tetanus or signs of
Japanese Encephalitis Vaccine, Inactivated

advanced paralysis are observed. the vaccine if any foreign matters, leakage of
container, illegible label or clumps not dispersed
4 Storage, shipping and validity period
on shaking are found, or the product has been
Store and ship at 2-8°C, protected from light.
frozen.
The validity period is 36 months starting from the
(2) The recipients shall take a rest for a while on
date of filling of final product.
site following immunization. Adrenaline should be
5 Package inserts available for first aid in case of severe anaphylactic
Directions for Use of Diphtheria and Tetanus reactions.
Combined Vaccine for Adults and (3) Freezing is strictly contraindicated.
Adolescents, Adsorbed [Storage]
Store and ship at 2-8°C, protected from light.
[Drug name]
Adopted name: Diphtheria and Tetanus Combined [Packaging]
Vaccine for Adults and Adolescents, Adsorbed [Validity period]
[ Constituents and charactersJ 36 months.
Adsorbed diphtheria and tetanus combined vaccine [Standardfor implementation]
for adults and adolescents is a preparation of bulk
diphtheria and tetanus toxoids adsorbed onto [Product license numberJ
aluminum hydroxide. J
[Manufacturer
The· vaccine is a milky-white homogeneous Name:
suspension containing thimerosal as a preservative. Address:
A precipitate may form after ·a long period of Zip code:
storage, which can be dispersed on shaking, and Tel:
the upper layer of the solution shall be clear and Fax:
colourless. Web site:
[Eligibles]
People older than 12 years of age.
[Function and use]
The product can induce humoral immune response
Japanese Encephalitis Vaccine,
in recipients following immunization. It is used as Inactivated
a booster for people over 12 years of age who have
received primary immunization of diphtheria and Japanese encephalitis (JE) inactivated vaccine is a
tetanus vaccines. It is also used for an emergent preparation of JE virus grown on primary hamster
immunization against diphtheria. kidney cell cultures. After cultivation and
[Specifications] harvest, the virus suspension is inactivated to
0. 5 ml, 1. 0 ml, 2. 0 ml or 5. 0 ml per container. make the vaccine. It is used to prevent Japanese
Each single human dose is 0. 5 ml containing not encephalitis.
less than 2 IU of diphtheria toxoid and not less 1 Basic requirements
than 40 IU of tetanus toxoid (guinea pig method). The facilities, source and subsidiary materials,
[ Administration and dosageJ water, apparatus and animals used for production
(1) The vaccine should be injected i. m. in the and control tests shall meet the requirements set
deltoid muscle of the lateral upper arm. forth in the General Notices.
(2) Dosage: One single injection of 0. 5 ml. 2 Manufacturing
[ Adverse reactionsJ 2. 1 Cell substrates for vaccine production
Erythema and swelling, pain or itch may occur at Primary hamster kidney cells or those subcultured
the injection site. Systemic manifestation may continuously for not more than five passages can be
include low fever, fatigue, headache, etc. , which used for the vaccine production.
can be relieved spontaneously. Indurations may be
2. 1. 1 Management and control tests on cell
found at the injection site, which may subside
substrates
within 1-2 months after injection.
The Requirements for Preparation and Control of
[ ContraindicationsJ Animal Cell Substrates Used for Production of
The vaccine shall not be administered to the Biologics shall apply.
subjects with serious diseases, fever, or with a
2. 1. 2 Cell substrate preparation
history of allergic or of nervous system reactions
Hamsters at about 2 weeks of age are selected.
following the injection of diphtheria or tetanus
Extract and mince the kidneys aseptically. Digest
toxoid.
the tissue fragments with a quantity of trypsin.
[Precautions] Disperse the cells with culture medium to prepare
( 1) Shake the container before use. Do not use cell suspension that is then distributed into bottles
Japanese Encephalitis Vaccine, Inactivated

and incubated at 37°C. 2. 3 Bulk


2. 2 Virus seeds 2. 3. 1 Cell substrate preparation
See Section 2. 1. 2.
2. 2. 1 Name and origin of virus strains
P3 strain of JE virus shall be used as the seed for 2. 3. 2 Culture medium
the production of the vaccine. Earle solution containing lacto-albumin hydrolysate
and a quantity of inactivated calf serum shall be
2. 2. 2 Establishment of seed lot system used as the culture medium. Other suitable
The Requirements for Bacterial and Viral Strains/ culture media can also be used. The quality of calf
Seeds Used for Production and Quality Control of serum free from JE antibody shall comply with the
Biologics shall apply. related requirements (Appendix Xlll D).
Master seed lots and working seed lots !;hall be
prepared by inoculating i. c. mice or suckling 2. 3. 3 Tests for adventitious viruses in control
mice. The primary seed lot shall not exceed the cells
53th passages. The master seed lot shall not It complies with the tests for adventitious viruses
exceed the 68th passage. The working seed lot (Appendix XII C).
shall not exceed the 69th passage. 2. 3. 4 Virus inoculation and incubation
2. 2. 3 Control tests on virus seed lots Bottles with confluent cell sheet are selected.
For master seed lot, comprehensive control tests After rinsing the cell sheets. thoroughly with PBS
described below shall be carried out; for working to remove calf serum, a quantity of maintenance
seed lot, tests described in Sections 2. 2. 3. 1- medium shall be added. Inoculate virus and
2. 2. 3. 4 shall be carried out at least. incubate the bottles at a suitable temperature for a
period of time.
2. 2. 3. 1 Identity test
2. 3. 5 Virus harvest
Mix the virus from seed lot with an equal amount
Harvest the virus suspensions from bottles, in
of the corresponding specific immune serum. Keep
which the cell cultures manifest typical CPE
the virus-immune serum mixture in 37°C water
microscopically. The harvests are collected into a
bath for 90 minutes. Neutralization test shall be
large container to make the harvest virus
conducted by intracerebral inoculation in mice to
suspension homogeneously. The final clarification
verify the specificity. The neutralization index
shall be implemented by means· of membrane
shall be more than 500.
filtration or continuous flow centrifugation.
2. 2. 3. 2 Virus titration However, if the cell quality is good enough after
Mice each weighing 7-9 g shall be used for virus harvest, fresh maintenance medium can be added
titration by intracerebral route. The titers of the again for further cultivation for multiple harvests.
seed lots shall be not less than 9. 0 lg LD5o/ml. 2. 3. 6 Control tests on virus harvests
2. 2. 3. 3 Sterility test See Section 3. 1.
It complies with the test for sterility ( Appendix 2. 3. 7 Virus inactivation
XII A). Formalin shall be added to the virus harvest at a
2. 2. 3. 4 Test for mycoplasmas proportion of 1 : 2000 to inactivate the virus at an
It complies with the test for mycoplasmas appropriate temperature for a period of time. The
(Appendix XII B). inactivated viral suspension is defined as the bulk.
Thimerosal can be added and its final concentration
2. 2. 3. 5 Tests for adventitious viruses shall be not more than 0. 10 mg/ml.
It complies with the tests for adventitious viruses
(Appendix XII C). 2. 3. 8 Control tests on bulk
See Section 3. 2.
2. 2. 3. 6 Test for immunogenicity
Prepare the original vaccine with the master seed 2. 4 Final bulk
virus to immunize ten mice each weighing 12-14 g. 2. 4. 1 Formulation
Each mouse receives 0. 3 ml i. p. twice at an A number of bulk which passed the sterility test .
interval of 3 days. Ten to fourteen days after the can be pooled together to make the final bulk.
first inoculation, challenge the immunized mice 2. 4. 2 Control tests on final bulk
i. p. with a quantity of virus ( P3 strain not for See Section 3. 3.
production) suspension containing not less than
10000 LD50• The protective rate of immunized 2. 5 Final product
group shall be 100% and the mortality of control 2. 5. 1 Defining batches
group shall be not less than 80 %. The Requirements for Defining Batches of
2. 2. 4 Storage of virus seeds Biologics shall apply.
Virus seeds shall be stored at or below - 60°C; 2. 5. 2 Filling
the liquid ones shall be stored for a period not more The Requirements for Filling and Lyophilization of
than one year. Biologics shall apply.
Japanese Encephalitis Vaccine, Inactivated

2. 5. 3 Specifications inoculate i. c. into other three mice. Observe the


2. 0 ml, 5. 0 ml or 10 ml per container. 0. 5 ml per mice daily for 14 days. The test passes if the
single human dose. inoculated mice survive the observation period. If
2. 5. 4 Packaging some mice die, the test shall be repeated. If the
result of repeated test passes, this batch of bulk is
The Requirements for Packaging of Biologics shall
apply. still judged as qualified. If there are still deaths of
mice, this batch of bulk shall be discarded.
3 Control tests
3. 3 Control tests on final bulk
3. 1 Control tests on virus harvests Sterility test
3. 1. 1 Virus titration It complies with the test for sterility ( Appendix
Take a sample from the pooled harvest containing XII A).
not more than 150 liters of virus suspension for 3. 4 Control tests on final product
virus titration. Dilute the test sample 10-fold
3. 4. 1 Identity test
serially. Inoculate i. c. each mouse of 7-9 g with
See Section 3. 4. 4. The test shall be considered
O. 03 ml of at least three consecutive dilutions.
unqualified if the potency test fails.
Four mice are employed for each dilution. Observe
the mice daily for 14 days. The mice that die 3. 4. 2 Inspection on final containers
within 3 days after inoculation shall be excluded in The vaccine shall be a clear, orange-red liquid free
evaluation. The preparation is judged as qualified of foreign matters and precipitate.
with a titer of not less than 7. 5 lg LD50/ml. 3. 4. 3 Chemical tests
3. 1. 2 Sterility test 3. 4. 3. 1 pH
It complies with the test for sterility ( Appendix The pH shall be 7. 2-8. 0 (Appendix V A).
XI[ A).
3. 4. 3. 2 Content of free formaldehyde
3. 1. 3 Test for mycoplasmas The content of free formaldehyde content shall be
It complies with the test for mycoplasmas not more than 0. 50 mg/ml (Appendix VI L).
(Appendix XII B).
3. 4. 3. 3 Thimerosal content
3. 2 Control tests on bulk The thimerosal content shall be not more than
3. 2. 1 Sterility test 0. 10 mg/ml (Appendix Vil B).
It complies with the test for sterility ( Appendix 3. 4. 4 Potency test
XII A). Test sample shall be taken from the bulk for
3. 2. 2 Validation test for effective inactivation potency test which is conducted for determination
Take a sample from the bulk for validation test for of neutralizing antibody in mice. Each sample for
effective inactivation of virus, each sample shall the test shall represent a batch of virus suspension
represent a batch of bulk containing not more than of not more than 1000 liters. Plaque-reduction
150 liters of virus suspension. Inoculate i. c. 0. 03 assay is employed. The reference vaccines ( RA
and RB) and positive serum used in the test shall
ml of the test sample into each of eight mice
be provided by the NCL.
weighing 12-14 g and concurrently inoculate i. p.
Dilute the test vaccine (T) and reference vaccines
0. 5 ml of the sample into each of the animals.
( RA and RB) to 1 : 32, respectively. At an
This is the first passage in animals for the assumed
interval of 7 days, inject i. p. two doses of 0. 5 ml
virus living in the sample. Seven days after the
of each diluted vaccine, respectively into each of
inoculation, kill three mice of the first passage. ten mice weighing 12-14 g. Seven days following
Emulsify. the brains taken from the killed mice to the second dose animals are bled individually. The
make 10% suspension that is used to inoculate i. c. separated sera from each mouse in the same group
into other six mice with the same method as are pooled in an equal quantity and then inactivated
mentioned above. It is the second passage. Seven at 56°C for 30 minutes. The diluted positive
days later, three mice of the second passage are serum, the diluted serum against the test vaccine,
killed to prepare brain suspension again as and the diluted sera against reference vaccine are
mentioned above. Inoculate the brain suspension mixed respectively with an equal volume of diluted
of the second passage into other six mice to make challenge virus ( containing about 200 PFU/0. 4
the third passage. Observe all the mice daily for ml). Meanwhile, the diluted virus suspension is
14 days from the date of injections. The test mixed with an equal volume of serum from healthy
passes if all the mice of the three passages survive mice as the virus control. All the mixtures and the
the observation periods except those killed from virus control suspension shall be kept in 37°C
every passage and those die within 3 days after water bath for 90 minutes. Afterwards, 0. 4 ml
injection due to non-specific causes. aliquots of the neutralized mixtures as well as the
If individual mouse dies 3 days after inoculation, virus control are dispensed separately into each
the brain shall be removed immediately and well of 6-well microplates with BHK21 cells.
emulsified to make a suspension that is used to Overlaid with medium containing methylcellulose
Japanese Encephalitis Vaccine, Inactivated

in the wells with virus-serum mixtures as well as Inactivated


the virus control. The plates are then incubated in [Constituentsand characters]
carbon dioxide incubator at 37°C for 90 minutes. Japanese encephalitis inactivated vaccme is a
The cells in the wells are stained after incubation preparation of JE virus grown on monolayers of
for 5 days and the plaques formed are counted. primary hamster kidney cells. After cultivation
The plaque reduction rate can be calculated by and harvest, the virus is inactivated to produce the
comparing the number of plaques formed in virus vaccine. The vaccine is a clear, orange-red liquid,
control group against that formed in the T and R containing thimerosal as a preservative.
groups. The average number of plaques of virus
control group shall be in the range of 50-150. [Eligibles]
The criteria for interpretation: Healthy children from 6 months to 10 years of age
(1) Qualified: T~CRA + RB) /2-0. 33 and those including children and adults who intend
(2) Re-test: (RA+ RB)/2-0. 66<T<CRA + to enter the endemic area from non-endemic areas.
RB)/2-0. 33 [Function and use]
(3) Unqualified: T<CRA+ RB)/2-0. 66 The product can induce immunity against JE virus
3. 4. 5 Thermostability test in recipients following immunization. It is used to
Before release the final product shall be subject to prevent Japanese encephalitis.
thermostability test. The vaccine samples that [ Specifications J
have been exposed at 37°C for 7 days shall be 2. 0 ml, 5. 0 ml or 10 ml per container. 0. 5 ml per
titrated following Section 3. 4. 4. The vaccine that single human dose.
passes the thermostability test is considered
[Administrationand dosage}
satisfactory in potency test.
(1) In order to ease the pain of injection, add a
3. 4. 6 Content of residual bovine serum albumin quantity of sodium bisulfite solution into the
The content of residual bovine serum albumin shall vaccine container immediately prior to use. The
be less than 50 ng/ dose determined by ELISA. vaccine is injectable while its colour changes from
red to yellow.
3. 4. 7 Sterility test
( 2) Inject s. c. the vaccine at deltoid insertion
It complies with the test for sterility ( Appendix
area of the lateral upper arm.
XII A). (3) For children of 6-12 months of age, the first
3. 4. 8 Test for abnormal toxicity and second 'shots are given at an interval of 7-10
It complies with the test for abnormal toxicity days. The third shot shall be administered 6
( Appendix XI[ F). months after the second shot; the fourth shot
3. 4. 9 Test for bacterial endotoxin shall be given to the children of 4-10 years of age.
The content of bacterial endotoxin shall be not [ Adverse reactionsJ
more than 100 EU per human dose ( Appendix Generally there is no adverse reactions after
XII E, the limit test of gel-clot method). inoculation. Some individuals may feel dizziness or
have transient fever reaction, which normally does
3. 5 Test for sodium bisulfite solution
not last longer than 2 days and could be relieved
3. 5. 1 Content of sodium bisulfite spontaneously. Occasionally, sporadic skin rashes
The concentration of sodium bisulfite shall be may appear and no particular treatment is needed.
1. 5%-2. 5% (Appendix VII E). In case of necessity, symptomatic treatment might
3. 5. 2 Validation test for nontoxicity be adopted.
The test sample shall be diluted according to the [ Contraindications]
concentration for usage. The test shall be performed (1) The subjects with fever, acute or serious
by injecting i. p. each of two mice weighing 18-20 chronic disease, weakness.
g with 0. 5 ml of the diluted sample. Observe the ( 2) Those allergic to some drugs or food.
inoculated mice for 7 days. All of them shall (3) Those with a history of convulsion.
survive. [Precautions]
4 Storage, shipping and validity period ( 1 ) Do not use the vaccine if any turbidity or
Store and ship at 2-8°C and protected from light. colour change of content, foreign matters or
The validity period of the vaccine is 24 months leakage of container is found.
starting from the date when the potency test (2) The recipients shall take a rest for a while on
proved qualified. site following immunization. Adrenaline should be
available for first aid in case of severe anaphylactic
5 Package inserts
reactions.
Directions for Use of JapaneseEncephalitis (3) Freezing of the vaccine is strictly contrain-
Vaccine, Inactivated dicated.
[Drug name] [Storage]
Adopted name: Japanese Encephalitis Vaccine, Store and ship at 2-8°C, protected from light.
Japanese Encephalitis Vaccine, Live

[Packaging] Biologics shall apply.


The primary seed lot shall not exceed the 6th
[Validity period]
passage. The master seed lot shall not exceed the
24 months.
8th passage. The working seed lot shall not
[Standard for implementation J exceed the 9th passage; and the final product shall
[Product license numberJ not exceed the 10th passage.

[Manufacturer J 2. 2. 3 Control tests on virus seed lots


Name: For master seed lot, comprehensive control tests
Address: described below shall be carried out; for working
Zip code: .. seed lot, tests described in Sections 2. 2. 3. 1-
Tel: 2. 2. 3. 4 shall be carried out at least.
Fax: 2. 2. 3. 1 Identity test
Web site: Neutralization test is employed for the identifi-
cation. Mix the virus from seed lot with the
specific antibody against non-homologous JE virus.
Keep the virus-antibody mixture at 37°C for 90
Japanese Encephalitis Vaccine; Live minutes. Inoculate the mixture onto the monolayersof
hamster kidney cells or BHK21 cells. Observe the
results for 5-7 days after inoculation. The
Japanese encephalitis ( JE ) live vaccme Is a neurovirulence index shall be more than 1000.
preparation of live attenuated JE virus · ( strain 2. 2. 3. 2 Virus titration
SA14-14-2) grown on the monolayers of primary The sample of virus seed shall be diluted 10-fold
hamster kidney cell cultures. After cultivation and serially, of which at least three consecutive
harvest, the virus suspension is lyophilized to dilutions shall be inoculated respectively onto
make the vaccine after the addition of a suitable BHK21 cells. Plaque titration method shall be
stabilizer. · It is used to prevent Japanese encephalitis. used. The virus titers of freeze-dried seed lots
1 Basic requirements shall be not less than 5. 7 lg PFU/ml; for the
The facilities, source and subsidiary materials, liquid seed lots, not less than 7. 2 lg PFU / ml.
water, apparatus and animals used for the 2. 2. 3. 3 Sterility test
production and control tests shall comply with the It complies with the test for sterility ( Appendix
requirements set forth in the General Notices. XI[ A).
2 Manufacturing 2. 2. 3. 4 Test for mycoplasmas
2. 1 Cell substrates for vaccine production It complies with the test for mycoplasmas
Primary hamster kidney cells or those subcultured (Appendix XI[ B).
continuously for not more than five passages can be 2. 2. 3. 5 Tests for adventitious viruses
used for the vaccine production. It complies with the tests for adventitious viruses
2. 1. 1 Management and control tests on cell (Appendix XI[ C). .
substrates 2. 2. 3. 6 Stability of the gene sequence of E
The Requirements for Preparation and Control of protein
Animal Cell Substrates Used for Production of The genetic stability shall be verified with the
Biologics shall apply. determination of the nucleotide sequence of protein
2. 1. 2 Cell substrate preparation E gene.
Hamsters of 10-14 days of age are selected. None of the changes is permitted in the coding
Kidneys are extracted aseptically. The selected sequence for following eight key amino acids on
kidneys are minced with scissors and digested with protein E, i. e E-107 (Phenylalanine), E-138
trypsin solution. Dispersed cells are suspended in (Lysine), E-176 (Valine), E~ 177 (Alanine), E-
an appropriate culture medium; distribute them 264 ( Histidine ) , E-279 ( Methionine ) E-315
into culture bottles and then incubate at 37°C + (Valine) and E-439 (Arginine).
1 °C. Inoculate the virus when confluent cell sheets The homology of the test nucleotide sequence of
are formed. protein E gene to that of the attenuated strain of
Japanese Encephalitis B virus ( SA14-14-2, Gene
2. 2 Virus seeds
Bank Registered number: 090195) shall be not
2. 2. 1 Name and origin of virus strain less than 99. 6%.
The attenuated JE virus ( strain SA14-14-2) Is
2. 2. 3. 7 Test for immunogenicity
used as the seed for the vaccine production. Prepare the original vaccine with the master seed
2. 2. 2 Establishment of seed lot system virus and make 10-fold serial dilutions of which at
The Requirements for Bacterial and Viral Strains/ least dilutions 10-3, 10-4 and 10-5 of the vaccine
Seeds Used for Production and Quality Control of are used to immunize mice weighing 10-12 g each;
Japanese Encephalitis Vaccine, Live

ten mice for each dilution and each mouse receives mice shall show signs of JE virus infection during
s. c. 0. 1 ml. Fourteen days after the immuni- the 14 day observation period.
zation, challenge i. p. each mouse with 0. 3 ml of 2. 2. 3. 11 Test for reversion of neurovirulence in
the virulent JE virus ( P3 strain) , in which the suckling mice
virus content shall be not less than 500 LD50 Each of ten suckling mice of 3-5 days old shall be
(i. p. titration). Meanwhile inoculate i. c. 0. 03 ml injected i. c. with 0. 02 ml of the virus of working
of diluting medium into each mouse. Evaluate the seed lot with a titer of not less than 7. 2 lg PFU/ml
results 14 days after the challenge. The ED50 value (liquid virus seed) or not less than 5. 7 lg PFU/ml
shall be not more than 3. 0 lg PFU. The mortality ( freeze-dried virus seed). Three of the suckling
of mice in the control group after challenge shall be mice which manifest typical signs of illness shall be
not less than 80 % . killed for testing the pathogenicity of their brains.
2. 2. 3. 8 Test for neurovirulence in monkeys The LD50 titer of the brain suspension shall be not
The test shall be carried out with the freeze-dried more than 3. 0 lg LD50/0. 03 ml tested i. c. in mice
master seed of which the titer shall be not less than each weighing 12-14 g. Meanwhile at least ten
5. 7 lg PFU / ml. Make the seed virus 5-fold mice each weighing 10-12 g shall be inoculated s. c.
dilution ( 1 : 5). The diluted material shall be with 0. 1 ml of the 10% brain suspension. No mice
given to ten rhesus monkeys by inoculation of 0. 5 shall show signs of JE virus infection during the 14
ml into the thalamic region of each hemisphere and day observation period.
0. 2 ml into spinal cord, respectively. For the 2. 2. 4 Storage of virus seed lots
control group, two dilutions of the virulent strain The seed lots shall be stored at or below -60°C.
(SA14) are prepared, i.e. 102 PFU/ml and 103
PFU/ml with which four monkeys are injected 2. 3 Bulk
respectively. The injections shall be given in the 2. 3. 1 Cell substrate preparation
same way as that for the test group. See Section 2. 1. 2.
The ten monkeys in the test group of attenuated
2. 3. 2 Culture medium
virus SA14-14-2 shall be observed for at least 18
Earle solution containing lacto--albumin hydrolysate
days. No signs of illness shall occur. Only mild
and a quantity of inactivated calf serum shall be
inflammatory reactions can be found at the
used as the culture medium. Other suitable media
injection sites of brain and spinal cord in histo-
can also be used. The calf serum used for cell
pathological examinations. However, in the
cultivation shall be JE antibody negative. The
control of virulent virus ( SA14 ) , all the four
quality of calf serum shall comply with the related
monkeys in the group of 103 PFU/ml shall die
requirements (Appendix XIII D).
within 8 days after inoculation; in the group of
102 PFU/ml at least two monkeys shall die. The 2. 3. 3 Tests for adventitious viruses in control
predominant characteristics of histopathological cells
changes in the monkeys of control group shall It complies with the tests for adventitious viruses
show necrosis of nerve cells, and inflammatory ( Appendix XII C).
reactions shall be less intensive. 2. 3. 4 Virus inoculation and cultivation
2. 2. 3. 9 Test for neurovirulence in mice Cell cultures with a confluent monolayer shall be
Inject i. c. each of at least ten mice weighing 12- selected and washed thoroughly, to which a
14 g with 0. 03 ml of viral suspension of seed lot. suitable volume of maintenance medium shall be
Observe the mice for 14 days. The animals shall added. Inoculate the seed virus to achieve 0. 001
survive the observation period. Mice that die MOI (final titer in the maintenance medium being
within 3 days after inoculation shall be excluded 2. 7-3. 7 lg PFU/ml), and keep the cell cultures
from final evaluation and for the test to be valid, for incubation at 36°C +l °C.
no more than 20 % of mice shall die within 3 days. 2. 3. 5 Virus harvest
The mice showing signs of illness 3 days after About 72 hours after virus inoculation, harvest
inoculation shall be killed, and their brains shall the virus suspension when CPE appears on the cell
be extracted for testing the pathogenicity. The monolayer. Multiple harvests can be carried out
i. c. LD50 titer shall be not more than 3. 0 after further cultivation with replacing maintenance
lg LD50/0. 03 ml. Meanwhile, at least ten mice media if the quality of cells is good enough.
each weighing 10-12 g shall be inoculated s. c.
with 0. 1 ml of the 10% brain suspension. No 2. 3. 6 Pooling of single. virus harvests
mice shall show signs of JE virus infection during Only the single virus harvest qualified in control
the 14 day observation period. tests shall be pooled. After clarification by
filtration the pooled virus suspension is defined as
2. 2. 3. 10 Neurotropism test in mice the vaccine bulk.
Each of ten mice weighing 10-12 g shall be inoculated
s, c. with 0. 1 ml of the virus suspension of seed lot, 2. 3. 7 Control tests on bulk
and at the same time the right side of the mouse See Section 3. 1.
brain shall be pierced with a sterile needle. No 2. 4 Final bulk
Japanese Encephalitis Vaccine, Live

2. 4. 1 Formulation liquid, orange-red or light-pink in colour, free of


The final bulk is prepared· by pooling the qualified foreign matters.
bulks, to which an amount of stabilizer is added. 3. 3. 3 Moisture content
The amount of each final bulk shall not exceed 150 The residual moisture content shall be not more
liters. than 3. 0 % ( Appendix VII D).
2. 4. 2 Control tests on final bulk 3. 3. 4 Virus titration
See Section 3. 2. See Section 2. 2. 3. 2. The titer shall be not less
2. 5 Final product than 5. 7 lg PFU/ml.
2. 5. 1 Defining batches 3. 3. 5 Thermostability test
The Requirements for Defining Batches of Before release the final product shall be subject to
Biologics shall apply. thermostability test which shall be performed at
the same time with virus titration in parallel. The
2. 5. 2 Filling and lyophilization
vaccine samples that have been exposed at 37°C for
The Requirements for Filling and Lyophilization of
7 days shall be titrated following Section 2. 2. 3. 2.
Biologics shall apply. During the filling process,
The virus titer shall be not less than 5. 7 lg PFU/ml.
the final bulk shall be kept cool in ice bath.
The loss of virus titer of the heat exposed vaccine
2. 5. 3 Specifications shall be not more than 1. 0 lg PFU / ml.
0. 5 · ml or 2. 5 ml of reconstituted vaccine per
3. 3. 6 Content of residual bovine serum albumin
container. 0. 5 ml per single human dose
The residual bovine serum albumin content shall be
containing not less than 5. 4 lg PFU of live JE
not more than 50 · ng/ dose determined by ELISA.
virus.
3. 3. 7 Test for safety
2. 5. 4 Packaging
3. 3. 7. 1 Test for neurovirulence in mice
The Requirements for Packaging of Biologics shall
See Section 2. 2. 3. 9.
apply.
3. 3. 7. 2 Test for reversion to neurovirulence in
3 Control tests
suckling mice
3. 1 Control tests on bulk See Section 2. 2. 3. 11.
3. 1. 1 Virus titration 3. 3. 8 Sterility test
See Section 2. 2. 3. 2. The titer of bulk shall be not It complies with the test for sterility ( Appendix
less than 7. 0 lg PFU / ml. XII A).
3. 1. 2 Sterility test 3. 3. 9 Test for abnormal toxicity
It complies with the test for sterility ( Appendix It complies with the test for abnormal toxicity
XII A). C Appendix XII F).
3. 1. 3 Test for mycoplasmas 3. 4 Tests on diluent
It complies with the test for mycoplasmas The diluent is sterile PBS.
(Appendix XII B).
3. 4. 1 pH
3. 1. 4 Test for reverse transcriptase activity The pH shall be 7. 2-8. 0 ( Appendix V A).
It complies with the test for reverse transcriptase
3. 4. 2 Sterility test
( Appendix IX M). The result shall be negative.
It complies with the test for sterility ( Appendix
3. 2 Control tests on final bulk XII A).
3. 2. 1 Virus titration 4 Storage, shipping and validity period
See Section 2. 2. 3. 2. The titer of the final bulk Store and ship at or below 8°C, protected from
shall be not less than 6. 8 lg PFU / ml. light. The validity period of the vaccine is 18
3. 2. 2 Sterility test months.starting from the date when titration test
It complies with the test for sterility ( Appendix proved qualified.
XII A). 5 Package inserts
3. 3 Control tests on final product Directions for Use of Japanese Encephalitis
Other than the determination of moisture content, Vaccine, Live
sterile PBS shall be added as stated on the label,
[Drug name]
and the reconstituted product shall be subject to
Adopted name: Japanese Encephalitis Vaccine,
the following tests.
Live
3. 3. 1 Identity test
[Constituents and characters]
See Section 2. 2. 3. 1.
Japanese encephalitis live vaccine is a preparation
3. 3. 2 Inspection on final containers of live attenuated JE virus ( strain SA14-14-2)
The product looks like a light yellow crisp cake. grown on the monolayer of hamster kidney cell
After reconstitution, it shall turn into a clear cultures. After cultivation and harvest, an
Haemorrhagic Fever with Renal Syndrome (Type I) Vaccine, Inactivated

appropriate stabilizer is added in the virus ( 4) Do not use the vaccine one month before or
suspension, which· is then lyophilized. The after administrating another live vaccine.
product looks like a light yellow crisp cake. After [Storage]
reconstitution, it shall turn into a clear, orange- Store and ship at or below 8°C, protected from
red liquid. light.
[Eligibles] [Packaging]
Healthy children above 8 months of age and those
including children and adults who intend to enter [Validity period]
the endemic area from non-endemic area. 18 months.
[Function and use] · [Standard for implementation J
The product can induce immunity against JE virus [Product license numberJ
in recipients following immunization. It is used to
prevent Japanese encephalitis.
J
[Manufacturer
Name:
[ Specifications J Address:
0. 5 ml or 2. 5 ml of reconstituted vaccine per Zip code:
container. 0. 5 ml per single human dose containing Tel:
not less than 5. 4 lg PFU of live JE virus. Fax:
[ Administration and dosageJ Web site:
(1) Reconstitute the freeze-dried vaccine with the
accompanying vaccine diluent as stated on the
label, and do not use the vaccine until it is
reconstituted completely. Haemorrhagic Fever with Renal Syndrome
(2) Inject s. c. 0. 5 ml of the vaccine at deltoid (Type I) Vaccine, Inactivated
insertion area of the lateral upper arm.
(3) A portion of 0. 5 ml of vaccine shall be given
for a child at the age of 8 months, 2 years and 7 Haemorrhagic fever with renal syndrome type I
years respectively. No more inoculations are vaccine is a preparation of Hantaan virus ( HTNV)
needed henceforth. grown in primary cell cultures derived from gerbil
kidney. After cultivation and harvest, the virus
[ Adverse reactionsJ suspension is inactivated before adding aluminum
Transient fever may occur in a few recipients , hydroxide as an adjuvant to make the vaccine. It is
which normally does not last longer than 2 days used to prevent haemorrhagic fever with renal'
and could be relieved spontaneously. Occasionally, syndrome type I ( HFRS type I ) .
sporadic skin rashes may appear and commonly no
particular treatment is needed. In case of 1 Basic requirements
necessity, symptomatic treatment might be The facilities, source and subsidiary materials,
water, apparatus and animals used for production
helpful.
and control tests shall meet the requirements set
[ ContraindicationsJ forth in the General Notices. ·
(1) Subjects with fever, acute infectious disease,
2 Manufacturing
otitis media, active tuberculosis, cardiac, renal
or hepatic disease. 2. 1 Cell substrates for vaccine production
(2) Constitutional weakness, subjects with an Primary cell cultures of gerbil kidney are used for
allergic or epilepsy history. the vaccine production.
(3) Subjects with congenital immunodeficiency, 2. 1. 1 Management and control tests on cell
and those who are recervmg or received substrates
immunodepressant therapy recently. The Requirements for Preparation and Control of
(4) Women in pregnancy. Animal Cell Substrates Used for Production of
[Precautions] Biologics shall apply.
(1) Care should be taken to avoid contacting the 2. 1. 2 Cell substrate preparation
vaccine by disinfectant during opening the The kidneys of gerbils of 2 weeks old are extracted
container and in the course of injection. and minced with scissors aseptically. The tissue
( 2 ) Do not use the vaccine if any leakage of fragments are digested with trypsin solution. The
container or clumps not dispersed on shaking are cells are dispersed in a suitable medium such as
found, or the colour of the vaccine turned into red MEM and inoculated into bottles for cultivation.
before reconstitution.
(3) The vaccine shall be used up within one hour 2. 2 Virus seeds
after reconstitution at the ambient temperature of 2. 2. 1 Name and origin of virus strains
2-8°C; discard the remaining vaccine afterwards, The strain Z10 of HTNV shall be used as the seed
if any. for the production of HFRS type I vaccine.
Haemorrhagic Fever with Renal Syndrome (Type I) Vaccine, Inactivated

2. 2. 2 Establishment of seed lot system 2. 3. 1 Cell substrate preparation


The Requirements for Bacterial and Viral Strains/ See Section 2. 1. 2.
Seeds Used for Production and Quality Control of 2. 3. 2 Culture medium
Biologics shall apply. MEM or other suitable culture media containing a
Primary seed and master seed lots . shall be quantity of inactivated calf serum are used as the
prepared using mice by i. c. inoculation. The cell culture medium. The quality of calf serum
primary seed lot shall not exceed the 12th passage. shall comply with the related requirements in
The master seed lot shall not exceed the 13th Appendix XIII D.
passage. Inoculate the master seed lot virus into
primary cell cultures derived from gerbil kidney to 2. 3. 3 Tests for adventitious viruses in control
prepare working seed lot. The working seed lot cells
shall not exceed the 18th passage. It complies with the tests for adventitious viruses
(Appendix XI[ C).
2. 2. 3 Control tests on virus seed lots
For master seed lot, comprehensive control tests 2. 3. 4 Virus inoculation and cultivation
described below shall be carried out; for working Inoculate the virus into cell cultures with dense
seed lot, tests described in Sections 2. 2. 3. 1- monolayers to make a final virus concentration of
2. 2. 3. 4 shall be carried out at least. 4. 0-5. 0 lg CCID50/ml. Incubate the containers at
a suitable temperature for a certain period of time.
2. 2. 3. 1 Identity test Then discard the culture medium and flush the cell
Mix .the seed virus with a known immune serum sheets with PBS to remove calf serum. Fresh
against HTNV in equal volume. After incubation maintenance medium shall be added to continue the
in 37°C water batch for 90 minutes inoculate the cultivation.
mixture onto the monolayer of Vero-E, cells.
Observe the cells for 10-14 days. No CPE shall 2. 3. 5 Virus harvest
occur. The neutralization index determined by When the hemoagglutinin titer of virus suspension
IF A shall be more than 1000. is equivalent to 1 : 64 or above, harvest the virus
suspensions as well as cells. Pool the harvests
2. 2. 3. 2 Virus titration followed by filtration and centrifugation.
The sample of working seed virus shall be diluted
10-fold serially to inoculate Vero-E, cells. The 2. 3. 6 Control tests on virus harvests
virus titer in Vero-E, cells determined by IF A shall See Section 3. 1.
be not less than 6. 0 lg CCID50/ml. The titer shall 2. 3. 7 Virus inactivation
be not less than 7. 0 lg CCID50/ml by i. c. titration ~-propiolactone shall be added to the virus harvests
in suckling mice. of · 2-3 days or gerbils of 25-35 in a proportion of 1 : 4000 and thimerosal is added
days of age. to a final concentrationof not more than 0. 10 mg/ml.
2. 2. 3. 3 Sterility test The inactivation process shall be carried out at 2-
It complies with the test for sterility ( Appendix 80C for 7 days to inactivate the virus and hydrolyze
XI[ A). the ~-propiolactone.
2. 2. 3. 4 Test for mycoplasmas 2. 3. 8 Pooling
It complies with the test for mycoplasmas The inactivated virus harvests qualified in control
(Appendix XI[ B). tests shall be· pooled for centrifugation and
filtration. Vaccine bulk is made by adding a
2. 2. 3. 5 Tests for adventitious viruses quantity of human blood albumin as a stabilizer to
It complies with the tests for adventitious viruses the filtrate.
(Appendix XI[ C).
2. 3. 9 Control tests on bulk
2. 2. 3. 6 Test for immunogenicity See Section 3. 2.
Prepare the original vaccine with the seed virus of
master seed lot to immunize i. m. four white 2. 4 Final bulk
rabbits weighing about 2 kg each in the hind leg. 2. 4. 1 Formulation
Each animal receives 1. 0 ml twice at an interval of The final bulk is made by adding aluminum
7 days. Four weeks after the first injection, bleed hydroxide as an adjuvant to a final concentration of
the rabbits and separate the sera. The neutralizing not more than 0. 70 mg/ml to the qualified bulk.
titers of sera are determined by plaque reduction
assay. 76-118 virus strain is used for challenge. 2. 4. 2 Control tests on final bulk
Reference serum shall be tested in parallel as See Section 3. 3.
control. The neutralizing antibody titers in all the 2. 5 Final product
four rabbits of the test group shall be not less than 2. 5. 1 Defining batches
1 : 10.
The Requirements for Batches Defining of Biologics
2. 2. 4 Storage of virus seed lots shall apply.
Virus seed lots shall be stored at or below -60°C. 2. 5. 2 Filling
2. 3 Bulk The Requirements for Filling and Lyophilization of
Haemorrhagic Fever with Renal Syndrome (Type I) Vaccine, Inactivated

Biologics shall apply. form which can be dispersed on shaking. It shall


2. 5. 3 Specifications be free of foreign matters.
1. 0 ml per container. 1. 0 ml per single human 3. 4. 3 Chemical tests
dose. 3. 4. 3. 1 pH
2. 5. 4 Packaging The pH shall be 7. 2-8. 0 (Appendix V A).
The Requirements for Packaging of Biologics shall
'apply. . 3. 4. 3. 2 Content of thimerosal
The thimerosal content shall be not more than
3 Control tests 0. 10 mg/ml (Appendix VII B).
3. 1 Control tests on virus harvests 3. 4. 3. 3 Content of aluminum hydroxide
3. 1. 1 Virus titration The content of aluminum hydroxide shall be not
The sample shall be diluted 10-fold serially, of more than 0. 70 mg/ml (Appendix VII F).
which at least three dilutions shall be inoculated 3. 4. 4 Potency test
onto the monolayers of Vero-E, cells or gerbil See Section 2. 2. 3. 6. The neutralizing antibody
kidney cells. Evaluate the results by IF A after titer in each of four immunized rabbits shall be .not
incubating the cells at a suitable temperature for less than 1 : 10.
around 7 days. The virus titer shall be not less
3. 4. 5 Thermostability test
than 6. 0 lg CCIDso/ml.
Before release, each lot of vaccine shall be subject
3. 1. 2 Sterility test to thermostability test. The test sample is exposed
It complies with the test for sterility ( Appendix at 37°C for one week for the determination of
XII A). potency ( See Section 2. 2. 3. 6). The test vaccine
3. 1. 3 Test for mycoplasmas which passed the thermostability test is considered
It complies with the test for mycoplasmas satisfactory in potency test.
(Appendix XII B). 3. 4. 6 Sterility test
3. 2 Control tests on bulk It complies with the test for sterility ( Appendix
XII A).
3. 2. 1 Validation test for effective inactivation
A portion of 0. 1 % of the total volume of the 3. 4. 7 Test for bacterial endotoxin
inactivated virus harvest suspension shall be The content of bacterial endotoxin shall be not
sampled for the test. After dialysis the sample is more than 100 EU per human dose ( Appendix
inoculated onto Vero-E, cell cultures. Blind XII E, the limit test of gel-clot method).
passages are conducted at intervals of 10-14 days. 3. 4. 8 Test for abnormal toxicity
Three passages shall be carried out consecutively. It complies with the test for abnormal toxicity
Each passage shall be examined by IF A. All the (Appendix XII F).
results shall -be negative.
4 Storage, shipping and validity period
3. 2. 2 Determination of antigen content Store and ship at 2-8°C, protected from light.
The titer of antigen shall be not less than 1 : 64 The validity period of the vaccine is 18 months
determined by reverse passive hemagglutination starting from the date when potency test proved
assay. qualified.
3. 2. 3 Content of residual bovine serum albumin S Package inserts
The content of residual bovine serum albumin shall
be not more than 50 ng/ dose determined by Directions for Use of Haemorrhagic Fever with Renal
ELISA. Syndrome (Type I) Vaccine, Inactivated
3. 2. 4 Sterility test [Drug name]
It complies with the test for sterility ( Appendix Adopted name: Haemorrhagic Fever with Renal
XII A). Syndrome (Type I) Vaccine, Inactivated
3. 3 Control tests on final bulk [ Constituents and charactersJ
Sterility test The product is a preparation of Hantaan virus
It complies with the test for sterility ( Appendix grown in primary cell cultures derived from gerbil
XII A). kidney. After cultivation and harvest, the vaccine
is made by inactivation of the virus before adding
3. 4 Control tests on final product aluminum hydroxide as an adjuvant. The vaccine
3. 4. 1 Identity test is a slightly turbid, orange-red liquid, containing
See Section 2. 2. 3. 6. The test shall be considered thimerosal as a preservative.
unsatisfactory if the potency test fails. [Eligible]
3. 4. 2 Inspection on final containers Inhabitants living in the endemic area of HFRS and
The vaccine is a slightly turbid, orange-red liquid. those who intend to enter the endemic area from
After storage for a long time a precipitate may non-endemic area. Those aged 10-60 years are the
Haemorrhagic Fever with Renal Syndrome (Type II) Vaccine, Inactivated

high risk population. Telephone number:


[Function and use] Fax:
Web site:
The product can induce immunity against Hantaan
virus in recipients following immunization. It is
used to prevent HFRS ( type I ) .
[Specifications J Haemorrhagic Fever with Renal Syndrome
1. 0 ml per container. 1. 0 ml per single human
dose. ' (Type ][) Vaccine, Inactivated
[ Administration and dosageJ
(1) Inject i. m. in the deltoid muscle of the lateral Haemorrhagic fever with renal syndrome ( type
upper arm. II ) vaccine is a preparation of Seoul virus
(2) For primary immunization, three injections ( SEOV) grown in primary cell cultures derived
are given on days O, 7 and 28, respectively. The from · hamster kidney. After cultivation and
booster injection shall be given one year after the harvest, the virus suspension is inactivated before
primary immunization. One ml of the vaccine shall adding aluminum hydroxide as an adjuvant to make
be given for each injection. the vaccine. It is used to prevent haemorrhagic
fever with renal syndrome type II ( HFRS type
[ Adverse reactionsJ II).
Generally there are no adverse reactions after
inoculation. Care shall be taken for a few reci- 1 Basic requirements
pients with fever, skin rashes or dizziness after The facilities, source and subsidiary materials,
injection. Appropriate treatment could be given in water, apparatus and animals used for production
case of need. Because the vaccine contains and control tests shall comply with the require-
aluminum hydroxide adjuvant , induration , mild ments set forth in the General Notices.
swelling or pain may appear at the injection site 2 Manufacturing
after inoculation in a few recipients. Normally 2. 1 Cell substrates for vaccine production
these reactions could be relieved spontaneously Primary cell cultures derived from hamster kidney
within 1-3 days. are used for the vaccine production.
[ ContraindicationsJ 2. 1. 1 Management and control tests on cell
(1) Subjects with fever, acute or serious chronic substrate
disease, nervous system diseases.. The Requirements for Preparation and Control of
(2) Those with history of anaphylaxis , or with a Animal Cell Substrates Used for Production of
history of allergic reaction to antibiotics and/ or Biologics shall apply.
biologics.
(3) Women during lactation or pregnancy. 2. 1. 2 Cell substrate preparation
. The kidneys of golden hamsters of about 2 weeks·
[Precautions J old are extracted and minced with scissors
( 1) Shake the container before use. aseptically. The tissue fragments are digested
( 2) Do not use the vaccine if any leakage of with trypsin solution. The cells are dispersed in a
container, abnormal turbidity of the content, suitable medium and distributed into bottles for
changed colour of the content, foreign matters or cultivation at 37°C.
clumps not dispersed on shaking are found.
(3) The recipients shall take a rest for a while on 2. 2 Virus seeds
site following immunization. Adrenaline should be 2. 2. 1 Name and origin of virus strains
available for first aid in case of severe anaphylactic The strain l.,gg of SEOV is used as the seed for the
reactions. vaccine production.
( 4) Freezing of the vaccine is contraindicated. 2. 2. 2 Establishment of seed lot system
[Storage] The Requirements for Bacterial and Viral Strains/
Store and ship at 2-8°C, protected from light. Seeds Used for Production and Quality Control of
Biologics shall apply. Master seed lot shall be
[Packaging]
prepared by serial passage in primary hamster
[Validity period] kidney cell cultures. The primary seed lot shall be
18 months. the 13th passage. The master seed shall not
exceed the 16th passage. The working seed lot
[Standardfor implementation]
shall not exceed the· 20th passage. .
[Product license number]
2. 2. 3 Control tests on virus seed lots
[Manufacturer J For master seed lot, control tests described below
Name: shall be carried out; for working seed lot, tests
Address: described in Sections 2. 2. 3. 1-2. 2. 3. 4 shall be
Zip code: carried out at least.
Haemorrhagic Fever with Renal Syndrome (Type II) Vaccine, Inactivated

2. 2. 3. 1 Identity test culti vation.


Mix the seed virus with known immune serum 2. 3. 5 Virus harvest
against SEOV in equal volume. After incubation After cultivation for a certain period of time,
in 37°C water batch for 90 minutes, inoculate the collect the culture fluid, i, e. virus harvest.
mixture onto monolayers of Vero-E, cells. Observe
the cells for 10-14 days. The neutralization index 2. 3. 6 Control tests on virus harvest
determined by IF A shall be more than 1000. See Section 3. 1.
2. 2. 3. 2 Virus titration 2. 3. 7 Virus inactivation
Primary hamster kidney cells are used in the Formalin is added to the virus harvests in a
titration for infectivity of the seed virus with proportion of 1: 4000. The inactivation process
IF A technique. The titer shall be not less than shall be conducted at an appropriate temperature
7. 0 lg IDso/ml. for a certain period of time.
2. 2. 3. 3 Sterility test 2. 3. 8 Pooling
It complies with the test for sterility ( Appendix The inactivated harvests qualified in control tests
XI[ A). shall be pooled. After centrifugation, thimerosal
shall be added to the pooled harvests as a
2. 2. 3. 4 Test for mycoplasmas
preservative to make a final concentration of not
It complies with the test for mycoplasmas
more than 0. 10 mg/ml. It is defined as the bulk.
( Appendix XI[ B).
2. 3. 9 Control tests on bulk
2. 2. 3. 5 Tests for adventitious viruses
See Section 3. 2.
It complies with the tests for adventitious viruses
(Appendix XI[ C). 2. 4 Final bulk
2. 2. 3. 6 Test for immunogenicity 2. 4. 1 Formulation
Prepare the original vaccine with. the seed virus The final bulk is made by adding aluminum
from master seed lot to immunize i. m. four white hydroxide as an adjuvant to a final concentration of
rabbits weighing about 2 kg each in hind leg. Each not more than 0. 70 mg/ml to the qualified bulk.
animal receives 1.0 ml twice at an interval of 14 2. 4. 2 Control tests on final bulk
days. Four weeks after the first injection, bleed See Section 3. 3.
the rabbits and separate the sera. The neutralizing
titers of sera are determined by plaque reduction 2. 5 Final product
assay. UR virus strain is used for challenge. 2. 5. 1 Defining batches
Reference serum shall. be tested in parallel as The, Requirements for Batches Defining of
control. The neutralizing antibody titers in all the Biologics shall apply.
four rabbits of the test group shall be not less than
2. 5. 2 Filling
1 : 10.
The Requirements for Filling and Lyophilization of
2. 2. 4 Storage of virus seed lots Biologics shall apply.
Virus seed lots shall be stored at or below -60°C.
2. 5. 3 Specifications
Liquid working seed lots shall be stored for not
1. 0 ml per container. 1. 0 ml per single human
more than one year.
dose.
2. 3 Bulk
2. 5. 4 Packaging
2. 3. 1 Cell substrate preparation The Requirements for Packaging of Biologics shall
See Section 2. 1. 2. apply.
2. 3. 2 Culture medium 3 Control tests
Earle solution containing lacto-albumin hydrolysate
3. 1 Control tests on virus harvest
and a quantity of inactivated calf serum shall be
used as the culture medium. Other suitable 3. 1. 1 Virus titration
culture media can also be used. The quality of calf The sample shall be diluted 10-fold serially, of
serum shall comply with the related requirements which at least three dilutions shall be inoculated
in Appendix XIII D. onto primary hamster kidney cells or other suitable
cells. Evaluate the results using IF A after
2. 3. 3 Tests for adventitious viruses in control cells
incubating the cells at a suitable temperature for
It complies with the tests for adventitious viruses
1 O: 12 days. The virus titer shall be not less than
(Appendix XI[ C).
6. 5 lg CCIDso/ml.
2. 3. 4 Virus inoculation and cultivation
3. 1. 2 Sterility test
Cell cultures with confluent monolayer are
It complies · with the test for sterility ( Appendix
selected. Inoculate a quantity of seed virus. After
XI[ A).
incubation at a suitable temperature for a period of
time, the growth medium shall be replaced by 3. 1. 3 Test for mycoplasmas
fresh maintenance medium to continue the It complies with the test for mycoplasmas
Haemorrhagic Fever with Renal Syndrome (Type II) Vaccine, Inactivated

(Appendix XI[ B). satisfactory in potency test.


3. 2 Control tests on bulk 3. 4. 6 Sterility test
3. 2. 1 Validation test for effective inactivation It complies with the test for sterility ( Appendix
A portion of 0. 1 % of the total volume of the
XI[ A).
inactivated harvest suspension shall be sampled for 3. 4. 7 Test for bacterial endotoxin
the test. After dialysis the sample is inoculated The content of bacterial endotoxin shall be not
onto Vero-E, cell ~ultures. Blind passages are more than 100 EU per human dose ( Appendix
conducted at intervals of 10-14 days. Three XI[ E, the limit test of gel-clot method).
passages shall be carried out consecutively. Each
3. 4. 8 Test for abnormal toxicity
passage shall be examined by IF A. All the results
It complies with the test for abnormal toxicity
shall be negative. ( Appendix XI[ F).
3. 2. 2 Determination of antigen content
4 Storage, shipping and validity period
The titer of antigen in the bulk shall be not less
Store and ship at 2-8°C, protected from light.
than 1 : 64 determined by ELISA.
The validity period of the vaccine is 18 months
3. 2. 3 Content of residual bovine serum albumin starting from the date when· the potency test
The content of residual bovine serum albumin shall proved qualified.
be not more than 50 ng/ dose determined by ELISA
5 Package inserts
3. 2. 4. Sterility test
Directions for Use of Haemorrhagic Fever with
It complies with the test for sterility ( Appendix
Renal Syndrome (Type ll )
XI[ A).
Vaccine, Inactivated
3. 3 Control tests on final bulk
[Drug name]
Sterility test
Adopted name: Haemorrhagic Fever with Renal
It complies with the test for sterility ( Appendix
Syndrome (Type II) Vaccine, Inactivated
XI[ A).
[Constituentsand characters]
3. 4 Control tests on final product
The vaccine is a preparation of Seoul virus grown
3. 4. 1 Identity test in primary cell cultures derived from hamster
See Section 2. 2. 3. 6. The test shall be considered kidney. After cultivation and harvest, the vaccine
unsatisfactory if the potency test fails. is made by inactivation of the virus before adding
3. 4. 2 Inspection on final containers aluminum hydroxide as an adjuvant. The vaccine
The vaccine is a turbid, orange-red liquid. After is a slightly turbid, orange-red liquid, containing
storage for a long time, a precipitate may form thimerosal as a preservative.
which can be dispersed on shaking. It shall be free [Eligible]
of foreign matters. Inhabitants living in the endemic area of HFRS and
3. 4. 3 Chemical tests those who .intend to enter the endemic area from
non-endemic area, Those aged 16-60 years are the
3. 4. 3. 1 pH high risk population.
The pH shall be 7. 2-8. 0 (Appendix V A).
[Function and use]
3. 4. 3. 2 Content of thimerosal The product can induce immunity against Seoul
The thimerosal content shall be not more than virus in recipients following immunization. It is
o. 10 mg/ml (Appendix VH B). used to prevent HFRS ( type II ) .
3. 4. 3. 3 Content of aluminum hydroxide [ Specification J
The content of aluminum hydroxide shall be not 1. 0 ml per container. 1. 0 ml per single human
more than 0. 70 mg/ml (Appendix VH F). dose.
3. 4. 3. 4 Content of free formaldehyde [Administrationand dosage]
The content of free formaldehyde shall be not more (1) Inject i. m. in the deltoid muscle of the lateral
than 0. 50 mg/ml (Appendix VI L). upper arm.
3. 4. 4 Potency test (2) For primary immunization, three injections
See Section 2. 2. 3. 6. The neutralizing antibody should be given on days O, 14 and 28, respec-
titer in each of the four immunized rabbits shall be tively. The booster injection shall be given one
not less than 1 : 10. year after the primary immunization. One ml of
3. 4. 5 Thermostability test the vaccine shall be given for each injection.
Before release each lot of vaccine shall be subject to [ Adverse reactionsJ
thermostability test. The test sample is exposed at Care shall be taken for a few recipients with fever,
37°C for one week for the determination of potency skin rashes or dizziness after injection. Appro-
( See Section 2. 2. 3. 6 ) . The test vaccine which priate treatment could be given in case of need.
passed the thermostability test is considered Because the vaccine contains aluminum hydroxide
Haemorrhagic Fever with Renal Syndrome Bivalent Vaccine, Inactivated

adjuvant , induration , mild swelling or pain may ments set forth in the General Notices.
appear at the injection site after inoculation in a 2 Manufacturing
few recipients. Normally these reactions could be
relieved spontaneously within 1-3 days. 2. 1 Cell substrates for vaccine production
Primary cell cultures derived from gerbil kidney are
[ Contraindications]
used for the vaccine production.
(1) Subjects with fever, acute or serious chronic
disease, nervous system diseases. 2. 1. 1 Management and control tests on cell
(2) Those with history of anaphylaxis , or with a substrate
history of allergic reaction to antibiotics and/ or The Requirements for Preparation and Control of
biologics. Animal Cell Substrates Used for Production of
(3) Women during lactation or pregnancy. Biologics shall apply.
[Precautions J 2. 1. 2 Cell substrate preparation
(1) Shake the container before use. The kidneys of gerbil of 10-20 days old are
(2) Do not use the vaccine if any leakage of extracted and minced with scissors aseptically.
container, abnormal turbidity of the content, The tissue fragments are digested with trypsin
changed colour of the content, foreign matters or solution. The cells are dispersed in MEM or other
clumps not dispersed on shaking are found. appropriate media and distributed into bottles for
(3) The recipients shall take a rest for a while on cultivation.
site following immunization. Adrenaline should be
2. 2 Virus seeds
available for first aid in case of severe anaphylactic
reactions. 2. 2. 1 Name and origin of virus strains
( 4) Freezing of the vaccine is contraindicated. Hantaan virus strain 210 and Seoul virus strain 231
are used as the seeds for the vaccine production.
[Storage]
Store and ship at 2-8°C, protected from light. 2. 2. 2 Establishment of seed lot system
[Packaging] The Requirements for Bacterial and Viral Strains/
Seeds Used for Production and Quality Control of
[Validity period] Biologics shall apply.
18 months. Mouse brains infected with the 210 strain virus or
[Standard for implementation] with the 237 strain virus are used to make the
primary seed lot and master seed lot. The working
[Product license numberJ seed lot is prepared by infection of primary gerbil
[Manufacturer J kidney cell cultures with the master seed. The
Name: primary seed lot ( strain 210) for type I shall not
Address: exceed the 12th passage; the master seed lot shall
Zip code: not exceed the 13th passage and the working seed
Tel: lot shall not exceed the 18th passage. For type II
Fax: ( strain 237 ) , the primary seed lot shall not exceed
Web site: the 10th passage; the master seed lot shall not
exceed the 11th passage, and the working seed lot
shall not exceed the 16th passage.
2. 2. 3 Control tests on virus seed lots
Haemorrhagic Fever with Renal Syndrome For master seed lot, comprehensive control tests
Bivalent Vaccine, Inactivated described below shall be carried out; for working
seed lot, tests described in Sections 2. 2. 3. 1-
2. 2. 3. 4 shall be carried out at least.
Haemorrhagic fever with renal syndrome bivalent
vaccine is a preparation made from Hantaan virus 2. 2. 3. 1 Identity test
( HFRS virus type I ) and Seoul virus ( HFRS Mix the seed virus of two strains separately with
virus type II ) grown separately in primary cell the corresponding type specific immune serum in
cultures derived from gerbil kidney. After culti- equal volume. After incubation in 37°C water
vation and harvest, the virus suspensions of two batch for 90 minutes, inoculate the two kinds of
types are pooled and inactivated before adding mixtures onto monolayer cultures of Vero-E, cells,
aluminum hydroxide as an adjuvant to make the respectively. Observe the cells for 10-14 days. No
vaccine. It is used to prevent haemorrhagic fever CPE shall occur. Both the neutralization indexes
with renal syndrome ( HFRS, both types I and determined by IF A for the two types of viruses
II). shall be higher than 1000.
1 Basic requirements 2. 2. 3. 2 Virus titration
The facilities, source and subsidiary materials, The sample of seed virus shall be diluted 10-fold
water, apparatus and animals used for production · serially to inoculate Vero-E, cell cultures. The
and control tests shall comply with the require- virus titers in Vero-E, cell cultures determined by
Haemorrhagic Fever with Renal Syndrome Bivalent Vaccine, Inactivated

IF A shall be not less than 6. 0 lg CCID50 / ml. The Collect the vrrus suspensions, 1. e. the monovalent
titer shall be not less than 7. 0 lg CCID50/ml by virus harvest.
i. c. 'titration in suckling mice of 2-3 days or 2. 3. 6 Control tests on monovalent virus harvest
gerbils of 25-30 days of age. See Section 3. 1.
2. 2. 3. 3 Sterility test 2. 3. 7 Virus inactivation
It complies with· the test for sterility ( Appendix ~-propiolactone shall be added to the virus harvests
XII A). #
in a proportion of· 1 : 4000 and thimerosal is added
2. 2. 3. 4 Test for mycoplasmas to a final concentrationof not more than 0. 10 mg/ ml.
It complies with the test for mycoplasmas The inactivation process shall be conducted at 2-
(Appendix XII B). 80C for 7 days or at 2-8°C overnight followed by
37°C for 2 hours to inactivate virus and hydrolyze
2. 2. 3. 5 Tests for adventitious viruses
It complies with the tests for adventitious viruses ~-propiolactone.
( Appendix XII C). 2. 3. 8 Pooling
2. 2. 3. 6 Test for immunogenicity The inactivated virus harvests qualified in control
tests shall be pooled for centrifugation and
Prepare the original bivalent vaccine with the
filtration. The monovalent bulk is made by adding
master seed virus to immunize i. m. four white
a quantity of human albumin as a stabilizer to the
rabbits weighing about 2 kg each in hind leg. Each
animal receives 1. 0 ml twice at an interval of 7 filtrate.
days. Four weeks after the first injection, bleed 2. 3. 9 Control tests on monovalent bulk
the rabbits and separate the sera. The neutralizing See Section 3. 2.
titers of sera are determined by plaque reduction 2. 4 Final bulk
assay. The viruses of strain 76-118 or strain UR
are used for challenge, respectively. Reference 2. 4. 1 Formulation
sera shall be tested in parallel as control. Both the Mix the monovalent bulks of two types qualified in
neutralizing antibody titers of any immunized control tests in equal volume to make a bivalent
rabbit for type I and type II shall be not less than bulk mixture. The final bulk of the. bivalent
1 : 10. vaccine is made by adding aluminum hydroxide as
an adjuvant to a final concentration of not more
2. 2. 4 Storage of virus seeds than 0. 70 mg/ml in the mixture.
Virus seed lots shall be stored at or below .-60°C.
The storage period of liquid working seed lots 2. 4. 2 Control tests on final bulk
stored at or below - 60°C shall not exceed one See Section 3. 3.
year. 2. 5 Final product
2. 3 Monovalent bulk 2. 5. 1 Batch defining
2. 3. 1 Cell substrate preparation The Requirements for Batches Defining of
See Section 2. 1. 2. Biologics shall apply.
2. 3. 2 Culture medium 2. 5. 2 Filling
MEM or other suitable culture media containing a The Requirements for Filling and Lyophilization of
quantity of inactivated calf serum are used as the Biologics shall apply.
cell culture medium. The quality of calf serum 2. 5. 3 Specifications
shall comply with the related requirements in 1. 0 ml per container. 1. 0 ml per single human
Appendix Xlll D. . dose.
2. 3. 3 Tests for adventitious viruses in control 2. 5. 4 · Packaging
cells The Requirements for Packaging of Biologics shall
It complies with the tests for adventitious viruses apply.
(Appendix XII C).
3 Control tests
2. 3. 4 Virus inoculation and cultivation
Cell cultures with confluent monolayers are 3. 1 Control tests on monovalent virus harvest
selected. Inoculate the seed viruses ( strain Z1o, 3. 1. 1 Virus titration
type I and strain 231, type II ) , respectively. The sample shall be diluted 10-fold serially, of
After incubation at suitable temperature for a which at least three dilutions shall be inoculated
period of time, discard the growth medium and onto monolayers of Vero-E, cells or primary gerbil
flush cell sheet with PBS to remove the calf serum. kidney cells. Evaluate the results using IF A after
Add a quantity of fresh maintenance medium to incubating the cells at an appropriate temperature
continue the cultivation for 3-5 days. for around 7 days. The virus titer shall be not less
2. 3. 5 Virus harvest than 6. o lg CCID5o I ml.
Before harvest the cells shall be examined by IF A 3. 1. 2 Sterility test
and the infection rate shall be not less than 95%. It complies with the test for sterility ( Appendix
Haemorrhagic Fever with Renal Syndrome Bivalent Vaccine, Inactivated

XII A). passed the thermostability test is considered


3. 1. 3 Test for mycoplasmas satisfactory in potency test.
It complies with the test for mycoplasmas 3. 4. 6 Sterility test
( Appendix XII B). It complies with the test for sterility ( Appendix
3. 2 Control tests on monovalent bulk XII A).
3. 2. 1 Validation test for effective inactivation 3. 4. 7 Test for bacterial endotoxin
A portion of 0. 1 % of the total volume of each bulk The content of bacterial endotoxin shall be not
shall be sampled for the test. After dialysis the more than 100 EU per human dose ( Appendix
sample is inoculated onto Vero-E, cell cultures. XII E, the limit test of gel-clot method).
Blind passages are conducted at intervals of 10-14 3. 4. 8 Test for abnormal toxicity
days. Three passages shall be carried out It complies with the test for abnormal toxicity
consecutively. Each passage shall be examined by (Appendix XII F).
IFA. All the results shall be negative.
4 Storage, shipping and validity period
3. 2. 2 Sterility test Store and ship at 2-8°C, protected from light.
It complies with the test for sterility ( Appendix The validity period is 18 months starting from the
XII A). date when potency test proved qualified.
3. 2. 3 Determination of antigen content 5 Package inserts
The titer of antigen shall be not less than 1: 64
Directions for Use of Haemorrhagic Fever with
determined by reverse passive hemagglutination
Renal Syndrome Bivalent Vaccine, Inactivated
assay.
[Drug name]
3. 2. 4 Content of residual bovine serum albumin
Adopted Qame: Haemorrhagic Fever with Renal
The content of residual bovine serum albumin shall
Syndrome Bivalent Vaccine, Inactivated
be not more than 50 ng/ dose determined by
ELISA. [ Constituents and characters]
The vaccine is a preparation of HNTV and Seoul
3. 3 Control tests on final bulk
virus grown in primary cell cultures derived from
Sterility test
gerbil kidney separately. After cultivation and
It complies with the test for sterility ( Appendix
harvest, the vaccine is made by inactivation of the
XII A).
virus before adding aluminum hydroxide as an
3. 4 Control tests on final product adjuvant. The vaccine is a slightly turbid, orange-
3. 4. 1 Identity test red liquid, containing thimerosal as a preservative.
See Section 2. 2. 3. 6. The test shall be considered [Eligible]
unsatisfactory if the potency test fails. Inhabitants living in the endemic area of HFRS and
3. 4. 2 Inspection on final containers those who intend to enter the endemic area from
The vaccine is a slightly turbid, orange-red liquid. non-endemic area. Those· aged 16-60 years are the
After storage for a long time, a precipitate may high risk population.
form which can be dispersed on shaking. It shall [Function and use J
be free of foreign matters. The product can induce immunity against HFRS
3. 4. 3 Chemical tests virus types I and II in recipients following
immunization. It is used to prevent HFRS ( types
3. 4. 3. 1 pH I and II).
The pH shall be 7. 0-8. 0 (Appendix V A).
[ Specifications J
3. 4. 3. 2 Content of thimerosal 1. 0 ml per container. 1. 0 ml per single human
The thimerosal content shall be not more than dose.
o. 10 mg/ml (Appendix VH B).
[ Administration and dosage]
3. 4. 3. 3 Content of aluminum hydroxide (1) Inject i. m. in the deltoid muscle of the lateral
The content of aluminum hydroxide shall be not upper arm.
more than 0. 70 mg/ml (Appendix \Ill F). (2) For primary immunization, two injections are
3. 4. 4 Potency test given on days O, and 14, respectively. One
See Section 2. 2. 3. 6. The neutralizing antibody booster dose of 1 ml shall be given 6 months after
titer in each of the four immunized rabbits shall be the primary immunization. One ml of the vaccine
not less than 1 : 10 for both type I and type II . shall be given for each injection.
3. 4. 5 Thermostability test [ Adverse reactionsJ
Before release each lot of vaccine shall be subject to Generally there are no adverse reactions after
thermostability test. The test sample is exposed at inoculation. Care shall be taken for a few
37°C for one week for the determination of potency recipients with fever, skin rashes or dizziness after
( See Section 2. 2. 3. 6 ) . The test vaccine which injection. Appropriate treatment could be given in
Rabies Vaccine (Vero Cell) for Human Use

case of need Because the vaccine contains aluminum 2 Manufacturing


hydroxide adjuvant , induration , mild swelling or
2. 1 Cell substrates for production
pain may appear at the injection site after
Vero cells shall be used for the vaccine production.
inoculation in a few recipients. Normally these
reactions could be relieved spontaneously within 1- 2. 1. 1 Management and control tests on cell
3 days. substrates
The Requirements for Preparation and Control of
[ ContraindicationsJ Animals Cell Substrates Used for Production of
(1) Subjects with fever, acute or serious chronic
Biologics shall apply. The passage number of cell
disease, nervous system diseases. seed from cell banks used in the vaccine production
(2) Those with history of anaphylaxis , or with a shall not exceed the approved ·limit.
history of allergic reaction to antibiotics and/ or
biologics. 2. 1. 2 Cell substrate preparation
(3) Women during lactation or pregnancy. Cells from a single or several ampoules of the
working cell bank are resurrected and expanded by
[Precautions J serial subcultures up to a quantity enough for
( 1) Shake the container before use. making one batch of vaccine. The quantity of the
(2) Do not use the vaccine if any leakage of cells can be defined as a cell lot. During the
container, abnormal turbidity of the content, subcultures of the cells, trypsin or other suitable
changed colour of the content, foreign matters or digestive solutions at an appropriate concent~ation
cl umps not dispersed on shaking are found. are added onto the monolayer cell cultures to
(3) The recipients shall take a rest for a while on disperse cells. The dispersed cells are homo-
site following immunization. Adrenaline should be genized with suitable growth medium and
available for first aid in case of severe anaphylactic distributed into culture bottles. Incubate the cells
reactions. at 37°C to form monolayers.
( 4) Freezing of the vaccine is contraindicated.
2. 2 Virus seeds
[Storage] .
Store and ship at 2-8°C, protected from light. 2. 2. 1 Name and origin of virus strains
Strain CTN-1 V and strain aGV or other rabies
[Packaging] fixed virus strains adapted in Vero cells can be
[Validity period] used as the seed for the vaccine production.
18 months. 2. 2. 2 Establishment of virus seed lot
[Standard for implementation] It complies with the Requirements for Bacterial and
Viral Strains Used for Manufacture and Quality
[Product license numberJ Control of Biologics. The maximum passage
[Manufacturer J number of the seed lots shall not exceed the
Name: approved limits.
Address: 2. 2. 3 Control tests on virus seed lots
Zip code: For master seed lots, comprehensive control tests
Tel: described below shall be carried out; for working
Fax: seed lots, tests described in Sections 2. 2. 3. 1-
Web site: 2. 2. 3. 4 shall be carried out at least.
2. 2. 3. 1 Identity test
Neutralization test by i. c. route in mice shall be
carried out to identify the specificity of the seed.
Rabies Vaccine ( Vero Cell) for The neutralization index shall be not less than 500.
Human Use
2. 2. 3. 2 Virus titration
Inoculate the virus suspension of each dilution
The rabies vaccine is a liquid preparation of rabies i. c. in at least six mice each weighing 11-13 g. The
fixed virus grown in Vero cells. After cultivation titer shall be not less than 7. 5 lg LD5o / ml.
and harvest, the virus suspension is inactivated,
concentrated and purified, to which a suitable 2. 2. 3. 3 Sterility test
stabilizer is then added. Aluminum hydroxide may It complies with the test for sterility ( Appendix
be added as an adjuvant. It is used to prevent XII A).
rabies in human. 2. 2. 3. 4 Test for mycoplasmas
It complies with the test for mycoplasmas
1 Basic requirements
(Appendix XII B).
The facilities, source and subsidiary materials,
water, apparatus and animals used for production 2. 2. 3. 5 Tests for adventitious viruses
and control tests shall meet the requirements set It complies with the tests for adventitious viruses
forth in the General Notices. (Appendix XII C).
Rabies Vaccine (Vero Cell) for Human Use

2. 2. 3. 6 Test for immunogenicity filtration or other suitable approaches.


Prepare the original vaccine with the seed virus of 2. 3. 8. 2 Purification
master seed lot to immunize i. p. a group of mice The concentrated virus suspension qualified m
each weighing 12-14 g. Each animal receives 0. 5
control tests shall be purified by means of
ml twice at an interval of one week. Two weeks
chromatography or other appropriate methods. A
after the first inoculation, challenge intracerebrally
suitable amount of human albumin can be added as
the immunized mice individually with 0. 03 ml of a stabilizer and thimerosa1 added as a preservative
CVS virus diluted 10-fold serially and ten mice are
to make the bulk.
required for each dilution. The CVS virus shall be
titrated in parallel in mice with the same weight as 2. 3. 9 Control tests on bulk
a control, ten mice are required for each dilution. See Section 3. 2.
The protective index of the virus seed shall be not 2. 4 Final bulk
less than 100.
2. 4. 1 Formulation
2. 2. 4 Storage of virus seed lots Formulation shall be carried out according to its
The virus seed lots shall be stored at or below protein and antigen contents. The protein content
- 60°C , the liquid seed lots shall be stored for not of each single human dose shall be less than
more than 2 years. 120 µg. Aluminum hydroxide may be added as an
2. 3 Bulk adjuvant to prepare the final bulk; its final
concentration shall be not more than 0. 70 mg/ml.
2. 3. 1 Cell substrate preparation
See Section 2. 1. 2. 2. 4. 2 Control tests on final bulk
See Section 3. 3.
2. 3. 2 Culture medium
MEM, medium 199 or other suitable media 2. 5 Final product
containing a quantity of inactivated calf serum can 2. 5. 1 Defining batches
be used as culture medium. The quality of calf The Requirements for Defining Batches of
serum shall comply with the related requirements Biologics shall apply.
( Appendix XIU D).
2. 5. 2 Filling
2. 3. 3 Tests for adventitious viruses on control The Requirements for Filling and Lyophilization of
cells Biologics shall apply.
It complies with the tests for adventitious viruses
(Appendix XII C). 2. 5. 3 Specifications
1. 0 ml per container. 1. 0 ml per single human
2. 3. 4 Virus inoculation and cultivation dose. The potency of the vaccine shall be not less
Inoculate the virus seed at 0. 01-0. 1 MOI or to a than 2. 5 IU.
final concentration of 4. 5-5. 5 lg LD50/ml onto well
grown cell cultures. Incubate the cultures at a 2. 5. 4 Packaging
suitable temperature for a certain period of time. The Requirements for Packaging of Biologics shall
Discard the culture medium and flush the cell apply.
sheets with PBS to remove calf serum. A quantity 3 Control tests
of maintenance medium is added to continue the
3. 1 Control tests on single virus harvest
cultivation at 33-35°C.
3. 1. 1 Virus titration
2. 3. 5 Virus harvest
See Section 2. 2. 3. 2. The titer shall be not less
After cultivation for a period of time, harvest the
than 6. 0 lg LDso / ml.
virus suspension; it is defined as a single virus
harvest. A number of harvests can be achieved 3. 1. 2 Sterility test
'depending on the situation of cell growth. It complies with the test for sterility ( Appendix
2. 3. 6 Control tests on single viral harvest
XII A).
See Section 3. 1. 3. 1. 3 Test for mycoplasmas
It complies with the test for mycoplasmas
2. 3. 7 Virus inactivation
(Appendix XII B).
~-propiolactone shall be added to the virus harvests
in a proportion of 1 : 4000. Inactivation shall be 3. 2 Control tests on bulk
carried out at a suitable temperature for a period of 3. 2. 1 Determination of antigen content
time. A suitable method shall be adopted for determi-
2. 3. 8 Pooling, concentration and purification nation of antigen content.
2. 3. 8. 1 Pooling and concentration 3. 2. 2 Validation test for eff~ctive inactivation
A number of single harvests derived from the same The test sample shall be inoculated i. c. into twenty
lot of cell cultures can be pooled into one batch mice each weighing 11-13 g, 0. 03 ml for each.
following strictly aseptic procedures. The yield Observe the animals for 14 days. All of them shall
shall be properly concentrated by means of ultra- · survive the observation period. Those that die
Rabies Vaccine (Vero Cell) for Human Use

within 3 days after injection shall be excluded from It complies with the test for abnormal toxicity
the final evaluation. (Appendix XI[ F).
3. 2. 3 Protein content 3. 4. 8 Test for bacterial endotoxin
Sample shall be collected. from purified preparation The content of bacterial endotoxin shall be not
prior to adding human blood albumin. The content more than 100 EU/ dose ( Appendix XI[ E, the
shall be not more than 120 µg/ dose ( Appendix limit test of gel-clot method).
VI B, method 2). 4 Storage, shipping and validity period
3. 2. 4 Content of residual bovine serum albumin Store and ship at 2-8°C, protected from light.
The content of residual bovine serum albumin shall The validity period is 12 months starting from the
be not more than 50 ng/ dose . determined by date when potency test proved qualified.
ELISA.
S Package inserts
3. 2. 5 Determination of residual DNA content of
Directions for Use of Rabies Vaccine
Vero cells
(Vero Cell) for Human Use
The residual DNA content of Vero cells shall be
not more than 100 pg/ dose ( Appendix IX B). [Drug Name]
Adopted name: Rabies Vaccine (Vero Cell) for
3. 2. 6 Sterility test
It complies with the test for sterility ( Appendix Human Use
XI[ A). [Constituents and characters]
3. 3 Control tests on final bulk The vaccine is a liquid preparation of rabies fixed
Sterility test virus grown in Vero cells. After cultivation and
It complies with the test for sterility ( Appendix harvest, the virus suspension is inactivated,
XI[ A). concentrated, purified, to which a suitable
stabilizer is then added. Aluminum hydroxide may
3. 4 Control tests on final product be added as an adjuvant. It is a turbid, milky-
3. 4. 1 Identity test white liquid, containingthimerosal as a preservative.
See Section 3. 4. 4. The test shall be considered [Eligibles]
unsatisfactory if the potency test fails. If a person is bitten or scratched by a rabid dog or
3. 4. 2 Inspection on final containers other rabid animals, regardless of age or· sex, the
The vaccine is a turbid, milky-white liquid. After wounds shall be cleaned immediately ( flush the
storage for a long time, a precipitate may form wounds repeatedly with clean water or soap water,
which can be dispersed on shaking. It should be followed by applying iodine tincture or ethanol for
free of foreign matters. several times) , and the exposed person shall be
inoculated with the vaccine according to the post-
3. 4. 3 Chemical tests
exposure schedule as soon as possible. The
3. 4. 3. 1 pH persons at risk of contacting rabies virus ( such as
The pH shall be 7. 2-8. 0 (Appendix V A). veterinarians, animal breeders, forestry workers,
3. 4. 3. 2 Content of thimerosal · workers in slaughterhouse and staffs in rabies
The content of thimerosal shall be not more than laboratory) shall be immunized following the pre-
0. 10 mg/ml (Appendix VH B). exposure treatment schedule.

3. 4. 3. 3 Content of aluminum hydroxide [Function and useJ


The vaccine with adjuvant shall be subject to this The preparation can induce immunity against
test. The content of aluminum hydroxide shall be rabies virus in recipients following immunization.
not more than 0. 70 mg/ml (Appendix VH F). It is used to prevent rabies in human.
3. 4. 4 Potency test [ Specifications J
The potency of the vaccine shall be not less than 1. 0 ml per container. 1. 0 ml per single human
2. SIU/dose (Appendix XI A). dose. The potency of the vaccine shall be not less
than 2. 5 IU.
3. 4. 5 Thermostability test
Before release each lot of vaccine shall be subject to [ Administration and dosage J
therinostability test. The test sample is exposed at ( 1) The vaccine shall be shaken homogeneously
37°C for 14 days for the determination of potency before use.
( See Section 3. 4. 4 ) . The test vaccine which ( 2) The deltoid muscle of th~ upper arm is the
passed the thermostability test is considered recommended site for i. m. administration. For
satisfactory in potency test. young children, inoculate the vaccine in the
muscle at anterolateral aspect of the thigh.
3. 4. 6 Sterility test (3) Post-exposure schedule for immunization:
It complies with the test for sterility ( Appendix Normally one dose of the vaccine shall be
XI[ A). administered to the exposed person on days O ( the
3. 4. 7 Test for abnormal toxicity first day or the intraday) , 3 ( the fourth day,
Rabies Vaccine (Vero Cell) for Human Use, Freeze-dried

analogically henceforth), 7, 14, and 28, consec- After inoculation, mild local or systemic reactions
utively; five doses in total. Children shall be may occur, which could be relieved spontaneously.
treated in the same way. It is recommended to Occasionally rashes may appear. In case of some
double the first dose of vaccine in case of one of the serious adverse reactions, such as immediate
following situations: anaphylactic reactions, angioneurotic edema or
(l)The exposed person was injected with immuno- urticaria, symptomatic treatment is recommended
globulin or antiserum one month before the day of [ Contraindications J
receiving rabies vaccine. (1) Because rabies is a fatal disease, there are no
@Those with congenital or acquired immuno- contraindications for post-exposure immunization.
deficiency. (2) For preexposure immunization, it is not
@Those receiving immunosuppressant ( including recommended to immunize eligible individuals with
antimalaria drug). fever, acute disease, serious chronic disease,
@The elderly or patients with chronic diseases; nervous system disease, and with a history of
· @Administration of rabies vaccine becomes available allergic reaction to antibiotics and/ or biological
to the exposed persons 48 hours or longer after products. It is recommended to postpone the
exposure. administration of the vaccine for women m
Post-exposure treatment shall be dependent on the pregnancy or in lactation, if feasible.
following classification of wound severity:
Category I : those petting animal, licked by [Precautions]
animal on-intact skins without any breaks-neither ( 1) Do not use the vaccine if the vaccine contains
wound treatment nor administration of vaccine is any foreign substance, or any leakage of container
necessary. or illegible label is found.
Category II : those bitten or scratched by animal (2) Alcoholic drinks, strong tea, pungent food
on skins but without bleeding; or licked on skins and strenuous exercise shall be avoided after
with breaks-vaccine shall be administered following injection of the vaccine.
the post-exposure immunization schedule. (3) Do not inject the vaccine in the gluteal region.
Category ID : those with single or multiple biting (4) Freezing is strictly contraindicated.
wounds on skins with bleeding or scratched with [Storage]
bleeding; mucous membrane was contaminated by Store and ship at 2-8°C, protected form light.
saliva of suspected or confirmed rabid animal-the
[Packaging]
exposed person shall be treated immediately with
rabies vaccine, rabies antiserum ( 40 IU /kg, [Validity period]
horse origin) or immunoglobulin ( 20 IU/kg, human 12 months.
origin). If anatomicallyfeasible, infiltration injection [Standardfor implementation]
of the remaining serum ( horse or human origin)
shall be performed as much as possible around the · [Product license numberJ
wound ( s); the rest, if any, shall be injected J
[Manufacturer
intramuscularly. Name:
( 4) Preexposure immunization schedule . A total Address:
of three shots .given on days O, 7 and 28. Zip code:
( 5) Recommendationof boosters for those immunized Tel:
with rabies vaccine previously: Fax:
(l)Complete post-exposure immunization course Web site:
was conducted in the recent one year: if bitten by
a suspected rabid animal, one dose given on days O
and 3 separately. ·
@Complete post-exposure immunization course Rabies Vaccine ( Vero Cell) for
was conducted in the previous year: if bitten by a
suspected rabid animal, carry out a complete
Human Use, Freeze-dried
immunization course again.
®Complete post-exposure immunization course The rabies vaccine is a freeze-dried preparation of
was conducted in the last 3 years, and followed by rabies fixed virus grown in Vero cells. After
boosters: if bitten by a suspected rabid animal, cultivation and harvest, the virus suspension is
one dose of vaccine shall be given on days O and 3 inactivated, concentrated and purified, and ly-
separately. ophilized after an addition of a suitable stabilizer.
@Complete post-exposure immunization course It is used to prevent rabies in human.
and booster ( s) was conducted more than 3 years
1 Basic requirements
ago: if bitten by a suspected rabid animal, a
The facilities, source and subsidiary materials,
complete post-exposure immunization course shall
water, apparatus and animals used for production
be executed.
and control tests shall meet the requirements set
[ Adverse reactionsJ forth in the General Notices.
Rabies Vaccine (Vero Cell) for Human Use, Freeze-dried

2 Manufacturing ( Appendix XII C).


2. 1 Cell substrate for production 2. 2. 3. 6 Test for immunogenicity
Vero cells shall be used for the vaccine production. Prepare the original vaccine with the seed virus of
master seed lot to immunize i. p. a group of mice
2. 1. 1 Management and control tests on cell
each weighing 12-14 g. Each animal receives
substrates
0. 5 ml twice at an interval of one week. Two
The Requirements for Preparation and Control of
weeks after the first inoculation, challenge
Animals Cell Substrates Used for Production of
intracerebrally the immunized mice individually
Biologics shall apply. The maximum passage
with 0. 03 ml of CVS virus diluted 10-fold serially
number of cell seeds from cell banks used in the
and ten mice are required for each dilution. The
vaccine production shall not exceed the approved
CVS virus shall be titrated in parallel in mice with
limit.
the same weight as a control, ten mice are
2. 1. 2 Cell substrate preparation required for each dilution. The protective index of
Cells from a single or several ampoules of the the virus seed shall be not less than 100.
working cell bank are resurrected and expanded by
2. 2. 4 Storage of virus seed lots
serial subcultures up to a quantity enough for
The virus seed lots shall be stored at or below
making one batch of vaccine. The quantity of the
-60°C, the liquid seed lots shall be stored for not
cells can be defined as a cell lot. During the
subcultures of the cells, trypsin or other suitable more than 2 years.
digestive solutions at an appropriate concentration 2. 3 Bulk
are added onto the monolayer cell cultures to
2. 3. 1 Cell substrate preparation
disperse cells. The dispersed cells are homo-
See Section 2. 1. 2.
genized with suitable growth medium and distributed
into culture bottles. Incubate the cells at 37°C to 2. 3. 2 Culture medium
form monolayers. MEM, medium 199 or other suitable media
containing a quantity of inactivated calf serum can
2. 2 Virus seeds
be used for culture medium. The quality of calf
2. 2. 1 Name and origin of virus strains serum shall comply with the related requirements
Strain CTN-1 V and strain aGV or other rabies (Appendix XIII D).
fixed virus strains adapted in Vera cells can be
2. 3. 3 Tests for adventitious viruses on control
used as the seed for the vaccine production.
cells
2. 2. 2 Establishment of virus seed lot It complies with the tests for adventitious viruses
It complies with the Requirements for Bacterial and (Appendix XII C).
Viral Strains Used for Manufacture and Quality
2. 3. 4 Virus inoculation and cultivation
Control of Biologics. The maximum passage
Inoculate the virus seed at 0. 01-0. 1 MOI or to a
number of the seed lots shall not exceed the
final concentration of 4. 5-5. 5 lg LD50/ml onto well
approved limits.
grown cell cultures. Incubate the cultures at a
2. 2. 3 Control tests on virus seed lots suitable temperature for a certain period of time.
For master seed lots, comprehensive control tests Discard the culture medium and flush the cell
described below shall be carried out; for working sheets with PBS to remove calf serum. A quantity
seed lots, tests described in Sections 2. 2. 3. 1- of maintenance medium is added to continue the
2. 2. 3. 4 shall be carried out at least. cultivation at 33-35°C.
2. 2. 3. 1 Identity test 2. 3. 5 Virus harvest
Neutralization test by i. c. route in mice shall be After cultivation for a period of time, harvest the
carried out to identify the specificity of the seed. virus suspension; it is defined as a single virus
The neutralization index shall be not less than 500. harvest. A number of harvests can be achieved
depending on the situation of cell growth.
2. 2. 3. 2 Virus titration
Inoculate the virus suspension of each dilution 2. 3. 6 Control tests on single viral harvest
i. c. into at least six mice each weighing 11-13 g. See Section 3. 1.
The titer shall be not less than 7. 5 lg LD50/ml.
2. 3. 7 Virus inactivation
2. 2. 3. 3 Sterility test ~-propiolactone shall be added to the virus harvests
It complies with the test for sterility ( Appendix in a proportion of 1 : 4000. Inactivation shall be
XII A). carried out at a suitable temperature for a period of
2. 2. 3. 4 Test for mycoplasmas time.
It complies with the test for mycoplasmas 2. 3. 8 Pooling, concentration and purification
(Appendix XII B).
2. 3. 8. 1 Pooling and concentration by ultrafiltration
2. 2. 3. 5 Tests for adventitious viruses A number of single harvests derived from the same
It complies with the tests for adventitious viruses lot of cell cultures can be pooled into one batch
Rabies Vaccine (Vero Cell) for Human Use, Freeze-dried

following strictly aseptic procedures. The yield within 3 days after injection shall be excluded from
shall be properly concentrated by means of ultra- the final evaluation.
filtration or other suitable approaches. 3. 2. 3 Protein content
2. 3. 8. 2 Purification Sample shall be collected from purified preparation
The concentrated virus suspension qualified m prior to adding human blood albumin. The content
control tests shall be purified by means of shall be not more than 120 µg/ dose ( Appendix
chromatography or other appropriate methods. A VI B, method 2).
suitable amount of human albumin can be added as 3. 2. 4 Content of residual bovine serum albumin
a stabilizer and thimerosal added as a preservative The content of residual bovine serum albumin shall
to make the bulk.
be not more than 50 ng/ dose determined by
2. 3. 9 Control tests on bulk ELISA.
See Section 3. 2.
3. 2. 5 Determination of residual DNA content of
2. 4 Final bulk Vero cells
2. 4. 1 Formulation The residual DNA content of Vero cells shall be
Formulation shall be carried out according to the not more than 100 pg/dose (Appendix IX B).
protein and antigen contents. The total protein 3. 2. 6 Sterility test
content of each single human dose shall be not It complies with the test for sterility ( Appendix
more than 120 µg. It is defined as the final bulk. XI[ A).
2. 4. 2 Control tests on final bulk 3. 3 Control tests on final bulk
See Section 3. 3. Sterility test
2. 5 Final product It complies with the test for sterility ( Appendix
XI[ A).
2. 5. 1 Defining batches
The Requirements for Defining Batches of 3. 4 Control tests on final product
Biologics shall apply. Other than the determination of moisture content,
sterile water for injection shall be added as stated
2. 5. 2 Filling and lyophilization on the label, and the reconstituted product shall
The Requirements for Filling and Lyophilization of be subject to the following tests.
Biologics shall apply.
3. 4. 1 Identity test
2. 5. 3 Specifications See Section 3. 4. 4. The test shall be considered
0. 5 ml of reconstituted vaccine per container. unsatisfactory. if the potency test fails.
0. 5 ml per single human dose. The potency of the
vaccine shall be not less than 2. 5 IU. 3. 4. 2 Inspection on final containers
The vaccine looks like a white crisp cake. The
2. 5. 4 Packaging reconstituted vaccine is a clear liquid, free of
The Requirements for Packaging of Biologics shall foreign matters.
apply.
3. 4. 3 Chemical tests
3 Control tests
3. 4. 3. 1 pH
3. 1 Control tests on single virus harvest The pH shall be 7. 2-8. 0 (Appendix V A).
3. 1. 1 · Virus titration 3. 3. 3. 2 Moisture content
See Section 2. 2. 3. 2. The titer shall be not less The content of residual moisture shall be not more
than 6. 0 lg LDso/ ml. than 3. 0% (Appendix VIl D).
3. 1. 2 Sterility test 3. 4. 3. 3 Content of thimerosal
It complies with the test for sterility ( Appendix The content of thimerosal shall be not more than
XI[ A). o. 10 mg/ml (Appendix VIl B).
3. 1. 3 Test for mycoplasmas 3. 4. 4 Potency test
It complies with the test for mycoplasmas The potency of the vaccine shall be not less than
(Appendix XI[ B). 2. 5 IU / dose (Appendix XI A).
3. 2 Control tests on bulk 3. 4. 5 Thermostability test
3. 2. 1 Determination of antigen content Before release each lot of vaccine shall be subject to
A suitable method shall be adopted for determina- thermostability test. The test sample is exposed at
tion of antigen content. 37°C for 14 days for the determination of potency
( See Section 3. 4. 4 ) . The test vaccine which
3. 2. 2 Validation test for effective inactivation
passed the thermostability test is considered as
The test sample shall be inoculated i. c. into twenty
satisfactory in potency test.
mice each weighing 11-13 g, 0. 03 ml for each.
Observe the animals for 14 days. All of them shall 3. 4. 6 Sterility test
survive the observation period. Those that die It complies with the test for sterility ( Appendix
Rabies Vaccine (Vero Cell) for Human Use, Freeze-dried

X[ A). anterolateral aspect of the thigh.


3. 4. 7 Test for abnormal toxicity (3) Post-exposure schedule for immunization:
It complies with the test for abnormal toxicity Normally one dose of the vaccine shall be adminis-
(Appendix X[ F). tered to the exposed person on days O ( the first
day or the intraday ) , 3 ( the fourth day,
3. 4. 8 Test for bacterial endotoxin analogically henceforth) , 7, 14, and 28, consec-
The content of bacterial endotoxin shall be not uti vely , five doses in total. Children shall be
more than 100 EU/dose ( Appendix X[ E, the treated in the same way. It is recommended to
limit test of gel-clot method). double the first dose of vaccine in case of one of the
4 Storage, shipping and validity period following situations:
Store and ship at or below 8°C, protected from (DThe exposed person was injected with immuno-
light. The validity period is 18 months starting globulin or antiserum one month before the day of
from the date when potency test proved qualified. receiving rabies vaccine.
@Those with congenital or acquired immuno-
5 Package inserts
deficiency.
Directions for Use of Rabies Vaccine (Vero Cell) @Those receiving immunosuppressant ( including
for Human Use, Freeze-dried antimalaria drug).
[Drug Name] @The elderly or patients with chronic diseases.
· Adopted name: Rabies Vaccine (Vero Cell) for @Administration of rabies vaccine becomes available
Human Use, Freeze-dried to the exposed persons 48 hours or longer after
exposure.
[ Constituents and charactersJ Post-exposure treatment shall be dependent on the
The vaccine is a freeze-dried preparation of rabies following classification of wound severity:
fixed virus grown in Vero cells. After cultivation Category I : those petting animal, licked by
and harvest, the virus suspension is inactivated, animal on intact skins without any breaks-neither
concentrated and purified, and lyophilized after wound treatment nor administration of vaccine is
the addition of a suitable stabilizer. It looks like a necessary.
white crisp cake. After reconstitution it turns into Category II : those bitten or scratched by animal
a clear liquid containing thimerosal as a preser- on skins but without bleeding; or licked on skins
vative. with breaks-vaccine shall be administered following
[Eligibles] the post-exposure immunizationschedule.
If a person is bitten or scratched by a rabid dog or Category III : those with single or multiple biting
other rabid animals, regardless of age or sex, the wounds on skins with bleeding or scratched with
wounds shall be cleaned immediately ( flush the bleeding; mucous membrane was contaminated by
wounds repeatedly with clean water or soap water, saliva of suspected or confirmed rabid animal-the
followed by applying iodine tincture or ethanol for exposed person shall be treated immediately with
several times) , and the exposed person shall be rabies vaccine, rabies antiserum ( 40 IU/kg, horse
inoculated with the vaccine according to the post- origin) or immunoglobulin ( 20 IU/kg, human
exposure schedule as soon as possible. The origin ). If anatomically feasible, infiltration
persons at risk of contacting rabies virus ( such as injection of the remaining serum (horse or human
veterinarians, animal breeders, . forestry workers, origin) shall be performed as much as possible
workers in slaughterhouse and staffs in rabies around the wound ( s) ; the rest, if any, shall be
laboratory) shall be immunized following the pre- injected intramuscularly.
exposure treatment schedule. ( 4) Preexposure immunization schedule: A total
[Function and use] of three shots given on days O, 7 and 28.
The preparation can induce immunity against ( 5) Recommendationof boosters for those immunized
rabies virus in· recipients following immunization. with rabies vaccine previously:
It is used to prevent rabies in human. (DComplete post-exposure immunization course
was conducted in the recent one year: if bitten by
[ Specifications J a suspected rabid animal, one dose given on days O
0. 5 ml of reconstituted vaccine per container. 0. 5 and 3 separately.
ml per single human dose. The potency of the @Complete post-exposure immunization course
vaccine shall be not less than 2. 5 IU. was conducted in the previous year: if bitten by a
[ Administration and dosageJ suspected rabid animal, carry out a complete
( 1) Reconstitute the vaccine with stated amount of immunization course again.
sterile water for injection, shake the container @Complete post-exposure immunization course
well, the' content is reconstituted completely was conducted in the last 3 years, and followed by
before use. boosters: if bitten by a suspected rabid animal,
( 2) The deltoid muscle of the upper arm is the one dose of vaccine shall be given on days O and 3
recommended site for i. m. administration. For separately.
young children, inoculate the vaccinein the muscle at @Complete post-exposure immunization course
Rabies Vaccine (Hamster Kidney Cell) for Human Use

and booster (s) was conducted more than 3 years vaccine. Aluminum hydroxide may be added as an
ago: if bitten by a suspected rabid animal, a adjuvant. It is used to prevent rabies in human.
complete post-exposure immunization course shall
1 Basic requirements
be executed.
The facilities, source and subsidiary materials,
[ Adverse reactionsJ water, apparatus and animals used for production
After inoculation, mild local or systemic reactions and control tests shall meet the requirements set
may occur, which could be relieved sponta- forth in the General Notices.
neously. Occasionally rashes may appear. · In case
of some serious adverse reactions, such as 2 Manufacturing
immediate anaphylactic reactions, angioneurotic 2. 1 Cell substrates for vaccine production
edema or urticaria, symptomatic treatment is Primary hamster kidney cell cultures shall be used
recommended. for the vaccine production.
[ ContraindicationsJ 2. 1. 1 Management and quality control on cell
Cl) Because rabies is a fatal disease, there are no substrates
contraindications for post-exposure immunization. The Requirements for Preparation and Control of
(2) For preexposure immunization, it is not Animals Cell Substrates Used for Production of
recommended to immunize eligible individuals with Biologics shall apply.
fever, acute disease, serious chronic disease,
nervous system disease, and with a history of 2. 1. 2 Cell substrate preparation
allergic reaction to antibiotics and/ or biological The kidneys of hamster of 12-14 days old are
products. It is recommended to postpone the extracted aseptically. The tissue fragments are
administration of the vaccine for women in digested and dispersed with trypsin solution. The
pregnancy or in lactation, if feasible. dispersed cells are distributed into cell culture
bottles. The cells prepared in one container are
[Precautions J defined as a cell digested batch.
(1) Do not use the vaccine if the reconstituted
vaccine contains any foreign substance, or any 2. 2 Virus seeds
leakage of container or illegible label is found. 2. 2. 1 Name and origin of virus strains
(2) Alcoholic drinks, strong tea, pungent food Strain aG or other rabies fixed virus strains
and strenuous exercise shall be avoided after adapted in hamster kidney cells can be used for the
injection pf the vaccine. vaccine production.
(3) Do not inject the vaccine in the gluteal region.
2. 2. 2 Establishment of virus seed lot
[Storage] The Requirements for Bacterial and Viral Strains
Store and ship at or below 8°C, protected form Used for Manufacture and Quality Control of
light. Biologics shall apply.
[Packaging] The primary seed lot is 2aG1. The master seed lot
[Validity period] shall not exceed 4aG. The working seed lot is
18 months. prepared by alternative subcultures of the virus on
primary hamster kidney cells and in guinea pig
[Standard for implementation J brains. The virus passage shall not exceed the 6th
[Product license numberJ passage on primary hamster kidney cells, i. e. not
exceed lOaG, and not exceed the 5th passage in
[ManufacturerJ
brains of guinea pig, i. e. 1 OaG5.
Name:
Address: 2. 2. 3 Control tests on virus seed lots
Zip code: For master seed lots, comprehensive control tests
Tel: described below shall be carried out; for working
Fax: seed lots, tests described in Sections 2. 2. 3. 1-
Web site: 2~ 2. 3-. 5 shall be carried out at least.
2. 2. 3. 1 Identity test
Neutralization test by i. c. route in mice shall be
carried out to identify the specificity of the virus
Rabies Vaccine ( Hamster Kidney seed. The neutralization index shall be not less
than 500.
Cell) for Human Use
2. 2. 3. 2 Virus titration
The rabies vaccine is a preparation of rabies fixed Dilute the sample of seed virus 10-fold serially.
virus grown in primary hamster kidney cell Inoculate i. c. each of at least six mice each
cultures. After cultivation and harvest, the virus weighing 11-13 g with the virus suspension of each
suspension is inactivated, concentrated and purified dilution. The titer shall be not less than 8. 0
before adding a suitable stabilizer to make the lg LDso/ml.
Rabies Vaccine (Hamster Kidney Cell) for Human Use

2. 2. 3. 3 Sterility test harvests in a proportion of 1 : 4000. Inactivation


It complies with the test for sterility ( Appendix shall be carried out at a suitable temperature for a
XII A). period of time.
2. 2. 3. 4 Test for mycoplasmas 2. 3. 8 Concentration and purification
It complies with the test for mycoplasmas 2. 3. 8. 1 Pooling and concentration by
(Appendix XII B).
A number of single harvests derived from the same
2. 2. 3. 5 Tests for adventitious viruses lot of cell cultures can be pooled into one batch
It complies with the tests for adventitious viruses following strictly aseptic procedures. The yield
(Appendix XII C). shall be properly concentrated by means of
ul trafil tra tion.
2. 2. 3. 6 Tests for immunogenicity
Prepare the original vaccine with the seed virus of 2. 3. 8. 2 Purification
master seed lot to immunize i. p. a group of mice The concentrated virus suspension qualified in
each weighing 12-14 g. Each animal receives 0. 5 control tests shall be purified by means of
ml twice at an interval of one week. Two weeks chromatography or other appropriate methods. A
after the first inoculation, challenge intracerebrally suitable amount of human albumin shall be added
the immunized mice individually with 0. 03 ml of as a stabilizer and thimerosal added as a preser-
CVS virus diluted IO-fold serially and ten mice are vative to make the bulk.
required for each dilution. The CVS virus shall be 2. 3. 9 Control tests on bulk
titrated in parallel in mice with the same weight as See Section 3. 2.
a control, ten mice are required for each dilution.
The protective index of the virus seed shall be not 2. 4 Final bulk
less than 100. 2. 4. 1 Formulation
2. 2. 4 Storage of virus seeds Formulation shall be carried out according to its
Freeze-dried virus seed lots shall be stored at or protein and antigen contents. The protein content
below -60°C. The liquid working seed lots shall of each single human dose shall be less than
be stored at or below -60°C for not more than 2 120 µg. Aluminum hydroxide may be added as an
years. adjuvant to prepare the final bulk; its final
concentration shall be not more than 0. 7 mg/ml.
2. 3 Bulk
2. 4. 2 Control tests on final bulk
2. 3. 1 Cell substrate preparation See Section 3. 3.
See Section 2. 1. 2.
2. 5 Final product
2. 3. 2 Culture medium
Lacto-albumin hydrolysate , MEM, medium 199 2. 5. 1 Batch defining
or other suitable media containing a quantity of The Requirements for Defining Batches· of
inactivated calf serum is used as the culture Biologics shall apply.
medium. The quality of calf serum shall comply 2. 5. 2 Filling
with the requirements in Appendix XIII D. The Requirements for Filling and Lyophilization of
2. 3. 3 Tests for adventitious viruses in control cells Biologics shall apply.
It complies with the tests for adventitious viruses 2. 5. 3 Specifications
(Appendix XII C). 1. 0 ml per container. 1. 0 ml per single human
2. 3. 4 Virus inoculation and cultivation dose. The potency of the vaccine shall be not less
Inoculate rabies seed virus onto confluent than 2. 5 IU.
monolayer of cell cultures. Incubate the cultures 2. 5. 4 Packaging
at a suitable temperature for a certain period of The Requirements for Packaging of Biologics shall
time. Discard the culture medium and flush the apply.
cell sheets with PBS to remove calf serum. A
quantity of maintenance medium is added to 3 Controltests
continue the cultivation process at 33-35°C. 3. 1 Control tests on single virus harvests
2. 3. 5 Virus harvest 3. 1. 1 Virus titration
After cultivation for a certain period of time, See Section 2. 2. 3. 2. The titer shall be not less
harvest the virus suspension, i. e. the single viral than 5. 5 lg LDso/ ml.
harvest Multiple harvests can be achieved depending
3. 1. 2 Sterility test
on the situation of cell growth. It complies with the test for sterility ( Appendix
2. 3. 6 Control tests on single harvest XII A).
See Section 3. 1. 3. 1. 3 Test for mycoplasmas
2. 3. 7 Virus inactivation It complies with the test for mycoplasmas
Formalin shall be added to the pool of viral (Appendix XII B).
Rabies Vaccine (Hamster Kidney Cell) for Human Use

3. 2 Control tests on bulk thermostability test. The test sample is exposed at


37°C for 14 days for the determination of potency
3. 2. 1 Determination of antigen content
A suitable method shall be adopted for determina- ( See Section 3. 4. 4 ) . The test vaccine which
tion of antigen content. passed the thermostability test is considered
satisfactory in potency test.
3. 2. 2 Validation test for effective inactivation
The test sample shall be inoculated i. c. into 3. 4. 6 Sterility test
twenty mice each weighing 11-13 g, 0. 03 ml for It complies with the test for sterility ( Appendix
each. Observe. the animals for 14 days. All of XII A).
them shall survive the observation period. Those 3. 4. 7 Test for abnormal toxicity
that die within 3 days after injection shall be It complies with the test for abnormal toxicity
excluded from the final evaluation. ( Appendix XII F).
3. 2. 3 Protein content 3. 4. 8 Test for bacterial endotoxin
Sample shall be collected from purified preparation The content of bacterial endotoxin shall be not
prior to adding human blood albumin. The content more than 100 EU/ dose ( Appendix XII E, the
shall be not more than 120 µg/ dose ( Appendix limit test of gel-clot method).
VI B, method 2). 4 Storage, shipping and validity period
3. 2. 4- Content of residual bovine serum albumin Store and ship at 2-8°C and protected from light.
The content of residual bovine serum albumin shall The validity period is 12 months starting from the
be not- ·more than 50 ng/ dose determined by date when potency test proved qualified.
ELISA. 5 Package inserts
3. 2. 5Sterility test Directions for Use of Rabies Vaccine ( Hamster
It complies with the test for sterility ( Appendix
Kidney Cell) for Human Use
XII A).
[Drug name]
3. 3 Control tests on final bulk
Adopted name: Rabies Vaccine ( Hamster Kidney
Sterility test Cell) for Human Use
It complies with the test for sterility ( Appendix
XII A). [ Constituents and characters J
The vaccine is a preparation of rabies fixed virus
3. 4 Control tests on final product
grown in primary hamster kidney cell cultures.
3. 4. 1 Identity test After cultivation and harvest, the virus suspension
See Section 3. 4. 4. The test shall be considered is inactivated, concentrated and purified before
unsatisfactory if the potency test fails. adding a suitable stabilizer. Aluminum hydroxide
3. 4. 2 Inspection on final containers may be added as an adjuvant. The vaccine with
The vaccine is a turbid, milky-white liquid. After a
adjuvant is turbid, milky-white liquid, and the
storage for a long time, a precipitate may form vaccine without adjuvant is a colourless clear
which can be dispersed on shaking. It should be liquid. Both of them contain thimerosal as a
free of foreign matters. The vaccine without preservative.
adjuvant shall be a clear, colourless liquid. [Eligibles]
3. 4. 3 Chemical tests If a person is bitten or scratched by a rabid dog or
other rabid animals, regardless of age or sex, the
3. 4. 3. 1 pH wounds shall be cleaned immediately ( flush the
The pH shall be 7. 2-8. 0 (Appendix V A). wounds repeatedly with clean water or soap water,
3. 4. 3. 2 Content of thimerosal followed by applying iodine tincture or ethanol for
The thimerosal content shall be not more than several times) , and the exposed person shall be
0. 10 mg/ml (Appendix VII B). inoculated with the vaccine according to the post-
exposure schedule as soon as possible. The
3. 4. 3. 3 Content of aluminum hydroxide persons at risk of contacting rabies virus ( such as
The vaccine with adjuvant should be subject to this veterinarians, animal breeders, forestry workers,
test. The content of aluminum hydroxide shall be workers in slaughterhouse and staffs in rabies
not more than 0. 70 mg/ml (Appendix VII F). laboratory) shall be immunized following the pre-
3. 4. 3. 4 Content of free formaldehyde exposure treatment schedule.
The content of free formaldehyde shall be not more [Function and useJ
than 0. 10 mg/ml (Appendix VI L). The preparation can induce immunity against
3. 4. 4 Potency test rabies virus in recipients following immunization.
The potency of the vaccine shall be not less than It is used to prevent rabies in human,
2. 5 IU/dose (Appendix XI A). [ Specifications J
3. 4. 5 Thermostability test 1. 0 ml per container. 1. 0 ml per single human
Before release each lot of vaccine shall be subject to dose. The potency of the vaccine shall be not less
Measles Vaccine, Live

than 2. 5 IU. was conducted in the last 3 years, and followed by


[ Administration and dosageJ boosters: if bitten by a suspected rabid animal,
Cl) The deltoid muscle of the upper arm is the one dose of vaccine shall be given on days O and 3
recommended site for i. m. administration. For separately.
@Complete post-exposure immunization course
young children, inoculate the vaccine in the
and booster ( s) was conducted more than 3 years
muscle at anterolateral aspect of the thigh.
(2) Post-exposure schedule for immunization: ago: if bitten by a suspected rabid animal, a
complete post-exposure immunization course shall
Normally one dose of the vaccine shall be
administered to the exposed person on days O ( the be executed.
first day or the intraday) , 3 ( the fourth day, [ Adverse reactionsJ
analogically henceforth ) , 7, 14, and 28, After inoculation, mild local or systemic reactions
consecutively, five doses in total. Children shall may occur, which could be relieved spontaneously.
be treated in the same way. It is recommended to Occasionally rashes may appear. In case of some
double the first dose of vaccine in case of one of the serious adverse reactions, such as immediate
following situations: anaphylactic reactions, angioneurotic edema or
(DThe exposed person was injected with urticaria, symptomatic treatment is recommended
immunoglobulin or antiserum one month before the [ Contraindications]
day of receiving rabies vaccine. ( 1) Because rabies is a fatal disease, there is no
@Those with congenital or acquired immuno- contraindications for post-exposure immunization.
deficiency. ( 2) For preexposure immunization, it is not
@Those receiving immunosuppressant ( including recommended to immunize eligible individuals with
antimalaria drug). fever, acute disease, serious chronic disease,
@The elderly or patients with chronic diseases. nervous system disease, and with a history of
®Administration of rabies vaccine becomes allergic reaction to antibiotics and/ or biological
available to the exposed persons 48 hours or longer products. It is recommended to postpone the
after exposure. administration of the vaccine for women m
Post-exposure treatment shall be dependent on the pregnancy or in lactation, if feasible.
following classification of wound severity:
Category I : those petting animal, licked by [Precautions J
animal on intact skins without any breaks-neither ( 1) Do not use the vaccine if the vaccine contains
wound treatment nor administration of vaccine is any foreign substance, or any leakage of container
necessary. or illegible label is found.
Category II : those bitten or scratched by animal (2) Alcoholic drinks, strong tea, pungent food
on skins but without bleeding; or licked on skins and strenuous exercise shall be avoided after
with breaks-vaccine shall be administered injection of the vaccine.
followingthe post-exposure immunizationschedule. (3) Do not inject the vaccine in the gluteal region.
Category ID : those with single or mul tip le biting ( 4) Freezing is strictly contraindicated.
wounds on skins with bleeding or scratched with [Storage]
bleeding; mucous membrane was contaminated by. Store and ship at 2-8°C, protected form light.
saliva of suspected or confirmed rabid animal-the [Packaging]
exposed person shall be treated immediately with·
rabies vaccine, rabies antiserum ( 40 IU/kg, [Validity period]
horse origin) or immunoglobulin ( 20 IU/kg, human 12 months.
origin). If anatomicallyfeasible, infiltration injection [Standardfor implementation J
of the remaining serum ( horse or human origin)
shall be performed as much as possible around the [Product license numberJ
wound ( s) ; the rest, if any, shall be injected J
[Manufacturer
intramuscularly. Name:
(3) Preexposure immunization schedule: A total Address:
of three shots given on days O, 7 and 28. Zip code:
(4) Recommendation of boosters for those Tel:
immunized with rabies vaccine previously: Fax:
(DComplete postexposure immunization course was Web site:
conducted in the recent one year: if bitten by a
suspected rabid animal, one dose given on days O
and 3 separately.
@Complete post-exposure immunization course Measles Vaccine, Live
was conducted in the previous year: if bitten by a
suspected rabid . animal, carry out a complete
immunization course again. Measles vaccine is a preparation of live attenuated
®Complete post-exposure immunization course measles virus grown in chick primary embryo cell
Measles Vaccine, Live

cultures. After cultivation and harvest, the virus Inoculate the virus suspension at different dilutions
suspension, after adding a suitable stabilizer, is onto FL or Vero cell cultures. The results are
lyophilized to make the vaccine. It is used to evaluated after incubation at a suitable temperature
prevent measles. for 7-8 days. The titer shall be not less than
4. 5 lg CCID50/ml. Titration of the virus reference
1 Basic requirements
preparation shall be carried out in parallel.
The facilities, source and subsidiary materials,
water, apparatus and animals used for production 2. 2. 3. 3 Sterility test
and control tests shall meet the requirements set It complies with the test for sterility ( Appendix
forth in the General Notices. XII A).
2 Manufacturing 2. 2. 3. 4 Test for mycoplasmas
2. 1 Cell substrates for the vaccine production It complies with the test for mycoplasmas
Primary chick embryo cells are used for the (Appendix XII B).
preparation of virus seeds and vaccine production. 2. 2. 3. 5 Tests for adventitious viruses
2. 1. 1 Management and control tests on cell It complies with the tests for adventitious viruses
( Appendix XII C).
substrates
The Requirements for Preparation and Control of 2. 2. 3. 6 Test for immunogenicity
Animal Cell Substrates Used for Production of Prepare the original vaccine with the master seed
Biologics shall apply. virus to immunize at least thirty healthy and
2. 1. 2 Cell substrate preparation susceptible children. Blood samples are taken for
The chick embryo of 9-11 days old from SPF determination of measles antibody before and 4-6
stocks shall be selected and trypsinized to prepare weeks after the inoculation, respectively. The
dispersed cells which are then cultivated with an antibody conversion rate shall be not less than 95%
appropriate medium. (HI titer <1 : 2 or ELISA <1 : 200 as negative;
HI titer ~1 : 2 or ELISA ~1 : 200 as positive).
2. 2 Virus seeds
2. 2. 3. 7 Test for neurovirulence in monkeys
2. 2. 1 Name and origin of virus strains The master seed lot or working seed lot shall be
Strain Hu-191, strain Chang-47 or other approved demonstrated to be free from neurovirulence. At
attenuated measles virus strains can be used as the least ten monkeys, serologically negative for
viral seed for the vaccine production. measles immediately prior to the neurovirulence
2. 2. 2 Establishment of seed lot system test, shall be employed for each time. The test
It complies with the Requirements for Bacterial and sample shall be given to each monkey by
Viral Strains/Seeds Used for Production and inoculation of 0. 5 ml ( representing not less than
Quality Control of Biologics. the virus content of one single human dose of
The vaccine production shall be based on a seed lot vaccine) into the thalamic region of each
system. The final product derived from strain Hu- hemisphere. The monkeys shall be observed for
191 shall not exceed the 33rd passage and the final 17-21 days. No symptoms and signs of paralysis or
product derived from strain Chang 4 7 shall not any evidences of neurological involvement shall be
exceed the 41st passage. found. Monkeys, if not more than two, that died
within 48 hours after injection may be replaced.
2. 2. 3 Control tests on virus seed lots The test is invalid and shall be repeated if more
For master seed lot, comprehensive control tests than 20 % of the monkeys die even due to
described below shall be carried out; for working nonspecific causes. At the end of the observation
seed lot, tests described in Sections 2. 2. 3. 1- period each monkey is bled and the individual sera
2. 2. 3. 4 shall be carried out at least. shall be tested for measles antibody. The
2. 2. 3. 1 Identity test seroconversion rate shall be not less than 80 %.
Dilute the sample of seed virus to make virus Each monkey. is subjected to autopsy. Histo-
suspensionat a concentrationof 500-2000CCIDso / ml. pathological examinations of appropriate areas of
Mix the virus suspension with an equal volume of the brain and spinal cord shall be made for any
measles antiserum. Keep the mixture in 37°C evidence of central nervous system involvement.
water bath for 60 minutes. Inoculate the incubated The results shall be negative. Meanwhile, at least
mixture onto FL or Vero cells. Evaluate results four measles-susceptible monkeys shall be reserved
after incubation for 7-8 days at a suitable as controls. Blood samples shall be taken from the
temperature. Measles virus shall be completely control monkeys at the time of inoculating the test
neutralized ( no CPE observed) ; meanwhile, both monkeys, and on the 10th day after the test
the results of the serum control and the cell control animals are killed. All the serum samples from the
shall be negative. The titer of reference virus control monkeys shall remain free from measles
preparation shall be not less than 500 CCID50/ml. antibody.
2. 2. 3. 2 Virus titration 2. 2. 4 Storage of virus seed lots
Dilute the sample of virus seed 10-fold serially. The freeze-dried virus seed lots shall be stored at
Measles Vaccine, Live

or below -20°C, the liquid ones shall be stored at 0. 5 ml, 1. 0 ml or 2. 0 ml of reconstituted vaccine
or below -60°C. per container. 0. 5 ml per single human dose
2. 3 Bulk containing not less than 3. 0 lg CCID50 of live
measles virus.
2. 3. 1 Cell substrate preparation
2. 5. 4 Packaging
See Section 2. 1. 2.
The Requirements for Packaging of Biologics shall
2. 3. 2 Culture medium apply.
Earle solution containing lacto-albumin hydro-
lysate and a quantity of inactivated calf serum can 3 Control tests
be used as the culture medium. Other suitable 3. 1 Control tests on bulk
culture media can also be used. The quality of calf
3. 1. 1 Virus .titration
serum shall comply with the related requirements See Section 2. 2. 3. 2. The titer shall be not less
in Appendix XIIl D.
than 4. 5 lg CCID5o / ml.
2. 3. 3 Tests for adventitious viruses in control
3. 1. 2 Sterility test
cells It complies with the test for sterility ( Appendix
It complies with the tests for adventitious viruses XI[ A).
( Appendix XI[ C).
3. 1. 3 Test for mycoplasmas
2. 3. 4 Virus inoculation and cultivation It complies with the test for mycoplasmas
The 'mixture of the virus and the dispersed cells at (Appendix XI[ B).
an optimal MOI shall be inoculated in the culture
vessels which are then incubated at a suitable 3. 2 Control tests on final bulk
temperature. Discard the culture medium when Sterility test
the CPE develops to a certain extent. Flush the It complies with the test for sterility ( Appendix
cell sheets with a rinsing solution of which the XI[ A).
volume in. each vessel shall be not less than that of 3. 3 Control tests on final product
the original culture medium. Maintenance medium Other than the determination of moisture content,
is added after rinsing to continue the cultivation. sterile water for injection shall be added as stated
2. 3. 5 Virus harvest on the label, and the reconstituted product shall
Harvest the virus suspension when the CPE be subject to the following tests.
reaches to a certain extent. After harvest, the 3. 3. 1 Identity test
culture may be further incubated for multiple See Section 2. 2. 3. 1
harvests by replacement with fresh maintenance
medium. 3. 3. 2 Inspection on final contai~ers
The product looks like a milky-white crisp cake.
2. 3. 6 Pooling After reconstitution, it shall turn into a clear
A number of single harvests derived from the liquid, orange-red or pale pink in colour, free of
cultures made of the same lot of dispersed cells can foreign matters.
be pooled into one batch of bulk.
3. 3. 3 Moisture content
2. 3. 7 Control tests on bulk The residual moisture content shall be not more
See Section 3. 1. than 3. 0% (Appendix VIl D).
2. 4 Final bulk 3. 3. 4 Virus titration
2. 4. 1 Formulation See Section 2. 2. 3. 2. A mixture of three to five
The bulk can be properly diluted according to the containers of vaccine shall be made for virus
virus titer. The final bulk shall be prepared by titration. The titer shall be not less than 3. 3
adding a quantity of stabilizer. A number of bulks lg CCID50 I ml.
can be pooled into one batch of final bulk. 3. 3. 5 Thermostability test
2. 4. 2 Control tests on final bulk Before release the final product shall be subject to
See Section 3. 2. thermostability test which shall be performed
at the same time with virus titration in parallel.
2. 5 Final product
The vaccine samples that have been exposed at
2. 5. 1 Defining batches 37°C for 7 days shall be titrated following Section
The Requirements for Defining Batches of Biologics 2. 2. 3. 2. The virus titer shall be not less than 3. 3
shall apply. lg CX:~0/ml. The loss of virus titer of the heat
2. 5. 2 Filling and lyophilization exposed vaccine shall be not more than 1. 0 lg.
The Requirements for Filling and Lyophilization of 3. 3. 6 Content of residual bovine serum albumin
Biologics shall apply. During the filling process, The residual bovine serum albumin content shall be
the final bulk shall be kept cool in ice bath. not more than 50 ng/ dose determined by ELISA.
2. 5. 3 Specifications 3. 3. 7 Sterility test
Rubella Vaccine (Human Diploid Cell), Live

It complies with the test for sterility ( Appendix ( 3) Women in pregnancy.


XII A). [Precautions J
3. 3. 8 Test for abnormal toxicity Cl) Care should be taken to avoid contacting the
It complies with the test for abnormal toxicity vaccine by disinfectant during opening the
( Appendix XII F). container and in the course of injection.
( 2 ) Do not use the vaccine if any leakage of
4 Storage, shipping and validity period
container or illegible label is found, or the content
Store and ship at or below 8°C, protected from
is not transparent after reconstitution.
light. The validity period of measles vaccine is 18
(3) The vaccine should be kept at 2-8°C and used
months starting from the date when titration test
up within one hour after reconstitution; the
proved qualified.
remaining vaccine, if any, shall be discarded.
5 Package inserts ( 4) The immunization of measles vaccine should
Directions for Use of Measles Vaccine, Live be deferred for at least one month following
administration of immunoglobulin.
[Drug name]
[ Storage and shipping]
Adopted name: Measles Vaccine, Live
Store and ship at or below 8°C, protected from
[Constituents and characters] light.
Measles vaccine is a preparation of live attenuated
[Packaging]
measles virus grown in chick primary embryo cell
culture. After cultivation and harvest, the virus [Validity period]
suspension, after adding a suitable stabilizer, is 18 months.
lyophilized to make the vaccine. The vaccine looks [Standard for implementation]
like a milky-white crisp cake. After reconstitution, it
turns into a clear liquid, orange-red or pale pink in [Product license numberJ
colour. J
[Manufacturer
[Eligibles] Name:
Children susceptible to measles at or above 8 Address:
months of age. Zip code:
Tel:
[Function and use] Fax:
The product can induce immunity against measles Web site:
virus in recipients following immunization. It is
used to prevent measles.
[Specifications J
0. 5 ml, 1. 0 ml or 2. 0 ml of reconstituted vaccine Rubella Vaccine (Human Diploid
per container. 0. 5 ml per single human dose Cell), Live
containing not less than 3. 0 lg CCID50 of live
measles virus.
This rubella vaccine is a freeze-dried preparation of
[ Administration and dosageJ live attenuated rubella virus grown in human
Cl) Reconstitute the vaccine with the stated diploid cells. After cultivation and harvest, the
amount of sterile water for injection. Shake the virus suspension is lyophilized to make the vaccine
container till the content is reconstituted completely after the addition of a suitable stabilizer. It is used
before use. to prevent rubella.
(2) Inject s. c. 0. 5 ml of the vaccine at deltoid
insertion area of the lateral upper arm. 1 Basic requirements
The facilities, source and subsidiary materials,
[ Adverse. reactionsJ water, apparatus and animals used for production
Normally there are no local reactions at the and control tests shall comply with the
inoculation site. A small number of recipients requirements set forth in the General Notices.
might have transient fever or scattered skin rashes
during the period between 6 and 10 days after 2 Manufacturing
injection. The reactions would not last longer than 2. 1 Cell substrates for production
2 days and could be relieved spontaneously. No The human diploid cell strains ( 2BS, MRC-5 or
particular treatment is necessary. Symptomatic any approved cell strains ) shall be used for
treatment could be adopted in case of need. production of the vaccine.
[ ContraindicationsJ 2. 1. 1 Management and control tests on cell
Cl) Subjects with serious diseases, acute or substrates
chronic infections or fever. The Requirements for Preparation and Control of
(2) Those with a history of allergic reaction to Animal Cell Substrates Used for Production of
eggs. Biologics shall apply.
Rubella Vaccine (Human Diploid Cell), Live

The cell cultures which are derived from the cells, carried out in parallel.
through resurrection and propagation, of one or 2. 2. 3. 3 Sterility test
several ampoules from the same lot of working cell It complies with the test for sterility ( Appendix
bank shall only be used for the production of one XI[ A).
lot of vaccine.
For 2BS cell strain, the maximum number of 2. 2. 3. 4 Test for mycoplasmas
population doublings for the master cell bank shall It complies with the . test for mycoplasmas
be the 23rd, for working cell bank shall be the (Appendix XI[ B).
27th, for the production of the vaccine shall be the 2. 2. 3. 5 Tests for adventitious viruses
44th. It complies with the tests for adventitious viruses
For MRC-5 cell strain, the maximum number of (Appendix XI[ C).
population doublings for the master cell bank shall
be the 23rd; for the working cell bank shall be the 2. 2. 3. 6 Test for immunogenicity
27th, for the production of the vaccine shall be the Prepare the original vaccine with the virus seed
33rd. from the master seed lot to immunize at least thirty
healthy children susceptible to rubella. Blood
2. 1. 2 Cell substrate preparation samples are taken respectively before and 4-6
Cells in one or more ampoules taken from working weeks after inoculation to determine rubella
cell bank each time are resurrected and expanded to antibody. The antibody conversion rate shall be
produce a collection of cell cultures enough for not less than 95 % ( HI titer < 1 : 8 as negative;
virus inoculation in production. The cell cultures HI titer~l : 8 as positive).
are regarded as a cell lot.
2. 2. 3. 7 Test for neurovirulence in monkeys
2. 2 Virus seeds The master seed lot or working seed lot shall be
2. 2. 1 Name and origin of virus strains demonstrated to be free from neurovirulence. At
Strain BRD II or other approved attenuated rubella least ten monkeys, serologically negative for
virus strains adapted in diploid cells can be used as rubella immediately prior to the neurovirulence
the seed for the vaccine production. test, shall be employed for the test. The test
sample shall be given to each monkey by
2. 2. 2 Establishment of viral seed lot system inoculation of 0. 5 ml ( equivalent to not less than
It complies with the Requirements for Bacterial and the virus content of one single human dose of the
Viral Strains/Seeds Used for Production and vaccine ) into the thalamic region of each
Quality Control of Biologics. hemisphere. The monkeys shall be observed for
The vaccine production shall be based on a seed lot 17-21 days. No symptoms and signs of paralysis or
system. The final product derived from the strain any evidences of neurological involvement shall be
BRD II shall not exceed the 32nd passage. found. The vacancies of monkeys not more than
2. 2. 3 Control tests on virus seed lots two that die within 48 hours after injection, can be
For master seed lot, comprehensive control tests replaced. The test is invalid and shall be repeated
described below shall be carried out; for working if more than 20 % of the monkeys die even due to
seed lot, tests described in Sections 2. 2. 3. 1- nonspecific causes. At the end of the observation
2. 2. 3. 4 shall be carried out at least. period each monkey is bled and the individual sera
shall be tested for rubella antibody. The
2. 2. 3. 1 Identity test seroconversion rate shall be not less than 80 %.
Dilute the sample of seed virus to make a Each monkey is subjected to autopsy. Histo-
concentration of 100-500 CCIDso/ml. Mix the pathological examinations of appropriate areas of
virus suspension with an equal volume of the brain and spinal cord shall be made for any
appropriately diluted rubella antiserum. Keep the evidence of central nervous system involvement.
mixture in 37°C water bath for 60 minutes. The results shall be negative. Meanwhile, at least
Inoculate the incubated mixture onto RK-13 cells. two rubella-susceptible monkeys shall be reserved
Evaluate the results after incubation at 32°C for 7- as controls. Blood samples shall be taken from the
10 days. Rubella virus shall be completely control monkeys at the time of inoculating the test
neutralized ( no CPE observed) ; meanwhile, both monkeys, and on the 10th day after the test
the results of serum control and cell control shall animals are killed. All the serum samples from the ·
be negative. The titer of reference virus control monkeys shall remain free from rubella
preparation shall be not less than 100 CCID5o/.ml. · antibody.
2. 2. 3. 2 Virus titration 2. 2. 4 Storage of virus seed lots
Dilute the sample of virus seed 10-fold serially. The freeze-dried virus seed lots shall be stored at
Inoculate the virus suspension at different dilutions or below -20°C, the liquid working virus seed
onto RK-13 cell cultures. The results are lots shall be stored at or below -60°C.
evaluated after incubation at 32°C for 7-10 days.
2. 3 Bulk
The titer shall be not less than 4. 8 lg CCIDso/ ml.
Titration of the virus reference preparation shall be 2. 3. 1 Cell substrate preparation
Rubella Vaccine (Human Diploid Cell), Live

See Section 2. 1. 2. 3. 1. 1 Virus titration


2. 3. 2 Culture medium
See Section 2. 2. 3. 2. The titer shall be not less
MEM containing a quantity of inactivated calf than 4. 8 lg CCIDso/ ml.
serum can be used. Other suitable culture media 3. 1. 2 Sterility test
can also be used. The quality of calf serum shall It complies with the test for sterility ( Appendix
comply with the requirements in Appendix XIII D. • XI[ A).
2. 3. 3 Tests for adventitious viruses in control cells 3. 1. 3 Test for mycoplasmas
It complies with the tests for adventitious viruses It complies with the test for mycoplasmas
(Appendix XI[ C). (Appendix XI[ B).
2. 3. 4 Virus inoculation and cultivation 3. 2 Control tests on final bulk
Inoculate the virus onto the cell cultures at an Sterility test
optimal MOI. Incubate the cultures at 30-32°C. It complies ~ith the test for sterility ( Appendix
Discard the culture medium when the CPE XI[ A).
develops to a certain extent. Flush the surface of
3. 3 Control tests on final product
cell sheets with a rinsing solution of which the
Other than the determination of moisture content,
voltime in each vessel shall be not less than that of
sterile water for injection shall be added as stated
·the original culture medium. Maintenance medium
on the label, and the reconstituted product shall
is added after rinsing to continue the cultivation.
be subject to the following tests.
2. 3. 5 Virus harvest
3. 3. 1 Identity test
Harvest the virus suspension when the CPE
See Section 2. 2. 3. 1.
reaches to a certain extent: After harvest, the
culture may be further incubated for multiple 3. 3. 2 Inspection on final containers
harvests by replacement with fresh maintenance The product looks like a milky-white, crisp cake.
medium. After reconstitution, it shall turn into a clear,
orange-red liquid, free of foreign matters.
2. 3. 6 Pooling
A number of single harvests'derived from the same 3. 3. 3 Moisture content
batch of cell cultures can be pooled into one batch. The residual moisture content shall be not more
than 3. 0% (Appendix W D).
2. 3. 7 Control tests on bulk
See Section 3. 1. 3. 3. 4 Virus titration
See Section 2. 2. 3. 2. A mixture of three to five
2. 4 Final bulk
containers of vaccine shall be made for virus
2. 4. 1 Formulation titration. The titer shall be not less than 3. 5
The bulk can be properly diluted according to the lg CCIDso/~l.
virus titer. The final bulk is prepared by adding a
3. 3. 5 Thermostability test
quantity of stabilizer. A number of bulks can be
Before release the final product shall be subject to
pooled into one batch of final bulk.
thermostability test which shall be performed at
2. 4. 2 Control tests on final bulk the same time with virus titration in parallel. The
See Section 3. 2. vaccine samples that have been exposed at 37°C for
2. 5 Final product 7 days shall be titrated following Section 2. 2. 3. 2.
The virus titer shall be not less than 3. 5 lg CC!Uo/ml.
2. 5. 1 Defining batches The loss of virus titer of the heat exposed vaccine
The Requirements for Defining Batches of shall be not more than 1. 0 lg.
Biologics shall apply.
3. 3. 6 Content of residual bovine serum albumin
2. 5. 2 Filling and lyophilization The content of residual bovine serum albumin shall
The Requirements for Filling and lyophilization of be not more than 50 ng/ dose determined by
Biologics shall apply. During the filling process, ELISA.
the final bulk shall be kept cool in ice bath.
3. 3. 7 Sterility test
2. 5. 3 Specifications It complies with the test for sterility ( Appendix
0. 5 ml or 1. 0 ml of the reconstituted vaccine per XI[ A).
container. 0. 5 ml per single human dose
containing not less than 3. 2 lg CCID5o of live 3. 3. 8 Test for abnormal toxicity
rubella virus. It complies with the test for abnormal toxicity
( Appendix XI[ F).
2. 5. 4 Packaging
The Requirements for Packaging of Biologics shall 4 Storage, shipping and validity period
apply. Store and ship at or below 8°C, protected from
light. The validity period of rubella vaccine is 18
3 Control tests months starting from the date when virus titration
3. 1 Control tests on bulk test proved qualified.
Rubella Vaccine (Rabbit Kidney Cell), Live

S Package inserts remammg vaccine, if any, shall be discarded.


( 4) Women of childbearing age shall take some
Directions for Use of Rubella Vaccine
( Human Diploid Cell) , Live contraceptive measures for at least 3 months after
immunization.
[Drug name] ( 5) The immunization of rubella vaccine should be
Adopted name: Rubella Vaccine (Human Diploid deferred for at least one month following adminis-
Cell), Live tration of immunoglobulin.
[Constituents and characters] ( 6) Do not receive .other live vaccines one month
The vaccine is made from an attenuated rubella before or after administering this vaccine. However,
virus strain grown in human diploid cell cultures. the vaccine can be given with live measles and
After cultivation, the virus suspension is harvested mumps vaccines concomitantly.
and an appropriate stabilizer is added for Iyophi- [Storage and shipping]
lization. The freeze-dried vaccine looks like a Store and ship at 2-8°C, protected from light.
m1~ky-w'ri1te, crisp cake. i\.her reconstitution, it
[Packaging]
shall turn into a clear, orange-red liquid.
[Validity period]
[Eligibles] 18 months.
Children susceptible to rubella at or above 8
months of age. [Standard for implementation]
[Function and use] [Product license numberJ
The product can induce immunity against rubella J
[Manufacturer
virus in recipients following immunization. It is Name:
used to prevent rubella. Address:
[ Specifications J Zip code:
0. 5 ml or 1. 0 ml of the reconstituted vaccine per Tel:
container: 0. 5 ml per single human dose Fax:
containing not less than 3. 2 lg CCID50 of live Web site:
rubella virus.
[ Administration and dosageJ
(1) Reconstitute the vaccine with the stated
amount of sterile water for injection. Shake the
Rubella Vaccine (Rabbit Kidney
container till the content is reconstituted completely Cell), Live
before use.
(2) Inject s. c. 0. 5 ml of the vaccine at deltoid This rubella Vaccine is a freeze-dried preparation
insertion area of the lateral upper arm. of live attenuated rubella virus grown in primary
[ Adverse reactionsJ rabbit kidney cells. After cultivation and harvest,
Normally there are no local reactions at the the virus suspension is lyophilized to make the
inoculation site. A small number of recipients vaccine after the addition of a suitable stabilizer. It
might have transient fever or mild skin rashes is used to prevent rubella.
during the period between 6 and 11 days after 1 Basic requirements
injection. The reactions would not last longer than The facilities, source and subsidiary materials,
2 days and could be relieved spontaneously. Some water, apparatus and animals used for production
adult individuals may have mild arthralgia 2-4 and control tests shall comply with the require-
weeks after injection. No particular treatment is ments set forth in the General Notices.
necessary. Symptomatic treatment could be
adopted in case of need. 2 Manufacturing
[ Contraindications J 2. 1 Cell substrates for production
(1) Subjects with serious diseases, or fever; Primary rabbit kidneycells are used for production
(2) Those with a history of allergic reaction; of the vaccine.
( 3) Women in pregnancy. 2. 1. 1 Management and control tests on cell
[Precautions] substrates
(1) Care should be taken to avoid contacting the
The Requirements for Preparation and Control of
vaccine by disinfectant during opening the Animal Cell Substrates Used for Production of
container and in the course of injection. Biologics shall apply.
( 2) Do not use the vaccine if any · leakage of 2. 1. 2 Cell substrate preparation
container or illegible label is found, or the content Rabbits of 25-30 days old which shall satisfy the
of the vaccine can not be completely reconstituted. standards for clean animals shall be used. Kidneys
(3) The vaccine should be kept at 2-8°C and used are extracted aseptically and digested with trypsin
up within one hour after reconstitution; the solution. The trypsinized primary rabbit kidney
Rubella Vaccine (Rabbit Kidney Cell), Live

cells shall be cultivated at 37°C or at a suitable The master seed lot or working seed lot shall be
temperature. demonstrated to be free from neurovirulence. At
2. 2 Virus seeds least ten monkeys, serologically negative ( HI
titer <1 : 8) for rubella immediately prior to the
2. 2. 1 Name and origin of virus strains neurovirulence test, shall be employed for the
Matsuba strain is used as the seed for the vaccine test. The test sample shall be given to each
production. monkey by inoculation of 0. 5 ml ( equivalent to
2. 2. 2 Establishment of viral seed lot system not less than the virus content of one single. human
It complies with the Requirements for Bacterial and dose of the vaccine) into the thalamic region of
Viral Strains/Seeds Used for Production and each hemisphere. The monkeys shall be observed
Quality Control of Biologics. for 17-21 days. The vacancies of monkeys that die
The vaccine production shall be based on a seed lot within ·43 hours after injection can be replaced.
system. The final product shall not exceed the The test is invalid and shall be repeated if more
19th passage. than 20 % of the monkeys die even due to
nonspecific causes. At the end of the observation·
2. 2. 3 Control tests on virus seed lots
period each monkey is bled and the individual sera
For master seed lot, comprehensive control tests
shall be tested for rubella antibody. The
described below shall be carried out; for working
seroconversion rate shall be not less than 80 %.
seed lot, tests described in Sections 2. 2. 3. 1-
Each monkey is subjected to autopsy. Histo-
2. 2. 3. 4 .shall be carried out at least.
pathological examinations of appropriate areas of
2. 2. 3. 1 Identity test the brain and spinal cord shall be made for any
Properly diluted rubella serum and a quantity of evidence of central nervous system involvement.
properly diluted rubella virus are mixed in equal The results shall be negative. Meanwhile, at least
volume and incubated in 37°C water bath for 60 two rubella-susceptible monkeys shall be reserved
minutes. Inoculate the incubated mixture onto as controls. Blood samples shall be taken from the
RK-13 cell cultures. Evaluate the results after control monkeys at the time of inoculating the test
incubation at .32°C for 14 days. Rubella virus shall monkeys, and on the 1 Oth day after the test
be completely neutralized; no CPE shall be animals are killed. All the serum samples from the
observed. The serum control and the cell control control monkeys shall remain free from rubella
are tested in parallel; both of result shall be antibody.
negative. The virus control shall manifest typical
rubella CPE. 2. 2. 4 Storage of virus seed lots
The freeze-dried virus seed lots shall be stored at
2. 2. 3. 2 Virus titration or below -20°C; the liquid ones shall be stored at
Dilute the sample of virus seed 10-fold serially. or below -60°C.
Inoculate the virus suspensions at different
· dilutions onto RK-13 cell cultures. The results are 2. 3 Bulk
evaluated after incubation at 32°C for 14 days. 2. 3. 1 Cell substrate preparation
The titer shall be not less than 4. 8 lg CCIDso/ml. See Section 2. 1. 2.
Titration of the virus reference preparation shall be
carried out in parallel. 2. 3. 2 Culture medium
Lacto-albumin hydrolysate in MEM contammg a
2. 2. 3. 3 Sterility test
quantity of inactivated calf serum can be used as
It complies with the test for sterility ( Appendix
the culture medium. Other suitable culture media
XII A). .
can also be used. The quality of calf serum shall
2. 2. 3. 4 Test for mycoplasmas comply with the related requirements in Appendix
It complies with the test for' mycoplasmas XIII D.
( Appendix XII B).
2. 3. 3 Tests for adventitious viruses in control cells
2. 2. 3. 5 Tests for adventitious viruses It complies with the tests for adventitious viruses
It complies with the tests for adventitious viruses (Appendix XII C).
(Appendix XII C).
2. 3. 4 Virus inoculation and cultivation
2. 2. 3. 6 Test for immunogenicity Incubate the cells at 37°C till confluent cell mono-
Prepare the original vaccine with the virus seed layer is formed. Inoculate the virus onto the cell
from the master seed lots to immunize at least cultures at an optimal MOI. Incubate the cultures
thirty healthy children susceptible to rubella. at 30-32°C. When the CPE develop to a certain
Blood samples are taken respectively before and 4-6 extent, flush the cell sheets with a rinsing
weeks after inoculation to determine rubella solution, of which the volume in each vessel shall
antibody. The antibody conversion rate shall be be not less than that of the original culture
not less than 95% (HI titer«; 1 : 8 as negativej , medium. MEM, medium 199 or other suitable
HI titer~l : 8 as positive). media containing human blood albumin can be used
2. 2. 3. 7 Neurovirulence test in monkeys as the maintenance medium.
Rubella Vaccine (Rabbit Kidney Cell), Live

2. 3. 5 Virus harvest sterile water for injection shall be added as stated


Harvest the virus suspension when the CPE on the label, and the reconstituted product shall
reaches to a certain extent. After harvest, the be subject to the following tests.
culture, within an appropriate duration, may be 3. 3. 1 Identity test
further incubated for multiple harvests by replace- See Section 2. 2. 3. 1.
ment with fresh maintenance medium The harvested
virus suspension shall be kept frozen at or below 3. 3. 2 Inspection on final containers
-20°C. The product looks like a milky-white crisp cake.
After reconstitution, it shall turn into a clear,
2. 3. 6 Pooling orange-red liquid, free of foreign matters.
A number of single harvests derived from the same
batch of cell cultures can be pooled into one batch 3. 3. 3 Moisture content
of bulk. The residual moisture content shall be not more
than 3. 0% (Appendix VI[ D).
2. 3. 7 · Control tests on bulk
See Section 3. 1. 3. 3. 4 Virus titration
See Section 2. 2. 3. 2. A mixture of three to five
2. 4 Final bulk containers of vaccine shall be made for virus
2. 4. 1 Formulation titration. The titer shall be not less than 3. 5
The bulk can be properly diluted according to the lg CCIDso/ml.
virus titer. The final bulk is prepared by adding a 3. 3. 5 Thermostability test
quantity of stabilizer. A number of bulks can be Before release the final product shall be subject to
pooled into one batch of final bulk. thermostability test which shall be performed at
2. 4. 2 Control tests on final bulk the same time with virus titration in parallel. The
See Section 3. 2. vaccine samples that have been exposed at 37°C for
7 days shall be titrated following Section 2. 2. 3. 2.
2. 5 Final product
The virus titer shall be not less than
2. 5. 1 Defining batches 3. 5 lg CCID5o/ml. The loss of virus titer of the
The Requirements for Defining Batches of heat exposed vaccine shall be not more than
Biologics shall apply. 1. 0 lg.
2. 5. 2 Filling and lyophilization 3. 3. 6 Content of residual bovine serum albumin
The Requirements for Filling and Lyophilization of The content of residual bovine serum albumin shall
Biologics shall apply. be not more than 50 ng/ dose determined by
2. 5. 3 Specifications ELISA.
0. 5 ml or 1. 0 ml of the reconstituted vaccine per 3. 3. 7 Sterility test
container. 0. 5 ml per single human dose It complies with the test for sterility ( Appendix
containing not less than 3. 2 lg CCID50 of live XII A).
rubella virus. 3. 3. 8 Test for abnormal toxicity
2. 5. 4 Packaging It complies with the test for abnormal toxicity
The Requirements for Packaging of Biologics shall ( Appendix XII F).
apply. 4 Storage, shipping and validity period
3 Control tests Store and ship at or below 8°C, protected from
light. The validity period of rubella vaccine is 18
3. 1 Control tests on bulk
months starting from the date when the virus
3. 1. 1 Virus titration titration test proved qualified.
See Section 2. 2. 3. 2. The titer shall be not less
5 Package inserts
than 4. 8 lg CCID5o / ml.
Directions for Use of Rubella Vaccine
3. 1. 2 Sterility test
(Rabbit .Kidney Cell), Live
It complies with the test for sterility ( Appendix
XII A). [Drug name]
Adopted name: Rubella Vaccine (Rabbit Kidney
3. 1. 3 · Test for mycoplasmas Cell) , · Live
It complies with the test for mycoplasmas
(Appendix XII B). [ Constituents and charactersJ
The vaccine is made from an attenuated rubella
3. 2 Control tests on final bulk
virus strain grown in primary rabbit kidney cell
Sterility test
cultures. After cultivation, the virus suspension
It complies with the test for sterility ( Appendix
is harvested and an appropriate stabilizer is added
XII A). for lyophilization. The vaccine looks like a milky-
3. 3 Control tests on final product white crisp cake. After reconstitution, it shall
Other than the determination of moisture content, turn into a clear, orange-red liquid.
Mumps Vaccine, Live

[Eligibles] 18 months.
Children susceptible to rubella at or above 8 [Standard for implementation]
months of age.
[Product license numberJ
[Function and use]
The product can induce immunity against rubella J
[Manufacturer
virus in recipients following immunization. It is Name:
used to prevent rubella. Address:
Zip code:
[Specifications J
Tel:
O. 5 ml or 1. 0 ml of the reconstituted vaccine per
Fax:
container. 0. 5 ml per single human dose
Web site:
containing not less than 3. 2 lg CCID5o of live
rubella virus.
[ Administration and dosage]
( 1) Reconstitute the vaccine with the stated Mumps Vaccine, Live
amount of sterile water for injection. Shake the
container till the content is reconstituted com-
pletely before use. Mumps vaccine is a preparation of live attenuated
(2) Inject s. c. 0. 5 ml of the vaccine at deltoid mumps virus grown in chick primary embryo cell
insertion area of the lateral upper arm. culture. After cultivation and harvest, the virus
[Adverse· reactions] suspension, after adding a suitable stabilizer, is
Normally there are no local reactions at the lyophilized to make the vaccine. It is used to
inoculation site. A small number of recipients prevent mumps.
might have transient fever or mild skin rashes 1 Basic requirements
during the period between 6 and 11 days after The facilities, source and subsidiary materials,
injection. The reactions would not last longer than water, apparatus and animals used for production
2 days and could be relieved spontaneously. Some and control tests shall meet the requirements set
adult individuals may have mild arthralgia during forth in the General Notices.
the period of 2-4 weeks after injection. No
particular treatment is necessary. Symptomatic 2 Manufacturing
treatment could be adopted in case of need. 2. 1 Cell substrates for the vaccine production
[Contraindications] Primary chick embryo cells are used for the
(1) Subjects with serious diseases or fever. preparation of virus seeds and vaccine production.
(2) Those with a history of allergic reaction. 2. 1. 1 Management and control tests on cell
( 3) Women in pregnancy. substrates
[Precautions] The Requirements for Preparation and Control of
( 1) Care should be taken to avoid contacting the Animal Cell Substrates Used for Production of
vaccine by disinfectant during opening the Biologics shall apply.
container and in the course of injection. 2. 1. 2 Cell substrate preparation
( 2 ) Do not use the vaccine if any leakage of The chick embryo of 9-11 days old from SPF
container or illegible label is found, or the content stocks shall be selected and . trypsinized to prepare
of the vaccine can not be completely reconstituted. dispersed cells which are then cultivated with an
(3) The vaccine should be kept at 2-8°C and used appropriate medium.
up within one hour after reconstitution; the
remaining vaccine shall be discarded. 2. 2 Virus seeds
( 4) Women of childbearing age shall take some 2. 2. 1 Name and origin of virus strains
contraceptive measures for at least 3 months after Strain S,9 and strain Wing4 or other approved
immunization. attenuated mumps virus strains can be used as the
( 5) The immunization of rubella vaccine should be viral seed for the vaccine production.
deferred for at least one month following admin-
istration of immunoglobulin. 2. 2. 2 Establishment of seed lot system
( 6) Do not receive otherwise live vaccines one It complies with the Requirements for Bacterial and
month before or after administering this vaccine. Viral Strains/Seeds Used for Production and
However, the vaccine can be given with live Quality Control of Biologics.
measles and mumps vaccines concomitantly. The vaccine production shall be based on a seed lot
system. The final product derived from Strain S,9
[Storage and shipping] shall not exceed the 7th passage and the final
Store and ship at 2-8°8, protected from light. product derived from strain Willa4 shall not exceed
[Packaging] the 11th passage.
[Validity period] 2. 2. 3 Control tests on virus seed lots
Mumps Vaccine, Live

For master seed lot, comprehensive control tests within 48 hours after injection may be replaced.
described below shall be carried out; for working The test is invalid and shall be repeated if more
seed lot, tests described in Sections 2. 2. 3. 1- than 20 % of the monkeys die even due to
2. 2. 3. 4 shall be carried out at least. nonspecific causes. At the end of the observation
period each monkey is bled and the individual sera
2. 2. 3. 1 Identity test
shall be tested for mumps antibody. The
Dilute the sample of seed virus to make a virus
seroconversion rate shall be not less than 80 % .
suspensionat a concentrationof 500-2000CCIDso I ml.
Each monkey is subjected to autopsy. Histo-
Mix the virus suspension with an equal volume of
pathological examinations of appropriate areas of
mumps antiserum. Keep the mixture in 37°C
the brain and spinal cord shall be made for any
water bath for 60 minutes. Inoculate the incubated
evidence of central nervous system involvement.
mixture onto FL or Vero cells. Evaluate the
The results shall be negative. Meanwhile, at least
results after incubation for 8-10 days at a suitable
two mumps-susceptible monkeys shall be reserved
temperature. Mumps virus shall be completely
as controls. Blood samples shall be taken from the
neutralized (no CPE observed); meanwhile, both
control monkeys at the time of inoculating the test
the results of the serum control and the cell control monkeys, and on the 10th day after the test
shall be negative. The titer of reference virus animals are killed. All the serum samples from the
preparation shall be not less than 500 CCIDso/ml. control monkeys shall remain free from mumps
2. 2. 3. 2 Virus titration antibody.
Dilute the sample of virus seed 10-fold serially. 2. 2. 4 Storage of virus seed lots
Inoculate the virus suspensions at different The freeze-dried virus seed lots shall be stored at
dilutions onto FL or Vero cell cultures. The o; below -20°C; the liquid ones shall be stored at
results are evaluated after incubation at a suitable or below -60°C.
temperature for 8-10 days. The titer shall be not
less than 5. 5 lg CCID50/ml. Titration of the virus 2. 3 Bulk
reference preparation shall be carried out in 2. 3. 1 Cell substrate preparation
parallel. See Section 2. 1. 2.
2. 2. 3. 3 Sterility test 2. 3. 2 Culture medium
It complies with the test for sterility ( Appendix Earle solution containing lacto-albumin hydrolysate
XII A). and a quantity of inactivated calf serum can be used
as the culture medium. 'Other suitable culture
2. 2. 3. 4 Test for mycoplasmas
It complies with the test for mycoplasmas media can also be used. The quality of calf serum
(Appendix XII B). shall comply with the related requirements in
Appendix x1ll D.
2. 2. 3. 5 Tests for adventitious viruses
2. 3. 3 Tests for adventitious viruses jn control
It complies with the tests for adventitious viruses
cells
(Appendix XII C).
It complies with the tests for adventitious viruses
2. 2. 3. 6 Test for immunogenicity (Appendix XII C).
Prepare the original vaccine with the master seed 2. 3. 4 Virus inoculation and cultivation
virus to immunize at least thirty healthy and The mixture of the virus and the dispersed cells at
susceptible children. Blood samples are taken for an optimal MOI shall be inoculated in the culture
determination of mumps antibody before and 4-6 vessels which are then incubated at a suitable
weeks after the inoculation, respectively. The temperature. Discard the culture medium when
antibody conversion rate shall be not less than 90 % the CPE develops to a certain extent. Flush the
(HI and neutralization titer < 1 : 2 as negative, cell sheets with a rinsing solution of which the
HI and neutralization titer~l : 2 as positive). volume in each vessel shall be not less than that of
2. 2. 3. 7 Test for neuro;irulence in monkeys the original culture medium. Maintenance medium
The master seed lot or working seed lot shall be is added after rinsing to continue the cultivation.
demonstrated to be free from neurovirulence. At 2. 3. 5 Virus harvest
least ten monkeys, serologically negative for Harvest the virus suspension when the CPE
mumps immediately prior to the neurovirulence reaches to a certain extent. After harvest, the
test, shall be employed for each time. The test culture may be further incubated for multiple
sample shall be given to each monkey ·by harvests by replacement with fresh maintenance
inoculation of 0. 5 ml ( representing not less than medium.
the virus content of one single human dose of
vaccine ) into the thalamic region of each 2. 3. 6 Pooling
hemisphere. The monkeys shall be observed for A number of single harvests derived from the
17-21 days. No symptoms and signs of paralysis or cultures made of the same lot of dispersed cells can
any evidences of neurological involvement shall be be pooled into one batch of bulk.
found. Monkeys, if not more than two, that died 2. 3. 7 Control tests on bulk
Mumps Vaccine, Live

See Section 3. 1. than 3. 0% (Appendix W D).


2. 4 Final bulk 3. 3. 4 Virus titration
2. 4. 1 Formulation See Section 2. 2. 3. 2. A mixture of three to five
The bulk can be properly diluted according to the containers of vaccine shall be made for virus
virus titer. The final bulk shall be prepared by titration. The titer shall be not less than 4. 0
adding a quantity of stabilizer. A number of bulks lg CCIDso/ml.
can be pooled into one batch of final bulk. 3. 3. 5 Thermostability test
Before release the final product shall be subject to
2. 4. 2 Control tests on final bulk
thermostability test which shall be performed at
See Section 3. 2.
the same time with virus titration in parallel. The
2. 5 Final product vaccine samples that have been exposed at 37°C for
2. 5. 1 Defining batches 7 days shall be titrated following Section
The Requirements· for Defining Batches of 2. 2. 3. 2. The virus titer shall be not less than 4. 0
Biologics shall apply. lg CCIDs0/ml. The loss of virus titer of the heat
exposed vaccine shall be not more than 1. 0 lg.
2. 5. 2 Filling and lyophilization
The Requirements for Filling and Lyophilization of 3. 3. 6 Content of residual bovine serum albumin
Biologics shall apply. During the filling process, The residual bovine serum albumin content shall be
the final bulk shall be kept cool in ice bath. not more than 50 ng/ dose determined by ELISA.

2. 5. 3 Specifications 3. 3. 7 Sterility test


0. 5 ml or 1. 0 ml of reconstituted vaccine per It complies with the test for sterility ( Appendix
container. 0. 5 ml per single human dose XII A).
containing not less than 3. 7 lg CCIDso of live 3. 3. 8 Test for abnormal toxicity
mumps virus. It complies with the test for abnormal toxicity
2. 5. 4 Packaging (Appendix XII F).
The Requirements for Packaging of Biologics shall 4 Storage, shipping and validity period
apply. Store and ship at or below 8°C, protected from
3 Control tests light. The validity period of mumps vaccine is 18
months starting from the date when titration test
3. 1 Control tests on bulk proved qualified.
3. 1. 1 Virus titration 5 Package inserts
See Section 2. 2. 3. 2. The titer shall be not less
Directions for Use of Mumps Vaccine, Live
than 5. 0 lg CCIDso/ ml.
[Drug name]
3. 1. 2 Sterility test
Adopted name: Mumps Vaccine, Live
It complies with the test for sterility ( Appendix
XII A). [ Constituents and charactersJ
Mumps vaccine is a preparation of live attenuated
3. 1. 3 Test for mycoplasmas
mumps virus grown in chick primary embryo cell
It complies with the test for mycoplasmas
cultures. After cultivation and harvest, the virus
(Appendix X[ B).
suspension, after adding a suitable stabilizer, is
3. 2 Control tests on final bulk lyophilized to make the vaccine. The vaccine looks
Sterility test like a milky-white crisp cake. After reconstitution,
It complies with the test for sterility ( Appendix it turns into a clear liquid, orange-red or pale pink
XII A). in colour.
3. 3 Control tests on final product [Eligibles]
Other than the determination of moisture content, Children susceptible to mumps at or above 8
sterile water for injection shall be added as stated months of age.
on the label, and the reconstituted product shall
[Function and useJ
be subject to the following tests.
The product can induce. immunity against mumps
3. 3. 1 Identity test virus in recipients following immunization. It is
See Section 2. 2. 3. 1. used to prevent mumps.
3. 3. 2 Inspection on final containers [ Specifications J
The product looks like a milky-white crisp cake. 0. 5 ml or 1. 0 ml of reconstituted vaccine per
After reconstitution, it shall turn into a clear container. 0. 5 ml per single human dose containing
liquid, orange-red or pale pink in colour, free of not less than 3. 7 lg CCID5o of live mumps virus.
foreign matters. [ Administration and dosageJ
3. 3. 3 Moisture content (1) Reconstitute the vaccine with the stated
The residual moisture content shall be not more amount of sterile water for injection. Shake the
Measles and Mumps Combined Vaccine, Live

container till the content rs reconstituted harvest, the virus suspensions of the two viruses
completely before use. are pooled in proportion and lyophilized to make
(2) Inject s. c. 0. 5 ml of the vaccine at deltoid the combined vaccine after adding a suitable
insertion area of the lateral upper arm. stabilizer. It is used to prevent measles and
[ Adverse reactionsJ mumps.
Normally there are no local reactions at the 1 Basic requirements
inoculation site. A small number of recipients The facilities, source and subsidiary materials,
might have transient fever or scattered skin rashes water, apparatus and animals used for production
during the period between 6 and 10 days after and control tests shall meet the requirements set
injection. The reactions would not last longer than forth in the General Notices.
2 days and could be relieved spontaneously. No
particular treatment is necessary. Symptomatic 2 Manufacturing
treatment could be adopted in case of need. 2. 1 Cell substrates for the vaccine production
[ Contraindications J 2. 1. 1 Cell substrates for measles vaccine production
( 1) Subjects with serious diseases, acute or chronic Primary chick embryo cells shall be used, which
infections or fever. shall comply with the requirements in Section 2. 1
(2) Those with a history of allergic reaction to of the Measles Vaccine, Live.
eggs.
( 3) Women in pregnancy. 2. 1. 2 Cell substrates for mumps vaccine production
Primary chick embryo cells shall be used and
[Precautions] comply with the requirements in Section 2. 1 of the
(1) Care should be taken to avoid contacting the Measles Vaccine, Live.
vaccine by disinfectant during opening the
container and in the course of injection. 2. 2 Virus seeds
( 2 ) · Do not use the vaccine if any leakage of 2. 2. 1 Measles virus strains
container or illegible label is found, or the content Strain Hu-191 or other approved attenuated
is not transparent after reconstitution. measles virus strains which comply with the
(3) The vaccine should be kept at 2-8°C and used Section 2. 2 of the Measles Vaccine, Live can be
up within one hour after reconstitution; the used as the viral seed for the vaccine production.
remaining vaccine, if any, shall be. discarded.
( 4) The immunization of mumps vaccine should be 2. 2. 2 Strain S,9 or other approved attenuated
deferred for at least one month following admini- mumps virus strains which comply with the Section
stration of immunoglobulin. 2. 2 of the Mumps Vaccine, Live can be used as
the viral seed for the vaccine production.
[Storage and shipping]
Store and ship at or below 8°C, protected from 2. 3 Monovalent bulk
light. 2. 3. 1 Preparation of bulk of measles vaccine
[Packaging] It complies with the Section 2. 3 of the Measles
Vaccine, Live.
[Validity period]
18 months. 2. 3. 2 Control tests on bulk of measles vaccine
[Standardfor implementation] See Section 3. 1. 1.

[Product license numberJ 2. 3. 3 Preparation of bulk of mumps vaccine


It complies with the Section 2. 3 of. the Mumps
J
[Manufacturer Vaccine, Live.
Name:
Address: 2. 3. 4 Control tests on bulk of mumps vaccine
Zip code: See Section 3. 1. 2.
Tel: 2. 4 Final bulk
Fax:
Web site: 2. 4. 1 Formulation
The monovalent bulk of measles and that of
mumps vaccine. qualified in related control tests are
blended in a proportion, to which a quantity of
stabilizer is added to formulate the final bulk.
Measles and Mumps Combined
Vaccine, Live 2. 4. 2 Control tests on final bulk
See Section 3. 2.
2. 5 Final product·
Measles and mumps combined vaccine is a
preparation made from live attenuated measles 2. 5. 1 Defining batches
virus and mumps virus grown separately in chick The Requirements for Defining Batches of
embryo cell cultures. After cultivation and Biologics shall apply.
Measles and Mumps Combined Vaccine, Live

2. 5. 2 Filling and lyophilization 500 CCIDso/ml.


The Requirements for Filling and Lyophilization of
3. 1. 2. 2 Virus titration
Biologics shall apply. During the filling process,
Dilute the bulk sample 10-fold serially. Inoculate
the final bulk shall be kept cool in ice bath.
each dilution onto FL cell or Vero cell cultures.
2. 5. 3 Specifications The result is evaluated after incubation at a
0. 5 ml of reconstituted vaccine per container. suitable temperature for 7-8 days. The titer shall
0. 5 ml per single human dose containing not less be not less than 5. 0 lg CCID50/ml. Titration of
than 3. 0 lg CCID50 of live measles virus and not the virus reference preparation shall be conducted
less than 3. 7 lg CCID5o of live mumps virus. in parallel.
2. 5. 4 Packaging 3. 1. 2. 3 Sterility test
The Requirements for Packaging of Biologics shall It complies with the test for sterility ( Appendix
apply. XI[ A).
3 Control tests 3. 1. 2. 4 Test for mycoplasmas .
3. 1 Control tests on bulk It complies with the test for mycoplasmas
(Appendix XI[ B).
3. 1. 1 Control tests on bulk of measles vaccine
3. 2 Control tests on final bulk
3. 1. 1. 1 Identity test
Sterility test
Dilute the sample of the bulk of measles vaccine to
It complies with the test for sterility ( Appendix
a
make virus suspension at a concentration of 500- XI[ A).
2000 CCID50/ml. Mix the virus suspension with
an equal volume of measles antiserum and keep the 3. 3 Control tests on final product
mixture in 37°C water bath for 60 minutes. Other than the determination of moisture content,
Inoculate the incubated mixture onto FL or Vero sterile water for injection shall be added as stated
cells. Evaluate the results after incubation for 7-8 on the label, and the reconstituted product shall
days at a suitable temperature. Measles virus shall be subject to the following tests.
be completely neutralized ( no CPE observed) ; 3. 3. 1 Identity test
meanwhile, both the results of the serum control Mix the properly diluted vaccine with the properly
and the cell control shall be negative. The titer of diluted anti-measles serum and anti-mumps serum.
reference virus preparation shall be not less than After incubation at 20-25°C for 90 minuets,
500 CCIDso/ml. inoculate the mixture onto Vero cell or FL cell
3. 1. 1. 2 Virus titration cultures. The result is evaluated after incubation
Dilute the bulk sample 10-fold serially. Inoculate at 37°C for 7-8 days. The measles and mumps
each dilution onto FL or Vero cell cultures. The viruses shall be neutralized completely and no CPE
result is evaluated after incubation at a suitable shall be found. At the same time, serum and cell
temperature for 7-8 days. The titer shall be not controls shall be set up, of which both the results
less than 4. 8 lg CCID5o/ml. Titration of the virus shall be negative. The control of viruses shall be
reference preparation. shall be conducted m positive.
parallel.
3. 3. 2 Inspection on final containers
3. 1. 1. 3 Sterility test The product looks like a milky-white crisp cake.
It complies with the test for sterility ( Appendix After reconstitution, it turns into a clear, orange-
XI[ A). red liquid, free of foreign matters.
3. 1. 1. 4 Test for mycoplasmas 3. 3. 3 Moisture content
It complies with the test for mycoplasmas The residual moisture content shall be not more
(Appendix XII B). than 3. 0% (Appendix Vil D).
3. 1. 2 Control tests on bulk of mumps vaccine 3. 3. 4 Virus titration
3. 1. 2. 1 Identity test A mixture of three to five containers shall be made
Dilute the sample of the bulk of mumps vaccine to for virus titration; the corresponding virus
make a virus suspension at a concentration of 500- reference preparations shall be titrated in parallel.
2000 CCID50/ml. Mix the virus suspension with Measles vaccine virus titration: The measles virus
an equal volume of mumps antiserum and keep the is titrated in FL cell or Vero cell cultures after the
mixture in 37°C water bath for 60 minutes. mumps virus is neutralized with anti-mumps
. Inoculate the incubated mixture onto FL or Vero serum. The titer of measles virus shall be not less
cells. Evaluate the result after incubation for 7-8 than 3. 3 lg CCIDso/ml.
days at a suitable temperature. Mumps virus shall Mumps vaccine virus titration: The mumps virus
be completely neutralized ( no CPE observed) ; is titrated in FL cell or Vero cell cultures after the
meanwhile, both the results of the serum control measles virus is neutralized with anti-measles
and the cell control shall be negative. The titer of serum. The titer of mumps virus shall be not less
reference virus preparation shall be not less than than 4. 0 lg CCID5o/ml.
Influenza Vaccine (Whole Virion) , Inactivated

3. 3. 5 Thermostability test (1) Reconstitute the vaccine with the stated


Before release the final product is subject to amount of sterile water for injection. Shake the
thermostability test, and the virus titration shall container till the content is reconstituted completely
be carried out in parallel. The vaccine that has before use.
been exposed at 37°C for 7 days shall be titrated (2) Inject s. c. 0. 5 ml of the vaccine at deltoid
according to Section 3. 3. 4. The virus titer of insertion area of the lateral upper arm.
measles vaccine shall be not less than 3. 3 [Adverse reactions]
lg CCID50/ml; the virus titers of mumps vaccine Normally there are no local reactions at the
shall be not less than 4. 0 lg CCID5o / ml. Both the inoculation site. A small number of children
losses of virus titers of these two vaccines shall be recipients might have transient fever or scattered
not more than 1. 0 lg. skin rashes during the period of 6-10 days after
injection. The reactions would not last longer than
3. 3. 6 Content of residual bovine serum albumin
2 days and could be relieved spontaneously.
The residual bovine serum albumin content shall be
Usually no particular treatment is necessary.
not more than 50 · ng/ dose determined by ELISA.
Symptomatic treatment might be helpful in case of
3. 3. 7 Sterility test need.
It complies with the test for sterility ( Appendix [ Contraindications]
XII A). (1) Subjects with serious diseases, acute or
3. 3. 8 Test for abnormal toxicity chronic infections.
It complies with the test for abnormal toxicity (2) Those with fever.
(Appendix XII F). (3) Those with a history of allergic reaction to
eggs.
4 Storage, shipping and validity period ( 4) Women in pregnancy.
Store and ship at or below 8°C, protected from
[Precautions]
light. The validity period of the vaccine is 18
(1) Care should be taken to avoid contacting the
months starting from the date when the virus
vaccine by disinfectant during opening the container
titration proved qualified.· and in the course of injection.
S Package. inserts ( 2) Do not use the vaccine if any leakage of
container or illegible label is found, or the content
Directions for Use of Measles and Mumps
is not transparent after reconstitution.
Combined Vaccine, Live (3) The vaccine should be kept at 2-8°C and used
[Drug name] up within one hour after reconstitution; the
Adopted name: Measles and .Mumps Combined remaining vaccine, if any, shall be discarded.
Vaccine, Live (4) The immunization of measles and mumps
combined vaccine should be deferred for at least
[Constituents and characters] one month following administration of immuno-
Measles and mumps combined vaccine is a preparation globulin.
made from live attenuated measles virus and
mumps virus grown separately in chick embryo cell [Storage and shipping]
cultures. After cultivation and harvest, the virus Store and ship at or below 8°C, protected from
suspensions of the two viruses are pooled in a light.
proportion and lyophilized to make the combined [Packaging]
vaccine after adding a suitable stabilizer. The [Validity period]
product looks like a milky-white crisp cake. After 18 months.
reconstitution, it turns into a clear, orange-red [Standardfor implementation]
liquid.
[Product license numberJ
[Eligibles]
Subjects susceptible to measles and mumps at or
[Manufacturer J
Name:
above 8 months of age. Address:
[Function and use] Zip code:
The product cap induce immunity against measles Tel:
and mumps viruses in recipients following Fax:
immunization. It is used to prevent measles and Web site:
mumps.
[ Specifications J
0. 5 ml of reconstituted vaccine per container.
0. 5 ml per single human dose containing not less Influenza Vaccine ( Whole Virion ) ,
than 3. 0 lg CCID5o of live measles virus and Inactivated
3. 7 lg CCID50 of live mumps virus.
[ Administration and dosageJ Influenza vaccine ( whole virion) is a preparation
Influenza Vaccine (Whole Virion) , Inactivated

made from the prevalent strains of influenza virus Neutralize the seed virus with the corresponding
type A and type B recommended by WHO and subtype specific antiserum. Inoculate the neutralized
approved by the NRA. The strains of influenza material to SPF chick embryo fibroblast cell
virus type A and type B are grown separately in cultures. After incubation, the cultures are tested
embryonated eggs. After cultivation and harvest, by ELISA. The result shall be negative.
the virus suspension in allantoic cavity is 2. 2. 3. 6 Tests for adventitious av1an adenoviruses
inactivated, concentrated and purified to make the Neutralize the seed virus with the corresponding
vaccine. It is used to prevent influenza. subtype specific antiserum. Inoculate the neutralized
1 Basic requirements material to SPF chick embryo hepatic cell cultures.
The facilities, source and subsidiary materials, After incubation, the cultures are tested for avian
water, apparatus and animals used for production adenoviruses type I and type III by suitable
and control tests shall comply with the require- serologic methods, respectively. All the results
ments set forth in the General Notices. shall be negative.
2 Manufacturing 2. 2. 4 Storage of virus seeds
Freeze-dried virus seeds shall be stored at or below
2. 1 Embryonated eggs for vaccine production -20°C, the. liquid ones shall be stored at or below
SPF chick embryos shall be used for the preparation -60°C.
and passage of virus seeds. Embryonated eggs
from healthy flocks shall be used for the vaccine 2. 3 Monovalent bulk
production. The embryos of 9-11 day old shall be 2. 3. 1 Virus inoculation and cultivation
in active status with vivid blood vessels and Inoculate a quantity of appropriately diluted virus
without any aberrations. from working seed lot into the allantoic cavities of
· 2. 2 Virus seeds chick embryos. Incubate the inoculated eggs at 33-
350C for 48-72 hours. The remaining thawed seed
2. 2. 1 Name and origin of virus strains virus, if any, is not allowed to freeze again for
The virus seeds used for the vaccine production further use.
shall be the approved strains of influenza A and B
viruses recommended by WHO, which shall be 2. 3. 2 Virus harvest
demonstrated by control test to· be the prevalent After incubation, collect the living embryos and
virus strains or the similar ones. cool for a period of time at 2-8°C. Harvest the
allantoic fluids in groups to make the single virus
2. 2. 2 Establishment of seed lot system harvests.
It complies with the Requirements for Bacterial and
Viral Strains/Seeds Used for Production and 2. 3 .. 3 Pooling
Quality Control of Biologics. The maximum A number of single harvests from the embryos
number of passage of the seed lots shall not exceed infected with monovalent virus seed can be pooled
to make a monovalent virus pool.
the approved- limit.
2. 3. 4 Inactivation of monovalent virus pool
2. 2. 3 Control tests on virus seed lots
Add a quantity of formalin into the monovalent
For master seed lot, comprehensive control tests
virus pool which is then kept at 2-8°C for 7-10 days
described below shall be conducted; for working
for inactivation.
seed lot, tests described in Sections 2. 2. 3. 1-
2. 2. 3. 4 shall be carried out at least. 2. 3. 5 Concentration and purification
2. 2. 3. 1 Identity test 2. 3. 5. 1 Concentration
Hemagglutination-inhibition test shall be conducted Concentrate the inactivated monovalent virus pool
with the corresponding subtype specific immune by ultrafiltration. The HA titer of the concen-
serum for typing identification of hemagglutinin. trated virus pool shall be not less than 1 : 10240.
The result shall prove that the antigenicity of the 2. 3. 5. 2 Purification
test virus is in compliance with that of the Carry out the purification of the concentrated virus
recommended viral strain. pool by column chromatography or sucrose density
2. 2. 3. 2 Virus hemagglutination ( HA) test gradient zonal centrifugation. If the latter method
The HA titer shall be not less than 1 : 120 is adopted, the sucrose shall be removed by means
determined by hemagglutination method. of ultrafiltration. The purified virus pool shall be
sterilized by filtration to make a monovalent bulk.
2. 2. 3. 3 Sterility test
It complies with the test for sterility ( Appendix 2. 3. 6 Storage
XII A). Monovalent bulk shall be stored at 2-8°C.

2. 2. 3. 4 Test for mycoplasmas 2. 3. 7 Control tests on monovalent bulk


It complies with the test for mycoplasmas See Section 3. 1.
( Appendix XII B). 2. 4 Final bulk
2. 2. 3. 5 Tests for adventitious avian leucosis viruses 2. 4. 1 Formulation
Influenza Vaccine (Whole Virion), Inactivated

The monovalent virus bulks of different types of hours. Then soak the plate in PBS for 1 hour
virus can be pooled in proportion and properly followed by desiccation, staining and destaining.
diluted according to their respective hemagglutinin Measure precisely the diameters of the
content. Thimerosal is added as a preservative to precipitation ring ( A value) formed by the test
make the final bulk. samples. Figure out the linear regression equation
2. 4. 2 Control tests on final bulk by plotting the log of the concentration of the
reference antigen with the log of its corresponding
See Section 3. 2.
A value. The hemagglutinin content of the test
2. 5 Final product sample is calculated by inserting the log A value
2. 5. 1 Defining batches into the liner regression equation. It shall be not
The Requirements for Defining Batches of less than 90 µg of each strain per ml.
Biologics shall apply. 3. 1. 4 Sterility test
2. 5. 2 Filling It complies with the test for sterility ( Appendix
The Requirements for Filling and Lyophilization of XII A). .
Biologics shall apply. 3. 2 Control tests on final bulk
2. 5. 3 Specifications 3. 2. 1 Content of free formaldehyde
0. 5 ml or 1. 0 ml per container. 0. 5 ml or 1. 0 ml The content of free formaldehyde shall be not more
per single human dose containing not less than 15 than 50 µg/dose (Appendix VI L).
µg of hemagglutinin/virus strain.
3. 2. 2 Thimerosal content
2. 5. 4 Packaging The thimerosal content shall be not more than
The Requirements for Packaging of Biologics shall 50 µg/ dose (Appendix Vll B).
apply.
3. 2. 3 Hemagglutinin content
3 Control tests See Section 3. 1. 3. It shall be not less than
3. 1 Control tests on monovalent bulk 15 µg/ strain/ dose.
3. 1. 1 Identity test 3. 2. 4 Sterility test
Carry out the test of hemagglutination inhibition or It complies with the test for sterility ( Appendix
radial immunodiff usion ( RID) using the corre- XII A).
sponding subtype of specific antiserum ( See 3. 3 Control tests on final product
Section 3. 1. 3 ) . The result shall prove that the
3. 3. 1 Identity test
antigenicity of the test sample is in compliance with
Carry out the RID test using the corresponding
that of the recommended strain.
subtype specific antiserum. The results shall
3. 1. 2 Validation test for effective inactivation prove that the antigenicity of the test vaccine is in
Inoculate the virus suspensions at undiluted, 10-1 compliance with that of the recommended strains.
and 10-2 dilutions respectively into the allantoic
3. 3. 2. Inspection on final containers
cavity groups. Each group consists of ten chick
The vaccine shall be a slightly milky-white liquid
embryos of 9-11 days old and the inoculum is 0. 2
free of foreign matters.
ml for each embryo. Incubate the inoculated eggs
at 33-35°C for 72 hours. The embryos in that die 3. 3. 3 Filling quantity
within 24 hours after inoculation shall be excluded It complies with the requirements for filling
from evaluation. At least 80 % of the embryos in (Appendix I A). The quantity shall be not less
each group shall survive the observation period. than the stated value.
0. 5 ml of allantoic fluid from each surviving 3. 3. 4 Chemical tests
embryo in each group shall be taken and mixed for
blind passage. Inoculate O. 2 ml of the mixed 3. 3. 4. 1 pH
material from each group into each of another ten The pH shall be 6. 8-8. 0 (Appendix V A).
chick embryos. Incubate the eggs at 33-35°C for 3. 3. 4. 2 Thimerosal content
72 hours. The allantoic fluid shall be sampled for The thimerosal content shall be not more than 50
test of hemagglutination test. The results of these µg/ dose ( Appendix Vll B).
three groups shall be negative (This test can also
be conducted after inactivation of pooled monovalent 3. 3. 4. 3 Total protein content
virus bulk). The total protein content shall be not more than
300 µg/dose ( Appendix VI B, method 2) and
3. 1. 3 Hemagglutinin content shall not exceed 6 times of the HA content in the
The determination of hemagglutinin content can be vaccme.
conducted by RID method. Add 10 µl of the
reference antigen and test sample separately into 3. 3. 5 Hemagglutinin content
the individual wells 3 mm in diameter on the 1. 5 % See Section 3. 1. 3. It shall be not less than 15
agarose gel plate containing reference antibody. µg/ strain/ dose.
Incubate the plates at 20-25°C for at least 18 3. 3. 6 Content of ovalbumin
Hepatitis B Vaccine Made by Recombinant DNA Techniques in Yeast

The content of ovalbumin shall be not more than Anaphylactic reactions occur usually in the recipients
1000 ng/ dose determined by ELISA ( arbitration with a history of allergy reaction to egg protein.
method) or counter immunoelectrophoresismethod. [ Contraindications J
3. 3. 7 Test for bacterial endotoxin ( 1) Subjects with fever, acute diseases or common
The content of bacterial endotoxin shall be not cold.
more than 100 EU per human dose ( Appendix (2) Those with a history of Guillain-Barresyndrome.
XII E, the limit test of gel-clot method). (3) Those with a history of allergy reaction to egg
protein, or with other allergic conditions.
3. 3. 8 Sterility test
( 4) Women in pregnancy.
It complies with the test for sterility ( Appendix
XII A). [Precautions J
Cl) Intravenous injection of the vaccine is strictly
3. 3. 9 Test for abnormal toxicity
contraindicated!
It complies with the test for abnormal toxicity
(2) Revaccination is prohibited if any neurological
(Appendix XII F).
involvement occurs after injection.
4 Storage, shipping and validity period ( 3) Do not use the vaccine if any leakage of
Store and ship at 2-8°C, protected from light. container or illegible label or any clumps not
The validity period of the vaccine is 12 months dispersed on shaking in the product is found.
starting from the date when the test for hemag- ( 4) The recipients shall take a rest for a while on
glutinin content proved qualified. site following immunization. Adrenaline should be
5 Package inserts available for first aid in case of severe anaphylactic
reactions.
Directions for Use of Influenza Vaccine ( 5) Freezing of the vaccine is strictly contrain-
(Whole Virion), Inactivated dicated.
[Drug name] [Storage]
Adopted name: Influenza Vaccine (Whole Virion), Store and ship at 2-8°C, protected from light.
Inactivated ·
[Packaging]
[ Constituents and charactersJ
Influenza vaccine ( whole virion) is a preparation [Validity period]
made from the prevalent strains or similar strains 12 months.
of influenza virus type A and type B grown [Standardfor implementation]
separately in embryonated eggs. After incubation,
[Product license numberJ
the virus suspensions in allantoic cavities are
harvested. The vaccine is prepared by inactivation, J
[Manufacturer
concentration and purification of the virus. It is a Name:
slightly milky-white liquid, containing .thimerosal Address:
as a preservative. Zip code:
Tel:
[Eligibles] Fax:
C?ildren aged above 12 years, adults and elderly Web site:
persons.
[Function and use]
The product can induce immunity against influenza
virus in recipients following immunization. It is Hepatitis B Vaccine Made by
used to prevent influenza.
Recombinant DNA Techniques in Yeast
[ Specifications J
0. 5 ml or 1. 0 ml per container. 0. 5 ml or 1. 0 ml
per single human dose containing not less than 15 Recombinant hepatitis B vaccine in yeast is a
µg of hemagglutinin/virus strain. preparation of purified hepatitis B surface antigen
( HBsAg) , expressed by the recombinant yeast.
[ Administration and dosageJ After purification of the HBsAg, an aluminum
Inject i. m. the vaccine in the deltoid muscle of the adjuvant is added to the purified HBsAg to make
lateral upper arm. the vaccine. It is used to prevent hepatitis B.
[ Adverse reactionsJ 1 Basic requirements
Erythema and swelling, pain, tenderness or The facilities, source and subsidiary materials,
itching at the injection site may appear in a few water, apparatus and animals used for production
people between 12 and 24 hours after injection. and control tests shall comply with the require-
Normally it does not last long or affect recipient's ments set forth in the General Notices.
normal activity. A few recipients may manifest
systemic reactions, such as myalgia, arthralgia , 2 Manufacturing
headache, malaise, and fever. 2. 1 Yeast seed for vaccine production
Hepatitis B Vaccine Made by Recombinant DNA Techniques in Yeast

2. 1. 1 Name and origin of seed 2. 2. 4. 2 Protein content


The primary recombinant yeast seed No. 2150-2-3 The protein content shall be 20. 0-27. 0 µg/ml or
( pHBS56-GAP347/33) expressing HBsAg obtained 60. 0-81. 0 µg/ml (Appendix VI B, method 2).
from Merck Sharp and Dahme Co. , Inc. is used 2. 2. 4. 3 Specific protein band
for the vaccine production. Other approved Carry out the test for specific protein band
recombinant yeast seeds expressing HBsAg can (Appendix N C). The molecular weight shall be
also be used. within the range of 20-25 kD.
2. 1. 2 Establishment of seed lot system
2. 2. 4. 4 Purity
It complies with the Requirements for Bacterial and
Carry out the test for purity by immunoblot
Viral Strains/Seeds Used for Production and
(Appendix VDI A). The sample shall not show any
Quality Control of Biologics.
irrelevant protein bands of yeast protein other than
The yeast seed provided by MSD is expanded by
that accepted by the NCL.
one subculture to prepare the master seed lot.
Carry out the test for purity by HPLC method
Working seed lots are prepared by a single passage
(Appendix ill B). The content of HBsAg shall be
of expanding propagation removed from the master
not less than 99. 0 % ; or the content of contami-
seed lot.
nated protein shall be not more than 1. 0 %.
2. 1. 3 Control tests on seed lots
2. 2. 4. 5 Content of bacterial endotoxin
Control tests described below shall be fully imple-
It shall be less than 10, EU per human dose
mented for both master and working seed lots.
(Appendix XII E, the limit test of gel-clot method).
2. 1. 3. 1 Test for the purity of cultures
2. 2. 5 Bulk
Inoculate the culture sample onto Columbia blood
agar plate and enzymatic soya protein agar plate. 2. 2. 5. 1 Formulation
Inc.ubate at 20-25°C and 30-35°C separately for 5-7 A quantity of formalin is added to the purified
days. No bacteria or other fungi shall be detected. product, and kept at 37°C for a certain period of
time. The bulk is then made by adding aluminum
2. 1. 3. 2 Test for plasmid retaining rate
hydroxide for adsorption and thimerosal as a
The retaining rate of the plasmids shall be not less
preservative.
than 95 % by replica plating technique.
· 2. 2. 5. 2 Control tests on bulk
2. 1. 4 Storage of yeast seeds
See Section 3. 1.
The master and working seed lots shall be
preserved in liquid nitrogen. The storage period of 2. · 3 · Final bulk
working seed lots in -70°C freezer shall not 2. 3. 1 Formulation
exceed 6 months. The final bulk is made by blending the bulk in
2. 2 Bulk which the protein content is 20. 0-27. 0 µg/ml or
60. 0-81. 0 µg/ml with an equal volume of aluminum
2. 2. 1 Fermentation
adjuvant or in the proportion of 1 : 5.
The working seed lot is subject to three-step
fermentation, i. e. cultivations in Erlenmeyer 2. 3. 2 Control tests on final bulk
flasks, bioreactor and fermentor successively at a See Section 3. 2.
suitable temperature for a certain period of time.
2. 4 Final product
The harvested yeast cells shall be kept frozen.
2. 4. 1 Defining batches
2. 2. 2 Control tests on fermented products
The Requirements for Defining Batches of
2. 2. 2. 1 Test for the purity of cultures Biologics shall apply.
See Section 2. 1. 3. 1.
2. 4. 2 Filling
2. 2. 2. 2 Test for plasmid retaining rate The Requirements for Filling and Lyophilization of
The retaining rate of the plasmids shall be not less Biologics shall apply.
than 90 % by .replica plating technique.
2. 4. 3 Specifications
2. 2. 3 Purification 0. 5 ml or 1. 0 ml per container. O. 5 ml per single
Cell disruptor is used to crush the yeast cells. human dose containing 5 µg of HBsAg or 1. 0 ml
Remove the cell debris. Conduct preliminary per single human dose containing 10 µg of HBsAg.
purificationof HBsAg by means of silica gel adsorption
2. 4. 4 Packaging
followed by hydrophobic chromatography for · further
The Requirements for Packaging of Biologics shall
purification. After thiocyanate treatment the
apply.
product is diluted and sterilized by filtration.
3 Control tests
2. 2. 4 Control tests on purified product
3. 1 Control tests on bulk
2. 2. 4. 1 Sterility test
It complies with the test for sterility (Appendix XII 3. 1. 1 Test for completeness of adsorption
A). After adsorption with aluminum hydroxide, the
Hepatitis B Vaccine Made by Recombinant DNA Techniques in Yeast

test sample shall be centrifuged ( 6500 g) for 5 immediately to get the content homogenized. Keep
minutes. The HBsAg contents in the reference the tubes standing for 15 minutes at room
preparation, the test sample and the supernatant temperature. Determination of the absorbance of
of the test sample shall be determined according to each tube shall be carried out at a wavelength of.
Appendix X A. The linear regression equation is 340 nm against physiological saline as the blank
obtained by plotting the log of the HBsAg control. The linear regression equation is obtained
concentration of the reference against the log of its by plotting the content of Triton X-100 in the
absorbance value. The correlation coefficient of standard against its average absorbance to figure
the regression equation shall be not less than 0. 99. out the correlation coefficient which shall be not
The contents of HBsAg can be figured out by less than 0. 99. The content of Triton X-100 is
using the regression equation with the absorbance calculated by using the regression equation with
values of the sample and the supernatant. The the average absorbance of the supernatant of the
rate of adsorption can be calculated according to test sample. It shall be less than 15. 0 µg/ml.
the following formula, and shall be not less than
3. 2 Control tests on final bulk
95%.
3. 2. 1 Chemical tests
P = ( 1 - ~: ) X 100 % 3. 2. 1. 1 pH
Where P=rate of adsorption ( %)
The pH shall be 5. 5-7. 2 (Appendix V A).
"Cs= HBsAg content in the supernatant of 3. 2. 1. 2 Content of free formaldehyde
test sample ( µg/ ml) ; It shall be less than 20 µg/ml (Appendix VI L).
C = HBsAg content in the test sample 3. 2. 1. 3 Aluminum content
(µg/ml).
The aluminum content shall be 0. 35-0. 62 mg/ml
3. 1. 2 Thiocyanate content (Appendix VI[ F).
Take the test sample before thimerosal is added.
3. 2. 1. 4 Thimerosal content
Centrifuge . ( 6500 g) for 5 minutes and collect the
The thimerosal content shall be 30-70 µg/ml
supernatant. The following reagents shall be (Appendix VI[ B).
successively added into the test tubes in duplicate:
thiocyanate standard solutions ( 1. 0 µg, 2. 5 µg, 3. 2. 1. 5 Osmolarity
5. 0 µg and 10 µg/ml), the supernatant of test The osmolarity shall be 280 + 65 mOsmol/L
sample, and physiological saline, and the volume (Appendix V H).
of each reagent shall be 5. 0 ml. Then into each 3. 2. 2 Sterility test
tube add 0. 5 ml of borate buffer ( pH 9. 2), 0. 5 It complies with the test for sterility ( Appendix
ml of 2. 25 % chloramines T-physiological saline XII A).
and 1. 0 ml of 50 % pyridine solution ( formulated
with physiological saline ) successively. After 3. 2. 3 Test for bacterial endotoxin
addition of each reagent, the tube shall be shaken The content of bacterial endotoxin shall be less than
immediately to get the content homogenized. Keep 10 EU/ml (Appendix XII E, the limit test of gel-
the tubes standing for lQ minutes when all the clot method).
above reagents have been added. Determination of 3. 3 Control tests on final product
the absorbance of each tube shall be carried out at
a wavelength of 415 nm against physiological saline 3. 3. 1 Identity test
as the blank control. The linear regression The HBsAg shall be identified by ELISA.
equation is obtained by plotting the content of the 3. 3. 2 Inspection on final containers
thiocyanate in the standard against its average The product is a milky-white suspension. Stratified
absorbance to figure out the correlation coefficient precipitates may form which can be dispersed by
which shall be not less than 0. 99. The content of shaking. No clumps shall be found on shaking.
the thiocyanate is calculated by using the
regression equation with the average absorbance of 3. 3. 3 Chemical tests
the supernatant of the test sample. It shall be less 3. 3. 3. 1 pH
than 1. 0 µg/ ml. The pH shall be 5. 5-7. 2 (Appendix V A).
3. 1. 3 Content of Triton X-100 3. 3. 3. 2 Aluminum content
Take the test sample before thimerosal is added. The aluminum content shall be 0. 35-0. 62 mg/ml
Centrifuge ( 6500 g) for 5 minutes and collect. ( Appendix VI[ F).
The following reagents shall be successively added
3. 3. 3. 3 Thimerosal content
into the test tubes in duplicate: Triton X-100
The thimerosal content shall be 30-70 µg/ml
standard solutions ( 5 µg, 10 µg, 20 µg, 30 µg
(Appendix VI[ B).
and 40 µg/ml), the supernatant of test sample and
physiological saline, and the volume of each 3. 3. 4 Relative potency
reagent shall be 2. 0 ml. Add 1. 0 ml of 5% (V/V) The relative potency in vitro shall be not less than
phenol solution into each tube and shake the tubes 0. 5 (Appendix X A).
Hepatitis B Vaccine Made by Recombinant DNA Techniques in CHO Cell

3. 3. 5 Sterility test injection or low fever may appear in a few people.


It complies with the test for sterility ( Appendix Normally no treatment is necessary. It could be
XI[ A). relieved spontaneously. Systemic treatment could
be adopted in case of need.
3. 3. 6 Test for abnormal toxicity
It complies with the test for abnormal toxicity [Contraindications]
( Appendix XI[ F). (1) Subjects with fever, acute disease or serious
chronic diseases;
3. 3. 7 Test for bacterial endotoxin
(2) Those with a history of allergic reaction to
The content of bacterial endotoxin shall be less
yeast.
than 10 EU/ml (Appendix XI[ E, the limit test of
gel-clot method). [Precautions J
( 1) Shake the container well before use.
4 Storage, shipping and validity period
(2) Do not use the vaccine if any leakage of
Store and ship at 2-8°C, protected from light.
container or clumps not dispersed on shaking is
The validity period of the vaccine is 24 months
found.
starting from the date when the potency test
(3) The recipients shall take a rest for a while on
proved qualified.
site following immunization. Adrenaline should be
S Package inserts available for first aid in case of severe anaphylactic
Directions for Use of Hepatitis B Vaccine Made by reactions.
'Recombinant DNA Techniques in Yeast ( 4) Freezing of the vaccine is contraindicated.

[Drug name] [Storage]


Adopted name: Hepatitis B Vaccine Made by Store and ship at 2-8°C, protected from light.
Recombinant DNA Techniques in Yeast [Packaging]
[Constituents and characters] [Validity period]
The vaccine is a preparation of purified hepatitis B 24 months.
surface antigen ( HBsAg), expressed by the
[Standard for implementation]
recombinant yeast. After purification an aluminum
adjuvant is added to the purified HBsAg for [Product license numberJ
adsorption. The vaccine is a milky-white suspension J
[Manufacturer
with a slight precipitate which can be dispersed on Name:
shaking. It contains thimerosal as a preservative. Address:
[Eligibles] Zip code:
The subjects susceptible to hepatitis B virus, Tel:
particularly for the following: Fax:
(1) Newborns, especially those whose mothers Web site:
are HBsAg and/or HBeAg positive;
(2) The health care personnel or the laboratory
workers handling human blood.
[Function and use] Hepatitis B Vaccine Made by Recom-
The product can induce immunity against hepatitis binant DNA Techniques in CHO Cell
B virus in recipients following immunization. It is
used to prevent hepatitis B.
Recombinant hepatitis B vaccine in CHO cells is a
[Specifications] preparation of purified hepatitis B surface antigen
0. 5 ml or 1. 0 ml per container. 0. 5 ml per single ( HBsAg) , expressed by the recombinant CHO
human dose containing 5 µg of HBsAg or 1. 0 ml cells. After purification of the HBsAg, a quantity
per single human dose containing 10 µg of HBsAg. of aluminum hydroxide is added as an adjuvant to
[ Administration and dosageJ make the vaccine. It is used to prevent hepatitis
(1) Inject i. m. the vaccine in the deltoid muscle B.
of the lateral upper arm. 1 Basic requirements
( 2) Three injections. are required for a complete The facilities, source and subsidiary materials,
immunization course at the schedule of O, 1 and 6 water, apparatus and animals used for production
months. The first injection for the newborns shall and control tests shall comply with the require-
be given within 24 hours after birth. For the ments set forth in the General Notices.
eligibles under 16 years of age, each single human
2 Manufacturing
dose contains 5 µg of HBsAg, and 10 µg for those
above 16 years of age. 2. 1 Cell substrates for vaccine production
[ Adverse reactionsJ 2. 1. 1 Name and origin of cell strain
Erythema and swelling and pam at the site of The CHO cell strain c, expressing HBsAg obtained
Hepatitis B Vaccine Made by Recombinant DNA Techniques in CHO Cell

by recombinant DNA techniques is used for the 2. 3 Final bulk


vaccine production. 2. 3. 1 Formulation
2. 1. 2 Establishment of cell banks Dilute the bulk according to its protein content to
The Requirements for Preparation and Control of make a final concentration of HBsAg of 10 µg/ml
Animal Cell Substrates Used for Production of or 20 µg/ml. Add aluminum hydroxide for
Biologics shall apply. adsorption and thimerosal as a preservative to
The master cell bank shall not exceed the 21th · make the final bulk. ,
passage; the working cell bank shall not exceed 2. 3. 2 Control tests on final bulk
the 26th passage; the cells used in vaccine See Section 3. 2.
production shall not exceed the 34th passage.
2. 4 Final product
2. 1. 3 Control tests on cell banks
The Requirements for Preparation and Control of 2. 4. 1 Defining batches
Animal Cell Substrates Used for Production of The Requirements for Defining Batches of
Biologics shall apply. Biologics shall apply.
2. 1. 3. 1 Tests for adventitious viruses 2. 4. 2 Filling
The tests for bacteria and fungi, mycoplasmas and The Requirements for Filling and Lyophilization of
adventitious viruses shall comply with the require- Biologics shall apply.
ments. 2. 4. 3 Specifications
2. 1. 3. 2 Identity test 1. 0 ml per container. 1. 0 mt per single human
Any approaches such as isoenzyme analysis, dose containing 10 µg or 20 µg of HBsAg.
biochemical tests, immunological, cytological as 2. 4. 4 Packaging
well as the genetic marker tests can be used for the The Requirements for Packaging of Biologics shall
identification of the typical CHO cell. apply.
2. 1. 3. 3 Expressed quantity of HBsAg 3 Control tests
The expressing level of HBsAg in the cells from
3. 1 Control tests on bulk
master and working cell banks shall be not less
than that of the primary cell bank. 3. 1. 1 Protein content
The protein content shall be 100-200 µg/ml
2. 1. 4 Storage of cell seeds
(Appendix VI B, method 2).
The cell seeds shall be stored in a liquid nitrogen.
3. 1. 2 Specific protein bands
2. 2 Bulk
Carry out the test for specific protein bands
2. 2. 1 Cell substrate preparation ( Appendix N C). The protein bands of 23 kD and
Cell cultures are dispersed by trypsinization and 27 kD shall be shown in the separation gel, and
cultivated under an optimum condition. the protein band of 30 kD and the band of dimer of
HBsAg may also be shown.
2. 2. 2 Culture medium
DMEM containing a quantity of inactivated calf 3. 1. 3 Purity
serum can be used as the culture medium. The Carry out the test for purity by HPLC (Appendix
quality of calf serum shall comply with the require- III B ) .. SEC-HPLC method: Size exclusion
ments in Appendix XIII D. chromatographic column filled with hydrophilic
resin is used. Exclusion limit is lower than
2. 2. 3 Harvest
1000 kD, porosity is 100 nm, granularity is
Harvest the culture supernatant when the expressed
17 µm, internal diameter is 7. 5 mm and column
HBsAg content has reached over 1. 0 mg/L.
length is 30 cm. Flow phase is 0. 05 mol/L
2. 2. 4 Purification phosphate buffer of pH 6. 8. The detecting
Purification of HBsAg should be carried out using wavelength is 280 nm. The purity of HBsAg shall
the approval method. be not less than 95. 0 % calculated based on the
2. 2. 5 Formaldehyde treatment area normalization method.
A quantity of formalin is added to the purified 3. 1. 4 Content of residual bovine serum albumin
HBsAg in a proportion of 1 : 2000. Keep the The content of residual bovine serum albumin shall
treated HBsAg at 37°C for 72 hours. be not more than 50 ng/ dose determined by
2. 2. 6 Sterilization by filtration ELISA.
After ultrafiltration, concentration and sterilization 3. 1. 5 Residual DNA content of CHO cells
by filtration, the treated HBsAg is defined as the The residual DNA content of CHO cells shall be
bulk ( the process of sterilization by filtration can not more than 10 pg/ml (Appendix IX B).
also be carried out before formaldehyde treatment).
3. 1. 6 Content of residual CHO cell proteins
2. 2. 7 Control tests on bulk The content of residual CHO cell proteins shall be
See Section 3. 1. not more than 0. 05 % of the total protein content
Hepatitis B Vaccine Made by Recombinant DNA Techniques in CHO Cell

determined by immunoenzymemetric assay. 4 Storage and validity period


Store and ship at 2-8°C, protected from light.
3. 1. 7 Sterility test
It complies with the test for sterility ( Appendix The validity period of the vaccine is 24 months
starting from the date when the potency test
XII A).
proved qualified.
3. 1. 8 Test for mycoplasmas
5 Package inserts
It complies with the test for mycoplasmas
(Appendix XII B). Directions for Use of Hepatitis B Vaccine Made by
Recombinant DNA Techniques in CHO Cell
3. 2 Control tests on final bulk
[Drug name]
3. 2. 1 Sterility test
Adopted name: Hepatitis B Vaccine Made by
It complies with the test for sterility ( Appendix
Recombinant DNA Techniques in CHO Cell
XII A).
[ Constituents and characters]
3. 2. 2 Test for bacterial endotoxin
Recombinant hepatitis B vaccine in CHO cells is a
The content of bacterial endotoxin shall be less
preparation' of purified hepatitis B surface antigen
than 10 EU per human' dose (Appendix XII E, the
( HBsAg), expressed by the recombinant CHO
limit test of gel-clot method).
cells. After purification of the HBsAg, a quantity
3. 3 Control tests on final product of aluminum hydroxide is added to make the
vaccine. The vaccine is a milky-white suspension
3. 3. 1 Identity test
with a slight precipitate which can be dispersed on
The HBsAg shall be identified by ELISA.
shaking. It contains thimerosal as a preservative.
3. 3. 2 Inspection on final containers
[Eligibles]
The product is a milky-white suspension Stratified
The subjects susceptible to hepatitis B virus,
precipitates may form which can be dispersed on
particularly for the following:
shaking. No clumps shall be found on shaking.
(1) Newborns, especially those whose mothers
3. 3. 3 Chemical tests are HBsAg and/or HBeAg positive.
3. 3. 3. 1 pH (2) The medical and nursing staffs or the
The pH shall be 5. 5-6. 8 (Appendix V A). laboratory workers handling human blood.

3. 3. 3. 2 Aluminum content [Function and use]


The aluminum content shall be not more than The product can induce immunity against hepatitis
0. 43 mg/ml (Appendix VII F). B virus in recipients following immunization. It is
used to prevent hepatitis B.
3. 3. 3. 3 Thimerosal content
The thimerosal content shall be not more than [ Specifications J
100 µg/ml (Appendix VII B). 1. 0 ml per container. 1. 0 ml per single human
dose containing 10 µg or 20 µg of HBsAg.
3. 3. 3. 4 Content of free formaldehyde
It shall be not more than 50 µg/ ml ( Appendix [ Administration and dosageJ
(1) Inject i. m. the vaccine in the deltoid muscle of
VIL).
the lateral upper arm.
3. 3. 4 Potency test ( 2) Three injections are required for a complete
Dilute the sample of test vaccine serially. immunization course at the schedule of O, 1 and 6
Inoculate 1. 0 ml of each dilution i. p. into each of months. For newborns the first injection shall be
twenty NIH mice or BALB/ c mice (female, non- given within 24 hours after birth. For the
pregnant) of 4-5 weeks old. The reference vaccine susceptible subjects, each single human dose
shall be tested in parallel as a control. Animals are contains 10 µg of HBsAg and for the newborns
bled 4-6 weeks after inoculation. Determine the whose mothers are HBsAg and/or HBeAg positive,
anti-HBs by RIA or ELISA and calculate the EDso. each single human dose contains 20 µg of HBsAg.
The ratio of the ED50 of the test vaccine to the EDso
[ Adverse reactionsJ
of reference vaccine shall be not less than 1. 0.
Erythema and swelling and pain at the site of
3. 3. 5 Sterility test injection or low fever may appear in a few people.
It complies with the test for sterility ( Appendix Normally no treatment is necessary. It could be
XII A). relieved spontaneously, Systemic treatment could
3. 3. 6 Test for abnormal toxicity be adopted in case of need.
It complies with the test for abnormal toxicity [ Contraindications J
( Appendix XII F). (1) Subjects with fever, acute or serious chronic
3. 3. 7 Test for bacterial endotoxin diseases.
The content of bacterial endotoxin shall be less (2) Those with a history of allergy.
than 10 EU per human dose (Appendix XII E, the [Precautions]
limit test of gel-clot method). (1) Shake the vaccine container well before use.
Hepatitis A Vaccine, Live

(2) Do not use the vaccine, if any leakages of the doublings for 'the primary cell bank shall be the
container or clumps not dispersed on shaking are 14th; for the master cell bank be the 31st; for the
found. working cell bank be the 44th.
(3) The recipients shall take a rest for a while on
2. 1. 2 Cell substrate preparation
site following immunization. Adrenaline should be
Cells in one or several ampoules taken from
available for first aid in case of severe anaphylactic
working cell bank are resurrected and mixed to
reactions.
grow into monolayer. After digestion with a
( 4) Freezing of the vaccineis strictly contraindicated
suitable concentration of trypsin, the dispersed
[Storage] cells can be incubated stationarily or by using roller
Store and ship at 2-8°C, protected from light. bottles at 37°C+o. 5°C.
[Packaging] 2. 2 Virus seeds
[Validity period] 2. 2. 1 · Name and origin of virus strains
24 months. The HA V · attenuated strain H2 or L-A-1 can used
[Standard for implementation] as the seed for vaccine production.

[Product license numberJ 2. 2. 2 Establishment of seed lot system


It complies with the Requirements for Bacterial and
[Manufacturer J Viral Strains/Seeds Used for Production and
Name r . Quality Control of Biologics.
Address: The vaccine production shall be based on a seed lot
Zip code: system. The final product shall not exceed the
Tel: 15th passage for the virus strain H2 , and shall not
Fax: exceed the 27th passage for the virus strain L-A-1.
Web site:
2. 2. 3 Control tests on virus seed lots
For master seed lot, comprehensive control tests
described below shall be carried out; for working
seed lot, tests described in Sections 2. 2. 3. 1-
Hepatitis A Vaccine, Live 2. 2. 3. 4 shall be carried out at least.
2. 2. 3. 1 Identity test
The hepatitis A vaccine is a liquid preparation of Mix specific anti-HA serum with high titer and
the live attenuated strain of hepatitis A virus HA-negative serum with an equal volume of HA
( HA V) grown in human diploid cells. After virus (500-1000 CCID50/ml), respectively. Keep
cultivation and harvest, the virus suspension is the virus-serum mixtures in 37°C water bath for 60
purified to make the vaccine. It is used to prevent minutes. Inoculate the incubated mixtures onto
hepatitis A. the monolayers of human diploid cells. Incubate
the cultures at 35°C till the virus replicates to its
1 Basic requirements
peak, then harvest and extract the HAV with
The facilities, source and subsidiary materials,
routine process. Determine the HA virus by
water, apparatus and animals used for production
ELISA, it shall be completely neutralized and the
and control tests shall comply with the require-
virus mixed with HA-negative serum can be
ments set forth in the General Notices.
detected.
2 Manufacturing
2. 2. 3. 2 Virus titration
2. 1 Cell substrates for production The sample of seed virus shall be diluted 10-fold
Human diploid cells (strain KMB11or strain 2BS) serially. Inoculate at least three consecutive
can be used for the vaccine production. dilutions of the virus suspensions into culture
2. 1. 1 Management and control tests on cell banks tubes containing human diploid cells. Incubate at
The Requirements for Preparation and Control of 35°C till the virus replicates to its peak. Collect
Animal Cell Substrates Used for Production of and release the virus after harvest, and determine
Biologics shall apply. its titer by ELISA. The HAV titer shall be not
The cell cultures derived from the cells of one or less than 6. 50 lg CCIDso/ ml.
several ampoules from the same lot of working cell 2. 2. 3. 3 Sterility test
bank through resurrection and · propagation shall It complies with the test for sterility ( Appendix
only be used for the production of one lot of XII A).
vaccme.
2. 2. 3. 4 Test for mycoplasmas
For strain KMB17, the maximum number of
It complies with the test for mycoplasmas
population doublings for the primary cell bank
(Appendix XII B).
shall be the 6th; for the master cell bank be the
15th, for the working cell bank be the 45th. 2. 2. 3. 5 Tests for adventitious viruses
For strain 2B5, the maximum number of population It complies with the tests for adventitious viruses
Hepatitis A Vaccine, Live

(Appendix XII C). 2. 3. 3 Tests for adventitious viruses m control


2. 2. ·3. 6 Test for immunogenicity cells
The original vaccine prepared from the virus seed It complies with the tests for adventitious viruses
(Appendix XII C).
of the master seed lot is subject to the test.
Immunize a group of at least forty HA-susceptible 2. 3. 4 Virus inoculation, release and incubation
persons with the vaccine following routine Inoculate the working seed virus at an optimal
practice. Take blood samples from the recipients MOI onto the human diploid cell cultures.
before and 6-8 weeks after inoculation. The Incubate the virus-inoculated cultures at 35°C +
seroconversion rate shall be not less than 90 %. 0. 5°C till the virus replicates to its peak. Replace
2. 2. 3. 7 Tests for safety and immunogenicity in the culture medium with maintenance medium after
monkeys flushing the cell sheets with enough rinsing solution.
The vaccine produced by the master seed virus is 2. 3. 5 Virus harvest
subject to the tests. Inoculate 1. 0 ml of sample of Harvest the cultured suspension containing the
the vaccine with a titer not less than 6. 50 supernatant and HAV infected cells. Treat the
lg CCID50 / ml into the vein of the lower limb of suspension with ultrasonic wave and/ or several
each of five healthy Macaca rhesus or stumptailed cycles of freezing and thawing. Purify the virus by
monkeys ( HA antibody negative, with normal means of chloroform extraction.
ALT value, weighing 1. 5-4. 5 kg ). Liver
2. 3. 6 Pooling
punctures for histopathological examination shall
After purification a number of single harvests
be applied to each monkey in O, the 4th and the
derived from the same batch of cell cultures can be
8th weeks respectively after immunization. Blood
pooled into one batch of bulk under a strictly
samples shall be taken from each monkey in O, the
aseptic condition.
2nd, the 3rd, the 4th, the 6th, and the 8th
weeks respectively for the determination of ALT 2. 3. 7 Control tests
and HA antibody. Two healthy monkeys shall be See Section 3. 1.
reserved as negative control. 2. 4 Final bulk
The test sample passes the tests if the results
comply with the following criteria. 2. 4. 1 Formulation
( 1) Seroconversionoccurs in at least four monkeys. The bulk can be properly diluted according to its
(2) No more than two monkeys can show a transient virus titer. A quantity of stabilizer is added to
elevation of ALT value that occurs only in one make the final bulk.
week during the observation period. 2. 4. 2 Control tests on final bulk
(3) No pathological changes in liver are related to See Section 3. 2.
the inoculated sample.
Retest is permitted if one of the following conditions 2. 5 Final product
occurs: 2. 5. 1 Defining batches
( 1 ) Seroconversion happens in less than four of The Requirements for Defining Batches of
the five inoculated monkeys. Biologics shall apply.
(2) Abnormal increases of ALT value more than 2
times are shown before and within 2 weeks after 2. 5. 2 Filling
seroconversion. The Requirements for Filling and Lyophilization of
(3) Pathological changes in liver occur in the test Biologics shall apply.
monkeys, but irrelevant causes can not be 2. 5. 3 Specifications
excluded. 1. 0 ml per container. 1. 0 ml per single human
The vaccine shall be judged as unqualified if any dose containing not less than 6. 50 lg CCIDsoof live
one of the above mentioned conditions appear again HA virus.
in the retest.
2. 5. 4 Packaging
2. 2. 4 Storage of virus seed lots The Requirements for Packaging of Biologics shall
The virus seed lots shall be stored at or below apply.
-60°C.
3 Control tests
2. 3 Bulk
3. 1 Control tests on bulk
2. 3. 1 Cell substrate preparation
3. 1. 1 Virus titration
See Section 2. 1. 2.
See Section 2. 2. 3. 2. The virus titer of the bulk
2. 3. 2 Culture medium shall be not less than 7. 00 lg CCID50 / ml.
MEM containing a quantity of inactivated newborn
3. 1. 2 Sterility test
calf serum shall be used as the culture medium. ·
Other suitable media can also be used. The quality
It complies with the test for sterility ( Appendix
of calf serum shall comply with the requirements in
XII A).
Appendix XIIl D. 3. 1. 3 Test for mycoplasmas
Hepatitis A Vaccine, Live

It complies with the test for mycoplasmas [Eligibles]


( Appendix XII B). Hepatitis A susceptible individuals above the age
of 18 months.
3. 2 Control tests on final bulk
3. 2. 1 Sterility test [Function and use]
It complies with the test for sterility ( Appendix The product can induce immunity against hepatitis
XII A). A virus in recipients following immunization. It is
used to prevent hepatitis A.
3. 2. 2 Content of residual chloroform
The content of residual chloroform shall be not [ Specifications J
more than 0. 1 % (Appendix VI 0). 1. 0 ml of reconstituted vaccine per container.
1. 0 ml per single human dose containing not less
3. 3 Control tests on final product than 6. 50 lg CCID50 of live hepatitis A virus.
3. 3. 1 Identity test [ Administration and dosageJ
The test shall be conducted by ELISA and the Inject 1. 0 ml s. c. the vaccine at deltoid insertion
HA V antigen shall be demonstrated. area of the lateral upper arm.
3. 3. 2 Inspection on final containers [ Adverse reactionsJ
The product is a clear liquid free of foreign A few recipients might have pain, erythema and
matters. swelling at the injection site, which could generally be
3. 3. 3 Virus titration relieved spontaneously within 3 days. Occasionally
See Section 2. 2. 3. 2. A mixture of three to five skin rash may appear and no special treatment is
containers of vaccine shall be made for virus necessary. Symptomatic treatment could be helpful
titration. The virus titer shall be not less than in case of need.
6. 50 lg CCID50/ml. [ Contraindications]
3. 3. 4 Thermostability test ( 1) Subjects with discomfort, body temperature
Before release the final product shall be subject to (subaxillary) over 37. 5°C.
thermostability test and the test shall be performed (2) Those with acute infectious disease or other
at the same time with virus titration in parallel. serious diseases.
The vaccine samples that have been exposed at (3) Those with immunodeficiency or receivmg
37°C for 48 hours shall be titrated following immunosuppressant.
Section 2. 2. 3. 2. The loss of titer of the heat ( 4) Those with a history of allergy.
exposed vaccine shall be not more than 0. 50 lg.
[Precautions J
3. 3. 5 Content of residual bovine serum albumin ( 1) Care should be taken to avoid contacting the
The content of residual bovine serum albumin shall vaccine by disinfectant during opening the
be not more than 50 · ng/ dose determined by container and in the course of injection.
ELISA. (2) Do not use the vaccine if any leakage of
3. 3. 6 Sterility test container, foreign matters, or turbidity of content
It complies with the test for sterility ( Appendix is found.
XII A). (3) The immunization of hepatitis A vaccine
should be deferred for at least one month following
3. 3. 7 Test for abnormal toxicity administration of immunoglobulin.
It complies with the test for abnormal toxicity ( 4) Use the vaccine cautiously for pregnant women.
(Appendix XII F). ( 5) Freezing of vaccine is contraindicated.
4 Storage, shipping and validity period [Storage and shipping]
Store and ship at 2-8°C , protected· from light. Store and ship at 2-8°C , protected from light.
The validity period of the vaccine is 5 months
starting from the date when the virus titration [Packaging].
proved qualified. [Validity period]
5 Package inserts 5 months.
Directions for Use of Hepatitis A Vaccine, Live [Standard for implementation]
[Drug name] [Product license numberJ
Adopted name: Hepatitis A Vaccine, Live J
[Manufacturer
[Constituents and characters] Name:
The hepatitis A vaccine is a liquid preparation of Address:
the live attenuated strain of hepatitis A virus Zip code:
( HA V) grown in human diploid cells. After Tel:
cultivation and harvest, the virus suspension is Fax:
purified to make the vaccine. It is a clear liquid. Web site:
Hepatitis A (Live) Vaccine, Freeze-dried

seed lot not exceed the 14th. For strain L-A-1 ,


the passage of the primary seed lot shall not exceed
the 17th; that of the master seed lot not exceed
Hepatitis A (Live) Vaccine, Freeze- the 18th; and that of the working seed lot not
exceed the 26th.
dried
2. 2. 3 Control tests on virus seed lots
For master seed lot, comprehensive control tests
The hepatitis A vaccine is a freeze-dried preparation of described below shall be carried out; for working
the live attenuated strain of hepatitis A virus seed lot, tests described in Sections 2. 2. 3. 1-
( HA V) grown in human diploid cell cultures. 2. 2. 3. 4 shall be carried out at least.
After cultivation and harvest, the virus suspension
is purified and lyophilized after adding an appro- 2. 2. 3. 1 Identity test
priate stabilizer to make the vaccine. It is used to Mix specific anti-HA serum with high titer and
prevent hepatitis A. HA negative serum with an equal volume of HA
virus ( 500-1000 CCID50/ml), respectively. Keep
1 Basic requirements the virus-serum mixtures in 37°C water bath for 60
The facilities, source and subsidiary materials, minutes, Inoculate the incubated mixtures onto
water, apparatus and animals used for production the monolayers of human diploid cells. Incubate
and control tests shall comply with the require- the cultures at 35°C till the virus replicates to its
ments set forth in the General Notices. peak, then harvest and extract the HA V with
2 Manufacturing routine process. Determine the HA virus by
ELISA, it shall be completely neutralized and the
2. 1 Cell substrates for vaccine production
virus mixed with HA negative serum can be
Human diploid cells (strain KMB17 or strain 2BS)
detected.
can be used for. the vaccine production.
2. 2. 3. 2 Virus titration
2. 1. 1 Management and control tests on cell banks
The sample of seed virus shall be diluted 10-fold
The Requirements for Preparation and Control of
serially. Inoculate at least three consecutive
Animal Cell Substrates Used for Production of
dilutions of the virus suspensions into tubes
Biologics shall apply.
containing human diploid cells. Incubate at 35°C
The cell cultures derived from the cells of one or
till the virus replicates to its peak. Collect and
several ampoules from the same lot of working cell
release the virus after harvest, and determine its
bank through resurrection and propagation shall
titer by ELISA. The HAV titer shall be not less
only be used for the production of one batch of
than 6. 50 lg CCIDso/ml.
vaccme.
For strain KMB17 , the maximum number of 2. 2. 3. 3 Sterility test
population doublings for the primary cell bank It complies with the test for sterility ( Appendix
shall be the 6th; for the master cell bank be the XII A).
15th, for the working cell bank be the 45th. 2. 2. 3. 4 Test for mycoplasmas
For strain 2BS, the maximum number of It complies with the test for mycoplasmas
population doublings for the primary cell bank (Appendix XII B).
shall be the 14th ; for the master cell bank be the
31st ; for the working cell bank be the 44th. 2. 2. 3. 5 Tests for adventitious viruses
It complies with the tests for adventitious viruses
2. 1. 2 Cell substrate preparation ( Appendix XII C).
Cells in one or several ampoules taken from
working cell bank are resurrected and mixed to 2. 2. 3. 6 Test for immunogenicity
grow into monolayer. After digestion with a The original vaccine prepared from the virus seed
suitable concentration of trypsin, the dispersed of the master seed lot is subject to the test.
cells can be incubated stationarily or by using roller Immunize a group of at least forty HA-susceptible
bottles at 37°C+o. 5°C. persons with the vaccine following routine
practice. Take blood samples from the recipients
2. 2 Virus seeds before and 6-8 weeks after inoculation. The
2. 2. 1 Name and origin of virus strains seroconversion rate shall be not less than 90 %.
The HAV attenuated strain H2 or L-A-1 can be 2. 2. 3. 7 Tests for safety and immunogenicity in
used as the seed for vaccine production. monkeys
2. 2. 2 Establishment of seed lot system The vaccine produced by the master seed virus is
It complies with the Requirements for Bacterial and subject to the tests. Inoculate 1. 0 ml of sample of
Viral Strains/Seeds Used for Production and the vaccine with a titer not less than 6. 50
Quality Control of Biologics. lg CCID50 / ml into the vein of the lower limb of
For strain H2, the passage of the primary seed lot each of five healthy Macaca rhesus or stumptailed
shall not exceed the 7th; that of the master seed monkeys ( HA antibody negative, with normal
lot not exceed the 8th; and that of the working ALT value, weighing 1. 5-4. 5 kg). Liver punctures
Hepatitis A (Live) Vaccine, Freeze-dried

for histopathological examination shall be applied After purification a number of single harvests
to each monkey in O, the 4th and the 8th weeks derived from the same batch of cell cultures can be
respectively after immunization. Blood samples pooled into one batch of bulk under a strictly
shall be taken from each monkey in O, the 2nd, aseptic condition.
the 3rd, the 4th, the 6th, and the 8th weeks
2. 3. 7 Control tests
respectively for the determination of ALT and HA
See Section 3. 1.
antibody. Two healthy monkeys shall be reserved
as negative control. 2. 4 Final bulk
The test sample passes the tests if the results 2. 4. 1 Formulation
comply with the following criteria: The bulk can be properly diluted according to its
( 1) Seroconversion occurs in at least four virus titer. A quantity of stabilizer is added to
monkeys. make the final bulk.
(2) No more than two monkeys can show a
transient elevation of ALT value that occurs only 2. 4. 2 Control tests on final bulk
in one week during the observation period. See Section 3. 2.
(3) No pathological changes in liver are related to 2. 5 Final product
the inoculated sample.
Retest is permitted if one of the following conditions 2. 5. 1 Defining batches
occurs. The Requirements for Defining Batches of
( 1 ) Seroconversion happens in less than four of Biologics shall apply.
the five inoculated monkeys. 2. 5. 2 Filling and lyophilization
(2) Abnormal elevation of ALT value more than The Requirements for Filling and Lyophilization of
two times are shown within two weeks before and Biologics shall apply.
after seroconversion.
2. 5. 3 Specifications
(3) Pathological changes in liver occur in the test
1. 0 ml of reconstituted vaccine per container.
monkeys, but irrelevant causes can not be excluded.
1. 0 ml per single human dose containing not less
The vaccine shall be judged as unqualified if any
than 6. 50 lg CCID50 of live HA virus.
one of the above mentioned conditions appears
again in the retest. 2. 5. 4 Packaging
The Requirements for Packaging of Biologics shall
2. 2. 4 Storage of virus seed lots
apply.
The virus seed lots shall be stored at or below
-60°C. 3 Control tests
2. 3 Bulk 3. 1 Control tests on bulk
2. 3. 1 Cell substrate preparation 3. 1. 1 Virus titration
See Section 2. 1. 2. See Section 2. 2. 3. 2. The virus titer of the bulk
2. 3. 2 Culture medium shall be not less than 7. 00 lg CCID50 / ml.
MEM containing a quantity of inactivated newborn 3. 1. 2 Sterility test
calf serum shall be used as the culture medium. It complies with the test for sterility ( Appendix
Other suitable media can also be used. The.quality XII A).
of calf serum shall comply with the requirements in
3. 1. 3 Test for mycoplasmas
Appendix XIII D.
It complies with the test for mycoplasmas
2. 3. 3 Tests for adventitiousviruses in control cells (Appendix XII B).
It complies with the tests for adventitious viruses
3. 2 Control test on final bulk
(Appendix XII C).
3. 2. 1 Sterility test
2. 3. 4 Virus inoculation and incubation
It complies with the test for sterility ( Appendix
Inoculate the working seed virus at an optimal
XII A).
MOI onto the human diploid cells. Incubate the
virus-inoculated cultures at 35°C + 0. 5°C till the 3. 2. 2 Content of residual chloroform
virus replicates to its peak. Replace the culture The content of residual chloroform shall be not
medium with maintenance medium after flushing more than 0. 1 % (Appendix VI 0).
the cell sheets with enough rinsing solution. 3. 3 Control tests on final product
2. 3. 5 Virus harvest Other than the determination of moisture content,
Harvest the cultured suspension containing the sterile water for injection shall be added as stated
supernatant and HA V infected cells. Treat the on the label, and the reconstituted product shall
suspension with ultrasonic wave and/or several be subject to the following tests.
cycles of freezing and thawing. · Puri£y the virus by 3. 3. 1 Identity test
means of chloroform extraction. The test shall be conducted by ELISA and the
2. 3. 6 Pooling HA V antigen shall be demonstrated.
Poliomyelitis Vaccine in Dragee Candy (Human Diploid Cell), Live

3. 3. 2 Inspection on final containers [ Specifications J


It looks like a milky-white crisp cake. After 1. 0 ml of reconstituted vaccine per container.
reconstitution it turns into a clear liquid and free of 1. 0 ml per single human dose containing not less
foreign matters. than 6. 50 lg CCID50 of live hepatitis A virus.
3. 3. 3 Moisture content [ Administration and dosageJ
The residual moisture content shall be not more Reconstitute the vaccine with the stated amount of
than 3. 0% (Appendix VI[ D). sterile water for injection. Shake the container till
the content is reconstituted completely before use.
3. 3. 4 Virus titration
Inject 1. 0 ml s. c. the reconstituted vaccine at
See Section 2. 2. 3. 2. A mixture of three to five
deltoid insertion area of the lateral upper arm.
containers of vaccine shall be made for virus
titration. The virus titer shall be not less than [ Adverse reactionsJ
6. 50 lg CCIDso/ml. A few recipients might have pain, erythema and
swelling at the injection site, which could
3. 3. 5 Thermostability test generally be relieved spontaneously within 3 days.
Before release the final product shall be subject to Occasionally skin rash may appear and no special
thermostability test and the test shall be performed treatment is necessary. Symptomatic treatment
at the same time with virus titration in parallel. could be helpful in case of need.
The vaccine samples that have been exposed at
37°C for 72 hours shall be titrated following [ Contraindications]
Section 2. 2. 3. 2. The loss of titer of the heat ( 1) Subjects with discomfort, body temperature
exposed vaccine shall be not more than 0. 50 lg. (subaxillary) over 37. 5°C.
( 2) Those with acute infectious disease or other
3. 3. 6 Content of residual bovine serum albumin serious diseases.
The content of residual bovine serum albumin shall (3) Those with immunodeficiency or receivmg
be not more than 50 ng/ dose determined by ELISA immunosuppressant.
3. 3. 7 Sterility test ( 4) Those with a history of allergy.
It complies with the test for sterility ( Appendix [Precautions]
XII A). (1) Care should be taken to avoid contacting the
3. 3. 8 Test for abnormal toxicity vaccine by disinfectant during opening the
It complies with the test for abnormal toxicity container and in the course of injection.
(Appendix XII F). ( 2 ) Do not use the vaccine if any leakage of
container, foreign matters, or turbidity of content
4 Storage, shipping and validity period is found.
Store and ship at 2-8°C, protected from light. (3) The immunization of hepatitis A vaccine
The validity period of the vaccine is 18 months should be deferred for at least one month following
starting from the date when the virus titration administration of immunoglobulin.
proved qualified. ( 4) Use the vaccine cautiously for pregnant women.
5 Package inserts [Storage and shipping]
Directions for Use of Hepatitis A (Live) Store and ship at 2-8°C, protected from light.
Vaccine, Freeze-dried [Packaging]
[Drug name] [Validity period]
Adopted name: Hepatitis A (Live) Vaccine, 18 months.
Freeze-dried
[Standard for implementation J
[ Constituents and characters]
[Product license numberJ
The freeze-dried hepatitis A vaccine is a preparation
of the live attenuated strain of hepatitis A virus [Manufacturer J
( HA V) grown in human diploid cell cultures. Name:
After cultivation and harvest, the virus suspension Address:
is purified, and lyophilized after adding an appro- Zip code:
priate stabilizer to make the vaccine. It iooks like Tel:
a milky-white crisp cake; after reconstitution it Fax:
turns into a clear liquid. Web site:
[Eligibles]
Hepatitis A susceptible individuals above the age
of 18 months.
Poliomyelitis Vaccine in Dragee Candy
[Function and useJ
The product can induce immunity against hepatitis
(Human Diploid Cell) ; Live
A virus in recipients following immunization. It is
used to prevent hepatitis A. The poliomyelitis vaccine in dragee candy is a
Poliomyelitis Vaccine in Dragee Candy (Human Diploid Cell), Live

preparation of live attenuated poliovirus ( types is defined as the master seed lot.
I , ]l , and III ) grown in human diploid cell The passage level of the Sabin master seed is
cultures. After cultivation, the virus suspension SO+ 1. The passage level of Zhong III 2 master
is harvested and made into a dragee candy form. It virus seed is Zhong III 2 1. The master virus seed
is used to prevent poliomyelitis. of type III Pfizer strain is RSOL
1 Basic requirements 2. 2. 2. 3 Working seed lot
The facilities, source and subsidiary materials, A batch of virus suspension of uniform composition,
water, apparatus and animals used for production which is prepared from the master seed virus by
and control tests shall comply with the require- subculture for one to two passages in human
ments set forth in the General Notices. diploid cells, is defined as the working seed lot.
2 Manufacturing 2. 2. 3 Virus passage
For the passages from the primary seed lot to the
2. 1 Cell substrates for vaccine production
working seed lot, Sabin I , II and other purified
Human diploid cell cultures shall be used for the
strains as well as Zhong III 2 shall not exceed three
vaccine production.
passages; Sabin III and other purified strains
2. 1. 1 Management and control tests on cell including Pfizer strain shall not exceed two
substrates passages.
The Requirements for Preparation and Control of The cell cultures used for the preparation of virus
Animal Cell Substrates Used for .Production of seed lot for the production of vaccine shall be
Biologics shall apply. limited to fetal monkey kidney cells or human
The cell cultures derived from the cells of one or diploid cells.
several ampoules from the same lot of working cell 2. 2. 4 Control tests on virus seed lots
bank through resurrection and propagation shall For master and working seed lots, comprehensive
only be used for the production of one lot of control tests described below shall be conducted,
vaccme. unless otherwise specified.
The maximum number of population doublings for
the master cell seedbank shall be the 23rd; for the 2. 2. 4. 1 Identity test
working cell bank shall be the 27th ; and for the A quantity of the virus sample is mixed with an
final product shall be the 44th. equal volume of monovalent antiserum against
poliovirus type I , type II or type III corre-
2. 1. 2 Cell substrate preparation spondingly. After incubation at 35-37°C for 1-2
The cells from the working cell bank are resurrected hours, the incubated mixture is inoculated onto
and expanded to produce a collection of cell cultures. Hep-2 or other susceptible cells. Read the results
The cell of monolayer is digested by 0. 25 % trypsin following incubation at 35-36°C for 7 days after
and the dispersed cells are further expanded with inoculation. The virus type shall be identified
an appropriate split rate .. Cultivate the cells at serologically without any suspicions. The corre-
37°C for anchorage in a stationary way or in a sponding serum control and cell control shall be set
rolling bottles. up in parallel and their results shall be negative.
2. 2 Virus seeds The result of virus control must be positive.
2. 2. 1 Name and origin of virus strains 2. 2. 4. 2 Virus titration
The virus strains used as the seeds for the vaccine Micro-titration method is adopted. Samples shall
production shall be Types I , II and· III be diluted 10-fold serially. Inoculate virus
attenuated strains, such as Sabin strain ( Types suspensions at different dilutions onto Hep-2 or
I , II and III), purified Sabin strain (Types I , other susceptible cells. Incubate the inoculated
II and III ) , Zhong III 2 strain or other approved cell cultures at 35-36°C for 7 days. The titer shall
strains. be not less than 6. 5 lg CCID50 / ml. During virus
titration the virus reference shall be titrated in
2. 2. 2 Establishment of seed lot system parallel.
It complies with the Requirements for Bacterial and
Viral Strains/Seeds Used for Production and 2. 2. 4. 3 Sterility test
Quality Control of Biologics. It complies with the test for sterility ( Appendix
XI[ A).
2. 2. 2. 1 Primary seed lot
Strains of Sabin types I , II , III and Zhong III 2 2. 2. 4. 4 Test for mycoplasmas
were prepared and are preserved by the original It complies with the test for . mycoplasmas
researchers. (Appendix XI[ B).

2. 2. 2. 2 Master seed lot 2. 2. 4. 5 Tests for adventitious viruses


A batch of virus suspension of uniform It complies with the tests for adventitious viruses
(Appendix XI[ C).
composition, which is prepared by subculture for
one to two passages from the primary seed virus in 2. 2. 4. 6 Test for B virus with rabbits
fetal monkey kidney cells or human diploid cells, The pooled virus seed suspension shall be subject
Poliomyelitis Vaccine in Dragee Candy (Human Diploid Cell), Live

to the test. If the test can not be conducted media can be used for cell culture medium. The
immediately, the samples shall be stored at or quality of calf serum shall comply with the
below -20°C. At least five healthy rabbits requirements in Appendix X1U D. MEM or other
weighing 1. 5-2. 5 kg each are used for the test. suitable media without calf serum can be used as
Each rabbit receives 10 ml of sample, of which 9 maintenance medium.
ml is for subcutaneous injection, the remaining 2. 3. 3 Tests for adventitious viruses in control
1. 0 ml is for intracutaneous injections at multiple cells
sites. Observe the rabbits for 3 weeks. At the It complies with the tests for adventitious viruses
end of observation period, the number of survivals (Appendix XI[ C).
shall be not less than 80 % of the test animals.
The test is considered satisfactory if signs of B 2. 3. 4 Inoculation and incubation
virus or other viral. infections are found. Autopsy Inoculate seed virus proportional to the cell
shall be carried out if any of the test rabbits dies 24 density. After virus inoculation, incubate the cell
hours after inoculation or the animals manifest cultures at (33+0. 5)°C. Normally the CPE shall
symptoms and signs suggestive of B virus develop fully between 40 and 96 hours after
infection. Keep the tissue specimens of nervous inoculation.
system and viscera of the dead rabbits for further 2. 3. 5 Virus harvest
examination, and emulsify the brain tissue into After clarification through filtration, the virus
10% suspension that is used to inject another five suspensions are pooled to make the monovalent
healthy rabbits with the same method mentioned bulk.
above.
2. 3. 6 Pooling or concentration
2. 2. 4. 7 Test for immunogenicity The monovalent virus bulks can be pooled or
Inoculate at least thirty poliomyelitis-susceptible concentrated.
children ( with the antibody titer < 1 : 4, before
2. 3. 7 Control tests on monovalent bulk
immunization) as routine practice with the original
See Section 3. 1.
vaccine prepared from the master seed virus.
Determine the neutralization antibody titer of 2. 4 Final bulk
serum samples taken before and one month after 2. 4. 1 Formulation
inoculation. The seroconversion rate shall be not Add magnesium chloride into the monovalent bulk
less than 95 %. to a final concentration of 1 mol/L to make the
2. 2. 4. 8 Test for neurovirulence in monkeys monovalent final bulk The . final . bulks of individual
It complies with the neurovirulence test in three types are mixed in a certain proportion to
monkeys (Appendix XI L). make the trivalent final bulk.
2. 2. 4. 9 rct-Marker test 2. 4. 2 Control tests on final bulk
The suspension of monovalent virus is titrated in See Section 3. 2.
cell cultures incubated at 36°C + 0. 1 °C and 2. 5 Final product
40°C +o. 1 °C, separately. The t-control ( seed virus
for production or vaccine known to be safe to 2. 5. 1 Vaccine dragee preparation
susceptible human) shall be set up. The rct- Mix a quantity of trivalent vaccine bulk with
Marker for the monovalent virus suspension is excipient proportionally in the rolling pot. During
considered qualified if the titer difference resulted the process of rolling the temperature in the
from the titrations which are incubated at workshop shall be at or below l8°C.
36°C+o. 1 °C and 40°C + 0.1 °C is not lower than 2. 5. 2 Defining batches
5. 0 lg for both the monovalent virus suspension The Requirements for Defining Batches of
and the t-control. Biologics shall apply.. The dragees made on the
2. 2. 4. 10 Test for nucleotide sequence of SV40 same date can be defined as one lot. The dragees
made in different pots shall be defined as different
Carry out the test for nucleotide sequence of SV40
sub-lots.
(Appendix IX H). The result shall be negative.
2. 5. 3 Filling
2. 2. 5 Storage of virus seeds
The Requirements for Filling and Lyophilization of
Add magnesium chloride to the liquid virus seed to
Biologics shall apply.
a final concentration of 1 mol/L. The liquid virus
seeds shall be kept at or below -60°C. 2. 5. 4 Specifications
1 g per single dragee containing not less than 5. 95
2. 3 Bulk
lg CCID~ain total of live polioviruses , of which not
2. 3. 1 Cell substrate preparation less than 5. 8 lg CCID50 for type I , not less than
See Section 2. 1. 2. 4. 8 lg CCIDso for type II and not less than 5. 3
2. 3. 2 Culture medium lg CCIDsofor type ID •
MEM containing lacto-albumin hydrolysate and a 2. 5. 5 Packaging
quantity of inactivated calf serum or other suitable The Requirements for Packaging of Biologics shall
Poliomyelitis Vaccine in Dragee Candy (Human Diploid Cell), Live

apply. of heterotypic antibody shall be preciselydetermined in


advance in order to calibrate the result of virus
3 Control tests
titration. See Section 2. 2. 4. 2. The total virus
3. 1 Control tests on bulk content in trivalent vaccine shall be not less than
3. 1. 1 Identity test 5. 95 lg CCID5o per dragee , of which the live
See Section 2. 2. 4. 1. poliomyelitis virus contents for type I , type II
and type ill shall be not less than 5. 8 lg CCID50,
3. 1. 2 Virus titration not . less than 4. 8 lg CCID50 and not less than
See Section 2. 2. 3. 2. The titer shall be not less 5. 3 lg CCID50, respectively.
than 6. 5 lg CCIDs0/ml.
3. 3. 5 Thermostability test
3. 1. 3 Test for neurovirulence in monkeys Before release the final product is subject to
It complies with the neurovirulence test in
thermostability test, and the virus titration shall
monkeys ( Appendix XI L). be carried out simultaneously. The vaccine that
3. 1. 4 Sterility test has been exposed at 37°C for 48 hours shall be
It complies with the test for sterility. ( Appendix titrated according to Section 2. 2. 4. 2. The virus
XI[ A). titer shall be not less than 5. 0 lg CCID50• The loss
of titer of the exposed vaccine shall be not more
3. 1. 5 Test for mycoplasmas
than 1. 0 lg.
It complies with the test for mycoplasmas
(Appendix XI[ B). 3. 3. 6 Uniformity of virus distribution
At least ten dragees shall be sampled from each
3. 2 Control tests on final bulk
batch to validate the uniformity of virus distribution
3. 2. 1 Virus titration between dragees , which shall be tested on each
See Section 2. 2. 4. 2. The titer of trivalent vaccine dragee basis. The difference of virus content
of final bulk shall be not less than 7. 15 lg ccmo/ml between dragees shall be not more than 0. 5 lg.
in total, of which not less than 7. 0 lg CCID50 / ml
for type I , · not less than 6. 0 lg CCID50/ml for 3. 3. 7 Test for contaminating microorganisms
type II and not less than 6. 5 lg CCIDso/ml for At least ten dragees shall be sampled from each
type m. rolling pot, and the samples of dragees prepared
on the same date can be mixed for testing. The
3. 2. 2 Sterility test number of contaminating microorganisms in one
It -complies with the test for sterility ( Appendix dragee of trivalent vaccine shall not exceed 300.
XI[ A).
3. 3. 8 Test for pathogenic bacteria
3. 3 Control tests on final product No ~-hemolytic streptococcus or pathogenic
200-300 dragees are sampled from each rolling pot. intestinal bacteria, E. coli shall be present in the
3. 3. 1 Identity test vaccine.
Mix the test sample with a quantity of the mixed 3. 3. 8. 1 Test for ~-hemolytic streptococcus
antiserum of three types. The mixture is Inoculate 0. 5 ml of 1 : 10 diluted vaccine into a
incubated at 35-37°C for 1-2 hours and then test tube of broth. After incubation at 37°C for 24
inoculated onto Hep-2 or other appropriate cell hours, transfer the cultured broth onto a blood
cultures. After incubation at 35-36°C for 7 days, plate by streaks and incubate at 37°C for 24 hours.
no CPE shall be found. Both the results of No ~-hemolytic streptococcus growth shall occur
controls of cell cultures and antiserum shall be (if the source and subsidiary materials used in the
negative. The control of virus shall be positive. product have passed the test, it is not necessary to
3. 3. 2 Inspection on final product test the final product).
The vaccine is in a form of white solid dragee. 3. 3. 8. 2 Test for pathogenic intestinal bacteria
3. 3. 3 Weight variation Inoculate 1. 0 ml of 1 : 10 diluted vaccine into a
Each time twenty dragees shall be sampled and test tube of GN medium or broth enrichment
weighed on each dragee basis. The weight for medium. After incubation at 37°C for 6-24 hours,
trivalent vaccine is 1 g+ O. 15 g per dragee. transfer the cultured material on an indicator plate
by streaks and incubate at 37°C for 24 hours. If
3. 3. 4 Virus titration
Gram-negative bacteria are found, further determi-
One hundred dragees from every three to four pots
nation is necessary to identify whether they are
shall be combined into one batch for the test.
pathogenic intestinal bacteria ..
Dissolve 100 dragees in 1000 ml of Earle solution
to make 1 : 10 dilution. Suitable dilutions are 3. 3. 8. 3 Test for E. coli
employed for virus titration by CPE method. Inoculate 2 ml of the sample into each of three test
For trivalent vaccine the total virus content shall tubes of Kessler medium or MacConkey broth
be determined. At the same time the virus titer of medium. Incubate at 37°C for 48 hours, no acid
each type shall be determined separately by means or gas shall be produced. If it does, further tests
of neutralization. However, the cross-inhibition are necessary to identify if they are E. coli.
Poliomyelitis (Live) Vaccine (Monkey Kidney Cell), Oral

4 Storage, shipping and validity period higher than 37°C) water, do not take it with hot
From the date when the virus titration proved water.
qualified, the validity period of the vaccine shall [ Storage and shipping]
be 24 months if stored at or below -20°C; it shall
Store and ship at or below -20°C or 2-8°C, protected
be 5 months if stored at 2-8°C. Only one kind of
from light.
storage temperature and validity period shall be
prescribed on the label. The vaccine shall be [Packaging]
shipped under refrigeration. [Validity period]
5 Package inserts 24 months if stored at or below -20°C; 5 months
at 2-8°C ( Only one kind of storage temperature
Directions for Use of Poliomyelitis Vaccine in
and validity period can be prescribed on the label).
Dragee Candy (Human Diploid Cell) , Live
[Standard for implementation]
[Drug name]
Adopted name: Poliomyelitis Vaccine in Dragee [Product license numberJ
Candy (Human Diploid Cell), Live J
[Manufacturer
[ Constituents and characters] Name:
The vaccine is made from attenuated poliovirus Address:
strains (Types I , II & ill) grown separately in Zip code:
human diploid cells. After cultivation virus Tel: .
suspension is harvested to prepare the dragee- Fax:
candy vaccine. The trivalent vaccine is a white Web site:
solid dragee candy.
[Eligibles]
Mainly for children at or above 2 months of age.
Poliomyelitis (Live) Vaccine ( Monkey
[Function and use]
The product can induce immunity against Kidney Cell) , Oral
poliovirus in recipients following immunization. It
is used to prevent poliomyelitis. The poliomyelitis vaccine is a preparation of live
[ Specifications J attenuated poliovirus c types I , II , and ill )
1 g per single dragee contammg not less than grown in monkey kidney cell cultures. After
5. 95 lg CCID5o in total of live polioviruses, 1 of cultivation, the virus suspension is harvested and
which not less than 5. 8 lg CCID50 for type I , not prepared in a liquid form of either monovalent or
less than 4. 8 lg CCID50 for type II and not less trivalent vaccine. It is used to prevent poliomyelitis.
than 5. 3 lg CCIDsofor type ill. 1 Basic requirements
[ Administration and dosageJ The facilities, source and subsidiary materials,
The primary immunization should start at 2 water, apparatus and animals used for production
months of age. Three doses shall be administered and control tests shall comply with the require-
orally in the 1st year of age at intervals of 4-6 ments set forth in the General Notices.
weeks. One booster shall be given in the 4th year 2 Manufacturing
of age. One dragee is one single human dose. The
administration is also recommended for other age 2. 1 Ceil substrates for vaccine production
groups in case of need. The primary monkey kidney cells are used for the
vaccine production.
[ Adverse reactionsJ
Normally there are no adverse reactions after oral 2. 1. 1 Management and control tests on cell
administration. A few recipients might . have substrates
fever, nausea, vomiting, and diarrhea or skin The Requirements for Preparation and Control of
rashes. No particular treatment is necessary. Animal Cell Substrates Used for Production of
Symptomatic treatment could be helpful if needed. Biologics shall apply.
Rhesus monkeys shall be selected and quarantined
[ ContraindicationsJ for at least 6 weeks. Monkeys from which the
(1) Subjects with fever, acute infectious diseases.
kidneys are extracted for preparing the cell cultures
(2) Those with immunodeficiency diseases, or must be healthy and have never been used
those undergoing immunosuppressive therapy. previously for other experiments. The monkeys
( 3) Women in pregnancy. shall be free from tuberculosis, B virus infection
[Precautions] and other acute infectious diseases. They shall
(1) The vaccine is for oral intake exclusively; do also be demonstrated to be free from the circulating
not use it for injection. antibodies against foamy viruses. The animals that
(2) The vaccine is a live virus vaccine, it is have serious purulent lesions, neoplasms, and
recommended to take the dragee with warm ( not obvious pathologic changes in liver or kidneys shall
Poliomyelitis (Live) Vaccine (Monkey Kidney Cell), Oral

not be used in the vaccine production. spondingly, After incubation at 35-37 °C for 1-2
2. 1. 2 Cell substrate preparation hours, the incubated mixture is inoculated onto the
Extract the kidneys from healthy monkeys meeting cell cultures of monkey kidney, Hep-2 or other
the requirements in Section 2. 1. 1. After trypsin- susceptible cells. Read the results following
incubation at 35-36°C for 7 days after inoculation.
ization incuhate the dispersed cells at 3 7 °C + 0. 5 °C
The virus type shall be identified serologically
for 6-9 days to form monolayers. The cell cultures
without any suspicions. The corresponding serum
prepared from kidneys of one single monkey are
control and cell control shall be set up in parallel
defined as one cell lot.
and their results shall be negative. The result of
2. 2 Virus seeds virus control must be positive.
2. 2. 1 Name and origin of virus strains 2. 2. 4. 2 Virus titration
The virus strains used as the seeds for the vaccine Micro-titration method is adopted. Samples shall
production shall be types I , II and III attenuated be diluted 10-fold serially. Inoculate virus suspensions
strains, such as Sabin strain ( types I , II and at different dilutions onto monkey kidney cells,
III) ,. purified Sabin strain ( types I , II and III ) , Hep-2 or other susceptible cells. Incubate the
Zhong III 2 strain or other approved strains. inoculated cell cultures at 35-36 °C for 7 days. The
2. 2. 2 Establishment of seed lot system titer shall be not less than 6. 5 lg CCID50/ml.
It complies with the Requirements for Bacterial and During virus titration the virus reference shall be
Viral Strains/Seeds Used for Production and titrated in parallel.
Quality Control of Biologics. 2. 2. 4. 3 Sterility test
2. 2. 2. 1 Primary seed lot It complies with the test for sterility ( Appendix
Strains of Sabin types I , II , III and Zhong III z XII A).
are prepared and are preserved by the original 2. 2. 4. 4 Test for mycoplasmas
researchers. It complies with the test for mycoplasmas
(Appendix XII B).
2. 2. 2. 2 Master seed lot
A batch of virus suspension of uniform 2. 2. 4. 5 Tests for adventitious viruses
composition, which is prepared by subculture of It complies with the tests for adventitious viruses
one to two passages from the primary seed virus in (Appendix XII C).
fetal monkey kidney cells or human diploid cells, 2. 2. 4. 6 Test for B virus with rabbits
is defined as the master seed lot. The pooled virus seed suspension shall be subject
The passage level of the Sabin master seed is to the test. If the test can not be conducted
SO+ 1. The passage level of Zhong III 2 master immediately, the samples shall be stored at or
virus seed is Zhong III 2 1. The master virus seed of below -20°C. At least five healthy rabbits
type III Pfizer strain is RSOl. weighing 1. 5-2. 5 kg each are used for the test.
2. 2. 2. 3 Working seed lot Each rabbit receives 10 ml of sample, of which 9
A batch of virus suspension of uniform composition, ml is for subcutaneous injection, the remaining
which is prepared from the master seed virus by 1. o ml is for intracutaneous injections at multiple
subculture of a single passage in fetal monkey sites. Observe the rabbits for 3 weeks. At the
kidney cell cultures or human diploid cells, is end of observation period, the number of survivals
defined as the working seed lot. shall be not less than 80% of the test animals.
The test is considered satisfactory if signs of B
2. 2. 3 Virus passage
· virus or other viral infections are found. Autopsy
For the passages from the primary seed lot to the
shall be carried out if any of the test rabbits dies 24
working seed lot, Sabin I , II and other purified
hours after inoculation or the animals manifest
strains as well as Zhong III 2 shall not exceed three
symptoms and signs suggestive of B virus
passages; Sabin III and other purified strains
infection. Keep the tissue specimens of nervous
includingPfizer strain shall not exceed two passages.
system and viscera of the dead rabbits for further
The cell cultures used for the preparation of virus
examination, arid emulsify the brain tissue into
seed lot for the production of vaccine shall be
10% suspension that is used to inject another five
limited to fetal monkey kidney cells or human
healthy rabbits with the same method mentioned
diploid cells.
above.
2. 2. 4 Control tests on virus seed lots
2. 2. 4. 7 T~st for immunogenicity
For master and working seed fots, comprehensive
Inoculate at least thirty poliomyelitis-susceptible
control tests described below shall be conducted,
children ( with the antibody titer < 1 : 4, before
unless otherwise specified.
immunization) as routine practice with the original
2. 2. 4. 1 Identity test vaccine prepared from the master seed virus.
A quantity of the virus sample is mixed with an Determine the neutralization antibody titer of
equal volume of monovalent antiserum against serum samples taken before and one month after
poliovirus type I , type II or type III corre- inoculation. The seroconversion rate shall be not
Poliomyelitis (Live) Vaccine (Monkey Kidney Cell), Oral

less than 95% . to a final concentration of 1 mol/L to make the


2. 2. 4. 8 Test for neurovirulence in monkeys monovalent final bulk. The final bulks of individual
It complies with the neurovirulence test in three types are mixed in a certain proportion to
monkeys (Appendix XI L). make the trivalent final bulk.

2. 2. 4. 9 rct-Marker test 2. 4. 2 Control tests on final bulk


The suspension of monovalent virus is titrated in See Section 3. 2.
cell cultures incubated at 36°C + 0. 1 °C and 2. 5 Final product
40°C ±0. l°C, separately. The t-control ( seed virus 2. 5. 1 Defining batches
for production or vaccine known to be safe to The Requirements for Defining Batches of
susceptible human) shall be set up. The rct- Biologics shall apply.
Marker for the monovalent virus suspension is
considered qualified if the titer difference resulted 2. 5. 2 Filling
from the titrations which are incubated at The Requirements for Filling and Lyophilization of
36°C ±0. 1 °C and 40°C + 0. 1 °C is not lower than Biologics shall apply.
5. 0 lg for both the monovalent virus suspension 2. 5. 3 Specifications
and the t-control. 1. 0 ml per container. Two drops ( equivalent to
2. 2. 4. 10 Test for nucleotide sequence of SV40 0. 1 ml) per single human dose containing not less
Carry out the test for nucleotide sequence of SV40 than 6. 15 lg CCID50 in total of live poliovirus , on
(Appendix IX H). The result shall be negative. which not less than 6. 0 lg CCID50 for type I , not
less than 5. 0 lg CCID50 for type If and not less
2. 2. 5 Storage of virus seeds than 5. 5 lg CCIDsofor type ill.
Add magnesium chloride to the liquid virus seed to
a final concentration of 1 mol/L. The liquid virus 2. 5. 4 Packaging
seeds shall be kept at or below -60°C. The Requirements for Packaging of Biologics . shall
apply.
2. 3 Bulk
3 Control tests
2. 3. 1 Cell substrate preparation
See Section 2. 1. 2. 3. 1 Control tests on bulk
2. 3. 2 Culture medium 3. 1. 1 Identity test
Earle solution containing lacto-albumin hydrolysate See Section 2. 2. 4. 1.
and a quantity of inactivated calf serum or other
3. 1. 2 Virus titration
suitable media shall be used as the culture
See Section 2. 2. 4. 2. The titer shall be not less
medium. The quality of calf serum shall comply
than 6. 5 lg CCID5o/ml.
with the requirements in Appendix XIII D. Earle
solution without lacto-albumin hydrolysate and calf 3. 1. 3 Test for neurovirulence in monkeys
serum or other suitable media can be used as It complies with the neurovirulence test in
maintenance medium. monkeys (Appendix XI L).
2. 3. 3 Tests for adventitious viruses in control cells 3. 1. 4 Test for nucleotide sequence of SV40
It complies with the tests for adventitious viruses Carry out the test for nucleotide sequencing
( Appendix XII C). (Appendix IX H). The result shall be negative.
2. 3. 4 Inoculation and incubation 3. 1. 5 Sterility test
Inoculate seed virus proportional to the cell It complies with the test for sterility ( Appendix
density. After virus inoculation, incubate the cell XII A).
cultures at 33°C+o. 5°C. Normally the CPE shall
3. 1. 6 Test for mycoplasmas
develop fully between 40 and 96 hours after
It complies with the test for mycoplasmas
inoculation.
(Appendix XII B).
2. 3. 5 Virus harvest
After clarification through filtration, the virus 3. 2 Control tests on final bulk
suspensions are pooled to make the monovalent 3. 2. 1 Virus titration
bulk. See Section 2. 2. 4. 2. The titer of monovalent
2. 3. 6 Pooling or concentration vaccine final bulk shall be not less than 6. 5 lg
The monovalent virus bulks can be pooled or CCID50 / ml. The titer of trivalent vaccine final
concentrated. bulk shall be not less than 7. 15 lg CCID50/ml in
total, of which not less than 7. 0 lg CCID50 / ml for ·
2. 3. 7 Control tests on monovalent bulk type I , not less than 6. 0 lg CCID50/ml for type
See Section 3. 1. II and not less than 6. 5 lg CCIDso/ml for type ill.
2. 4 Final bulk 3. 2. 2 Sterility test
2. 4. 1 Formulation It complies with the test for sterility ( Appendix
Add magnesium chloride into the monovalent bulk XII A).
Polio':llyelitis (Live) Vaccine (Monkey Kidney Cell), Oral

3. 3 Control tests on final product recipients following immunization. It is used to


prevent poliomyelitis.
3. 3. 1 Identity test
Mix the test sample with a quantity of the mixed [Specifications J
antiserum of three types. The mixture is incubated at 1. 0 ml per container. Two drops ( equivalent to
35-37°C for 1-2 hours and then inoculated onto 0. 1 ml) per single human dose containing not less
Hep-2 or other appropriate cell cultures. After than 6. 15 lg CCID50 in total of live poliovirus , of
incubation at 35-36°C for 7 days, no CPE shall be which not less than 6. 0 lg CCID50 for type I , not
found. Both the results of controls of cell cultures less than 5. 0 lg CCID50 for type II and not less
and antiserum shall be negative. The result of than 5. 5 lg CCID50 for type ill.
control of virus shall be positive. [ Administration and dosageJ
3. 3. 2 Inspection on final containers The primary immunization should start at 2
The vaccine is a clear, reddish orange liquid free of months of age. Three doses shall be administered
foreign matters. orally in the 1st year of age at intervals of 4-6
weeks. One booster shall be given in the 4th year
3. 3. 3 Virus titration
of age. Two drops ( equivalent to 0. 1 ml) is one
See Section 2. 2. 4. 2. For trivalent vaccine, each
single human dose. The administration is also
single human dose (0. 1 ml) contains not less than
recommended for other· age groups' in case of need.
6. 15 lg ccmo, of which not less than 6. 0 lg ccmo
for type I, not less than 5. o lg ccmo for type II and [ Adverse reactionsJ
not less than 5. 5 lg ccmo m.
for type Normally there are no adverse reactions after oral
administration. A few recipients might have
3. 3. 4 Thermostability test
fever, nausea, vomiting, and diarrhea or skin
Before release the final product is subject to
rashes. No particular treatment is necessary.
thermostability test, and the virus titration shall Symptomatic treatment could be helpful if needed.
be carried out simultaneously. The vaccine that
has been exposed at 3 refor 48 hours shall be [ Contraindications]
titrated according to Section 2. 2. 4. 2. The loss of (1) Subjects with fever, acute infectious diseases.
titer of a single human dose of the exposed vaccine (2) Those with immunodeficiency diseases, or
shall be not more than 0. 5 lg. those receiving immunosuppressive therapy.
( 3) Women in pregnancy.
3. 3. 5 Sterility test
It complies with the test for sterility ( Appendix [Precautions J
XII A). The vaccine is a live virus vaccine, it is recom-
mended to take the dragee with warm ( not higher
4 Storage, shipping and validity period than 37°C) water, do not take it with hot water.
From the date when the virus titrations proved
qualified, the validity period of the vaccine shall [Storage and shipping]
be 24 months if stored at or below - 20°C; shall Store and ship at or below -20°C or 2-8°C,
be 12 months if stored at 2-8°C. Only one kind of protected from light.
storage temperature and validity period shall be [Packaging]
prescribed on the label. The vaccine shall be
shipped under refrigeration. [Validity period]
24 months if stored at or below -20°C; 12
5 Package inserts months at 2-8°C ( Only one kind of storage
Directions for Use of Poliomyelitis (Live) Vaccine temperature and validity period can be prescribed
(Monkey Kidney Cell) , Oral on the label).
[Drug name] [Standard for implementation]
Adopted name: Poliomyelitis ( Live) Vaccine [Product license numberJ
(Monkey Kidney Cell), Oral
J
[Manufacturer
[Constituents and characters] Name:
The vaccine is made from attenuated poliovirus Address:
strains C types I , II & ID) grown separately in Zip code:
primary monkey kidney cell cultures. After culti- Tel:
vation, virus suspension is harvested to prepare Fax:
the vaccine. The vaccine is a clear, reddish orange Web site:
liquid.
[Eligibles]
Mainly for poliomyelitis-susceptible children at or
above 2 months of age.
[Function and use]
The product can induce immunity against poliovirus in
Poliomyelitis Vaccine in Dragee Candy (Monkey Kidney Cell), Live

Strains of Sabin types I , II , III and Zhong III 2


are prepared and are preserved by the original
researchers.
Poliomyelitis Vaccine in Dragee Candy 2. 2. 2. 2 Master seed lot
(Monkey Kidney Cell), Live A batch of virus suspension of uniform composition,
which is prepared by subculture for one to two
passages from the primary seed virus in fetal
The poliomyelitis vaccine in dragee candy is a monkey kidney cells or human diploid cells, is
preparation of live attenuated poliovirus ( types defined as the master seed lot.
I , II , and III ) grown in primary monkey kidney The passage level of the Sabin master seed is
cell cultures. After cultivation the virus suspension is SO+ 1. The passage level of Zhong III 2 master
harvested and made into a dragee candy form. It is seed is Zhong III 2 1. The master virus seed of type
used to prevent poliomyelitis. III Pfizer strain is RSOL
1 Basic requirements
2. 2. 2. 3 Working seed lot
The facilities, source and subsidiary materials,
A batch of virus suspension of uniform composition,
water, apparatus and animals used for production
which is prepared from the master seed virus by
and control tests shall comply with the require-
subculture for a single passage in fetal monkey
ments set forth in the General Notices.
kidney cell cultures or human diploid cells, is
2 Manufacturing defined as the working seed lot.
2. 1 Cell substrates for vaccine production 2. 2. 3 Virus passage
The primary monkey kidney cells are used for the For the passages from the primary seed lot to the
vaccine production. working seed lot, Sabin I , II and other purified
2. 1. 1 Management and control tests on cell sub- strains as well as Zhong III 2 shall not exceed three
strates passages; Sabin III and other purified strains
The Requirements for Preparation and Control of includingPfizer strain shall not exceed two passages.
Animal Cell Substrates Used for Production of The cell cultures used for the preparation of virus
Biologics shall apply. seed lot for the production of vaccine shall be
Rhesus monkeys shall be selected and quarantined limited to fetal monkey kidney cells or human
for at least 6 weeks. Monkeys from which the diploid cells.
kidneys are extracted for preparing the cell cultures 2. 2. 4 Control tests on virus seed lots
must be healthy and have never been used For master and working seed lots, comprehensive
previously for other experiments. The, monkeys control tests described below shall be conducted,
shall be free from tuberculosis, B virus infection unless otherwise specified.
and other acute infectious diseases. They shall
also be demonstrated to be free from the circulating 2. 2. 4. 1 Identity test
antibodies against foamy viruses. The animals that A quantity of the virus sample is mixed with an
have serious purulent lesions, neoplasms, and equal volume of monovalent antiserum against
obvious pathologic changes in liver or kidneys shall poliovirus type I , type II or type III corre-
not be used in the vaccine production. spondingly. After incubation at 35-37°C for 1-2
hours, the incubated mixture is inoculated onto
2. 1. 2 Cell substrate preparation
the cell cultures of monkey kidney, Hep-2 or
Extract the kidneys from healthy monkeys meeting
other susceptible cells. Read the results following
the requirements in Section 2. 1. 1. After trypsin-
incubation at 35-36°C for 7 days after inoculation.
ization incubate the dispersed cells at 37°C+o. 5°C
The virus type shall be identified serologically
for 6-9 days to form monolayers. The cell cultures
without any suspicions. The corresponding serum
prepared from kidneys of one single monkey are
control and cell control shall be set up in parallel
defined as one cell lot.
and their results shall be negative. The result of
2. 2 Virus seeds virus control must be positive.
2. 2. 1 Name and origin of virus strains 2. 2. 4. 2 Virus titration
The virus strain used as the seeds for the vaccine Micro-titration method is adopted. Samples shall
production shall be Types I , II and III atten- be diluted 10-fold serially. Inoculate virus
uated strains, such as Sabin strain ( types I , II suspensions at different dilutions onto monkey
and III ) , purified Sabin strain ( types I , II and kidney cells, Hep-2 or other susceptible cells.
III ) , Zhong III 2 strain or other approved strains. Incubate the inoculated cell cultures at 35-36°C for
2. 2. 2 Establishment of seed lot system 7 days. The titer shall be not less than 6. 5
It complies with the Requirements for Bacterial and lg CCIDs0/ml. During virus titration the virus
Viral Strains/Seeds Used for Production and reference shall be titrated in parallel.
Quality Control of Biologics. 2. 2. 4. 3 Sterility test
2. 2. 2. 1 Primary seed lot It complies with the test for sterility ( Appendix
Poliomyelitis Vaccine in Dragee Candy (Monkey Kidney Cell), Live

XI[ A). a final concentration of 1 mol/L. The liquid virus


2. 2. 4. 4 Test for mycoplasmas seeds shall be kept at or below -60°C.
It complies with the test for mycoplasmas 2. 3 Bulk
(Appendix XI[ B).
2. 3. 1 Cell substrate preparation
2. 2. 4. 5 Tests for adventitious viruses See Section 2. 1. 2.
It complies with the tests for adventitious viruses 2. 3. 2 Culture medium
(Appendix XII C).
Earle solution containing lacto-albumin hydrolysate
2. 2. 4. 6 Test for B virus with rabbits and a quantity of inactivated calf serum or other
The pooled virus seed suspension shall be subject suitable media shall be used as the culture
to the test. If the test can not be conducted medium. The quality of calf serum shall comply
immediately, the samples shall be stored at or with the requirements in Appendix XIII D. Earle
below -20°C. At least five healthy rabbits solution without lacto-albumin hydrolysate and calf
weighing 1. 5-2. 5 kg each are used for the test. serum or other suitable media can be used as
Each rabbit receives 10 ml of sample, of which 9 maintenance medium.
ml is for subcutaneous injection, the remaining
2. 3. 3 Tests for adventitious viruses in control cells
1. 0 ml is for intracutaneous injections at multiple
It complies with the tests for adventitious viruses
sites. Observe the rabbits for 3 weeks. At the ( Appendix XI[ C).
end of observation period, the number of survivals
shall be 'hot less than 80% of the test animals. 2. 3. 4 Inoculation and incubation
The test is considered satisfactory if signs of B Inoculate seed virus proportional to the cell density.
virus or other viral infections are found. Autopsy After virus inoculation, incubate the cell cultures
shall be carried out if any of the test rabbits dies 24 at 33°C+ 0. 5°C. Normally the CPE shall develop
hours after inoculation or the animals manifest fully between 40 and 96 hours after inoculation.
symptoms and signs suggestive of B virus 2. 3. 5 Virus harvest
infection. Keep the tissue specimen; of nervous After clarification through filtration, the virus
system and viscera of the dead rabbits for further suspensions are pooled to make the monovalent
examination, and emulsify the brain tissue into bulk.
10 % suspension that is used to inject another five
healthy rabbits with the same method mentioned 2. 3. 6 Pooling or concentration
above. The monovalent virus bulks can be pooled or
concentrated.
2. 2. 4. 7 Test for immunogenicity
Inoculate at least thirty poliomyelitis-susceptible 2. 3. 7 Control tests on monovalent bulk
children ( with the antibody titer < 1 : 4, before See Section 3. 1.
immunization) as routine practice with the original 2. 4 Final bulk
vaccine prepared from the master seed virus.
2. 4. 1 Formulation
Determine the neutralization antibody titer of
Add magnesium chloride into the monovalent bulk
serum samples taken before and one month after
inoculation. The seroconversion rate shall be not to a final concentration of 1 mol/L to make the
monovalent final bulk. The final bulks of individual
less than 95% .
three types are mixed in a certain proportion to
2. 2. 4. 8 Test for neurovirulence in monkeys make the trivalent final bulk.
It complies with the neurovirulence test in
monkeys (Appendix XI L). 2. 4. 2 Control tests on final bulk
See Section 3. 2.
2. 2. 4. 9 rct-Marker test 2. 5 Final product
The suspension of monovalent virus is titrated in
2. 5. 1 Vaccine dragee preparation
cell cultures incubated at 36°C + 0. 1 °C and
40°C +o. 1 °C, separately. The t-control ( seed virus Mix a quantity of trivalent vaccine bulk with
excipient proportionally in the rolling pot. During
for production or vaccine known to be safe to
the process of rolling the temperature in the
susceptiblehuman) shall be set up. The rct-Marker
workshop shall be at or below l8°C.
for the monovalent virus suspension is considered
qualified if the titer difference resulted from the 2. 5. 2 Defining batches
titrations which are incubated at 36°C+ 0. 1 °C and The Requirements for Defining Batches of Biologics
40 °C +o. 1 °C is not lower than 5. 0 lg for both the shall apply. The dragees made on the same date
monovalent virus suspension and the t-control. can be · defined as one lot. The dragees made in
2. 2. 4. 10 Test for nucleotide sequence of SV40 different pots shall be defined as different sub-lots.
Carry. out the test for nucleotide sequence of SV40 2. 5. 3 Filling
(Appendix IX H). The result shall be negative. The Requirements for Filling and Lyophilization of
2. 2. 5 Storage of virus seeds Biologics shall apply.
Add magnesium chloride to the liquid virus seed to 2. 5. 4 Specifications
Poliomyelitis Vaccine in Dragee Candy (Monkey Kidney Cell), Live

1 g per single dragee contammg not less than weighed on each dragee basis. The weight for
5. 95 lg CCID50 in total of live poliovirus , of which trivalent vaccine is 1 g+O. 15 g per dragee.
not less than 5. 8 lg CCID5o for type I , not less
3. 3. 4 Virus titration
than 4. 8 lg CCID50 for type II and not less than
One hundred dragees from every three to four pots
5. 3 lg CCIDsofor type ID.
shall be combined into one batch for the test.
2. 5. 5 Packaging Dissolve 100 dragees in 1000 ml of Earle solution
The Requirements for· Packaging of Biologics shall to make 1 : 10 dilution. Suitable dilutions are
apply. employed for virus titration by CPE method.
3 Control tests For trivalent vaccine, the total virus content shall
be determined. At the same time the virus titer of
3. 1 Control tests on bulk each type shall be determined separately by means
3. 1. 1 Identity test of neutralization. However, the cross-inhibition
See Section 2. 2. 4. 1. of heterotypic antibody shall be precisely deter-
mined in advance in order to calibrate the result of
3. 1. 2 Virus titration
virus titration. See Section 2. 2. 4. 2. The total
See Section 2. 2. 4. 2. The titer shall be not less
virus content in trivalent vaccine shall be not less
than 6. 5 lg CCIDso/ml.
than 5. 95 lg CCID50 per dragee , of which the live
3. 1. 3 Test for neurovirulence in monkeys polyomyelitis virus content for type I , type II
It complies with the neurovirulence test m and type ID shall be not less than 5. 8 lg CCIDso,
monkeys (Appendix XI L). not less than 4. 8 lg CCIDso and not less than
3. 1. 4 Test for nucleotide sequence of SV40 5. 3 lg CCID50, respectively.
Carry out the · test for nucleotide sequencing 3. 3. 5 Thermostability test
(Appendix IX H). The result shall be negative. Before release the final product is subject to
3. 1. 5 Sterility test thermostability test, and the virus titration shall
It complies with the test for sterility ( Appendix be carried out simultaneously. The vaccine that
XII A). has been exposed at 37°C for 48 hours shall be
titrated according to . Section 2. 2. 4. 2. The virus
3. 1. 6 Test for mycoplasmas titer shall be not less than 5. 0 lg CCIDso, The loss
It complies with the test for mycoplasmas of titer of the exposed vaccine shall be not more
(Appendix XII B). than 1. 0 lg.
3. 2 Control tests on final bulk
3. 3. 6 Uniformity of virus distribution
3. 2. 1 Virus titration Samples of ten dragees at least shall be taken to
See Section 2. 2. 4. 2. The titer of monovalent validate the uniformity of virus distribution
vaccine final bulk shall · be not less than between dragees , which shall be tested on each
6. 5 lg CCID50/ml. The titer of trivalent vaccine dragee basis. The difference of virus content
final bulk shall be not less than 7. 15 lg CCIDso/ ml between dragees shall be not more than 0. 5 lg.
in total, of which not less than 7. 0 lg CCIDsoI ml
3. 3. 7 Test for contaminating microorganisms
for type I , not less than 6. 0 lg CCID5o / ml for
At least ten dragees shall be sampled from each
type II and not less than 6. 5 lg CCIDso/ ml for
rolling pot, and · the samples of dragees prepared
type m. on the same date can be mixed for testing. The
3. 2. 2 Sterility test number of contaminating microorganisms in one
It complies with the test for sterility ( Appendix dragee of trivalent vaccine shall not exceed 300.
XII A).
3. 3. 8 Test for pathogenic bacteria
3. 3 Control tests on final product No ~-hemolytic streptococcus or pathogenic
200-300 dragees are sampled from each rolling pot. intestinal bacteria, E. coli shall be present in the
3. 3. 1 Identity test vaccme.
Mix the test sample with a quantity of the mixed 3. 3. 8. 1 Test for ~-hemolytic streptococcus
antiserum of three types. The mixture is incubated at Inoculate 0. 5 ml of 1 : 10 diluted vaccine into a
35-37°C for 1-2 hours and then inoculated onto test tube of broth. After incubation at 37°C for 24
Hep-2 or other appropriate cell cultures. After hours, transfer the cultured broth onto a blood
incubation at 35-36°C for 7 days, no CPE shall be plate by streaks and incubate at 37 °C for 24
found. Both the results of controls of cell cultures hours. No ~-hemolytic streptococcus growth shall
and antiserum shall be negative. The result of occur (if the source and subsidiary materials used
control of virus shall be positive. in the product have passed the test, it is not
3. 3. 2 Inspection on final product necessary to test the final product).
The vaccine is in a form of white solid dragee. 3. 3. 8. 2 Test for pathogenic intestinal bacteria
3. 3. 3 Weight variation Inoculate 1. 0 ml of 1 : 10 diluted vaccine into a
Each time twenty dragees shall be sampled and test tube of GN medium or broth enrichment
Poliomyelitis Vaccine in Dragee Candy (Monkey Kidney Cell), Live

medium. After incubation at 37°C for 6-24 hours, than 4. 8 lg CCID50 for type II and not less than
transfer the cultured material on an indicator plate 5. 3 lg CCID5o for type ID.
by streaks and incubate at 37°C for 24 hours. If
[ Administration and dosageJ
Gram-negative bacteria are found, further deter-
The primary immunization should start at 2
mination is necessary to identify whether they are
months of age. Three doses shall be administered
pathogenic intestinal bacteria.
orally in the 1st. year of age at intervals of 4-6
3. 3. 8. 3 Test for E. coli weeks. One booster shall be given in the 4th year
Inoculate 2 ml of the sample into each of three test of age. One dragee is one single human dose. The
tubes of Kessler medium or MacConkey broth administration is also recommended for other age
medium. Incubate at 37°C for 48 hours, no acid groups in case of need.
or gas shall be produced. If it does, further tests
[ Adverse reactionsJ
are necessary to identify if they are E. coli.
Normally there are no adverse reactions after oral
4 Storage, shipping and validity period administration. A few recipients might have fever,
From the date when the virus titration proved nausea, vomiting, and diarrhea or skin rashes.
qualified, the validity period of the vaccine shall No particular treatment is necessary. Symptomatic
be 24 months if stored at or below -20°C; it shall treatment could be· helpful if needed.
be 5 months if stored at 2-8°C. Only one kind of
[ Contraindications J
storage temperature and validity period shall be ( 1) Subjects with fever, acute infectious diseases.
prescribed on the label. The vaccine shall be (2) Those with -immunodeficiencydiseases, or those
shipped under refrigeration.
receiving immunosuppressive therapy.
5 Package inserts ( 3) Women in pregnancy.
Directions for Use of Poliomyelitis Vaccine [Precautions J
in Dragee Candy (Monkey Kidney Cell), Live The vaccine is a live virus vaccine, it is recom-
[Drug name] mended to take the dragee with warm ( not higher
Adopted name: Poliomyelitis Vaccine m Dragee than 37°C) water, do not take it with hot water.
Candy (Monkey Kidney Cell), Live [ Storage and shipping]
. Store and ship at or below -20°C or 2-8°C,
[Constituents and characters]
The vaccine is made from attenuated poliovirus protected from light.
strains C types I , II & ID) grown separately in [Packaging]
primary monkey kidney cell cultures. After culti- [Validity period]
vation, virus suspension is harvested to prepare 24 months if stored at or below -20°C; 5 months
the dragee-candy vaccine. The trivalent vaccine is at 2-8°C (only one kind of storage temperature and
a white solid dragee candy. validity period can be prescribed on the label).
[Eligibles] [Standardfor implementation]
Mainly for children at or above 2 months of age.
[Product license numberJ
[Function and use]
The product can induce immunity against poliovirusin J
[Manufacturer
recipients following immunization. It is used to Name:
prevent poliomyelitis. Address:
Zip code:
[ Specifications J
Tel:
1 g per single dragee contammg not less than
Fax:
5. 95 lg CCID50 in total of live poliovirus, of which
Web site:
not less than 5. 8 lg CCID50 for type I , not less
Diphtheria Antitoxin

ll. Biologics for Therapeutic Use

Add a quantity of pepsin and toluene to the diluted


plasma, and digest at a proper pH and a suitable
temperature for a certain period of time.
Diphtheria Antitoxin 2. 3. 2. 2 Purification
The above digest shall be purified by sequential
steps of heating, ammonium sulfate fractionation,
Diphtheria antitoxin is a liquid . preparation containing alum adsorption, etc.
antitoxic globulins. It is obtained by purification
following pepsin digestion from the plasma of 2. 3. 2. 3 Concentration, clarification and steri-
horses that have been immunized with diphtheria lization by filtration
toxoid. The preparation is used for prevention and The bulk may be concentrated by ultrafiltration or
treatment of diphtheria. ammonium sulfate precipitation. After clarification
and sterilization by filtration, a quantity of
1 Basic requirements trichloromethane, thimerosal or metacresol may
The facilities, water, source and subsidiary be added to the preparation as a preservative.
materials, apparatus and animals used for production The purified bulk antitoxin shall be stored at 2-8°C
and control tests shall comply with the requirements and protected from light for at least one month as a
set forth in the General Notices. stabilizing period.
2 Manufacturing
2. 3. 3 Control tests on bulk
2. 1 Antigen and adjuvant See Section 3. 1. ·
The Requirements for Quarantine and Immuni-
2. 4 Final bulk
zation of Horses Used for Production of Immuno-
sera shall apply. 2. 4. 1 Formulation
Dilute the bulk qualified in control tests with
2. 2 Animals used for immunization ai:id plasma
sterile for water injection, adjust the titer,
2. 2. 1 Animals used for immunization protein content, pH and sodium chloride content
The horses used for immunization must comply according to the specifications of the final product,
with the Requirements for Quarantine and and sterilize the bulk by filtration.
Immunization of Horses Used for Production of
2. 4. 2 Control tests on final bulk
Immunosera.
See Section 3. 2.
2. 2. 2 Immunization, blood collection and plasma
2. 5 Final product
separation
The Requirements for Quarantine and Immuni- 2. 5. 1 Defining batches
zation of Horses Used for Production of The Requirements for Defining Batches of Biologics
Immunosera shall apply. Blood shall be collected shall apply.
when the potency of immunosera is not less than
2. 5. 2 Filling
1100 IU/ml. A quantity of appropriate preser-
The Requirements for Filling and Lyophilization of
vative may be added to plasma and sterility test
Biologics shall apply.
shall be carried out (Appendix XI[ A).
2. 5. 3 Specifications
2. 3 Bulk
1000 IU per container ( for prophylactic use);
2. 3. 1 Source plasma 8000 IU per container ( for therapeutic use).
The diphtheria antitoxin potency of source plasma
2. 5. 4 Packaging
shall be not less than 1000 IU / ml ( Appendix
The Requirements for Packaging of Biologics shall
XI E). If apparent hemolysis , bacterial contami- apply.
nation or other abnormalities occur in the plasma
during storage, the plasma shall not be used for 3 Control tests
production. 3. 1 Control tests on bulk
2. 3. 2 Preparation
3. 1. 1 Content of blood group A-like substance
2. 3. 2. 1 Digestion The content of blood group A-like substance shall
Diphtheria Antitoxin, Freeze-dried

be not more than 4 _µg/ml (Appendix Ix: D. not more than 0. 5 % for the content of
3. 1. 2 Antibody potency trichloromethane (Appendix VI 0).
Carry out the test for potency (Appendix XI E). 3. 3. 4 Purity
3. 1. 3 Sterility test 3. 3. 4. 1 Albumin detection
It complies with the test for sterility ( Appendix Dilute sample to a protein content of 2 % , and
·XII A). carry out · agarose electrophoresis ( Appendix
3. 1. 4 Pyrogen test
N B). The result shall reveal the absence of protein
or only a trace of protein with the migrating rate of
It complies with the test for pyrogen ( Appendix
albumin.
XII D). The injecting dose of the preparation shall
be 3. 0 ml/kg of rabbit body weight. 3.3.4.2 F(ab)2 content
It shall be not less than 50 % in antitoxin for
3. 2 Control test on final bulk
prophylactic use, and not less · than 60 % m
Sterility test
antitoxin for therapeutic use (Appendix VIII F).
It complies with the test for sterility ( Appendix
XII A). 3. 3. 5 Antibody potency
The potency of diphtheria antitoxin shall be not
3. 3 Control tests on final product
less than 2000 IU / ml for prophylactic use, and not
3. 3. 1 Identity test less than 3000 IU/ml for therapeutic use. The
At least one container from each final batch shall specific activity shall be not less than 30000 IU / g
be sampled for identity test. of protein for prophylactic use, and not less than
3. 3. 1. 1 Neutralization test in animals or specific 40000 IU / g of protein for therapeutic use
(Appendix XI E). The filling quantity in each
precipita tion
container shall be not less than the stated value.
Perform the test for identity as specified in
Appendix XI E, and the result shall demonstrate 3. 3. 6 Content of blood group A-like substance
that the test sample can neutralize diphtheria toxin The content of blood group A-like substance shall
in animals. · Alternatively, carry out the double be not more than 4 µg/ ml ( Appendix Ix: I).
immunodiffusion test ( Appendix VIII C ) , and 3. 3. 7 Sterility test
specific precipitation lines shall be produced with It complies with the test for sterility ( Appendix
diphtheria toxoid. XII A).
3. 3. 1. 2 Double immunodiffusion test 3. 3. 8 Pyrogen test
Perform the double immunodiffusiontest ( Appendix It complies with the test for pyrogen ( Appendix
VIII C) , and precipitation lines shall be produced XII D). The injecting dose of the preparation shall
only with anti-horse serum. be 3. 0 ml/kg of rabbit body weight.
3. 3. 2 Inspection on final containers 3. 3. 9 Test for abnormal toxicity
The preparation shall be a clear, colourless or It complies with the test for abnormal toxicity
light yellow liquid, free from foreign matters. ( Appendix XII F).
After storage for a long time, a trace of precipitate
may occur, which can be dispersed on shaking. 4 Storage, shipping and validity period
Store and ship at 2-8°C, protected from light.
3. 3. 3 Chemical tests The validity period is 36 months starting from the
3. 3. 3. 1 pH date of filling of final product.
The pH shall be 6. 0-7. 0 (Appendix V A). S Package inserts
3. 3. 3. 2 Protein content The Requirements for Packaging of Biologics shall
The protein content shall be not more than 170 g/L _apply.
( Appendix VI B, method 1).
3. 3. 3. 3 Sodium chloride content
The sodium chloride content shall be 7. 5-9. 5 g/L
(Appendix VIl G). Diphtheria Antitoxin, Freeze-dried
3. 3. 3. 4 Ammonium sulfate content
The ammonium sulfate content shall be not more Freeze-dried diphtheria antitoxin is a preparation
than 1. O g/L (Appendix VIl C). containing antitoxic globulins. It is . obtained by
3. 3. 3. 5 Preservative content purification following pepsin digestion from the
If any of the following preservatives is added, it plasma of horses that have been immunized with
diphtheria toxoid. The preparation is used for
shall be:
not more than 0. 1 g/L for the content of thimerosal prevention and treatment of diphtheria.
(Appendix VIl B); 1 Basic requirements
not more than 2. 5 g/L for the content of meta- The facilities, water, source ·and subsidiary
cresol (Appendix VI N); materials, apparatus and animals used for
Diphtheria Antitoxin, Freeze-dried

production and control tests shall comply with the according to the specifications of the final product,
requirements set forth in the General Notices. and sterilize the bulk by filtration.
2 Manufacturing 2. 4. 2 Control tests on final bulk
2. 1 Antigen and adjuvant See Section 3. 2.
The Requirements for Quarantine and Immuni- 2. 5 Final product
zation of Horses Used for Production of lmmunosera 2. 5. 1 · Defining batches
shall apply.
The Requirements for Defining Batches of
2. 2 Animals used for immunization and plasma Biologics shall apply.
2. 2. 1 Animals used for immunization 2. 5. 2 Filling and lyophilization
The horses used for immunization must comply The Requirements for Filling and Lyophilization of
with the Requirements for Quarantine and Biologics shall apply. The temperature of the
Immunization of Horses Used for Production of preparation during lyophilization shall be not
lmmunosera. higher than 35°C. The final containers shall be
2. 2. 2 Immunization, blood collection and plasma sealed under vacuum or after filling with nitrogen.
separation 2. 5. 3 Specifications
The Requirements for Quarantine and Immuni- 1000 IU per container ( for prophylactic use);
zation of Horses Used for Production of 8000 IU per container ( for therapeutic use).
lmmunosera shall apply. Blood shall be collected
2. 5. 4 Packaging
when the potency of immunoserum is not less than
The Requirements for Packaging of Biologics shall
llOO IU/ml. A quantity of appropriate preser-
apply.
vative may be added to plasma and sterility test
shall be carried out ( Appendix XI[ A). 3 Control tests
2. 3 Bulk 3. 1 Control tests on bulk
2. 3. 1 Source plasma 3. 1. 1 Content of blood group A-like substance
The diphtheria antitoxin potency of source plasma The content of blood group A-like substance shall
shall be not less than 1000 IU / ml ( Appendix be not more than 4 µg/ ml ( Appendix IX I).
XI E). If apparent hemolysis, bacterial contamina- 3. 1. 2 Antibody potency
tion or other abnormalities occur in the plasma Carry out the test for potency (Appendix XI E).
during storage, the plasma shall not be used for
production. 3. 1. 3 Sterility test
It complies with the test for sterility ( Appendix
2. 3. 2 Preparation XI[ A).
2. 3. 2 .. 1 Digestion 3. 1. 4 Pyrogen test
Add a quantity of pepsin and toluene to the diluted It complies with the test for pyrogen ( Appendix
plasma, and digest at a proper pH and a suitable XI[ D). The injecting dose of the preparation shall
temperature for a certain period of time. be 3. 0 ml/kg of rabbit body weight.
2. 3. 2. 2 Purification 3. 2 Control test on final bulk
The above digest shall be purified by sequential Sterility test
steps of heating, ammonium sulfate fractionation, It complies with the test for sterility ( Appendix
alum adsorption, etc. XI[ A). .
2. 3. 2. 3 Concentration, clarification and steri- 3. 3 Control tests on final product
lization by filtration Other than the determination of residual moisture,
The bulk may be concentrated by ultrafiltration or sterile water for injection shall be added as stated
ammonium sulfate precipitation. After clarification on the label, and the reconstituted preparation
and sterilization by filtration, a quantity of shall be subject to the following tests.
trichloromethane , thimerosal or metacresol may
be added to the preparation as a preservative. 3. 3. 1 Identity test
The purified bulk antitoxin shall be stored at 2-8°C At least one container from each final batch shall
and protected from light for at least one month as a be sampled for identity test.
stabilizing period. 3. 3. 1. 1 Neutralization test in animals or specific
2. 3. 3 Control tests on bulk precipitation
See Section 3. 1. Perform the test for identity as specified in
Appendix XI E, and the result shall demonstrate
2. 4 Final bulk that the test sample can neutralize diphtheria toxin
2. 4. 1 Formulation in animals. Alternatively, carry out the double
Dilute the bulk qualified in control tests with immunodiffusion test ( Appendix VIll C ) , and
sterile water for injection, adjust the titer, specific precipitation lines shall be produced with
protein content, pH and sodium chloride content diphtheria toxoid.
Tetanus Antitoxin

3. 3. 1. 2 Double immunodiffusion test The content of blood group A-like substance shall
Perform the double immunodiffusiontest ( Appendix be not more than 4 µ.g/ml (Appendix IX D.
Vlll C) , and precipitation lines shall be produced
3. 3. 7 Sterility test
only with anti-horse serum. It complies with the test for sterility ( Appendix
3. 3. 2 Inspection on final containers XII A).
The preparation looks like a white or light yellow
3. 3. 8 Pyrogen · test
crisp cake. It shall be completely reconstituted
It complies with the test for pyrogen ( Appendix
with the stated amount of water for injection
XII D). The injecting dose of the preparation shall
within 15 minutes by shaking gently. After
be 3. 0 ml/kg of rabbit body weight.
reconstitution, it shall be a clear, colourless or
light yellow liquid, free from foreign matters. 3. 3. 9 Test for abnormal toxicity
It complies with the test for abnormal toxicity
3. 3. 3 Chemical tests
( Appendix XII F).
3. 3. 3. 1 Moisture content
3. 3. 10 Diluent
The residual moisture content shall be not more
The diluent for reconstitution of final product ts
than 3. 0% (Appendix VIl D).
sterile water for injection.
3. 3. 3. 2 pH
4 Storage, shipping and validity period
The pH shall he 6. 0-7. 0 (Appendix V A). Store and ship at 2-8°C, protected from light.
3. 3. 3. 3 ·· Protein content The validity period is 60 months starting from the
The protein content shall be not more than 170 g/L date of filling of final product.
(Appendix VI B, method 1).
5 Package inserts
3. 3. 3. 4 Sodium chloride content The Requirements for Packaging of Biologics shall
The sodium chloride content shall be 7. 5-9. 5 g/L apply.
(Appendix VIl G).
3. 3. 3. 5 Ammonium sulfate content
The ammonium sulfate content shall be not more
than 1. o g/L (Appendix VIl C). Tetanus Antitoxin
3. 3. 3. 6 Preservative content
If any of the following preservatives is added, it Tetanus antitoxin is a liquid preparation containing
shall be: antitoxic globulins. It is obtained by purification
not more than 0. 1 g/L for the content of following pepsin digestion from the plasma of
thimerosal (Appendix VIl B);
horses that have been immunized with tetanus
not more than 2. 5 g/L for the content of meta- toxoid. The preparation is used for prevention and
cresol (Appendix VI N);
treatment of tetanus.
not more than 0. 5 % for the content of
trichloromethane (Appendix VI 0). 1 Basic requirements
The facilities, water, source and subsidiary
3. 3. 4 Purity
materials, apparatus and animals used for
3. 3. 4. 1 Albumin detection production and control tests shall comply with the
Dilute sample to a protein content of 2 % , and requirements set forth in the General Notices.
carry out agarose electrophoresis ( Appendix
2 · Manufacturing
N B). The result shall reveal the absence of
protein or only a trace of protein with the 2. 1 Antigen and adjuvant
migrating rate of albumin. The Requirements for Quarantine and Immuni-
zation of Horses Used for Production of Immunosera
3.3.4.2 F(ab)2 content
shall apply.
It shall be not less than 50 % in antitoxin for
prophylactic use, and not less than 60 % in 2. 2 Animals used for immunization and plasma
antitoxin for therapeutic use (Appendix VIU F). 2. 2. 1 Animals used for immunization
3. 3. 5 Antibody potency The horses used for immunization must comply
The potency of diphtheria antitoxin shall be not with the Requirements for Quarantine and
less than 2000 IU / ml for prophylactic use, and not Immunization of Horses Used for Production of
less than 3000 IU / ml for therapeutic use. The Immunosera.
specific activity shall be 'not less than 30000 IU / g 2. 2. 2 Immunization, blood collection and plasma
of protein for prophylactic use, and not less than separation
40000 IU / g of protein for therapeutic use The Requirements for Quarantine and Immuni-
( Appendix XI E). The filling quantity in each zation of Horses Used for Production of
container 'shall be not less than the stated value. Immunosera shall apply. Blood shall be collected
3. 3. 6 Content of blood group A-like substance when the potency of immunoserum is not less than
Tetanus Antitoxin

ll 00 IU/ ml. A quantity of appropriate preservative 3. 1 Control tests on bulk


may be added to plasma and sterility test shall be 3. 1. 1 Content of blood group A-like substance
carried out (Appendix XII A). The content of blood group A-like substance shall
2. 3 Bulk be not more than 4 µg/ ml ( Appendix IX I).
2. 3. 1 Source plasma 3. 1. 3- Antibody potency
The tetanus antitoxin potency of source plasma Carr/out the test for potency (Appendix XI F).
shall be not less than 1000 IU / ml ( Appendix 3. 1. 3 Sterility test
XI F). If apparent hemolysis, bacterial contamination It complies with the test for sterility ( Appendix
or other abnormalities occur in the plasma during XII· A).
storage, the plasma shall not be used for
production. 3. 1. 4 Pyrogen test
It complies with the test for pyrogen ( Appendix
2. 3. 2 Preparation XII D). The injecting dose of the preparation shall
2. 3. 2. 1 Digestion be 3. 0 ml/~g of rabbit body weight.
Add a quantity of pepsin and toluene to the diluted 3. 2 Control test on final bulk
plasma, and digest at a proper pH and a suitable Sterility test
temperature for a certain period of time. · It complies with the test for sterility ( Appendix
2. 3. 2. 2 Purification XII A).
The -above digest shall be purified by sequential 3. 3 Control tests on final product
steps of heating, ammonium sulfate fractionation,
alum adsorption, etc. 3. 3. 1 Identity test
At least one container from each final batch shall
2. 3. 2. 3 Concentration, clarificationand sterilization be sampled for identity test.
by filtration
The bulk may be concentrated by ultrafiltration or 3. 3. 1. 1 Neutralization test in animals or specific
ammonium sulfate precipitation. After clarification precipita tion
and sterilization by filtration, a quantity of Perform the test for identity as specified in
trichloromethane, thimerosal or metacresol may Appendix XI F, and the result shall demonstrate
be added to the preparation as a preservative. that the test sample can neutralize tetanus toxin in
The purified bulk antitoxin shall be stored at 2-8°C animals. Alternatively, carry out the double
and protected from light for at least one month as a immunodiffusion test ( Appendix VIII C ) , and
stabilizing period. specific precipitation lines shall be produced with
tetanus toxoid.
2. 3. 3 Control tests on bulk
See Section 3. 1. 3. 3. 1. 2Double immunodiffusion test
Perform the double immunodiffusion test
2. 4 Final bulk (Appendix VIII C), and precipitation lines shall he
2. 4. 1 Formulation produced only with anti-horse serum.
Dilute the bulk qualified in control tests with 3. 3. 2 Inspection on final containers
sterile water for injection, adjust the titer, The preparation shall be a clear, colourless or
protein content, pH and sodium chloride content light yellow liquid, free from foreign matters.
according to the specifications of the final product, After storage for a long time, a trace of precipitate
and sterilize the bulk by filtration. may occur, which can be dispersed on shaking.
2. 4. 2 Control tests on final bulk 3. 3. 3 Chemical tests
See Section 3. 2.
3. 3. 3. 1 pH
2. 5 Final product The pH shall be 6. 0-7. 0 (Appendix V A).
2. 5. 1 Defining batches 3. 3. 3. 2 Protein content
The Requirements for Defining Batches of The protein content shall be not more than 170
Biologics shall apply. g/L ( Appendix VI B, method 1).
2. 5. 2 Filling 3. 3. 3. 3 Sodium chloride content
The Requirements, for Filling and Lyophilization of The sodium chloride content shall be 7. 5-9. 5 g/L
Biologics shall apply. (Appendix VIl G).
2. 5. 3 Specifications · 3. 3. 3. 4 Ammonium sulfate content
1500 IU per container ( for prophylactic use); The ammonium sulfate content shall be not more
10000 IU per container (for therapeutic use). than 1. 0 g/L (Appendix VIl C).
2. 5. 4 Packaging 3. 3. 3. 5 Preservative content
The Requirements for Packaging of Biologics shall If any of the following preservatives is added, it
apply.
shall be:
3 Control tests not more than 0. 1 g/L for the content of thimerosal
Tetanus Antitoxin, Freeze-dried

(Appendix VIl B) ; 1 Basic requirements


not more than 2. 5 g/L for the content of meta- The facilities, water, source and subsidiary
cresol ( Appendix VI N) ; materials, apparatus and animals used for
not more than 0. 5 % for the content of production and control tests shall comply with the
trichloromethane (Appendix VI .0). requirements set forth in the General Notices.
3. 3. 4 Purity 2 Manufacturing
3. 3. 4. 1 Albumin detection 2. 1 Antigen and adjuvant
Dilute the test sample to a protein content of 2 % The Requirements for Quarantine and Immuni-
and carry out agarose electrophoresis ( Appendix zation of Horses Used for Production of Immuno-
N B). The result shall reveal the absence of sera shall apply.
protein or only a trace of protein with the 2. 2 Animals used for immunization and plasma
migrating rate of albumin.
2. 2. 1 Animals used for immunization
3.3.4.2 F(ab)2 content The horses used for immunization must comply
It shall be not less than 50 % in antitoxin for with the Requirements for · Quarantine and
prophylactic use, and not less than 60% m Immunization of Horses Used for Production of
antitoxin for therapeutic use (Appendix VIIl F). Immunosera.
3. 3. 5 Antibody potency 2. 2. 2 Immunization, blood collection and plasma
The potency of tetanus antitoxin shall be not less separation
than 2000 IU I ml for prophylactic use, and not less The Requirements for Quarantine and Immuni-
than 3000 IU/ml for therapeutic use. The. specific zation of Horses Used for Production of
activity shall be not less than 35000 IU / g of lmmunosera shall apply. Blood shall be collected
protein for prophylactic use, and not less than when the potency of immunoserum is riot less than
45000 IU / g of protein for therapeutic use 1100 IU/ml. A quantity of appropriate preser-
(Appendix XI F). The filling quantity in each vative may be added to plasma and sterility test
container shall be not less than the stated value. shall be carried out (Appendix XII A).
3. 3. 6 Content of blood group A-like substance 2. 3 Bulk
The content of blood group A-like substance shall
be not more than 4 µg/ml (Appendix IX I). 2. 3. 1 Source plasma
The tetanus antitoxin potency of source plasma
3. 3. 7 Sterility test shall be not less than 1000 IU / ml ( Appendix
It complies with the test for sterility ( Appendix XI F) ~ If apparent hemolysis, bacterial contamination
XII A). or other abnormalities occur in the plasma during
3. 3. 8 Pyrogen test storage, the plasma shall not be used for
It complies with the test for pyrogen (Appendix production.
XII D). The injecting dose of the preparation shall 2. 3. 2 .Preparation
be 3. 0 ml/kg of rabbit body weight.
2. 3. 2. 1 Digestion
3. 3. 9Test for abnormal toxicity Add a quantity of pepsin and toluene to the diluted
It complies with the test for abnormal toxicity plasma, and digest at a proper pH and a suitable
(Appendix :XU: F). temperature for a certain period of time.
4 Storage, shipping and validity period 2. 3. 2. 2 Purification
Store and ship at 2-8°C, protected from light. The above digest shall be purified by sequential
The validity period is 36 months starting from the steps of heating, ammonium sulfate fractionation,
date of filling of final product. alum adsorption, etc.
5 Package inserts 2. 3. 2. 3 Concentration, clarificationand sterilization
The Requirements for Packaging of Biologics shall by filtration
apply. The bulk may be concentrated by ultrafiltration or
ammonium sulfate precipitation. After clarification
and sterilization by filtration, a quantity of
trichloromethane, thimerosal or metacresol may
Tetanus Antitoxin, Freeze-dried be added to the preparation as a preservative.
The purified bulk antitoxin shall be stored at 2-8°C
and protected from light for at least one month as a
Freeze-dried tetanus antitoxin rs a preparation stabilizing period.
containing antitoxic globulins. It is obtained by 2. 3. 3 Control tests on bulk
purification following pepsin digestion from the See Section 3. 1.
plasma of horses that have been immunized with
tetanus toxoid. The preparation is used for 2. 4 Final bulk
prevention and treatment of tetanus. 2. 4. 1 Formulation
Tetanus Antitoxin, Freeze-dried

Dilute the bulk qualified in control tests with immunodiffusion test ( Appendix VIII C ) , and
sterile water for injection, adjust the titer, specific precipitation lines shall be produced with
protein content, pH and sodium chloride content tetanus toxoid.
according to the specifications of the final product, 3. 3. 1. 2 Double immunodiffusion test
and sterilize the bulk by filtration. Perform the double immunodiffusion test
2. 4. 2 Control tests on final bulk (Appendix VDI C), and precipitation lines shall be
See Section 3. 2. produced only with anti-horse serum.
2. 5 Final product 3. 3. 2 Inspection on final containers
2. 5. 1 Defining batches The preparation looks like a white or light yellow
The Requirements for Defining Batches of crisp cake. It shall be completely reconstituted
Biologics shall apply. with the stated amount of water for injection
within 15 minutes by shaking gently. After
2. 5. 2 Filling and lyophilization reconstitution, it shall be a clear, colourless or
The Requirements for Filling and Lyophilization of light yellow liquid, free from foreign matters.
Biologics shall apply. The temperature of the
preparation during lyophilization shall be not 3. 3. 3 Chemical tests
higher than 35 °C. The final containers shall be 3. 3. 3. 1 Moisture content
sealed under vacuum or after filling with nitrogen. The residual moisture content shall be not more
2. 5. 3, Specifications than 3. 0% (Appendix VII D).
1500 IU per container ( for prophylactic use); 3. 3. 3. 2 pH
10000 IU per container (for therapeutic use). The pH shall be 6. 0-7. 0 (Appendix V A).
2. 5. 4 Packaging 3. 3. 3. 3 Protein content
The Requirements for Packaging of Biologics shall The protein content shall be not more than 170 g/L
apply. (Appendix VI B, method 1).
3 Control tests 3. 3. 3. 4 Sodium chloride content
3. 1 Control tests on bulk The sodium chloride content shall be 7. 5-9. 5 g/L
( Appendix VII G).
3. 1. 1 Content of blood group A-like substance
The content of blood group A-like substance shall 3. 3. 3. 5 Ammonium sulfate content
be not more than 4 µg/ ml . ( Appendix IX I). The ammonium sulfate content shall be not more
than 1. 0 g/L (Appendix VII C).
3. 1. 2 Antibody potency
Carry out the test for potency (Appendix XI F). 3. 3. 3. 6 Preservative content
If any of the following preservatives is added, it
3. 1. 3 Sterility test shall be:
It complies with the test for sterility ( Appendix not more than 0. 1 g/L. for the content of
XII A). thimerosal (Appendix VII B);
3. 1. 4 Pyrogen test not more than 2. 5 g/L for the content of meta-
It complies with the test for pyrogen ( Appendix cresol ( Appendix VI N) ;
XII D). The injecting dose of the preparation shall not more than 0. 5 % for the content of
be 3. 0 ml/kg of rabbit body weight. trichloromethane (Appendix VI 0).
3. 2 Control test on final bulk 3. 3. 4 Purity
Sterility test 3. 3. 4. 1 Albumin detection
It complies with the test for sterility ( Appendix Dilute the test sample to a protein content of 2 %
XII A). and carry out agarose electrophoresis ( Appendix
3. 3 Control tests on final product N B). The result shall reveal the absence of
Other than the determination of residual moisture, protein or only a trace of protein with the
sterile water for injection shall be added as stated migrating rate of albumin.
on the label, and the reconstituted preparation 3.3.4.2 F(ab)2 content
shall be subject to the following tests. It shall be not less than 50 % in antitoxin for
3. 3. 1 Identity test prophylactic use, and not less than 60 % in
At least one container from each final batch shall antitoxin for therapeutic use (Appendix VIII F).
be sampled for identity test. 3. 3. 5 Antibody potency
3. 3. 1. 1 Neutralization test in animals or specific The potency of tetanus antitoxin shall be not less
precipita tion than 2000 IU / ml for prophylactic use, and not less
Perform the test for identity as specified in than 3000 IU / ml for therapeutic use. The specific
Appendix XI F, and the result shall demonstrate activity shall be not less than 35000 IU / g of
that the test sample can neutralize tetanus toxin in protein for prophylactic use and not less than
animals. Alternatively, carry out the double 45000 IU / g of protein for therapeutic use
Gas-gangrene Antitoxin (Mixed)

(Appendix XI F). The filling quantity in each 2. 2. 2 Immunization, blood collection and plasma
container shall be not less than the stated value. separation
3. 3. 6 Content of blood group A-like substance The Requirements for Quarantine and Immunization
of Horses Used for Production of Immunosera
The content of blood group A-like substance shall
shall apply. Blood shall be collected when the
be not more than 4 µg/ ml ( Appendix IX I).
potency of immunoserum meets the following
3. 3. 7 Sterility test requirements:
It complies with the test for sterility ( Appendix 300 IU/ml or more for Cl. per fringens i
XII A). 700 IU/ml or more for Cl. oedematiens;
3. 3. 8 Pyrogen test 350 IU/ml or more for Cl. Septicumi
It complies with the test for pyrogen (Appendix 700 IU/ml or more for Cl. histolyticum.
XII D). The injecting dose of the preparation shall A quantity of appropriate preservative may be
be 3. 0 ml/kg of rabbit body weight. added to plasma and sterility test shall be carried
out (Appendix XII A).
3. 3. 9 Test for abnormal toxicity
It complies with the test for abnormal toxicity 2. 3 Bulk
( Appendix XII F). 2. 3. 1 Source plasma
The gas-gangrene antitoxin potency of source
3. 3. 10 Diluent
plasma ( Appendix XI G) shall meet the following
The diluent for reconstitution of final product is
requirements:
sterile water for injection.
250 IU/ml or more for Cl. per fringensi
4 Storage, shipping and validity period 300 IU/ml or more for Cl. septicum;
Store and ship at 2-8°C, protected from light. 550 IU/ml or more for Ci.Dedematiensi
The validity period is 60 months starting from the 550 IU/ml or more for Cl. histolyticum.
date of filling of final product. If apparent hemolysis , bacterial contamination or
5 Package inserts other abnormalities occur in the plasma during
The Requirements for Packaging of Biologics shall storage, the plasma shall not be used for
apply. production.
2. 3. 2 Preparation
2. 3. 2. 1 Digestion
Add a quantity of pepsin and toluene to the diluted
Gas-gangreneAntitoxin (Mixed) plasma, and digest at a proper pH and a suitable
temperature for a certain period of time.
Mixed gas-gangrene antitoxin is a liquid preparation 2. 3. 2. 2 Purification
containing polyvalent antitoxic globulins. It is The above digest shall be purified by sequential
obtained by purification following pepsin digestion steps of heating, ammonium sulfate fractionation,
from the plasma of horses that have been alum adsorption, etc.
immunized separately with the toxin or toxoid 2. 3. 2. 3 Concentration, clarification and steri-
derived from Cl. per f ring ens, Cl. oedemati ens lization by filtration
(novyi), Cl. septicum and Cl. histolyticum. The The bulk may be concentrated by ultrafiltration or
preparation is used for prevention and treatment of ammonium sulfate precipitation. After clarification
gas-gangrene. and sterilization by filtration, a quantity of
1 Basic requirements trichloromethane, thimerosal or metacresol may
The facilities, water, source and subsidiary be added to the preparation as a preservative.
materials, apparatus and animals used for The purified bulk antitoxin shall be stored at 2-8°C
production and control tests shall comply with the and protected from light for at least one month as a
requirements set forth, in the General Notices. stabilizing period.
2. 3. 3 Control tests on bulk
2 Manufacturing
See Section 3. 1.
2. 1 Antigen and adjuvant
2. 4 Final bulk
The Requirements for Quarantine and Immuni-
zation of Horses Used for Production of lmmunosera 2. 4. 1 Formulation
shall apply. Dilute the bulk qualified in control tests with
sterile water for injection, adjust the titer,
2. 2 Animals used for immunization and plasma
protein content, pH and sodium chloride content
2. 2. 1 Animals used for immunization according to the specifications of the final product,
The horses used for immunization must comply and sterilize the bulk by filtration. Three bulk
with the Requirements for Quarantine and antitoxins shall be mixed in a proportion of
Immunization of Horses Used for Production of international units as follows: Cl. perfringens :
lmmunosera. Cl. oedematiens : Cl. septicum= 2 : 2 : 1. One
Gas-gangrene Antitoxin (Mixed)

portion of Cl. histolyticum antitoxin may be added The product shall be a clear, colourless or light
to the above mixture if necessary. yellow liquid, free from foreign matters. After
storage for a long time, a trace of precipitate may
2. 4. 2 Control tests on final bulk
occur, which can be dispersed on shaking.
See Section 3. 2.
2. 5 Final product 3. 3. 3 Chemical tests

2. 5. 1 Defining batches 3. 3. 3. 1 pH
The Requirements for Defining Batches of The pH shall be 6. 0-7. 0 (Appendix V A).
Biologics shall apply. 3. 3. 3. 2 Protein content
2. 5. 2 Filling The protein content shall be not more than 170 g/L
The Requirements for Filling and Lyophilization of ( Appendix VI B, method 1).
Biologics shall apply. 3. 3. 3. 3 Sodium chloride content.
2. 5. 3 Specifications The sodium chloride content shall be 7. 5-9. 5 g/L
5000 IU of mixed gas-gangrene antitoxin per ( Appendix VII G )..
container. 3. 3. 3. 4 Ammonium sulfate content
2. 5. 4 Packaging The ammonium sulfate content shall be not more
The Requirements for Packaging of Biologics shall than 1. 0 g/L (Appendix VII C).
apply. 3. 3. 3. 5 Preservative content
3 Control tests If any of the following preservatives is added, it
shall be:
3. 1 Control tests on bulk not more than 0. 1 g/L for the content of
3~ 1. 1 Content of blood group A-like substance thimerosal (Appendix VII B);
The content of blood group A-like substance shall not more than 2. 5 g/L for the content of meta-
be not more than 4 µg/ ml ( Appendix IX I). cresol .(Appendix VI N);
not more than 0. 5 % for the content of
3. 1. 2 Antibody potency trichloromethane (Appendix VI 0).
Carry out the test for potency ( Appendix XI G).
3. 3. 4 Purity
3. 1. 3 Sterility test
It complies with the test for sterility ( Appendix 3. 3. 4. 1 Albumin detection
XII A). Dilute sample to a protein content of 2 % and carry
out agarose electrophoresis ( Appendix VI B).
3. 1. 4 Pyrogen test
The result shall reveal the absence of protein or
It complies with the test for pyrogen ( Appendix
only a trace of protein with the migrating rate of
XII D). The injecting dose of the preparation shall albumin.
be 3. 0 ml/kg of rabbit body weight.
3. 3. 4. 2 F(ab)2 content
3. 2 Control test on final bulk
It shall be not less than 60% (Appendix VIII F).
Sterility test
It complies with the test for sterility ( Appendix 3. 3. 5 Antibody potency
XII A). The potency of gas-gangrene antitoxin shall be not
less than 1000 IU/ ml ( Appendix XI G). The
3. 3 Control tests on final product
filling quantity in each container shall be not less
3. 3. 1 Identity test than the stated value.
At least one container from each final batch shall
3. 3. 6 Content of blood group A-like substance
be sampled for identity test.
The content of blood group A-like substance shall
3. 3. 1. 1 Neutralization test in animals or specific be not more than 4 µg/ml (Appendix IX I).
precipitation
3. 3. 7 Sterility test
Perform the test for identity as specified in
It complies with the test for sterility ( Appendix
Appendix XI G, and the result shall demonstrate
that the test sample can neutralize relevant gas-
XII A).
gangrene toxins in animals. Alternatively, carry 3. 3. 8 • Pyrogen test
out the double immunodiffusion test ( Appendix It complies with the test for pyrogen ( Appendix
VIII C) , and specific precipitation lines shall be XII D). The injecting dose of the preparation shall
produced with relevant gas-gangrene- toxins or be 3. 0 ml/kg of rabbit body weight.
toxoids , separately. 3. 3. 9 Test for abnormal toxicity
3. 3. 1. 2 Double immunodiffusion test It complies with the test for abnormal toxicity
Perform the double immunodiffusion test (Appendix XII F).
(Appendix VIII C), and precipitation lines shall be 4 Storage, shipping and validity period
produced only with anti-horse serum. Store and ship at 2-8°C, protected from light.
3. 3. 2 Inspection on final containers The validity period is 36 months· starting from the
Gas-gangrene Antitoxin (Mixed), Freeze-dried

date of filling of final product. If apparent hemolysis , bacterial contamination or


5 Package inserts other abnormalities occur in the plasma during
The Requirements for Packaging of Biologics shall storage, the plasma shall not be used for
apply. production.
2. 3. 2 Preparation
2. 3. 2. 1 Digestion
Add a quantity of pepsin and toluene to the diluted
Gas-gangreneAntitoxin (Mixed), plasma, -and digest at a proper pH and a suitable
Freeze-dried temperature for a certain period of time.
2. 3. 2. 2 Purification
Mixed gas-gangrene antitoxin is a freeze-dried The above digest · shall be purified by sequential
preparation containing polyvalent antitoxic globulins. steps of heating, ammonium sulfate fractionation,
It is obtained by purification following pepsin alum adsorption, etc.
digestion from the plasma of horses that have been 2. 3. 2. 3 Concentration, clarificationand sterilization
immunized separately with the toxin or toxoid by filtration
derived from Cl. per f ring ens, Cl. oedematiens The bulk may be concentrated by ultrafiltration or
(novyi), Cl. septicum and Cl. Histolyticum. The ammonium sulfate precipitation. After clarification
preparation is used for prevention and treatment of and sterilization by filtration, a quantity of
gas-gangrene. trichloromethane , thimerosal or metacresol may
1 Basic requirements be added to the preparation as a preservative.
The facilities, water, source and subsidiary The purified bulk antitoxin shall be stored at 2-8°C
materials, apparatus and animals used for and protected from light for at least one month as a
production and control tests shall comply with the stabilizing period.
requirements set forth in the General Notices. 2. 3. 3 Control tests on bulk
2 Manufacturing See Section 3. 1.
2. 1 Antigen and adjuvant 2. 4 Final bulk
The Requirementsfor Quarantine and Immunizationof 2. 4. 1 Formulation
Horses Used for Production of Immunosera shall Dilute the bulk qualified in control tests with
apply. sterile water for injection, adjust the titer,
2. 2 Animals used for immunization and plasma protein content, pH and sodium chloride content
according to the specifications of the final product,
2. 2. 1 Animals used for immunization and sterilize the bulk by filtration. Three bulk
The horses used for immunization must comply antitoxins shall be mixed in a proportion of
with. the Requirements for Quarantine and international units as follows: Cl. per fringens :
Immunization of Horses Used for Production of Cl. oedematiens : Cl. septicum = 2 : 2 . : 1. One
Immunosera. portion of Cl. histolyticum antitoxin may be added
2. 2. 2 Immunization, blood collection and plasma to the above mixture if necessary. ·
separation 2. 4. 2 Control tests on final bulk
The Requirementsfor Quarantine and Immunizationof See Section 3. 2
Horses Used for Production of Immunosera shall
apply. Blood shall be collected when the potency 2. 5 Final product
of immunoserummeets the following requirements: · 2. 5. 1 Defining batches
300 IU/ml or more for Cl. per fringens i The Requirements for Defining Batches of
700 IU/ml or more for Cl. oedematiens; Biologics shall apply.
350 IU/ml or more for Cl. Septicum.i
2. 5. 2 Filling and lyophilization
700 IU/ml or more for Cl. histoiyticilm;
The Requirements for Filling and Lyophilization of
A quantity of appropriate preservative may be
Biologics shall apply. The temperature of the
added to plasma and sterility test shall be carried
preparation during lyophilization shall be not
out (Appendix XI[ A).
higher than 35°C. The final containers shall be
2. 3 Bulk sealed under vacuum or after filling with nitrogen.
2. 3. 1 Source plasma 2. 5. 3 Specifications
The gas-gangrene antitoxin potency of source 5000 IU of mixed gas-gangrene antitoxin per
plasma (Appendix XI G) shall meet the following container.
requirements:
2. 5. 4 Packaging
250 IU / ml or more for Cl. per f ring ens;
The Requirements for Packaging of Biologics shall
300 IU/ml or more for Cl. septicum.i
apply.
550 IU/ml or more for Cl. Oedematiens;
550 IU / ml or more for Cl. histol yticum. 3 Control tests
Botulinum Antitoxins

3. 1 Control tests on bulk 3. 3. 3. 4 Sodium chloride content


The sodium chloride content shall be 7. 5-9. 5 g/L
3. 1. 1 Content of blood group A-like substance
( Appendix VI[ G)
The content of blood group A-like substance shall
be not more than 4 µg/ml (Appendix IX D. 3. 3. 3. 5 Ammonium sulfate content
The ammonium sulfate content shall be not more
3. 1. 2 Antibody potency than 1. 0 g/L (Appendix VI[ C).
Carry out the test for potency ( Appendix XI G). 3. 3. 3. 6 Preservative content
3. 1. 3 · Sterility test If any of the following preservatives is added, it
It complies with the test for sterility ( Appendix · shall be:
XII A). not more than 0. 1 g/L for the content of
thimerosal (Appendix VI[ B);
3. 1. 4 Pyrogen test
not more than 2. 5 g/L for the content of meta-
It complies with the test for pyrogen ( Appendix
cresol (Appendix VI N) ;
XII D). The injecting dose of the preparation shall not more than 0. 5 % for the content of
be 3. 0 ml/kg of rabbit body weight. trichloromethane (Appendix VI 0).
3. 2 Control test on final bulk 3. 3. 4 Purity
Sterility test
3. 3. 4. 1 Albumin detection
It complies with the test for sterility ( Appendix Dilute sample to a protein content of 2 % and carry
XII A). out agarose electrophoresis ( Appendix N B).
3. 3 Control tests on final product The result shall reveal the absence of protein or
Other than the determination of residual moisture, only a trace of protein with the migrating rate of
sterile water for injection shall be added as stated albumin.
on the label, and the reconstituted preparation 3.3.4.2 F(ab)2 content
shall be subject to the following tests. It _shall be not less than 60 % (Appendix VIIl F).
3. 3. 1 Identity test 3. 3. 5 Antibody potency
At least one container from each final batch shall The potency of gas-gangrene antitoxin shall be not
be sampled for identity test. less than 1000 IU / ml ( Appendix XI G ) . The
filling quantity in each container shall be not less
3. 3. 1. 1 Neutralization test in animals or specific than the stated value.
precipitation
Perform the test for identity as specified in 3. 3. 6 Content of blood group A-like substance
The content of blood group A-like substance shall
Appendix XI G, and the result shall demonstrate
be not more than 4 µg/ ml ( Appendix IX I).
that the test sample can neutralize relevant gas-
gangrene toxins in animals. Alternatively, carry 3. 3. 7 -Sterility test
out the double immunodiffusion test ( Appendix It complies with the test for sterility ( Appendix
VIIl C), and specific precipitation lines shall be XII A).
produced with relevant gas-gangrene toxins or 3. 3. 8 Pyrogen test
toxoids , separately. It complies with the test for pyrogen ( Appendix
3. 3. 1. 2 Double immunodiffusion test
XII D). The injecting dose of the preparation shall
be 3. 0 ml/kg of rabbit body weight.
Perform the double immunodiffusion test
(Appendix VIIl C), and precipitation lines shall be 3. 3. 9 Test for abnormal toxicity
produced only with anti-horse serum. It complies with the test for abnormal toxicity
(Appendix XII F).
3. 3. 2 Inspection on final containers
3. 3. 10 Diluent
The preparation looks like a white or light yellow The diluent for reconstitution of final product rs
crisp cake. It shall be completely reconstituted sterile water for injection.
with the stated amount of water for injection
within 15 minutes by shaking gently. After 4 Storage, shipping and validity period
reconstitution, it shall be a clear, colourless or Store and ship at 2-8°C, protected from light.
light yellow liquid, free from foreign matters. The validity period is 60 months starting from the
date of filling of final product.
3. 3. 3 Chemical tests 5 Package inserts
3. 3. 3. 1 Moisture content The Requirements for Packaging of Biologics shall
The residual moisture content shall be not more apply.
than 3. 0% (Appendix VI[ D).
3. 3. 3. 2 pH
The pH shall be 6. 0-7. 0 (Appendix V A).
Botulinum Antitoxins
3. 3. 3. 3 Protein content
The protein content shall be not more than 170 g/L
( Appendix VI B, method 1). Botulinum antitoxins, including six types of A,
Botulinum Antitoxins

B, C, D, E and F, are liquid preparations Add a quantity of pepsin and toluene to the diluted
contammg antitoxic globulins. Each type of plasma, and digest at a proper p'H and a suitable
antitoxin is obtained by purification following temperature for a certain period of time.
pepsin digestion from the plasma of horses that 2. 3. 2. 2 Purification
have been immunized with the toxin or toxoid The above digest shall be purified by sequential
derived from the corresponding type of steps of heating, ammonium sulfate fractionation,
Cl. botulinum. The preparations are used for al um adsorption, etc.
prevention and treatment of the corresponding type
of botulism. 2. 3. 2. 3 Concentration, clarification and sterilization
by filtration
1 Basic requirements
The bulk may be concentrated by ultrafiltration or
The facilities, water, source and subsidiary
ammonium sulfate precipitation. After clarification
materials, apparatus and animals used for
and sterilization by filtration, a quantity of
production and control tests shall comply with the
trichloromethane , thimerosal or metacresol may
requirements set forth in the General Notices.
be added to the preparation as a preservative.
2 Manufacturing The purified bulk antitoxin shall be stored at 2-8°C
2. 1 Antigen and adjuvant and protected from light for at least one month as a
The Requirements for Quarantine and Immunization of stabilizing period.
Horses Used for Production of lmmunosera shall 2. 3. 3 Control tests on bulk
apply ... See Section 3. 1.
2. 2 Animals used for immunization and plasma 2. 4 Final bulk
2. 2. 1 Animals used for immunization 2. 4. 1 Formulation
The horses used for immunization must comply Dilute the bulk qualified in control tests with
with the Requirements for Quarantine and sterile water for injection, adjust the titer,
Immunization of Horses Used for Production of protein content, pH and sodium chloride content
Immunosera. according to the specifications of the final product,
2. 2. 2 Immunization, blood collection and plasma and sterilize the bulk by filtration.
separation 2. 4. 2 Control tests on final bulk
The Requirements for Quarantine and Immunization See Section 3. 2.
of Horses Used for Production of lmmunosera
shall apply. Blood shall be collected when the 2. 5 Final product
potency of immunoserum meets the following 2. 5. 1 Defining batches
requirements: The Requirements for Defining Batches of
1500 IU/ml or more for type A; Biologics shall apply.
800 IU / ml or more for type B;
2. 5. 2 Filling
300 IU / ml or more for type C;
800 IU / ml or more for type D; The Requirements for Filling and Lyophilization of
800 IU / ml or more for type E; Biologics shall apply.
300 IU / ml or more for type F. 2. 5. 3 Specifications
A quantity of appropriate preservative may be 10000 IU per container for type A; 5000 IU per
added to plasma and sterility test shall be carried container for types B, C, D, E and F,
out ( Appendix XI[ A). respectively.
2. 3 Bulk 2. 5. 4 Packaging
2. 3. 1 Source plasma ~. The Requirements for Packaging of Biologics shall
The botulinum antitoxin potency of source plasma apply.
( Appendix XI H ) shall meet the following 3 Control tests
requirements: 3. 1 Control tests on bulk
1000 IU / ml or more for type A;
600 IU / ml or more for type B; 3. 1. 1 Content of blood group A-like substance
200 IU/ml or more for type C; The content of blood group A-like substance shall
600 IU / ml or more for type D; be not more than 4 µg/ ml ( Appendix IX I).
600 IU / ml or more for type E; 3. 1. 2 Antibody potency
200 IU/ml or more for type F. Carry out the test for potency ( Appendix XI H).
If apparent hemolysis, bacterial contamination or
3. 1. 3 Sterility test.
other abnormalities occur in the plasma during It complies with the test for sterility ( Appendix
storage, the plasma shall not be used for production. XI[ A).
2. 3. 2 Preparation 3. 1. 4 Pyrogen test
2. 3. 2. 1 Digestion It complies with the test for pyrogen ( Appendix
Botulinum Antitoxins, Freeze-dried

XII D). The injecting dose of the preparations shall albumin.


be 3. 0 ml/kg of rabbit body weight. 3.3.4.2 F(ab)2 content
3. 2 Control test on final bulk The F (ab) 2 content shall be not less than 60 %
Sterility test ( Appendix VD1 F).
It complies with the test for sterility ( Appendix 3. 3. 5 Antibody potency
XII A). Carry out the test for potency (Appendix XI H).
3. 3 Control tests on final product The potency and specific activity of each type of
botulinum antitoxin shall be not less than the
3. 3. 1 Identity test following standards:
At least one container from each final batch shall
be sampled for identity test. Type Potency Specific activity
3. 3. 1. 1 Neutralization test in animals or specific
precipitation A 2000 IU/ml 20000 IU I g Pr
Perform the test for identity as specified in B 2000 IU/ml 20000 IU/ g Pr
Appendix XI H, and the result shall demonstrate
that the test sample can neutralize the cor- c 500 IU/ml 5000 IU/g Pr
responding type of botulinum toxin or toxoid in D 2000 IU/ml 20000 IU I g Pr
animals. Alternatively, carry out the double
immunodiffusion test ( Appendix VD1 C ) , and E 1000 IU/ml 10000 IU/g Pr
specific precipitation lines shall be produced with F 500 IU/ml 5000 IU/g Pr
the corresponding type of botulinum toxin or
toxoid. The filling quantity in each container shall be not
3. 3. 1. 2 Double immunodiffusion test less than the stated value.
Perform the double immunodiffusion test 3. 3. 6 Content of blood group A-like substance
(Appendix VD1 C), and precipitation lines shall be The content of blood group A-like substance shall
produced only with anti-horse serum. be not more than 4 µg/ml (Appendix IX D.
3. 3. 2 Inspection on final containers 3. 3. 7 Sterility test
The preparations shall be clear, colourless or light It complies with the test for sterility ( Appendix
yellow liquids, free from foreign matters. XII A).
3. 3. 3 . Chemical tests 3. 3. 8 Pyrogen test
It complies with the test for pyrogen ( Appendix
3. 3. 3. 1 pH
The pH shall be 6. 0- 7. 0 ( Appendix V A). XII D). The injecting dose of the preparation shall
be 3. 0 ml/kg of rabbit body weight.
3. 3. 3. 2 Protein content
3. 3. 9 Test for abnormal toxicity
The protein content shall be not more than 170 g/L
It complies with the test for abnormal toxicity
(Appendix VI B, method 1).
(Appendix XII F).
3. 3. 3. 3 Sodium chloride content 4 Storage, shipping and validity period
The sodium chloride content shall be 7. 5-9. 5 g/L Store and ship at 2-8°C, protected from light.
( Appendix Vil G). The validity period is 36 months starting from the
3. 3. 3. 4 Ammonium sulfate content date of filling of final product.
The ammonium sulfate content shall be not more 5 Package inserts
than 1. O g/L ( Appendix Vil C). The Requirements for Packaging of Biologics shall
3. 3. 3. 5 Preservative content apply.
If any of the following preservatives is added, it
shall 'be ,
not more than 0. 1 g/L for the content of thimerosal
(Appendix Vil B); Botulinum Antitoxins, Freeze-dried
not more than 2. 5 g/L for the content of meta-
cresol (Appendix VI N);
not more than 0. 5 % for the content of Botulinum antitoxins, including six types of A,
trichloromethane (Appendix VI 0). B, C, D, E and F, are freeze-dried preparations
containing antitoxic globulins. Each type of
3. 3. 4 · Purity
antitoxin is obtained by purification following
3. 3. 4. 1 Albumin detection pepsin digestion from the plasma of horses that
Dilute sample to a protein content of 2 % and carry have been immunized with the toxin or toxoid
out agarose electrophoresis ( Appendix VI B). derived from the corresponding type of
The result shall reveal the absence of protein or Cl. botulinum. The preparations are used for
only a trace of protein with the migrating rate of prevention and treatment of the corresponding type
Botulinum Antitoxins, Freeze-dried

of botulism. 2. 3. 2. 3 Concentration, clarificationand sterilization


by filtration
1 Basic requirements
The facilities, water, source and subsidiary The bulk may be concentrated by ultrafiltration or
materials, apparatus and animals used for ammonium sulfate precipitation After clarification
production and control tests shall comply with the and sterilization by filtration, a quantity of
requirements set forth in the General Notices. trichloromethane, thimerosal or metacresol may
be added to the preparation as a preservative.
2 Manufacturing The purified bulk antitoxin shall be stored at 2-8°C
2. 1 Antigen and adjuvant and protected from light for at least one month as a
The Requirements for Quarantine and Immuni- stabilizing period.
zation of Horses Used for Production of Immunosera 2. 3. 3 Control tests on bulk
shall apply. See Section 3. 1.
2. 2 Animals used for immunization and plasma 2. 4 Final bulk
2. 2. 1 Animals used for immunization 2. 4. 1 Formulation
The horses used for immunization must comply Dilute the bulk qualified in control tests with
with the Requirements for Quarantine and Immuni- sterile water for injection, adjust the titer,
zation of Horses Used for Production of Immuno- protein content, pH and sodium chloride content
sera. according to the specifications of the final product,
2. 2. 2 Immunization, blood collection and plasma and sterilize the bulk by filtration.
separation 2. 4~ 2 Control tests on final bulk
The Requirements for Quarantine and Immuni- See Section 3. 2.
zation of Horses Used for Production of Immuno-
2. 5 Final product
sera shall apply. Blood shall be collected when the
potency of immunoserum meets the following 2. 5. 1 Defining batches
requirements: . The Requirements for Defining Batches of
1500 IU / ml or more for type A; Biologics shall apply.
800 IU / ml or more for type B; 2. 5. 2 Filling and lyophilization
300 IU / ml or more for type C; The Requirements for Filling and Lyophilization of
800 IU / ml or more for type D; Biologics shall apply. The temperature of the
800 IU / ml or more for type E; preparations during lyophilization shall be not
300 IU /ml or more for type F. higher than 35°C. The final containers shall be
A quantity of appropriate preservative may be sealed under vacuum or after filling with nitrogen.
added to plasma and sterility test shall be carried
out (Appendix XI[ A). 2. 5. 3 Specifications
10000 IU per container for type ·A; 5000 IU per
2. 3 Bulk container for types B, C, D, E and F,
2. 3. 1 Source plasma res pectively.
The botulinum antitoxin potency of source plasma 2. 5. 4 Packaging
( Appendix XI H ) shall meet the · following The Requirements for Packaging of Biologics shall
requirements: apply.
1000 IU / ml or more for type A;
600 IU / ml or more for type B; 3 Control tests
200 IU / ml or more for type C; 3. 1 Control tests on bulk
600 IU / ml or more for type D;
600 IU / ml or more for type E; 3. 1. 1 Content of blood group A-like substance
200 IU / ml or more for type F. The content of blood group A-like substance shall
If apparent hemolysis , bacterial contamination or be not more than 4 µg/ml (Appendix IX D.
other abnormalities occur in the plasma during 3. 1. 2 Potency test
storage, the plasma shall not be used for Carry out the test for potency (Appendix XI H).
production. 3. 1. 3 Sterility test
2. 3. 2 Preparation It complies with the test for sterility ( Appendix
2. 3. 2. 1 Digestion
XI[ A).
Add a quantity of pepsin and toluene to the diluted 3. 1. 4 Pyrogen test
plasma, and digest at a proper pH and a suitable It complies with the test for pyrogen ( Appendix
temperature for a certain period of time. XI[ D). The injecting dose of the preparations shall
be 3. 0 ml/kg of rabbit body weight.
2. 3. 2. 2 Purification
The above digest shall be purified by sequential 3. 2 Control test on final bulk
steps of heating, ammonium sulfate fractionation, Sterility test
alum adsorption, etc. It complies with the test for sterility ( Appendix
Agkistrodon halys Antivenin, Equine

XII A). 3. 3. 4. 1 Albumin detection


Dilute sample to a protein content of 2 % and carry
3. 3 Control tests on final product
out agarose electrophoresis ( Appendix N B).
Other than the determination of moisture content,
· The result shall reveal the absence of protein or
sterile water for injection shall be added as stated
only a trace of protein with the migrating rate of
on the label, and the reconstituted preparations
albumin.
shall be subject to the following tests.
3.3.4.2 F(ab)2 content
3. 3. 1 Identity test
The F (ab) 2 content shall be not less than 60 %
At least one container from each final batch shall
(Appendix VIII F).
be sampled for identity test.
3. 3. 5 Antibody potency
3. 3. 1. 1 Neutralization ·test in animals or specific Carry out the test for potency (Appendix XI H).
precipitation The potency and specific activity of each type of
Perform the test for identity as specified in botulinum antitoxin shall be not less than the
Appendix XI H, and the result shall demonstrate following standards:
that the test sample can . neutralize the cor-
responding type of botulinum toxin or toxoid Type Potency Specific activity
respectively in animals. Alternatively, carry out
the double immunodiffusion test ( Appendix A 2000 IU/ml 20000 IU I g Pr
VIII C), and specific precipitation lines shall be
produced with the corresponding type of botulinum
B 2000 IU/ml 20000 IU I g Pr
toxin or toxoid , separatively, c 500 IU/ml 5000 IU/g Pr
3. 3. 1. 2 Double immunodiffusion test D 2000 IU/ml 20000 IU I g Pr
Perform the double immunodiffusion test
(Appendix VIII C), and precipitation lines shall be E 1000 IU/ml 10000 IU/g Pr
produced only with anti-horse serum.
F 500 IU/ml 5000 IU/g Pr
3. 3. 2 Inspection on final containers
The preparations look like white or light yellow The filling quantity in each container shall be not
crisp cake. They shall· be completely reconstituted less than the stated value.
with the stated amount of water for injection 3. 3. 6 Content of blood group A-like substance
within 15 minutes by shaking gently. After The content of blood group A-like substance shall
reconstitution, they shall be clear, colourless or be not more than 4 µ.g/ ml ( Appendix IX I).
light yellow liquids, free from foreign matters.
3. 3. 7 Sterility test
3. 3. 3 Chemical tests It complies with the test for sterility ( Appendix
3. 3. 3. 1 Moisture content XII A).
The residual moisture content shall be not more 3. 3. 8 Pyrogen test
than 3. 0% (Appendix VJ[ D). It complies with the test for pyrogen ( Appendix
3. 3. 3. 2 pH XII D), The injecting dose of the preparation shall
The pH shall be 6. 0- 7. 0 ( Appendix V A). be 3. 0 ml/kg of rabbit body weight.
3. 3. 9 Test for abnormal toxicity
3. 3. 3. 3 Protein content
The protein content shall be not more than 170 g/L
It complies with the test for abnormal toxicity
( Appendix XII F).
(Appendix VI B, method 1).
3. 3. 10 Diluent
3. 3. 3. 4 Sodium chloride content
The diluent for reconstitution of final product ts
The sodium chloride content shall be 7. 5-9. 5 g/L
sterile water for injection.
(Appendix VJ[ G).
4 Storage, shipping and validity period
3. 3. 3. 5 Ammonium sulfate content Store and ship at 2-8°C, protected from light.
The ammonium sulfate content shall be not more The validity period is 60 months starting from the
than 1. 0 g/L ( Appendix VJ[ C). date of filling of final product.
3. 3. 3. 6 Preservative content 5 Package inserts
If any of the following preservatives is added, it The Requirements for Packaging of Biologics shall
shall be: apply.
not more than 0. 1 g/L for the content of
thimerosal (Appendix VJ[ B);
not more than 2. 5 g/L for the content of meta-
cresol ( Appendix VI N) ;
not more than 0. 5 % for the content of
Agkistrodon halys Antivenin, Equine
trichloromethane (Appendix VI 0).
3. 3. 4 Purity Agkistrodon halys antivenin is a freeze-dried
Agkistrodon halys Antivenin,· Equine

preparation contammg antivenin globulins. The and protected from light for at least one month as a
preparation is obtained by purification following stabilizing period.
pepsin digestion from the plasma of horses that 2. 3. 3 Control tests on bulk
have been immunized with venoms or detoxified See Section 3. 1.
venoms of Agkistrodon halys. The preparation is
used for treatment of victims bitten by 2. 4 Final bulk
Agkistrodon halys. 2. 4. 1 Formulation
1 Basic requirements Dilute the bulk qualified in control tests with
The facilities, water, source and · subsidiary sterile water for injection, adjust the titer,
materials, apparatus and animals _ used for protein content, pH and sodium chloride content
production and control tests shall comply with the according to the specifications of the final product,
requirements set forth in the General Notices. and sterilize the bulk by filtration.
2 Manufacturing 2. 4. 2 Control tests on final bulk
See Section 3. 2.
2. 1 Antigen and adjuvant
The Requirements for Quarantine and Immuni- 2. 5 Final product
zation of Horses Used for Production of Immuno- 2. 5. 1 Defining batches
sera shall apply. The Requirements for Defining Batches of
2. 2 Animals used for immunization and plasma Biologics shall apply.

2. 2. 1 Animals used for immunization 2. 5. 2 Filling and lyophilization


The horses used for immunization must comply The Requirements for Filling and Lyophilization of
with the Requirements for Quarantine and Biologics shall apply.
Immunization of Horses Used for Production of The temperature of the preparation during
Immunosera. lyophilization shall be not higher than 35°C. The
final containers shall be sealed under vacuum or
2. 2. 2 Immunization, blood collection and plasma after filling with nitrogen.
separation
The Requirements for Quarantine and Immuni- 2. 5. 3 Specifications
zation of Horses Used for Production of 6000 U of Agkistrodon halys antivenin per
Immunosera shall apply. Blood shall be collected container.
when the potency of immunoserum reaches 2. 5. 4 Packaging
180 U/ml. A quantity of appropriate preservative The Requirements for Packaging of Biologics shall
may be added to plasma and sterility test shall be apply.
carried out (Appendix XI[ A). 3 Control tests
2. 3 Bulk 3. 1 Control tests on bulk
2. 3. 1 Source plasma 3. 1. 1 Content of blood group A-like substance
The potency of source plasma shall be not less than The content of blood group A-like substance shall
150 U / ml ( Appendix IX I). If apparent hemolysis, be not more than 4 µg/ ml ( Appendix IX I).
bacterial contamination or other abnormalities
occur in the plasma during storage, the plasma 3. 1. 2 Antibody potency
shall not be used for production. Carry out the test for potency (Appendix IX I).

2. 3. 2 Preparation 3. 1. 3 Sterility test


It complies with the test for sterility ( Appendix
2. 3. 2. 1 Digestion XI[ A).
Add a quantity of pepsin and toluene to the diluted
plasma, and digest at a proper pH and a suitable 3. 1. 4 Pyrogen test
temperature for a certain period of time. It complies with the test for pyrogen ( Appendix
XI[ D). The injecting dose of the preparation shall
2. 3. 2. 2 Purification be 3. 0 ml/kg of rabbit body weight.
The above digest shall be purified by sequential
steps of heating, ammonium sulfate fractionation, 3. 2 Control test on final bulk
alum adsorption, etc. Sterility test
It complies with the test for sterility ( Appendix
2. 3. 2. 3 Concentration,· clarificationand sterilization XI[ A).
by filtration
The bulk may be concentrated by ultrafiltration or 3. 3 Control tests on final product
ammonium sulfate precipitation After clarification Other than the determination of residual moisture,
and sterilization by filtration, a quantity of sterile water for injection shall be added as stated
trichloromethane, thimerosal. or metacresol may on the label, and the reconstituted preparation
be added to the preparation as a preservative. shall be subject to the following tests.
The purified bulk antivenin shall be stored at 2-8°C 3. 3. 1 Identity test
Agkistrodon acutus Antivenin, Equine

At least one container from each final batch shall It shall be not less than 60% (Appendix vi F).
be sampled for identity test. 3. 3. 5 Antibody potency
3. 3. 1. 1 Neutralization test in animals or specific The potency of Agkistrodon halys antivenin shall
precipita tion be not less than 500 U/ml (Appendix XI D. The
Perform the test for identity as specified in filling quantity in each container shall be not less
Appendix IX I, and the result shall demonstrate than the stated value.
that the test sample can neutralize Agkistrodon 3. 3. 6 Content of blood group A-like substance
halys venom in animals. Alternatively, carry out The content of blood group A-like substance shall
the double immunodiffusion test ( · Appendix
'be not more than 4 µg/ ml ( Appendix IX I).
vi C), and specific precipitation lines shall be
produced with Agkistrodon halys venom. 3. 3. 7 Sterility test
It complies with the test for sterility ( Appendix
3. 3. 1. 2 Double immunodiffusion test XII A).
Perform the double immunodiffusion test
(Appendix vi C) by using the IgG of rabbit anti- 3. 3. 8 Pyrogen test
horse plasma. The result shall demonstrate that It complies with the test for pyrogen ( Appendix
the protein component is derived from horse XII D). The injecting dose of the preparation shall
serum. be 3. 0 ml/kg of rabbit body weight.
3. 3. 2 Inspection on final containers 3. 3. 9 Test for abnormal toxicity
The preparation looks like a white or light yellow It complies with the 'test for abnormal toxicity
crisp cake. It shall be completely reconstituted (Appendix XII F).
with the stated amount of water for injection 3. 3. 10 Diluent
within 15 minutes on shaking gently. After The diluent for reconstitution of final product ts
reconstitution, it shall be a clear, colourless or sterile water for injection.
light yellow liquid, free from foreign matters.
4 Storage, shipping and validity period
3. 3. 3 Chemical tests Store and ship at 2-8°C, protected from light.
3. 3. 3. 1 Moisture content The validity period is 60 months starting from the
The residual moisture content shall be not more date of filling of final product.
than 3. 0% (Appendix VI[ D). 5 Package inserts
3. 3. 3. 2 pH The Requirements for Packaging of Biologics shall
The pH shall be 6. 0-7. 0 (Appendix V A). apply.
3. 3. 3. 3 Protein content
The protein content shall be not more than 170 g/L
( Appendix VI B, method 1).
Agkistrodon acutus Antivenin, Equine
3. 3. 3. 4 Sodium chloride content
The sodium chloride content shall be 7. 5-9. 5 g/L
( Appendix VI[ G). Agkistrodon acutus antivenin is a freeze-dried
3. 3. 3. 5 Ammonium sulfate content preparation containing antivenin globulins. The
The ammonium sulfate content shall be not more preparation is obtained by purification following
than 1. 0 g/L (Appendix VI[ C). pepsin digestion from the plasma of horses that
have been immunized with venoms or detoxified
3. 3. 3. 6 Preservative content venoms of Agkistrodon acutus. The preparation
If any of the following preservatives is added, it is used for treatment of victims bitten by
shall be: Agkistrodon acutus.
not more than 0. 1 g/L for . the content of
thimerosal (Appendix VI[ B) ; 1 Basic requirements
not more than 2. 5 g/L for the content of meta- The facilities, water, source and subsidiary
cresol ( Appendix VI N) ; materials, apparatus and animals used for
not more than 0. 5 % · for the content of production and control tests shall comply with the
trichloromethane (Appendix VI 0). ' requirements set forth in the General Notices.

3. 3. 4 Purity 2 Manufacturing

3. 3. 4. 1 Albumin detection 2. 1 Antigen and adjuvant


Dilute sample to a protein content of 2 % and carry The Requirements for Quarantine and Immuni-
out agarose electrophoresis ( Appendix VI B ) . zation of Horses Used for Production of Immuno-
The result shall reveal the absence of protein or sera shall apply.
only a trace of protein with the migrating rate of 2. 2 Animals used for immunization and plasma
albumin.
2. 2. 1 Animals used for immunization
3.3.4.2 F(ab)2 content The horses used for immunization must comply
Agkistrodon acutus Antivenin, Equine

with the Requirements for Quarantine and The temperature of the preparation during
Immunization of Horses Used for Production of lyophilization shall be not higher than 35°C. The
Immunosera. final containers shall be sealed under vacuum or
2. 2. 2 Immunization, blood collection and plasma after filling with nitrogen.
separation 2. 5. 3 Specifications
The Requirements for Quarantine and Immuni- 2000 U of Agkistrodon acutus antivenin per
zation of Horses Used for Production of Immuno- container.
sera shall apply. Blood shall be collected when the 2. 5. 4 Packaging
potency of immunoserum reaches 60 U / ml. A The Requirements for Packaging of Biologics shall
quantity of appropriate preservative may be added apply.
to plasma and sterility test shall be carried out
(Appendix XI[ A). 3 Control tests
2. 3 Bulk 3. 1 Control tests on bulk
2. 3. 1 Source plasma 3. 1. 1 Content of blood group A-like substance
The potency of source plasma shall be not less than The content of blood group A-like substance shall
50 U/ml (Appendix XI D. If apparent hemolysis , be not more than 4 µg/ml (Appendix XI D.
bacterial contamination or other abnormalities 3. 1. 2 Antibody potency
occur in the plasma during storage, the plasma Carry out the test for potency (Appendix XI I).
shall notbe used for production.
3. 1. 3 Sterility test
2. 3. 2 Preparation It complies with the test for sterility ( Appendix
2. 3. 2. 1 Digestion XI[ A).
Add a quantity of pepsin and toluene to the diluted 3. 1. 4 Pyrogen test
plasma, and digest at a proper pH and a suitable It complies with the test for pyrogen ( Appendix
temperature for a certain period of time. XI[ D). The injecting dose of the preparation shall
2. 3. 2. 2 Purification be 3. 0 ml/kg of rabbit body weight.
The above digest shall be purified by sequential 3. 2 Control test on final bulk
steps of heating, ammonium sulfate fractionation, Sterility test
alum adsorption, etc. It complies with the test for sterility ( Appendix
2. 3. 2. 3 Concentration, clarificationand sterilization XI[ A).
by filtration 3. 3 Control tests on final product
The bulk may be concentrated by ultrafiltration or Other than the determination of residual moisture,
ammonium sulfate precipitation. After clarification sterile water for injection shall be added as stated
and sterilization by filtration, a quantity of tri- on the label, and the reconstituted preparation
chloromethane, thimerosal or metacresol may be shall be subject to the following tests.
added to the preparation as a preservative.
The purified bulk antivenin shall be stored at 2-8°C 3. 3. 1 Identity test
and protected from light for at least one month as a At .least one container from each final batch shall
stabilizing period. be sampled for identity test.

2. 3. 3 Control tests on bulk 3. 3. 1. 1 Neutralization test in animals or specific


See Section 3. 1. precipita ti on
Perform the test for identity as specified in
2. 4 Final bulk Appendix XI I, and the result shall demonstrate
2. 4. 1 Formulation that the test sample can neutralize Agkistrodon
Dilute the bulk qualified in control tests with acutus venom in animals. Alternatively, carry out
sterile water for injection, adjust the titer, the double immunodiffusion test ( Appendix
protein content, pH and sodium chloride content VIIl C), and specific precipitation lines shall be
according to the specifications of the final product, produced with Agkistrodon acutus venom.
and sterilize the bulk by filtration. 3. 3. 1. 2 Double immunodiffusion test
2. 4. 2 Control tests on final bulk Perform the double immunodiffusion test
See Section 3. 2. (Appendix VIIl C) by using the IgG of rabbit anti-
horse plasma. The result shall demonstrate that
2. 5 Final product the protein component is derived from horse
2. 5. 1 Defining batches serum.
The Requirements for Defining Batches of 3. 3.-2 Inspection on final containers
Biologics shall apply. The preparation looks like a white or light yellow
2. 5. 2 Filling and lyophilization crisp cake. It shall be completely reconstituted
The Requirements for Filling and Lyophilization of with the stated amount of water for injection
'Biologics shall· apply. within 15 minutes on shaking gently. After
Bungarus multicinctus Antivenin, Equine

reconstitution, it shall be a clear, colourless or sterile water for injection.


light yellow .liquid, free from foreign matters.
4 Storage, shipping and validity period
3. 3. 3 Chemical tests Store and ship at 2-8°C, protected from light.
3. 3. 3. 1 Moisture content The validity period is 60 months starting from the
The residual moisture content shall be not more date of filling of final product.
than 3. 0% (Appendix Vll D). 5 Package inserts
3. 3. 3. 2 pH The Requirements for Packaging of Biologics shall
The pH shall be 6. 0-7. 0 (Appendix V A). apply. ·

3. 3. 3. 3 Protein content
The protein content shall be not more than 170 g/L
( Appendix VI B, method 1).
Bungarus multicinctus Antivenin,
3. 3. 3. 4 Sodium chloride content
The sodium chloride content shall be 7. 5-9. 5 g/L
Equine
( Appendix Vll G).
3. 3. 3. 5 Ammonium sulfate content Bungarus multicinctus antivenin is a freeze-dried
The ammonium sulfate content shall be not more preparation contammg antivenin globulins. The
than 1. 0 g/L (Appendix Vll C). preparation is obtained by purification following
pepsin digestion from the plasma of horses that
3. 3. 3. 6 Preservative content have been immunized with venoms or detoxified
If any of the following preservatives is added, it venoms of Bungarus multicinctus. The preparation
shall be: is used for treatment of victims bitten by Bungarus
not more than 0. 1 g/L for the content of multicinctus.
thimerosal (Appendix Vll B);
not more than 2. 5 g/L for the content of meta- 1 Basic requirements
cresol (Appendix VI N); The facilities, water, source and subsidiary
not more than 0. 5 % for the content of materials, apparatus and animals used for
trichloromethane (Appendix VI 0). production and control tests shall comply with the
requirements set forth in the General Notices.
3. 3. 4 Purity
2 Manufacturing
3. 3. 4. 1 Albumin detection ,
Dilute sample to a protein content of 2 % and carry 2. 1 Antigen and adjuvant
out agarose electrophoresis ( Appendix VI B). The Requirements for Quarantine and Immuni-
The result shall reveal the absence of protein or zation of Horses Used for Production of Immuno-
only a trace of protein with the migrating rate of sera shall apply.
albumin. 2. 2 Animals used for immunization and plasma
3.3.4.2 F(ab)2 content
2. 2. 1 Animals used for immunization
It shall be not less than 60% (Appendix VIIl F).
The horses used for immunization must comply
3. 3. 5 Antibody potency with the Requirements for Quarantine and
The potency of Agkistrodon acutus antivenin shall Immunization of Horses Used for Production of
be not less than 180 U/ml (Appendix XI D. Immunosera.
The filling quantity in each container shall be not
2. 2. 2 Immunization, blood collection and plasma
less than the stated value.
separation
3. 3. 6 Content of blood group A-like substance The Requirements for Quarantine and Immuni-
The content of blood group A-like substance shall zation of Horses Used for Production of Immuno-
be not more than 4 µg/ml (Appendix IX D. sera shall apply. Blood shall be collected when the
3. 3. 7 Sterility test potency of immunoserum reaches 300 U / ml. A
It complies with the test for sterility ( Appendix quantity of appropriate preservative may be added
XII A). to plasma and sterility test shall be carried out
(Appendix XII A).
3. 3. 8 Pyrogen test
It complies with the test for pyrogen ( Appendix 2. 3 Bulk
XII D). The injecting dose of the preparation shall 2. 3. 1 Source plasma
be 3. 0 ml/kg of rabbit body weight. The potency of source plasma shall be not less than
3. 3. 9 Test for abnormal toxicity 200 U/ml (Appendix XI I). If apparent hemolysis,
It complies with the test for abnormal toxicity bacterial contamination or other abnormalities
( Appendix XII· F). occur in the plasma during storage, the plasma
shall not be used for production.
3. 3. 10 Diluent
The diluent for reconstitution of final product is 2. 3. 2 Preparation
Bungarus multicinctus Antivenin, Equine

2. 3. 2. 1 Digestion XII A).


Add a quantity of pepsin and toluene to the diluted 3. 1. 4 Pyrogen test
plasma, and digest at a· proper pH and a suitable It complies with the test for pyrogen ( Appendix
temperature for a certain period of time. XII D). The injecting dose of the preparation shall
2. 3. 2. 2 Purification be 3. 0 ml/kg of rabbit body weight.
The above digest shall be purified by sequential 3. 2 Control test on final bulk
steps of heating, ammonium sulfate fractionation, Sterility test
alum adsorption, etc. It complies with the test for sterility ( Appendix
2. 3. 2. 3 Concentration, clarificationand sterilization XII A).
by filtration 3. 3 Control tests on final product
The bulk may be concentrated by ultrafiltration or Other than the determination of residual moisture,
ammonium sulfate precipitation. After clarification sterile water for injection shall be added as stated
and sterilization by filtration, a quantity of on the label, and the reconstituted preparation
trichloromethane , thimerosal or metacresol may shall be subject to the following tests.
be added to the preparation as a preservative.
The purified bulk antivenin shall be stored at 2-8°C 3. 3. 1 Identity test
and protected from light for at least one month as a At least one container from each final batch shall
stabilizing period. be sampled for identity test.
2. 3. 3 Control tests on bulk 3. 3. 1. 1 Neutralization test in animals or specific
See Section 3. 1. precipitation
Perform the test for identity as specified in
2. 4 Final bulk Appendix XI I, and the result shall demonstrate
2. 4. 1 Formulation that the test sample can neutralize Bungarus
Dilute the bulk qualified in control tests with multicinctus venom in animals. Alternatively,
sterile water for injection, adjust the titer, carry out the double immunodiffusion test
protein content, pH and sodium chloride content (Appendix Vlll C), and specific precipitation lines
according to the specifications of the final product, shall be produced with Bungarus multicinctus
and sterilize the bulk by filtration. venom.
2. 4. 2 Control tests on final bulk 3. 3. 1. 2 Double immunodiffusion test
See Section 3. 2. Perform the double immunodiffusion test ( Appendix
2. 5 Final product
Vlll C) by using the lgG of rabbit anti-horse
plasma. The result shall demonstrate that the
2. 5. 1 Defining batches protein component is derived from horse serum.
The Requirements for Defining Batches of
3. 3. 2 Inspection on final containers
Biologics shall apply.
The preparation looks like a white or light yellow
2. 5. 2 Filling and lyophilization crisp cake. It shall be completely reconstituted
The Requirements for Filling and Lyophilization of with the stated amount of water for injection
Biologics shall apply. within 15 minutes on shaking gently. After
The temperature of the preparation during reconstitution, it shall be a clear, colourless or
lyophilization shall be not higher than 35°C. The light yellow liquid, free from foreign matters.
final containers shall be sealed under vacuum or
3. 3. 3 Chemical tests
after filling with nitrogen.
3. 3. 3. 1 Moisture content
2. 5. 3 Specifications
The residual moisture content shall be not more
10000 U of Bungarus multicinctus antivenin per
than 3. 0% (Appendix VIl D).
container.
3. 3. 3. 2 pH
2. 5. 4 Packaging
The pH shall be 6. 0-7. 0 (Appendix V A).
The Requirements for Packaging of Biologics shall
apply. 3. 3. 3. 3 Protein content
The protein content shall be not more than 170 g/L
3 Control tests (Appendix VI B, method 1).
3. 1 Control tests on bulk 3. 3. 3. 4 Sodium chloride content
3. 1. 1 Content of blood group A-like substance The sodium chloride content shall be 7. 5-9. 5 g/L
The content of blood group A-like substance shall ( Appendix VIl G).
be not more than 4 µ.g/ ml ( Appendix IX I). 3. 3. 3. 5 Ammonium sulfate content
3. 1. 2 Antibody potency The ammonium sulfate content shall be not more
Carry out the test for potency ( Appendix XI I). than 1. 0 g/L (Appendix VIl C).
3. 1. 3 Sterility test 3. 3. 3. 6 Preservative content
It complies with the test for sterility ( Appendix If any of the following preservatives is added, it
Naja naja (atra) Antivenin, Equine

shall be: (atra).


not more than 0. 1 g/L for the content of
1 Basic requirements
thimerosal (Appendix VJI B);
The facilities, water; source and subsidiary
not more than 2. 5 g/L for the content of meta-
materials, apparatus and animals used for
cresol (Appendix VI N);
production and control tests shall comply with the
not more than 0. 5 % for the content. of
requirements set forth in the General Notices.
trichloromethane (Appendix VI 0).
2 Manufacturing
3. 3. 4 Purity
3. 3. 4. 1 Albumin detection - 2. 1 Antigen and adjuvant
The Requirements for Quarantine and Immuni-
Dilute sample to a protein content of 2 % and carry
out agarose electrophoresis ( Appendix VI B ) . zation of Horses Used for Production of Immuno-
The result shall reveal the absence of protein or sera shall apply.
only a trace of protein with the migrating rate of 2. 2 Animals used for immunization and plasma
albumin.
2. 2. 1 Animals used for immunization
3.3.4. 2 F(ab)2 content The horses used for immunization must comply
It shall be not less than 60 % (Appendix VIII F). with the Requirements for Quarantine and
3. 3. 5 Antibody potency Immunization of Horses Used for Production of
The potency of Bungarus multicinctus antivenin Immunosera.
shall be not less than 800 U/ml (Appendix XI D. 2. 2. 2 Immunization, blood collection and plasma
The filling quantity in each container shall be not separation
less than the stated value. The Requirements for Quarantine and Immuni-
3. 3. 6 Content of blood group A-like substance zation of Horses Used for Production of
The content of blood group A-like substance shall Immunosera shall apply. Blood shall be collected
be not more than 4 µg/ ml ( Appendix IX I). · when the potency of immunoserum· reaches
15 IU/ml. A quantity of appropriate preservative
3. 3. 7 Sterility test may be added to plasma and sterility test shall be
It complies with the test for sterility ( Appendix carried out ( Appendix XI[ A).
XI[ A).
2. 3 Bulk
3. 3. 8 Pyrogen test ·
It complies with the test for pyrogen ( Appendix 2 .. 3. 1 Source plasma
XI[ D). The injecting dose of the preparation shall The potency of source plasma shall be not less than
be 3. 0 ml/kg of rabbit body weight. 12 IU/ml (Appendix IX D. If apparent hemolysis,
bacterial contamination or other abnormalities
3. 3. 9 Test for abnormal toxicity
occur in the plasma during storage, the plasma
It complies with the test for, abnormal toxicity
shall not be used for production.
(Appendix XI[ F).
2. 3. 2 Preparation
3. 3. 10 Diluent
The diluent for reconstitution of final product is 2. 3. 2. 1 Digestion
sterile water for injection. Add a quantity of pepsin and toluene to the diluted
4 Storage, shipping and validity period plasma, and digest at a proper pH and a suitable
Store and ship at 2-8°C, protected from light. · temperature for a certain period of time.
The validity period is 60 months starting from the 2. 3. 2. 2 Purification
date of filling of final product. The above digest shall be purified by sequential
5 Package inserts steps of heating, ammonium sulfate fractionation,
The Requirements for Packaging of Biologics shall alum adsorption, etc.
apply. 2. 3. 2. 3 Concentration, clarificationand sterilization
by filtration
The bulk may be concentrated by ultrafiltration or
ammonium sulfate precipitation. After clarification
Naja naja (atra) Antivenin, Equine and sterilization by filtration, a quantity of
trichloromethane , thimerosal or metacresol may
be added to the preparation as a preservative.
Naja naja ( atra) antivenin is a freeze-dried The purified bulk antivenin shall be stored at 2-8°C
preparation containing antivenin globulins. The and protected from light for at least one month as a
preparation is obtained by purification following stabilizing period.
pepsin digestion from the plasma of horses that
2. 3. 3 Control tests on bulk
have been immunized with venoms or detoxified
See Section 3. 1.
venoms of Naja naja (atra). The preparation is
used for treatment of victims bitten by Naja naja 2. 4 Final bulk
Naja naja (atra) Antivenin, Equine

2. 4. 1 Formulation that the test sample can neutralize Naja naja (atra)
Dilute the bulk qualified in control tests with venom in animals. Alternatively, carry out the
sterile water for injection, adjust the· titer, double immunodiffusion test ( Appendix VIII C) ,
protein content, p H and sodium chloride content and specific precipitation lines shall be produced
according to the specifications of the final product, with Naja Naja (atra) venom.
and sterilize the bulk by filtration. 3. 3. 1. 2 Double immunodiffusion test
2. 4. 2 Control tests on final bulk Perform the double immunodiffusiontest ( Appendix
See Section 3. 2. VIII C) by using the IgG of rabbit anti-horse
plasma. The result shall demonstrate that the
2. 5 Final product
protein component is derived from horse serum.
2. 5. 1 Defining batches
3. 3. 2 Inspection on final containers
The Requirements for Defining Batches of
The preparation looks like a white or light yellow
Biologics shall apply.
crisp cake. It shall be completely reconstituted
2. 5. 2 Filling and lyophilization with the stated amount of water for injection
The Requirements for Filling and Lyophilization of within 15 minutes on shaking gently. After
Biologics shall apply. reconstitution, it shall be a clear, colourless or
The temperature of the preparation during light yellow liquid, free from foreign matters.
lyophilization shall be not higher than 35°C. The
3. 3. 3 Chemical tests
final containers shall be sealed under vacuum or
after filling with nitrogen. 3. 3. 3. 1 Moisture content
The residual moisture content shall be not more
2. 5. 3 Specifications
than 3. 0% (Appendix VJI D).
1000 IU of Naja naja ( atra) antivenin per
container. 3. 3. 3. 2 pH
2. 5. 4 Packaging
The pH shall be 6. 0-7. 0 (Appendix V A)-.
The Requirements for Packaging of Biologics shall 3. 3. 3. 3 Protein content
apply. The protein content shall be not more than 170 g/L
(Appendix VI B, method 1).
3 Control tests
3. 3. 3. 4 Sodium chloride content
3. 1 Control tests on bulk
The sodium chloride content shall be 7. 5-9. 5 g/L
3. 1. 1 Content of blood group A-like substance ( Appendix VJI G).
The content of blood group A-like substance shall
3. 3. 3. 5 Ammonium sulfate content
be not more than 4 µg/ml (Appendix IX D.
The ammonium sulfate content shall be not more
3. 1. 2 Antibody potency than 1. 0 g/L (Appendix VJI C).
Carry out the test for potency (Appendix XI I).
3. 3. 3. 6 Preservative content
3. 1. 3 Sterility test If any of the following preservatives is added, it
It complies with the test for sterility ( Appendix shall be:
XII A). not more than 0. 1 g/L for the content of
3. 1. 4 Pyrogen test thimerosal ( Appendix VJI B) ;
It complies with the test for pyrogen ( Appendix not more than 2. 5 g/L for the content of meta-
XII D). The injecting dose of the preparation shall cresol ( Appendix VI N) ;
be 3. 0 ml/kg of rabbit body weight. not more than 0. 5 % for the content of
trichloromethane (Appendix VI 0).
3. 2 Control test on final bulk
Sterility test 3. 3. 4 Purity
It complies with the test for sterility ( Appendix 3. 3. 4. 1 Albumin detection
XII A). Dilute sample to a protein content of 2 % and carry
3. 3 Control tests on final product out agarose electrophoresis ( Appendix VI B ) .
Other than the determination of residual moisture, The result shall reveal the absence of protein or
sterile water for injection shall be added as stated only a trace of protein with the migrating rate of
on the label, and the reconstituted preparation albumin.
shall be subject to the following tests. 3.3.4.2 F(ab)2 content
3. 3. 1 Identity test It shall be not less than 60 % ( Appendix VIII F).
At least one container from each final batch shall 3. 3. 5 Antibody potency
be sampled for identity test. The potency of Naja naja (atra) antivenin shall
3. 3. 1. 1 Neutralization test in animals or specific be not less than 100 IU/ml (Appendix IX D. The
filling quantity in each container shall be not less
precipitation
Perform the test for identity as specified in than the stated value.
Appendix IX I, and the result shall demonstrate 3. 3. 6 Content of blood group A-like substance
Anthrax Antiserum

The content of blood group A-like substance shall requirements. A quantity of appropriate preser-
be not more than 4 µ.g/ ml ( Appendix IX I). vative may be added to plasma and sterility test
shall be carried out ( Appendix XII A).
3. 3. 7 Sterility test
It complies with the test for sterility ( Appendix 2. 3 Bulk
XII A). 2. 3. 1 Source plasma
3. 3. 8 Pyrogen test The potency of source plasma shall comply with
It complies with the test for pyrogen ( Appendix the requirements. If apparent hemolysis, bacterial
XII D). The injecting dose of the preparation shall contamination or other abnormalities occurs in the
be 3. 0 ml/kg of rabbit body -weight, plasma during storage, the plasma shall not be
used for production.
3. 3. 9 Test for abnormal toxicity
It complies with the test for abnormal toxicity 2. 3. 2 Preparation
(Appendix XII F). 2. 3. 2. 1 Digestion
3. 3. 10 Diluent Add a quantity of pepsin and toluene to the diluted
The diluent for reconstitution of final product is plasma, and digest at a proper pH and a suitable
sterile water for injection. temperature for a certain period of time.
4 Storage, shipping and validity period 2. 3. 2. 2 Purification
Store and ship at 2-8°C, protected from light. The above digest shall be purified by sequential
Thevalidity period is 60 months starting from the steps of heating, ammonium sulfate fractionation,
date of filling of final product. alum adsorption, etc.
S Package inserts 2. 3. 2. 3 Concentration, clarificationand sterilization
The Requirements for Packaging of Biologics shall by filtration
apply. The bulk may be concentrated by ultrafiltration or
ammonium sulfate precipitation. After clarification
and sterilization by filtration, a quantity of
trichloromethane , thimerosal or metacresol may
Anthrax Antiserum be added to the preparation as a preservative.
The purified bulk antiserum shall be stored at 2-
80C and protected from light for at least one month
Anthrax antiserum is a liquid preparation as a stabilizing period.
containing anti-anthrax globulins. It is obtained 2. 3. 3 Control tests on bulk
by purification following pepsin digestion from the See Section 3. 1.
plasma of horses that have been immunized with
the antigen of Bacillus anthracis. The preparation 2. 4 Final bulk
is used for prevention and treatment of anthrax. 2. 4. 1 Formulation
1 Basic requirements Dilute the bulk qualified in control tests with
The facilities, water, source and subsidiary sterile water for injection, adjust the titer,
materials, apparatus and animals used for protein content, pH and sodium chloride content
production and control tests shall comply with the according to the specifications of the final
requirements set forth in the General Notices. products, and sterilize the bulk by filtration.
2 Manufacturing 2. 4. 2 Control tests on final bulk
See Section 3. 2.
2. 1 Antigen and adjuvant
The Requirements for Quarantine and Immuni- 2. 5 Final product
zation of Horses Used for Production of Immuno- 2. 5. 1 Defining batches
sera shall apply. The Requirements for Defining Batches · of
2. 2 Animals used for immunization and plasma Biologics shall apply.
2. 2. 1 Animals used for immunization 2. 5. 2 Filling
The horses used for immunization must comply The Requirements for Filling and Lyophilization of
with the Requirements for Quarantine and Biologics shall apply.
Immunization of Horses Used for Production of 2. 5. 3 Specifications
Immunosera. 20 ml per container.
2. 2. 2 Immunization, blood collection and plasma 2. 5. 4 Packaging
separation The Requirements for Packaging of Biologics shall
The Requirements for Quarantine and Immuni- apply.
zation of Horses Used for Production of
3 Control tests
Immunosera shall apply. Blood shall be collected
when the potency of immunoserum meets the 3. 1 Control tests on bulk
Rabies Antiserum

3. 1. 1 Content of blood group A-like substance ( Appendix VIl G).


The content of blood group A-like substance shall 3. 3. 3. 4 Ammonium sulfate content
be not more than 4 µg/ml (Appendix IX D.
The ammonium sulfate content shall be not more
3. 1. 2 Potency test than 1. O g/L (Appendix VIl C).
Inject s. c. 0. 5 ml of antiserum into each of eight
3. 3. 3. 5 Preservative content
guinea pigs weighing 350-400 g. Challenge each
If any of the following preservatives is added, it
animal with 1 MLD of spores suspension of
shall be:
Bacillus anthracis ( PNo. 2 strain) 24 hours after
not more than 0. 1 g/L for the content of
injection. As a control, four guinea pigs with the
thimerosal (Appendix VIl B);
same body weight, which have not been injected
not more than 2. 5 g/L for the content of meta-
with antiserum, shall be challenged each with 1
cresol ( Appendix VI N) ;
MLD. The test shall be judged as qualified if more
not more than 0. 5 % for the content of
than six of eight ( 7 5 % ) animals in the test group
trichloromethane (Appendix VI 0).
survive, and at least three of four animals in the
control group die during the observation period of 3. 3. 4 Purity
14 days. It is allowable that the animal left in the 3. 3. 4. 1 Albumin detection
control group dies or shows sign of illness. later. Dilute sample to a protein content of 2% and carry
3. 1. 3 Sterility test out agarose electrophoresis ( Appendix N B).
It complies with the test for sterility ( Appendix The result shall reveal the absence of protein or
XII A). only a trace of protein with the migrating rate of
albumin.
3. 1. 4 Pyrogen test
It complies with the test for pyrogen ( Appendix 3.3.4.2 F(ab)2 content
XII D). The injecting dose of the preparation shall The F (ab) 2 content shall be not less than 60 %
be 3. 0 ml/kg of rabbit body weight. (Appendix VIlI F).
3. 2 Control· test on final bulk 3. 3. 5 Potency test
Sterility test See Section 3. 1. 2.
It complies with the test for sterility ( Appendix 3. 3. 6 Content of blood group A-like substance
XII A). The content of blood group A-like substance shall
3. 3 Control tests on final product be not more than 4 µg/ml (Appendix IX D.
3. 3. 1 Identity test 3. 3. 7 Sterility test
At least one container from each final batch shall It complies with the test for sterility ( Appendix
be sampled for identity test. XII A).
3. 3. 1. 1 Neutralization test in animals or specific 3. 3. 8 Pyrogen test
precipitation It complies with the test for pyrogen ( Appendix
Perform the test for potency given in Section XII D). The injecting dose of the preparation shall
3. 1. 2. Alternatively, carry out the double be 3. 0 ml/kg of rabbit body weight.
immunodiffusion test ( Appendix VIlI C ) , and
3. 3. 9 Test for abnormal toxicity
specific precipitation lines shall be produced with
It complies with the test for abnormal toxicity
soluble antigen of Bacilla anthracis.
(Appendix XII F).
3. 3. 1. 2 Double immunodiffusion test
4 Storage, shipping and validity period
Perform the double immunodiffusiontest ( Appendix
Store and ship at 2-8°C, protected from light.
VIlI C) , and precipitation lines shall be produced
The validity period is 36 months starting from the
only with anti-horse serum.
date of filling of final product.
3. 3. 2 Inspection on final containers
S Package insert
The preparation shall be a clear, colourless or
The Requirements for Packaging of Biologics shall
light yellow liquid, free from foreign matters.
apply. ·
After storage for a long time, a trace of precipitate
may occur, which can be dispersed on shaking.
3. 3. 3 Chemical tests
3. 3. 3. 1 pH Rabies Antiserum
The pH shall be 6. 0-7. 0 (Appendix V A).
3. 3. 3. 2 Protein content Rabies antiserum is a liquid preparation containing
The protein content shall be not more than 170 g/L anti-rabies globulins. It is obtained by purification
( Appendix VI B, method 1). following pepsin digestion from the plasma of
3. 3. 3. 3 Sodium chloride content horses that have been immunized with fixed rabies
The Sodium chloride content shall be 7. 5-9. 5 g/L virus. The preparation is used in combination with
Rabies Arttiserum

the rabies vaccine to prevent rabies. 2. 4. 1 Formulation


1 Basic requirements Dilute the bulk qualified in control tests with
The facilities, water, source and subsidiary sterile water for injection, adjust the titer,
materials, apparatus and animals used for protein content, pH and sodium chloride content
production and control tests shall comply with the according to the specifications of the final
requirements set forth in the General Notices. products, and sterilize the bulk by filtration.

2 Manufacturing 2. 4. 2 Control tests on final bulk


See Section 3. 2.
2. 1 Antigen and adjuvant
The Requirements for Quarantine and Immuni- 2. 5 Final product
zation of Horses Used for Production of Immuno- 2. 5. 1 Defining batches
sera shall apply. The Requirements for Defining Batches of
2. 2 Animals used for immunization and plasma Biologics shall apply.

2. 2. 1 Animals used for immunization 2. 5. 2 Filling


The horses used for immunization must comply The Requirements for Filling and Lyophilization of
with the· Requirements for Quarantine and Biologics shall apply.
Immunization of Horses Used for Production of 2. 5. 3 Specifications
Immunosera. Not less than 400 IU of the titer of rabies
2. 2. 2 Immunization, blood collection and plasma antiserum per container.
separation 2. 5. 4 Packaging
The Requirements for Quarantine and Immuni- The Requirements for Packaging of Biologics shall
zation of Horses Used for Production of Immuno- apply.
sera shall apply. Blood shall be collected when the
3 Control tests
potency of immunoserum is not less than 100 IU /
ml. A quantity of appropriate preservative may be 3. 1 Control tests on bulk
added to plasma and sterility test shall be carried 3. 1. 1 Content of blood group A-like substance
out (Appendix XII A). The content of blood group A-like substance shall
2. 3 Bulk be not more than 4 µg/ ml ( Appendix IX I).
2. 3. 1 Source plasma 3. 1. 2 Antibody potency
The neutralizing potency of source plasma shall be Carry out the test for potency (Appendix XI J).
not less than 80 IU / ml ( Appendix XI J ) . If
3. 1. 3 Sterility test
apparent hemolysis , bacterial contamination or It complies with the test for sterility ( Appendix
other abnormalities occur in the plasma during XII A).
storage, the plasma shall not be used for
production. 3. 1. 4 Pyrogen test
It complies with the test for pyrogen ( Appendix
2. 3. 2 Preparation
XII D). The injecting dose of the preparation shall
2. 3. 2. 1 Digestion be 3. 0 ml/kg of rabbit body weight.
Add a quantity of pepsin and toluene to the diluted
3. 2 Control test on final bulk
plasma, and digest at a proper pH and a suitable
Sterility test
temperature for a certain period of time.
It complies with the test for sterility ( Appendix
2. 3. 2. 2 Purification XII A).
The above digest shall be purified by sequential
3. 3 Control tests on final product
steps of heating, ammonium sulfate fractionation,
alum adsorption, etc. 3. 3. 1 Identity test
At least one container from each final batch shall
2. 3. 2. 3 Concentration, clarificationand sterilization
be sampled for identity test.
by filtration
The bulk may be concentrated by ultrafiltration or 3. 3. 1. 1 Neutralization test in animals
ammonium sulfate precipitation. After clarification Perform the test for identity as specified in
and sterilization by filtration, a quantity of Appendix XI J. The result shall demonstrate that
trichloromethane, thimerosal or metacresol may the preparation can neutralize rabies virus in
· be added to the preparation as a preservative. animals.
• The purified bulk antiserum shall be stored at 3. 3. 1. 2 Double immunodiffusion test
2-8°C and protected from light for at least one Perform the double immunodiffusiontest ( Appendix
month as a stabilizing period. VIII C), and precipitation lines shall be produced
2. 3. 3 Control tests on bulk only with anti-horse serum.
See Section 3. 1. 3. 3. 2 Inspection on final containers
2. 4 Final bulk The preparation shall be a clear, colourless or
Human Albumin

light yellow liquid, free from foreign matters. 5 Package inserts


After storage for a long time, a trace of precipitate The Requirements for Packaging of Biologics shall
may occur, which can be dispersed on shaking. apply.
3. 3. 3 Chemical tests
. 3. 3. 3. 1 pH
The pH shall be 6. 0-7. 0 (Appendix V A). Human Albumin
3. 3. 3. 2 Protein content
The protein content shall be not more than 170 g/ L
( Appendix VI B, method 1). Human albumin is a liquid preparation made from
plasma of healthy donors by cold ethanol fractiona-
3'. 3. 3. 3 Sodium chloride content tion or other approved methods and heated at 60°C
The sodium chloride content shall be 7. 5-9. 5 g/L for 10 hours for viral inactivation. The preparation
(Appendix VII G).
contains a suitable stabilizer, but free of preser-
3. 3. 3. 4 Ammonium sulfate content vatives and antibiotics.
The ammonium sulfate content shall be not more
1 Basic requirements
than 1. 0 g/L (Appendix VII C).
The facilities, source and subsidiary materials,
3. 3. 3. 5 Preservative content water, apparatus and animals used for production
If any of the following preservatives is added, it and control tests shall comply with the require-
shall be: · ments set forth in the General Notices.
not more than 0. 1 g/L for the content of
2 Manufacturing
thimerosal (Appendix VII B); .
not more than 2. 5 g/L for the content of meta- 2. 1 Source plasma
cresol (Appendix VI N); 2. 1. 1 Collection and the quality of plasma shall
not more than 0. 5 % for the content of comply with the General Requirements for Source
trichloromethane ( Appendix VI O). Plasma of Blood Products.
3. 3. 4 Purity 2. 1. 2 · The storage period of frozen plasma shall
3. 3. 4. 1 Albumin detetion not exceed 24 months.
Dilute sample to a protein content of 2 % and carry 2. 1. 3 The quality of fraction N used as source
out agarose electrophoresis ( Appendix N B). . materials shall comply with the standards given in
The result shall reveal the absence of protein or the annex of this monograph.
only a trace of protein with the migrating rate of
albumin. 2. 1. 4 Fraction N shall be stored at - 30°C or
below and shipped at -15°C or below. The
3. 3. 4. 2 F(ab)2 content storage period of frozen fraction N shall not exceed
It shall be not less than 60 % (Appendix VIH F). 12 months.
3. 3. 5 Antibody potency 2. 1. 5 Fraction V shall be stored at - 30°C or
The titer of rabies antiserum shall be not less than
below and the period for storage shall be defined.
200 IU/ml (Appendix XI J). The filling quantity
in each container shall be not less than the stated 2. 2 Bulk
value. 2. 2. I Cold ethanol fractionation or other approved
3. 3. 6 Content of blood group A-like substance methods shall be employed. Preservatives or
The content of blood group A-like. substance shall antibiotic~ shall not be used in the production
be not more than 4 µg/ml (Appendix IX D. process. When fraction N is used as source
materials, cold ethanol fractionation combined
3. 3. 7 Sterility test
with column chromatography can be used.
It complies with the test for sterility ( Appendix
XI[ A). 2. 2. 2 Fraction V after purification, ultrafiltration
and sterilization by filtration is regarded as the
3. 3. 8 Pyrogen test
bulk albumin.
It complies with the test for pyrogen ( Appendix
XI[ D). The injecting dose of the preparation shall 2. 2. 3 Control tests on bulk
be 3. 0 ml/kg of rabbit body weight. See Section 3. 1.
3. 3. 9 Test for abnormal toxicity 2. 3 Final bulk
It complies with the test for abnormal toxicity 2. 3. 1 Formulation
(Appendix XI[ F).
A quantity of stabilizer shall be added to the
4 Storage, shipping and validity period product on the basis of one gram of protein with
Store and ship at 2-8°C, protected from light. 0. 16 mmol of sodium caprylate or 0. 08 mmol of
The validity period is 36 months starting from the sodium caprylate and 0. 08 mmol of sodium
date of filling of final product. acetyltryptophan. The protein concentration shall
Human Albumin

be adjusted according to the specifications of the 3. 2. 1 Sterility test


final product by dilution with water for injection. It complies with the test for sterility ( Appendix
pH and sodium concentration shall be properly XII A). If the final bulk is to be filled immediately
adjusted. after formulation, the samples for sterility tests
2. 3. 2 Viral inactivation
shall be taken after sterilization by filtration.
The product shall be heated in a water bath of 3. 2. 2 Pyrogen test
60°C+o. 5°C continuously for at least 10 hours to It complies with the test for Appendix XII D. The
inactivate potentially existing residual viruses. injecting dose of the product shall be 0. 6 g/kg of
Viral inactivation can be performed before or rabbit body weight. Alternatively, the test for
within 24 hours after sterilization by filtration and bacterial endotoxin (Appendix XII E) shall apply.
filling. The limit value CL) of bacterial endotoxin shall be
2. 3. 3 Control tests on final bulk less than 0. 5 EU/ml, 0. 83 EU/ml, 1. 67 EU/ml
See Section 3. 2. and 2. 08 EU/ ml when the protein contents are
5%, 10%, 20% and 25%, respectively.
2. 4 Final product
3. 3 Control tests on final product
2. 4. 1 Defining batches
The Requirements for Defining Batches of Biologics 3. 3. 1 Identity test
shall apply. 3. 3. 1. 1 Double immunodiffusion
2. 4. 2 Filling Carry out the test for identity by double immuno-
The Requirements for Filling and Lyophilization of diffusion (Appendix Vlll C). There shall be only a
Biologics shall apply. precipitation line with anti-human serum, but no
precipitation line with anti-horse, anti-bovine,
2. 4. 3 Incubation anti-pig or anti-sheep serum.
The preparation after filling shall be kept at 20-
250C for at least 4 weeks, or at 30-32°C for at 3. 3. 1. 2 Immunoelectrophoresis
least 14 days. Visual inspection on each container Carry out the test for identity by immuno-
shall be carried out. Sterility test shall be electropheresis ( Appendix Vlll D ) . The mam
performed when turbidity or precipitate is shown. precipitation line shall be albumin as compared
Those unqualified in the sterility test shall not be with normal human serum.
reused for production. 3. 3. 2 Physical inspection
2. 4. 4 Specifications 3. 3. 2. 1 Inspection on final containers
2 g, 5 g, 10 g or 12. 5 g of protein per container, The product shall be a clear, slightly viscous
with the protein concentrations of 5 % , 10 % , liquid without turbidity, slightly yellow, green or
20% and 25 % , respectively. brown in colour.
2. 4. 5 Packaging 3. 3. 2. 2 Test for visible particles
The Requirements for Packaging of Biologics shall It complies with the test for visible particles
apply. (Appendix V B).
3 Control tests 3. 3. 2. 3 Filling quantity
3. 1 Control tests on bulk It complies with the Requirements for Filling
Quantity (Appendix I A). The quantity shall be
3. 1. 1 Protein content
not less than the stated value.
It may be determined with Biuret method (Appendix
VI B, method 3 ). The protein content shall be 3. 3. 2. 4 Thermostability test
more than the stated value of final product. Keep the products in a water bath of 57°C+o. 5°C
for 50 hours, no visual changes shall appear
3. 1. 2 Purity except slight change in colour in comparison with
Albumin shall be not less than 96. 0 % of the total
that of the unheated product of the same batch.
protein (Appendix N A).
3. 3. 3 Chemical tests
3. 1. 3 pH
The pH shall be 6. 4-7. 4 when the product is 3. 3. 3. 1 pH
diluted to the protein concentration of 10 g/L with The pH shall be 6. 4-7. 4 when the product is
physiological saline (Appendix V A). diluted to the protein concentration of 10 g/L with
physiological saline (Appendix V A).
3. 1. 4 Residual ethanol content
It may be determined by Conway method ( Appendix 3. 3. 3. 2 Protein content
VI D). The content of residual ethanol shall be The protein content shall be not less than 95. 0 %
not more than 0. 025%. of the stated value (Appendix VI B, method 1),
The tests described above may be performed on 3. 3. 3. 3 Purity
final bulk. Albumin shall be not less than 96. 0 % of the total
3. 2 Control tests on. final bulk protein ( Appendix N A).
Human Albumin

3. 3. 3. 4 Sodium content Quality Standards of Fraction N


The sodium content shall be not more than 160 Used as Source Materials
mmol/L (Appendix VI[ J).
1 Fraction N is one of plasma fractions prepared
3. 3. 3. 5 Potassium content by cold ethanol fractionation. The source plasma
The potassium content shall be not more than used shall comply with the Requirements for
2 mmol/L (Appendix VI[ D. Source Plasma of Blood Products.
3.3.3.6 Absorbance 2 Fraction N shall be kept in such a way as to
When the product is diluted to the protein minimize the risk of contamination and stored
concent~ation of 10 g/L with physiological saline, frozen at or below -30°C. The storage period
the absorbance shall be not more than 0. 15 when shall not exceed 12 months.
measured by spectrophotometer at 403 nm 3 Control tests on fraction N
( Appendix II A).
Weigh accurately 10 g of fraction N precipitate and
3. 3. 3. 7 Polymer content dissolve in physiological saline to make a volume of
The polymer content shall be not more than 5. 0 % 100 ml by stirring at l-3°C. Carry out centrifugation
(Appendix VI Q). or filtration and take the supernatant for the
3. 3. 3. 8 Sodium caprylate content following tests.
The sodium caprylate content shall be 0. 140-0. 180 3. 1 Identity test
mmol/ g of protein. If sodium caprylate and 3. 1. 1 Double immunodiffusion
sodium acetyltryptophan are used together, the Perform the test for identity by double immuno-
content of sodium caprylate shall be 0. 064-0. 096
diffusion (Appendix Vlll C). There shall be only a
mmol/ g of protein ( Appendix VI K). precipitation line with anti-human serum, but no
3. 3. 3. 9 Residual aluminum content precipitation line with anti-horse, anti-bovine,
The residual aluminum content shall be not more anti-sheep or anti-pig serum.
than 200 µ.g/L (Appendix VI[ K). 3. 1. 2 lmmunoelectrophoresis
3. 3. 4 Prekallikrein activator (PKA) Perform the test for identity by immuno-
The product made from fraction N shall be tested electrophoresis ( Appendix Vlll D ) . The mam
for PKA content ( Appendix IX F). The PKA precipitation line shall be albumin in comparison
shall be not more than 35. 0 IU/ml. with normal human serum.
3. 3. 5 HBsAg 3. 2 Protein content
Carry out the test for HBsAg according to the The protein content shall be not less than 2. 5 %
instructions of diagnostic kit used. The result (Appendix VI B, method 3).
shall be negative. 3. 3 Albumin purity
3. 3. 6 Sterility test The albumin shall be not less than 20 % of total
It complies with the test for sterility ( Appendix protein ( Appendix N A, method 3).
XII A). 3. 4 HBsAg
3. 3. 7 Test for abnormal toxicity Carry out the test for HBsAg according to the
It complies with the test for abnormal toxicity 'instructions of diagnostic kit used. The result
( Appendix XII F). shall be negative.
3. 3. 8 Pyrogen test 3. 5 HIV-1/HIV-2 antibodies
It complies with the test for pyrogen ( Appendix Carry out the test for HIV-1/HIV-2 antibodies
XII D). The injecting dose of the product shall be according to the instructions of diagnostic kit used.
0. 6 g/kg of rabbit body weight. The result shall be negative.
4 Storage, shipping and validity period 3. 6 HCV antibodies
Store and ship at 2-8°C or at room temperature, Carry out the test for HCV according to the
protected from light. The approved validity period instructions of diagnostic kit used. The result
shall apply, starting from the date of filling of shall be negative.
final product. Only one kind of storage tempera- 3. 7 Counting of culture colonies
ture and validity period shall be prescribed on the The test samples shall be taken in triplicate. Add
label. 1 ml of supernatant of each sample onto 9 ml of
5 Package inserts agar medium of trypticase and soybean extract,
The Requirements for Packaging of Biologics shall and incubate at 32-35°C for 72 hours. The result
apply. shall be not more than 50 CFU/ml of supernatant
on average.
6 Annex
Quality Standards of Fraction N Used as Source
Materials
Human Albumin, Freeze-dried

adjusted.
2. 3. 2 Viral inactivation
The product shall be heated in a water bath of
Human Albumin, Freeze-dried 60°C +o. 5°C continuously for at least 10 hours to
inactivate potentially existing residual viruses.
Viral· inactivation can be performed before or
Freeze-dried human albumin i's a preparation made within 24 hours after sterilization by filtration and
from plasma of healthy donors by cold ethanol filling.
fractionation or other approved methods and heated
at 60°C for 10 hours for viral inactivation. The 2. 3. 3 Control tests on final bulk
preparation contains a suitable stabilizer, but free See Section 3. 2.
of preservatives and antibiotics. 2. 4 Final product
1 Basic requirements 2. 4. 1 Defining batches
The facilities, source and subsidiary materials, The Requirements for Defining Batches of Biologics
water, apparatus and animals used for production shall apply.
and control tests shall comply with the require-
2. 4. 2 Filling and lyophilization
ments set forth in the General Notices.
The Requirements for Filling and Lyophilization of
2 Manufacturing Biologics shall apply. The filled preparation shall
2. 1 · Source plasma be frozen immediately after filling. The tempera-
ture of product during lyophilization shall be not
2. 1. 1 Collection and the quality of plasma shall higher than 50°C. The final containers shall be
comply with the· General Requirements for Source sealed under vacuum.
Plasma of Blood Products.
2. 4. 3 Specifications
2.). 2 The storage period of frozen plasma shall 2 g, 5 g, 10 g or 12. 5 g of protein per container,
not exceed 24 months. with protein concentrations of 5%, 10%, 20%
2. 1. 3 The quality of fraction IV used as source and 25 % respectively.
materials shall comply with the standards given in 2. 4. 4 Packaging
the annex of the requirements for Human Albumin. The Requirements for Packaging of Biologics shall
apply.
2. 1. 4 Fraction IV shall be stored at -30°C or
below and shipped at -15 °C or below. The 3 Control tests
storage period of frozen fraction IV shall not exceed 3. 1 Control tests on bulk
12 months.
3. 1. 1 Protein content
2. 1. 5 Fraction V shall be stored at - 30°C or It may be determined with Biuret method
below and the period for storage shall be defined. . (Appendix VI B, method 3). The protein content
2. 2 Bulk shall be more than the stated value of final
product.
2. 2. 1 Cold ethanol fractionation or other approved
methods shall be employed. Preservatives or 3. 1. 2 Purity
antibiotics shall not be used in the production Albumin shall be not less than 96. 0 % of the total
process. When fraction IV is used as source protein (Appendix IV A).
materials, cold ethanol fractionation combined 3. 1. 3 pH
with column chromatography can be used. The pH shall be 6. 4-7. 4 when the product is
2. 2. 2 Fraction V after purification, ultrafiltration diluted to the protein concentration of 10 g/L with
and sterilization by filtration is regarded as the physiological saline (Appendix V A).
bulk albumin. 3. 1. 4 Residual ethanol content
2. 2. 3 Control tests on bulk It may be determined by Conway method
See Section 3. 1. (Appendix VI D). The content of residual ethanol
shall be not more than 0. 025 % .
2. 3 Final bulk The tests described above -may be performed on
2. 3. 1 Formulation final bulk.
A quantity of stabilizer shall be added to the 3. 2 Control tests on final bulk
product on the basis of one gram of protein with
0. 16 mmol of sodium caprylate or O. 08 mmol of 3. 2. 1 Sterility test
sodium caprylate and 0. 08 mmol of sodium It complies with the test for sterility ( Appendix
acetyltryptophan. The protein concentration shall XII A). If the final bulk is to be filled immediately
be adjusted according to the specifications of the after formulation, the samples for sterility tests
final product by dilution with water for injection. shall be taken after sterilization by filtration.
pH and sodium concentration shall be properly 3. 2. 2 Pyrogen test
Human Albumin, Freeze-dried

It complies with the test for pyrogen ( Appendix physiological saline (Appendix V A).
XII D). The injecting dose of the product shall be 3. 3. 3. 3 Protein content
0. 6 g/kg of rabbit body weight. Alternatively,
The protein content shall be not less than 95. 0 %
the test for bacterial endotoxin ( Appendix XII E) of the stated value (Appendix 'VI B, method 1).
shall apply. The limit value ( L) of bacterial
endotoxin shall be less than 0. 5 EU/ml, 0. 83 3. 3. 3. 4 Purity
EU/ml, 1. 67 EU/ml and 2. 08 EU/ml when the Albumin shall be not less than 96. 0 % of the total
protein contents are 5 % , 10 % , 20 % and 25 % , protein ( .Appendix N A).
respectively, 3. J. 3. 5 Sodium content
3. 3 Control tests on final product The sodium content shall be not more than
Other than the tests for vacuum, reconstitution 160 mmol/L (Appendix \Ill J).
time, moisture content and weight variation, 3. 3. 3. 6 Potassium content
sterile water for injection shall be added as stated The potassium content shall be not more than
on the label, and the reconstituted product shall 2 mmol/L (Appendix VH D.
be subject to the following tests.
3.3.3. 7 Absorbance
3. 3. 1 Identity test When the product is diluted to the protein
3. 3. 1. 1 Double immunodiffusion concentration of 10 g/L with physiological saline,
Carry out the test for identity by double immuno- the absorbance shall be not more than 0. 15 when
diffusion· (Appendix VIII C). There shall be only a measured by spectrophotometer at 403 nm ( Appendix
precipitation line with anti-human serum, but no II A).
precipitation line with anti-horse, anti-bovine, 3. 3. 3. 8 Polymer content
anti-pig or anti-sheep serum. The polymer content shall be not more than 5. 0 %
3. 3. 1. 2 Immunoelectrophoresis ( Appendix VI Q) ~
Carry out the test for identity by immuno- 3. 3. 3. 9 Sodium caprylate content
electropheresis ( Appendix VIII D ) . The mam The sodium caprylate content shall be 0. 140-0. 180
precipitation line shall be albumin as compared mmol/g of protein If sodium caprylate and sodium
with normal human serum. acetyltryptophan are used together, the content of
3. 3. 2 Physical inspection sodium caprylate shall be 0. 064-0. 096 mmol/ g of
protein (Appendix VI K).
3. 3. 2. 1 Inspection on final containers
The product looks like a white or greyish-white 3. 3. 3. 10Residual aluminum content
crisp cake without any sign of thawing. The The residual aluminum content shall be not more
reconstituted product shall be a clear, slightly than 200 µg/L (Appendix \Ill K).
viscous liquid without turbidity, slightly yellow, 3. 3. 4 Prekallikrein activator (PKA)
green or brown in colour. The product made from fraction N shall be tested
3. 3. 2. 2 Vacuum detection for PKA content ( Appendix IX F). The PKA
The product shall be tested with a high frequency content shall be not more than 35. 0 IU/ml.
spark vacuum detector and the blue-purple glow 3. 3. 5 HBsAg
shall be seen in the final container. Carry out the test for HBsAg according to the
instructions of diagnostic kit used. The result
3. 3. 2. 3 Reconstitution time
shall be negative.
The 'product is reconstituted with a volume of
sterile water for injection at 20-25°C according· to 3. 3. 6 Sterility test
the stated value, It shall be reconstituted completely It complies with the test for sterility ( Appendix
within 15 minutes on shaking gently. XII A).
3. 3. 2. 4 Test for visible particles 3. 3. 7Test for abnormal toxicity.
It complies with the test for visible particles It complies with the test for abnormal toxicity
(Appendix V B). ( Appendix XII F).
3. 3. 2. 5Weight variation 3. 3. 8 Pyrogen test
It complies with the test for weight variation It complies with the test for pyrogen ( Appendix
( Appendix I A). XII D). The injecting dose of the product shall be
0. 6 g/kg of rabbit body weight.
3. 3. 3 Chemical tests
4 Storage, shipping and validity period
3. 3. 3. 1Moisture content
Store and ship at or below 8°C or at room
The residual moisture content shall be not more temperature, protected from light. The approved
than 1. 0% (Appendix \Ill D).
validity period shall apply, starting from the date
3. 3. 3. 2 pH of filling of final. product. Only one kind of storage
The p'H shall be 6. 4-7. 4 when the product is temperature and validity period shall be prescribed
diluted to the protein concentration of 10 g/L with on the label.
Human Immunoglobulin

5 Package inserts 2. 4. 2 Filling


The Requirements for Packaging of Biologics shall The Requirements for Filling and Lyophilization of
apply. Biologics shall apply.
2. 4. 3 Specifications
150 mg or 300 mg of protein per container, with
protein concentration of 10%.
Human Immunoglobulin
2. 4. 4 Packaging
The Requirements for Packaging of Biologics shall
Human immunoglobulin is a liquid preparation apply.
made from plasma of healthy donors by cold 2. 5 Viral removal and inactivation
ethanol fractionation or other approved methods, The approved viral removal and inactivation
followed by viral inactivation. The preparation processes shall be employed in production. When
contains a suitable stabilizer, but free of antibiotics. viral inactivation agent ( solvent, detergent) is
Thimerosal may be added as a preservative. used, the limit of the residual agent shall be
1 Basic requirements defined.
The facilities, source and subsidiary materials, 3 Control tests
water, apparatus and animals used for production
and control tests shall comply with the require- 3. 1 Control tests on bulk
ments set forth in the General Notices. 3. 1. 1 Protein content
2 Manufacturing It may be determined with Biuret method ( Appendix
VI B, method 3 ). The protein content shall be
2. 1 Source plasma more than the stated value of final product.
2. 1. 1 Collection and the quality of plasma shall 3. 1. 2 Purity
comply with General Requirements for Source The immunoglobulin ( lg G) content shall be not
Plasma· of Blood Products. less than 90. 0 % of the total · protein ( Appendix
2. 1. 2 The storage period of frozen plasma shall NA).
not exceed 24 months. 3. 1. 3 pH
2. 1. 3 The plasma used for production of one The pH shall be 6. 4-7. 4 when the product is
batch shall be pooled from at least 100 donors. diluted to the protein concentration of 10 g/L with
physiological saline ( Appendix V A).
2. 1. 4 The precipitate of fractions II +
ill or
fractions I + +
II ill shall be stored frozen at or 3. 1. 4 Residual ethanol content
below-30°C, and the storage period shall be defined. It may be determined by Conway method ( Appendix
2. 2 Bulk VI D). The content of residual ethanol shall be
not more than 0. 025%.
2. 2. 1 Cold ethanol fractionation or other approved
methods shall be employed. Preservatives or 3. 1. 5 Pyrogen test
antibiotics shall not be used in the production of bulk. It complies with the test for pyrogen ( Appendix
XI[ D). The injecting dose of the product shall be
2. 2. 2 The fraction after purification, ultrafiltration 0. 15 g/kg of rabbit body weight.
and sterilization by filtration is regarded as the The tests described above may be performed on
bulk immunoglobulin. final bulk.
2. 2. 3 Control tests on bulk 3. 2 Control tests on final bulk
See Section 3. 1. Sterility test
2. 3 Final bulk It complies with the test for sterility ( Appendix
XII A).
2. 3. 1 Formulation
A quantity of stabilizer shall be added to the 3. 3 Control tests on final product
preparation and thimerosal may be used as a 3. 3. 1 Identity test
preservative. The protein concentration shall be
adjusted according to the specifications of the final 3. 3. 1. 1 Double immunodiffusion
product by dilution with water for injection. pH Carry out the test for identity by double immuno-
and sodium concentrationshall be properly adjusted. diffusion (Appendix VIIl C). There shall be only a
precipitation line with anti-human serum, but no
2. 3. 2 Control tests on final bulk precipitation line with anti-horse, anti-bovine,
See Section 3. 2. anti-pig or anti-sheep serum.
2. 4 Final product 3. 3. 1. 2 lmmunoelectrophoresis
2. 4. 1 Defining batches Carry out the test for identity by immunoelectro-
The Requirements for Defining Batches of Biologics pheresis ( Appendix VIIl D). The main precipitation
shall apply. line shall be IgG as compared with normal human
Human lmmunoglobulin, Freeze-dried

serum. It complies with the test for pyrogen ( Appendix


XI[ D). The injecting dose of the product shall be
3. 3. 2 Physical inspection
0. 15 g/kg of rabbit body weight.
3. 3. 2. 1 Inspection on final containers
The product shall be a clear, colourless or light 3. 3. 8 Additional tests shall be performed depending
yellow liquid. Opalescence may occur but without on the methods used for virus inactivation.
turbidity. 4 Storage, shipping and validity period
Store and ship at 2-8°C, protected from light.
3. 3. 2. 2 Test for visible particles
The approved validity period shall apply, starting
It complies with the test for visible particles
from the date of filling of final product.
(Appendix V B).
5 Package inserts
3. 3. 2. 3 Filling quantity
The Requirements for Packaging of Biologics shall
It complies with the requirements for filling
apply.
quantity (Appendix I A). The quantity shall be
not less than the stated value.
3. 3. 2. 4 Thermostability test
Keep the products in a water bath of 57°C+o. 5°C Human Immunoglobulin, Freeze-dried
for 4 hours, no gelation or flocculi shall appear.
3. 3. 3 Chemical tests
Freeze-dried human immunoglobulin is a preparation
3. 3. 3. 1 pH made from plasma of healthy individual by cold
The pH shall be 6. 4-7. 4 when the product is ethanol fractionation or other approved methods,
diluted to the protein concentration of 10 g/L with followed by viral inactivation. The preparation
physiological saline (Appendix V A). contains a suitable stabilizer, but free of antibiotics.
3. 3. 3. 2 Protein content Thimerosal may be added as a preservative.
The protein content shall be not less than 95. 0 % 1 Basic requirements
of the stated value (Appendix VI B, method 1). The facilities, source and subsidiary materials,
3. 3. 3. 3 Purity water, apparatus and animals used for production
Immunoglobulin shall be not less than 90. 0 % of and control tests shall comply with the require-
the total protein (Appendix N A). ments set forth in the General Notices.
3. 3. 3. 4 Saccharide content 2 Manufacturing
If any carbohydrate ( glucose, maltose, etc) is 2. 1 Source plasma
used in the product as a stabilizer, the content
shall be not more than 50 g/L (Appendix VI P). 2. 1. 1 Collection and the quality of plasma shall
comply with General Requirements for Source
3. 3. 3. 5 Distribution of molecular size Plasma of Blood Products.
The sum of IgG monomer and dimmer shall be not
less than 90. 0 % of the total area of the chro- 2. 1. 2 The storage period of frozen plasma shall
matogram (Appendix VI R). not exceed 24 months.
3. 3. 3. 6 Thimerosal content 2. 1. 3 The plasma used for production of one
If thimerosal is used in the product as a preser- batch shall be pooled from at least 1000 donors.
vative, the content shall be not more than 0. 1 g/L 2. 1. 4 The precipitate of fractions II +
III or
(Appendix VIl B). fractions I + +
II III shall be stored frozen at or
3. 3. 4 Potency test below - 30°C, and the storage period shall be
defined.
3. 3. 4. 1 Anti- HBs potency
Carry out the test for anti-HBs potency according 2. 2 Bulk
to the instructions of RIA kit used. The anti- HBs 2. 2. 1 Cold ethanol fractionation or other approved
potency shall be not less than 6. 0 IU / g of protein. methods shall be employed. Preservatives or
3. 3. 4. 2 Diphtheria antibody antibiotics shall not be used in the production of
The diphtheria antibody shall be not less than bulk.
3. 0 HAU/g of protein (Appendix X 0). 2. 2. 2 The fraction after purification, ultrafiltration
3. 3. 5 Sterility test and sterilization by filtration is regarded as the
It complies with the test for sterility ( Appendix bulk immunoglobulin.
XII A). 2. 2. 3 Control tests on bulk
3. 3. 6 Test for abnormal toxicity See Section 3. 1.
It complies with the test for abnormal toxicity 2. 3 Final bulk
(Appendix XI[ F).
2. 3. 1 Formulation
3. 3. 7 Pyrogen test A quantity of stabilizer shall be added to the
Human Immunoglobulin, Freeze-dried

preparation and thimerosal may be used as a 3. 2 Control tests on final bulk


preservative. The protein concentration shall be Sterility test
adjusted according to the specifications of the final It complieswith the test for sterility(Appendix XI[ A).
product by dilution with water for injection. pH
3. 3 Control tests on final product
and sodium concentration shall be properly
Other than the tests for vacuum, reconstitution
adjusted. time, moisture content and weight variation,
2. 3. 2 Control tests on final bulk sterile water for injection shall be added as stated
See Section 3. 2. on the label, and the reconstituted product shall
2. 4 Final product be subject to the following tests.

2. 4. 1 Defining batches 3. 3. 1 Identity test


The Requirements for Defining Batches of Biologics 3. 3. 1. 1 Double immunodiffusion
shall apply. Carry otit the test for identity by double immuno-
2. 4. 2 Filling and lyophilization diffusion (Appendix Vlll C). There shall be only a
The Requirements for Filling and Lyophilization of precipitation line with anti-human serum, but no
Biologics shall apply. The filled preparation shall precipitation line with anti-horse, anti-bovine,
be frozen immediately after filling. The tempera- anti-pig or anti-sheep serum.
ture of product during lyophilization shall be not 3. 3. 1. 2 Immunoelectrophoresis
higher than 35°C. The final containers shall be Carry out the test for identity by immunoelectro-
sealed under vacuum. pheresis ( Appendix Vlll D). The main precipitation
2. 4. 3 Specifications line shall be lgG as compared with normal human
150 mg or 300 mg of protein per container, with serum.
protein concentration of 10 %. 3. 3. 2 _Physical inspection
2. 4. 4 Packaging 3. 3. 2. 1 Inspection on final containers
The Requirements for Packaging of Biologics shall The product looks like a white or greyish-white
apply. crisp cake without any sign of thawing. The
2. 5 Viral removal and inactivation reconstituted product shall be a clear, colourless
The approved viral removal and inactivation or light yellow liquid. Opalescence may occur but
processes shall be employed in production. When without turbidity.
viral inactivation agent ( solvent, detergent) 1s 3. 3. 2. 2 Reconstitution time
used, the limit of the residual agent shall be The product is reconstituted with a volume of
defined. sterile water for injection at 20-25°C according to
3 Control tests the stated value. It shall be reconstituted
completely within 15 minutes on shaking gently.
3. 1 Control tests on bulk
3. 3. 2. 3 Test for visible particles
3. 1. 1 Protein content
It may be determined with Biuret method It complies with the test for visible particles
(Appendix V B). The precipitate which can be
(Appendix VI B, method 3). The protein content
dispersed on shaking is allowable.
shall be more than the stated value of final
product. 3. 3. 2. 4 Weight variation
3. 1. 2 Purity It complies with the test for weight variation
(Appendix I A).
The immunoglobulin ( lg G) content shall be not
less than 90. 0 % of the total protein ( Appendix 3. 3. 3 Chemical tests
NA). 3. 3. 3. 1 Moisture content
3. 1. 3 pH The residual moisture content shall be not more
The pH shall be 6. 4-7. 4 when the product is than 3. 0 % (Appendix VIl D).
diluted to the protein concentration of 10 g/L with
3. 3. 3. 2 pH
physiological saline (Appendix V A).
The pH shall be 6. 4-7. 4 when the product is
3. 1. 4 Residual ethanol content diluted to the protein concentration of 10 g/L with
It may be determined by Conway method ( Appendix physiological saline (Appendix V A).
VI D). The content of residual ethanol shall be 3. 3. 3. 3 Protein content
not more than O. 025%.
The protein content shall be not less than 95. 0 %
3. 1. 5 Pyrogen test of the stated value (Appendix VI B, method 1).
It complies with the test for pyrogen ( Appendix
3. 3. 3. 4 Purity
XI[ D). The injecting dose of the product shall be
0. 15 g/kg of rabbit body weight. Immunoglobulin shall be not less than 90. 0 % of
The tests described above may be performed on the total protein ( Appendix N A).
final bulk. 3. 3. 3. 5 Saccharide content
Human Hepatitis B Immunoglobulin

If any carbohydrate ( glucose, maltose, etc) is ments set forth in the General Notices.
used in the product as a stabilizer, the content
2 Manufacturing
shall be not more than 50 g/L (Appendix VI P).
2. 1 Source plasma
3. 3. 3. 6 Distribution of molecular size
The sum of IgG monomer and dimmer shall be not 2. 1. 1 Collection and the quality of plasma shall
less than 90. 0 % of the total area of the chro- comply with General Requirements for Source
matogram ( Appendix VI R). Plasma of Blood Products. The licensed hepatitis
B vaccine used as an antigen and the approved
3. 3. 3. 7 Thimerosal content
immunization schedule shall apply. The anti- HBs
If thimerosal is used in the product as a preservative,
potency in the pooled plasma shall be not less than
the content shall be not more than 0. 1 g/L
8 IU/ml.
(Appendix VII B).
2. 1. 2 The storage period of frozen plasma shall
3. 3. 4 Potency test
not exceed 24 months.
3. 3. 4. 1 Anti-HBs potency
2. 1. 3 The plasma used for production of one
Carry out the test for anti- HBs potency according
batch shall be pooled from at least 100 donors.
to the instructions of RIA kit used. The anti-HBs
potency shall be not le~s than 6. 0 IU I g of protein. 2. 1. 4 The precipitate of fractions II +
III or
3. 3. 4. 2 Diphtheria antibody fractions I + +
II III shall be stored frozen at or
The diphtheria antibody shall be not less than 3. 0 below - 30°C, and the storage period shall be
HAU/g of protein (Appendix X 0). defined.

3. 3. 5 Sterility test 2. 2 Bulk


It complies .with the test for sterility ( Appendix 2. 2. 1 Cold ethanol fractionation or other approved
XI[ A). methods shall be employed. Preservatives or
3. 3. 6 Test for abnormal toxicity antibiotics shall not be used in the production of
It complies with the test for abnormal toxicity bulk.
(Appendix XI[ F). 2. 2. 2 The fraction after purification, ultrafiltration
3. 3. 7 Pyrogen test and sterilization by filtration is regarded as the
It complies with the test for pyrogen ( Appendix bulk immunoglobulin.
XI[· D). The injecting dose of the product shall be 2. 2. 3 Control tests on bulk
0. 15 g/kg of rabbit body weight. See Section 3. 1.
3. 3. 8 Additional tests shall be performed depending 2. 3 Final bulk
on the methods used for virus inactivation.
2. 3. 1 Formulation
4 Storage, shipping and validity period A quantity of stabilizer shall be added to the
Store and ship at 8°C or be below, protected from preparation and thimerosal may be used as a
light. The approved validity period shall apply, preservative. The protein concentration shall be
starting from the date of filling of final product. adjusted according to the specifications of the final
5 Package inserts product by dilution with water for injection. pH
The Requirements for Packaging of Biologics shall and sodium concentration shall be properly
apply. adjusted.
2. 3. 2 Control tests on final bulk
See Section 3. 2.
2. 4 Final product
Human Hepatitis B Immunoglobulin
2. 4. 1 Defining batches
The Requirements for Defining Batches of Biologics
Human hepatitis B immunoglobulin is a liquid shall apply.
preparation made from pooled anti- HBs-rich plasma
2. 4. 2 Filling
of healthy donors immunized with hepatitis B
The Requirements for Filling and Lyophilization of
vaccine, by cold ethanol fractionation or other
Biologics shall apply.
approved methods, followed by viral inactivation.
The preparation contains a suitable stabilizer, but 2. 4. 3 Specifications
free of antibiotics. Thimerosal may be added as a 100 IU, 200 IU or 400 IU of anti~HBs per
preservative. container, containing not less than 100 IU / ml of
anti-HBs.
1 Basic requirements
The facilities, source and subsidiary materials, 2. 4. 4 Packaging
water, apparatus and animals used for production The Requirements for Packaging of Biologics shall
and control tests shall comply with the require- apply.
Human Hepatitis B Immunoglobulin

2. ·5 Viral removal and inactivation turbidity.


The approved viral removal and inactivation 3. 3. 2. 2 Test for visible particles
processes shall be employed in production. When It complies with the test for visible particles
viral inactivation agent ( solvent, detergent) is (Appendix V B). The precipitate which can be
used, the limit of the residual agent shall be dispersed on shaking is allowable.
defined.
3. 3. 2. 3 Filling quantity
3 Control tests It complies with the requirements for filling quantity
3. 1 Control tests on bulk ( Appendix I A).
3. 1. 1 Protein content 3. 3. 2. 4 Thermostability test
It may be determined with Biuret method (Appendix Keep the products in a water bath of 57°C+o. 5°C
VI B, method 3 ). The protein content shall be for 4 hours. No gelation or flocculi shall appear.
not more than 180 g/L. 3. 3. 3 Chemical tests
3. 1. 2 Purity 3. 3. 3. 1 pH
The immunoglobulin ( lg G) content shall be not The pH shall be 6. 4-7. 4 when the product is
less than 90. 0 % of the total protein ( Appendix diluted to the protein concentration of 10 g/L with
NA). physiological saline (Appendix V A).
3. 1. 3 pH 3. 3. 3. 2 Protein content
The .pl-l shall be 6. 4-7. 4 when the product is The protein content shall be not more than 180 g/L
diluted to the protein concentration of 10 g/L with ( Appendix VI B, method 1).
physiological saline ( Appendix V A).
3. 3. 3. 3 Purity
3. 1. 4 Residual ethanol content Immunoglobulin shall be not less than 90. 0 % of
It may be determined by Conway method the total protein ( Appendix N A).
(Appendix VI D). The content of residual ethanol
shall be not more than 0. 025 %. 3. 3. 3. 4 Saccharides content
If any carbohydrate ( glucose, maltose, etc) is
3. 1. 5 Pyrogen test used in the . product as a stabilizer, the content
It complies with the test for pyrogen ( Appendix shall be not more than 50 g/L ( Appendix VI P).
XII D). The injecting dose of the product shall be
0. 15 g/kg of rabbit body weight. 3. 3. 3. 5 Distribution of molecular size
The sum of IgG monomer and dimmer shall be not
3. 1. 6 Anti- HBs potency less than 90. 0 % of the total area of the chro-
Carry out the test for anti- HBs potency according matogram (Appendix VI R).
to the instructions of RIA Kit used. It shall be not
less than the specification of the final product. 3. 3. 3. 6 Thimerosal content
The tests described above may be performed on If thimerosal is used in the product as a preser-
final bulk. vative, the content shall be not more than 0. 1 g/L
(Appendix V[ B).
3. 2 Control tests on final bulk
Sterility test 3. 3. 4 Anti- HBs potency
It complies with the test for sterility ( Appendix Carry out the test for anti- HBs potency according
XII A). to the instructions of RIA kit used. The anti-Hlss
potency shall be not less than 100 IU / ml. The
3. 3 Control tests on final product anti- HBs potency of each container shall be not
3. 3. 1 Identity test less than the stated value.
3. 3. 1. 1 Double immunodiffusion 3. 3. 5 Sterility test
Carry out the test for identity by double immuno- It complies with the test for sterility ( Appendix
diffusion (Appendix VllI C). There shall be only a XII A).
precipitation line with anti-human serum, but no 3. 3. 6 Test for abnormal toxicity
precipitation line with anti-horse, anti-bovine, It complies with the test for abnormal toxicity
anti-pig or anti-sheep serum. (Appendix XII F).
3. 3. 1. 2 Immunoelectrophoresis 3. 3. 7 Pyrogen test
Carry out the test for identity by immunoelectro- It complies with the test for pyrogen ( Appendix
pheresis (Appendix VllI D). The main precipitation XII D). The injecting dose of the product shall be
line shall be IgG as compared with normal human 0. 15 g/kg of rabbit body weight.
serum.
3. 3. 8 Additional tests shall be performed depending
3. 3. 2 Physical inspection on the methods used for virus inactivation.
3. 3. 2. 1 Inspection on final containers 4 Shipping and validity period
The product shall be a clear, colourless or light Store and ship at 2-8°C, protected from light.
yellow liquid. Opalescence may occur but without The approved validity period shall apply, starting
Human Hepatitis B Immunoglobulin, Freeze-dried

from the date of filling of final product. adjusted according to the specifications of the final
product by dilution with water for injection. pH
5 Packageinserts
and sodium concentration shall be properly adjusted.
The Requirements for Packaging of Biologics shall
apply. 2. 3. 2 Control tests on final bulk
See Section 3. 2.
2. 4 Final product

Human Hepatitis B Immunoglobulin, 2. 4. 1 Defining batches


The Requirements for Defining Batches of Biologics
Freeze-dried shall apply.
2. 4. 2 Filling and lyophilization
Freeze-dried human hepatitis B immunoglobulin is The Requirements for Filling and Lyophilization of
a preparation made from pooled anti- HBs-rich Biologics shall apply. The filled preparation shall
plasma of healthy donors immunized with hepatitis be frozen immediately after filling. The tempera-
B vaccine, . by cold ethanol fractionation or other ture of product during lyophilization shall be not
approved methods, followed by viral inactivation. higher than 35°C. The final containers shall be
The preparation contains a suitable stabilizer, but sealed .under vacuum.
free of antibiotics. Thimerosal may be added as a
2. 4. 3 Specifications
preservative.
100 IU, 200 IU or 400 IU of anti- HBs per
1 Basic requirements container, containing not less than 100 IU / ml of
The facilities, · source and subsidiary materials, anti~HBs.
water, apparatus and animals used for production
2. 4. 4 Packaging
and control tests shall comply with the require-
The Requirements for Packaging of Biologics shall
ments set forth in the General Notices.
apply.
2 Manufacturing
2. 5 Viral removal and inactivation
2. 1 Source plasma The approved viral removal and inactivation
2. 1. 1 Collection and the quality of plasma shall processes shall be employed in production. When
comply with General Requirements for Source viral inactivation agent ( solvent, detergent) is
Plasma of Blood Products. The licensed hepatitis used, the limit of the residual agent shall be
B vaccine used as an antigen and the approved defined.
immunization schedule shall apply. The anti-HBs 3 Controltests
potency in the pooled plasma shall be not less than
3. 1 Control tests on bulk
8 IU/ml.
3. 1. 1 Protein content
2. 1. 2 The storage period of frozen plasma shall
It may be determined with Biuret method (Appendix
not exceed 24 months.
V[ B, method 3 ). The protein content shall be
2. 1. 3 The plasma used for production of one not more than 180 g/L.
batch shall be pooled from at least 100 donors. 3. 1. 2 Purity
2. 1. 4 The precipitate of fractions II +
ill or The immunoglobulin ( lgG) content shall be not
fractions I + +
II ill shall be stored frozen at or less than 90. 0 % of the total protein ( Appendix
below - 30°C, and the storage period shall be NA).
defined. 3. 1. 3 pH
2. 2 Bulk The pH shall be 6. 4-7. 4 when the product is
diluted to the protein concentration of 10 g/L with
2. 2. 1 Cold ethanol fractionation or other approved
physiological saline (Appendix V A).
methods shall be employed. Preservatives or anti-
biotics shall not be used in the production of bulk. 3. 1. 4 Residual ethanol content
It may be determined by Conway method ( Appendix
2. 2. 2 The fraction after purification, ultrafiltration
V[ D). The content of residual ethanol shall be
and sterilization by filtration is regarded as the
not more than 0. 025 % .
bulk immunoglobulin.
3. 1. 5 Pyrogen test
2. 2. 3 Control tests on bulk
It complies with the test for pyrogen ( Appendix
See Section 3. 1.
XI[ D). The injecting dose of the product shall be
2. 3 Final bulk 0. 15 g/kg of rabbit body weight.
2. 3. 1 Formulation 3. 1. 6 Anti- HBs potency
A quantity of stabilizer shall be added to the Carry out the test for anti- HBs potency according
preparation and thimerosal may be used as a to the instructions of RIA Kit used. It shall be not
preservative. The protein concentration shall be less than the specification of the final product.
Human Rabies lmmunoglobulin

The tests described above may be performed on Immunoglobulin shall be not less than 90. 0 % of
final bulk. the total protein (Appendix N A).
3. 2 Control tests on final bulk 3. 3. 3. 5 Saccharide content
Sterility test If any carbohydrate ( glucose, maltose, etc) is
It complies with the test for sterility ( Appendix used in the product as a stabilizer, the content
XI[ A). shall be not more than 50 g/L ( Appendix VI P).
3. 3 Control tests on final product 3. 3. 3. 6 Distribution of molecular size
Other than the tests for vacuum, reconstitution The sum of IgG monomer and dimmer shall be not
time, moisture content, and weight variation, less than 90. 0 % of the total area of the
sterile water for injection shall be added as stated chromatogram (Appendix VI R).
on the label, and the reconstituted product shall 3. 3. 3. 7 Thimerosal content
be subject to the following tests. If thimerosal is used in the product as a preser-
3. 3. 1 Identity test vative, the content shall be not more than 0. 1 g/L
( Appendix VIl B).
3. 3. 1. 1 Double immunodiffusion
Carry out the test for identity by double immuno- 3. 3. 4 Anti- HBs potency
diffusion (Appendix VIII C). There shall be only a Carry out the test for anti- HBs potency according
precipitation line with anti-human serum, but no to the instructions of RIA kit used. The anti- HBs
precipitation line with anti-horse, anti-bovine, potency shall be not less than 100 IU / ml. The
anti-pig or anti-sheep serum. anti- HBs· potency of each container shall be not
less than the stated value.
3. 3. 1. 2 Immunoelectrophoresis
Carry out the test for identity by immuno- 3. 3. 5 Sterility test
electropheresis ( Appendix VIII D ) . The main It complies with the test for sterility ( Appendix
precipitation line shall be IgG as compared with XI[ A).
normal human serum. 3. 3. 6 Test for abnormal toxicity
3. 3. 2 Physical inspection It complies with the test for abnormal toxicity
( Appendix XI[ F).
3. 3. 2. 1 Inspection on final containers
The product looks like a white or greyish-white 3. 3. 7 Pyrogen test
crisp cake without any sign of thawing. The It complies with the test for pyrogen ( Appendix
reconstituted product shall be a clear, colourless XI[ D). The injecting dose of the product shall be
or light yellow liquid. Opalescence may occur but 0. 15 g/kg of rabbit body weight.
without turbidity. 3. 3. 8 Additional tests shall be performed depending
3. 3. 2. 2 Reconstitution time on the methods used for virus inactivation.
The product is reconstituted with a volume of 4 Storage, shipping and validity period
sterile water for injection at 20-25°C according to Store and ship at 8°C or below, protected from
the stated value. It shall be reconstituted completely light. The approved validity period shall apply,
within 15 minutes on shaking gently. starting from the date of filling of final product.
3. 3. 2. 3 Test for visible particles 5 Package inserts
It complies with the test for visible particles The Requirements for Packaging of Biologics shall
(Appendix V B). The precipitate which can be apply.
dispersed on shaking is allowable.
3. 3. 2. 4 Weight variation
It complies with the test for weight variation
( Appendix I A). Human Rabies Immunoglobulin
3. 3. 3 Chemical tests
3. 3. 3. 1 Moisture content Human rabies immunoglobulin is a liquid preparation
The residual moisture content shall be not more made from pooled rabies antibody-rich plasma of
than 3. 0% (Appendix VIl D). healthy donors immunized with rabies vaccine by
cold ethanol fractionation or other approved
3. 3. 3. 2 pH
separation methods, followed by viral inactivation.
The pH shall be 6. 4-7. 4 when the product is
The preparation contains a suitable stabilizer, but
diluted to the protein concentration of 10 g/L with
free of antibiotics. Thimerosal may be added as a
physiological saline (Appendix V A).
preservative.
3. 3. 3. 3 Protein content
1 Basic requirements
The protein content shall be not more than 180 g/L
The facilities, source and subsidiary materials,
(Appendix VI B, method 1).
water, apparatus and animals used for production
3. 3. 3. 4 Purity and control tests shall comply with the require-
Human Rabies Immunoglobulin

ments set forth in the General Notices. The Requirements for Packaging of Biologics shall
2 Manufacturing apply.

2. 1 Source plasma 2. 5 Viral removal and inactivation


The approved viral removal and inactivation
2. 1. 1 Collection and the quality of plasma shall processes shall be employed in production. When
comply with General Requirements for Source viral inactivation agent ( solvent, detergent) is
Plasma of Blood Products. The licensed rabies used, the limit of the residual agent shall be
vaccine used as an antigen and the approved defined.
immunization schedule shall apply. The blood
3 Control tests
sample from immunized donors shall be tested for
antibody titer with ELISA, plaque formation test 3. 1 Control tests on bulk
or neutralization test in brains of mice. Once the 3. 1. 1 Protein content
rabies antibody reaches 10 IU/ml after immuni- It may be determined with Biuret method (Appendix
zation, the plasma can be collected. VI B, method 3). The protein content shall be
2. 1. 2 The storage period of frozen plasma shall not more than 180 g/L.
not exceed 24 months. 3. 1. 2 Purity
2. 1. 3 The plasma used for production of one The immunoglobulin ( lgG) content shall be not
batch shall be pooled from at least 100 donors. less than 90. 0 % of the total protein ( Appendix
2. 1. 4 'The precipitate of fractions II +
ill or NA).
fractions I II+ +
ill shall be stored frozen at 3. 1. 3 pH
-30°C or below, and the storage period shall be The pH shall be 6. 4-7. 4 when the product is
defined. diluted to the protein concentration of 10 g/L with
physiological saline (Appendix V A).
2. 2 Bulk
3. 1. 4 Residual ethanol content
2. 2. 1 Cold. ethanol fractionation or other approved
It may be determined by Conway method ( Appendix
methods shall be employed. Preservatives or
antibiotics shall not be used. in the production of
VI D). The content of residual ethanol shall be
not more than 0. 025%.
bulk.
3. 1. 5 Rabies antibody potency
2. 2. 2 The fraction after purification, ultrafiltration
It shall be not less than the stated value of final
and sterilization by filtration is regarded as the
product. (Appendix XI J).
bulk immunoglobulin.
3. 1. 6 Pyrogen test
2. 2. 3 Control tests on bulk
It complies with the test for pyrogen ( Appendix
See Section 3. 1.
XII D). The injecting dose of the product shall be
2. 3 Final bulk 0. 15 g/kg of rabbit body weight.
2. 3. 1 Formulation The tests described above may be performed on
A quantity of stabilizer shall be added to the final bulk.
preparation and thimerosal may be used as a 3. 2 Control tests on final bulk
preservative. The protein concentration shall be Sterility test
adjusted according to the specifications of the final It complies with the test for sterility ( Appendix
product by dilution with water for injection. pH XII A).
and sodium concentration shall be properly
3. 3 Control tests on final product
adjusted.
3. 3. 1 Identity test
2. 3. 2 Control tests on final bulk
See Section 3. 2. 3. 3. 1. 1 Double immunodiffusion
Carry out the test for identity by double immuno-
2. 4 Final product
diffusion ( Appendix V1U C). There shall be only a
2. 4. 1 Defining batches precipitation line with anti-human serum, but no
The Requirements for Defining Batches of precipitation line with anti-horse, anti-bovine,
Biologics shall apply. anti-pig or anti-sheep serum.
2. 4. 2 Filling . 3. 3. 1. 2 Immunoelectrophoresis
The Requirements for Filling and Lyophilization of Carry out the test for identity by immunoelectro-
Biologics shall apply. pheresis ( Appendix VIU P). The main precipitation
2. 4. 3 Specifications line shall be lgG as compared with normal human
100 IU, 200 IU or 500 IU of rabies antibody per serum.
container, containing not less than 100 IU/ml of 3. 3. 2 Physical inspection
rabies antibody. 3. 3. 2. 1 Inspection on final containers
2. 4. 4 Packaging The product shall be a clear, colourless or light
Human Rabies Immunoglobulin, Freeze-dried

yellow liquid. Opalescence may occur but without 5 Package inserts


turbidity. The Requirements for Packaging of Biologics shall
3. 3. 2. 2 Test for visible particles apply.
It complies with the test for visible particles
(Appendix V B). The precipitate which can be
dispersed on shaking is allowable.
3. 3. 2. 3 Filling quantity
Human Rabies lmmunoglobulin,
It complies with the requirements for filling Freeze-dried
quantity (Appendix I A).
3. 3. 2. 4 Thermostability test Freeze-dried human rabies immunoglobulin is a
Keep the products in a water bath of 57°C+ O. 5°C preparation made from pooled rabies antibody-rich
for 4 hours, no gelation or flocculi shall appear. plasma of healthy donors immunized with rabies
vaccine, by cold ethanol fractionation or other
3. 3. 3 Chemical tests
approved separation methods, followed by viral
3. 3. 3. 1 pH inactivation. The preparation contains a suitable
The pH shall be 6. 4-7. 4 when the product is stabilizer, but free of antibiotics. Thimerosal may
diluted to the protein concentration of 10 g/L with be added as a preservative.
physiological saline ( Appendix V A).
1 Basic requirements
3. 3. 3. 2 Protein content The facilities, source and subsidiary materials,
The protein content shall be not more than 180 g/L water, apparatus and animals used for production
(Appendix VI B, method 1). and control tests shall comply with the require-
3. 3. 3. 3 Purity ments set forth in the General Notices.
The immunoglobulin shall be not less than 90. 0 % 2 Manufacturing
of the total protein ( Appendix N A).
2. 1 Source plasma
3. 3. 3. 4 Saccharide content
2. 1. 1 Collection and the quality of plasma shall
If any carbohydrate ( glucose, maltose, etc) is
comply with General Requirements · for Source
used in the product as a stabilizer, the content
Plasma of Blood Products. The licensed rabies
shall be not more than 50 g/L (Appendix VI P).
vaccine used as. an antigen and the approved
3. 3. 3. 5 Distribution of molecular size immunization schedule shall apply. The blood
The sum of IgG monomer and dimmer shall be not sample from immunized donors shall be tested for
less than 90. 0 % of the total area of the antibody titer with ELISA, plaque formation test
chromatogram ( Appendix VI R). or neutralization test in brains of mice. Once the
3. 3. 3. 6 Thimerosal content rabies antibody reaches 10 IU/ml after immuni-
If thimerosal is used in the product as a preservative, zation, the plasma can be collected.
the content shall be not more than 0. 1 g/L 2. 1. 2 The storage period of frozen plasma shall
(Appendix VIl B). not exceed 24 months.
3. 3. 4 Rabies antibody potency 2. 1. 3 The plasma used for production of one
It shall be not less than 100 IU / ml ( Appendix batch shall be pooled from at least 100 donors.
XI J ) . The rabies antibody potency of each
container shall be not less than the stated value.
2. 1. 4 The precipitate of fractions II +
Ill or
fractions I + +
II Ill shall be stored frozen at or
3. 3. 5 Sterility test below - 30°C, and the storage period shall be
It complies with the test for sterility ( Appendix defined.
XI[. A).
2. 2 Bulk
3. 3. 6 Test for abnormal toxicity
2. 2. 1 Cold ethanol fractionation or other approved
It complies with the test for abnormal toxicity
methods shall be employed. Preservatives or
( Appendix XII F).
antibiotics shall not be used in the production of
3. 3. 7 Pyrogen test bulk.
It complies with the test for pyrogen ( Appendix
2. 2. 2 The fraction after purification, ultrafiltration
XI[ D). The injecting dose of the product shall be
and sterilization by filtration is regarded as the
0. 15 g/kg of rabbit body weight.
bulk immunoglobulin.
3. 3. 8 Additional tests shall be performed depending
2. 2. 3 Control tests on bulk
on the methods used for virus inactivation.
See Section 3. 1.
4 Storage, shipping and validity period
Store and ship at 2-8°C, protected from light. 2. 3 Final bulk
The approved validity period shall apply, starting 2. 3. 1 Formulation
from the date of filling of final product. A quantity of stabilizer shall be added to the
Human Rabies lmmunoglobulin, Freeze-dried

preparation and thimerosal may be used as a 0. 15 g/kg of rabbit body weight.


preservative. The protein concentration shall be The tests described above may be performed on
adjusted according to the specifications of the final final bulk.
product by dilution with water for injection. pH
3. 2 Control tests on final bulk
and sodium concentrationshall be properly adjusted.
Sterility test
2. 3. 2 Control tests on final bulk It complies with the test for sterility ( Appendix
See Section 3. 2. XI[ A).
2. 4 Final product 3. 3 Control tests on final product
2. 4. 1 Defining batches Other than the tests for vacuum, reconstitution
The Requirements for Defining Batches for Biologics time, moisture content and weight variation,
shall apply. sterile water for injection shall be added as stated
on the label, and the reconstituted product shall
2. 4. 2 Filling and lyophilization be subject to the following tests.
The Requirements for Filling and Lyophilization
for Biologics shall apply. The filled preparation 3. 3. 1 Identity test
shall be frozen immediately after filling. The 3. 3. 1. 1 Double immunodiffusion
temperature of product during lyophilization shall Carry out the test for identity by double immuno-
be not higher than 35 °C. The final containers shall diffusion (Appendix VIIl C). There shall be only a
be sealed .. under vacuum. precipitation line with anti-human serum, but no
2. 4. 3 Specifications precipitation line with anti-horse, anti-bovine,
100 IU, 200 IU or 500 IU of rabies antibody per anti-pig or anti-sheep serum.
container, containing not less than 100 IU / ml of 3. 3. 1. 2 Immunoelectrophoresis
rabies antibody. Carry out the test for identity by immunoelectro-
2. 4. 4 Packaging pheresis ( Appendix VIIl D). The main precipitation
The Requirements for Packaging of Biologics shall line shall be lgG as compared with normal human
apply. serum.
2. 5 Viral removal and inactivation 3. 3. 2 Physical inspection
The approved viral removal and inactivation 3. 3. 2. · 1 Inspection on final containers
processes shall be employed in production. When The product looks like a white or greyish-white
viral inactivation agent ( solvent, detergent) is crisp cake without any sign of thawing. The
used, the limit of the residual agent shall be reconstituted product shall be a clear, colourless
defined. or light yellow liquid. Opalescence may occur but
3 Control tests without turbidity.
3. 1 Control tests on bulk 3. 3. 2. 2 Reconstitution time
The product is reconstituted with a volume of
3. 1. 1 Protein content sterile water for injection at 20-25°C according to
It may be determined with Biuret method (Appendix the stated value. It shall be reconstituted completely
VI B, method 3). The protein content shall be within 15 minutes on shaking gently.
not more than 180 g/L.
3. 3. 2. 3 Test for visible particles
3. 1. 2 Purity
It complies with the test for visible particles
The immunoglobulin ( IgG) content shall be not (Appendix V B) . The precipitate which can be
less than 90. 0 % of the total protein ( Appendix
dispersed on shaking is allowable.
NA).
3. 3. 2. 4 Weight variation
3. 1. 3 pH
It complies with the test for weight variation
The pH shall be 6. 4-7. 4 when the product is
( Appendix I A).
diluted to the protein concentration of 10 g/L with
physiological saline ( Appendix V A). 3. 3. 3 Chemical tests
3. 1. 4 Residual ethanol content 3. 3. 3. 1 Moisture content
It may be determined by Conway method ( Appendix The residual moisture content shall be not more
VI D). The content of residual ethanol shall be than 3.' 0% (Appendix VIl D).
not more than 0. 025%. 3. 3. 3. 2 pH
3. 1. 5 Rabies antibody potency The pH shall be 6. 4-7. 4 when the product is
It shall be not less than the stated value of final diluted to the protein concentration of 10 g/L with
product (Appendix XI J). physiological saline (Appendix V A).
3. 1. 6 Pyrogen test 3. 3. 3. 3 Protein content
It complies with the test for pyrogen ( Appendix The protein content shall be not more than 180 g/L
XI[ D). The injecting dose of the product shall be ( Appendix VI B, method 1).
Human Tetanus Immunoglobulin

3. 3. 3. 4 Purity 2 Manufacturing
Immunoglobulin shall be not less than 90. 0 % of 2. 1 Source plasma
the total protein (Appendix N A).
2. 1. 1 Collection and the quality of plasma shall
3. 3. 3. 5 Saccharide content comply with General Requirements for Source
If any carbohydrate ( glucose, maltose, etc) is
Plasma of Blood Products. The licensed tetanus
used in the product as a stabilizer, the content
vaccine used as an antigen and the approved
shall be not more than 50 g/L ( Appendix VI P).
immunization schedule shall apply. The blood
3. 3. 3. 6 Distribution of molecular size sample from immunized donors shall be tested for
The sum of IgG monomer and dimmer shall be not antibody titer. Once the tetanus antibody reaches
less than 90. 0 % of the total area of the chro- 8 IU/ml after immunization, the plasma can be
matogram (Appendix VI R). collected.
3. 3. 3. 7 Thimerosal content 2. 1. 2 The storage period of frozen plasma shall
If thimerosal is used in the product as a preser- not exceed 24 months.
vative, the content shall be not more than 0. 1 g/L
2. 1. 3 The plasma used for production of one
(Appendix VII B).
batch shall be pooled from at least 100 donors.
3. 3. 4 Rabies antibody potency
It shall be not less than 100 IU/ml ( Appendix
2. 1. 4 The precipitate of fractions II +
III or
XI J ). The rabies antibody potency of each fractions I + +
II III shall be stored frozen at or
below - 30°C, and the storage period shall be
container shall be not less than the stated value.
defined.
3. 3. 5 Sterility test
2. 2 Bulk
It complies with the test for sterility ( Appendix
XII A). 2. 2. 1 Cold ethanol fractionation or other approved
methods shall be employed. Preservatives or
3. 3. 6 Test for abnormal toxicity
antibiotics shall not be used in the production of
It complies with the test for abnormal toxicity
bulk.
( Appendix XII F).
2. 2. 2 The fraction after purification, ultrafiltration
3. 3. 7 Pyrogen test
and sterilization by filtration is regarded as the
It complies with the test for pyrogen ( Appendix
bulk immunoglobulin.
XII D). The injecting dose of the product shall be
0. 15 g/kg of rabbit body weight. 2. 2. 3 Control tests on bulk
See Section 3. 1.
3. 3. 8 Additional tests shall be performed depending
on the methods used for virus inactivation. 2. 3 Final bulk
4 Storage, shipping and validity period 2. 3. 1 Formulation
Store and ship at 8°C or below, protected from A quantity of stabilizer shall be added to the
light. The approved validity period shall apply, preparation and thimerosal may be used as a
starting from the date of filling of final product. preservative. The protein concentration shall be
5 Package inserts adjusted according to the specifications of the final
The Requirements for Packaging of Biologics shall product by dilution with water for injection. pH
apply. and sodium concentration shall be properly adjusted
2. 3. 2 Control tests on final bulk
See Section 3. 2.
2. 4 Final product
Human Tetanus Immunoglobulin 2. 4. 1 Defining batches
The Requirements for Defining Batches of Biologics
Human tetanus immunoglobulin is a liquid preparation shall apply.
made from pooled tetanus antibody-rich plasma of 2. 4. 2 Filling
healthy donors immunized with tetanus vaccine, The Requirements for Filling and Lyophilization of
by cold ethanol fractionation or other approved Biologics shall apply.
separation methods, followed by viral inactivation.
2. 4. 3 Specifications
The preparation contains a suitable stabilizer, but
250 IU of tetanus antibody per container, contammg
free of antibiotics. Thimerosal may be added as a
preservative. not less than 100 IU/ml of tetanus antibody.
2 .. 4. 4 Packaging
1 Basic requirements
The facilities, source and subsidiary materials, The Requirements for Packaging of Biologics shall
water, apparatus and animals used for production apply.
and control tests shall comply with the require- 2. 5 Viral removal and inactivation
ments set forth in the General Notices. The approved viral removal and inactivation processes
Human Tetanus Immunoglobulin

shall be employed in production. When viral dispersed on shaking is allowable.


inactivation agent ( solvent, detergent) is used,
3. 3. 2. 3 Filling quantity
the limit of the residual agent shall be defined.
It complies with the requirements for filling quantity
3 Control tests ( Appendix I A).
3. 1 Control tests on bulk 3. 3. 2. 4 Thermostability test
3. 1. 1 Protein content Keep the products in a water bath of 57°C+o. 5°C
It may be determined with Biuret method (Appendix for 4 hours, no gelation or flocculi shall appear.
VI B, method 3). The protein content shall be 3. 3. 3 Chemical tests
not more than 180 g/L.
3. 3. 3. 1 pH
3. 1. 2 Purity The pH shall be 6. 4-7. 4 when the product is
The immunoglobulin ( IgG) content shall be not diluted to the protein concentration of 10 g/L with
less than 90. 0 % of the total protein ( Appendix
physiological saline ( Appendix V A).
NA).
3. 3. 3. 2 Protein content
3. 1. 3 pH
The protein content shall be not more than 180 g/L
The pH shall be 6. 4-7. 4 when the product is
( Appendix VI B, method 1).
diluted to the protein concentration of 10 g/L with
physiological saline ( Appendix V A). 3. 3. 3. 3 Purity
3. 1. 4 Residual ethanol content Immunoglobulin shall be not less than 90. 0 % of
It may be determined by Conway method ( Appendix the total protein (Appendix N A).
VI D). The content of residual ethanol shall be 3. 3. 3. 4 Saccharide content
not more than 0. 025%. If any carbohydrate (glucose, maltose, etc) is
3. 1. 5 Pyrogen test used in the product as a stabilizer, the content
It complies with the test for pyrogen . ( Appendix shall be not more than 50 g/L ( Appendix VI P).
XI[ D). The injecting dose of the product shall be 3. 3. 3. 5 · Distribution of molecular size
0. 15 g/kg of rabbit body weight. The sum of IgG monomer and dimmer shall be not
3. 1. 6 Tetanus antibody potency less than 90. 0 % of the total area of the chro-
It shall be not less than the stated value of final matogram (Appendix VI R).
product ( Appendix XI F).
3. 3. 3. 6 Thimerosal content
The tests described above may be performed on
If thimerosal is used in the product as a preser-
final bulk.
vative, the content shall be not more than 0. 1 g/L
3. 2 Control tests on final bulk (Appendix W B).
Sterility test
It complies with the test for sterility ( Appendix 3. 3. 4 Tetanus antibody potency
XI[ A). It shall be not less than 100 IU/ml ( Appendix
XI F). The . tetanus antibody potency of each
3. 3 Control tests on final product container shall be not less than the stated value.
3. 3. 1 Identity test 3. 3. 5 Sterility test
3. 3. 1. 1 Double immunodiffusion It complies with the test for sterility ( Appendix
Carry out the test for identity by double immuno- XI[ A).
diffusion (Appendix VIII C). There shall be only a 3. 3. 6 Test for abnormal toxicity
precipitation line with anti-human serum, but no
It complies with the test for abnormal toxicity
precipitation line with anti-horse, anti-bovine,
(Appendix XI[ F).
anti-pig or anti-sheep serum.
3. 3. 7 Pyrogen test
3. 3. 1. 2 Immunoelectrophoresis
It complies with the test for pyrogen ( Appendix
Carry out the test for identity by immunoelectro-
pheresis ( Appendix VIII D). The main precipitation XI[ D). The injecting dose of the product shall be
line shall be IgG as compared with normal human 0. 15 g/kg of rabbit body weight.
serum. 3. 3. 8 Additional tests shall be performed depending
3. 3. 2 Physical inspection on the methods used for virus inactivation.
3. 3. 2. 1 Inspection on final containers 4 Storage, shipping and validity period
The product shall be a clear, colourless or light Store and ship at 2-8°C, protected from light.
yellow liquid. Opalescence may occur but without The approved validity period shall apply, starting
turbidity. from the date of filling of final product.
3. 3. 2. 2 Test for visible particles 5 Package inserts
It complies with the test for visible particles The Requirements for Packaging of Biologics shall
(Appendix V B) . The precipitate which can be apply.
Human Tetanus Immunoglobulin, Freeze-dried

and sodium concentration shall be properly adjusted.


2. 3. 2 Control tests on final bulk
See Section 3. 2.
Human Tetanus lmmunoglobulin, 2. 4 Final product
Freeze-dried
2. 4. 1 Defining batches
The Requirements for Defining Batches of Biologics
Freeze-dried human tetanus immunoglobulin is a shall apply.
preparation made from pooled tetanus antibody-
2. 4. 2 Filling and lyophilization
rich plasma of healthy donors immunized with
The Requirements for Filling and Lyophilization of
tetanus vaccine, by cold ethanol fractionation or
Biologics shall apply. The filled preparation shall
other approved separation methods, followed by
be frozen immediately after filling. The temperature
viral inactivation. The preparation contains a suitable
of product during lyophilization shall be not higher
stabilizer, but free of antibiotics. Thimerosal may
than 35°C. The final containers shall be sealed
be added as a preservative.
under vacuum.
1 Basic requirements
2. 4. 3 Specifications
The facilities, source and subsidiary materials,
250 IU of tetanus antibody per container, contammg
water, apparatus and animals used for production
not less than 100 IU/ml of tetanus antibody.
and .. control tests shall comply with the require-
ments set forth in the General Notices. 2. 4. 4 Packaging
The Requirements for Packaging of Biologics shall
2 Manufacturing
apply.
2. 1 Source plasma
2. 5 Viral removal and inactivation
2. 1. 1 Collection and the quality of plasma shall The approved viral removal and inactivation
comply with General Requirements for Source processes shall be employed in production. When
Plasma of Blood Products. The licensed tetanus viral inactivation agent ( solvent, detergent) is
vaccine used as an antigen and the approved used, the limit of the residual agent shall be
immunization schedule shall apply. The blood defined.
sample from immunized donors shall be tested for
3 Control tests
antibody titer. Once the tetanus antibody reaches
8 IU/ml after immunization, the plasma can be 3. 1 Control tests on bulk
collected. 3. 1. 1 Protein content
2. 1. 2 . The storage period of frozen plasma shall It may be determined with Biuret method (Appendix
not exceed 24 months. VI B, method 3 ). The protein content shall be
not more than 180 g/L.
2. 1. 3 The plasma used for production of one
batch shall be pooled from at least 100 donors. 3. 1. 2 Purity
The immunoglobulin ( lgG) content shall be not
2. 1. 4 The precipitate of fractions IT +
ill or less than 90. 0 % of the total protein ( Appendix
fractions I + +
IT ill shall be stored frozen at or NA).
below - 30°C , and the storage period shall be
defined. 3. 1. 3 pH
The pH shall be 6. 4-7. 4 when the product is
2. 2 Bulk
diluted to the protein concentration of 10 g/L with
2. 2. 1 Cold ethanol fractionation or other approved physiological saline (Appendix V A).
methods shall be employed. Preservatives or
3. 1. 4 Residual ethanol content
antibiotics shall not be used in the production of
It may be determined by Conway method ( Appendix
bulk.
VI D). The content of residual ethanol shall be
2. 2. 2 The fraction after purification, ultrafiltration not more than 0. 025%.
and sterilization by filtration is regarded as the
3. 1. 5 Pyrogen test
bulk immunoglobulin. It complies with the test for pyrogen ( Appendix
2. 2. 3 Control tests on bulk X[ D). The injecting dose of the product shall be
See Section 3. 1. 0. 15 g/kg of rabbit body weight.
2. 3 Final bulk 3. 1. 6 Tetanus antibody potency
2. 3. 1 Formulation It shall be not less than the stated value of final
A quantity of stabilizer shall be added to the product (Appendix XI F).
preparation and thimerosal may be used as a The tests described above may be performed on
preservative. The protein concentration shall be final bulk.
adjusted according to the specifications of the final 3. 2 Control tests on final bulk
product by dilution with water for injection. pH Sterility test
Human Immunoglobulin (pH 4) for Intravenous Injection

It complieswith the test for sterility(Appendix XI[ A). shall. be not more than 50 g/L ( Appendix VI P).
3. 3 Control tests on final product 3. 3. 3. 6 Distribution of molecular size
Other than the tests for vacuum, reconstitution The sum of IgG monomer and dimmer shall be not
time, moisture content, and weight variation, less than 90. 0 % of the total area of the
sterile water for injection shall be added as stated chromatogram (Appendix VI R).
on the label, and the reconstituted product shall 3. 3. 3. 7 Thimerosal content
be subject to the following tests, If thimerosal is used in the product as a preser-
3. 3. 1 Identity test vative, the content shall be not more than 0. 1 g/L
(Appendix V[ B).
3. 3. 1. 1 Double immunodiffusion
Carry out the test for identity by double immuno- 3. 3. 4 Tetanus antibody potency
diffusion (Appendix VIII C). There shall be only a It shall be not less than 100 IU / ml ( Appendix
precipitation line with anti-human serum, but no XI F ) . The tetanus antibody potency of each
precipitation line with anti-horse, anti-bovine, container shall be not less than the stated value.
anti-pig or anti-sheep serum. 3. 3. 5 Sterility test
3. 3. 1. 2 Immunoelectrophoresis It complies with the test for sterility ( Appendix
Carry out the test for identity by immunoelectro- XI[ A).
pheresis (Appendix VIII D). The main precipitation 3. 3. 6 Test for abnormal toxicity
line shall be IgG as compared with normal human It complies with the test for abnormal toxicity
serum. ( Appendix XI[ F).
3. 3. 2 Physical inspection 3. 3. 7 Pyrogen test
3. 3. 2. 1 Inspection on final containers It complies with the test for pyrogen ( Appendix
The product looks like a white or greyish-white XI[ D). The injecting dose of the product shall be
crisp cake without any sign of thawing. The 0. 15 g/kg of rabbit body weight.
reconstituted product shall be a clear liquid, 3. 3. 8 Additional tests shall be performed depending
colourless or light yellow in colour. Opalescence on the methods used for virus inactivation.
may occur but without turbidity.
4 Storage, shipping and validity period
3. 3. 2. 2 Reconstitution time Store and ship at 8°C or below, protected from
The product is reconstituted with a volume of light. The approved validity period shall apply,
sterile water for injection at 20-25°C according to starting from the date of filling of final product.
the stated value. It shall be reconstituted
completely within 15 minutes on shaking gently. 5 Package inserts
The Requirements for Packaging of Biologics shall
3. 3. 2. 3 Test for visible particles apply.
It complies with the test for visible particles
(Appendix V B). The precipitate which can be
dispersed on shaking is allowable.
3. 3. 2. 4 Weight variation Human Immunoglobulin (pH 4) for
It complies with the test for weight variation Intravenous Injection
( Appendix I A).
3. 3. 3 Chemical tests
Human immunoglobulin for intravenous injection
3. 3. 3. 1 Moisture content is a liquid preparation made from plasma of healthy
The residual moisture content shall be not more individual by cold ethanol fractionation or other
than 3. 0% (Appendix V[ D). approved methods, followed by the processes to
3. 3. 3. 2 pH remove anticomplement activity and to inactivate
The pH shall be 6. 4-7. 4 when the product is viruses. The preparation contains a suitable
diluted to the protein concentration of 10 g/L with stabilizer, but free of preservative and antibiotics.
physiological saline ( Appendix V A). 1 Basic requirements
3. 3. 3. 3 Protein content The facilities, source and subsidiary materials,
The protein content shall be not more than 180 g/L water, apparatus and animals used for production
( Appendix VI B, method 1). and control tests shall comply with the require-
ments set forth in the General Notices.
3. 3. 3. 4 Purity
Immunoglobulin shall be not less than 90. 0 % of 2 Manufacturing.
the total protein ( Appendix N A). 2. 1 Source plasma
3. 3. 3. 5 Saccharide content 2. 1. 1 Collection and the quality of plasma shall
If any carbohydrate ( glucose, maltose, etc) is comply with General Requirements for Source
used in the product as a stabilizer, the content Plasma of Blood Products.
Human Immunoglobulin (pH 4) for Intravenous Injection

2. 1. 2 The storage period of frozen plasma shall 3. 1. 1 lgG content


not exceed 24 months. The IgG content shall be more than that of the
anticipated (Appendix XI K).
2. 1. 3 The plasma used for production of one
batch shall be pooled from at least 1000 donors. · 3. 1. 2 Purity
2. 1. 4 The precipitate of fractions II +
ill or The immunoglobulin content shall be not less than
95. 0% of the total protein (Appendix N A).
fractions I + +
II ill shall be stored frozen at or
below - 30°C, and the storage period shall be 3. 1. 3 pH
defined. The pH shall be 3. 8-4. 4 when the product is
diluted to the protein concentration of 10 g/L with
2. 2 Bulk
physiological saline (Appendix V A).
2. 2. 1 The cold ethanol fractionation or other
3. 1. 4 Residual ethanol content
approved separation methods shall be adopted for
It may be determined by Conway method ( Appendix
bulk preparation. The product shall have a defined
distribution of IgG subclasses, which is similar to
VI D). The content of residual ethanol shall be
not more than 0. 025%.
that of normal human serum, as the following
reference data: 60. 3%-71. 5% for IgG1; 19. 4%- 3. 1. 5 Anticomplement activity
31. 0 % for IgG2 ; 5. 0 %-8. 4 % for IgG3 and 0. 7 %- The anticomplement activity shall be not more than
4. 2% for IgG4• The Fe function of IgG shall be 50% (Appendix IX K).
kept .. 3. 1. 6 Pyrogen test
Preservatives or antibiotics shall not be used in the It complies with the test for pyrogen ( Appendix
production process. XI[ D). The injecting dose of the product shall be
2. 2. 2 The fraction after purification, ultrafiltration 0. 45 g of IgG/kg of rabbit body weight.
and sterilization by filtration ts regarded as the The tests described above may be performed on
bulk immunoglobulin. final bulk.
2. 2. 3 Control tests on bulk 3. 2 Control tests on final bulk
See Section 3. 1. Sterility test
It complies with the test for sterility ( Appendix
2. 3 Final bulk
XI[ A). If the final bulk is to be filled immediately
2. 3. 1 Formulation after formulation, the test sample shall be taken
The final bulk shall be formulated based on the after sterilization by filtration.
specifications of final product containing not less
3. 3 Control tests on final product
than 50 g/L of IgG. The preparation may contain
a quantity of maltose or other approved stabilizers. 3. 3. 1 Identity test
2. 3. 2 Control tests on final bulk 3. 3. 1. 1 Double immunodiffusion
See Section 3. 2. Carry out the test for identity by double immuno-
diffusion (Appendix Vfil C). There shall be only a
2. 4 Final product
precipitation line with anti-human serum, but no
2. 4. 1 Defining batches precipitation line with anti-horse, · anti-bovine,
The Requirements for Defining Batches of Biologics anti-pig or anti-sheep serum.
shall apply.
3. 3. 1. 2 Immunoelectrophoresis
2. 4. 2 Filling Carry out the test for identity by immunoelectro-
The Requirements for Filling and Lyophilization of pheresis (Appendix Vfil D). The main precipitation
Biologics shall apply. line shall be IgG as compared with normal human
2. 4. 3 Specifications serum.
lg, l.25g, l.5g, 2.5g, 5gorlOgoflgGper 3. 3. 2 Physical inspection
container, containing 5 % of IgG.
3. 3. 2. 1 Inspection on final containers
2. 4. 4 Packaging The product shall be a clear, colourless or light
The Requirements for Packaging of Biologics shall yellow liquid. Opalescence may occur but without
apply. turbidity.
2. 5 Viral removal and inactivation 3. 3. 2. 2 Test for visible particles
The approved viral removal and inactivation It complies with the test for visible particles
processes shall be employed in production. When (Appendix V B).
viral inactivation agent ( solvent, detergent) is
3. 3. 2. 3 Filling quantity
used, the limit of the residual agent shall be
It complies with the requirements for filling
defined. quanlity (Appendix I A). The quantity shall be
3 Control tests not less than the stated value.
3. 1 Control tests on bulk 3. 3. 2. 4 Thermostability test
Human Immunoglobulin (pH 4) for Intravenous Injection, Freeze-dried

Keep the products in a water bath of 57°C+o. 5°C from the date of filling of final product.
for 4 hours, no gelation or flocculi shall appear.
5 Package inserts
3. 3. 3 Chemical tests The Requirements for Packaging of Biologics shall
3. 3. 3. 1 pH apply.
The pH shall be 3. 8-4. 4 when the product is
diluted to the protein concentration of 10 g/L with
physiological saline (Appendix V A).
3. 3. 3. 2 IgG content
Human Immunoglobulin (pH 4) for
The protein content shall be not less than 90. 0 % Intravenous Injection, Freeze-dried
of the stated value (Appendix XI K).
3. 3. 3. 3 Purity Freeze-dried human immunoglobulin for intravenous
Immunoglobulin shall be not less than 95. 0 % of injection is a preparation made from plasma of
the total protein (Appendix N A). healthy individual by cold ethanol fractionation or
other approved methods, followed by the processes to
3. 3. 3. 4 Saccharide and sugar alcohol contents remove anticomplement activity and to inactivate
If any maltose or sucrose is added, the content viruses. The preparation contains a suitable stabilizer,
shall be 90-110 g/L, if sorbitol or glucose is but free of preservative and antibiotics.
added, the content shall be 40-60 g/L ( Appendix
VIP). 1 Basic requirements
The facilities, source and subsidiary materials,
3. 3. 3. 5 Distribution of molecular size water, apparatus and animals used for production
The sum of IgG monomer and dimmer shall be not and control tests shall comply with the require-
less than 95. 0 % of the total area of the chro- ments set forth in the General Notices.
matogram (Appendix VI R).
2 Manufacturing
3. 3. 4 Potency test
2. 1 Source plasma
3. 3. 4. 1 Anti- HBs potency
Carry out the test for anti- HBs potency according 2. 1. 1 Collection and the quality of plasma shall
to the instructions of RIA kit used. The anti-HBs comply with General Requirements for Source
potency shall be not less than 6. 0 IU / g of IgG. Plasma of Blood Products.
3. 3. 4. 2 Diphtheria antibody 2. 1. 2 The storage period of frozen plasma shall
The diphtheria antibody titer shall be not less than not exceed 24 months.
3. 0 HAU/g of IgG (Appendix X 0). 2. 1. 3 The plasma used for production of one
3. 3. 5 Prekallikrein activator batch shall be pooled from at least 1000 donors.
The prekallikrein activator content shall be not
more than 35. 0 IU/ml (Appendix IX F).
2. 1. 4 The precipitate of fractions II +
III or
fractions I + +
II III shall be stored frozen at or
3. 3. 6 Anticomplement activity below - 30°C, and the storage period shall be
The anticomplement activity shall be not more than defined.
50% (Appendix IX K). 2. 2 Bulk
3. 3. 7 Anti-A and anti-B hemagglutinatins 2. 2. 1 The cold ethanol fractionation or other
The anti-A and anti-B hemagglutinatin titers shall approved separation methods shall be adopted for
be not more than 1 : 64 (Appendix· IX J). bulk preparation. The product shall have a defined
3. 3. 8 Sterility test distribution of IgG subclasses, which is similar to
It complies with the test for sterility ( Appendix that of normal human serum, as the following
XII A). reference data: 60. 3%-71. 5% for lgG1; 19. 4%-
31. 0% for IgG2; 5. 0%-8. 4% for lgG3 and 0. 7%-
3. 3. 9 Test for abnormal toxicity
4. 2% for lgG4• The Fe function of IgG shall be
It complies with the test for abnormal toxicity
kept.
( Appendix XII F).
Preservatives or antibiotics shall not be used in the
3. 3. 10 Pyrogen test production process.
It complies with the test for pyrogen ( Appendix
2. 2. 2 The fraction after purification, ultrafiltration
XII D). The injecting dose of the product shall be and sterilization by filtration is regarded as the
0. 45 g of IgG/kg of rabbit body weight.
bulk immunoglobulin.
3. 3. 11 Additional tests shall be performed
2. 2. 3 Control tests on bulk
depending on the methods used for virus inactivation.
See Section 3. 1.
4 Storage, shipping and validity period
2. 3 Final bulk
Store and ship at 2-8°C, protected from light.
The approved validity period shall apply, starting 2. 3. 1 Formulation .
Human Immunoglobulin (pH 4) for Intravenous Injection, Freeze-dried

The final bulk shall be formulated based on the It complies with the test for sterility (Appendix XI[
specifications of final product containing not less A). If the final bulk is to be filled immediately
than 50 g/L of IgG. The preparation may contain after formulation, the test sample shall be taken
a quantity of maltose or other approved stabilizers. after sterilization by filtration.
2. 3. 2 Control tests on final bulk 3. 3 Control tests on final product
See Section 3. 2. Other than the tests for vacuum, reconstitution
2. 4 Final product time, moisture content, and weight variation,
sterile water for injection shall be added as stated
2. 4. 1 Defining batches on the label, and the reconstituted product shall
The Requirements for Defining Batches of Biologics be subject to the following tests.
shall apply.
3. 3. 1 Identity test
2. 4. 2 Filling and lyophilization
The Requirements for Filling and Lyophilization of 3. 3. 1. 1 Double immunodiffusion
Biologics shall apply. The filled preparation shall Carry out the test for identity by double immuno-
be frozen immediately after filling. The temperature diffusion ( Appendix Vlll C). There shall be only a
of product during lyophilization shall be not higher precipitation line with anti-human serum, but no
than 35°C. The final containers shall be sealed precipitation line with anti-horse, anti-bovine,
under vacuum. anti-pig or anti-sheep serum.
2. 4. 3 Specifications 3. 3. 1. 2 Immunoelectrophoresis
lg, 1.25g, 1.5g, 2.5g, 5gorl0goflgGper Carry out the test for identity by immunoelectro-
container, containing 5 % of IgG. pheresis (Appendix Vlll D). The main precipitation
line shall be lgG as compared with normal human
2. 4. 4 Packaging
serum.
The Requirements for Packaging of Biologics shall
apply. 3. 3. 2 Physical inspection
2. 5 Viral removal and inactivation 3. 3. 2. 1 Inspection on final containers
The approved viral removal and inactivation processes The product looks like a white or greyish-white
shall be employed in production. When viral crisp cake without any sign of thawing. The
inactivation agent ( solvent, detergent) is used, reconstituted product shall be a clear, colourless
the limit of the residual agent shall be defined. or light yellow liquid. Opalescence may occur but
without turbidity.
3 Controltests
3. 1 Control tests on bulk 3. 3. 2. 2 Reconstitution time
The product is reconstituted with a volume of
3. 1. 1 IgG content sterile water for injection at 20-25°C according to
The IgG content shall be more than that of the the stated value. It shall be reconstituted completely
anticipated (Appendix XI K). within 15 minutes on shaking gently.
3. 1. 2 Purity 3. 3. 2. 3 Vacuum detection
The immunoglobulin content shall be not less than The product shall be tested with a high frequency
95. 0% of the total protein (Appendix N A). spark vacuum detector and the blue-purple glow
3. 1. 3 pH shall be seen in the final container.
The pH shall be 3. 8-4. 4 when the product is 3. 3. 2. 4 Test for visible particles
diluted to the protein concentration of 10 g/L with It complies with the test for visible particles
physiological saline (Appendix V A). (Appendix V B).
3. 1. 4 Residual ethanol content 3. 3. 2. 5 Weight variation
It may be determined by Conway method ( Appendix It complies with the test for weight variation
VI D). The content of residual ethanol shall be ( Appendix I A).
not more than 0. 025%.
3. 3. 3 Chemical tests
3. 1. 5 Anticomplement activity
The anticomplement activity shall be not more than 3. 3. 3. 1 Moisture content
50% (Appendix IX K). The residual moisture content shall be not more
than 3. 0% (Appendix VIl D).
3. 1. 6 Pyrogen test
It complies with the test for pyrogen ( Appendix 3. 3. 3. 2 pH
XI[ D). The injecting dose of the product shall be The pH shall be 3. 8-4. 4 when the product is
0. 45 g of IgG/1,{gof rabbit body weight. diluted to the protein concentration of 10 g/L with
The tests described above may be performed on physiological saline (Appendix V A).
final bulk. 3. 3. 3. 3 IgG content
3. 2 Control tests on final bulk The protein content shall be not less than 90. 0 %
Sterility test of the stated value (Appendix XI K).
Human Irnmunoglobulin for Intravenous Injection

3. 3. 3. 4 Purity is a· freeze-dried preparation made from plasma of


lmmunoglobulin shall be not less than 95. 0 % of healthy individual by cold ethanol fractionation or
the total protein (Appendix N A). other approved methods, followed by the processes to
remove anticomplement activity and to inactivate
3. 3. 3. 5 Saccharide and sugar alcohol contents
viruses. The preparation contains a suitable stabilizer,
If any maltose or sucrose is added, the content
but free of preservative and antibiotics.
shall be 90-110 g/L, if sorbitol or glucose is added
the content shall be 40-60 g/L (Appendix VI P). 1 Basic requirements
The facilities, source and subsidiary materials,
3. 3. 3. 6 Distribution of molecular size
water, apparatus and animals used for production
The sum of lgG monomer and dimmer shall be not
and control tests shall comply with the require-
less than 95. 0 % of the total area of the chro-
ments set forth in the General Notices.
matogram (Appendix VI R).
2 Manufacturing
3. 3. 4 Antibody
2. 1 Source plasma
3. 3. 4. 1 Anti- HBs potency
Carry out the test for anti- HBs potency according 2. 1. 1 Collection and the quality of plasma shall
to the instructions of RIA kit used. The anti- HBs comply with General Requirements for Source
potency shall be not less than 6. 0 IU / g of lgG. Plasma of Blood Products.
3. 3. 4. 2 Diphtheria antibody 2. 1. 2 The storage period of frozen plasma shall
The diphtheria antibody titer shall be not less than not exceed 24 months.
3. 0 HAU/g of lgG (Appendix X 0). 2. 1. 3 The plasma used for production of one
3. 3. 5 Prekallikrein activator batch shall be pooled from at least 1000 donors.
The prekallikrein activator content shall be not
more than 35. 0 IU/ml (Appendix IX F).
2. 1. 4 The precipitate of fractions Il +
III or
fractions I Il + +
III shall be stored frozen at
3. 3. 6 Anticomplement activity - 30°C or below, and the storage period shall be
The anticomplement activity shall be not more than defined.
50% (Appendix IX K). 2. 1. 5 The albumin used as a stabilizer shall comply
3. 3. 7 Anti-A and anti-B hemagglutinins with the requirements for Human Albumin.
The anti-A and anti-B hemagglutinin titers shall be 2. 2 Bulk
not more than 1 : 64 (Appendix IX J).
2. 2. 1 The cold ethanol fractionation or other
3. 3. 8 Sterility test approved separation methods shall be adopted for
It complies with the test for sterility (.Appendix bulk preparation. The product shall have a defined
XII A). distribution lgG subclasses, which is similar to
3. 3. 9 Test for abnormal toxicity that of normal human serum, as the following
It complies with the test for abnormal toxicity reference data: 60 .. 3%-71. 5% for lgG1; 19. 4%-
( Appendix XII F). 31. 0% for lgG2; 5. 0%-8. 4% for lgG3 and 0. 7%-
4. 2% for lgG4• The Fe function of lgG shall be
3. 3. 10 Pyrogen test kept.
It complies with the test for pyrogen ( Appendix Preservatives or antibiotics shall not be used in the
XII D). The injecting dose of the product shall be production process.
0. 45 g of lgG/kg of rabbit body weight.
2. 2. 2 The fraction after purification, ultrafiltration
3. 3. 11 Additional tests shall be performed and sterilization by filtration is regarded as the
depending on the methods used for virus inactivation. bulk immunoglobulin.
4 Storage, shipping and validity period 2. 2. 3 Control tests on bulk
Store and ship at 8°C or below, protected from See Section 3. 1.
light. The approved validity period shall apply,
starting from the date of filling of final product. 2. 3 Final bulk
5 Package inserts 2. 3. 1 Formulation
The Requirements for Packaging of Biologics shall The final bulk shall be formulated based on the
apply. specifications of final product containing not less
than 30 g/L of lgG. The preparation may contain
a quantity of albumin and glucose or sucrose, or
other approved stabilizers.
Human Immunoglobulin for 2. 3. 2 Control tests on final bulk
Intravenous Injection See Section 3. 2.
2. 4 Final product
Human immunoglobulin for intravenous injection 2. 4. 1 Defining batches
Human Immunoglobulin for Intravenous Injection

The Requirements for Defining Batches of Biologics 3. 3 Control tests on final product
shall apply. Other than the tests for vacuum, reconstitution
2. 4. 2 Filling and lyophilization
time, moisture content, and filling quantity,
The Requirements for Filling and Lyophilization of sterile water for injection shall be added as stated
Biologics shall apply. The filled preparation shall on the label, and the reconstituted product shall
be frozen immediately after filling. The temperature be subject to the following tests.
of product during lyophilization shall be not higher 3. 3. 1 Identity test
than 35°C. The final containers shall be sealed
3. 3. 1. 1 Double immunodiffusion
under vacuum.
Carry out the test for identity by double immuno-
2. 4. 3 Specifications diffusion (Appendix VB! C). There shall be only a
1 g, 1. 25 g, 1. 5 g, 2. 5 g or 5 g of IgG per precipitation line with anti-human serum, but no
container. precipitation line with anti-horse, anti-bovine,
2. 4. 4 Packaging anti-pig or anti-sheep serum.
The Requirements for Packaging of Biologics shall 3. 3. 1. 2 Immunoelectrophoresis
apply. Carry out the test for identity by immunoelectro-
2. 5 Viral removal and inactivation pheresis ( Appendix VB! D). The main precipitation
The approved viral removal and inactivation processes line shall be IgG as compared with normal human
shall be employed in production. When viral serum.
inactivation agent ( solvent, detergent) is· used, 3. 3. 2 Physical inspection
the limit of the residual agent shall be defined.
3. 3. 2. 1 Inspection on final containers
3 Control tests The product looks like a white or greyish-white
3. 1 Control tests on bulk crisp cake without any sign of thawing. The
reconstituted product shall be a clear liquid,
3. 1. 1 IgG content
The IgG content shall be more than that of the colourless or light yellow in colour. Opalescence
anticipated (Appendix XI K). may occur but without turbidity.

3. 1. 2Purity 3. 3. 2. 2 Reconstitution time


The immunoglobulin content shall be not less than The product is reconstituted with a volume of
95. 0% of the total protein (Appendix N A). sterile water for injection at 20-25°C according to
the stated value. It shall be reconstituted
3. 1. 3 pH completely within 15 minutes on shaking gently.
The pH shall be 6. 4-7. 4 when the product is
diluted to the protein concentration of 10 g/L with 3. 3. 2. 3 Vacuum detection
physiological saline ( Appendix V A). The product shall be tested with a high frequency
spark vacuum detector and the blue-purple glow
3. 1. 4 Residual ethanol content shall be seen in the final container.
It may be determined by Conway method ( Appendix
VI D). The content of residual ethanol shall be 3. 3. 2. 4Test for visible particles
not more than 0. 025%. It complies with the test for visible particles
(Appendix V B).
3. 1. 5 Distribution of molecular size
The sum of IgG monomer and dimer shall be not 3. 3. 2. 5 Weight variation
less than 95. 0 % of the total area of the chro- It complies with the test for weight variation
matogram (Appendix VI R). ( Appendix I A).
3. 1. 6 Anticomplement activity 3. 3. 3 Chemical tests
The anticomplement activity shall be not more than 3. 3. 3. 1 Moisture content
50% (Appendix IX K). The residual moisture content shall be not more
3. 1. 7 Pyrogen test than 3. 0 % (Appendix VJ[ D).
It complies with the test for pyrogen ( Appendix 3. 3. 3. 2 pH
XI[ D ) . The injecting dose of the product
The pH shall be 6. 4-7. 4 when the product is
containing 50 g/L of protein shall be 10 ml/kg of
diluted to the protein concentration of 10 g/L with
rabbit body weight.
physiological saline (Appendix V A).
The tests described above may be performed on
final bulk. 3. 3. 3. 3 IgG content
The protein content shall be not less than 90. 0 %
3. 2 Control tests on final bulk
of the stated value (Appendix XI K).
Sterility test
It complies with the test for sterility ( Appendix 3. 3. 3. 4 Purity
XI[ A). If the final bulk is to be filled immediately The Immunoglobulin shall be not less than 95. 0 %
after formulation, the test sample shall be taken of the total protein ( Appendix N A). ( Zone of
after sterilization by filtration. albumin shall be excluded in the calculation).
Human Coagulation Factor VIII

3. 3. 3. 5 Saccharide content
If glucose is added, the content shall be 35-55 g/L;
if sucrose is added, the content shall be 40-80 g/L
(Appendix VI P). Human Coagulation Factor vll[
3. 3. 3. 6 Sodium content
The sodium content shall be not more than 160
Human coagulation factor VIlI is a freeze-dried
mmol/L ( Appendix VJI J). preparation made from plasma of healthy individuals
3. 3. 4 Antibody by separation and purification, followed by viral
inactivation. The preparation contains a suitable
3. 3. 4. 1 Anti-HBs potency stabilizer, but free of preservatives and antibiotics.
Carry out the test for anti- HBs potency according
to the instructions of RIA kit used. The anti-Hlss 1 Basic requirements
potency shall be not less than 6. 0 IU / g of protein. The facilities, source and subsidiary materials,
water, apparatus and animals used for production
3. 3. 4. 2 Diphtheria antibody and control tests shall comply with the require-
The diphtheria antibody titer shall be not less than ments set forth in the General Notices.
3. 0 HAU/g of protein (Appendix X 0). 2 Manufacturing
3. 3. 5 Prekallikrein activator 2. 1 Source plasma
The prekallikrein activator content shall be not
2. 1. 1 Collection and the quality of plasma shall
more than 35. 0 IU/ml (Appendix IX F).
comply with the General Requirements for Source
3. 3. 6 Anticomplement activity Plasma of Blood Products.
The anticomplement activity shall be not more than 2. 1. 2 The plasma shall be free from clot,
50% (Appendix IX K). precipitate of fibrin, hemolysis , and lipid.
3. 3. 7 Anti-A and anti-B hemagglutinins 2. 1. 3 Measures shall be taken during the plasma
The anti-A and anti-B hemagglutinin titers shall be collection so as to avoid injuring the skin and keep
not more than 1 : 64 (Appendix IX J). blood flow easily. Blood shall be mixed well with
anticoagulant and collected in a plastic bag.
3. 3. 8 Sterility test
It complies with the test for sterility ( Appendix 2. 1. 4 The storage period of frozen plasma shall
XII A). not exceed 6 months.
3. 3. 9 Test for abnormal toxicity 2. 2 Bulk
It complies with the test for abnormal toxicity 2. 2. 1 Human coagulation factor VIlI shall be made
(Appendix XII F). with the approved process from frozen cryo-
precipitate derived from fresh frozen plasma by
3. 3. 10 Pyrogen test
separation and purification. Preservatives or
It complies with the test for pyrogen ( Appendix
antibiotics shall not be used in the production
XII D). The injecting dose of the product containing process.
50 g/L of protein shall be 10 ml/kg of rabbit body
weight. 2. 2. 2 Control tests on bulk
See Section 3. 1.
3. 3. 11 Additional control tests shall be performed
depending on the methods used for virus in- 2. 3 Final bulk
activation. If tributylphosphate and polysorbate 2. 3. 1 Formulation
80 are used, their residual content shall be tested. It shall be formulated accordingto the specificationsof
the final product. A suitable stabilizer shall be
3. 3. 11. 1 Residual tributylphosphate content added to preparation.
The residual tributylphosphate content shall be not
more than 10 µg/ ml ( Appendix VI J). 2. 3. 2 Control tests on final bulk
See Section 3. 2.
3. 3. 11. 2 Residual polysorbate 80 content
2. 4 Final product
The residual polysorbate 80 content shall be not
more than 100 µg/ml (Appendix VI H). 2. 4. 1 Defining batches
The Requirements for Defining Batches of Biologics
4 Storage, shipping and validity period shall apply.
Store and ship at 8°C or below, protected from
light. The approved validity period shall apply, 2. 4. 2 Filling and lyophilization
starting from the date of filling of final product. The Requirements for Filling and Lyophilization of
Biologics shall apply. The filled preparation shall
5 Package inserts be frozen immediately after filling. The temperature
The Requirements for Packaging of Biologics shall of product during lyophilizatio.n shall be not higher
apply. than 35°C. The final containers shall be sealed
Human Coagulation Factor Vlll

under vacuum. The product shall be tested with a high frequency


spark vacuum detector and the blue-purple glow
2. 4. 3 Specifications
50 IU, 100 IU, 200 IU, 250 IU, 300 IU, 400 IU, shall be seen in the final container.
500 IU or 1000 IU of factor Vlll per container. 3. 3. 2. 4 Test for visible particles
It complies with the test for visible particles
2. 4. 4 Packaging
(Appendix V B). A trace of slight protein particles
The Requirements for Packaging of Biologics shall
is allowable.
apply.
3. 3. 2. 5 Weight variation
2. 5 Viral removal and inactivation
It complies with the test for weight variation
The approved process for removal and inactivation
( Appendix I A).
of . lipid-enveloped virus or non-lipid-enveloped
virus shall be employed in production. If viral 3. 3. 3 Chemical tests
inactivation agent (solvent, detergent) is used, 3. 3. 3. 1 Moisture content
the limit of the residual agent shall be defined. The residual moisture content shall be not more
3 Control tests than 3. 0 % (Appendix VJI D).
3. 1 Control tests on bulk 3. 3. 3. 2 pH
3. 1. 1 pH
The pH shall be 6. 5-7. 5 (Appendix V A).
The pH shall be 6. 5-7. 5 (Appendix V A). 3. 3. 3. 3 Sodium content
The sodium content shall be not more than
3. 1. 2 Potency test
160 mmol/L (Appendix VJI J).
It complies with the test for potency ( Appendix
X N). 3. 3. 3. 4 Citrate content ·
If sodium citrate is used as stabilizer, the citrate
3. 1. 3 Specific activity
content shall be not more than 25 mmol/L
The specific activity shall be not less than 1. 0
(Appendix VJI H, method 1).
IU / mg of protein.
3. 3. 3. 5 Residual polyethylene glycol content
3. 2 Control tests on final bulk
The residual polyethylene glycol content shall be
3. 2. 1 Pyrogen test not more than 0. 5 g/L when the product is
It complies with the test for pyrogen ( Appendix prepared by PEG separation.
X[ D). The injecting dose of the product shall be
3. 3. 4 Potency test
10 IU/kg of rabbit body weight.
Carry out the test for potency ( Appendix X N).
3. 2. 2 Sterility test Based on the calculation of activity CIU/ml) of
It complies with the test for sterility ( Appendix factor Vlll and the stated value, the potency of
X[ A). factor Vlll per container shall be 80 %-140 % of the
3. 3 Control tests on final product stated value.
Other than the tests for vacuum, reconstitution 3. 3. 5 Specific activity
time, moisture content and weight variation, The specificactivity shall be not less than 1. 0 IU/mg
sterile water for injection shall be added as stated protein. The test can be exempted if protein
on the label, and the reconstituted product shall stabilizer is added to the product.
be subject to the following tests.
3. 3. 6 Anti-A and anti-B hemagglutinins
3. 3. 1 Identity test The anti-A and anti-B hemagglutinin titers shall be
Carry out the test for identity by double immuno- not more than 1 : 64 ( Appendix IX J).
diffusion (Appendix Vlll C). There shall be only a
3. 3. 7 HBsAg
precipitation line with anti-human serum, but no
Carry out the test for HBsAg according to the
precipitation line with anti-horse, anti-bovine,
instructions of diagnostic kit used. The result
anti-pig or anti-sheep serum.
shall be negative.
3. 3. 2 Physical inspection
3. 3. 8 Sterility test
3. 3. 2. 1 Inspection on final container It complies with the test for sterility ( Appendix
The product looks like a milky-white crisp cake. X[ A).
The reconstituted product shall be a clear,
3. 3. 9 Test for abnormal toxicity
colourless liquid. Slight opalescence may occur.
It complies with the test for abnormal toxicrty
3. 3. 2. 2 Reconstitution time ( Appendix XII F). The injecting dose of the
The product shall be reconstituted with a volume product shall be 15 IU per guinea pig and 1. 5 IU
of sterile water for injection at 25-37°C according per mouse.
to the stated value. It shall be reconstituted
3. 3. 10 Pyrogen test
completely within 30 minutes on shaking gently. It complies with the test for pyrogen ( Appendix
3. 3. 2. 3 Vacuum detection X[ D). The injecting dose of the product shall be
Human Fibrinogen

10 IU/kg of rabbit body weight. stabilizer can be added to the preparation.


3. 3. 11 Additional tests shall be performed 2. 3. 2 Control tests on final bulk
according to the virus inactivation methods used. See Section 3. 2.
If tributylphosphate and polysorbate 80 are used,
2. 4 Final product
their residual contents shall be tested.
2. 4. 1 Defining batches
3. 3. 11. 1 Residual tributylphosphate content
The Requjrements for Defining Batches of Biologics
The residual tributylphosphate content shall be not
shall apply.
more than 10 µg/mg (Appendix VI J).
2. 4. 2 Filling and lyophilization
3. 3. 11. 2 Residual polysorbate 80 content
The Requirements for Filling and Lyophilization of
The residual polysorbate -80 content shall be not
Biologics shall apply. The filled preparation shall
more than 100 µg/ mg ( Appendix VI H).
be frozen immediately after filling. The temperature
4 Storage, shipping and validity period of product during lyophilization shall be not higher
Store and ship at 8°C or below, protected from than 35 °C. The final containers shall be sealed
light. The approved validity period shall apply, under vacuum.
starting from the date of filling of final product.
2. 4. 3 Specifications
5 Package inserts 0. 5 g, 1. 0 g, 1. 5 g or 2. 0 g of human fibrinogen
The Requirements for Packaging of Biologics shall per container.
apply.
2. 4. 4 Packaging
The Requirements for Packaging of Biologics shall
apply.
Human Fibrinogen 2. 5 Viral removal and inactivation
The approved process for removal and inactivation
of lipid-enveloped virus or non-lipid-enveloped
Human fibrinogen is a freeze-dried preparation virus shall be employed in production. If viral
made from plasma of healthy donors by separation inactivation agent ( solvent, detergent) is used,
and purification, followed by viral inactivation. the limit of the residual agent shall be defined.
The preparation contains a suitable stabilizer, but 3 Control tests
free of preservatives and antibiotics.
3. 1 Control tests on bulk
1 Basic requirements
The facilities, source and subsidiary materials, 3. 1. 1 pH
water, apparatus and animals used for production The pH shall be 6. 5-7. 5 when the product is
and control tests shall comply with the require- diluted to the protein concentration of 10 g/L with
ments set forth in the General Notices. physiological saline (Appendix V A).
2 Manufacturing 3. 1. 2 Purity
The test sample is diluted with physiological saline
2. 1 Source plasma to produce a fibrinogen solution of 2-3 mg/ml for
2. 1. 1 Collection and the quality of plasma shall determination of protein content [ P ( g/L ) J
comply with the General Requirements for Source ( Appendix VI B, method 1).
Plasma of Blood Products. Add 10 ml of the above solution to 10 ml of 3 IU/ml
thrombin solution ( containing 0. 05 mmol/L
2. 1. 2 Freshly collected liquid or frozen plasma,
calcium chloride), followed by centrifugation at
plasma after removal of cryoprecipitate and
2500 r/min or filtration to separate the precipitate
coagulation factors 1I , Vll , IX and X may be used
after incubating at 37°C for 20 minutes. After
for production.
washing the precipitate with physiological saline
2. 1. 3 The storage period of frozen plasma shall for 3 times, the coagulated protein content [ F
not exceed 24 months. (g/L) J shall be tested ( Appendix VI B, method
2. 2 Bulk 1 ). The purity calculated by the following
equation shall be not less than 70. 0 % .
2. 2. 1 Cold ethanol fractionation shall be used for
bulk preparation. Preservatives or antibiotics shall
not be used in the production process.
The purity of fibrinogen-~ ~:~t~ X 100%

2. 2. 2 Control tests on bulk 3. 1. 3 Coagulation activity


See Section 3. 1. Add 0. 5 ml of thrombin ( 3 IU /ml) to the test
tubes and incubate in 37°C water bath of for one
2. 3 Final bulk minute, and then mix 0. 5 ml of test sample
2. 3. 1 Formulation diluted to a concentration of 3 mg/ml with
The formulation shall be performed according to physiological saline. Maintain the mixture in 3 7°C
the specifications of the final product. A suitable water bath, record the clotting time. The mean
Human Fibrinogen

clotting time of the two tests shall be not more 3. 3. 3. 3 Purity


than 60 seconds. See Section 3. 1. 2. It may be exempted when
protein stabilizer is added to the product.
3. 2 Control tests on final bulk
3. 3. 3. 4 Total fibrinogen content
3. 2. 1 Pyrogen test
The total content of fibrinogen shall be not less
It complies with the test for pyrogen ( Appendix
than the stated value, based on the result in
XII D). The injecting dose of the product shall be
Section 3. 3. 3. 3 and the stated value.
30 mg/kg of rabbit body weight.
3. 3. 3. 5 Citrate content
3. 2. 2 Sterility test
The citrate content shall be 39-54 mmol/L
It.complies with the test for sterility ( Appendix
( Appendix VJI H, method 1).
XII A).
3. 3. 3. 6 Saccharide content
3. 3 Control tests on final product
Other than the tests for vacuum, reconstitution
If glucose or sucrose is added to the product, the
saccharide content shall be 40-60 g/L ( Appendix
time, moisture content and weight variation,
sterile water for injection shall be added as stated
VIP).
on the label, and the reconstituted product shall 3. 3. 3. 7 Sodium chloride content
be subject to the following tests. The sodium chloride content shall be 7. 5-9. 5 g/L
( Appendix VJI G).
3. 3. 1 Identity test
Carry out the test for identity by double immuno- 3. 3. 4 Coagulation activity
diffusion (Appendix VIII C). There shall be only a See Section 3. 1. 3.
precipitation line with anti-human serum, but no 3. 3. 5 HBsAg
precipitation line with anti-horse, anti-bovine, Carry out the test for HBsAg according to the
anti-pig or anti-sheep serum. instructions of the diagnostic kit. The result shall
3. 3. 2 Physical inspection be negative.
3. 3. 2. 1 Inspection. on final container 3. 3. 6 Sterility test
The product looks like a greyish-white or light It complies with the test for sterility ( Appendix
yellow crisp cake. The reconstituted product shall XII A).
be a clear liquid. Slight opalescence may occur. 3. 3. 7 Test for abnormal toxicity
3. 3. 2. 2 Vacuum detection It complies with the test for abnormal toxicrty
The product shall be tested with a high frequency (Appendix XII F). The product shall be diluted
spark vacuum detector and the blue-purple glow with physiological saline to a protein concentration
shall be seen in the final container. of 10 g/L.
3. 3. 2. 3 Reconstitution time 3. 3. 8 Pyrogen test
The product shall be reconstituted with a volume It complies with the test for pyrogen ( Appendix
of sterile water for injection at 30-37°C according XII D). The injecting dose of the product shall be
to the stated value. It shall be reconstituted 30 mg/kg of rabbit body weight.
completely within 30 minutes on shaking gently. 3. 3. 9 Additional control tests shall be performed
3. 3. 2. 4 Test for visible particles depending on the method used for virus inactivation.
It complies with the test for visible particles If tributylphosphate and polysorbate 80 are used,
( Appendix V B). A trace of slight flocculi or their residual contents shall be tested.
protein particles is allowable. 3. 3. 9. 1 Residual tributylphosphate content
3. 3. 2. 5 Weight variation The residual tributylphosphate content shall be not
It complies with the test for weight variation more than 10 µg/ml (Appendix VI J).
( Appendix I A). 3. 3. 9. 2 Residual polysorbate 80 content
3. 3. 2. 6 Thermostability The residual polysorbate 80 content shall be not
Keep the reconstituted test sample in a water bath more than 100 µg/1;111 (Appendix VI H).
at 30-37°C for 60 minutes. No clot or precipitate 4 Storage, shipping and validity period
of fibrin shall appear, Store and ship at 8°C or below, protected from
3. 3. 3 Chemical tests light. The approved validity period shall apply,
starting from the date of filling of final product.
3. 3. 3. 1 Moisture content
The residual moisture content shall be not more 5 Package inserts
than 5. 0% (Appendix VJI D). The Requirements for Packaging of Biologics shall
apply.
3. 3. 3. 2 pH
The pH shall be 6. 5-7. 5 when the product is
diluted to the protein concentration of 10 g/L with
physiological saline (Appendix V A).
Human Prothrombin Complex

Biologics shall apply. The filled preparation shall


be frozen immediately after filling. The tempera-
ture of product during lyophilization shall be not
Human ProthrombinComplex higher than 35°C. The final containers shall be
sealed under vacuum.
2. 4. 3 Specifications
Human prothrombin complex is a freeze-dried 100 IU, 200 IU, 300 IU, 400 IU or 1000 IU of
preparation made from plasma of healthy individuals factor IX per container together with variable
by cold ethanol fractionation or other approved amount of factors II , VII and X .
methods, followed by viral inactivation. The
preparation contains a suitable stabilizer, but free 2. 4. 4 Packaging
of preservatives and antibiotics. The Requirements for Packaging of Biologics shall
apply.
1 Basic requirements
The facilities, source and subsidiary materials, 2. 5 Viral removal and inactivation
water, apparatus and animals used for production The approved process for removal and inactivation
and control tests shall comply with the require- of lipid-enveloped virus or non-lipid-enveloped
ments set forth in the General Notices. virus shall. be employed in production. If viral
inactivation agent ( solvent, detergent) is used,
2 Manufacturing the limit of the residual agent shall be defined.
2. 1 Source plasma 3 Control tests
2. 1. 1 Collection and the quality of plasma shall 3. 1 Control tests on bulk
comply with the Requirements for Source Plasma
of Blood Products.
3. 1. 1 pH
The pH shall be 6. 5-7. 5 (Appendix V A)
2. 1. 2 The plasma shall be free from clot,
3. 1. 2 Potency of factor IX
precipitate of fibrin, lipid and hemolysis.
The potency of factor IX shall be . not less than 10
2. 1. 3 The storage period of frozen plasma shall IU/ml (Appendix X L).
not exceed 24 months.
3. 1. 3 Specific activity of factor IX
2. 1. 4 The plasma depleted of cryoprecipitate and The specific activity shall be not less than 0. 3
coagulation factor Vil, fraction m
precipitate may IU / mg of protein.
be used for production.
3. 2 Control tests on final bulk
2. 1. 5 Fraction ill precipitate shall be stored
3. 2. 1 Sterility test
frozen at - 30°C or below. The storage period
It complies with the test for sterility ( Appendix
shall not exceed 6 months.
XII A).
2. 2 Bulk 3. 2. 2 Pyrogen test
2. 2. 1 The bulk can be prepared by gel adsorption It complies with the test for pyrogen ( Appendix
or cold ethanol and polyethylene glycol fractionation XII A). The injecting dose of the product shall be
followed by gel adsorption, or by other approved 30 IU of factor IX/kg of rabbit body weight.
methods. Preservatives or antibiotics shall not be 3. 3 Control tests on final product
used in the production process. Other than the tests for vacuum, reconstitution
2. 2. 2 Control tests on bulk time, moisture content and weight variation,
See Section 3. 1. sterile water for injection shall be added as stated
on the label, and the reconstituted product shall
2. 3 Final bulk
be subject to the following tests.
2. 3. 1 Formulation
3. 3. 1 Identity test
It shall be formulated according to the specifications
Carry out the test for identity by double immuno-
of final product. A suitable stabilizer can be added to
diffusion ( Appendix Vil C). There shall be only a
the preparation. If heparin is added, its content
precipitation line with anti-human serum, but no
shall not exceed 0. 5 IU per IU of factor IX.
precipitation line with anti-horse, anti-bovine,
2. 3. 2 Control tests on final bulk anti-pig or anti-sheep serum.
See Section 3. 2.
3. 3. 2 Physical inspection
2. 4 Final product
3. 3. 2. 1 Inspection on final containers
2. 4. 1 Defining batches The product looks like a white or greyish-green
The Requirements for Defining Batches of Biologics crisp cake. The reconstituted product shall be a
shall apply. clear liquid, colourless, light blue or yellowish
2. 4. 2 Filling and lyophilization green in colour.
The Requirements for Filling and Lyophilization of 3. 3. 2. 2 Vacuum detection
Anti-human T Lymphocyte Porcine Immunoglobulin

The product shall be tested with a high frequency Perform the test for human thrombin activity
spark vacuum detector and the blue-purple glow (Appendix IX N)~ No clot or precipitate of fibrin
shall be seen in the final container. shall appear.
3. 3. 2. 3 Reconstitution time 3. 3. 6 Heparin content
The product with a volume of sterile water for It shall be not more than 0. 5 IU per IU of factor
injection at 20-25°C according to the stated value. IX (Appendix IX P).
It shall be reconstituted completely within 15 3. 3. 7 Activated coagulation factor
minutes on shaking gently. Clotting time shall be not less than 150 seconds
3. 3. 2. 4 Test for visible particles (Appendix IX 0).
It complies with the test for visible particles 3. 3. 8 HBsAg
(Appendix V B). Carry out the test for HBsAg according to the
3. 3. 2. 5 Weight variation instructions of the diagnostic kit. The result shall
It complies with the test for weight variation be negative.
(Appendix I A). 3. 3. 9 Sterility test
3. 3. 3 Chemical test It complies with the test for sterility ( Appendix
XI[ A).
3. 3. 3. 1 Moisture content
The residual moisture content shall be not more 3. 3. 10 Test for abnormal toxicity
than 3. 0 % (Appendix VIl D). It complies with the test for abnormal toxicrty
( Appendix XI[ F). Each guinea pig shall be
3. 3. 3. 2 pH injected with 5 ml of the test sample ( containing
The pH shall be 6. 5-7. 5 (Appendix V A). 10 IU of factor IX/ ml ) . Each mouse shall be
3. 3. 3. 3 Sodium content injected with 0. 5 ml of the test sample ( containing
It shall be not more than 160 mmol/L (Appendix 10 IU of factor IX I ml).
vn D. 3. 3. 11 Pyrogen test
3. 3. 3. 4 Citrate content It complies with the test for pyrogen ( Appendix
The citrate content shall be not more than 25 XI[ D). The injecting dose shall be 30 IU of factor
mmol/L (Appendix VIl H, method 1). IX /kg of rabbit body weight.
3. 3. 3. 5 Residual polyethlene glycol content 3. 3. 12 Additional control tests shall be performed
The residual polyethlene glycol content shall be depending on the methods used for virus
not more than O. 5 g/L (Appendix VI G). inactivation. If tributylphosphate and polysorbate
80 are used, their residual contents shall be
3. 3. 4 Potency test
tested.
3. 3. 4. 1 Human coagulation factor IX
3. 3. 12. 1 Residual tributylphosphate content
The potency of factor IX shall be not less than 10
The residual tributylphosphate content shall be not
IU / ml of the product ( Appendix X L). The
more than 10 µg/ ml ( Appendix VI J).
estimated potency of factor IX shall be not less
than 80 % and not more than 140% of the stated 3. 3. 12. 2 Residual polysorbate 80 content
value based on the potency (IU/ml) of human The residual polysorbate 80 content shall be not
coagulation factor IX and the stated value. The more than 100 µg/ml (Appendix VI H).
specific activity shall be not less than 0. 3 IU/mg of 4 Storage, shipping and validity period
protein. Store and ship at 8°C or below, protected from
3. 3. 4. 2 Human coagulation factor II light. The approved validity period shall apply,
The estimated potency shall be not less than 80 % starting from the date of filling of final product.
of the stated value, based on the potency (IU/ml) 5 Package inserts
of human coagulation factor II ( Appendix X J) The Requirements for Packaging of Biologics shall
and the stated value. apply.
3. 3. 4. 3 Human coagulation factor VIl
The estimated potency shall be not less than 80 %
of the stated value, based on the potency (Il.I/rnl)
of human coagulation factor VIl (Appendix X K) Anti-human T Lymphocyte Porcine
and the stated value. Immunoglobulin
3. 3. 4. 4 Human coagulation factor X
The estimated potency shall be not less than 80 %
Anti-human T lymphocyte porcine immunoglobulin
of the stated value, based on the potency (Il.I/rnl)
is a liquid preparation made from plasma of pig
of human coagulation factor X ( Appendix X M)
immunized with human T lymphocyte by removal
and the stated value. of other antibodies, purification and concentration,
3. 3. 5 Human thrombin activity followed by viral inactivation. The preparation
Anti-human T Lymphocyte Porcine lmrnunoglobulin

contains a suitable stabilizer, but free of preser- tration shall be adjusted according to the specifica-
vatives and antibiotics. tion of the final product by dilution with sterile
water for injection. The pH and sodium chloride
1 Basic requirements
The facilities, source and subsidiary materials, concentration shall be properly adjusted.
water, apparatus and animals used for production 2. 3. 2 Control tests on final bulk
and control tests shall comply -with the require- See Section 3. 2.
ments set forth in the General Notices.
2. 4 Final product
2 Manufacturing
2. 4. 1 Defining batches
2. 1 . Source plasma The Requirements for Defining Batches of Biologics
2. 1. 1 Antigen used for immunization shall apply.
The antigen used for immunization shall be the 2. 4. 2 Filling
human thymocyte or human T lymphocyte isolated The Requirements for Filling of Biologics shall
from the blood of- healthy donors in accordance apply.
with the Requirements for Source Plasma of Blood
2. 4. 3 Specifications
Products. The thymocyte donor shall be serologically
250 mg of protein per container.
negative for HBsAg, anti-HCV, anti-HIV-1/HIV-2
and syphilis. The isolated T lymphocyte count and 2. 4. 4 Packaging
the erythrocyte count shall be not less than 90% The Requirements for Packaging of Biologics shall
and not . more than 5 % of the total cell count, apply.
respectively. 2. 5 Viral removal and inactivation
2. 1. 2 Animal used for immunization The approved viral removal and inactivation
The pig to be immunized shall be healthy and free processes shall be employed in production process.
from porcine pestis virus, porcine parvovirus, When viral inactivation agent (solvent, detergent)
pseudorabies virus, foot-and-mouth disease virus is used , the limit of the residual agent shall be
and Japanese encephalitis virus. The body weight defined.
of the pig shall be 50-60 kg. 3 Control tests
2. 1. 3 Immunization method 3. 1 Control tests on bulk
The approved immunization schedule shall apply.
3. 1. 1 Protein content
2. 1. 4 Blood collection and plasma separation It may be determined with Biuret method ( Appendix
After booster immunization the blood shall be VI B, method 3 ). The protein content shall be
collected when the titer determined by E-rosette not less than 55 g/L.
forming inhibition test is not less than 1 : 1000.
The separated plasma shall be stored at - 20°C or 3. 1. 2 Purity
below. The storage period shall not exceed 24 The immunoglobulin content shall be not less than
months. 90. 0 % of the total protein (Appendix N A).
2. 2 Bulk 3. 1. 3 Human erythrocyte antibody
The human erythrocyte antibody titer shall be not
2. 2. 1 The titer of pooled plasma determined by
more than 1 : 64 (Appendix IX Q).
E-rosette forming inhibition test shall be not less
than 1 : 1000. The titer determinedby lymphocyte- 3. 1. 4 Human platelet antibody
toxicity test shall be not less than 1 : 500. The human platelet antibody titer shall be not
more than 1 : 4 ( Appendix IX R).
2. 2. 2 The plasma shall be inactivated in a water
bath of 56°C for 30 minutes. The immunoglobulin 3. 1. 5 Human plasma protein antibody
shall be purified by means of absorption of other Carry out the test for human plasma protein
antibodies, ammonium sulfate precipitation and antibody (Appendix Vlll C). Dilute the test sample
ion exchange chromatography. and the positive control 2-fold serially to a dilution
The donor of human erythrocyte, human placental of 1 : 16 with physiological saline, respectively.
tissue and human plasma used to absorb other Add the normal human plasma to the central well
antibodies shall meet the donor's standards of a plate, while the different dilutions of test
described in the General Requirements for Source sample and the positive control to the peripheral
Plasma of Blood Products. wells. The test sample shall have no precipitation
line with human plasma.
2. 2. 3 Control tests on bulk
See Section 3. 1. 3. 1. 6 Potency test
2. 3 Final bulk 3. 1. 6. 1 E-rosette forming-inhibition test
The titer shall be not less than 1 : 4000 (Appendix
2. 3. 1 Formulation
A quantity of glycine shall be added to the
x Q).
preparation as a stabilizer. The protein concen- 3. 1. 6. 2 Lymphocytotoxicity test
Anti-human T Lymphocyte Porcine lmmunoglobulin

The titer shall be not less than 1 : 1000 ( Appendix less than 90. 0 % of the total area of chromatogram
X R). while the IgG polymers shall be not more than
The tests described above may be performed on 5. 0 % of the total area of the chromatogram
final bulk. ( Appendix VI R).
3. 2 Control tests on final bulk 3. 3. 3. 5 Ammonium sulfate content
3. 2. 1 Protein content The ammonium sulfate content shall be not more
The protein content shall be 35-55 g/L (Appendix than 0. 5 g/L (Appendix VIl C).
VI B, method 1). 3. 3. 3. 6 Sodium chloride content
3. 2. 2 Sterility test The sodium chloride content shall be 7-9 g/L
It complies with the test for sterility ( Appendix (Appendix VIl G).
X[ A).
3. 3. 4 Potency test·
3. 2. 3 Pyrogen test
It complies with the test for pyrogen ( Appendix 3. 3. 4. 1 E-rosette forming-inhibition test
X[ D). After the final bulk is diluted to a dilution The titer shall be not less than 1 : 4000 ( Appendix
of 1 : 4 with physiological saline, the injecting x Q).
dose of the diluted product shall be 3 ml/kg of 3. 3. 4. 2 Lymphocytotoxicity test
rabbit body weight. The titer shall be not less than 1 : 1000 ( Appendix
3. 3 'Control tests on final product X R).
3. 3. 1 Identity test 3. 3. 5 Human erythrocyte antibody
3. 3. 1. 1 Double immunodiffusion The human erythrocyte antibody titer shall be not
Carry out the test for identity by double immuno- more than 1 : 64 (Appendix IX Q).
diffusion (Appendix VIIl C). There shall be only a 3. 3. 6 Human platelet antibody
precipitation line with anti-porcine serum, but no The human platelet antibody titer shall be not
precipitation line with anti-horse or anti-bovine more than 1 : 4 ( Appendix IX R).
serum.
3. 3. 7 Human plasma protein antibody
3. 3. 1. 2 Immunoelectrophoresis
See Section 3. 1. 5.
Carry out the test for identity by immunoelectro-
phoresis ( Appendix VIIl D). The main precipitation 3. 3. 8 Test for adventitious virus contamination
line shall be porcine IgG. The test sample is subcultured continuously for
3. 3. 2 Physical inspection three passages in a sensitive cell ( such as BHK21)
for animal viruses. The result shall be negative.
3. 3. 2. 1 Inspection on final containers
The product is a clear liquid, light yellow m 3. 3. 9 HBsAg
colour and opalescence may occur. Perform the test for HBsAg according to the
instructions of the diagnostic kit used. The result
3. 3. 2. 2 Test for visible particles
shall be negative.
It complies with the test for visible particles
(Appendix V B). The precipitate which can be 3. 3. 10 Sterility test
dispersed on shaking is allowable. It complies with the test for sterility ( Appendix
X[ A).
3. 3. 2. 3 Filling quantity
It complies with the requirements for filling 3. 3. 11 _Test for abnormal toxicity
quantity (Appendix I A). The quantity shall be It complies with the test for abnormal toxicity
not less than the stated value. ( Appendix X[ F).
3. 3. 3 Chemical tests 3. 3. 12 Pyrogen test
3. 3. 3. 1 pH It complies with the test for pyrogen ( Appendix
The pH shall be 6. 4-7. 4 (Appendix V A). X[ D). After the test sample is diluted to a
dilution of 1 : 4 with physiological saline, the
3. 3. 3. 2 Total protein content
Perform the test for protein content ( Appendix injecting dose of the dilution shall be 3 ml/kg of
VI B, method 1). The total protein content shall rabbit body weight.
be 175-275 mg per container, based on the protein 4 Storage, shipping and validity period
content (g/rnl) and the stated value. Store and ship at 2-8°C, protected from light.
3. 3. 3. 3 Purity The approved validity period shall apply, starting
The immunoglobulin content shall be not less than from the date of filling of final product.
90. 0% of the total protein (Appendix N A). 5 Package inserts
3. 3. 3. 4 Distribution of molecular size The Requirements for Packaging of Biologics shall
The sum of IgG monomer and dimmer shall be not apply.
Anti-human T Lymphocyte Rabbit Immunoglobulin

2. 2. 2 Control tests on bulk


See Section 3. 1.
2. 3 . Final bulk
Anti-human T Lymphocyte Rabbit
2. 3. 1 Formulation
Immunoglobulin A quantity of maltose or other suitable stabilizer
shall be added to the preparation. The protein
Anti-human T lymphocyte rabbit immunoglobulin concentration shall be adjusted according to the
is a freeze-dried preparation made from serum or specification of the final product by dilution with
plasma of rabbit immunized with human T sterile water for injection. The pH and sodium
lymphocyte by removal of other antibodies, purifica- concentration shall be properly adjusted.
tion and concentration, followed by viral inactiva- 2. 3. 2 Control tests on final bulk
tion. The preparation contains a suitable stabilizer, See Section 3. 2.
but free of preservatives, and antibiotics.
2. 4 Final product
1 Basic requirements
2. 4. 1 Defining batches
The facilities, source and subsidiary materials,
water, apparatus and animals used for production The Requirements for Defining Batches of Biologics
shall apply.
and control tests shall comply with the require-
ments set forth in the General Notices. 2. 4. 2 Filling and lyophilization
The Requirements for Filling and Lyophilization
2 Manufacturing
for Biologics shall apply. The filled preparation
2. 1 Source plasma shall be frozen immediately after filling. The
2. 1. 1 Antigen used for immunization temperature of product during lyophilization shall
The antigen used . for immunization shall be the be not higher than 35°C. The final containers shall
human thymocyte or human T lymphocyte isolated be sealed under vacuum.
from the blood of healthy donors in accordance 2. 4. 3 Specification
with the Requirements for Source Plasma of Blood 25 mg of protein per container.
Products. The thymocyte donor shall be serologically
2. 4. 4 Packaging
negative for HBsAg, anti-HCV, anti-HIV-1/HIV-2
The Requirements for Packaging of Biologics shall
and syphilis. The isolated T lymphocyte count and
apply.
the erythrocyte count shall be not less than 90 %
and not more than 5 % of the total cell count, 2. 5 Viral removal and inactivation
res pectively. The approved viral removal and inactivation processes
shall be employed in production process. When
2. 1. 2 Animal used for immunization viral inactivation agent ( solvent, detergent ) is
The rabbit each weighing 2-2. 5 kg shall be used,
used, the limit of the residual agent shall be
which shall comply with the specified requirements
defined.
in Appendices XIU B and XIIl C.
3 ·Control tests
2. 1. 3 Immunization method
The approved immunization schedule shall apply. 3. 1 Control tests on bulk
2. 1. 4 Blood collection and plasma separation 3. 1. 1 Appearance
After booster immunization the blood shall be The preparation is a clear liquid, light orange-yellow
collected when the titer determined by lympho- in colour. Opalescence may occur, but free of
cytotoxicity test reaches 1 : 400. The separated foreign matters and precipitate.
plasma or serum shall be stored at -20°C or 3. 1. 2 Protein content
below. The storage period shall not exceed 24 It may be determined with Biuret method (Appendix
months. VI B, method 3 ). The protein content shall be
2. 2 Bulk not less than 10 g/L.
2. 2. 1 The pooled plasma or serum shall be 3. 1. 3 Purity
inactivated in a water bath of 56°C for 30 minutes. The immunoglobulin content shall be not less than
The immunoglobulin shall be purified by means of 90. 0 % of the total protein (Appendix N A).
caprylic acid fractionation, ammonium sulfate 3. 1. 4 Human erythrocyte antibody
precipitation, absorption of other antibodies, The human erythrocyte antibody titer shall be not
followed by DEAE-SephadexA-50 chromatography. more than 1 : 64 (Appendix IX Q).
The donor of human erythrocyte, human placental
3. 1. 5 Human platelet antibody
tissue and human plasma used to absorb other
antibodies shall meet the donor's standards The human platelet antibody titer shall be not
more than 1 : 4 ( Appendix IX R).
described in the General Requirements for Source
Plasma of Blood Products. 3. 1. 6 Human plasma protein antibody
Anti-human T Lymphocyte Rabbit lmmunoglobulin

Carry out the test for human plasma protein within 15 minutes on shaking gently.
antibody (Appendix V1U C). Dilute the test sample
3. 3. 2. 3 Test for visible particles
and the positive control 2-fold serially to a dilution
It complies with the test for visible particles
of 1 : 16 with physiological saline, respectively.
(Appendix V B). The precipitate which can be
Add the normal human plasma to the central well
dispersed on shaking is allowable.
of a plate, while the different dilutions of test
sample and the positive control to the peripheral 3. 3. 2. 4 Weight variation
wells. The test sample shall have no precipitation It complies with the test for weight variation
line with human plasma. ( Appendix I A).
3. 1. 7 Potency test 3. 3. 3 Chemical tests
3. 1. 7. 1 E-rosette forming-inhibition test 3. 3. 3. 1 Moisture content
The titer shall be not less than 1 : 512 (Appendix The residual moisture content shall be not more
x Q). than 3. 0 % (Appendix VJI D).
3. 1. 7. 2 Lymphocytotoxicity test 3. 3. 3. 2 pH
The titer shall be not less than 1 : 512 (Appendix The pH shall be 3. 8-4. 4 (Appendix V A).
X R). 3. 3. 3. 3 Total protein content
The tests described above may be performed on Perform the test for protein content ( Appendix
final bulk. VI B, method 1). The total protein content shall
3. 2 Control tests on final bulk be 20-30 mg per container, based on the protein
content (g/rnl) and the stated value.
3. 2. 1 Protein content
The protein content shall be hot less than 1 % 3. 3. 3. 4 Purity
( Appendix VI B, method 1). The immunoglobulin content shall be not less than
90. 0 % of the total protein (Appendix N A).
3. 2. 2 Sterility test
It complies with the test for sterility ( Appendix 3. 3. 3. 5 Maltose content
XII A). The maltose content shall be 20-30 g/L (Appendix
3. 2. 3 Pyrogen test VIP).
It complies with the test for pyrogen ( Appendix 3. 3. 3. 6 Distribution of molecular size
XII D). The injecting dose of the product shall be The sum of lgG monomer and dimmer shall be not
5 mg/kg of rabbit body weight. less than 90. 0 % of the total area of chromatogram
3. 3 Control tests on final product while the IgG polymers shall be not more than
Other than the tests for vacuum, reconstitution 5. 0 % of the total area of the chromatogram
time, moisture content, and weight variation, ( Appendix VI R).
sterile water for injection shall be added as stated 3. 3. 3. 7 Ammonium sulfate content
on the label, and the reconstituted product shall The ammonium sulfate content shall be not more
be subject to the following tests. than 0. 5 g/L (Appendix VJI C).
3. 3. 1 Identity test 3. 3. 4 Potency test
3. 3. 1. 1 Double immunodiffusion 3. 3. 4. 1 E-rosette forming-inhibition test
Carry out the test for 'identity by double immuno- The titer shall be not less than 1 : 512 (Appendix
diffusion ( Appendix VIlI C). There shall be only a x Q).
precipitation line with anti-rabbit serum, but no
3. 3. 4. 2 Lymphocytotoxicity test
precipitation line with anti-horse or anti-bovine
The titer shall be not less than 1 : 512 (Appendix
serum.
X R).
3. 3. 1. 2 Immunoelectrophoresis
3. 3. 5 Human erythrocyte antibody
Carry out the test for identity by immunoelectro-
The human erythrocyte antibody titer shall be not
pheresis ( Appendix VIlI D). The main precipitation
more than 1 : 64 (Appendix IX Q).
line shall be rabbit IgG.
3. 3. 6 Human platelet antibody
3. 3. 2 Physical inspection
The human platelet antibody titer shall be not
3. 3. 2. 1 Inspection on final containers more than 1 : 4 (Appendix IX R).
The product looks like a white crisp cake without
3. 3. 7 Human plasma protein antibody
any sign of thawing. The reconstituted product
See Section 3. 1. 6.
shall be a clear liquid, light orange-yellow in
colour. Opalescence may occur. 3. 3. 8 Test for adventitious virus contamination
3. 3. 2. 2 Reconstitution- time The test sample is subcultured continuously for
The product is reconstituted with a volume of three passages in a sensitive cell (such as BHK21)
sterile water for injection at 20-30°C according to for animal viruses. The result shall be negative.
the stated value. It shall be reconstituted completely 3. 3. 9 HBsAg
Mouse Monoclonal Antibody Against Human CD3 Antigen of T Lymphocyte for Injection

Perform the test for HBsAg according to the Preparations and Control Tests of Animal Cells as
instructions of the diagnostic kit used. The result Substrates for Production of Biologics. In addition,
shall be negative. the master cell bank is subject to the following
3. 3. 10 Sterility test control tests.
It complies with the test for sterility ( Appendix 2. 3. 1 Karyotype
XII A). The chromosomes of one hundred cells in metaphase
shall be examined. The karyotype of examined
3. 3. 11 Test for abnormal toxicity
cells shall be characteristic of hybridoma cells of
It complies with the test for abnormal toxicity
mouse-mouse.
( Appendix XII F).
2. 3. 2 Antibody-secreting stability
3. 3. 12 Pyrogen test
Hybridoma cells shall secret specific antibody
It complies with the test for pyrogen ( Appendix
stably during passages in vitro for more than 3
XII D). The injecting dose of the product shall be months. Hybridoma cells stored in liquid nitrogen
5 mg/kg of rabbit body weight.
shall be able to be recovered and propagated, and
4 Storage, shipping and validity period shall secret specific antibody stably.
Store and ship at 8°C or below, protected from
2. 3. 3 Specificity
light. The approved validity period shall apply,
Specificity tests shall include test for molecular
starting from the date of filling of final product.
weights of antibody-specific antigens; reactivity
5 Package inserts with human tissues and cells such as thymus,
The Requirements for Packaging of Biologics shall tonsil, spleen and each component of human
apply. peripheral blood cells; reactivity with T and B
leukemia cell lines. The specificity can also be
evaluated by using the competitive assays with
known specific MAbs. The results shall demonstrate
Mouse Monoclonal Antibody Against that MAb is a specific antibody against human T
lymphocyte CD3.
Human CD3 Antigen of T Lymphocyte
for Injection 2. 3. 4 Types and subtypes of immunoglobulin
Types and subtypes of immunoglobulin shall be
classified by double diffusion in agarose gel with
The mouse monoclonal antibody against human anti-types and anti-subtypes of mouse immuno-
CD3 antigen of T lymphocyte ( MAb to CD3)" for globulin.
injection is a freeze-dried preparation made by
using hybridoma technology. The monoclonal 2. 3. 5 Affinity
antibody against CD3 is prepared by purification of It shall be not less than 107 L/mol.
the MAb from ascitic fluid of the mice inoculated 2. 3. 6 Cross reactions
i. p. with MAb-secreting hybridoma cells and Cryotomy stain method shall be adopted. Cross
lyophilization of the purified MAb. reactions with thymus, tonsil, lymph nodes,
1 Basic requirements spleen, bone marrow, blood cells, lung, liver,
The facilities, source and subsidiary materials, kidney, bladder, stomach, intestine, pancreas,
water, apparatus and animals used for production parotid gland, thyroid, parathyroid, adrenal
and control tests shall comply with the relevant gland, hypophysis cerebri, peripheral nerve,
requirements set forth in the General Notices. ovary, testicle, skin and eye etc. shall be tested.
The mouse used for preparation of ascitic fluid MAb shall have no cross reactions with major
shall be SPF BALB/ c mice or Fl hybrid between human organ tissues arid cells except target cells
the BALB/ c strain and the Swiss strain. such as thymus, tonsil, lymph nodes, spleen,
mesenteric lymph nodes and other lymph nodes.
2 Production
2. 4 Bulk
2. 1 Hybridoma cell
Hybridoma cell, which secretes MAh to CD3 2. 4. 1 Preparation of ascitic fluid containing
stably, shall comply with the Requirements for antibody
Preparations and Control Tests of Animal Cells as 2. 4. 1. 1 Resurrection and propagation of hybridoma
Substrates for Production of Biologics. cells from the working cell bank shall be carried
2. 2 Establishment of hybridoma cell banks out.
Requirements for Preparations and Control Tests 2. 4. 1. 2 Hybridoma cells growing in log-phase
of Animal Cells as Substrates for Production of are inoculated i. p. into mouse with 5 X 105 cells
Biologics shall apply. per mouse. Mice can be treated with Pristane or
2. 3 Control tests on hybridoma cell banks paraffin prior to inoculation with cells.
The master and working cell banks shall be fully 2. 4. 1. 3 Mouse ascites are collected aseptically
characterized according to the Requirements for and stored at -20°C after processed appropriately.
Mouse Monoclonal Antibody Against Human CD3 Antigen of T Lymphocyte for Injection

2. 4. 1. 4 Control tests on ascites 3. 1. 3 Test for mycoplasmas


See Section 3. 1. It complies with the test for mycoplasmas
(Appendix XI[ B).
2. 4. 2 Purification of antibody
2. 4. 2. 1 Pre-treatment of ascites 3. 2 Control tests on bulk
Ascites collected in different days are pooled and 3. 2. 1 Protein content
filtered with filter paper. Carry out the test for protein content ( Appendix
2. 4. 2. 2 Purification of igG VI B, method 2).
The approved methods shall be used for the 3. 2. 2 pH
purification of lgG from ascites. The pH shall be 6. 5-7. 5 (Appendix V A).
2. 4. 3 Processing after purification 3. 2. 3 Isoelectric point
2. 4. 3. 1 Purified lgG is heat-inactivated at 56°C The isoelectric point of the preparation shall be the
for 30 minutes, and then precipitates are removed same as that of the reference substance (Appendix
by centrifugation. ND).
2. 4. 3. 2 Inactivation of viruses 3. 2. 4 Purity
The approved methods shall be used to remove and 3. 2. 4. 1 Electrophoresis
inactivate viruses. Carry out the test for purity by electrophoresis
2. 4. 3. 3 Sterilization by filtration (Appendix N C). The concentration of separating
Bulk lgG is prepared by sterilization by filtration. gel is 10% . The amount of loading sample shall be
not less than 5 µg with Silver stain or not less than
2. 4. 4 Control tests on bulk 10 µg with Coomassie brilliant blue R-250 stain. If
See Section 3. 2. non-reducing SDS-PAGE is used, the results shall
2. 5 Final bulk be the same as that of reference substance. If
reducing SDS-PAGE is used, the heavy and light
2. 5. 1 Formulation
chains of immunoglobulin shall be not less than
Bulk is diluted into a concentration of 5 mg/ml
95. 0 % based on densitometer scanning. ·
with 0. 02 mol/L PBS. The stabilizer is added into
the preparation and sterilization by filtration is 3. 2. 4. 2 HPLC
followed. Carry out the test for purity by HPLC ( Appendix
2. 5. 2 Control tests on final bulk
ill B ) . SEC-HPLC method with the gel for
separating 10-500 kD proteins shall be used. Flow
See Section 3. 3.
phase is 0. 1 mol/L phosphate-0. 1 mol/L sodium
2. 6 Final product chloride buffer with pH 7. 0. The amount of
2. 6. 1 Defining batches loading sample shall be not less than 20 µg.
The Requirements for Defining Batches of Biologics Wavelength for detection is 280 nm. The number
shall apply. · of theoretical plates of column shall be not less
than 1000 based on the peak of absorption. The
2. 6. 2 Filling and lyophilization area of major immunoglobulin peak shall be not
The Requirements for Filling and Lyophilization of less than 95. 0 % of the total area.
Biologics shall apply.
3. 2. 5 Residual murine myeloma DNA
2. 6. 3 Specifications The residual murine myeloma DNA shall be not
1. 0 ml per container after reconstitution, containing more than 100 pg/dose (Appendix IX B).
5 mg of Mab to CD3.
3. 3 Control tests on final bulk
2. 6. 4 Packaging Sterility test
The Requirements for Packaging of Biologics shall It complies with the test for sterility ( Appendix
apply. XI[ A).
3 Control tests 3. 4 Control tests on final product
3. 1 Control tests on ascites Other than the tests for moisture content and
reconstitution time, sterile water for injection
3. 1. 1 Antibody activity
shall be added as stated on the label, and the
Reactivity with normal human peripheral blood
reconstituted product shall be subject to the
mononuclear cells shall be tested by using immuno-
following tests.
fluorescent method. The reference value in normal
range shall be 66. 0 % + 10% and the antibody titer 3. 4. 1 Identity test
shall be not less than 1 : 5000. Reactivity with normal human peripheral blood
mononuclear cells shall be tested using immuno-
3. 1. 2 Test for murine viruses
fluorescent method. The reference value in normal
Carry out the test for murine virus detection
( Appendix XI[ H). No specified murine viruses range shall be 66. 0%+10%.
shall be detected. 3. 4. 2 Physical inspection
Botulinum Toxin. Type A for Injection

3. 4. 2. 1 Inspection on final containers 1 Basic requirements


The product looks like a white to off-white crisp The facilities, water, source and subsidiary
cake. It shall change into a clear liquid after materials, apparatus and animals used for
reconstitution and opalescence may occur. production and control tests shall comply with the
3. 4. 2. 2 Reconstitution time requirements set forth in the General Notices.
The preparation shall be reconstituted completely 2 Manufacturing
within 5 minutes after adding 1 ml of physiological 2. 1 Bacterial seeds
saline. The Requirements for Bacterial and Viral Strains/
3. 4. 2. B Test for visible particles Seeds Used for Production and Quality Control of
It complies with the test for visible particles Biologics shall apply.
(Appendix V B). 2. 1. 1 Name and origin of bacterial strains
3. 4. 2. 4 Weight variation The strains of Clostridium botulinum type A
It complies with the test for weight variation ( Hall strain or the other approved strains) used for
(Appendix I A). The quantity shall be not less production shall be highly toxin producing.
than the stated value. 2. 1. 2 Establishment of seed lot
3. 4. 3 Chemical tests The Requirements for Bacterial and Viral Strains/
Seeds Used for Production and Quality Control of
3. 4. 3. 1 Moisture content
Biologics shall apply.
The residual moisture content shall be not more
than 3. 0% (Appendix W D). 2. 1. 3 Passage of seed lot
The seed from master shall be subcultured for 'not
3. 4. 3. 2 pH
more than five passages and that from working
The pH shall be 6. 5-7. 5 (Appendix V A). seed lots shall be subcultured for not more than ten
3. 4. 3. 3 Protein content passages.
It shall be 90 %-110 % of the labelled concentration
2.1. 4 Control tests on seed lots
(Appendix VI B, method 2).
Semisolid media of gelatin and agar, blood agar
3. 4. 4 Titer determination plate, lactose yolk agar plate or other appropriate
Reactivity with normal human peripheral blood media shall be used for control tests. The bacterial
mononuclear cells shall be tested using immuno- seeds shall be of typical morphology, and cultural
fluorescent method. The reference value in normal and biochemical characteristics. It shall produce
range shall be 66. 0 % + 10% and the antibody titer BTA of not less than 1. 0 X 105 LD50 / ml.
shall be not less than 1 : 10000.
2. 1. 5 Storage of seed lots
3. 4. 5 Sterility test Master and working seed lots shall be lyophilized
It complies with the test for sterility ( Appendix and stored at 2-8°C. The working seed lots may
XII A). also be preserved at -20°C in semisolid medium of
3. 4. 6 Test for abnormal toxicity gelatin agar.
It complies with the test for abnormal toxicity 2. 2 Crystalline toxin
( Appendix XII F). 2. 2. 1 Crude toxin
3. 4. 7 Pyrogen test 2. 2. 1. 1 Medium for toxin producing
It complies with the test for pyrogen ( Appendix Media composed of trypticase , yeast dialysate (or
XII D). The injecting dose of the product shall be 2 yeast extract) and glucose or other approved media
mg/kg of rabbit body weight. can be used.
4 Storage, shipping and validity period 2. 2. 1. 2 Inoculate the bacterial seed into the
Store and ship at 2-8°C. The validity period is 36 toxin producing medium and incubate at a suitable
months starting from the date. of filling of final temperature for a certain time.
product.
2. 2. 1. 3 At the end of incubation, take samples
5 Package inserts from each container for bacterial purity test by
The Requirements for Packaging of Biologics shall microscopic examination. No contaminating micro-
apply. organisms shall be found, and then the cultures
shall be sterilized by filtration. The yield is
regarded as crude toxin and its toxicity shall be
105-106 LDso/ml.
Botulin um Toxin Type A for Injection 2. 2. 2 Purification and crystallization of toxin
2. 2. 2. 1 The crude toxin can be purified by the
Botulinum toxin type A ( BTA) for injection is a procedures including isoelectric precipitation,
freeze-dried preparation made from crystalline RNase treatment, ion-exchange chromatography,
BTA with a stabilizer. ammonium sulfate concentration, dialysis and
Botulinum Toxin Type A for Injection

natural crystallization, or other approved method. toxin) into each of five mice weighing 14-16 g.
2. 2. 2. 2 In the course of crystallization, an Observe the mice for a period and record the
average survival time ( min). A standard dose-
appropriate preservative can be added into external
response curve (amount of toxin vs survival time)
liquid for dialysis.
can be plotted, thereby the toxicity of the toxin
2. 2. 3 Storage of crystalline toxin (or the diluted toxin) can be calculated.
After crystallization, the purified toxin shall be
3. 1. 2. 2 Serially dilute the toxin. Inject 0. 5 ml
stored at 2-8°C and protected from light.
of each dilution i. p. into each of four mice
2. 2. 4 Control tests on crystalline toxin weighing 14-16 g. Record the number of death
See Section 3. 1. within 4 days. Calculate the toxicity ( LD50) of
2. 3 Final bulk the toxin ( or the diluted sample) statistically
(Reed-Muench method).
2. 3. 1 Formulation
3. 1. 3 Purity
2. 3. 1. 1 The toxin shall be dissolved and dialyzed
3. 1. 3. 1 Based on the protein concentration
with PB, and tested for toxicity after sterilization
determined by spectrophotometer at 280 nm and
by filtration.
the toxicity of the crystalling toxin ( Section
2. 3. 1. 2 The filtrated toxin of known toxicity 3. 1. 2), the purity of the crystalline toxin can be
shall be diluted with physiological saline to a calculated. It shall be more than 1. 0 X 107
suitable concentration. LD50/rng Pr.
2. 3. 1. 3 Add a certain volume of diluted toxin to 3. 1. 3. 2 The ratio of A26o to A28o for crystalline
a quantity of stabilizer solution. The toxicity toxin shall be not more than 0. 6.
( LD50 /ml) of the final bulk shall be within the
3. 1. 4 Type specificity of toxin
specified range.
Reconstitute the freeze-dried diagnostic sera
2. 3. 2 Control tests on final bulk ( types A, B, C, D, E and F) in each container
See Section 3. 2. with 1 ml of water for injection. Add 1 ml of toxin
2. 4 Final product being tested containing about 100 LD5o into each
container of reconstituted diagnostic serum.
2. 4. 1 Defining batches Meanwhile use another two tubes each containing
The Requirements for Defining Batches of Biologics 1 ml of toxin solution plus 1 ml of physiological
shall apply. saline as controls. Boil one of the tubes for 20
2. 4. 2 Filling and lyophilization minutes as a negative toxin control, and the other
The Requirements for Filling and Lyophilization of tube is used as a positive toxin control. Incubate
Biologics shall apply. The temperature of the the toxin control tubes and the containers
preparation during lyophilization shall be not containing toxin and serum at 37°C for 45 minutes
higher than 35°C. The final containers shall be for neutralization. Inject i. p. 0. 5 ml of each
sealed under vacuum or after filling with nitrogen. mixture separately into each of two to three mice
weighing 14-16 g. . Observe the animals for 4 days.
2. 4. 3 Specifications The toxin being tested shall be botulinum toxin
50-150 U of BTA per container. type A.
2. 4. 4 Packaging 3. 2 Control tests on final bulk
The Requirements for Packaging of Biologics shall
apply. 3. 2. 1 Sterility test
It complies with the test for sterility ( Appendix
3 Control tests XI[ A).
3. 1 Control tests on crystalline toxin 3. 2. 2 Potency test
3. 1. 1 Crystalline toxin shall be homogenous, See Section 3. 3. 4. It shall be 80 %-120 % of the
needle-shaped crystals under a high power stated value.
microscope. 3. 3 Control tests on final product
3. 1. 2 Toxicity test Other than the determination of residual moisture,
Any of the following methods shall be selected to sterile physiological saline shall be added as stated
perform the test for toxicity. The toxicity of on the label, and the reconstituted preparation
crystalline toxin shall be 1. 0 X 105 -1. 0 X 106 shall be subject to the following tests.
LD50/ml. 3. 3. 1 Identity test
3. 1. 2. 1 After being dissolved and dialyzed, the See Section 3. 1. 4. At least one container from
crystalline toxin shall be properly diluted. each final batch shall be sampled for identity test.
Determine its toxicity by Broff method, and 3. 3. 2 Inspection on final containers
calculate the potency of crystalline toxin. The preparation looks like a white crisp cake and
Inoculate i. v. 0. 1 ml of the toxin ( or the diluted turns into a clear, colourless or yellowish liquid
Recombinant Human Interferon alb for Injection

after reconstitution with 1 ml of physiological 2. 1. 2 Establishment of bacterial seed lots


saline and shaking gently. The Requirements for Preparation and Control of
3. 3. 3 Moisture content Animal Cell Substrates Used for Production of
The residual moisture content shall be not more Biologics shall apply.
than 3. 0% (Appendix VIl D). 2. 1. 3 Control tests on bacterial seeds
3. 3. 4 Potency test The master seed lot and working seed lot shall be
Ten to twenty containers of the final product from subject to the control tests as follows.
each batch shall be sampled for potency test. Add 2. 1. 3. 1 Streaking on LB agar plates
1 ml of physiological saline to each container, Mix All colonies that grow on the plates shall have
the equal volume of the reconstituted toxin and typical morphology of E.coli colonies with no
make serial dilutions. Inject i. p. 0. 5 ml of each evidence of contamination.
dilution into each of fo~r mice weighing 14-16 g. 2. 1. 3. 2 Gram-stained smears
Observe the mice for 4 days arid calculate the LD50 The bacteria examined under light microscope shall
per container statistically. The LD50 per container be typical Gram-negative bacteria.
(1 LD50 is defined as 1 unit) shall be within 80 %-
120 % of the stated value. 2. 1. 3. 3 Resistance to antibiotics
The antibiotic sensitivity of the bacteria shall be
3. 3. 5 Sterility test the same as that of the original strain.
It complies with the test for sterility (Appendix XII
A). .. 2. 1. 3. 4 Electro-microscopicexamination ( working
seed lot can be exempted)
3. 3. 6 Diluent The examination shall reveal typical morphology of
The diluent for reconstitution of final product is
E.coli. No contaminations of mycoplasmas ,
sodium chloride injection. virus-like particle or other microbes shall be
4 Storage, shipping and validity period observed.
Store and ship at - 5 to - 20°C, protected from
2. 1. 3. 5 Biochemical tests
light. The validity period is 36 months starting The bacteria tested shall have biological properties
from the date of filling of final product. of E.coli.
5 Package inserts 2. 1. 3. 6 Expression level of rhIFN
The Requirements for Packaging of Biologics shall
The expression level of rhIFN alb in cultures on
apply.
shaker shall be not lower than that of the primary
seed lot.
2. 1. 3. 7 Type of interferon expressed
Recombinant Human. Interferon alb Type of interferon expressed shall be confirmed by
neutralization test usmg anti-interferon alb
for Injection reference serum.
2. 1. 3. 8 Characterization of plasmid
Recombinant human interferon alb ( rhIFN alb) The map of restriction enzyme digestion shall be
for injection is a freeze-dried preparation prepared the same as that of the original recombinant
from recombinant proteins expressed by E. coli plasmid.
containing recombinant plasmids of the human
interferon alb gene. The recombinant proteins are 2. 2 Bulk
isolated, purified and lyophilizedafter fermentation of 2. 2. 1 Preparation of seed
the transformed E. coli. The preparation contains The bacterial seed from working seed lot qualified
a stabilizer, but free of preservatives and anti- in control tests shall be cultured in an appropriate
biotics. medium (a quantity of antibiotic can be used) as
an inoculum for fermentation. .
1 Basic requirements
The facilities, source and subsidiary materials, 2. 2. 2 Medium for fermentation
water, apparatus and animals used for production A suitable medium shall be used for fermentation.
and control tests shall comply with the require- The medium must not contain antibiotics.
ments set forth in the General Notices. 2. 2. 3 Inoculation and fermentation
2 Production 2. 2. 3. 1 A quantity of seed is inoculated into· the
2. 1 Engineered bacterial strain sterilized medium. ·
2. 1. 1 Name and origin of engineered bacterial 2. 2. 3. 2 Fermentation conditions, such as the
strain temperature, pH, oxygen dissolving, feeding
rhIFN alb engineered bacterial strain is an E. coli and duration, shall follow the approved protocol
strain transformed with plasmids containing the of fermentation for specific production strain. The
human interferon alb gene. losing rate of plasmid in bacteria shall be
Recombinant Human Interferon alb for Injection

monitored during fermentation at a certain time The ratio of biological activity to protein content
( Appendix IX G). shall be not less than 1. 0 X 107 IU/mg of protein.
2. 2. 4 Processing fermentation products 3. 1. 4 Purity
The bacterial mass shall be collected and processed 3. 1. 4. 1 Electrophoresis
using suitable methods. Carry out the test for purity by electrophoresis
2. 2. 5 Preliminary purification (Appendix N C). If non-reducing SDS-PAGE is
The approved purification process shall be used. used, the concentration of separating gel is 15 % .
The purity shall meet the requirements. The amount of loading sample shall be not less
than 5 µg with Silver stain or not less than 10 µg
2. 2. 6 Further purification
with Coomassie brilliant blue R-250 stain. The
The further purification shall be performed using
purity shall be not less than 95. 0 % based on
the approved method. The purity shall meet the
densitometer scanning. ·
requirements in Section 3. 1. The preparation,
after further purification, is the bulk interferon. 3. 1. 4. 2 HPLC
The preparation shall be stored at an appropriate Carry out the test for purity by HPLC ( Appendix
temperature after addition of a suitable stabilizer ill B). SEC-HPLC method: Gel for separating
and sterilization by filtration. The storage period 5-60 kD proteins shall be used. Flow phase is 0. 1
for bulk shall be defined. mol/L phosphate-0. 1 mol/L sodium chloride
buffer, pH 7. 0. The amount of loading sample
2. 2. 7 Control tests on bulk shall be not less than 20 µg.
See Section 3. 1. Wavelength for detection is 280 nm. The number
2. 3 Final bulk of theoretical plates of column shall be not less
than 1000 calculated based on the peak of
2. 3. 1 Formulation and sterilization by filtration
absorption. The area of absorption of major
2. 3. 1. 1 Preparation of diluent interferon peak shall be not less than 95. 0 % of the
The approved formula shall be used. The diluent total area.
shall be used immediately after preparation.
3. 1. 5 Molecular weight
2. 3. 1. 2 Dilution and sterilization by filtration Carry out the test for molecular weight by
The bulk interferon with an appropriate stabilizer electrophoresis ( Appendix N C ) . If reducing
and qualified in control tests shall be diluted using SDS-PAGE is used, the concentration of
the diluent prepared in Section 2. 3. 1. 1 to a desired separating gel is 15%. The amount of loading
concentration and sterilized by filtration. This sample shall be not less than 1. 0 µg. Molecular
preparation is the final bulk and stored at 2-8°C. weight of the sample shall be 19. 4 kD+l0%.
2. _ 3. 2 Control tests on final bulk 3. 1. 6 Content of residual extraneous DNA
See Section 3. 2. The content of residual extraneous DNA shall be
not more than 10 ng/ dose ( Appendix IX B).
2. 4 Final product
3. 1. 7 Content of residual murine IgG
2. 4. 1 Defining batches
The content of residual murine IgG shall be tested
The Requirements for Defining Batches of Biologics
if affinity chromatography with mouse monoclonal
shall apply.
antibody is used in purification. The content shall
2. 4. 2 Filling and lyophilization be not more than 100 ng/dose (Appendix IX L).
The Requirements for Filling and Lyophilization of
3. 1. 8 Content of residual host bacterial proteins
Biologics shall apply.
The content of residual host bacterial proteins shall
2. 4. 3 Specifications be not more than 0. 10% of total proteins
The approved specification (s) shall apply. (Appendix IX C).
2. 4. 4 Packaging 3. 1. 9 Activity of residual antibiotics
The Requirements for Packaging of Biologics shall It complies with the test for residual antibiotics
apply. ( Appendix IX A ) . The preparation must not
contain any residual activities of ampicillin or other
3 Control tests
antibiotics.
3. 1 Control tests on bulk
3. 1. 10 Test for bacterial endotoxin
3. 1. 1 Biological activity The content of bacterial endotoxin shall be less
Carry out the- test for biological activity ( Appendix than 10 EU/300000 IU (Appendix XI[ E, .the limit
X C). test of gel-clot method).
3. 1. 2 Protein content 3. 1. 11 Isoelectric point
Carry out the test for protein content ( Appendix The isoelectric point of rhIFN alb protein shall be
VI B, method 2). pH 4. 0-6. 5 (Appendix N D).
3. 1. 3 Specific activity 3. 1. 12 Ultraviolet spectroscopy
Recombinant Human Interferon alb Injection

The maximum absorption peak shall be at 278 nm+ than 10 EU/vial (Appendix XII E, the limit test of
3 nm ( Appendix II A). gel-clot method).
3. 1. 13 Peptide mapping ( to be tested at least 3. 3. 7 Test for abnormal toxicity
once half a year) It complies with the test for abnormal toxicity
The profile of peptide map shall be in consistency ( Appendix XII F, mouse method).
with that of the interferon alb reference substance 4 Storage, shipping and validity period
(Appendix Vlll E). Store and ship at 2-8°C, protected from light.
3. 1. 14 N-terminal amino acid sequence ( to be The approved validity period shall apply, starting
examined at least once a year) from the date of filling of final product.
The N-terminal sequence examined by an amino 5 Package inserts
acid sequencer shall be Cys-Asp-Leu-Pro-Gln-Thr- The Requirements for Packaging of Biologics shall
His-Ser-Leu-Asp-Asn-Arg-Arg-Thr-Leu. apply.
3. 2 Control tests on final bulk
3. 2. 1 Test for bacterial endotoxin
The content of bacterial endotoxin shall be less
than 10 EU/300000 IU (Appendix XII E, the limit Recombinant Human Interferonalb
test of gel-clot method). Injection
3. 2. 2 " Sterility test
It complies with the test for sterility ( Appendix Recombinant human interferon alb ( rhIFN alb)
XII A). injection is a liquid preparation prepared from
3. 3 Control tests on final product recombinant proteins expressed by E. coli containing
Other than the determination of moisture content, recombinant plasmids of the human interferon alb
sterile water for injection shall be added as stated gene. The recombinant proteins are isolated and
on the label, and the reconstituted preparation purified after fermentation of the transformed
shall be subject to the following tests. E. coli. The preparation contains a stabilizer, but
free of preservatives and antibiotics.
3. 3. 1 Identity test
Immunoblot test ( Appendix Vlll A) or immunodot 1 Basic requirements
test (Appendix Vlll B) shall reveal positive results. The facilities, source and subsidiary materials,
water, apparatus and animals used for production
3. 3. 2 Physical inspection and control tests shall comply with the require-
3. 3. 2. 1 Inspection on final containers ments set forth in the General Notices.
The product looks like a white to off-white crisp 2 Production
cake. It shall change into a clear liquid quickly
after reconstitution, free of visible insolubles. 2·. 1 Engineered bacterial strain

3. 3. 2. 2 Test for visible particles 2. 1. 1 Na~e and origin of engineered cell line
It complies with the test for visible particles rhIFN alb engineered bacterial strain is an E. coli
(Appendix V B). strain transformed with plasmids containing the
human interferon alb gene.
3. 3. 2. 3 · Weight variation
2. 1. 2 Establishment of bacterial seed lots
It complies with the test for weight varration
The Requirements for Preparation and Control of
(Appendix I A). The quantity shall be not less
Animal Cell Substrates Used for Production of
than the stated value.
Biologics shall ~pply.
3. 3. 3 Chemical tests
2. 1. 3 Control tests on bacterial seeds
3. 3. 3. 1 Moisture content The master seed lot and working seed lot shall be
The residual moisture content shall be not. more subject to the control tests as follows.
than 3. 0% (Appendix VII D).
2. 1. 3. 1 Streaking on LB agar plates
3. 3. 3. 2 pH All colonies that grow on the plates shall have
It shall be 6. 5-7. 5 (Appendix V A). typical morphology of E. coli colonies with no
3. 3. 4 Biological activity evidence of contamination.
It shall be 80%-150% of the stated value ( Appendix 2. 1. 3. 2 Gram-stained smears
X C). The bacteria examined under 'light microscope shall
3. 3. 5 Sterility test be typical Gram-negative bacteria.
It complies with the test for sterility ( Appendix 2. 1. 3. 3 Resistance to antibiotics
XII A). The antibiotic sensitivity of the bacteria shall be
3. 3. 6 Test for bacterial endotoxin the same as that of the original strain.
The content of bacterial endotoxin shall be less 2. 1. 3. 4 Electro-microscopic examination ( working
Recombinant Human Interferon alb Injection

seed lot can be exempted) 2. 3 Final bulk


The examinations shall reveal typical morphology
2. 3. 1 Formulation and sterilization by filtration
of E.coli. No contaminations of mycoplasmas ,
virus-like particles or other microbes shall be 2. 3. 1. 1 Preparation of diluent
observed. The approved formula shall be used. The diluent
shall be used immediately after preparation.
2. 1. 3. 5 Biochemical tests
The bacteria tested shall have biological properties 2. 3. 1. 2 Dilution and sterilization by filtration
of E.coli. The bulk interferon with an appropriate stabilizer
and qualified in control tests shall be diluted using
2. 1. 3. 6 Expression level of rhIFN
the diluent prepared in Section 2. 3. 1. 1 to a desired
The expression level of rhlFN alb in cultures on
concentration and sterilized by filtration. This
shaker shall be not lower than that of the primary
preparation is the final bulk and stored at 2-8°C.
seed lot.
2. 1. 3. 7 Type of interferon expressed 2. 3. 2 Control tests on final bulk
Type of interferon expressed shall be confirmed by See Section 3. 2.
neutralization test using anti-interferon alb reference 2. 4 Final product
serum.
2. 4. 1 Defining batches
2. 1. 3. 8 Characterization of plasmid The Requirements for Defining Batches of Biologics
The map of restriction enzyme digestion shall be shall apply.
the same as that of the original recombinant
2. 4. 2 Filling
plasmid.
The Requirements for Filling and Lyophilization of
2. 2 Bulk Biologics shall apply.
2. 2. 1 Preparation of seed 2. 4. 3 Specifications
The bacterial seed from working seed lot qualified The approved specification ( s) shall apply.
in control tests shall be cultured in an appropriate
medium (a quantity of antibiotic can be used) as 2. 4. 4 Packaging
an inoculum for fermentation. The Requirements for Packaging of Biologics shall
apply.
2. 2. 2 Medium for fermentation
A suitable medium shall be used for fermentation. 3 Control tests
The medium must not contain antibiotics. 3. 1 Control tests on bulk
2. 2. 3 Inoculation and fermentation 3. 1. 1 Biological activity
2. 2. 3. 1 A quantity of seed is inoculated into the Carry out the test for biological activity ( Appendix
sterilized medium. X C).
2. 2. 3. 2 Fermentation conditions, such as the 3. 1. 2 Protein content
temperature, pH, oxygen dissolving, feeding Carry out the test for protein content ( Appendix
and durations, shall follow the approved protocol VI B, method 2).
of fermentation for specific production strain. The 3. 1. 3 Specific activity
losing rate of plasmid in bacteria shall be The ratio of biological activity to protein content
monitored during fermentation at a certain time shall be not less than 1. OX 107 IU/mg of protein.
(Appendix IX G).
3. 1. 4 Purity
2. 2. 4 Processing fermentation products
The bacterial mass shall be collected and processed 3. 1. 4. 1 Electrophoresis
using suitable methods. Carry out the test for purity by electrophoresis
(Appendix N C). If non-reducing SDS--PAGE is
2. 2. 5 Preliminary purification used, the concentration of separating gel is 15%.
The approved purification process shall be used. The amount of loading sample shall be not less
The purity shall meet the requirements. than 5 µg with Silver stain or not less than 10 µg
2. 2. 6 Further purification with Coomassie brilliant blue R-250 stain. The
The further purification shall be performed using purity shall be not less than 95. 0 % based on
the approved method. The purity shall meet the densitometer scanning.
requirements in Section 3. 1. The preparation, 3. 1. 4. 2 HPLC
after further purification, is the bulk interferon. Carry out the test for purity by HPLC ( Appendix
The preparation shall be stored at an appropriate III B). SEC-HPLC method: Gel for separating 5-
temperature after addition of a suitable stabilizer 60 . kD proteins shall be used. Flow phase is
and sterilization by filtration. The storage period · 0. 1 mol/L phosphate-0. 1 mol/L sodium chloride
for bulk shall be defined. buffer, pH 7. 0.
2. 2. 7 Control tests on bulk The amount of loading sample shall be not less
See Section 3. 1. than 20 µg. Wavelength for detection is 280 nm.
Recombinant Human Interferon alb Eye Drops

The number of theoretical plates of column shall be It complies with the test for sterility ( Appendix
not less than 1000 calculated based on the peak of XI[ A).
absorption. The area of absorption of major .·,
3. 3 ( Control tests on final product
interferon peak shall be not less than 95. 0 % of the
total area. 3. 3. 1 Identity test
Immunoblot test (Appendix VIIl A) or immunodot
3. 1. 5 Molecular weight
test (Appendix VIII B) shall reveal positive results.
Carry out the test for molecular weight by
electrophoresis ( Appendix N C ) . If reducing 3. 3. 2 Physical inspection
SDS-PAGE is used, the concentration of 3. 3. 2. 1 Inspection on final containers
separating gel is 15%. The amount of loading The product shall be a clear liquid.
sample shall be not less than 1. 0 µg. Molecular
weight of the sample shall be 19. 4 kD+lO%. 3. 3. 2. 2 Test for visible particles
It complies with the test for visible particles
3. 1. 6 Content of residual extraneous DNA ( Appendix V B).
The content of residual extraneous DNA shall be
not more than 10 ng/dose (Appendix IX B). 3. 3. 2. 3 Filling quantity
It complies with the requirements for filling
3. 1. 7 Content of residual murine IgG
quantity (Appendix I A). The quantity shall be
The content of residual murine IgG shall be tested
not less than the stated value.
if affinity .chromatography with mouse monoclonal
antibody is used in purification. The content of 3. 3. 3 pH
murine IgG shall be not more than 100 ng/ dose It shall be 6. 5-7. 5 (Appendix V A).
(Appendix IX L). 3. 3. 4 Biological activity
3. 1. 8 Content of residual host bacterial proteins It shall be 80 %-150 % of the stated value
The content of residual host bacterial proteins shall (Appendix X C).
be not more than 0. 10 % of total proteins ( Appendix 3. 3. 5 Sterility test
IX C). It complies with the test for sterility ( Appendix
3. 1. 9 Activity of residual antibiotics XI[ A).
It complies with the test for residual antibiotics 3. 3. 6 Test for bacterial endotoxin
( Appendix IX A ) . The preparation must not The content of bacterial endotoxin shall be less
contain any residual activities of ampicillin or other than 10 EU/vial (Appendix XI[ E, the limit test of
antibiotics. gel-clot method).
3. 1. 10 Test for bacterial endotoxin 3. 3. 7 Test for abnormal toxicity
The content of bacterial endotoxin shall be less
It complies with the test for abnormal toxicity
than 10 EU/300000 IU (Appendix XI[ E, the limit
( Appendix XI[ F, mouse method).
test of gel-clot method).
4 Storage, shipping and validity period
3. 1. 11 Isoelectric point
Store and ship at 2-8°C, protected from light.
The isoelectric point of rhIFN alb protein shall be
The approved validity period shall apply, starting
pH 4. 0-6. 5 (Appendix N D).
from the date of filling of final product.
3. 1. 12 Ultraviolet spectroscopy
5 Packageinserts
The maximum absorption peak shall be at 278 nm+
The Requirements for Packaging of Biologics shall
3 nm (Appendix II A).
apply.
3. 1. 13 Peptide mapping ( to be tested at least
once half a year)
The profile of peptide map shall be in consistency
with that of the interferon alb reference substance Recombinant Human Interferonalb
(Appendix VIIl E).
Eye Drops
3. 1. 14 N-terminal amino acid sequence ( to be
examined at least once a year)
The N-terminal sequence examined by an amino Recombinant human interferon alb (rhIFN ·alb)
acid sequencer shall be Cys-Asp- Leu-Pro-G ln-Thr- eye drops is a preparation prepared from recombinant
His-Ser- Leu-Asp-Asn-Arg-Arg- Thr- Leu. proteins expressed by E.coli containing recom-
binant plasmids of the human interferon· alb gene.
3. 2 Control tests on final bulk The recombinant proteins are isolated, purified
3. 2. 1 Test for bacterial endotoxin after fermentation of the transformed E. coli. The
The content of bacterial endotoxin shall be less preparation contains a stabilizer.
than 10 EU/300000 IU (Appendix XI[ E, the limit 1 Basic requirements
test of gel-clot method). The facilities, source and subsidiary materials,
3. 2. 2 Sterility test water, apparatus and animals used for production
Recombinant Human Interferon o:1 b Eye Drops

and control tests shall comply with the require- The medium must not contain antibiotics.
ments set forth in the General Notices. 2. 2. 3 Inoculation and fermentation
2 Production 2. 2. 3. 1 A quantity of seed is inoculated into the
2. 1 Engineered bacterial strain sterilized medium.
2. 1. 1 Name and origin of· engineered bacterial 2. 2. 3. 2 Fermentation conditions, such as the
strain temperature, pH, oxygen dissolving, feeding
rhIFN alb engineered bacterial strain is an E. coli and durations, shall follow the approved protocol
strain transformed with plasmids containing the of fermentation. The losing rate of plasmid in
human interferon alb gene. bacteria shall be monitored during fermentation at
2. 1. 2 Establishment of bacterial seed lots a certain time ( Appendix IX G).
The Requirements for Preparation and Control of 2. 2. 4 Processing fermentation products
Animal Cell Substrates Used for Production of The bacterial mass shall be collected and processed
Biologics shall apply. using suitable methods.
2. 1. 3 Control tests on bacterial seeds 2. 2. 5 Purification
The master seed lot and working seed lot shall be The purification shall be performed usmg the
subject to the control tests as follows. approved methods. The purity shall meet the
2. 1. 3. 1 Streaking on LB agar plates requirements in Section 3. 1. The preparation of
All colonies that grow on the plates shall have bulk interferon shall be stored at an appropriate
typical morphology of E.coli colonies with no temperature after addition of a suitable stabilizer.
evidence of contamination. The storage period for bulk shall be defined.
2. 1. 3. 2 Gram-stained smears 2. 2. 6 Control tests on bulk
The bacteria examined under light microscope shall See Section 3. 1.
be typical Gram-negative bacteria. 2. 3 Final bulk
2. 1. 3. 3 Resistance to antibiotics 2. 3. 1 Formulation and sterilization by filtration
The antibiotic sensitivities of the bacteria shall be
2. 3. 1. 1 Preparation of diluent
the same as that of the original strain.
The approved formula shall be used. The diluent
2. 1. 3. 4 Electro-microscopic examination ( working shall be used immediately after preparation.
seed lot can be exempted) ,
The examinations shall reveal typical morphology 2. 3. 1. 2 Dilution and sterilization by filtration
of E. coli. No contaminations of mycoplasmas, The bulk interferon with an appropriate stabilizer
virus-like particles or other microbes shall be and qualified in control tests shall be diluted using
the diluent prepared in Section 2. 3. 1. 1 to a desired
observed.
concentration and sterilized by filtration. This
2. 1. 3. 5 Biochemical tests preparation is the final bulk and stored at 2-8°C.
The bacteria tested shall have biological properties
of E.coli. 2. 3. 2 Control tests on final bulk
See Section 3. 2.
2. 1. 3. 6 Expression level of rhIFN
The expression level of rhIFN alb in cultures on 2. 4 Final product
shaker shall be not lower than that of the primary 2. 4. 1 Defining batches
seed lot. The Requirements for Defining Batches of Biologics
2. 1. 3. 7 Type of interferon expressed shall apply.
Type of interferon expressed shall be confirmed by 2. 4. 2 Filling
neutralization test using anti-interferon alb reference The Requirements for Filling and Lyophilization of
serum. Biologics shall apply.
2. 1. 3. 8 Characterization of plasmid 2. 4. 3 Specifications
The map· of restriction enzyme digestion shall be The approved specification (s) shall apply.
the same as that of the original recombinant
2. 4. 4 Packaging
plasmid.
The Requirements for Packaging of Biologics shall
2. 2 Bulk apply. ·
2. 2. 1 Preparation of seed 3 Control tests
The bacteria of working seed lot qualified in
3. 1 Control tests on bulk
control tests shall be cultured in an appropriate
medium (a quantity of antibiotic can be used) as 3. 1. 1 Biological activity
an inoculum for fermentation. Carry out the test for biological activity ( Appendix
2. 2. 2 Medium for fermentation
X C).
A suitable medium shall be used for fermentation. 3. 1. 2 Protein content
Recombinant Human Interferon a2a for Injection

Carry out the test for protein content ( Appendix (Appendix X C).
VI B, method 2). 3. 3. 5 Sterility test
3. 1. 3 Specific activity It complies with the test for sterility ( Appendix
The ratio of biological activity to protein content XII A).
shall be not less than 8. 0 X 106 IU / mg of protein.
4 Storage, shipping and validity period
3. 1. 4 Purity Store and ship at 2-8°C, protected from light.
Carry out the test for purity by electrophoresis The approved validity period shall apply, starting
(Appendix N C). If non-reducing SDS-PAGE is from the date of filling of final product.
used, the concentration of separating gel is 15 %.
5 Package inserts
The amount of loading sample shall be not less
The Requirements for Packaging of Biologics shall
than 5 µg with Silver stain or not less than 10 µg
apply.
with Coomassie brilliant blue R-250 stain. The
purity shall be not less than 80. 0 % , and amounts
of other proteins with molecular weights of more
than 50 kD shall be not more than 10 % based on
densitometer scanning. Recombinant Human Interferon a2a
3. 1. 5 Molecular weight for Injection
Carry out the test for molecular weight by
electrophoresis ( Appendix N C ) . If reducing Recombinant human interferon a2a ( rhIFN a2a)
SDS-PAGE is used, the concentration of for injection is a freeze-dried preparation prepared
separating gel is 15%. The amount of loading from recombinant proteins expressed by E. coli
sample shall be not less than 1. 0 µg. Molecular containing recombinant plasmids of the human
weight of the sample shall be 19. 4 kD+ 10 %. ' interferon a2a gene. The recombinant proteins are
3. 1. 6 Content of residual murine IgG isolated, purified and lyophilized after fermenta-
The content of residual murine IgG shall be tested tion of the transformed E.coli. The preparation
if affinity chromatography with mouse monoclonal contains a stabilizer, but free of preservatives and
antibody is used in purification. The content of antibiotics.
murine IgG shall be not more than 100 ng/ dose 1 Basic requirements
(Appendix IX L). The facilities, source and subsidiary materials,
3. 2 Control tests on final bulk water, apparatus and animals used for production
and control tests shall comply with the require-
3. 2. 1 Biological activity ments set forth in the General Notices.
It shall be 80%-150 % of the stated value ( Appendix
X C). 2 Production
3. 2. 2 Sterility test 2. 1 Engineered bacterial strain
It complies with the test for sterility ( Appendix 2. 1. 1 Name and origin of engineered bacterial
XII A). strain
3. 3 Control tests on final product rhIFN a2a engineered bacterial strain is an E.coli
strain transformed with plasmids containing the
3. 3. 1 Identity test human inter£ eron a2a gene.
Immunoblot test ( Appendix VIll A) or immunodot
test (Appendix VIll B) shall reveal positive results. 2. 1. 2 Establishment of bacterial seed lots
The Requirements for Preparation and Control of
3. 3. 2 Physical inspection Animal Cell Substrates Used for Production of
3. 3. 2. 1 Inspection on final containers Biologics shall apply.
The product shall be a liquid in light yellow 2. 1. 3 Control tests on bacterial seeds
colour. The master seed lot and working seed lot shall be
3. 3. 2. 2 Test for visible particles subject to the control tests as follows.
It complies with the test for visible particles 2. 1. 3. 1 Streaking on LB agar plates
(Appendix V B). All colonies that grow on the plates shall have
3. 3. 2. 3 Filling quantity typical morphology of E.coli colonies with no
It complies with the test for mmimum fill evidence of contamination.
(Appendix V F). The quantity shall be not less 2. 1. 3. 2 Gram-stained smears
than the stated value. The bacteria examined under light microscope shall
3. 3. 3 pH be typical Gram-negative bacteria.
It .shall be 6. 5-7. 5 (Appendix V A). 2. 1. 3. 3 Resistance to antibiotics
3. 3. 4 Biological activity The atitibiotic sensitivities of the bacteria shall be
It shall be 80%-150% of the stated value the same as that of the original strain.
Recombinant Human Interferon a2a for Injection

2. 1. 3. 4 Electro-microscopic examination ( working 2. 3 Final bulk


seed lot can be exempted)
2. 3. 1 Formulation and sterilization by filtration
The examinations shall reveal typical morphology
of E. coli. No contaminations of mycoplasmas, 2. 3. 1. 1 Preparation of diluent
virus-like particles or other microbes shall be The approved formula shall be used. The diluent
observed. shall be used immediately after preparation.
2. 1. 3. 5 Biochemical tests 2. 3. 1. 2 Dilution and sterilization by filtration
The bacteria tested shall have biological properties The bulk interferon with an appropriate stabilizer
of E.coli. · and qualified in control tests shall be diluted using
the diluent prepared in Section 2. 3. 1. 1 to a desired
2. 1. 3. 6 Expression level of rhIFN
concentration and sterilized by filtration. This
The expression level of rhlFN a2a in cultures on
preparation is the final bulk and stored at 2-8°C.
shaker shall be not lower than that of the primary
seed lot. 2. 3. 2 Control tests on final bulk
2. 1. 3. 7 Type of interferon expressed See Section 3. 2.
Type of interferon expressed shall be confirmed by 2. 4 Final product
neutralization test using anti-interferon a2a reference
2. 4. 1 Defining batches
serum.
The Requirements for Defining Batches of Biologics
2. 1. 3. 8 Characterization of plasmid shall apply.
The map of restriction enzyme digestion shall be
2. 4. 2 Filling and lyophilization
the same as that of the original recombinant
The Requirements for Filling and Lyophilization of
plasmid.
Biologics shall apply.
2. 2 Bulk
2. 4. 3 Specifications
2. 2. 1 Preparation of seed The approved specification ( s) shall apply.
The bacteria of working seed lot qualified in
control tests shall be cultured in an appropriate 2. 4. 4 Packaging
. medium (a quantity of antibiotic can be used) as The Requirements for Packaging of Biologics shall
an inoculum for fermentation. apply.

2. 2. 2 Medium for fermentation 3 Control tests


A suitable medium shall be used for fermentation. 3. 1 Control tests on bulk
The medium must not contain antibiotics.
3. 1. 1 Biological activity
2. 2. 3 Inoculation and fermentation Carry out the test for biological activity ( Appendix
2. 2. 3. 1 A quantity of seed is inoculated into the X C).
sterilized medium. 3. 1. 2 Protein content
2. 2. 3. 2 Fermentation conditions, such as the Carry out the test for protein content ( Appendix
temperature, pH, oxygen dissolving, feeding VI B, method 2).
and durations, shall follow the approved protocol 3. 1. 3 Specific activity
of fermentation. The losing rate of plasmid in The ratio of biological activity to protein content
bacteria shall be monitored during fermentation at shall be not less than 1. 0 X 108 IU / mg of protein.
a certain time (Appendix IX G).
3. 1. 4 Purity
2. 2. 4 Processing fermentation products
The bacterial mass shall be collected and processed 3. 1. 4. 1 Electrophoresis
using suitable methods. Carry out the test for purity by electrophoresis
(Appendix N C). If non-reducing SDS-PAGE is
2. 2. 5 Preliminary purification used, the concentration of separating gel is 15 %.
The approved purification process shall be adopted. The amount of loading sample shall be not less
The purity shall meet the requirements. than 5 µg with Silver stain or not less than 10 µg
2. 2. 6 Further purification with Coomassie brilliant blue R-250 stain. The
The further purification shall be performed using purity shall be not less than 95. 0 % based on
the approved method. The purity shall meet the densitometer scanning.
requirements in Section 3. 1. The preparation, 3. 1. 4. 2 HPLC
after further purification, is the bulk interferon. Carry out the test for purity by HPLC (Appendix
The preparation shall be stored at an appropriate III B). SEC-HPLC method: Gel for separating
temperature after addition of a suitable stabilizer 5-60 kD proteins shall be used. Flow phase is 0. 1
and sterilization by filtration. The storage period mol/L phosphate-O. 1 mol/L sodium chloride
for bulk shall be. defined. buffer, pH 7. 0. The amount of loading sample
2. 2. 7 Control tests on bulk shall be not less than 20 µg. Wavelength for
See Section 3. 1. detection is 280 nm. The number of theoretical
Recombinant Human Interferon a2a Injection

plates of column shall be not less than 1000 XI[ A).


calculated based on the peak of absorption. The 3. 3 Control tests on final product
area of absorption of major interferon peak shall be Other than the determination of moisture content,
not less than 95. 0 % of the total area.
sterile water for injection shall be added as stated
3. 1. 5 Molecular weight on the label, and the reconstituted product shall
Carry out the test for molecular weight by be subject to the following tests.
electrophoresis ( Appendix N C ) . If reducing 3. 3. 1 Identity test
SDS-PAGE is used, the concentration of
lmmunoblot test ( Appendix Vlll A) or immunodot
separating gel is 15%. The amount of loading
test (Appendix Vlll B) shall reveal positive results.
sample shall be not less than 1. 0 µ.g. Molecular
weight of the sample shall be 19. 2 kD+ 10%. 3. 3. 2 Physical inspection
3. 1. 6 Content of residual extraneous DNA 3. 3. 2. 1 Inspection on final containers
The content of residual extraneous DNA shall be The product looks like a white to off-white crisp
not more than 10 ng/ dose (Appendix IX B). cake. It shall change into a clear liquid quickly
after reconstitution.
3. 1. 7 Content of residual murine lgG
The content of residual murine lgG shall be tested 3. 3. 2. 2 Test for visible particles
if affinity chromatography with mouse monoclonal It complies with the test for visible particles
antibody is used in purification. The content of (Appendix V B).
murine "lgG shall be not more than 100 ng/ dose 3. 3. 2. 3 Weight variation
(Appendix IX L). It complies with the test for weight variation
3. 1. 8 Content of residual host bacterial proteins (Appendix I A).
The content of residual host bacterial proteins shall 3. 3. 3 Chemical tests
be not more than 0. 10% of total proteins
(Appendix IX C). 3. 3. 3. 1 Moisture content
It shall be not more than 3. 0% (Appendix VII D).
3. 1. 9 Activity of residual antibiotics
It complies with the test for residual antibiotics 3. 3. 3. 2 pH
( Appendix IX A)~ The preparation must not It shall be 6. 5-7. 5 (Appendix V A).
contain any residual activities of ampicillin or other 3. 3. 4 Biological activity
antibiotics. It shall be 80%-150% of the stated value (Appendix
3. 1. 10 Test for bacterial endotoxin X C).
The content of bacterial endotoxin shall be less 3. 3. 5 Sterility test
than 1 o EU/ 3000000 IU C Appendix XI[ E, the It complies with the test for sterility ( Appendix
limit test of gel-clot method). XI[ A).
3. 1. 11 Isoelectric point 3. 3. 6 Test for bacterial endotoxin
The isoelectric point of rhlFN a2a protein shall be The content of bacterial endotoxin shall be less
pH 5. 5-6. 8 (Appendix N D). than 10 EU/vial (Appendix XI[ E, the limit test of
3. 1. 12 Ultraviolet spectroscopy gel-clot method).
The maximum absorption peak shall be at 278 nm+ 3. 3. 7 Test for abnormal toxicity
3 nm C Appendix Il A). It complies with the test for abnormal toxicity
3. 1. 13 Peptide mapping ( to be tested at least ( Appendix XI[ F, mouse method).
once half a year) 4 Storage, shipping and validity period
The profile of peptide map shall be in consistency Store and ship at 2-8°C, protected from light.
with that of the interferon a2a reference substance The approved validity period shall apply, starting
( Appendix Vlll E). from the date of filling of final product.
3. 1. 14 N-terminal amino acid sequence ( to be 5 Package inserts
examined at least once a year) The Requirements for Packaging of Biologics shall
The N-terminal sequence examined by an amino apply.
acid sequencer shall be Cys-Asp-Leu-Pro-Gln-Thr-
His-Ser-Leu-Gly-Ser-Arg-Arg-Thr-Leu.
3. 2 Control tests on final bulk
3. 2. 1 Test for bacterial endotoxin
Recombinant Human Interferon a2a
The content of bacterial endotoxin shall be less Injection
than 10 EU/3000000 IU ( Appendix XI[ E, the
limit test of gel-clot method). Recombinant human interferon a2a ( rhlFN a2a)
3. 2, 2 Sterility test injection is a liquid preparation prepared from
It complies with the test for sterility ( Appendix recombinant proteins expressed by Ei coli
Recombinant Human Interferon a2a Injection

contammg recombinant plasmids of the human 2. 2 Bulk


interferon a2a gene. The recombinant proteins are 2. 2. 1 Preparation of seed
isolated and purified after fermentation of the The bacteria of working seed lot qualified in
transformed E.coli. The preparation contains a control tests shall be cultured in an appropriate
stabilizer, but free of preservatives and antibiotics. medium (a quantity of antibiotic can be used) as
1 Basic requirements an inoculum for fermentation.
The facilities, source and subsidiary materials, 2. 2. 2 Medium for fermentation
water, apparatus and animals used for production A suitable medium shall be used for fermentation.
and control tests shall comply with the The medium must not contain antibiotics.
requirements set forth in the General Notices.
2. 2. 3 Inoculation and fermentation
2 Production
2. 2. 3. 1 A quantity of seed is inoculated into the
2. 1 Engineered bacterial strain sterilized medium.
2. 1. 1 Name and origin of engineered bacterial 2. 2. 3. 2 Fermentation conditions, such as the
strain temperature, pH, oxygen dissolving, feeding
rhIFN a2a engineered bacterial strain is an E.coli and durations, shall follow the approved protocol
strain transformed with plasmids containing the of fermentation. The losing rate of plasmid in
human interferon a2a gene. bacteria shall be monitored during fermentation at
2. 1. 2 Establishment of bacterial seed lots a certain time ( Appendix IX G).
The Requirements for Preparation and Control of 2. 2. 4 Processing fermentation products
Animal Cell Substrates Used for Production of The bacterial mass shall be collected and processed
Biologics shall apply. using suitable methods.
2. 1. 3 Control tests on bacterial seeds 2. 2. 5 Preliminary purification
The master seed lot and working seed lot shall be The approved purification process shall be
subject to the control tests as follows. adopted. The purity shall meet the requirements.
2. 1. 3. 1 Streaking on LB agar plates 2. 2. 6 Further purification .
All colonies that grow on the plates shall have The further purification shall be performed using
typical morphology of E.coli colonies with no the approved method. The purity shall meet the
evidence of contamination. requirements in Section 3. 1. The preparation,
2. 1. 3. 2 Gram-stained smears after further purification, is the bulk interferon.
The bacteria examined under light microscope shall The preparation shall be stored at an appropriate
be typical Gram-negative bacteria. temperature after addition of a suitable stabilizer
and sterilization by filtration. The storage period
2. 1. 3. 3 Resistance to antibiotics for bulk shall be defined.
The antibiotic sensitivities of the bacteria shall be
the same as that of the original strain. 2. 2. 7 Control tests on bulk
See Section 3. 1.
2. 1. 3. 4 Electro-microscopicexamination ( working
seed lot can be exempted) 2. 3 Final bulk
The examinations shall reveal typical morphology 2. 3. 1 Formulation and sterilization by filtration
of E. coli. No contaminations of mycoplasmas ,
virus-like particles or other microbes shall be 2. 3. 1. 1 Preparation of diluent
observed. The approved formula shall be used. The diluent
shall be used immediately after preparation.
2. 1. 3. 5 Biochemical tests
The bacteria tested shall have biological properties 2. 3. 1. 2 Dilution and sterilization by filtration
of E.coli. The bulk interferon with an appropriate stabilizer
and qualified in control tests shall be diluted using
2. 1. 3. 6 Expression level of rhIFN the diluent prepared in Section 2. 3. 1. 1 to a desired
The expression level of rhlFN a2a in cultures on concentration and sterilized by filtration. This
shaker shall be not lower than that of the primary preparation is the final bulk and stored at 2-8°C.
seed lot.
2. 3. 2 Control tests on final bulk
2. 1. 3. 7 Type of interferon expressed See Section 3. 2.
Type of interferon expressed shall be confirmed by
neutralization test using anti-interferon a2a reference 2. 4 Final product
serum. 2. 4. 1 Defining batches
2. 1. 3. 8 Characterization of plasmid The Requirements for Defining Batches of
The map of restriction enzyme digestion shall be Biologics shall apply.
the same as that of the original recombinant 2. 4. 2 Filling
plasmid. The Requirements for Filling and Lyophilization of
Recombinant Human.Interferon cx2a Injection

Biologics shall apply. The content of residual host bacterial proteins shall
2. 4. 3 Specifications be not more than 0. 10% of total proteins
The approved specification Cs) shall apply, (Appendix IX C).

2. 4. 4 Packaging 3. 1. 9 Activity of residual antibiotics


The Requirements for Packaging of Biologics shall It complies with the test for residual antibiotics
apply. ( Appendix IX A). The preparation must not
contain any residual activities of ampicillin or other
3 Control tests antibiotics.
3. 1 Control tests on bulk 3. 1. 10 Test for bacterial endotoxin
3. 1. 1 Biological activity The content of bacterial endotoxin shall be less
Carry out the test for biological activity ( Appendix than 10 EU/3000000 IU ( Appendix XI[ E, the
X C). limit test of gel-clot method).
3. 1. 2 Protein content 3. 1. 11 Isoelectric point
Carry out the test for protein content ( Appendix The isoelectric point of rhIFN a2a protein shall be
VI B, method 2). pH 5. 5-6. 8 (Appendix N D).
3. 1. 3 Specific activity 3. 1. 12 Ultraviolet spectroscopy
The ratio of biological activity to protein content The maximum absorption peak shall be at 278 nm+
shall be not less than 1. 0 X 108 IU / mg of protein. 3 nm (Appendix II A).
3. 1. 4 Purity 3. 1. 13 Peptide mapping ( to be tested at least
once half a year)
3. 1. 4. 1 Electrophoresis
The profile of peptide map shall be in consistency
Carry out· the test for purity by electrophoresis
with that of the interferon a2a reference substance
(Appendix N C). If non-reducing SDS-PAGE is
( Appendix V1U E).
used, the concentration of separating gel is 15%.
The amount of loading sample shall be not less 3. 1. 14 N-terminal amino acid sequence ( to be
than 5 µg with Silver stain or not less than 10 µg examined at least once a year)
with Coomassie brilliant blue R-250 stain. The The N-terminal sequence examined by an amino
purity shall be not less than 95. 0 % based on acid sequencer shall be Cys-Asp-Leu-Pro-Gln-Thr-
densitometer scanning. His-Ser-Leu-Gly-Ser-Arg-Arg-Thr-Leu.
3. 1. 4. 2 HPLC 3. 2 Control tests on final bulk
Carry out the test for purity by HPLC (Appendix 3. 2. 1 Test for bacterial endotoxin
ill B). SEC-HPLC method: Gel for separating The content of bacterial endotoxin shall be less
5-60 kD proteins shall be used. Flow phase is than 10 EU/3000000 IU ( Appendix XI[ E, the
0. 1 mol/L phosphate-0. 1 mol/L sodium chloride limit test of gel-clot method).
buffer, pH 7. 0. The amount of loading sample
shall be not less than 20 µg. Wavelength for 3. 2. 2 Sterility test
detection is 280 nm. The number of theoretical It complies with the test for sterility ( Appendix
plates of column shall be not less than 1000 XI[ A).
calculated based on the peak of absorption. The 3. 3 Control tests on final product
area of absorption of major interferon peak shall be
not less than 95. 0 % of the total area. 3. 3. 1 Identity test
Immunoblot test ( Appendix VIU A) or immunodot
3. 1. 5 Molecular weight test (Appendix VIU B) shall reveal positive results.
Carry out the test for molecular weight by
electrophoresis ( Appendix N C ) . If reducing 3. 3. 2 Physical inspection
SDS-PAGE is used, the concentration of 3. 3. 2. 1 Inspection on final containers
separating gel is 15%. The amount of loading The product shall be a clear liquid.
sample shall be not less than 1. 0 µg. Molecular
3. 3. 2. 2 Test for visible particles
weight of the sample shall be 19. 2 kD+lO%.
It complies with the test for visible particles
3. 1. 6 Content of residual extraneous DNA (Appendix V B).
The content of residual extraneous DNA shall be
3. 3. 2. 3 Filling quantity
not more than 10 ng/dose (Appendix IX B).
It complies with the requirements for filling
3. 1. 7 Content of residual murine IgG quantity (Appendix I A). The quantity shall be
The content of residual murine IgG shall be tested not less than the stated value.
if affinity chromatography with mouse monoclonal
3. 3. 3 Chemical tests
antibody is used in purification. The content of
murine IgG shall be not more than 100 ng/ dose 3. 3. 3. 1 pH
(Appendix IX L). It shall be 6. 5-7. 5 (Appendix V A).
3. 1. 8 Content of residual host bacterial proteins 3. 3. 3. 2 Test for residual polysorbate 80 content
Recombinant Human Interferon a2a for Injection (Yeast)

Carry out the test for residual polysorbate 80 The Requirements for Preparation and Control of
(Appendix VI H). If product contains polysorbate Animal Cell Substrates Used for Production of
80, the content shall be 0. 008%-0. 02%. Biologics shall apply.
3. 3. 3. 3 Residual content of methylparaben and 2. 1. 3 Control tests on yeast seeds
propylparaben The master seed lot and working seed lot shall be
If preparation contains methylparaben, the content subject to the control tests as follows.
shall he 0. 04%-o. 1%. If preparation contains 2. 1. 3. 1 Streaking on SD agar plates
propylparaben, the content shall be O. 004%- All colonies that grow on the plates shall have
0. 01%. typical morphology of yeast colonies with no
3. 3. 4 Biological activity evidence of contamination.
It shall be 80%-150% of the stated value (Appendix 2. 1. 3. 2 Morphology of yeast
x C): The test sample examined under light microscope
3. 3. 5 Sterility test shall show the typical morphology of yeast.
It complies with the test for sterility ( Appendix 2. 1. 3. 3 Expression level of rhIFN
XII A). The expression level of rhIFN a2a in cultures on
3. 3. 6 Test for bacterial endotoxin shaker shall be not lower than that of the primary
The content of bacterial endotoxin shall be less seed lot.
than 10 EU/ vial ( Appendix XII E, the limit test of 2. 1. 3. 4 Type of interferon expressed
gel-clot method). Type of interferon expressed shall be confirmed by
3. 3. 7 Test for abnormal toxicity neutralization test usmg anti-interferon a2a
It complies with the test for abnormal toxicity reference serum.
( Appendix XII F, mouse method). 2. 1. 3. 5 Stability of interferon gene
4 Storage, shipping and validity period At least 50 colonies on SD agar plates shall be
Store and ship at 2-8°C, protected from light. tested for interferon gene by PCR. The positive
The approved validity period shall apply, starting rate shall be not lower than 95 %.
from the date of filling of final product. 2. 2, Preparation of bulk
5 Package inserts 2. 2. 1 Preparation of seed
The Requirements for Packaging of Biologics shall The yeast of working seed lot qualified in control
apply. tests shall be cultured in an appropriate medium as
an inoculum for fermentation.
2. 2. 2 Medium for fermentation
A suitable medium shall be used for fermentation.
Recombinant Human Interferon a2a The medium must not contain antibiotics.
for Injection (Yeast)
2. 2. 3 Inoculation and fermentation
2. 2. 3. 1 A quantity of seed is inoculated into the
Recombinant human interferon a2a ( rhIFN a2a)
sterilized medium.
for injection is a freeze-dried preparation prepared
from recombinant proteins expressed by yeast 2. 2. 3. 2 Fermentation conditions, such as the
containing recombinant plasmids of the human temperature, pH, oxygen dissolving, feeding
interferon a2a gene. The recombinant proteins are and durations, shall follow the approved protocol
isolated, purified and lyophilizedafter fermentation of of fermentation.
the transformed yeast. The preparation contains a 2. 2. 4 Processing fermentation products
stabilizer, but free of preservatives and antibiotics. The yeast mass shall be collected and processed
1 Basic requirements using suitable methods.
The facilities, source and subsidiary materials, 2. 2. 5 Preliminary purification
water, apparatus and animals used for production The approved purification process shall be
and control tests shall comply with the require- adopted. The purity shall meet the requirements.
ments set forth in the General Notices.
2. 2. 6 Further purification
2 Production The further purification shall be performed using
2. 1 Engineered bacterial strain the approved methods. The purity shall meet the
requirements in Section 3. 1. The preparation,
2. 1. 1 Name and origin of engineered yeast strain
after further purification, is the bulk interferon.
rhlFN a2a engineered strain is a yeast strain
The preparation shall be stored at an appropriate
transformed with plasmids containing the human
temperature after addition of a suitable stabilizer
interferon a2a gene.
and sterilization by filtration. The storage period
2. 1. 2 Establishment of seed lot system for bulk shall be defined.
Recombinant Human Interferon a2a for Injection (Yeast)

2. 2. 7 Control tests on bulk shall be not less than 20 µg. Wavelength for
See Section 3. 1. detection is 280 nm. The number of theoretical
2. 3 Final bulk plates of column shall be not less than 1000
calculated based on the peak of absorption. The
2. 3. 1 Formulation and sterilization by filtration area of major peak of absorption shall be not less
2. 3. 1. 1 Preparation of diluent than 95. 0 % of the total area.
The approved formula shall be used. The diluent 3. 1. 5 Molecular weight
shall be used immediately after preparation. Carry out the test for molecular weight by
2. 3. 1. 2 Dilution and sterilization by filtration electrophoresis ( Appendix N C ) . If reducing
The bulk interferon with an appropriate stabilizer SDS-PAGE is used, the concentration of
and qualified in control tests shall be diluted using separating gel is 15 %. The amount of loading
the diluent prepared in Section 2. 3. 1. 1 to a desired sample shall be not less than 1. 0 µg. Molecular
concentration and sterilized by filtration. This weight of the sample shall be 19. 2 kD+lO%.
preparation is the final bulk and stored at 2-8°C. 3. 1. 6 Content of residual extraneous DNA
2. 3. 2 Control tests on final bulk The content of residual extraneous DNA shall be
See Section 3. 2. not more than 10 ng/dose (Appendix IX B).

2. 4 Final product 3. 1. 7 Content of residual host yeast proteins


It shall be not more than 0. 050 % of total proteins .
2. 4. 1 Defining batches (Appendix IX E).
The Requirements for Defining Batches of
Biologics shall apply. 3. 1. 8 Test for bacterial endotoxin
The content of bacterial endotoxin shall be less
2. 4. 2 Filling and lyophilization than 10 EU/3000000 IU ( Appendix XI[ E, the
The Requirements for Filling and Lyophilization of limit test of gel-clot method).
Biologics shall apply.
3. 1. 9 Isoelectric point
2. 4. 3 Specifications The isoelectric point of rhIFN a2a protein shall be
The approved specification (s) shall apply. pH 5. 7-6. 7 (Appendix N D).
2. 4. 4 Packaging 3. 1. 10 Ultraviolet spectroscopy
The Requirements for Packaging of Biologics shall The maximum absorption peak shall be at 278 nm+
apply. 3 nm ( Appendix II A).
3 Control tests 3. 1. 11 Peptide mapping ( to be tested at least
3. 1 Control tests on bulk once half a year)
The profile of peptide map shall be in consistency
3. 1. 1 Biological activity with that of the interferon a2a reference substance
Carry out the test for biological activity ( Appendix (Appendix VD1 E).
X C).
3. 1. 12 N-terminal amino acid sequence ( to be
3. 1. 2 Protein content examined at least once a year)
Carry out the test for protein content ( Appendix The N-terminal sequence examined by an amino
VI B, method 2). acid sequencer shall be Cys-Asp-Leu-Pro-Gln-Thr-
3. 1. 3 Specific activity His-Ser-Leu-Gly,-Ser-Arg-Arg-Thr-Leu.
The ratio of biological activity to protein content 3. 2 Control tests on final bulk
shall be not less than 1. 0 X 108 IU / mg of protein.
3. 2. 1 Test for bacterial endotoxin
3. 1. 4 Purity The content of bacterial endotoxin shall be less
3. 1. 4. 1 Electrophoresis than 10 EU/3000000 IU ( Appendix XI[ E, the
Carry out the test for purity by electrophoresis limit test of gel-clot method).
(Appendix N C). If non-reducing SDS-PAGE is 3. 2. 2 Sterility test
used, the concentration of separating gel is 15%. It complies with the test for sterility ( Appendix
The amount of loading sample shall be not less XI[ A).
than 5 µg with Silver stain or not less than 10 µg
with Coomassie brilliant blue R-250 stain. The 3. 3 Control tests on final product
purity shall be not less than 95. 0 % based on Other than the determination of moisture content,
densitometer scanning. sterile water for injection shall be added as stated
on the label, and the reconstituted product shall
3. 1. 4. 2 HPLC be subject to the following tests.
Carry out the test for purity by HPLC (Appendix
ill B). SEC-HPLC method: Gel for separating 3. 3. 1 Identity test
5-60 kD proteins shall be used. Flow phase is Immunoblot .test (Appendix VIll A) or immunodot
0. 1 mol/L phosphate-0. 1 mol/L sodium chloride test (Appendix VIll B) shall reveal positive results.
buffer, pH 7. 0. The amount of loading sample 3. 3. 2 Physical inspection
Recombinant Human Interferon a2a Vaginal Suppository

3. 3. 2. 1 Inspection on final containers strain


The product looks like a white to off-white crisp rhIFN a2a engineered bacterial strain is an E. coli
cake. It shall change into a clear liquid quickly strain transformed with plasmids containing the
after reconstitution. human interferon a2a gene. .
3. 3. 2. 2 Test for visible particles 2. 1. 2 Establishment of bacterial seed lots
It complies with the test for visible particles The Requirements for Preparation and Control of
(Appendix V B). · Animal Cell Substrates Used for Production of
Biologics shall apply.
3. 3. 2. 3 Weight variation
It complies with the test for weight variation 2. 1. 3 Control tests on bacterial seeds
(Appendix I A). The master seed lot and working seed lot shall be
subject to the control tests as follows.
3. 3. 3 Chemical tests
2. 1. 3. 1 Streaking on LB agar plates
3. 3. 3. 1 Moisture content
All colonies that grow on the plates shall have
The residual moisture content shall be not more
typical morphology of Ei coli colonies with no
than 3. 0% (Appendix VIl D).
evidence of contamination.
3. 3. 3. 2 pH
2. 1. 3. 2 Gram-stained smears
It shall be 6. 5-7. 5 (Appendix V A).
The bacteria examined under light microscope shall
3. 3. 4 Biological activity be typical Gram-negative bacteria.
It shall be 80%-150 % of the stated value ( Appendix
2~ 1. 3. 3 Resistance to antibiotics
X C). The antibiotic sensitivities of the bacteria shall be
3. 3. 5 Sterility test the same as that of the original strain.
It complies with the test for sterility ( Appendix
2. 1. 3. 4 Electro-microscopic examination ( working
XII A). seed lot can be exempted)
3. 3. 6 Test for bacterial endotoxin The examinations shall reveal typical morphology
The content of bacterial endotoxin shall be less of E. coli. No contaminations .of mycoplasmas ,
than 10 EU/vial (Appendix XII E, the limit test of virus-like particles or other microbes shall be
gel-clot method). observed.
3. 3. 7 Test for abnormal toxicity 2. 1. 3. 5 Biochemical tests
'it complies with the test for abnormal toxicity The bacteria tested shall have biological properties
( Appendix XII F, mouse method). of E.coli.
4 Storage, shipping and validity period 2. 1. 3. 6 Expression level of rhIFN
Store and ship at 2-8°C, protected from light. The expression level of rhIFN a2a in cultures on
The approved validity period shall apply, starting shaker shall be not lower than that of the primary
from the date of filling of final product. seed lot.
S Package inserts 2. 1. 3. 7 Type of interferon expressed
The Requirements for Packaging of Biologics shall Type of interferon expressed shall be confirmed
apply. by neutralization test using anti-interf eron a2a
reference serum.
2. 1. 3. 8 Characterization of plasmid
The map of restriction enzyme digestion shall be
Recombinant Human Interferon a2a the same as that of the original recombinant
Vaginal Suppository plasmid.
2. 2 Bulk
Recombinant human interferon a2a ( rhIFN a2a) 2. 2. 1 Preparation of seed
vaginal suppository is a preparation made by The bacteria of working seed lot qualified in
adding rhIFN a2a to the suppository bases, then control tests shall be cultured in an appropriate
molding and film-coating. medium (a quantity of antibiotic can be used) as
1 Basic requirements an inoculum for fermentation.
The facilities, source and subsidiary materials, 2. 2. 2 Medium for fermentation
water, apparatus and animals used for production A suitable medium shall be used for fermentation.
and control tests shall comply with the requtre- The medium must not contain antibiotics.
ments set forth in the General Notices.
2. 2. 3 Inoculation and fermentation
2 Production
2. 2. 3. 1 A quantity of seed is inoculated into the
2. 1 Engineered bacterial strain sterilized medium.
2. 1. 1 Name and origin of engineered bacterial 2. 2. 3. 2 Fermentation conditions, such as the
Recombinant Human Interferon a2a Vaginal Suppository

temperature, pH, oxygen dissolving, feeding 3. 1. 3 Specific activity


and durations, shall follow the approved protocol The ratio of biological activity to protein content
of fermentation. The losing rate of plasmid in shall be not less than 1. 0 X 108 IU / mg of protein.
bacteria shall be monitored during fermentation at 3. 1. 4 Purity
a certain time ( Appendix IX G).
3. 1. 4. 1 Electrophoresis
2. 2. 4 Processing fermentation products Carry out the test for purity by electrophoresis
The bacterial mass shall be collected and processed (Appendix N C). If non-reducing SDS-PAGE is
using suitable methods. used, the concentration of separating gel is 15%.
2. 2. 5 Preliminary purification The amount of loading sample shall be not less
The approved purification process shall be than 5 µg with Silver stain or not less than 10 µg
adopted. The purity shall meet the requirements. with Coomassie brilliant blue R-250 stain. The
2. 2. 6 Further purification purity shall be not less than 95. 0 % based on
The further purification shall be performed using densitometer scanning.
the approved method. The purity shall meet the 3. 1. 4. 2 HPLC
requirements in Section 3. 1. The preparation, Carry out the test for purity by HPLC (Appendix
after further purification, is the bulk interferon. ill B). SEC-HPLC method: Gel for separating
The preparation shall be stored at an appropriate 5-60 kD proteins shall be used. Flow phase is 0. 1
temperature after addition of a suitable stabilizer mol/L phosphate-O. 1 mol/L sodium chloride
and sterilization by filtration. The storage period buffer, pH 7. 0. The amount of loading sample
for bulk shall be defined. shall be not less than 20 µg. Wavelength for
2. 2. 7 Control· tests on bulk detection is. 280 nm. The number of theoretical
See Section 3. 1. plates of column shall be not less than 1000
calculated based on the peak of absorption. The
2. 3 Preparation of the suppository area of absorption of major interferon peak shall be
2. 3. 1 For~ulation and sterilization by filtration not less than 95. 0 % of the total area.
The approved formula shall be used. The suppository 3. 1. 5 Molecular weight
bases shall be non-irritating to the vaginal canal. Carry out the test for molecular weight by
After insertion, the suppository shall be softened, electrophoresis ( Appendix N C ) . If reducing
melted and dissolved, and mixed with vaginal SDS-PAGE is used, the concentration of
secretions, and the interferon shall be released separating gel is 15 %. The amount of loading
gradually to develop the local or systemic effects. sample shall be not less than 1. 0 µg. Molecular
2. 3. 2 Temperature during mixing interferon with weight of the sample shall be 19. 2 kD± 10 %.
bases shall be not higher than 56°C. Interferon and 3. 1. 6 Content of residual extraneous DNA
bases shall be mixed well. The content of residual extraneous DNA shall be
2. 3. 3 Molding not more than 10 ng/ dose ( Appendix IX B).
The approved production process shall be adopted. 3. 1. 7 Content of residual murine IgG
The suppository shall be intact and smooth. The content of residual murine lgG shall be tested
Certain hardness is required to prevent from if affinity chromatography with mouse monoclonal
disfiguring during packaging and storage. antibody is used in purification. The content of
2. 4 Final product murine IgG shall be not more than 100 ng/ dose
(Appendix IX L),
2. 4. 1 Defining batches
The Requirements for Defining Batches of Biologics 3. 1. 8 Content of residual host bacterial proteins
shall apply. The content of residual host bacterial proteins shall
be not more than 0. 10 % of total proteins ( Appendix
2. 4. 2 Specifications IX C).
The approved specification Cs) shall apply.
3. 1. 9 Activity of residual antibiotics
2. 4. 3 Packaging It complies with the test for residual antibiotics
The Requirements for Packaging of Biologics shall ( Appendix IX A). The preparation must not
apply. contain any residual activities of ampicillin or other
3 Control tests antibiotics.
3. 1 Control tests on bulk 3. 1. 10 Isoelectric point
The isoelectric point of rhIFN a2a protein shall be
3. 1. 1 Biological activity
pH 5. 5-6. 8 (Appendix N D).
Carry out the test for biological activity ( Appendix
X C). 3. 1. 11 Ultraviolet spectroscopy
The maximum absorption peak shall be at
3. 1. 2 Protein content
278 nm+3 nm (Appendix II A).
Carry out the test for protein content ( Appendix
VI B, method 2). 3. 1. 12 Peptide mapping ( to be tested at least
Recombinant Human Interferon a2b for Injection

once half a year) and control tests shall comply with the require-
The profile of peptide map shall be in consistency ments set forth in the General Notices.
with that of the interferon a2a reference substance 2 Production
(Appendix VIII E).
2. 1 Engineered bacterial strain
3. 1. 13 N-terminal amino acid sequence ( to be
examined at least once a year) 2. 1. 1 Name and origin of engineered bacterial strain
The N-terminal sequence examined by an amino rhIFN a2b engineered bacterial strain is an Ei coli
acid sequencer shall be Cys-Asp-Leu-Pro-Gln-Thr- strain transformed with plasmids containing the
His-Ser-Leu-Gly-Ser-Arg-Arg-Thr-Leu. human interferon a2b gene.
3. 2 Control tests on final product 2. 1. 2 Establishment of bacterial seed lots
The Requirements for Preparation and Control of
3. 2. 1 Identity test Animal Cell Substrates Used for Production of
Immunoblot test ( Appendix VIII A) or immunodot Biologics shall apply.
test (Appendix VIII B) shall reveal positive results.
2. 1. 3 Control tests on bacterial seeds
3. 2. 2 Physical inspection The master seed lot and working seed lot shall be
3. 2. 2. 1 Appearance subject to the control tests as follows.
The suppository shall be white or yellowish m 2. 1. 3. 1 Streaking on LB agar plates
colour, externally even, smooth and hard. All colonies that grow on the plates shall have
3. 2. 2. 2 Weight deviation typical morphology of E. coli colonies with no
It complies with the weight deviation test ( Appendix evidence of contamination.
I B). 2. 1. 3. 2 Gram-stained smears
3. 2. 2. 3 Disintegration test for suppositories The bacteria examined under light microscope shall
It complies with the disintegration test for be typical Gram-negative bacteria.
suppositories (Appendix V D). 2. 1. 3. 3 Resistance to antibiotics
3. 2. 3 pH The antibiotic sensitivities of the bacteria shall be
It shall be 6. 5-7. 5 (Appendix V A). the same as that of the original strain.
3. 2. 4 Biological activity 2. 1. 3. 4 Electro-microscopicexamination ( working
It shall be 80%-150% of the stated value (Appendix seed lot can be exempted)
X C). The examinations shall reveal typical morphology
of E.coli. No contaminations of mycoplasmas,
3. 2. 5 Microbial limit test
virus-like particles or other microbes shall be
It complies with the microbial limit test ( Appendix
observed.
XII G).
2. 1. 3. 5 Biochemical tests
4 Storage, shipping and validity period
The bacteria tested shall have biological properties
Store and ship at 2-8°C, protected from light.
of E.coli.
The approved validity period shall apply, starting
from the date of molding. 2. 1. 3. 6 Expression level of rhIFN
The expression level of rhIFN a2b in cultures on
S Package inserts
shaker shall be not lower than that of the primary
The Requirements for Packaging of Biologics shall
seed lot.
apply.
2. 1. 3. 7 Type of interferon expressed
Type of interferon expressed shall be confirmed by
neutralization test using anti-interferon a2b reference
Recombinant Human Interferon a2b serum.
for Injection 2. 1. 3. 8 Characterization of plasmid
The map of r~striction enzyme digestion shall be
the same as that of the original recombinant
Recombinant human interferon a2b ( rhIFN a2b) plasmid.
for injection is a freeze-dried preparation prepared
from recombinant proteins expressed by E. coli 2. 2 Bulk
containing recombinant plasmids of the human 2. 2. 1 Preparation of seed
interferon a2b gene. The recombinant proteins are The bacteria of working seed lot qualified in
isolated, purified and lyophilizedafter fermentation of control tests shall be cultured in an appropriate
the transformed E.coli. The preparation contains medium (a quantity of antibiotic can be used) as
a stabilizer, but free of preservatives and antibiotics. an inoculum for fermentation.
1 Basic requirements 2. 2. 2 Medium for fermentation
The facilities, source and subsidiary materials, A suitable medium shall be used for fermentation.
water, apparatus and animals used for production The medium must not contain antibiotics.
Recombinant Human Interferon a2b for Injection

2. 2. 3 Inoculation and fermentation 3. 1. 1 Biological activity


Carry out the test for biological activity ( Appendix
2. 2. 3. 1 A quantity of seed is inoculated into the
sterilized medium.
X C).
3. 1. 2 Protein content
2. 2. 3. 2 Fermentation conditions, such as the
Carry out the test for protein content ( Appendix
temperature, pH, oxygen dissolving, feeding
VI B, method 2).
and durations, shall follow the approved protocol
of fermentation. The losing rate of plasmid in 3. 1. 3 Specific activity
bacteria shall be monitored during fermentation at The ratio of biological activity to protein content
a certain time ( Appendix IX G). shall be not less than 1. 0 X 108 IU / mg of protein.
2. 2. 4 Processing fermentation products 3. 1. 4 Purity
The bacterial mass shall be collected and processed 3. 1. 4. 1 Electrophoresis
using suitable methods. Carry out the test for purity by electrophoresis
2. 2. 5 Preliminary purification (Appendix N C). If non-reducing SDS-PAGE is
The approved purification process shall be adopted used, the concentration of separating gel is 15%.
The purity shall meet the requirements. The amount of loading sample shall be not less
than 5 µg with Silver stain or not less than 10 µg
2. 2. 6 Further purification with Coomassie brilliant blue R-250 stain. The
The further purification shall be performed using purity shall be not less than 95. 0 % based on
the approved method. The purity shall meet the densitometer scanning.
requirements in Section 3. 1. The preparation,
after further purification, is the bulk interferon. 3. 1. 4. 2 HPLC
The preparation shall be stored at an appropriate Carry out the test for purity by HPLC ( Appendix
temperature after addition of a suitable stabilizer ill B). SEC-HPLC method: Gel for separating
and sterilization by filtration. The storage period 5-60 kD proteins shall be used. Flow phase is
for bulk shall be defined. 0. 1 mol/L phosphate-0. 1 mol/L sodium chloride
buff er, pH 7. 0. The amount of loading sample
2. 2. 7 Control tests on bulk shall be not less than 20 µg. Wavelength for
See 'Section 3. 1. detection is 280 nm. The limit test of gel-clot
2. 3 Final bulk method shall be not less than 1000 calculated based
on the peak of absorption. The area of absorption
2. 3. 1 Formulation and sterilization by filtration of major interferon peak shall be not less than
2. 3. 1. 1 Preparation of diluent 95. 0 % of the total area.
The approved formula shall be used. The diluent 3. 1. 5 Molecular weight
shall be used immediately after preparation. Carry out the test for molecular weight by electro-
2. 3. 1. 2 Dilution and sterilization by filtration phoresis ( Appendix N C ) . If reducing SDS-
The bulk interferon with an appropriate stabilizer PAGE is used, the concentration of separating gel
and qualified in control tests shall be diluted using is 15%. The amount of loading sample shall be
the diluent prepared in Section 2. 3. 1. 1 to a desired not less than 1. 0 µg. Molecular weight of the
concentration and sterilized by filtration. This sample shall be 19. 2 kD+lO%.
preparation is the final bulk and stored at 2-8°C. 3. 1. 6 Content of residual extraneous DNA
2. 3. 2 Control tests on final bulk The content of residual extraneous DNA shall be
See Section 3. 2. not more than 10 ng/dose (Appendix IX B).
3. 1. 7 Content of residual murine lgG
2. 4 Final product
The content of residual murine IgG shall be tested
2. 4. 1 Defining batches if affinity chromatography with mouse monoclonal
The Requirements for Defining Batches of Biologics antibody is used in purification. The content of
shall apply. murine IgG shall be not more than 100 ng/ dose
2. 4. 2 Filling and lyophilization (Appendix IX L).
The Requirements for Filling and Lyophilization of 3. 1. 8 Content of residual host bacterial proteins
Biologics shall apply. The content of residual host bacterial proteins shall
be not more than 0. 10% of total proteins
2. 4. 3 Specifications
(Appendix IX C).
The approved specification ( s) shall apply.
3. 1. 9 Activity of residual antibiotics
2. 4. 4 Packaging
It complies with test for residual antibiotics
The Requirements for Packaging of Biologics shall
( Appendix IX A). The preparation must not
apply.
contain any residual activities of ampicillin or other
3 Control tests antibiotics.
3. 1 Control tests on bulk 3. 1. 10 Test for bacterial endotoxin
Recombinant Human Interferon a2b Injection

The content of bacterial endotoxin shall be less It shall be 80%-150% of the stated value ( Appendix
than 10 EU/3000000 IU ( Appendix XII E, the X C).
limit test of gel-clot method).
3. 3. 5 Sterility test
3. 1. 11 Isoelectric point It complies with the test for sterility ( Appendix
The isoelectric point of rhIFN a2b protein shall be XII A).
pH 4. 0-6. 7 (Appendix N D).
3. 3. 6 Test for bacterial endotoxin
3. 1. 12 Ultraviolet spectroscopy The content of bacterial endotoxin shall be less
The maximum absorption peak shall be at 278 nm+ than 10 EU/vial (Appendix XII E, the limit test of
3 nm (Appendix Il A). gel-clot method).
3. 1. 13 Peptide mapping ( to be tested at least 3. 3. 7 Test for abnormal toxicity
once half a year) It complies with the test for abnormal toxicity
The profile of peptide map shall be in consistency (Appendix XII F, mouse method).
with that of the interferon a2b reference substance
4 Storage, shipping and validity period
( Appendix Vlll E).
Store and ship at 2-8°C, protected from light.
3. 1. 14 N-terminal amino acid sequence ( to be The approved validity period shall apply, starting
examined at least once a year) from the date of filling of final product.
The N-terminal sequence examined by an amino
5 Package inserts
acid sequencer shall be Cys-Asp-Leu-Pro-Gln-Thr-
The Requirements for Packaging of Biologics shall
His-Ser-Leu-Gly-Ser-Arg-Arg-Thr-Leu.
apply.
3. 2 Control tests on final bulk
3. 2. 1 Test for bacterial endotoxin
The content of bacterial endotoxin shall be less
than 10 EU/3000000 IU ( Appendix XII E, the Recombinant Human Interferon a2b
limit test of gel-clot method). Injection
3. 2. 2 Sterility test
It complies with the test for sterility ( Appendix Recombinant human interferon a2b ( rhIFN a2b)
XII A). injection is a liquid preparation prepared from
3. 3 Control tests on final product recombinant proteins expressed by E. coli
Other than the determination of moisture content, containing recombinant plasmids of the human
sterile water for injection shall be added as stated interferon a2b gene. The recombinant proteins are
on the label, and the reconstituted product shall isolated and purified after fermentation of the
be subject to the following tests. transformed E.coli. The preparation contains a
stabilizer, but free of preservativesand antibiotics.
3. 3. 1 Identity test
lmmunoblot test ( Appendix Vlll A) or immunodot 1 Basic requirements
test (Appendix Vlll B) shall reveal positive results. The facilities, source and subsidiary materials,
water, . apparatus and animals used for production
3. 3. 2 Physical inspection and control tests shall comply with the require-
3. 3. 2. 1 Inspection on final containers ments set forth in the General Notices.
The product looks like a white to off-white crisp 2 · Production
cake. It shall change into a clear liquid quickly
after reconstitution. 2. 1 Engineered bacterial strain
3. 3. 2. 2 Test for visible particles 2. 1. 1 Name and origin of engineered bacterial
It complies with the test for visible particles strain
(Appendix V B). rhlFN a2b engineered bacterial strain is an E.coli
strain transformed with plasmids containing the
3. 3. 2. 3 Weight variation
human interferon a2b gene.
It complies with the test for weight variation
(Appendix I A). 2. 1. 2 Establishment of bacterial seed lots
The Requirements for Preparation and Control of
3. 3. 3 Chemical tests
Animal Cell Substrates Used for Production of
3. 3. 3. 1 Moisture content Biologics shall apply.
It shall be not more than 3. 0 %. If preparation
2. 1. 3 Control tests on bacterial seeds
contains glucose, the residual moisture content
The master seed lot and working seed lot shall be
shall be not more than 4. 0% (Appendix W D).
subject to the control tests as follows.
3. 3. 3. 2 pH
2. 1. 3. 1 Streaking on LB agar plates
It shall be 6. 5-7. 5 (Appendix V A). All colonies that grow on the plates shall have
3. 3. 4 Biological activity typical morphology of E.coli colonies with no
Recombinant Human Interferon a2b Injection

evidence of contamination. requirements in Section 3. 1. The preparation,


2. 1. 3. 2 Gram-stained smears after further purification, is the bulk interferon.
The bacteria examined under light microscope shall The preparation shall be stored at an appropriate
be typical Gram-negative bacteria. temperature after addition of a suitable stabilizer
and sterilization by filtration. Validity period shall
2. 1. 3. 3 Resistance to antibiotics be defined.
The antibiotic sensitivities of the bacteria shall be
the same as that of the original strain. 2. 2. 7 Control tests on bulk
See Section 3. 1.
2. 1. 3. 4 Electro-microscopicexamination ( working
seed lot can be exempted) 2. 3 Final bulk
The examinations shall reveal typical morphology 2. 3. 1 Formulation and sterilization by filtration
of E.coli. No contaminations of mycoplasmas ,
2. 3. 1. 1 Preparation of diluent
virus-like particles or other microbes shall be
The approved formula shall be used. The diluent
observed. shall be used immediately after preparation.
2. 1. 3. 5 Biochemical tests
2. 3. 1. 2 Dilution and sterilization by filtration
The bacteria tested shall have biological properties
The bulk interferon with an appropriate stabilizer
of E.coli.
and qualified in control tests shall be diluted using
2. 1. 3. 6 Expression level of rhIFN the diluent prepared in Section 2. 3. 1. 1 to a desired
The expression level of rhIFN a2b in cultures on concentration and sterilized by filtration. This
shaker shall be not lower than that of the primary preparation is the final bulk and stored at 2.:.8°C.
seed lot.
2. 3. 2 Control tests on final bulk
2. 1. 3. 7 Type of interferon expressed See Section 3. 2.
Type of interferon expressed shall be confirmed by
2. 4 Final product
neutralization test usmg anti-interferon a2b
reference serum. 2. 4. 1 Defining batches
The Requirements for Defining Batches of Biologics
2. 1. 3. 8 Characterization of plasmid
shall apply.
The map of restriction enzyme digestion shall be
the same as that of the original recombinant 2. 4. 2 Filling
plasmid. The Requirements for Filling and Lyophilization of
Biologics shall apply.
2. 2 Bulk
2. 4. 3 Specifications
2. 2. 1 Preparation of seed
The approved specification Cs) shall apply.
The bacteria of working seed lot qualified in
control tests shall be cultured in an appropriate 2. 4. 4 Packaging
medium (a quantity of antibiotic can be used) as The Requirements for Packaging of Biologics shall
an inoculum for fermentation. apply.
2. 2. 2 Medium for fermentation 3 Control tests
A suitable medium shall be used for fermentation. 3. 1 Control tests on bulk
The medium must not contain antibiotics.
3. 1. 1 Biological activity
2. 2. 3 Inoculation and fermentation Carry out the test for biological activity ( Appendix
2. 2. 3. 1 A quantity of seed is inoculated into the X C).
sterilized medium. 3. 1. 2 Protein content
2. 2. 3. 2 Fermentation conditions, such as the Carry out the test for protein content ( Appendix
temperature, pH, oxygen dissolving, feeding VI B, method 2).
and durations, shall follow the approved protocol 3. 1. 3 Specific activity
of fermentation. The losing rate of plasmid in The ratio of biological activity to protein content
bacteria shall be monitored during fermentation at shall be not less than 1. 0 X 108 IU / mg of protein.
a certain time (Appendix IX G).
3. 1. 4 Purity
2. 2. 4 Processing fermentation products
The bacterial mass shall be collected and processed 3. 1. 4. 1 Electrophoresis
using suitable methods. Carry out the test for purity by electrophoresis
(Appendix N C). If non-reducing SDS-PAGE is
2. 2. 5 Preliminary purification used, the concentration of separating gel is 15%.
The approved purification process shall be adopted The amount of loading sample shall be not less
The purity shall meet the requirements. than 5 µg with Silver stain or not less than 10 µg
2. 2. 6 Further purification with Coomassie brilliant blue R-250 stain. The
The further purification shall be performed using purity shall be not less than 95. 0 % based on
the approved method. The purity shall meet the densitometer scanning.
Recombinant Human Interferon a2b for Injection (P. putida)

3. 1. 4. 2 HPLC 3. 2 Control tests on final bulk


Carry out the test for purity by HPLC (Appendix 3. 2. 1 Test for bacterial endotoxin
III B). SEC-HPLC method: Gel for separating The content of bacterial endotoxin shall be less
5-60 kD proteins shall be used. Flow phase is than 10 EU/3000000 IU ( Appendix XII E, the
0. 1 mol/L phosphate-O. 1 mol/L sodium chloride limit test of gel-clot method).
buffer, pH 7. 0. The amount of loading sample
shall be not less than 20 µg. Wavelength for 3. 2. 2 Sterility test
detection is 280 nm. The number of theoretical It complies with the test for sterility ( Appendix
plates of column shall be not less than 1000 XII A).
calculated based on the peak of absorption. The 3. 3 Control tests on final product
area of absorption of major interferon peak shall be
not less than 95. 0 % of the total area. 3. 3. 1 Identity test
Immunoblot test ( Appendix VDI A) or immunodot
3. 1. 5 Molecular weight test (Appendix VDI B) shall reveal positive results.
Carry out the test for molecular weight by
electrophoresis ( Appendix N C ) . If reducing 3. 3. 2 Physical inspection
SDS-PAGE is used, the concentration of 3. 3. 2. 1 Inspection on final containers
separating gel is 15%. The amount of loading The product shall be a clear liquid.
sample shall be not less than 1. 0 µg. Molecular
3. 3. 2. 2 Test for visible particles
weight of the sample shall be 19. 2 kD+ 10%.
It complies with the test for visible particles
3. 1. 6 Content of residual extraneous DNA ( Appendix V B).
The content of residual extraneous DNA shall be
3. 3. 2. 3 Filling quantity
not more than 10 ng/dose (Appendix IX B).
It complies with the requirements for filling
3. 1. 7 Content of residual murine IgG quantity (Appendix I A). The quantity shall be
The content of residual murine IgG shall be tested not less than the stated value.
if affinity chromatography with mouse monoclonal
3. 3. 3 pH.
antibody is used in purification. The content of It shall be 6. 5-7. 5 (Appendix V A).
murine IgG shall be not more than 100 ng/ dose
(Appendix IX L). 3. 3. 4 Biological activity
It shall be 80%-150% of the stated value (Appendix
3. 1. 8 Content of residual host bacterial proteins X C).
The content of residual host bacterial proteins shall
be not more than 0. 10% of total proteins ( Appendix 3. 3. 5 Sterility test
IX C). It complies with the test for sterility ( Appendix
XII A).
3. 1. 9 Activity of residual antibiotics
It complies with the test for residual antibiotics 3. 3. 6 Test for bacterial endotoxin
( Appendix IX A ) . The preparation must not The content of bacterial endotoxin shall be less
contain any residual activities of ampicillin or other than 10 EU/vial (Appendix XII E, the limit test of
antibiotics. gel-clot method).
3. 1. 10 Test for bacterial endotoxin 3. 3. 7 Test for abnormal toxicity
The content of bacterial endotoxin shall be less It complies with the test for abnormal toxicity
than 1 o EU I 3000000 IU C Appendix XII E, the (Appendix XII F, . mouse method).
limit test of gel-clot method). 4 Storage, shipping and validity period
3. 1. 11 Isoelectric point Store and ship at 2-8°C, protected from light.
The isoelectric point of rhIFN a2b protein shall be The approved validity period shall apply, starting
pH 4. 0-6. 7 (Appendix N D). from the date of filling of final product.
3. 1. 12 Ultraviolet spectroscopy· 5 Package inserts
The maximum absorption peak shall be at 278 nm+ The Requirements for Packaging of Biologics shall
3 nm (Appendix II A). apply.
3. 1. 13 Peptide mapping ( to be tested at least
once half a year)
The profile of peptide map shall be in consistency
with that of the interferon a2b reference substance
Recombinant Human Interferon a2b
( Appendix VDI E). for Injection (P. putida)
3. 1. 14 N-terminal amino acid sequence ( to be
examined at least once a year) Recombinant human interferon a2b ( rhIFN a2b)
The N-terminal sequence examined by an amino for injection is a freeze-dried preparation prepared
acid sequencer shall be Cys-Asp-Leu-Pro-Gln-Thr- from recombinant proteins expressed by
His-Ser-Leu-Gly-Ser-Arg-Arg-Thr-Leu. Pseudomonas putida containing recombinant
Recombinant Human Interferon a2b for Injection (P. putida)

plasmids of the human interferon a2b gene. The 2. 1. 3. 7 Type of interferon expressed
recombinant proteins are isolated and purified after Type of interferon expressed shall be confirmed by
fermentation of the transformed Pseudomonas neutralization test using anti-interferon a2b reference
putida. The preparation contains a stabilizer, but serum.
free of preservatives and antibiotics. 2. 1. 3. 8 Characterization of plasmid
1 Basic requirements The map of restriction enzyme digestion shall be
The facilities, source and subsidiary materials, the same as that of the original recombinant
water, apparatus and animals used for production plasmid.
and control tests shall comply with the require- 2. 2 Bulk
ments set forth in the General Notices.
2. 2. 1 Preparation of seed
2 Production The bacteria of working seed lot qualified in
2. 1 Engineered bacterial strain control tests shall be cultured in an appropriate
medium (a quantity of antibiotic can be used) as
2. 1. 1 Name and origin of engineered bacterial
an inoculum for fermentation.
strain
rhIFN a2b engineered bacterial strain is a 2. 2. 2 Medium for fermentation
Pseudomonas putida VG-4 strain transformed with A suitable medium shall be used for fermentation.
plasmids containing the human interferon a2b The medium must not contain antibiotics.
gene. 2. 2. 3 Inoculation and fermentation
2. 1. 2 Establishment of bacterial seed lots . 2. 2. 3. 1 A quantity of seed is inoculated into the
The Requirements for Preparation and Control of sterilized medium.
Animal 'Cell Substrates Used for Production of
Biologics shall apply. 2. 2. 3. 2 Fermentation conditions, such as the
temperature, pH, oxygen dissolving, feeding
2. 1. 3 Control tests on bacterial seeds and durations, shall follow the approved protocol
The master seed lot and working seed lot shall be of fermentation. The losing rate of plasmid in
subject to the control tests as follows. bacteria shall be monitored during fermentation at
2. 1. 3. 1 Streaking on LB agar plates a certain time (Appendix IX G).
All colonies that grow on the plates shall have 2. 2. 4 Processing fermentation products
typical morphology of Pseudomonas putida colonies The bacterial mass shall be collected and processed
with no evidence of contamination. using high-speed centrifugation. The bacterial
2. 1. 3. 2 Gram-stained smears mass can be stored at - 20°C or below for 12
The bacteria examined under light microscope shall months.
be rod-shaped and typically Gram-negative, have 2. 2. 5 Preliminary purification
capsule but have no spore. The approved purification process shall be adopted.
2. 1. 3. 3 Resistance to antibiotics The purity shall meet the requirements.
The antibiotic sensitivities of the bacteria shall be 2. 2. 6 Further purification
the same as that of the original strain: Strepto- The further purification shall be performed using
mycin sulfate 150 µg/ml, Tetracycline hydro- the approved method. The purity shall meet the
chloride 50 µg/ml, Ampicillin 100 µg/ml. requirements in Section 3. 1. The preparation,
2. 1. 3. 4 Electro-microscopic examination ( working after further purification, is the bulk interferon.
seed lot can be exempted) The preparation shall be stored at an appropriate
The examination of test sample shall reveal typical temperature after addition of a suitable stabilizer
morphology of Pseudomonas putida, No contamina- and sterilization by filtration. The storage period
tions of mycoplasmas , virus-like particles or other for bulk shall be defined.
microbes shall be observed. 2. 2. 7 Control tests on bulk
2. 1. 3. 5 Biochemical tests See Section 3. 1.
The bacteria tested shall have biological properties 2. 3 Final bulk
of Pseudomonas putida , which are unable to
liquefy gelatin, unable to hydrolyze starch and 2. 3. 1 Formulation and sterilization by filtration
poly-B-hydroxybutyric acid into monosaccharide 2. 3. 1. 1 Preparation of diluent
(Appendix XN), unable to utilize denitrification The approved formula shall be used. The diluent
to perform anaerobic respiration, but able to shall be used immediately after preparation.
synthesize fluorescein. 2. 3. 1. 2 Dilution and sterilization by filtration
2. 1. 3. 6 Expression level of rhIFN The bulk interferon with an appropriate stabilizer
The expression level of rhIFN a2b in cultures on and qualified in control tests shall be diluted using
shaker shall be not lower than that of the primary the diluent prepared in Section 2. 3. 1. 1 to a desired
seed lot ( 1. 0 X 109 IU/L). concentration and sterilized by filtration. This
Recombinant Human Interferon a2b for Injection (P. putida)

preparation is the final bulk and stored at 2-8°C. 3. 1. 6 Content of residual extraneous DNA
2. 3. 2 Control tests on final bulk The content of residual extraneous DNA shall be
See Section 3. 2. not more than 10 ng/ dose ( Appendix IX B).

2. 4 Final product 3. 1. 7 Content of residual host bacterial proteins


The content of residual host bacterial proteins shall
2. 4. 1 . Defining batches be not more than 0. 02% of total proteins (Appendix
The Requirements for Defining Batches of IX D).
Biologics shall apply.
3. 1. 8 Activity of residual antibiotics
2. 4. 2 Filling It complies with the test for residual antibiotics
The Requirements for Filling and Lyophilization of ( Appendix IX A). The preparation must not
Biologics shall apply. contain any residual activities of ampicillin or other
2. 4. 3 Specifications antibiotics.
The approved specification (s) shall apply. 3. 1. 9 Test for bacterial endotoxin
2. 4. 4 Packaging The content of bacterial endotoxin shall be less
The Requirements for Packaging of Biologics shall than 10 EU/3000000 IU ( Appendix XII E, the
apply. limit test of gel-clot method).
3 Control tests 3. 1. 10 lsoelectric point
The isoelectric point of rhlFN a2b protein shall be
3. 1 · Control tests on bulk pH 5. 7-6. 7 (Appendix N D).
3. 1. 1 Biological activity 3. 1. 11 Ultraviolet spectroscopy
Carry out the test for biological activity ( Appendix The maximum absorption peak shall be at 278 nm±
X C). 3 nm ( Appendix II A).
3. 1. 2 Protein content 3. 1. 12 Peptide mapping ( to be tested at least
Carry out the test for protein content ( Appendix once half a year) ·
VI B, method 2). The profile of peptide map shall be in consistency
3. 1. 3 Specific activity with that of the interferon a2b reference substance
The ratio of biological activity to protein content ( Appendix VIII E).
shall be not less than 1. 0 X 108 IU / mg of protein. 3. 1. 13 N-terminal amino acid sequence ( to be
3. 1. 4 Purity examined at least once a year)
The N-terminal sequence examined by an amino
3. 1. 4. 1 Electrophoresis
acid sequencer shall be Cys-Asp-Leu-Pro-Gln-Thr-
Carry out the test for purity by electrophoresis
His-Ser-Leu-Gly-Ser-Arg-Arg-Thr-Leu.
(Appendix N C). If non-reducing SDS-PAGE is
used, the concentration of separating gel is 15 %. 3. 2 Control tests on final bulk
The amount of loading sample shall be not less 3. 2. 1 Test for bacterial endotoxin
than ~ µ.g with Silver stain or not less than 10 µ.g The content of bacterial endotoxin shall be less
with Coomassie brilliant blue R-250 stain. The than 10 EU/3000000 IU ( Appendix XII E, the
purity shall be not less than 95. 0 % based on limit test of gel-clot method).
densitometer scanning.
3. 2. 2 Sterility test
3. 1. 4. 2 HPLC It complies with the test for sterility ( Appendix
Carry out the test for purity by HPLC (Appendix XII A).
III B). SEC-HPLC method: Gel for separating
5-60 kD proteins shall be used. Flow phase is 3. 3 Control tests on final product
0. 1 mol/L phosphate-O. 1 mol/L sodium chloride Other than the determination of moisture content,
buffer, pH 7. 0. The amount of loading sample sterile water for injection shall be added as stated
shall be not less than 20 µ.g. Wavelength for on the label, and the reconstituted product shall
detection is 280 nm. The number of theoretical be subject to the following tests.
plates of column shall be not less than 1000 3. 3. 1 Identity test
calculated based on the peak of absorption. The Immunoblot test (Appendix VIII A) or immunodot
area of absorption of major interferon peak shall be test (Appendix VIII B) shall reveal positive results.
not less than 95. 0 % of the total area.
3. 3. 2 Physical inspection
3. 1. 5 Molecular weight
Carry out the test for molecular weight by electro- 3. 3. 2. 1 Inspection on final containers
phoresis ( Appendix N C ) . If reducing SDS- The product looks like a white to off-white crisp
PAGE is used, the concentration of separating gel cake. It shall change into a clear liquid quickly
is 15 % . The amount of loading sample shall be after reconstitution.
not less than 1. 0 µ.g. Molecular weight of the 3. 3. 2. 2 Test for visible particles
sample shall be 19. 2 kD+lO%. It complies with the test for visible particles
Recombinant Human Interferon a2b Injection (P. putida)

(Appendix V B). 2. 1. 1 Name and ongm of engineered bacterial


strain
3. 3. 2. 3 Weight variation
rhIFN a2b engineered bacterial strain is a
It complies with the test for weight variation
Pseudomonas putida VG-4 strain transformed with
( Appendix I A).
plasmids containing the human interferon a2b
3. 3. 3 Chemical tests gene.
3. 3. 3. 1 Moisture content 2. 1. 2 Establishment of bacterial seed lots
The residual moisture content shall be not more The Requirements for Preparation and Control of
than 3.0%. If preparation contains glucose, the Animal Cell Substrates Used for Production of
residual moisture content shall be not more than Biologics shall apply.
4. 0 % (Appendix \Ill D).
2. 1. 3 Control tests on bacterial seeds
3. 3. 3. 2 pH The master seed lot and working seed lot shall be
It shall be 6. 5-7. 5 (Appendix V A). subject to the control tests as follows.
3. 3. 4 Biological activity 2. 1. 3. 1 Streaking on LB agar plates
It shall be 80 %-150 % of the stated value ( Appendix All colonies that grow on the plates shall have
X C). typical morphology of P seudomonas putida
colonies with no evidence of contamination.
3. 3. 5 Sterility test
It complies with the test for sterility ( Appendix 2. 1. 3. 2 Gram-stained smears
XII A). The bacteria examined under light microscope shall
be rod-shaped and Gram-negative, have capsule
3. 3. 6 Test for bacterial endotoxin
but have no spore.
The eontent of bacterial endotoxin shall be less
than 10 EU/vial (Appendix XII E, the limit test of 2. 1. 3. 3 Resistance to antibiotics
gel-clot method). The antibiotic sensitivities of the bacteria shall be
the same as that of the original strain:
3. 3. 7 · Test for abnormal toxicity Streptomycin sulfate 150 µg/ml, Tetracycline
It complies with the test for abnormal toxicity ~ydrochloride 50 µg/ml, Ampicillin 100 µg/ml.
(Appendix XII F, mouse method).
2. 1. 3. 4 Electro-microscopic examination ( working
4 Storage, shipping and validity period seed lot can be exempted)
Store and ship at 2-8°C, protected from light. The examinations shall reveal typical morphology
The approved validity period shall apply, starting of Pseudomonas putida, No contaminations of
from the date of filling of final product. mycoplasmas , virus-like particles or other
5 Package inserts microbes shall be observed.
The Requirements for Packaging of Biologics shall 2. 1. 3. 5 Biochemical tests
apply. The bacteria tested shall have biological properties
of P seudomonas putida , which are unable to
· liquefy gelatin, unable to hydrolyze starch, starch
and poly-Brhydroxybutyric acid into mono-
Recombinant Human Interferona2b saccharide ( Appendix XIV ) , unable to utilize
Injection (P. putida) denitrification to perform anaerobic respiration,
but able to synthesize fluorescein.

Recombinant human interferon a2b ( rhIFN a2b) 2. 1. 3. 6 Expression level of rhIFN


injection is a liquid preparation prepared from The expression level of rhIFN a2b in cultures on
recombinant proteins expressed by Pseudomonas shaker shall be not less than that of the primary
putida containing recombinant plasmids of the seed lot (1. 0Xl09 IU/L).
human interferon a2b gene. The recombinant 2. 1. 3. 7 Type of interferon expressed
proteins are isolated and purified after fermentation Type of interferon expressed shall be confirmed by
of the transformed P seudomonas putida. The neutralization test using anti-interferon a2b reference
preparation contains a stabilizer, but free of serum.
preservatives and antibiotics.
2. 1. 3. 8 Characterization of plasmid
1 Basic requirements The map of restriction enzyme digestion shall be
The facilities, source and subsidiary materials, the same as that of the original recombinant
water, apparatus and animals used for production plasmid.
and control tests shall comply with the require-
2. 2 Bulk
ments set forth in the General Notices.
2. 2. 1 Preparation of seed
2 Production
The bacteria of working seed lot qualified in
2. 1 Engineered bacterial strain control tests shall be cultured in an appropriate
Recombinant Human Interferon a2b Injection (P. putida)

medium (a quantity of antibiotic can be used) as 2. 4. 3 Specifications


an inoculum for fermentation. The approved specification ( s) shall apply.
2. 2. 2 Medium for fermentation 2. 4. 4 Packaging
A suitable medium shall be used for fermentation. The Requirements for Packaging of Biologics shall
The medium must not contain antibiotics. apply.
2. 2. 3 Inoculation and fermentation 3 Control tests
2. 2. 3. 1 A quantity of seed is inoculated into the 3. 1 Control tests on bulk
sterilized medium. 3. 1. 1 Biological activity
2. 2. 3. 2 Fermentation conditions, such as the Carry out the test for biological activity ( Appendix
temperature, pH, oxygen dissolving, feeding X C).
and durations, shall follow the approved protocol 3. 1. 2 Protein content
of fermentation. The losing rate of plasmid in Carry out the test for protein content ( Appendix
bacteria shall be monitored during fermentation at VI B, method 2).
a certain time (Appendix IX G).
3. 1. 3 Specific activity
2. 2. 4 Processing fermentation products The ratio of biological actjvity to protein content
The bacterial mass shall be collected and processed shall be not less than 1. 0 X 108 IU I mg of protein.
using high-speed centrifugation. The bacterial
mass· can be stored at - 20°C or below for 12 3. 1. 4 Purity
months. 3. 1. 4. 1 Electrophoresis
2. 2. 5 Preliminary purification Carry out the test for purity by electrophoresis
(Appendix N C). If non-reducing SDS-PAGE is
The approved purification process shall be adopted.
The purity shall meet the requirements. used, the concentration of separating gel is 15%.
The amount of loading sample shall be not less
2. 2. 6 Further purification than 5 µg with Silver stain or not less than 10 µg
The further purification shall be performed using with Coomassie brilliant blue R-250 stain. The
the approved method. The purity shall meet the purity shall be not less than 95. 0 % based on
requirements in Section 3. 1. The preparation, densitometer scanning.
after further purification, is the bulk interferon.
3. 1. 4. 2 HPLC
The preparation shall be stored at an appropriate
Carry out the test for purity by HPLC (Appendix
temperature after addition of a suitable stabilizer
and sterilization by filtration. The storage period
ill B). SEC-HPLC method: Gel for separating
5-60 kD proteins shall be used. Flow phase is
for bulk shall be defined.
0. 1 mol/L phosphate-0. 1 mol/L sodium chloride
2. 2. 7 Control tests on bulk buffer, pH 7. 0. The amount of loading sample
See Section 3. 1. shall be not less than 20 µg. Wavelength for
2. 3 Final bulk detection is 280 nm. The number of theoretical
plates of column shall be not less than 1000
2. 3. 1 Formulation and sterilization by filtration calculated based on the peak of absorption. The
2. 3. 1. 1 Preparation of diluent area of absorption of major interferon peak shall be
The approved formula shall be used. The diluent not less than 95. 0 % of the total area.
shall be used immediately after preparation. 3. 1. 5 Molecular weight
2. 3. 1. 2 Dilution and sterilization by filtration Carry out the test for molecular weight by
The bulk interferon with an appropriate stabilizer electrophoresis ( Appendix N C ) . If reducing
and qualified in control tests shall be diluted using SDS-PAGE is used, the concentration of
a
the diluent prepared in Section 2. 3. 1. 1 to desired separating gel is 15%. The amount of loading .
sample shall be not less than 1. 0 µg. Molecular
concentration and sterilized by filtration. This
preparation is the final bulk and stored at 2-8°C. weight of the sample shall be 19. 2 kD+lO%.
3. 1. 6 Content of residual extraneous DNA
2. 3. 2 Control tests on final bulk
The content of residual extraneous DNA shall be
See Section 3. 2.
not more than 10 ng/dose (Appendix IX B).
2. 4 Final product
3. 1. 7 Content of residual host bacterial proteins
2. 4. 1 Defining batches The content of residual host bacterial proteins shall
The Requirements for Defining Batches of be not more than 0. 02 % of total proteins
Biologics shall apply. (Appendix IX D).
2. 4. 2 Filling 3. 1. 8 Activity of residual antibiotics
The Requirements for Filling and Lyophilization of It complies with the test for residual antibiotics
Biologics shall apply. It shall be not less than ( Appendix IX A). The preparation must not
1. 1 ml per vial and 1. 04 ml per syringe. contain any residual activities of ampicillin or other
Recombinant Human Interferon"( for Injection

antibiotics. gel-clot method).


3. 1. 9 Test for bacterial endotoxin 3. 3. 7 Test for abnormal toxicity
The content of bacterial endotoxin shall be less It complies with the test for abnormal toxicity
than 10 EU/3000000 IU ( Appendix XI[ E, the ( Appendix XI[ F, mouse method).
limit test of gel-clot method).
4 Storage, shipping and validity period
3. 1. 10 lsoelectric point Store and ship at 2-8°C, protected from light.
The isoelectric point of rhlFN a2b protein shall be The approved validity period shall apply, starting
pH 5. 7-6. 7 (Appendix N D). from the date of filling of final product
3. 1. 11 Ultraviolet spectroscopy 5 Package inserts
The maximum absorption peak shall be at 278 nm+ The Requirements for Packaging of Biologics shall
3 nm (Appendix Il A). apply.
3. 1. 12 Peptide mapping ( to be tested at least
once half a year)
The profile of peptide map shall be in consistency
with that of the interferon a2b reference substance Recombinant Human· Interferon 'Y for
(Appendix Vlll E). Injection
3. 1. 13 N-terminal amino acid sequence ( to be
examined at least once a year) Recombinant human interferon y· ( rhlFN y) for
The N-terminal sequence examined by an amino injection is a freeze-dried preparation prepared
acid sequencer shall be Cys-Asp-Leu-Pro-Gln-Thr- from recombinant proteins expressed by E. coli
His-Ser- Leu-Gly-Ser-Arg-Arg- Thr-Leu. containing recombinant plasmids of the human
3. 2 Control tests on final bulk interferon y gene. The recombinant proteins are
isolated, purified and lyophilized after fermenta-
3. 2. 1 Test for bacterial endotoxin
tion of the transformed Ei coli. The preparation
The content of bacterial endotoxin shall be less
contains a stabilizer, but free of preservatives and
than 10 EU/3000000 IU ( Appendix XI[ E, the
antibiotics.
limit test of gel-clot method).
3. 2. 2 Sterility test 1 Basic requirements
It complies with the test for sterility ( Appendix The facilities, source and subsidiary materials,
XI[ A). water, apparatus and animals used for production
and control tests shall comply with the require-
3. 3 Control tests on final product ments set forth in the General Notices.
3. 3. 1 Identity test 2 Production
lmmunoblot test ( Appendix Vlll A) or immunodot
test (Appendix Vlll B) shall reveal positive results. 2. 1 Engineered bacterial strain

3. 3. 2 Physical inspection 2. 1. 1 Name and origin of engineered bacterial


strain
3. 3. 2. 1 Inspection on final containers rhlFN y engineered bacterial strain is an E. coli
The product shall be a clear liquid. strain transformed with plasmids containing the
3. 3. 2. 2 Test for visible particles human interferon y gene.
It complies with the test for visible particles 2. 1. 2 Establishment of bacterial seed lots
(Appendix V B). The Requirements for Preparation and Control of
3. 3. 2. 3 Filling quantity Animal Cell Substrates Used for Production of
It complies with the requirements for filling Biologics shall apply.
quantity (Appendix I A). The quantity shall be 2. 1. 3 Control tests on bacterial seeds
not less than the stated value. The master seed lot and working seed lot shall be
3. 3. 3 pH subject to the control tests as follows.
It shall be 6. 5-7. 5 (Appendix V A) .. 2. 1. 3. 1 Streaking on LB agar plates
3. 3. 4 Biological activity All colonies that grow on the plates shall have
It shall be 80%-150% of the stated value ( Appendix typical morphology of E.coli colonies with no
X C). evidence of contamination.
3. 3. 5 Sterility test 2. 1. 3. 2 Gram-stained smears
It complies with the test for sterility ( Appendix The bacteria examined under light microscope shall
XI[ A). be typical Gram-negative bacteria.
3. 3. 6 Test for bacterial endotoxin 2. 1. 3. 3 Resistance to antibiotics
The content of bacterial endotoxin shall be less The antibiotic sensitivity of the bacteria shall be
than 10 EU/vial (Appendix XI[ E, the limit test of the same as that of the original strain.
Recombinant Human Interferon y for Injection

2. 1. 3. 4 Electro-microscopicexamination ( working 2. 3 Final bulk


seed lot can be exempted) 2. 3. 1 Formulation and sterilization by filtration
The examination shall reveal typical morphology of
E.coli. No contaminations of mycoplasmas, virus- 2. 3. 1. 1 Preparation of diluent
like particle or other microbes shall be observed. The approved formula shall be used. The diluent
shall be used immediately after preparation.
2. 1. 3. 5 Biochemical tests
The bacteria tested shall have biological properties 2. 3. 1. 2 Dilution and sterilization by filtration
of Ei coli. The bulk interferon with an appropriate stabilizer
and qualified in control tests shall be diluted using
2. 1. 3. 6 Expression level of rhIFN
the diluent prepared in Section 2. 3. 1. 1 to a desired
The expression level of rhIFN y in cultures on
concentration and sterilized by filtration. This
shaker shall be not less than that of the primary
preparation is the final bulk and stored at 2-8°C.
seed lot.
2. 1. 3. 7 Type of interferon expressed 2. 3. 2 Control tests on final bulk
Type of interferon expressed shall be confirmed by See Section 3. 2.
neutralization test using anti-interferon y reference 2. 4 Final product
serum. 2. 4. 1 Defining batches
2. 1. 3. 8 Characterization of plasmid The Requirements for Defining Batches of Biologics
The . map of restriction enzyme digestion shall be shall apply.
the same as that of the original recombinant
2. 4. 2 Filling and lyophilization
plasmid.
The Requirements for Filling and Lyophilization of
2. 2 Bulk Biologics shall apply.
2. 2. 1 Preparation of seed 2. 4. 3 Specifications
The bacterial seed from working seed lot qualified The approved specification ( s) shall apply.
in control tests shall be cultured in an appropriate
medium (a quantity of antibiotic can be used) as 2. 4. 4 Packaging
an inoculum for fermentation. The Requirements for Packaging of Biologics shall
apply.
2. 2. 2 Medium for fermentation
A suitable medium shall be used for fermentation. 3 Control tests
The medium must not contain antibiotics. 3. 1 Control tests on bulk
2. 2. 3 Inoculation and fermentation 3. 1. 1 Biological activity
2. 2. 3. 1 A quantity of seed is inoculated into the Carry out the test for biological activity ( Appendix
sterilized medium. X C).
2. 2. 3. 2 Fermentation conditions, such as the 3. 1. 2 Protein content
temperature, pH, oxygen dissolving, feeding Carry out the test for protein content ( Appendix
and duration, shall follow the approved protocol VI B, method 2).
of fermentation for specific production strain. The 3. 1. 3 Specific activity
losing rate of plasmid in bacteria shall be The ratio of biological activity to protein content
monitored during fermentation at a certain time shall be not less than 1. 5 X 107 IU/mg of protein.
( Appendix IX G).
3. 1. 4 Purity
2. 2. 4 Processing fermentation products
The bacterial mass shall be collected and processed 3. 1. 4. 1 Electrophoresis
using suitable methods. Carry out the test for purity by electrophoresis
(Appendix N C). If non-reducing SDS-PAGE is
2. 2. 5 Preliminary purification used, the coricentration of separating gel is 15%.
The approved purification process shall be used. The amount of loading sample shall be not less
The purity shall meet the requirements. than 5 µg with Silver stain or 10 µg with
2. 2. 6 Further purification Coomassie brilliant blue R-250 stain. The purity
The further purification shall be performed using shall be not less than 95. 0 % (including monomer
the approved method. The purity shall meet the and dimer) based on densitometer scanning.
requirements in Section 3. 1. The preparation, 3. 1. 4. 2 HPLC
after further purification, is the bulk interferon. Carry out the test for purity by HPLC (Appendix
The preparation shall be stored at an appropriate ill B). SEC-HPLC method: Gel for separating
temperature after addition of a suitable stabilizer 5-60 kD proteins shall be used. Flow phase is
and sterilization by filtration. The storage period 0. 1 mol/L phosphate-0. 1 mol/L sodium chloride
for bulk shall be defined. buffer, pH 7. 0. The amount of loading sample
2. 2. 7 Control tests on bulk shall be not less than 20 µg. Wavelength for
See Section 3. 1. detection is 280 nm. The number of theoretical
Recombinant Human lnterleukin-2 for Injection

plates of column shall be not less than 1000 be subject to the following tests.
calculated based on the peak of absorption. The 3. 3. 1 Identity test
area of absorption of major interferon peak
Immunoblot test ( Appendix VIII A) or immunodot
(including monomer and dimer) shall be not less
test (Appendix VIII B) shall reveal positive results.
than 95. 0 % of the total area.
3. 3. 2 Physical inspection
3. 1. 5 Molecular weight
Carry out the test for molecular weight by 3. 3. 2. 1 Inspection on final containers
electrophoresis ( Appendix N C ) . If reducing The product looks like a white to off-white crisp
SOS-PAGE is used, the concentration of cake. It shall change into a clear liquid quickly
separating gel is 15%. The amount of loading after reconstitution.
sample shall be not less than 1. 0 µg. Molecular 3. 3. 2. 2 Test for visible particles
weight of the sample shall be 16. 8 kD+ 10% . It complies with the test for visible particles ·
3. 1. 6 Content of residual extraneous DNA (Appendix V B).
The content of residual extraneous DNA shall be 3. 3. 2. 3 Weight variation
not more than 10 ng/ dose (Appendix IX B). It complies with the test for weight variation
3. 1. 7 Content of residual host bacterial proteins ( Appendix I A).
The content of residual host bacterial proteins shall 3. 3. 3 Chemical tests
be not more than 0. 10% of total proteins
(Appendix IX C). 3. 3. 3. 1 Moisture content
The residual moisture content shall be not more
3. 1. 8 Activity of residual antibiotics
than 3. 0 % (Appendix VII D).
It complies with the test for residual antibiotics
( Appendix IX A). The preparation must not 3. 3. 3. 2 pH
contain any residual activities of ampicillin or other It shall be 6. 5-7. 5 (Appendix V A).
antibiotics.· 3. 3. 4 Biological activity
3. 1. 9 Test for bacterial endotoxin It shall be 80%-150% of the stated value (Appendix
The content of bacterial endotoxin shall be less X C).
than 10 EU/1000000 IU ( Appendix XI[ E, the 3. 3. 5 Sterility test
limit test of gel-clot method). It complies with the test for sterility ( Appendix
3. 1. 10 Isoelectric point XI[ A).
The isoelectric point of rhlFN y protein shall be 3. 3. 6 Test for bacterial endotoxin
pH 8. 1-9. 1 (Appendix N D). The content of bacterial endotoxin shall be less
3. 1. 11 Ultraviolet spectroscopy than 10 EU/vial (Appendix XI[ E, the limit test of
The maximum absorption peak shall be at 278 nm+ gel-clot method).
3 nm (Appendix II A).
3. 3. 7 Test for abnormal toxicity
3. 1. 12 Peptide. mapping ( to be tested at least It complies with the test for. abnormal toxicity
once half a year) ( Appendix XI[ F, mouse method).
The profile of peptide map shall be in consistency
4 Storage, shipping and validity period
with that of the interferon y reference substance
Store and ship at 2-8°C, protected from light.
(Appendix VIII E).
The approved validity period shall apply, starting
3. 1. 13 N-terminal amino acid sequence ( to be from the date of filling of final product.
examined at least once a year)
5 Package inserts
The N-terminal sequence examined by an amino
The Requirements for Packaging of Biologics shall
acid sequencer shall be Gln-Asn-Pro-Tyr-Val-Lys-
apply.
G1 u-Ala-G1 u-Asn- Leu-Lys-L ys-Tyr-Phe.
3. 2 Control tests on final bulk
3. 2. 1 Test for bacterial endotoxin
The content of bacterial endotoxin shall be less Recombinant Human Interleukin-2· for
than 10 EU/1000000 IU ( Appendix XI[ E, the Injection
limit test of gel-clot method).
3. 2. 2 Sterility test Recombinant human interleukin-2 ( rhIL-2) for
It complies with 'the test for sterility ( Appendix injection is a freeze-dried preparation prepared
XI[ A). from recombinant proteins expressed by E. coli
3. 3 Control tests on final product containing recombinant plasmids of the human
Other than the determination of moisture content, interleukin-2 gene. The recombinant proteins are
sterile water for injection shall be added as stated isolated, purified and lyophilized after fermenta-
on the label, and the reconstituted product shall tion of the transformed E. coli. · The preparation
Recombinant Human lnterleukin-2 for Injection

contains a stabilizer, but free of preservatives and The medium. must not contain antibiotics.
anti biotics. 2. 2. 3 Inoculation and fermentation
1 Basic requirements
2. 2. 3. 1 A quantity of seed is inoculated into the
The facilities, source and subsidiary materials,
sterilized medium.
water, apparatus and animals used for production
and control tests shall comply with the require- 2. 2. 3. 2 Fermentation conditions, such as the
ments set forth in the General Notices. temperature, pH, oxygen dissolving, feeding
and duration, shall follow the approved protocol
2 Production
of fermentation for specific production strain. The
2. 1 Engineered bacterial strain losing rate of plasmid in bacteria shall be
2. 1. 1 Name and origin of engineered bacterial monitored during fermentation at a certain time
strain (Appendix IX G).
rhIL-2 engineered bacterial strain is an E.coli 2. 2. 4 Processing fermentation products
strain transformed with plasmids containing the The bacterial mass shall be collected and processed
human interleukin-2 gene. using suitable methods.
2. 1. 2 Establishment of bacterial seed lots 2. 2. 5 Preliminary purification
The Requirements for Preparation and Control of The approved purification process shall be used.
Animal Cell Substrates Used for Production of The purity shall meet the requirements.
Biologics shall apply.
2. 2. 6 Further purification
2. 1. 3 Control tests on bacterial seeds The further purification shall be performed using
The master seed lot and working seed lot shall be the approved method. The purity shall meet the
subject to the control tests as follows. requirements 'in Section 3. 1. The preparation,
2. 1. 3. 1 Streaking on LB agar plates after further purification, is the bulk interleukin-Z.
All colonies that grow on the plates shall have The preparation shall be stored at an appro-
typical morphology of E.coli colonies with no priate temperature after addition of a suitable
evidence of contamination. stabilizer and sterilization by filtration. The storage
period. for bulk shall be defined.
2. 1. 3. 2 Gram-stained smears
The bacteria examined under light microscope shall 2. 2. 7 Control tests on bulk
be typical Gram-negative bacteria. See Section 3. 1.
2. 1. 3. 3 Resistance to antibiotics 2. 3 Final bulk
The antibiotic sensitivity of the bacteria shall be 2. 3. 1 Formulation and sterilization by filtration
the same as that of the original strain.
2. 3. 1. 1 Preparation of diluent
2. 1. 3. 4 Electro-microscopicexamination ( working The approved formula shall be used. The diluent
seed lot can be exempted) shall be used immediately after preparation.
The examination shall reveal typical morphology of
E.coli. No contaminations of mycoplasmas, virus- 2. 3. 1. 2 Dilution and sterilization by filtration
like particle or other microbes shall be observed. The bulk interleukin-2 with an appropriate
stabilizer and qualified in control tests shall be
2. 1. 3. 5 Biochemical tests diluted using the diluent prepared in Section
The bacteria tested shall have biological properties 2. 3. 1. 1 to a desired concentration and sterilized by
of E.coli. filtration. This preparation is the final bulk and
2. 1. 3. 6 Expression level of rhIL-2 stored at 2-8°C.
The expression level of rhIL-2 in cultures on 2. 3. 2 Control tests on final bulk
shaker shall be not less than that of the primary See Section 3. 2.
seed lot.
2. 4 Final product
2. 1. 3. 7 Characterization of plasmid
The map of restriction enzyme digestion shall be 2. 4. 1 Defining batches
the same as that of the original recombinant The Requirements for Defining Batches of Biologics
plasmid. shall apply.
2. 2 Bulk 2. 4. 2 Filling and .lyophilization
The Requirements for Filling and Lyophilization of
2. 2. 1 Preparation of seed
Biologics shall apply.
The bacterial seed from working seed lot qualified
in control tests shall be cultured in an appropriate 2. 4. 3 Specifications
medium (a quantity of antibiotic can be used) as The approved specification ( s) shall apply.
an inoculum for fermentation. 2. 4. 4 Packaging
2. 2. 2 Medium for fermentation The Requirements for Packaging of Biologics shall
A suitable medium shall be used for fermentation. apply.
Recombinant Human lnterleukin-2 for Injection

3 Control tests The content of bacterial endotoxin shall be less


than 10 EU/1000000 IU ( Appendix XI[ E, limit
3. 1 Control tests on bulk
test of gel-clot method). If preparation contains
3. 1. 1 Biological activity SDS, the concentration of SDS must be diluted to
Carry out the test for biological activity ( Appendix less than 0. 0025% for this test.
x D).
3. 1. 10 Isoelectric point
3. 1. 2 Protein content The isoelectric point of rhlL-2 protein shall be pH
Carry out the test for protein content ( Appendix 6. 5-7. 5 (Appendix N D).
vI B, method 2).
3. 1. 11 Ultraviolet spectroscopy
3. 1. 3 Specific activity The maximum absorption peak shall be at 277 nm+
The ratio of biological activity to protein content 3 nm ( Appendix II A).
shall Be not less than 1. 0 X 107 IU / mg of protein.
3. 1. 12 Peptide mapping ( to be tested at least
3. 1. 4 Purity once a year)
3. 1. 4. 1 Electrophoresis The profile of peptide map shall be in consistency
Carry out the test for purity by electrophoresis with that of the interleukin-2 reference substance
(Appendix N C). If non-reducing SDS-PAGE is ( Appendix Vlll E).
used, the concentration of separating gel is 15%. 3. 1. 13 N-terminal amino acid sequence ( to be
The amount of loading sample shall be not less examined at least once a year)
than 5 µg with Silver stain or not less than 10 µg
The N-terminal sequence examined by an amino
with Coomassie brilliant blue R-250 stain. The
acid sequencer shall be Ala-Pro-Thr-Ser-Ser-Ser-
purity shall be not less than 95. 0 % based on
Thr-Lys-Lys-Thr-Gln- Leu-Gln-Leu-G 1 u.
densitometer scanning.
3. 2 Control tests on final bulk
3. 1. 4. 2 HPLC
Carry out the test for purity by HPLC (Appendix 3. 2. 1 Test for bacterial endotoxin
III B). SEC-HPLC method: Gel for separating The content of bacterial endotoxin shall be less
5-60 kD proteins shall be used. Flow phase is than 1 o EU I 1000000 IU C Appendix XI[ E, limit
0. 1 mol/L phosphate-0. 1 mol/L sodium chloride test of gel-clot method). If preparation contains
buffer, pH 7. 0. The amount of loading sample SDS, the concentration of SDS must be diluted to
shall be not less than 20 µg. less than 0. 0025% for this test.
Wavelength for detection is 280 nm. The number
3. 2. 2 Sterility test
of theoretical plates of column shall be not less
than · 1500 calculated based on the peak of It complies with the test for sterility ( Appendix
XI[ A).
absorption. The area of absorption of major
interleukin-2 peak shall be not less than 95. 0 % of 3. 3 Control tests on final product
the total area. Other than the determination of moisture content,
3. 1. 5 Molecular weight sterile water for injection shall be added as stated
Carry out the test for molecular weight by electro- on the label, and the reconstituted product shall
phoresis ( Appendix N C ) . If reducing SDS- be subject to the following tests.
PAGE is used, the concentration of separating gel 3. 3. 1 Identity test
is 15%. The amount of loading sample shall be Immunoblot test ( Appendix Vlll A) or immunodot
not less than 1. 0 µg. Molecular weight of the test (Appendix Vlll B) shall reveal positive results.
sample shall be 15. 5 kD+ 10%.
3. 3. 2 Physical inspection
3. 1. 6 Content of residual extraneous DNA
3. 3. 2. 1 Inspection on final containers
The content of residual extraneous DNA shall be
The product looks like a white to off-white crisp
not more than 10 ng/dose (Appendix IX B).
cake. It shall change into a clear liquid quickly
3. 1. 7 Content of residual host bacterial proteins after reconstitution.
The content of residual host bacterial proteins shall
3. 3. 2. 2 Test for visible particles
be not more than 0. 10% of total proteins ( Appendix
It complies with the test for visible particles
IX C). (Appendix V B).
3. 1. 8 Activity of residual antibiotics
3. 3. 2. 3 Weight variation
It complies with the test for residual antibiotics
It complies with the test for weight variation
( Appendix IX A ) . The preparation must not
( Appendix I A).
contain any residual activities of ampicillin or other
antibiotics. If preparation contains SDS, the 3. 3. 3 Chemical tests
concentration of SDS must be diluted to less than
3. 3. 3. 1 Moisture content
0. 01 % for this test.
The residual moisture content shall be not more
3. 1. 9 Test for bacterial endotoxin than 3. 0% (Appendix Vll D).
Recombinant Human Erythropoietin for Injection (CHO Cell)

3. 3. 3. 2 pH 1 Basic requirements
It shall be 6. 5-7. 5. If the product does not contain The facilities, source and subsidiary materials,
SDS, it shall be 3. 5-7. 0 (Appendix V A). water, apparatus and animals used for production
3. 3. 4 Biological activity and control tests shall comply with the
It shall be 80%-150% of the stated value ( Appendix requirements set forth in the General Notices.
x D). 2 Production
3. 3. 5 Sterility test 2. 1 Engineered cell line
It complies with the test for sterility ( Appendix 2. 1. 1 Name and origin of engineered cell line
XI[ A). rhEPO engineered cell line is a Chinese hamster
3. 3. 6 Test for bacterial endotoxin ovarian cell line with the dihydrofolate reductase
The content of bacterial endotoxin shall be less gene defective ( CHO-dhfr-) transformed with
than 10 EU/vial ( Appendix XI[ E, limit test .of plasmids containing the human erythropoietin gene.
gel-clot method). 2. 1. 2 Establishment, passage and storage of cell
3. 3. 7 Test for abnormal toxicity banks
It complies with the test for abnormal toxicity The master cell bank was established by
( Appendix XI[ F, mouse method). proliferation of cells from the primary cell bank.
3. 3. 8 Content of residual acetonitrile The working cell· bank is established by
If acetonitrile is involved in the process, content of proliferation of cells from the master cell bank.
residual acetonitrile shall be tested using gas The number of passages shall be not more than the
chromatography ( Appendix ill C ) . Chromato- approved limit. The cell lines are stored in liquid
graphy column: Quartz capillary column, column nitrogen. The cell lines shall be qualified in
temperature: 45°C, vaporizer temperature: 150°C, control tests before being· used for production.
detector temperature: 300°C, carrier gas: nitrogen, 2. 1. 3 Control tests on master and working cell
flow speed: 4. 0 ml/ min. Prepare 4. 0 mg/L banks
standard acetonitrile solutions with water. One ml The Requirements for Preparations and Control
of the testing samples and each standard acetonitrile Tests of Animal Cells as Substrates Used for
solution are injected into the vials and heat Production of Biologics shall apply.
calibrated for 30 minutes in a micro-sample 2. 1. 3. 1 Tests for extraneous agents
processing device at 80°C. A portion of 400 µl of Cells shall be free of bacteria and fungi, mycoplasmas
each sample is loaded. Linear regression analysis
and viruses.
is carried out to obtain content of residual
acetonitrile in the testing samples. The content of 2. 1. 3. 2 Identity test for cells
residual acetonitrile in the preparation shall be not Biochemical tests such as isoenzyme analysis,
more than 0. 0004 % . immunological tests, cytological tests and genetic
markers tests shall be used. All test results shall
4 Storage, shipping and validity period
meet the criteria of a typical CHO cell.
Store and ship at 2-8°C, protected from light.
The approved validity period shall apply, starting 2. 1. 3. 3 Expression level of rhEPO
from the date of filling of final product. The expression level of rhEPO in the cells from
working cell bank shall be not lower than that in
5 Package inserts the cells from primary cell bank.
The Requirements for Packaging of Biologics shall
apply. 2. 2 Bulk
2. 2. 1 Recovery and proliferation of cells
Cells from the working cell bank are recovered,
cultured and proliferated in the medium containing
Recombinant Human Erythropoietin inactivated calf serum. A quantity. of cells is
for Injection (CHO Cell) prepared for cultivations in rolling bottle or
bioreactor. The quality of calf serum shall comply
with the relevant requirements in Appendix XIII D.
Recombinant human erythropoietin ( rhEPO) for
2. 2. 2 Culture medium
injection is a freeze-dried preparation prepared
from recombinant proteins expressed by Chinese Cell culture medium used for production must be
hamster ovarian ( CHO ) cells contammg free of calf serum and antibiotics.
recombinant plasmids of the human erythropoietin 2. 2. 3 Cultivation of cells
gene. The recombinant proteins are isolated, Sterile procedure shall be applied in the process of
purified · and lyophilized after cultivations of the cultivation of cells. The period of cultivation
transfected CHO cells. The preparation contains a depends on the growth rate of cells.
stabilizer, but free of preservativesand antibiotics. 2. 2. 4 Isolation and purification
The approved procedures for isolation and purification
Recombinant Human Erythropoietin for Injection (CHO Cell)

of rhEPO from the supernatant of cell cultures 10 µg. Purity shall be not less than 98. 0 % based
shall be used. The bulk rhEPO are prepared on densitometer scanning.
through processes of the ultrafiltration concentration
3. 1. 4. 2 HPLC
and the multi-step chromatographic purification.
Carry out the test for purity by HPLC (Appendix
rhEPO shall be stored in an appropriate
temperature after sterilization by filtration. The
ID B ). HPLC-SEC method: Chromatography
column is hydrophilic silicon gel size exclusion
storage period for bulk shall be defined.
chromatographic column, exclusion limit is 300
2. 2. 5 Control tests on bulk kD, granularity is 10 µm, porosity is 24 nm,
See Section 3. 1. internal diameter is 7. 5 mm and column length is
2. 3 Final bulk 30 cm. Flow phase is 3. 2 mmol/L disodiurh
hydrogen phosphate-I. 5 mmol/L of potassium di-
2. 3. r- Formulation and sterilization by filtration hydrogen phosphate-400. 4 mmol/L sodium
Final bulk is prepared by adding appropriate chloride, pH 7. 3. Amount of loading sample is
stabilizer into bulk, then diluted with buffer 20-100 µg. Detection wavelength is 280 nm. The
solution and sterilized by filtration. number of theoretical plates of column shall be not
2. 3. 2 Control tests on final bulk less than 1500 calculated based on the peak of·
See Section 3. 2. absorption. The purity shall be not less than
98. 0 % calculated based on the area normalization
2. 4 Final product method.
2. 4. 1 Defining batches 3. 1. 5 Molecular weight
The Requirements for Defining Batches of Biologics
Carry out the test for purity by electrophoresis
shall apply. ( Appendix N C ). Reducing SDS-PAGE and
2. 4. 2 Filling and lyophilization Coomassie brilliant blue R-250 stain are used. The
The Requirements for Filling and Lyophilization of concentration of separating gel is 12. 5 %. The
Biologics shall apply. Filling and lyophilization sample loaded shall be not less than 1 µg.
shall be conducted immediately after sterilization Molecular weight shall be 36-45 kD.
by filtration. The temperature of the preparation
3. 1. 6 UV spectrometry
during lyophilization shall be not higher than 30°C.
Maximum absorption peak shall be at 279 nm+
2. 4. 3 Specifications 2 _nm, and minimum absorption peak shall be at
The approved specification ( s) shall apply. 250 nm+ 2 nm. There shall be no absorption at
2. 4. 4 Packaging 320-360 nm (Appendix II A).
The Requirements for Packaging of Biologics shall 3. 1. 7 Isoelectric point
apply. The isoelectric point of rhEPO shall be pH ·3. 3-4. 3
3 Control tests using ampholyte buffer of· pH. 3. 0-5. 0 ( Appendix
ND).
3. 1 Control tests on bulk
3. 1. 8 Content of sialic acid
3. 1. 1 Protein content The content of sialic acid shall be not less than
Carry out the test for protein content ( Appendix 9. 0 mol/mol rhEPO (Appendix VI C).
VI B, method 2).
3. 1. 9 Content of residual extraneous DNA
3. 1. 2 Biological activity test The content of residual extraneous DNA shall. be
3. 1. 2. 1 Activity test in vivo not more than 100 pg/104 IU rhEPO (Appendix
Carry out the test in vivo for biological activity IX B).
( Appendix X B). 3. 1. 10 Content of residual host CHO cell proteins
3. 1. 2. 2 Activity test in vitro The content of residual CHO cell proteins shall be
Carry out the test in vitro for biological acuvity not more than 0. 10 % of the total protein content
according to the instructions of ELISA diagnostic determined by immunoenzymemetric assay.
kit. 3. 1. 11 Test for bacterial endotoxin
3. 1. 3 Specific activity The content of bacterial endotoxin shall be less
The specific activity shall be not less than 1. 2 X 105 than 2 EU/104 IU rhEPO ( Appendix XII E, the
IU / mg of protein. limit test of gel-clot method).
3. 1. 4 Purity 3. 1. 12 Content of residual bovine serum albumin
The content of residual bovine serum albumin shall
3. 1. 4. 1 Electrophoresis
be not more than 0. 01% determined by ELISA.
Carry out the test for purity by electrophoresis
(Appendix N C). Non-reducing SDS-PAGE and 3. 1. 13 Peptide mapping ( to be tested at least
Coomassie brilliant blue stain shall be used. The once half a year)
concentration of separating gel is 12. 5 %. The The profile of peptide map shall be in consistency
amount of loading sample shall be not less than with that of the rhEPO reference substance using
Recombinant Human Erythropoietin for Injection (CHO Cell)

reverse phase HPLC after digestion with trypsin water for injection.
( Appendix Vlll E ) . Samples are dialyzed and 3. 3. 2. 3 Test for visible particles
lyophilized. The samples are reconstituted to a It complies with the test for visible particles
concentration of 1. 5 mg/ml with 1% ammonium (Appendix V B).
bicarbonate solution. Add trypsin into the samples
and incubate at 37°C + 0. 5°C for 6 hours. 3. 3. 2. 4 Weight variation
Chromatography column is reverse phase C8 It complies with the test for weight variation
column ( 25 cm X 4. 6. mm ID, granularity 5 µm, (Appendix I A).
porosity 30 nm). Column temperature is 45°C + 3. 3. 3 Chemical tests
0. 5°C, flow rate is 0. 75 ml/min and loading
volume of sample is 20 µl. Gradient elution 3. 3. 3. 1 Moisture content
conditions are followed as the table below (A: The residual moisture content shall be not more
0. 1% trifluoroacetic acid in water, B: 0. 1% than 3. 0 % (Appendix VIl D).
trifluoroacetic acid in 80 % acetonitrile solution). 3. 3. 3. 2 pH
The pH shall be 6. 4-7. 4 or 5. 4-6. 4 ( Appendix
No.
Time Flow rate
AC%) BC%)
VA).
(min) (ml/min)
3. 3. 3. 3 Content of sodium
0.00 0. 75 100.0 0.0 The content of sodium shall be not more than
2·· 30.00 0.75 85.0 15. 0
190 mmol/L (Appendix VIl J).
3. 3. 3. 4 Content of citrate
3 75.00 o. 75 65.0 35.0
The content of citrate shall be not more than
4 115. 00 o. 75 15. 0 85.0 25 mmol/L (Appendix VIl H, method 2).
5 120.00 o. 75 0.0 100.0 3. 3. 3. 5 Protein content
o. 75 Carry out the test for protein content ( Appendix
6 125.00 100.0 0
VI B, method 2 ). The content shall meet the
7 145.00 0.75 100.0 0 requirements.
3. 1. 14 N-terminal amino acid sequence ( to be 3. 3. 4 Biological activity tests
determined at least once a year) 3. 3. 4. 1 Activity test in vitro
The N-terminal sequence examined by an amino Carry out the test in vitro for biological actrvity
acid sequencer shall be Ala-Pro-Pro-Arg-Leu-Ile- according to the instructions of ELISA diagnostic
Cys-Asp-Ser-Arg-Val-Leu-Gl u-Arg- Tyr. kit. The activity in vitro shall be 80 %-120 % of
3. 2 Control tests on final bulk the stated value (Appendix X B).
3. 2. 1 Test for bacterial endotoxin 3. 3. 4. 2 Activity test in vivo
The content of bacterial endotoxin shall be less Carry out the test in vivo for biological actrvity
than 2 EU/103 IU rhEPO (Appendix XI[ E, the (Appendix X B). The activity in vivo shall be
limit test of gel-clot method). 80 %-140 % of the stated value.
3. 2. 2 Sterility test 3. 3. 5 Sterility test
It complies with the test for sterility ( Appendix It complies with the test for sterility ( Appendix
XII A). XII A).
3. 3 Control tests on final product 3. 3. 6 Test for bacterial endotoxin
Other than the tests for reconstitution time and The content of bacterial endotoxin shall be less
moisture content, sterile water for injection shall than 2 EU/103 IU rhEPO ( Appendix XII E, the
be added as stated on the label, and the limit test of gel-clot method).
reconstituted product shall be subject to the 3. 3. 7 Test for abnormal toxicity
following tests. It complies with the test for abnormal toxicity
3. 3. 1 Identity test ( Appendix XII F, mouse method).
Immunoblot test ·c Appendix Vlll A) or immunodot 4 Storage, shipping and validity period
test (Appendix Vlll B) shall reveal positive results. Store and ship at 2-8°C, protected from light.
3. 3. 2 Physical inspection The approved validity period shall apply, starting
from the date of filling of final product.
3. 3. 2. 1 Inspection on final containers
The product looks like a white to off-white crisp 5 Package inserts
cake. It shall change into a clear liquid quickly The Requirements for Packaging of Biologics shall
after reconstitution. apply.
3. 3. 2. 2 Reconstitution time
The time for reconstitution shall be not more than
2 minutes after adding the stated amount of sterile
Recombinant Human Erythropoietin Injection (CHO Cell)

2. 2. 1 Recovery and proliferation of cells


Cells from the working cell bank are recovered,
cultured and proliferated in the medium containing
Recombinant Human Erythropoietin inactivated calf serum. A quantity of cells is
prepared for cultivations in rolling bottle or
Injection (CHO Cell) bioreactor. The quality of calf serum shall comply
with the relevant requirements in Appendix XIII D.
Recombinant human erythropoietin ( rhEPO) 2. 2. 2 Culture medium
injection is a liquid preparation prepared from Cell culture medium used for production must be
recombinant proteins expressed by Chinese free of calf serum and antibiotics.
hamster ovarian ( CHO ) cells contammg
recombinant plasmids of the human erythropoietin 2. 2. 3 Cultivation of cells
gene. The recombinant proteins are isolated and Sterile procedure shall be applied in the process of
purified after cultivations of the transfected CHO cultivation of cells. The period of cultivation
cells. The preparation contains a stabilizer, but depends on the growth of cells.
free of preservatives and antibiotics. 2. 2. 4 Isolation and purification
1 Basic requirements The approved procedures for isolation and
The facilities, source and subsidiary materials, purification of rhEPO from the supernatant of cell
water, apparatus and animals used for production cultures shall be used. The bulk rhEPO are
and control tests shall comply with the prepared through processes of the ultrafiltration
requirements set forth in the General Notices. concentration and the multi-step chromatographic
purification rhEPO shall be stored in an appropriate
2 Production temperature after sterilization by filtration. The
2. 1 Engineered cell line storage period for bulk shall be defined.
2. 1. 1 Name and origin of engineered cell line 2. 2. 5 Control tests on bulk
rhEPO engineered cell line is a Chinese hamster See Section 3. 1.
ovarian cell line with the dihydrofolate reductase 2. 3 Final bulk
gene defective ( CHO-dhfr) transformed with
plasmids containing the human erythropoietin 2. 3. 1 Formulation and sterilization by filtration
gene. Final bulk is prepared by adding appropriate
stabilizer into bulk, then diluted with buffer
2. 1. 2 Establishment, passage and storage of cell solution and sterilized by filtration.
banks
The master cell bank was established by 2. 3. 2 Control tests on final bulk
proliferation of cells from the primary cell bank. See Section 3. 2.
The working cell bank is established by 2. 4 Final product
proliferation of cells from the master cell bank. 2. 4. 1 Defining batches
The number of passages shall be not more than the The Requirements for Defining Batches of
approved limit. The cell lines are stored in liquid Biologics shall apply.
nitrogen. The cell lines shall be qualified in
control tests before being used for production. 2. 4. 2 Filling
The Requirements for Filling and Lyophilization of
2. 1. 3 Control tests for master and working cell Biologics shall apply.
banks
It shall comply with Requirements for Preparations 2. 4. 3 Specifications
and Control Tests of Animal Cells as Substrates The approved specification ( s) shall apply.
Used for Production of Biologics. 2. 4. 4 Packaging
2. 1. 3. 1 Tests for extraneous agents The Requirements for Packaging of Biologics shall
Cells shall be free of bacteria and fungi, apply.
mycoplasmas and viruses (Appendix XI[ C). 3 Control tests
2. 1. 3. 2 Identity test on cells 3. 1 Control tests on bulk
Biochemical tests such as isoenzyme analysis,
immunological tests, cytological tests and genetic 3. 1. 1 Protein content
markers tests shall be used. All test results shall Carry out · the test for protein content ( Appendix
meet the criteria of a typical CHO cell. VI B, method 2).
2. 1. 3. 3 Expression level of rhEPO 3. 1. 2 Biological activity test
The expression level of rhEPO in the cells from 3. 1. 2. 1 Activity tests in vivo
working cell bank 'shall be 'not lower than that in Carry out the test in vivo for biological activity
the cells from primary cell bank. (Appendix X B).
2. 2 Bulk 3. 1. 2. 2 Activity tests in vitro
Recombinant Human Erythropoietin Injection (CHO Cell)

Carry out the test in vitro for biological activity not more than 0. 10% of the total protein content
according to the instructions of ELISA diagnostic determined by immunoenzymemetric assay.
kit. 3. 1. 11 Test for bacterial endotoxin
3. 1. 3 Specific activity The content of bacterial endotoxin shall be less
The specific activity shall be not less than 1. 2 X 105 than 2 EU/104 IU rhEPO (Appendix XI[ E, the
IU / mg of protein. limit test of gel-clot method).
3. 1. 4 Purity 3. 1. 12 Content of residual bovine serum albumin
The content of residual bovine serum albumin shall
3. 1. 4. 1 Electrophoresis
be not more than 0. 01% determined by ELISA.
Carry out the test for purity by electrophoresis
(Appendix N C). Non-reducing SDS-PAGE and 3. 1. 13 Peptide mapping ( to be tested at least
Coomassie brilliant blue stain shall be used. The once half a year)
concentration of separating gel is 12. 5%. The The profile of peptide map shall be in consistency ·
amount of loading sample shall b~ not less than with that of the rhEPO reference substance using
10 µ.g. Purity shall be not less than 98. 0 % based reverse phase HPLC after digestion with trypsin
on densitometer scanning. ( Appendix VIII E ) . Samples are dialyzed and
lyophilized. The samples are reconstituted to a
3. 1. 4. 2 HPLC
concentration of 1. 5 mg/ml with 1% ammonium
Carry out the test for purity by HPLC (Appendix
bicarbonate solution. Trypsin is added into the
III B ) . HPLC-SEC method: Chromatography samples and incubated at 37°C+o. 5°C for 6 hours.
column is hydrophilic silicon gel size exclusion
Chromatography column is reverse phase C8
chromatographic column, exclusion limit is 300
column (25 cm X 4. 6 mm ID, granularity 5 µ.m,
kD, granularity is 10 µ.m, porosity is 24 nm,
porosity 30 nm). Column temperature is 45°C ±
internal diameter is 7. 5 mm and column length is
0. 5°C, flow rate is 0. 75 ml/min and loading
30 cm. Flow phase is 3. 2 mmol/L disodium
volume of sample is 20 µ.l. Elution conditions are
hydrogen phosphate, 1. 5 mmol/L potassium di-
followed as the table below ( A: 0. 1 %
hydrogen phosphate and 400. 4 mmol/L of sodium
trifl uoroacetic acid in water, B: 0. 1 %
chloride, pH 7. 3. Amount of loading sample is
trifluoroacetic acid in 80 % acetyl-nitrile solution)
20-100 µ.g. Detection wavelength is 280 nm. The
number of theoretical plates of column shall be not
Time Flow rate
less than 1500 calculated based on the peak of No. (min) (ml/min)
AC%) BC%)
absorption. The purity. shall be not less than
98. 0 % calculated based on the area normalization 1 0.00 0.75 100.0 0.0
method. 2 30.00 0.75 85.0 15.0
3. 1. 5 Molecular weight 75.00 0.75 65.0 35.0
3
Carry out the test for purity by electrophoresis
( Appendix N C). Reducing SDS-PAGE and 4 115. 00 0.75 15.0 85.0
Coomassie brilliant blue R-250 stain are used. The 5 120.00 0.75 0.0 100.0
concentration of separating gel is 12. 5 %. The
sample loaded shall- be not less than 1 µ.g. 6 125.00 o. 75 100.0 0
Molecular weight shall be 36-45 kD. 7 145.00 0.75 100.0 0
3. 1. 6 UV spectrometry
Maximum absorption peak shall be at 279 nm+ 2 3. 1. 14 N-terminal amino acid sequence ( to be
nm, and minimum absorption peak shall be at 250 determined at least once a year)
nm+ 2 nm. There shall be no absorption at 320- The N-terminal sequence examined by an ami~o
360 nm (Appendix II A). acid sequencer shall be Ala-Pro-Pro-Arg-Leu-Ile-
Cys-Asp-Ser-Arg-Val-Leu-Glu-Arg-Tyr.
3. 1. 7 Isoelectric point
The isoelectric point of rhEPO shall be pH 3. 3-4. 3 3. 2 Control tests on final bulk
using ampholyte buff er of pH 3. 0-5. 0 ( Appendix 3. 2. 1 Test for bacterial endotoxin
ND). The content of bacterial endotoxin shall be less
3. 1. 8 Content of sialic acid than 2 EU/103 IU rhEPO (Appendix XI[ E, the
The content of sialic acid shall be not less than limit test of gel-clot method).
9. 0 mol/mol rhEPO (Appendix VI C). 3. 2. 2 Sterility test
3. 1. 9 Content of residual extraneous DNA It complies with the test for sterility ( Appendix
The content of residual extraneous DNA shall be
XI[ A).
not more than 100 pg/104 IU rhEPO ( Appendix 3. 3 Control tests on final product
IX B). 3. 3. 1 Identity test
3. 1. 10 Content of residual CHO cell proteins Immunoblot test ( Appendix VIII A) or immunodot
The content of residual CHO cell proteins shall be test (Appendix VIII B) shall reveal positive results.
Recombinant Human Granulocyte Colony-stimulating Factor Injection

3. 3. 2 Physical inspection
3. 3. 2. 1 Inspection on final containers
The product shall be a clear, colourless liquid.
Recombinant Human Granulocyte
3. 3. 2. 2 Test for visible particles
It complies with the test for visible particles Colony-stimulating Factor Injection
(Appendix V B).
3. 3. 2. 3 Filling quantity Recombinant human granulocyte colony-stimulating
It complies with the requirements for filling factor (rhG-CSF) injection is a liquid preparation
quantity (Appendix I A). The quantity shall be prepared from recombinant proteins expressed by
not less than the stated value. E. coli containing recombinant plasmids of the
rhG-CSF gene. The recombinant proteins are
3. 3. 3 Chemical tests
isolated and purified after fermentation of the
3. 3. 3. 1 pH transformed E.coli. The preparation contains a
The pH shall be 6. 4-7. 4 or 5. 4-6. 4 ( Appendix stabilizer, but free of preservatives and antibiotics,
VA). 1 Basic requirements
3. 3. 3. 2 Content of sodium The facilities, source and subsidiary materials,
The content. of sodium shall be not more than water, apparatus and animals used for production
190 mmol/L C Appendix VIl J). and control tests shall comply with the require-
3. 3. 3. 3 Content of citrate ments set forth in the General Notices.
The content of citrate shall be not more than 2 Production
25 mmol/L (Appendix VIl H, method 2).
2. 1 Engineered bacterial strain
3. 3. 3. 4 Protein content
2. 1. 1 Name and origin of engineered cell line
It complies with the test for protein content
rhG-CSF engineered bacterial strain is an E. coli
(Appendix VI B, method 2). The protein content
strain transformed with plasmids containing the
shall meet the requirements.
rhG-CSF gene.
3. 3. 4 Biological activity tests
2. 1. 2 Establishment of bacterial seed lots
3. 3. 4. 1 Activity test in vitro The Requirements for Preparation and Control of
Carry out the test in vitro for biological activity Animal Cell Substrates Used for Production of
according to the instructions of ELISA diagnostic Biologics shall apply.
kit. The activity in vitro shall be 80 %-120 % of
2. 1. 3 Control tests on bacterial seeds
the stated value (Appendix X B).
The master seed lot and working seed lot shall be
3. 3. 4. 2 Activity test in vivo subject to the control tests as follows.
Carry out the test in vivo for biological actrvity
(Appendix X B). The activity in vivo shall be 2. 1. 3. 1 Streaking on LB agar plates
80 %-140 % of the stated value. All colonies that grow on the plates shall have
typical morphology of E. coli colonies with no
3. 3. 5 Sterility test evidence of contamination.
It complies with the test for sterility ( Appendix
XI[ A). / 2. 1. 3. 2 Gram-stained smears
The bacteria examined under light microscope shall
3. 3. 6 Test for bacterial endotoxin be typical Gram-negative bacteria.
The content of bacterial endotoxin shall be less
than 2 EU/103 IU rhEPO C Appendix XI[ E, the 2. 1. 3. 3 Resistance to antibiotics
limit test of gel-clot method). The antibiotic sensitivity of the bacteria shall be
the same as that of the original strain.
3. 3. 7 Test for abnormal toxicity
It complies with test for abnormal toxicity (Appendix 2. 1. 3. 4 Electro-microscopicexamination ( working
XI[ F, mouse method). seed lot can be exempted)
The examinations shall reveal typical morphology
4 Storage, shipping and validity period of E. coli. No contaminations of mycoplasmas ,
Store and ship at 2-8°C, protected from light. virus-like particles or other microbes shall be
The approved validity period shall apply, starting observed.
from the date of filling of final product.
2. 1. 3. 5 Biochemical tests
5 Package inserts The bacteria tested shall have biological properties
The Requirements for Packaging of Biologics shall of E.coli.
apply.
2. 1. 3. 6 Expression level of rhG-CSF
The expression level of rhG-CSF in cultures on
shaker shall be not lower than that of the primary
seed lot.
Recombinant Human Granulocyte Colony-stimulating Factor Injection

2. 1. 3. 7 Characterization of plasmid 2. 4. 1 Defining batches


The map of restriction enzyme digestion shall be The Requirements for Defining Batches of Biologics
the same as that of the original recombinant shall apply.
plasmid. 2. 4. 2 Filling
2. 2 Bulk The Requirements for Filling and Lyophilization of
Biologics shall apply.
2. 2. 1 Preparation of seed
The bacterial seed from working seed lot qualified 2. 4. 3 Specifications
in control tests shall be cultured in an appropriate The approved specification (s) shall apply.
medium (a quantity of antibiotic can be used) as 2. 4. 4 Packaging
an inoculum for fermentation. The Requirements for Packaging of Biologics shall
2. 2. 2 Medium for fermentation apply.
A suitable medium shall be used for fermentation. 3 Controltests
The medium must not contain antibiotics.
3. 1 Control tests on bulk
2. 2. 3 Inoculation and fermentation
3. 1. 1 Biological activity
2. 2. 3. 1 A quantity of seed is inoculated into the Carry out the test for biological activity ( Appendix
sterilized medium. XE).
2. 2. 3 .. 2 Fermentation conditions, such as the 3. 1. 2 Protein content
temperature, pH, oxygen dissolving, feeding Carry out the test for protein content ( Appendix
and durations, shall follow the approved protocol VI B, method 2).
of fermentation for specific production strain. The
3. 1. 3 Specific activity
losing rate of plasmid in bacteria shall be
monitored during fermentation at a certain time The ratio of biological activity to protein content
shall be not less than 6. 0 X 107 IU/mg of protein.
(Appendix IX G).
3. 1. 4 Purity
2. 2. 4 Processing fermentation products
The bacterial mass shall be collected and processed 3. 1. 4. 1 Electrophoresis
using suitable methods. Carry out the test for purity by electrophoresis
(Appendix N C). If non-reducing SOS-PAGE is
2. 2. 5 Preliminary purification
used, the concentration of separating gel is 15 %.
The approved purification process shall be used.
The amount of loading sample shall be not less
The purity shall meet the requirements.
than 5 µg with Silver stain or not less than 10 µg
2. 2. 6 Further purification with Coomassie brilliant blue R-250 stain. The
The further purification shall be performed using purity shall be not less than 95. 0 % based on
the approved method. The purity shall meet the densitometer scanning.
requirements in Section 3. 1. The preparation,
3. 1. 4. 2 HPLC
after further purification, is the bulk rhG-CSF. Carry out the test· for purity by HPLC ( Appendix
The preparation shall be stored at an appropriate ill B). RP-HPLC method: The matrix of chro-
temperature after addition of a suitable stabilizer matographic column is octadecylsilane bounded
and sterilization by filtration. The storage period silica. Flow phases: phase A ( 0. 1 % trichloroacetic
for bulk shall be defined. acid in water) and phase B ( 0. 1 % trichloroacetic
2. 2. 7 Control tests on bulk acid in acetonitrile solution). Gradient elution
See Section 3. 1. ( 0-70 % of phase B) is carried out at room
temperature, The amount of loading sample shall
2. 3 Final bulk
be not less than 10 µg. Wavelength for detection
2. 3. 1 Formulation and sterilization by filtration is 280 nm. The number of theoretical plates of
2. 3. 1. 1 Preparation of diluent column shall be not less than 1500 calculated based
The approved formula shall be used. The diluent on the peak of absorption. The area of absorption
shall be used immediately after preparation. of major rhG-CSF peak shall be not less than
9 5. 0 % of the total area.
2. 3. 1. 2 Dilution and sterilization by filtration
3. 1. 5. Molecular weight
The bulk rhG-CSF with an appropriate stabilizer
Carry out the test for molecular weight by
and qualified in control tests shall be diluted using
electrophoresis ( Appendix N C ) . If reducing
the diluent prepared in Section 2. 3. 1. 1 to a desired
SOS-PAGE is used, the concentration of separating
concentration and sterilized by filtration. This
gel is 15 %. The amount of loading sample shall be
preparation is the final bulk and stored at 2-8°C.
not less than 1. 0 µg. Molecular weight of the
2. 3. 2 Control tests on final bulk sample shall be 18. 8 kD+ 10 %.
See Section 3. 2.
3. 1. 6 Content of residual extraneous DNA
2. 4 Final product The content of residual extraneous DNA shall be
Recombinant Human Granulocyte/Macrophage Colony-stimulating Factor for Injection

not more than 10 ng/dose (Appendix IX B). 3. 3. 4 Biological activity


3. 1. 7 Content of residual host bacterial proteins It shall be 80 %-150 % of the stated value
(Appendix X E).
The content of residual host bacterial proteins shall
be not more than 0. 10% of total proteins ( Appendix 3. 3. 5 Sterility test
IX C). It complies with the test for sterility ( Appendix
3.L 8 Activity of residual antibiotics
XII A).
It "complies with the test for residual antibiotics 3. 3. 6 Test for bacterial endotoxin
( Appendix IX A ) . The preparation must not The content of bacterial endotoxin shall be less
contain any residual activities of ampicillin or other than 10 EU/vial (Appendix XII E, the limit test of
antibiotics. gel-clot method).
3. 1. 9 Test for bacterial endotoxin 3. 3. 7 Test for abnormal toxicity
The content of bacterial endotoxin shall be less It complies with the test for abnormal toxicity
than 10 EU/300 µg ( Appendix XII E, the limit ( Appendix XII F, mouse method).
test of gel-clot method).
4 Storage, shipping and validity period
3. 1. 10 Isoelectric point Store and ship at 2-8°C, protected from light.
The isoelectric point of rhG-CSF protein shall be The approved validity period shall apply, starting
pH 5. 8-6. 6 (Appendix N D). from the date of filling of final product.
3. 1. 11 .. Ultraviolet spectroscopy 5 Package inserts
The maximum absorption peak shall be at 278 nm+ The Requirements for Packaging of Biologics shall
3 nm ( Appendix II A). apply.
3. 1. 12 Peptide mapping ( to be tested at least
once half a year)
The profile of peptide map shall be in consistency
with that of the rhG-CSF reference substance Recombinant Human Granulocyte I
( Appendix VHI E). Macrophage Colony-stimulating
3. 1. 13 N-terminal amino acid sequence ( to be Factor for Injection
examined at least once a year)
The N-terminal sequence examined by an amino Recombinant human granulocyte-macrophagecolony-
acid sequencer shall be Thr-Pro-Leu-Gly-Pro-Ala- stimulating factor ( rhGM-CSF) for injection is a
Ser-Ser-Leu-Pro-Gln-Ser-Phe-Leu-Leu. freeze-dried preparation prepared from recombinant
3. 2 Control tests on final bulk proteins expressed by E.coli containing recom-
binant plasmids of the rhGM-CSF gene. The
3. 2. 1 Test for bacterial endotoxin recombinant proteins are isolated, purified and
The content of bacterial endotoxin shall be less lyophilized after fermentation of the transformed
than 10 EU/300 µg ( Appendix XII E, the limit E.coli. The preparation contains a stabilizer, but
test of gel-clot method). free of preservatives and antibiotics.
3. 2. 2 Sterility test 1 Basic requirements
It complies with the test for sterility ( Appendix The facilities, source and subsidiary materials,
XII A). water, apparatus and animals used for production
3. 3 Control tests on final product and control tests shall comply with the require-
ments set forth in the General Notices.
3. 3. 1 Identity test
lmmunoblot test (Appendix VH1 A) or immunodot 2 Production
test (Appendix VH1 B) shall reveal positive results. 2. 1 Engineered bacterial strain
3. 3. 2 Physical inspection 2. 1. 1 Name and origin of engineered cell line
3. 3. 2. 1 Inspection on final containers rhGM-CSF engineered bacterial strain is an E. coll
The product shall be a clear liquid. strain transformed with plasmids containing the
rhGM-CSF gene.
3. 3. 2. 2 Test for visible particles
It complies with the test for visible particles 2. 1. 2 Establishment of bacterial seed lots
(Appendix V B). The Requirements for Preparation and Control of
Animal Cell Substrates Used for Production of
3. 3. 2. 3 Filling quantity
Biologics shall apply.
It complies with the requirements for filling
quantity (Appendix I A). The quantity shall be 2. 1. 3 Control tests on bacterial seeds
not less than the stated value. The master seed lot and working seed lot shall be
subject to the control tests as follows.
3. 3. 3 pH
It shall be 3. 5-4. 5 (Appendix V A). 2. 1. 3. 1 Streaking on LB agar plates
Recombinant Human Granulocytc/Macrophage Colony-stimulating Factor for Injection

All colonies that grow on the plates shall have after further purification, is the bulk rhGM-CSF.
typical morphology of E.coli colonies with no The preparation shall be stored at an appropriate
evidence of contamination. temperature after addition of a suitable stabilizer
2. 1. 3. 2 Gram-stained smears and sterilization by filtration. The storage period
The bacteria examined under light microscope shall for bulk shall be defined.
be typical Gram-negative bacteria. 2. 2. 7 Control tests on bulk
2. 1. 3. 3 Resistance to antibiotics See Section 3. 1.
The antibiotic sensitivity of the bacteria shall be 2. 3 Final bulk
the same as that of the original strain.
2. 3. 1 Formulation and sterilization by filtration
2. 1. 3. 4 Electro-microscopicexamination ( working
seed lot can be exempted) 2. 3. 1. 1 Preparation of diluent
The examinations shall reveal typical morphology The approved formula shall be used. The diluent
of E.coli. No contaminations of mycoplasmas , shall be used immediately after preparation.
virus-like particles or other microbes shall be 2. 3. 1. 2 Dilution and sterilization by filtration
observed. The bulk rhGM-CSF with an appropriate stabilizer
2. 1. 3. 5 Biochemical tests and qualified in control tests shall be diluted using
The bacteria tested shall have biological properties the diluent prepared in Section 2. 3. 1. 1 to a desired
of E.coli. concentration and sterilized by filtration. This
preparation is the final bulk and stored at 2-8°C.
2. L 3. 6 Expression level of rhGM-CSF
The expression level of rhGM-CSF in cultures on 2. 3. 2 Control tests on final bulk
shaker shall be not lower than that of the primary See Section 3. 2.
seed lot. 2. 4 Final product
2. 1. 3. 7 Characterization of plasmid 2. 4. 1 Defining batches
The map of restriction enzyme digestion shall be The Requirements for Defining Batches of Biologics
the same as that of the original recombinant shall apply.
plasmid.
2. 4. 2 Filling and Iyophilization
2. 2 Bulk The Requirements for Filling and Lyophilization of
2. 2. 1 Preparation of seed Biologics shall apply.
The bacterial seed from working seed lot qualified 2. 4. 3 Specifications
in control tests shall be cultured in an appropriate The approved specification(s) shall apply.
medium (a quantity of antibiotic can be used) as
an inoculum for fermentation. 2. 4. 4 Packaging
The Requirements for Packaging of Biologics shall
2. 2. 2 Medium for fermentation apply.
A suitable medium shall be used for fermentation.
The medium must not contain antibiotics. 3 Control tests
2. 2. 3 Inoculation and fermentation 3. 1 Control tests on bulk
2. 2. 3. 1 A quantity of seed is inoculated into the 3. 1. 1 Biological activity
sterilized medium. Carry out the test for biological activity ( Appendix
X F).
2. 2. 3. 2 Fermentation conditions, such as the
temperature, pH, oxygen dissolving, feeding 3. 1. 2 Protein content
and durations, shall follow the approved protocol Carry out the test for protein content ( Appendix
of fermentation for specific production strain. The VI B, method 2).
losing rate of plasmid in bacteria shall be monitored 3. 1. 3 Specific activity .
during fermentation at a certain time ( Appendix The ratio of biological activity to protein content
IX G). .
shall be not less than 1. 0 X 107 IU/mg of protein.
2. 2. 4 Processing fermentation products 3. 1. 4 Purity
The bacterial mass shall be collected and processed
using suitable methods. 3. 1. 4. 1 Electrophoresis
Carry out the test for purity by electrophoresis
2. 2. 5 Preliminary purification (Appendix N C). If non-reducing SDS-PAGE is
The approved purification process shall be used. used, the concentration of separating gel is 15%.
The purity shall meet the requirements. The amount of loading sample shall be not less
2. 2. 6 Further purification than 5 µg with Silver stain or not less than 10 µg
The further purification shall be performed using with Coomassie brilliant blue R-250 stain. The
the approved method. The purity shall meet the purity shall be not less than 95. 0 % based on
requirements in Section 3.1. The preparation, densitometer scanning.
Recombinant Streptokinase for Injection

3. 1. 4. 2 HPLC 3. 2. 2 Sterility test


Carry out the test for purity by HPLC (Appendix It complies with the test for sterility ( Appendix
ill B). SEC-HPLC method: Gel for separating XII A).
5-60 kD proteins shall be used. Flow phase is 3. 3 Control tests on final product
0. 1 mol/L phosphate-0. 1 mol/L sodium chloride Other than the determination of moisture content,
buffer, p H 7. O. The amount of loading sample sterile water for injection shall be added as stated
shall be not less than 20 µ.g. Wavelength for on the label, and the reconstituted product shall
detection is 280 nm. The number of theoretical be subject to the following tests.
plates of column shall be not less than 1500
calculated based on the peak of absorption. The 3. 3. 1 Identity test
area of absorption of major rhGM-CSF peak shall lmmunoblot test (Appendix VIU A) or immunodot
be not less than 95. 0 % of the total area. test (Appendix VIU B) shall reveal positive results.
3. 1. 5 Molecular weight 3. 3. 2 Physical inspection
Carry out the test for molecular weight by 3. 3. 2. 1 Inspection on final containers
electrophoresis ( Appendix N C ) . If reducing The product looks like a white to off-white crisp
SDS-PAGE is used, the concentration of cake. It shall change into a clear liquid quickly
separating gel. is 15 % . The amount of loading after reconstitution.
sample shall be not less than 1. 0 ug. Molecular
3. 3. 2. 2 Test for visible particles
weight of the sample shall be 14. 5 kD+ 10% .
It complies with the test for visible particles
3. 1. 6 Content of residual extraneous DNA (Appendix V B).
The content of residual extraneous DNA shall be
3. 3. 2. 3 Weight variation
not more than 10 ng/dose (Appendix IX B).
It complies with the test for weight variation
3. 1. 7 Content of residual host bacterial proteins ( Appendix I A).
The content of residual host bacterial proteins shall 3. 3. 3 Chemical tests
be not more than 0. 10 % of total proteins ( Appendix
IX C). 3. 3. 3. 1 Moisture content
The residual moisture content shall be not more
3. 1..8 Activity of residual antibiotics than 3. 0% (Appendix Vll D).
It complies with the test for residual antibiotics
( Appendix IX A). The preparation must not 3. 3. 3. 2 pH
contain any residual activities of ampicillin or other It shall be 6. 5-7. 5 (Appendix V A).
antibiotics. 3. 3. 4 Biological activity
3. 1. 9 Test for bacterial endotoxin It shall be 80%-150% of the stated value (Appendix
The content of bacterial endotoxin shall be less X F).
than 10 EU/ 300 µ.g of protein ( Appendix XII E, 3. 3. 5 Sterility test
the limit test of gel-clot method). It complies with the test for sterility ( Appendix
3. 1. 10 Isoelectric point XII A).
The isoelectric point of rhGM-CSF protein shall be 3. 3. 6 Test for bacterial endotoxin
pH 4. 7-5. 7 (Appendix N D). The content of bacterial endotoxin shall be less
than 10 EU/vial (Appendix XII E, the limit test of
3. 1. 11 Ultraviolet spectroscopy
gel-clot method).
The maximum absorption peak shall be at 279 nm+
3 nm (Appendix II A). 3. 3. 7 Test for abnormal toxicity
It complies with the test for abnormal toxicity
3. 1. 12 Peptide mapping ( to be tested at least
( Appendix XI[ F, mouse method).
once half a year)
The profile of peptide map shall be in consistency 4 Storage, shipping and validity period
with that of the rhGM-CSF reference substance Store and ship at 2-8°C, protected from light.
( Appendix V1U E). The approved validity period shall apply, starting
from the date of filling of final product.
3. 1. 13 N-terminal amino acid sequence ( to be
examined at least once a year) 5 Package inserts
The N-terminal sequence examined by an amino The Requirements for Packaging of Biologics shall
acid sequencer shall be ( Met r-Ala-Pro-Ala-Arg- apply.
Ser-Pro-Ser- Pro-Ser- Thr-G ln-Pro- Trp-G 1 u-His.
3. 2 Control tests on final bulk
3. 2. 1 Test for bacterial endotoxin Recombinant Streptokinase for Injection
The content of bacterial endotoxin shall be less
than 10 . EU/ 300 µ.g of protein ( Appendix XII E,
the limit test of gel-clot method). Recombinant streptokinase for injection is a freeze-
Recombinant Streptokinase for Injection

dried preparation prepared from recombinant The bacterial seed from working seed lot qualified
proteins expressed by E.coli containing recom- in control tests shall be cultured in an appropriate
binant plasmids of the streptokinase gene. The medium (a quantity of antibiotic can be used) as
recombinant proteins are isolated, purified and an inoculum for fermentation.
lyophilized after fermentation of the transformed 2. 2. 2 Medium for fermentation
E. coli. The preparation contains a stabilizer, but A suitable medium shall be used for fermentation.
free of preservatives and antibiotics. The medium must not contain antibiotics.
1 Basic requirements 2. 2. 3 Inoculation and fermentation
The facilities, source and subsidiary materials,
water, apparatus and animals used for production 2. 2. 3. 1 A quantity of seed is inoculated into the
and control tests shall comply with the require- sterilized medium.
ments set forth in the General Notices. 2. 2. 3. 2 Fermentation conditions, such as the
2 Production temperature, pH, oxygen dissolving, feeding
and duration, shall follow the approved protocol
2. 1 Engineered bacterial strain· of fermentation for specific production strain. The
2. 1. 1 Name and origin of engineered bacterial losing rate of plasmid in bacteria shall be
strain monitored during fermentation at a certain time
The recombinant streptokinase engineered bacterial ( Appendix IX G).
strain is an E.coli strain transformed with plasmids 2. 2. 4 Processing fermentation products
containing a streptokinase gene. The bacterial mass shall be collected and processed
2. 1. 2 Establishment of bacterial seed lots using suitable methods.
The Requirements for Preparation and Control of 2. 2. 5 Preliminary purification
Animal Cell Substrates Used for Production of The approved purification process shall be used.
Biologics shall apply. The purity shall meet the requirements.
2. 1. 3 Control tests on bacterial seeds 2. 2. 6 Final purification
The master seed lot and working seed lot shall be The further purification shall be performed using
subject to the control tests as follows. the approved method. The purity shall meet the
2. 1. 3. 1 Streaking on LB agar plates requirements in Section 3. 1. The preparation,
All colonies that grow on the plates shall have after further purification, is the bulk streptokinase.
typical morphology of E. coli colonies with no The preparation shall be stored at an appropriate
evidence of contamination. temperature after addition of a suitable stabilizer
and sterilization by filtration. The storage period
2. 1. 3. 2 Gram-stained smears for bulk shall be defined.
The bacteria examined under light microscope shall
be typical Gram-negative bacteria. 2. 2. 7 Control tests on bulk
See Section 3. 1.
2. 1. 3. 3 Resistance to antibiotics
The antibiotic sensitivity of the bacteria shall be 2. 3 Fincil bulk
the same as that of the original strain. 2. 3. 1 Formulation and sterilization by filtration
2. 1. 3. 4 Electro-microscopicexamination ( working 2. 3. 1. 1 Preparation of diluent
~ seed lot can be exempted) The approved formula shall be used. The diluent
The examination shall reveal typical morphology of shall be used immediately after preparation.
E. coli. No contaminations of mycoplasmas ,
2. 3. 1. 2 . Dilution and sterilization by filtration
virus-like particle or other microbes shall be
The bulk streptokinase with an appropriate
observed.
stabilizer and qualified in control tests shall be
2. 1. 3. 5 Biochemical tests diluted using the diluent prepared in Section
The bacteria tested shall have biological properties 2. 3. 1. 1 to a desired concentration and sterilized by
of E.coli. ' filtration. This preparation is the final bulk and
2. 1. 3. 6 Expression level of streptokinase stored at 2-8°C.
The expression level of streptokinase in cultures on 2. 3. 2 Control tests on final bulk
shaker shall be not lower than that of the primary See Section 3. 2.
seed lot.
2: 4 Final product
2. L 3. 7 Characterization of plasmid
2. 4. 1 Defining batches
The map of restriction enzyme digestion shall be
The Requirements for Defining Batches of Biologics
the same as that of the original recombinant shall apply. ·
plasmid.
2. 4. 2 Filling and lyophilization
2. 2 Bulk
The Requirements for Filling and Lyophilization of
2. 2. 1 Preparation of seed Biologics shall apply.
Recombinant Streptokinase for Injection

2. 4. 3 Specifications ( Appendix IX A). The preparation must not


The approved specification (s) shall apply. contain any residual activities of ampicillin or other
2. 4. 4 Packaging antibiotics.
The Requirements for Packaging of Biologics shall 3. 1. 9 Test for bacterial endotoxin
apply. The content of bacterial endotoxin shall be less
3 Controltests than 3EU/mg protein (Appendix XII E, the limit
test of gel-clot method).
3. 1 Control tests on bulk
3. 1. 10 Isoelectric point
3. 1. 1 Biological activity The isoelectric point of streptokinase protein shall
Carry out the test for biological activity ( Appendix be pH 4. 6-5. 6 (Appendix N D).
x I).
3. 1. 11 Ultraviolet spectroscopy
3. 1. 2 Protein content The maximum absorption peak shall be at 277 nm+
Carry out the test for protein content ( Appendix 3 nm ( Appendix II A).
VI B, method 2).
3. 1. 12 Peptide mapping ( to be tested at least
3. 1. 3 Specific activity once half a year)
The ratio of biological activity to protein content The profile of peptide map shall be in consistency
shall be not less than 9. OOX 104 IU/mg of protein. with that of the streptokinase reference substance
3. 1. 4 .Purity (Appendix Vlll E).
3. 1. 4. 1 Electrophoresis 3. 1. 13 N-terminal amino acid sequence ( to be
Carry out the test for purity by electrophoresis examined at least once a year)
(Appendix N C). If non-reducing SDS-PAGE is The N-terminal sequence examined by an amino
used, the concentration of separating gel is 10%. acid sequencer shall be Val-Lys-Pro-Val-Gln-Ala-
The amount of loading sample shall be not less Ile-Ala-Gly-Ser-Glu-Trp-Leu-Leu-Asp.
than 10 µg with Coomassie brilliant blue R-250
3. 2 Control tests on final bulk
stain. The purity shall be not less than 95. 0 %
based on densitom et er scanning. 3. 2. 1 Test for bacterial endotoxin
The content of bacterial endotoxin shall be less
3. 1. 4. 2 HPLC
than 3 EU/mg protein (Appendix XII E, the limit
Carry out the test for purity by HPLC (Appendix
test of gel-clot method).
III B ). RP-HPLC method: The matrix of
chromatographic column is octadecylsilane bounded 3. 2. 2 Sterility test
silica. Flow phases: phase A ( 0. 1 % trichloroacetic It complies with the test for sterility ( Appendix
acid in water) and phase B ( 0. 1 % trichloroacetic XII A).
acid in acetonitrile solution). Gradient elution 3. 3 Control tests on final product
( 0-70 % of phase B) is carried out at room
Other than the determination for moisture content,
temperature. The amount of loading sample shall
sterile water for injection shall be added as stated
be not less than 10 µg. Wavelength for detection
on the label, and the reconstituted product shall
is 280 nm. The number of theoretical plates of
be subject to the following tests.
column shall be not less than 2000 calculated based
an the peak of absorption. The area of absorption 3. 3. 1 Identity test
of major streptokinase peak shall be not less than Immunoblot test ( Appendix Vlll A) or immunodot
95. 0 % of the total area. test (Appendix Vlll B) shall reveal positive results.
3. 1. 5 Molecula~ weight 3. 3. 2 Physical inspection
Carry out the test for molecular weight by 3. 3. 2. 1 Inspection on final containers
electrophoresis ( Appendix N C ) . If reducing The product looks like a white to off-white crisp
SDS-PAGE is used, the concentration of cake. It shall change into a clear liquid quickly
separating gel is 10%. The amount of loading after reconstitution.
sample shall be not less than 1. 0 µg. Molecular
weight of the sample shall be 47. 0 kD+ 10 % . 3. 3. 2. 2 Test for visible particles
It complies with the test for visible particles
3. 1. 6 Content of residual extraneous DNA
(Appendix V B).
The content of residual extraneous DNA shall be
not more than 10 ng/ dose (Appendix IX B). 3. 3. 2. 3 Weight variation
It complies with the test for weight variation
3. 1. 7 Content of residual host bacterial proteins
(Appendix I A).
The content of residual host bacterial proteins shall
be not more than 0. 050 % of total proteins 3. 3. ~ Chemical tests
( Appendix IX C). 3. 3. 3. 1 Moisture content
3. 1. 8 Activity of residual antibiotics The residual moisture content shall be not more
It complies with the test for residual antibiotics than 3. 0 % ( Appendix VJ[ D).
Recombinant Bovine Basic Fibroblast Growth Factor for External Use, Liquid

3. 3. 3. 2 pH 2. 1. 3. 1 Streaking on LB agar plates


It shall be 6. 9-7. 9 (Appendix V A). All colonies that grow on the plates shall have
typical morphology of E. coli colonies with no
3. 3. 4 Biological activity
It shall be 80 %-150 % of the stated value (Appendix evidence of contamination.
X D. 2. 1. 3. 2 Gram-stained smears
The bacteria examined under light microscope shall
3. 3. 5 Sterility test
be typical Gram-negative bacteria.
It complies with the test for sterility ( Appendix
XII A). 2. 1. 3. 3 Resistance to antibiotics
The antibiotic sensitivity of the bacteria shall be
3. 3. 6 Test for bacterial endotoxin
the same as that of the original strain.
The content of bacterial endotoxin shall be less
than 15 EU/vial (Appendix XII E, the limit test of 2. 1. 3. 4 Electro-microscopicexamination ( working
gel-clot method). seed lot can be exempted)
The examination shall reveal typical morphology of
3. 3. 7 Test for abnormal toxicity
Ei coli, No contaminations of mycoplasmas, virus--
It complies with the test for abnormal toxicity
like particle or other microbes shall be observed.
(Appendix XII F, mouse method).
2. 1. 3. 5 Biochemical tests
4 Storage, shipping and validity period
The bacteria tested shall have biological properties
Store and ship at 2-8°C, protected from light.
of E.coli.
The 'approved validity period shall apply, starting
from the date of filling of final product. 2. 1. 3. 6 Expression level of rbBFGF
The expression level of rbBFGF in cultures on
S Package inserts
shaker shall be not lower than that of the primary
The Requirements for Packaging of Biologics shall
seed lot.
apply.
2. 1. 3. 7 Characterization of plasmid
The map of restriction enzyme digestion shall be
the same as that of the original recombinant
Recombinant Bovine Basic Fibroblast plasmid.
Growth Factor for External Use, Liquid 2. 1. 3. 8 Nucleotide sequence examination
Nucleotide sequence of the bovine BFGF gene shall
be the same as the theoretical sequence.
Recombinant bovine basic fibroblast growth factor
(rbBFGF) is a liquid preparation for external use 2. 2 Bulk
prepared from recombinant proteins expressed by 2. 2. 1 Preparation of seed
E. coli containing recombinant plasmids of the The bacterial seed from working seed lot qualified
bovine BFGF gene. The recombinant proteins are in control tests shall be cultured in an appropriate
isolated and purified after fermentation of the medium (a quantity of antibiotic can be used) as
transformed E. coli. The preparation contains a an inoculum for fermentation.
stabilizer, but free of preservatives and antibiotics.
2. 2. 2 Medium for fermentation
1 Basic requirements A suitable medium shall be used for fermentation.
The facilities, source and subsidiary materials, The medium must not contain antibiotics.
water, apparatus and animals used for production
2. 2. 3 Inoculation and fermentation
and control tests shall comply with the require-
ments set forth in the General Notices. 2. 2. 3. 1 A quantity of seed is inoculated into the
sterilized medium.
2 Production
2. 2. 3. 2 Fermentation conditions, such as the
2. 1 Engineered bacterial strain
temperature, pH, oxygen dissolving, feeding
2. 1. 1 Name and origin of engineered bacterial and duration, shall follow the approved protocol
strain of fermentation for specific production strain. The
rbBFGF engineered bacterial strain is an E. coli losing rate of plasmid in bacteria shall be monitored
strain transformed with plasmids containing bovine during fermentation at a certain time ( Appendix
BFGF gene. IX G)._
2. 1. 2 Establishment of bacterial seed l~ts 2. 2. 4 Processing fermentation products
The Requirements for Preparation and Control of The bacterial mass shall be collected and processed
Animal Cell Substrates Used for Production of using suitable methods.
Biologics shall apply.
2. 2. 5 Purification
2. 1. 3 Control tests on bacterial seeds The approved purification processes shall be used
The master seed lot and working seed lot shall be for preliminary and further purifications. The
subject to the control tests as follows. purity shall meet the requirements in Section 3. 1.
Recombinant Bovine Basic Fibroblast Growth Factor for External Use, Liquid

The preparation, after further purification, is the 3. 1. 4. 2 HPLC


bulk rbBFGF. The preparation shall be stored at Carry out the test for purity by HPLC ( Appendix ,
an appropriate temperature after addition of a ill B). RP-HPLC method: The matrix of chro-
suitable stabilizer and sterilization by filtration. matographic column is octadecylsilane bounded
The storage period for bulk shall be defined. silica. Flow phases: phase A ( 0. 1 % trichloroacetic
acid in water) and phase B ( O~ 1 % trichloroacetic
2. 2. 6 Control tests on bulk
acid in acetonitrile solution). Gradient elution
See Section 3. 1.
( 0-70 % of phase B) is carried out at room
2. 3 Final bulk temperature. The amount of loading sample shall
2. 3. 1 Formulation and sterilization by filtration be not less than 10 µ.g. Wavelength for detection
is 280 nm. The number of theoretical plates of
2. 3. 1. 1 Preparation of diluent column shall be not less than 2000 calculated based
The approved formula shall be used. The diluent on the peak of absorption. The area of absorption
shall be used immediately after preparation. of major rbBFGF peak shall be not less than
2. 3. 1. 2 Dilution and sterilization by filtration 95. 0 % of the total area.
The bulk rbBFGF with an appropriate stabilizer 3. 1. 5 Molecular weight
and qualified in control tests shall be diluted using Carry out the test for molecular weight by
the diluent prepared in Section 2. 3. 1. 1 to a desired electrophoresis ( Appendix N C ) . If reducing
concentration and sterilized by filtration. This SDS--PAGE is used, the concentration of
preparation is the final bulk and stored at 2-8°C. separating gel is 15%. The amount of loading
2. 3. 2 Control tests on final bulk sample shall be not less than 1. 0 µ.g. Molecular
See Section 3. 2. weight of the two protein bands of the sample shall
be 17. 5 kD+10% and 22. 0 kD +10% respectively.
2. 4 Final product
3. 1. 6 Content of residual extraneous DNA
2. 4. 1 Defining batches The content of residual extraneous DNA shall be
The Requirements for Defining Batches of Biologics not more than 10 ng/ dose (Appendix IX B).
shall apply.
3. 1. 7 Isoelectric point
2. 4. 2 Filling The isoelectric point· of rbBFGF protein shall be
The Requirements for Filling and Lyophilization of pH 9. 0-10. o (Appendix N D).
Biologics shall apply.
3. 1. 8 Ultraviolet spectroscopy
2. 4. 3 Specifications . The maximum absorption peak shall be at 277 nm+
The approved specification Cs) shall apply. 3 nm (Appendix II A).
2. 4. 4 Packaging 3. 1. 9 Peptide mapping ( to be tested at least
The, Requirements for Packaging of Biologics shall once half a year)
apply. The profile of peptide map shall be in consistency
with that of the rbBFGF reference substance
3 Control tests
(Appendix VD1 E).
3. 1 Control tests on bulk 3. 2 Control tests on final bulk
3. 1. 1 Biological activity 3. 2. 1 Biological activity
Carry out the test for biological activity ( Appendix It complies with the requirement m Appendix
X G). X G.
3. 1. 2 Protein content 3. 2. 2 Sterility test
Carry out the test for protein content ( Appendix It complies with the test for sterility C Appendix
VI B, method 2). XII A).
3. 1. 3 Specific activity 3. 3 Control tests on final product ·
The ratio of biological activity to protein content
shall be not less than 1. 7 X 105 IU / mg of protein. 3. 3. 1 Identity test
Immunoblot test (Appendix VH1 A) or immunodot
3. 1. 4 Purity test (Appendix VHI B) shall reveal positive results.
3. 1. 4. 1 Electrophoresis 3. 3. 2 Physical inspection
Carry out the test for purity by electrophoresis
(Appendix N C). If non-reducing SDS--PAGE is 3. 3. 2. 1 Inspection· on final containers
used, the concentration of separating gel is 15 %. The product shall be a clear liquid, free of visible
The amount of loading sample shall be not less insoluble .particles.
than 5 µ.g with Silver stain or not less than 10 µ.g 3. 3. 2. 2 Filling quantity
with Coomassie brilliant blue R-250 stain. The It complies with the test for mmimum fill
purity shall be not less than 95. 0% based on (Appendix V F). The quantity shall be not less
densitometer scanning. than the stated value.
Recombinant Bovine Basic Fibroblast Growth Factor for External Use

3. 3. 3 pH be typical Gram-negative bacteria.


It shall be 6. 5- 7. 5 ( Appendix V A). 2. 1. 3. 3 Resistance to antibiotics
3. 3. 4 Biological activity The antibiotic sensitivity of the bacteria shall be
It shall be 70%-200% of the stated value the same as that of the original strain.
( Appendix X G).
2. 1. 3. 4 Electro-microscopicexamination ( working
3. 3. 5 Sterility test seed lot can be exempted)
It complies with the test for sterility ( Appendix The examination shall reveal typical morphology of
XI[ A). E. coli. No contaminations of mycoplasmas ,
4 Storage, shipping and validity period virus-like particle or other microbes shall be
Store and ship at 2-8°C , protected from light. observed.
The approved validity period shall apply, starting 2. 1. 3. 5 Biochemical tests
from the date of filling of final product. The bacteria tested shall have biological properties
5 Package inserts of E.coli.
The Requirements for Packaging of Biologics shall 2. 1. 3. 6 Expression level of rbBFGF
apply. The expression level of rbBFGF in cultures on
shaker shall be not ·lower than that of the primary
seed lot.
2 .. 1. 3. 7 Characterization of plasmid
Recombinant Bovine Basic Fibroblast The map of restriction enzyme digestion shall be
Growth Factor for External Use the same as that of the original recombinant
plasmid.
Recombinant bovine basic fibroblast growth factor 2. 1. 3. 8 Nucleotide sequence examination
(rbBFGF) is a freeze-dried preparation for external Nucleotide sequence of the bovine BFGF gene shall
use prepared from recombinant proteins expressed be the same as the theoretical sequence.
by E. coli containing recombinant plasmids of the 2. 2 Bulk
bovine BFGF gene. The recombinant proteins are
isolated, purified and lyophilized after fermen- 2. 2. 1 Preparation of seed
tation of the transformed E.coli. The preparation The bacterial seed from working seed lot qualified
contains a stabilizer, but free of preservatives and in control tests shall be cultured in an appropriate
antibiotics. medium (a quantity of antibiotic can be used) as
an inoculum for fermentation.
1 Basic requirements
The facilities, source and subsidiary materials, 2. 2. 2 Medium for fermentation
water' apparatus and animals used for production A suitable medium shall be used for fermentation.
and control tests shall comply with the require- The medium must not contain antibiotics.
ments set forth in the General Notices. 2. 2. 3 Inoculation and fermentation
2 Production 2. 2. 3. 1 A quantity of seed is inoculated into the
2. 1 Engineered bacterial strain sterilized medium.
2. 1. 1 Name and origin of engineered bacterial 2. 2. 3. 2 Fermentation conditions, such as the
strain temperature, pH, oxygen dissolving, feeding
rbBFGF engineered bacterial strain is an E. coli and duration, shall follow the approved protocol
strain transformed with plasmids containing bovine of fermentation for specific production strain. The
BFGF gene. losing rate of plasmid in bacteria shall be
monitored during fermentation at a certain time
2. 1. 2 Establishment of bacterial seed lots (Appendix IX G).
The Requirements for Preparation and Control of
Animal Cell Substrates Used for Production of 2. 2. 4 Processing fermentation products
Biologics shall apply. The bacterial mass shall be collected and processed
using suitable methods.
2. 1. 3 Control tests on bacterial seeds
The master seed lot and working seed lot shall be 2. 2. 5 Purification
subject to the control tests as follows. The approved purification processes shall be used
for preliminary and further purifications. The
2. 1. 3. 1 Streaking on LB agar plates
purity shall meet the requirements in Section 3. 1.
All colonies that grow on the plates shall have
The preparation, after further purification, is the
typical morphology of E. coli colonies with no
bulk rbBFGF. The preparation shall be stored at
evidence of contamination.
an appropriate temperature after addition of a
2. 1. 3. 2 Gram-stained smears suitable stabilizer and sterilization by filtration.
The bacteria examined under light microscope shall The storage period for bulk shall be defined.
Recombinant Bovine Basic Fibroblast Growth Factor for External Use

2. 2. 6 Control tests on bulk acid in acetonitrile solution). Gradient elution


See Section 3. 1. (0-70% of phase B) is carried out at room
2. 3 Final bulk temperature. The amount of loading sample shall
be not less than 10 µ.g. Wavelength for detection
2. 3. 1 Formulation and sterilization by filtration is 280 nm. The number of theoretical plates of
2. 3. 1. 1 Preparation of diluent column shall be not less than 2000 calculated based
The approved formula shall be used. The diluent on the peak of absorption. The area of absorption
shall be used immediately after preparation. of major rbBFGF peak shall be not less than
95. 0 % of the total area.
2. 3. 1. 2 Dilution and sterilization by filtration
The bulk rbBFGF with an appropriate stabilizer 3. 1. 5 Molecular weight
and qualified in control tests shall be diluted using Carry out the test for molecular weight by
the diluent prepared in Section 2. 3. 1. 1 to a desired electrophoresis ( Appendix N C ) . If reducing
concentration and sterilized by filtration. This SDS-PAGE is used, the concentration of
preparation is the final bulk and stored at 2-8°C. separating gel is 15 %. The amount of loading
sample shall be not less than 1. 0 µ.g. Molecular
2. 3. 2 Control tests on final bulk weight of the two protein bands of the sample shall
See Section 3. 2. be 17. 5 kD+10% and 22. 0 kD+lO% respectively.
2. 4 Final product 3. 1. 6 Content of residual extraneous DNA
2. 4. 1 ,, Defining batches The content of residual extraneous DNA .shall be
The Requirements for Defining Batches of Biologics not more than 10 ng/ dose ( Appendix IX B).
shall apply. 3. 1. 7 Isoelectric point
2. 4. 2 Filling and lyophilization The isoelectric point of rbBFGF protein shall be
The Requirements for Filling and Lyophilization of pH 9. 0-10. 0 (Appendix N D).
Biologics shall apply. 3. 1. 8 Ultraviolet spectroscopy
2. 4. 3 Specifications The maximum absorption peak shall be at
The approved specification ( s) shall apply. 277 nm+3 nm (Appendix II A).
2. 4. 4 Packaging 3. 1. 9 Peptide mapping ( to be tested at least
The Requirements for Packaging of Biologics shall once half a year)
apply. The profile of peptide map shall be in consistency
with that of the rbBFGF reference substance
3 Control tests
(Appendix VIII E).
3~ 1 Control tests on bulk
3. 2 Control tests on final bulk
3. 1. 1 Biological activity
3. 2. 1 Biological activity
Carry out the test for biological activity ( Appendix
Carry out the test for biological activity ( Appendix
X G). X G).
3. 1. 2 Protein content
3. 2. 2 Sterility test
Carry out the test for protein content (Appendix
VI B, method 2). It complies with the test for sterility ( Appendix
XII A).
3. 1. 3 Specific activity
3. 3 Control tests on final product
The ratio of biological activity to protein content
Other than the tests for reconstitution time and
shall be not less than 1. 7 X 105 IU / mg of protein.
moisture content, sterile water for injection shall
3. 1. 4 Purity be added as stated on the label, and the
3. 1. 4. 1 Electrophoresis reconstituted product shall be subject to the
Carry out the test for purity by electrophoresis following tests.
(Appendix N C). If non-reducing SDS-PAGE is 3. 3. 1 Identity test
used, the concentration of separating gel is 15%. Immunoblot test ( Appendix VIII A) or immunodot
The amount of loading sample shall be not less test (Appendix VIII B) shall reveal positive results.
than 5 µ.g with Silver stain or not less than 10 µ.g
3. 3. 2 Physical inspection
with Coomassie brilliant blue R-250 stain. The
purity shall be not less than 95. 0 % based on 3. 3. 2. 1 Inspection on final containers
densitometer scanning. The product looks like a white to off-white crisp
cake. It shall change into a clear liquid quickly
3. 1. 4. 2 HPLC
Carry out the test for purity by HPLC (Appendix after reconstitution.
ffi B ). RP-HPLC method: The matrix of 3. 3. 2. 2 Reconstitution time
chromatographic column is octadecylsilane bounded The time for reconstitution shall be not more than
silica. Flow phases: phase A (0. 1% trichloroacetic 10 minutes after adding the stated amount of sterile
acid in water) and phase B ( 0. 1 % trichloroacetic water for injection and shaking gently.
Recombinant Bovine Basic Fibroblast Growth Factor Eye Drops

3. 3. 3 Chemical tests evidence of contamination.


3. 3~ 3. 1 Moisture content 2. 1. 3. 2 Gram-stained smears
The residual moisture content shall be not more The bacteria examined under light microscope shall
than 3. 0 % (Appendix VII D). be typical Gram-negative bacteria.
3. 3. 3. 2 pH 2. 1. 3. 3 Resistance to antibiotics
It shall be 6. 5- 7. 5 ( Appendix V A). The antibiotic sensitivity of the bacteria shall be
3. 3. 4 Biological activity the same as that of the original strain.
It shall be 70%-200% of the stated value (Appendix 2. 1. 3. 4 Electro-microscopic examination ( working
X G). seed lot can be exempted)
3. 3. 5 Sterility test · The examination shall reveal typical morphology of
It complies with the test for sterility ( Appendix Et coli. No contaminations of mycoplasmas ,
XII A). virus-like patticle or other microbes shall be
observed.
4 Storage, shipping and validity period
Store and ship at 2-8°C, protected from light. 2. 1. 3. 5 Biochemical tests
The approved validity period shall apply, starting The bacteria tested shall have biological properties
from the date of filling of final product. of E.coli.

5 Package inserts 2. 1. 3. 6 Expression level of rbBFGF


The Requirements for Packaging of Biologics shall The expression level of rbBFGF in cultures on
apply. shaker shall be not lower than that of the primary
seed lot.
2. 1. 3. 7 Characterization of plasmid
The map of restriction enzyme digestion shall be
Recombinant Bovine Basic Fibroblast the same as that of the original recombinant
plasmid ..
Growth Factor Eye Drops
2. 1. 3. 8 Nucleotide sequence examination
Nucleotide sequence of the bovine BFGF gene shall
Recombinant bovine basic fibroblast growth factor
be the same as the theoretical sequence.
( rbBFGF) eye drops is. a liquid preparation
prepared from recombinant proteins expressed by 2. 2 Bulk
Ei coli containing recombinant plasmids of the 2. 2. 1 Preparation of seed
bovine BFGF gene. The recombinant proteins are The bacterial seed from working seed lot qualified
isolated and purified after fermentation of the in control tests shall be cultured in an appropriate
transformed E. coli. The preparation contains a medium (a quantity of antibiotic can be used) as
stabilizer, but free of preservatives and antibiotics. an inoculum for fermentation.
1 Basic requirements 2. 2. 2 Medium for fermentation
The facilities, source and subsidiary materials, A suitable medium shall be used for fermentation.
water, apparatus and animals used for production The medium must not contain antibiotics.
and control tests shall comply with the require-
ments set forth in the General Notices. 2. 2. 3 Inoculation and fermentation
2 Production 2. 2. 3. 1 A quantity of seed is inoculated into the
sterilized medium.
2. 1 Engineered bacterial strain
2. 2. 3. 2 Fermentation conditions, such as the
2. 1. 1 Name and origin of engineered bacterial temperature, pH, oxygen dissolving, feeding
strain and duration, shall follow the approved protocol
rbBFGF engineered bacterial strain is an E.coli of fermentation for specific production strain. The
strain transformed with plasmids containing bovine losing rate of plasmid in bacteria shall be
BFGF gene. monitored during fermentation at a certain time
2. 1. 2 Establishment of bacterial seed lots (Appendix IX G).
The Requirements for Preparation and Control of 2. 2. 4 Processing fermentation products
Animal Cell, Substrates Used for Production of The bacterial mass shall be collected and processed
Biologics shall apply. using suitable methods.
2. 1. 3 Control tests on bacterial seeds 2. 2. 5 Purification
The master seed lot and working seed lot shall be The approved purification processes shall be used
subject to the control tests as follows. for preliminary and further purifications. The
2. 1. 3. 1 Streaking on LB agar plates purity shall meet the requirements in Section 3. 1.
All colonies that grow on the plates shall have The preparation, after further purification, is the
typical morphology of E.coli colonies with no bulk rbBFGF. The preparation shall be stored at
Recombinant Bovine Basic Fibroblast Growth Factor Eye Drops

an appropriate temperature after addition of a III B). RP-HPLC method: The matrix of chro-
suitable stabilizer and sterilization by filtration. matographic column is octadecylsilane bounded
The storage period for bulk shall be defined. silica. Flow phases: phase A ( 0. 1 % trichloroacetic
acid in water) and phase B ( 0. 1 % trichloroacetic
2. 2. 6 Control tests on bulk
acid in acetonitrile solution). Gradient elution
See Section 3. 1.
( 0-70 % of phase B) is carried out at room
2. 3 Final bulk temperature. The amount of loading sample shall
2. 3. 1 Formulation and sterilization by filtration be not less than 10 µg. Wavelength for detection
is 280 nm. The number of theoretical plates of
2. 3. 1. 1 Preparation of diluent column shall be not less than 2000 calculated based
The approved formula shall be used. The diluent on the peak of absorption. The area of absorption
shall be used immediately after preparation. of major rbBFGF peak shall be not less than
2. 3. 1. 2 Dilution and sterilization by filtration 9 5. 0 % of the total area.
The bulk rbBFGF with an appropriate stabilizer 3. 1. 5 Molecular weight
and qualified in control tests shall be diluted using Carry out the test for molecular weight by
the diluent prepared in Section 2. 3. 1. 1 to a desired electrophoresis ( Appendix N C ) . If reducing
concentration and sterilized by filt:ration. This SDS-PAGE is used, the concentration of
preparation is the final bulk and stored at 2-8°C. separating gel is 15 %. The amount of loading
2. 3. 2 .Control tests on final bulk sample shall be not less than 1. 0 µg. Molecular
See Section 3. 2. weight of the two protein bands of the sample shall
be 17. 5 kD + 10% and 22. 0 kD + 10%
2. 4 Final product respectively.
2. 4. 1 Defining batches 3. 1. 6 Content of residual extraneous DNA
The Requirements for Defining Batches of Biologics The content of residual extraneous DNA shall be
shall apply. not more than 10 ng/dose (Appendix IX B).
2. 4. 2 Filling 3. 1. 7 Isoelectric point
The Requirements for Filling and Lyophilization of The isoelectric point of rbBFGF .protein shall be
Biologics shall apply. pH 9. 0-10. o (Appendix N D).
2. 4. 3 Specifications 3. 1. 8 Ultraviolet spectroscopy
The approved specification Cs) shall apply. The maximum absorption peak shall be at
2. 4. 4 Packaging 277 nm+3 nm (Appendix II A).
The Requirements for Packaging of Biologics shall 3. 1. 9 Peptide mapping ( to be tested at least
apply. once half a year)
3 Control tests The profile of peptide map shall be in consistency
with that of the rbBFGF reference ( Appendix
3. 1 Control tests on bulk VIII E).
3. 1. 1 Biological activity 3. 2 Control tests on final bulk
Carry out the test for biological activity ( Appendix
3. 2. 1 Biological activity
X C). Carry out the test for biological activity (Appendix
3. 1. 2 Protein content X G).
Carry out the test for protein content ( Appendix
3. 2. 2 Sterility test
VI B, method 2). It complies with the test for sterility ( Appendix
3. 1. 3 Specific activity X[ A).
The ratio of biological activity to protein content 3. 3 Control tests on final product
shall be not less than 1. 7 X 105 IU / mg of protein.
3. 3. 1 Identity test
3. 1. 4 Purity Immunoblot test ( Appendix VIII A) or immunodot
3. 1. 4. 1 Electrophoresis test (Appendix VIII B) shall reveal positive results.
Carry out the test for purity by electrophoresis 3. 3. 2 Physical inspection
(Appendix N C). If non-reducing SDS-PAGE is
used, the concentration of separating gel is 15 %. 3. 3. 2. 1 Inspection on final containers
The amount of loading sample shall be not less The product shall be a clear, colourless liquid.
than 5 µg with Silver stain or not less than 10 µg 3. 3. 2. 2 Test for visible particles
with Coomassie brilliant blue R-250 stain. The It complies with the test for visible particles
purity shall be not less than 95. 0 % based on (Appendix V B).
densitometer scanning.
3. 3. 2. 3 Filling quantity
3. 1. 4. 2 HPLC It complies with the test for .rnmimum fill
Carry out the test for purity by HPLC (Appendix ( Appendix V F).
Recombinant Human Epidermal Growth Factor for External Use

3. 3. 3 pH 2. 1. 3. 3 Resistance to antibiotics
It shall be 6. 5-7. 5 (Appendix V A). The antibiotic sensitivity of the bacteria shall be
3. 3. 4 Biological activity the same as that of the original strain.
It shall be 70 %-200 % of the stated value 2. 1. 3. 4 Electro-microscopic examination ( working
(Appendix X G). seed lot can be exempted)
The examination shall reveal typical morphology of
3. 3. 5 Sterility test
E.coli. No contaminations of mycoplasmas ,
It complies with the test for sterility ( Appendix
virus-like particle or other microbes shall be
XII A).
observed,
4 Storage, shipping and validity period
2. 1. 3. 5 Biochemical tests
Store and ship at 2-8°C, protected from light.
The bacteria tested shall have biological properties
The approved validity period shall apply, starting
of E.coli.
from the date of filling of final product.
2. 1. 3. 6 Expression level of rhEGF
S Package inserts
The expression level of rhEGF in cultures on
The Requirements for Packaging of Biologics shall
shaker shall be not lower than that of the primary
apply.
seed lot.
2. 1. 3. 7 Characterization of plasmid
The map of restriction enzyme digestion shall be
Recombinant Human Epidermal the same as that of the original recombinant
plasmid.
Growth Factor for External Use
2. 2 Bulk
Recombinant human epidermal growth factor 2. 2. 1 Preparation of seed
( rhEGF) is a freeze-dried preparation for external The bacterial seed from working seed lot qualified
use prepared from recombinant proteins expressed in control tests shall be cultured in an appropriate
by E. coli containing recombinant plasmids of the medium (a quantity of antibiotic can be used) as
human EGF gene. The recombinant proteins are an inoculum for fermentation.
isolated and purified after fermentation of the 2. 2. 2 Medium for fermentation
transformed E. coli. . The preparation contains a A suitable medium shall be used for fermentation.
stabilizer, but free of preservatives and antibiotics. The medium must not contain antibiotics.
1 Bask requirements 2. 2. 3 Inoculation and fermentation
The facilities, source and subsidiary materials,
2. 2. 3. 1 A quantity of seed is inoculated into the
water, apparatus and animals used for production
sterilized medium. ·
and control tests shall comply with the require-
ments set forth in the General Notices. 2. 2. 3. 2 Fermentation conditions, such as the
temperature, pH, oxygen dissolving, feeding
2 Production
and duration, shall follow the approved protocol
2. 1 Engineered bacterial strain of fermentation for specific production strain. The
2. 1. 1 Name and origin of engineered bacterial losing rate of plasmid in bacteria shall be
strain monitored during fermentation at a certain time
rhEGF engineered bacterial strain is an E. coli C Appendix IX G).
strain transformed with plasmids containing human 2. 2. 4 Processing fermentation products
EGF gene. The bacterial mass shall be collected and processed
2. 1. 2 Establishment of bacterial seed lots using suitable methods.
The Requirements for Preparation and Control of 2. 2. 5 Purification
Animal Cell Substrates Used for Production of The approved purification processes shall be used
Biologics shall apply. for preliminary and further purifications. The
2. 1. 3 Control tests on bacterial seeds purity shall meet the requirements in Section 3. 1.
The master seed lot and working seed lot shall be The preparation, after further purification, is the
subject to the control tests as follows. bulk rhEGF. The preparation shall be stored at an
appropriate temperature after addition of a suitable
2. L 3. 1 Streaking on LB agar plates stabilizer and sterilization by filtration. The
All colonies that grow on the plates shall have storage period for bulk shall be defined.
typical morphology of Ei coli colonies with no
evidence of contamination. 2. 2. 6 Control tests on bulk
See Section 3. 1.
2. 1. 3. 2 Gram-stained smears
The bacteria examined under light microscope shall 2. 3 Final bulk
be typical Gram-negative bacteria. 2. 3. 1 Formulation and sterilization by filtration
Recombinant H umari Epidermal Growth Factor for External Use

2. 3. 1. 1 Preparation of diluent column shall be not less than 500 calculated based
The approved formula shall be used. The diluent on the peak of absorption. The area of absorption
shall be used immediately after preparation. of major rhEGF peak shall be not less than 95. 0 %
2. 3. 1. 2 Dilution and sterilization by filtration of the total area.
The bulk rhEGF with an appropriate stabilizer and 3. 1. 5 Molecular weight
qualified in control tests shall be diluted using the Carry out the test for molecular weight by
diluent prepared in Section 2. 3. 1. 1 to a desired electrophoresis ( Appendix N C ) . If reducing
concentration and sterilized by filtration. This SDS-PAGE is used, the concentration of
preparation is the final bulk and stored at 2-8°C. separating gel is 17. 5 % . The amount of loading
2. 3. 2 Control tests on final bulk sample shall be not less than 1. 0 µg. Molecular
weight of the sample shall be 6. 0 kD+ 10% .
See Section 3. 2.
3. 1. 6 Content of residual extraneous DNA
2. 4 Final product
The content of residual extraneous DNA shall be
2. 4. 1 Defining batches not more than 10 ng/dose (Appendix IX B).
The Requirements for Defining Batches of Biologics
3. 1. 7 Isoelectric point
shall apply.
The isoelectric point of rhEGF protein shall be pH
2. 4. 2 Filling and Lyophilization 4. 0-5. 0 (Appendix N D).
The Requirements for Filling and Lyophilization of
3. 1. 8 Ultraviolet spectroscopy
Biologics shall apply.
The maximum absorption peak shall be at
2. 4. 3 Specifications 275 nm+3 nm (Appendix II A).
The approved specification (s) shall apply.
3. 1. 9 Peptide mapping ( to be tested at least
2. 4. 4 Packaging once half a year)
The Requirements for Packaging of Biologics shall The profile of peptide map shall be in consistency
apply. with that of the rhEGF reference substance
3 Control tests ( Appendix VD! E).

3. 1 Control tests on bulk 3. 1. 10 N-terminal amino acid sequence ( to be


examined at least once a year)
3. 1. 1 Biological activity The N-terminal sequence examined by an amino
Carry out the test for biological activity ( Appendix acid sequencer shall be Asn-Ser-Asp-Ser-Glu-Cys-
X H). Pro-Leu-Ser- His-Asp-Gly-Tyr-Cys-Leu,
3. 1. 2 Protein content 3. 1. 11 Identity test
Carry out the test for protein content ( Appendix lmmunoblot test (Appendix Vlll A) or immunodot
VI B, method 2). test (Appendix Vlll B) shall reveal positive results.
3. 1. 3 Specific activity 3. 1. 12 Activity of residual antibiotics
The ratio of biological activity to protein content It complies with the test for residual antibiotics
shall be not less than 5. 0 X 105 IU / mg of protein. ( Appendix IX A). The preparation must not
3. 1. 4 Purity contain any residual activities of ampicillin or other
antibiotics.
3. 1. 4. 1 Electrophoresis
Carry out the test for purity by electrophoresis 3. 2 Control tests on final bulk
(Appendix N C). If reducing SDS-PAGE is used, Sterility test
the concentration of separating gel is 17. 5 % . The It complies with the test for sterility ( Appendix
amount of loading sample shall be not less than XII A).
5 µg with Silver stain or not less than 10 µg with 3. 3 Control tests on final product
Coomassie brilliant blue R-250 stain. The purity Other than the determination for moisture content,
shall be not less than 95. 0 % based on densito- sterile water for injection shall be added as stated
meter scanning. on the label, and the reconstituted product shall
3. 1. 4. 2 HPLC be subject to the following tests.
Carry out the test for purity by HPLC ( Appendix 3. 3. 1 Identity test
ID B). RP-HPLC method: The matrix of chro- lmmunoblot test ( Appendix Vlll A) or immunodot
matographic column is octadecylsilane bonded test (Appendix Vlll B) shall reveal positive results.
silica. Flow phases: phase A ( 0. 1 % trichloroacetic
acid in water) and phase B ( 0. 1 % trichloroacetic 3. 3. 2 Inspection on final containers
acid in acetonitrile solution). Gradient elution The product looks like a white to off-white crisp
( 0-70% of phase B) is carried out at room cake. It shall change into a clear liquid quickly
temperature. The amount of loading sample shall after reconstitution, free of visible insoluble
be not less than 10 µg. Wavelength for detection particles.
is 280 nm. The number of theoretical plates of 3. 3. 3 Chemical tests
Recombinant Human Epidermal Growth Factor Derivative for External Use, Liquid.

3. 3. 3. 1 Moisture content 2. 1. 3. 1 Streaking on LB agar plates


The residual moisture content shall be not more All colonies that grow on the plates shall have
than 3. 0% (Appendix VII D). typical morphology of E.coli colonies with no
3. 3. 3. 2 pH evidence of contamination.
It shall be 6. 5-7. 5 (Appendix V A). 2. 1. 3. 2 Gram-stained smears
3. 3. 4 Biological activity The bacteria examined under light microscope shall
It shall be 70%-200% of the stated value (Appendix be typical Gram-negative bacteria.
X H). 2. 1. 3. 3 Resistance to antibiotics
3. 3. 5 Sterility test The antibiotic sensitivity of the bacteria shall be
It complies with the test for sterility ( Appendix the same as that of the original strain.
XII A). 2. 1. 3. 4 Electro-microscopic examination ( working
4 Storage, shipping and validity period seed lot can be exempted)
Store and ship at 2-8°C, protected from light. The examination shall reveal typical morphology of
The approved validity period shall apply, starting E.coli. No contaminations of mycoplasmas ,
from the date of filling of final product. virus-like particle or other microbes shall be
observed.
5 Package inserts
The Requirements for Packaging of Biologics shall 2. 1. 3. 5 Biochemical tests
apply. The bacteria tested shall have biological properties
of E.coli.
2. 1. 3. 6 Expression level of rhEGF derivative
The expression level of rhEGF derivative in
Recombinant Human Epidermal cultures on shaker shall be not lower than that of
the primary seed lot ( 10 % ) .
Growth Factor Derivative for
2. 1. 3. 7 Characterization of plasmid
External Use, Liquid. The map of restriction enzyme digestion shall be
the same as that of the original recombinant
Recombinant human epidermal growth factor plasmid.
derivative ( rhEGF derivative ) is a liquid
preparation for external use prepared from 2. 2 Bulk
recombinant proteins expressed by E. coli 2. 2. 1 Preparation of seed
containing recombinant plasmids of the human The bacterial seed from working seed lot qualified
EGF derivative gene. The recombinant proteins in control tests shall be cultured in an appropriate
are isolated and purified after fermentation of the medium (a quantity of antibiotic can be used) as
transformed E.coli. The preparation contains a an inoculum for fermentation.
stabilizer, but free of preservatives and antibiotics.
2. 2. 2 Medium for fermentation
1 Basic requirements A suitable medium shall be used for fermentation.
The facilities, source and subsidiary materials, The medium must not contain antibiotics.
water, apparatus and animals used for production 2. 2. 3 Inoculation and fermentation
and control tests shall comply with the require-
ments set forth in the General Notices. 2. 2. 3. 1 A quantity of seed is inoculated into the
sterilized medium. ·
2 Production
2. 2. 3. 2 Fermentation conditions, such as the
2. 1 Engineered bacterial strain temperature, pH, oxygen dissolving, feeding
2. 1. 1 Name and origin of engineered bacterial and duration, shall follow the approved protocol
strain of fermentation for specific production strain .. The·
rhEGF derivative engineered bacterial strain is an losing rate of plasmid in bacteria shall be
E. coli strain transformed with plasmids containing monitored during fermentation at a certain time
the synthesized human EGF derivative gene [ there ( Appendix IX· G).
are three more amino acids ( Ala-Arg-Ile) at N- 2. 2. 4 Processing fermentation products
terminal compared with the gene sequence of
The bacterial mass shall be collected and processed
natural EGF]. using suitable methods. The collected bacteria
2. 1. 2 Establishment of bacterial seed lots shall be purified immediately and stored at or
The Requirements for Preparation and Control of below - 20°C if necessary. The storage period
Animal Cell Substrates Used for Production of shall be defined.
Biologics shall apply. 2. 2. 5 Purification
2. 1. 3 Control tests on bacterial seeds The approved purification process shall be used.
The master seed lot and working seed lot shall be The purity shall meet the requirements in Section
subject to the control tests as follows. 3. 1. The preparation, after further purification,
Recombinant Human Epidermal Growth Factor Derivative for External Use, Liquid

is the bulk rhEGF derivative. The preparation 3. 1. 4. 2 HPLC


shall be stored at an appropriate temperature after Carry out the test for purity by HPLC (Appendix
addition of a suitable stabilizer and sterilization by III B). RP-HPLC method: The matrix of chro-
filtration. The storage period for bulk shall be matographic column is octadecylsilane bounded
defined. silica. Flow phases: phase A ( 0. 1 % trichloroacetic
2. 2. 6 Control tests on bulk acid in water) and phase B ( 0. 1 % trichloroacetic
See Section 3. 1. acid in acetonitrile solution). Gradient elution
( 0-70 % of phase B) is carried out at room
2. 3 Final bulk temperature. The amount of loading sample shall
2. 3. 1 Formulation and sterilization by filtration be not less than 10 µg. Wavelength for detection
is 280 nm. The number of theoretical plates of
2. 3. 1. 1 Preparation of diluent column shall be not less than 500 calculated based
The approved formula shall be used. The diluent on the peak of absorption. The area of absorption
shall be used immediately after preparation. of major rhEGF derivative peak shall be not less
2. 3. l. 2 Dilution and sterilization by filtration than 95. 0 % of the total area.
The bulk rhEGF derivative with an appropriate 3. 1. 5 Molecular weight
stabilizer and qualified in control tests shall be Carry out the test for molecular weight by
diluted using the diluent prepared in Section electrophoresis ( Appendix N C ) . If reducing
2. 3. 1. 1 to a desired concentration and sterilized by SDS-PAGE is used, the concentration of
filtration. This preparation is the final bulk and separating gel is 17. 5%. The amount of loading
stored at 2-8°C. sample shall be not less than 1. 0 µg. Molecular
2. 3. 2 Control tests on final bulk weight of the sample shall be 6. 2 kD+ 0. 62 kD.
See Section 3. 2. 3. 1. 6 Content of residual extraneous DNA
2. 4 Final product The content of residual extraneous DNA shall be
not more than 10 ng/dose (Appendix IX B).
2. 4. 1 Defining batches
The Requirements for Defining Batches of 3. 1. 7 Isoelectric point
Biologics shall apply. The isoelectric point of rhEGF derivative protein
shall be pH 4. 1-5. 1 (Appendix N D).
2. 4. 2 Filling
The Requirements for Filling 'and Lyophilization of 3. 1. 8 Ultraviolet spectroscopy
Biologics shall apply. The maximum absorption peak shall be at 276 nm+
3 nm (Appendix II A).
2. 4. 3 Specifications
The approved specification ( s) shall apply. 3. 1. 9 Peptide mapping ( to be tested at least
once half a year)
2. 4. 4 Packaging
The profile of peptide map shall be in consistency
The Requirements for Packaging of Biologics shall
with that of the rhEGF derivative reference
apply.
substance (Appendix VIII E).
3 Controltests 3. 1. 10 N-terminal amino acid sequence ( to be
3. 1 Control tests on bulk examined at least once a year)
3. 1. 1 Biological activity The N-terminal sequence examined by an amino
Carry out the test for biological activity ( Appendix · acid sequencer shall be Ala-Arg- Ile-Asn-Ser-Asp-
X H). Ser-Gl u-Cys-Pro-Leu-Ser- His-Asp-Gly,

3. 1. 2 Protein content 3. 1. 11 Identity test


Carry out the test for protein content ( Appendix lmmunoblot test ( Appendix VIII A) or immunodot
VI B, method 2). test (Appendix VIII B) shall reveal positive results.

3. 1. 3 Specific activity 3. 1. 12 Activity of residual antibiotics


The ratio of biological activity to protein content It complies with the test for residual antibiotics
shall be not less than 5. 0 X 105 IU I mg of protein. ( Appendix IX A). The preparation must not
contain any residual activities of ampicillin or other
3. 1. 4 Purity an ti biotics.
3. 1. 4. 1 Electrophoresis 3. 2 Control tests on final bulk
Carry out the test for purity by electrophoresis Sterility test
(Appendix N C). If reducing SDS-PAGE is used, It complies with the test for sterility ( Appendix
the concentration of separating gel is 17. 5%. The XI[ A).
amount of loading sample shall be not less than
5 µg with Silver stain or not less than 10 µg with 3. 3 Control tests on final product
Coomassie brilliant blue R-250 stain. The purity 3. 3. 1 Identity test
shall be not less than 95. 0 % based on densito- lmmunoblot test ( Appendix VIII A) or immunodot
meter scanning. test (Appendix VIII B) shall reveal positive results.
Recombinant Human Epidermal Growth Factor Derivative for External Use, Liquid

3. 3. 2 Physical inspection (Appendix X H).


3. 3. 2. 1 Inspection on final containers 3. 3. 5 Sterility test
The product shall be a colourless and odourless It complies with the test for sterility ( Appendix
clear liquid, free of visible insoluble particles. XII A).
3. 3. 2. 2 Filling quantity 4 Storage, shipping and validity period
It complies with the test for minimum fill Store and ship at 2-8°C, protected from light.
(Appendix V F). The quantity shall be not less The approved validity period shall apply, starting
than the stated value. from the date of filling of final product.
3. 3. 3 pH 5 Package inserts
It shall be 6. 5-7. 5 ( Appendix V A). The Requirements for Packaging of Biologics shall
3. 3. 4 Biological activity apply.
It shall be 70%-200 % of the stated value
Purified Protein Derivative of Tuberculin (TB-PPD)

][ Diagnostic Reagents for in vivo Test

Quality Control of Biologics.


2. 1. 3 Passage of seed lots
The total number of passages for a single
Purified Protein Derivative of production harvest from working seed lot shall not
Tuberculin (TB-PPD) exceed 12.
2. 1. 4 Control tests on seed lots
Purified protein derivative of tuberculin (TB-PPD) 2. 1. 4. 1 Microscopicexaminationof stained smears
ts a preparation made by cultivation of The bacteria are in short rod or a slightly curved
Mycoba'cterium tuberclosis , sterilization and form with round ends by microscopic examination
filtration, followed by purification. It is used for of stained smears. They shall be acid-fast bacilli.
clinical diagnosis of tuberculosis, the selection of
eligibles for BCG vaccination and monitoring of the 2. 1. 4. 2 Biochemical reactions
immune response after BCG vaccination.. The bacilli shall be positive in nitrate reduction
test, niacin test and urease test, and negative in
1 Basic requirements catalase test and polysorbate 80 hydrolysis test
The facilities, source and subsidiary materials, ( Appendix XIV).
water, apparatus, and animals used for production
and control tests shall comply with the require- 2. 1. 5 Storage of seed lots
ments set forth in the General Notices. The freeze-dried seeds shall be stored at 2-8°C.
The production area for TB-PPD shall comply with The liquid seeds shall be stored at or below -70°C.
the national requirements for an appropiate 2. 2 Bulk
biosafety level, and shall be separated from the
2. 2. 1 Working seed for production
production area for other biologics. All production
The bacterial seed from working seed Jot shall be
process of bulk including the inactivation of
subcultured on Sauton potato medium or modified
-Mycobacterium tuberclosis shall be performed in a
Sauton synthetic medium. The seed is used for the
completely isolated area. The facilities and
preparation of bulk.
apparatus for TB-PPD production shall be used
exclusively. The apparatus made of metal or glass 2. 2. 2 Production medium
or other materials used directly in production shall Sauton potato medium, modified Sauton synthetic
be washed and cleaned thoroughly and sterilized. medium or other approved media shall be used for -
The workers engaged in production of TB-PPD production.
shall be healthy. They shall be free from 2. 2. 3 Inoculation and cultivation
tuberculosis and subjected to one or two X-ray The bacterial seed shall be inoculated onto Sauton
examinations of the chest each year. If suspected potato medium and cultivated at 37°C for 2-3
tuberculosis is revealed in an X-ray examination, weeks. One additional passage can be done on
the worker shall be kept away from TB-PPD Sauton potato medium. The well-grown bacterial
production temporarily. pellicles shall be collected from Sauton potato
2 Manufacturing medium and transferred onto the surface of
modified Sauton synthetic medium or other suitable
2. 1 Bacterial seeds
media and incubated at 37°C for 1-2 weeks. The
The bacterial seeds used for production shall well-grown bacterial pellicles shall be selected and
comply with the requirements for Bacterial and
transferred onto the surface of modified Sauton
Viral Strains/Seeds Used for Production and
synthetic media or other approved media, and
Quality Control of Biologics. incubated at 37°C for 8-10 weeks.· The cultures
2. 1. 1 Name and origin of bacterial strains shall be discarded if the submerging,
The Mycobacterium tuberclosis strain CMCC 93009 contamination or abnormal growth of pellicle is
(H37Rv) shall be used for production of TB-PPD. found during or at the end of cultivation.
2. 1. 2 Establishment of seed lot system 2. 2. 4 Sterilization and filtration
It complies with the Requirements for Bacterial and At the end of incubation, the cultures shall be
Viral Strains/Seeds Used for Production and sterilized by autoclaving at 121°C for 30 minutes,
Purified Protein Derivative of Tuberculin (TB-PPD)

then filtered to remove the pellicle and bacteria. 3 Controltests


2. 2. 5 Collection and storage 3. 1 Control tests on bulk
The filtrates shall be collected for purification. If 3. 1. 1 Visual inspection
the filtrates need storage, 3. 0 g/L of phenol or The freeze-dried bulk looks like a white crisp cake.
other appropriate preservers shall be added. The The reconstituted or liquid bulk shall be a clear,
filtrates shall be stored at 4-8°C, and the storage brown liquid, free of insoluble and foreign
period shall not exceed 30 days. matters.
2. 2. 6 Purification 3. 1. 2 Reconstitution time
The protein in the filtrate shall be precipitated by After adding the water for the injection as stated
trichloroacetic acid and saturated ammonium on the label, the freeze-dried bulk shall be
sulfate. Purify the precipitates by the · approved reconstituted completely within 3 minutes.
methods and sterilize by filtration to obtain bulk.
3. 1. 3 Moisture content
2. 2. 7 Pooling and lyophilization The moisture content shall be not more than 3. 0 %
2. 2. 7. 1 Pooling (Appendix VII D).
The bulk from not more than five runs of 3. 1. 4 Purity test
purification shall be pooled.
3. 1. 4. 1 Protein content
2. 2. 7. 2 Filling and lyophilization It complies with the determination of protein
Thebulk qualified in control tests shall be diluted content (Appendix VI B, method 1).
to the specified concentration based on the protein
content. The bulk is dispensed into each container, 3. 1. 4. 2 Content of polysaccharide and nucleic
and lyophilized immediately after filling. acid
The total content of polysaccharide and nucleic acid
2. 2. 8 Control tests on bulk shall be not more than 0. 1 mg/mg of protein.
See Section 3. 1. ( 1) Polysaccharide content: Dilute the anhydrous
2. 2. 9 Storage and storage period glucose standard with physiological saline to make
The bulk shall be stored at 2-8°C. The storage the glucose standard solutions of 0-100 µg/tnl.
period of the liquid bulk is 60 months starting from Add 225 ml of sulfuric acid to 75 ml of
the date when the potency test proved qualified. physiological saline, and dissolve 0. 6 g of
The freeze-dried bulk can be used continually when anthrone in 10 ml of ethanol. Mix above two
it is qualified in control tests described in Section solutions to obtain the anthrone mixture. Measure
3. 1, which shall . be carried out every 60 months accurately 1. 0 ml of glucose standard solution at
starting from the date when the potency test different concentrations and the test sample,
proved qualified. respectively, mix each with 4. 0 ml of anthrone
mixture, and heat in a boiling water bath for 20
2. 3 Final bulk minutes. Read the absorbance by spectrophotometry
2. 3. 1 Formulation at 620 nm. A regression equation is obtained by
The bulk qualified in control tests shall be diluted plotting the concentration of the glucose standard
to 20 IU/ml or 50 IU/ml with 0. 01 mol/L PBS solution against the corresponding absorbance by
(pH 7. 2-7. 4, containing 0. 0005% polysorbate 80 minitab or other statistical methods. The
and 3. 0 g/L phenol). The ingredients shall be polysaccharide content of the test sample is
mixed well during dilution. Samples shall be taken calculated by inserting the absorbance of the test
from each bottle for sterility test (Appendix XI[ A). sample into the linear regression equation.
(2) Nucleic acid content: Take 2-3 ml of the test
2. 3. 2 Control tests on final bulk sample and read the absorbance by UV-visible
See Section 3. 2. spectrophotometry at 260 nm ( Appendix II A).
2. 4 Final product Calculate the content of nucleic acid by using
extinction coefficient El~= 200.
2. 4. 1 Defining batches
The Requirements for Defining Batches of 3.1. 5 Potency test
Biologics shall apply.' 3. 1. 5. 1 Animal test
2. 4. 2 Filling The TB-PPD standard and the test sample are
The Requirements for Filling and Lyophilization of diluted to three suitable dilutions, respectively.
Biologics shall apply. Each of at least four TB sensitized female guinea
pigs in white colour weighing 400-600 g, after the
2. 4. 3 Specifications
hair on the back is removed, shall be injected i. d,
1 ml or 2 ml per container. Each single human
with 0. 1 ml or 0. 2 ml of each dilution of the
dose is 0. 1 ml containing 5 IU or 2 IU of TB-PPD.
standard a~d the test sample on each side of spine
2. 4. 4 Packaging in symmetry, respectively. Observe the longitudinal
The Requirements for Packaging of Biologics shall and transverse diameters of induration at the 24th
apply. and the 48th hours after injection. Calculate the
Purified Protein Derivative of BCG (BCG-PPD)

sum of diameters (or mean area) of indurations at each with 500 IU of the test sample in a volume of
the 24th and the 48th hours after injection of each 0. 1 ml. The animals shall be observed for 3
dilution of the test sample and the standard and consecutive days and the reactions of the two
evaluate the ratio, which shall be O. 8-1. 2. If the groups shall not be significantly different.
ratio falls short of this value, adjust the dilutions
3. 2 Control test on final bulk
and retest the potency until the ratio is appropriate.
Sterility test
3. 1. 5. 2 Selection of appropriate dilution It complieswith the test for sterility(Appendix XI[ A).
The appropriate dilution shall be selected so that
3. 3 Control tests on. final product
the diameters of induration produced 24 hours after
injection shall be 8-25 mm. The diameters of 3. 3. 1 Identity test
indurations caused by sample and TB-PPD Each of at least four TB sensitized guinea pigs shall
standard shall be approximately equal, and the be injected i. d. with 0. 2 ml of the test sample.
logarithm dose-response curves of three dilutions The mean diameter of induration at the 24th hour
for both shall be approximately parallel. If the after injection of the test sample, shall be not less
potency of the test sample is different from that of than 5 mm.
the standard, the test shall be repeated once by 3. 3. 2 Inspection on final containers
the same method. The potency shall be calculated The preparation shall be a clear, colourless liquid
corresponding to the standard and adjustment shall free of insoluble and foreign matters.
be made. After adjustment, retest the potency by
sampling ·again until the dilution is appropriate. 3. 3. 3 Chemical tests
3. 1. 6 Sterility test 3. 3. 3. 1 pH
It complieswith the test for sterility(Appendix XI[ A). The pH shall be 6. 8-7. 4 (Appendix V A).
3. 1. 7 Test for absence of virulent mycobacteria 3. 3. 3. 2 Phenol content
The phenol content shall be not more than 3. 0 g/L
3. 1. 7. 1 Test in animals
( Appendix VI M).
Each of four TB-PPD ( i. cl. injection of 0. 2 ml
containing 10 IU)-negative guinea pigs of the same 3. 3. 4 Potency test
sex, weighing 300-400 g, shall be injected s. c. Inject i. cl. 0. 2 ml of the. test sample and the TB-
with O. 5 ml of the test sample at medial side of PPD standard into each of at least four TB
thigh. The animals shall be weighed before sensitized guinea pigs weighing 400-600 g,
injection. and every 2 weeks after injection. The respectively. Observe the induration of the
animals shall not lose weight and shall be autopsied injection site at the 24th and the 48th hours after
at the end of the 4 th week, and no visible injection, measure the mean diameter ( the sum of
pathologic changes of tuberculosis shall be found in longitudinal and transverse diameters is divided by
any organs. If there is any suspected lesion found 2) of indurations caused by the test sample and the
in any organs, the smears and the histological standard at the 48 th hour, calculate the accumula-
sections shall be examined microscopically, and tive value and evaluate the ratio. The ratio of the
relevant tissues shall be ground, made into a test sample to the standard shall be O. 8-1. 2.
suspension by adding a small quantity of 3. 3. 5 Sterility test
physiological saline and injected into two guinea It complies with the test for sterility ( Appendix
pigs. The bulk shall be discarded if pathologic XI[ A).
changes of tuberculosis are confirmed. If any
animal dies of the causes other than tuberculosis 3. 3. 6 Test for abnormal toxicity
within 4 week observation period, it shall be It complies with the test for abnormal toxicity
autopsied and examined as above. If more than ( Appendix XI[ F).
two animals die, the test shall be repeated. 4 Storage, shipping and validity period
3. 1. 7. 2 Cultivation of mycobacteria Store and ship at 2-8°C, protected from light.
Each of ten tubes of Lowenstein-Jensen medium is The validity period is 12 months starting from the
inoculated with 1. 0 ml of the test sample and date of filling of final product.
incubated at 37°C for 4 weeks. No growth of 5 Package inserts
mycobacteria shall be found. The Requirements for Packaging of Biologics shall
3. 1. 8 Test for sensitizing effect apply.
Divide six guinea pigs that have not been
previously used for any tests, each weighing
300-400 g, into test and control groups equally.
Each of the three guinea pigs in test group shall be · Purified Protein Derivative of BCG
inoculated i. cl. with 500· IU of the test sample in (BCG-PPD)
a volume of 0. 1 ml for 3 times, at intervals of 5
days. Fifteen days after the third injection, the
animals in both groups shall be inoculated i. d. Purified protein derivative of BCG (BCG-PPD) is a
Purified Protein Derivative of BCG (BCG-PPD)

preparation made by cultivation of Bacillus of 2. 1. 4. 3 Virulence test


Calmette and Guerin ( BCG), sterilization and Inject i. p. 1 ml of bacterial suspension ( 5 mg/ml)
filtration, followed by purification. It is used for into each of four TB-PPD ( i. d, injection of 0. 2 ml
clinical diagnosis of tuberculosis, the selection of containing 10 IU) -negative guinea pigs of the
eligibles for BCG vaccination and monitoring of the same sex, weighing 300-400 g. Weigh the animals
immune response after BCG vaccination. once a week for 5 weeks, and the body weights of
animals shall not decrease. The guinea pigs shall
1 Basic requirements
be autopsied 4-5 weeks after injection. Pustules on
The facilities, source and subsidiary materials,
greater omentum, mesenteric lymph nodes
water, apparatus, and animals used for production
enlargement and splenomegaly may be found.
and control tests shall comply with the require-
However, no lesions in liver or other organs shall
ments set forth in the General Notices.
be found visually. ·
The production area for BCG-PPD shall be
separated from the. production area for other 2. 1. 4. 4 Test for the absence of. virulent myco-
biologics. All production process of bulk including bacteria
the inactivation of BCG shall be performed in a Injects. c. 1 ml of bacterial suspension (10 mg/ml)
completely isolated area. The facilities and at the medial side of thigh into each of six TB-PPD
apparatus for BCG-PPD production shall be used (i. d injection of 0. 2 ml containing 10 IU)-negative
exclusively. The apparatus made of metal or glass guinea pigs of the same sex, weighing 300-400 g.
or other materials used directly in production shall The animals shall be weighed before injection.
be ~ashed and cleaned thoroughly and sterilized. The injection site and changes of regional lymph
The workers engaged in production of BCG-PPD nodes shall be observed once a week following
shall be healthy. They shall be free from injection. The animals shall be weighed every 2
tuberculosis and subjected to one or two X-ray weeks, and the body weights of animals shall not
examinations of the chest each year. If suspected decrease. Three guinea pigs shall be autopsied at
tuberculosis is revealed in X-ray examination the the end of the 6th week, and the other three 3
worker shall be kept away from BCG-PPD months after injection for the examinationof visceral
production temporarily. tuberculosis. No tuberculous lesions shall be found
visually. If suspected tuberculous focus is found,
2 Manufacturing stained smears and histological sections shall be
2. 1 Bacterial seeds examined microscopically. Take samples from
The bacterial seeds used for production shall some -Ioci , grind and mix well with a quantity of
comply with the requirements for Bacterial and physiological saline. The mixture shall be injected
Viral Strains/Seeds Used for Production and s. c. into two guinea pigs. The BCG strain shall
Quality Control of Biologics. be discarded if the tuberculous lesion is· confirmed.
Any animal that dies within 3 months shall be
2. 1. 1 Name and origin of bacterial strains subjected to a postmortem examination If suspected
The Bacillus of Calmette and Guerin strain tuberculosis lesion is found, the above mentioned
D2 PB302 shall be used for the production of BCG- procedures shall be performed. The BCG strain
PPD. shall be discarded if the tuberculous lesion is
2. 1. 2 Establishment of seed. lot system confirmed. The test shall be repeated if non-specific
It complies with the Requirements for Bacterial and death is confirmedand more than one animal die.
Viral Strains/Seeds Used for Production and 2. 1. 5 Storage of seed lots
Quality Control of Biologics. The freeze-dried seeds shall be stored at 2-8°C.
2. 1. 3 Passage of seed lots The liquid seeds shall be stored at or below -70~C.
The total number of passages for a single 2. 2 Bulk
production harvest from working seed lot shall not
exceed 12. 2. 2. 1 Working seed for production
The bacterial seed from working seed lot shall be
2. 1. 4 Control tests on seed lots subcultured on Sauton potato medium or modified
2. 1. 4. 1 Microscopicexaminationof stained smears Sauton synthetic medium. The seed is used for the
The bacteria are in short rod or a slightly curved preparation of bulk.
form with round ends by microscopic examination 2. 2. 2 Production medium
of stained smears. They shall be acid-fast bacilli. Sauton potato medium, modified Sauton synthetic
2. 1. 4. 2 Cultural characteristics medium or other approved media shall be used for
BCG cultivated on Sauton potato medium at 37-39°C production.
shall be crumpled and yellowish colonies and shall 2. 2. 3 Inoculation and cultivation
be greyish mucoid lawns on ox bile potato The bacterial seed shall be inoculated onto Sauton
medium. The BCG grown in Sauton medium shall potato medium and incubated at 37°C for 2-3
form rugous and yellowish pellicles on the surface weeks. One additional passage can be done on
of the medium. Sauton potato medium. The well-grown bacterial
Purified Protein Derivativ~ of BCG (BCG-PPD)

pellicles shall be collected from Sauton potato 2. 4 Final product


medium and transferred onto the surface of
2. 4. 1 Defining batches
modified Sauton synthetic medium or other suitable
The Requirements for Defining Batches of Biologics
media and incubated at 37°C for 1-2 weeks. The
shall apply.
well-grown bacterial pellicles shall be selected and
transferred onto the surface of modified Sauton 2. 4. 2 Filling
synthetic media or other approved media, and The Requirements for Filling and Lyophilization of
incubated at 37°C for 8-10 weeks. The cultures Biologics shall apply.
shall be discardedif the submerging, contaminationor 2. 4. 3 Specifications
abnormal growth of pellicle is found during or at 1 ml or 2 ml per container. Each single human
the end of incubation. dose is 0.1 ml containing 5 IU of BCG-PPD.
2. 2. 4 Sterilization and filtration 2. 4. 4 Packaging
At the end of incubation, the cultures shall be The Requirements for Packaging of Biologics shall
sterilized at 121°C for 30 minutes, then filtered to apply.
remove the pellicle and bacteria.
3 Control tests
2. 2. 5 Collection and storage
The filtrates shall be collected for purification. If 3. 1 . Control tests on bulk
the filtrates need storage, the phenol of 3. 0 g/L 3. 1. 1 Visual inspection
or other appropriate preservers shall be added. The freeze-dried bulk looks like a white crisp cake.
The filtrates shall be stored at 4-8°C, and the The reconstituted or liquid bulk shall be a clear,
storage period shall not exceed 30 days. brown liquid, free of insoluble and foreign matters.
2. 2. 6 Purification 3. 1. 2 Reconstitution time
The protein in the filtrate shall be precipitated by After adding, the water for the injection as stated
trichloroacetic acid and saturated ammonium on the label, the freeze-dried bulk shall be
sulfate. Purify the precipitates by the approved reconstituted completely within 3 minutes.
methods and sterilize by filtration to obtain bulk.
3. 1. 3 Moisture content
2. 2. 7 Pooling and lyophilization The moisture content shall be not more than 3. 0 %
2. 2. 7. 1 Pooling ( Appendix VI[ D).
The bulk from not more than five runs of purification
3. 1. 4 Purity test
shall be pooled.
3. 1. 4. 1 Protein content
2. 2. 7. 2 Filling and lyophilization
It complies with the determination of protein
The bulk qualified in control tests shall be diluted
content (Appendix VI B, method D.
to the specified concentration based on the protein
content The bulk is dispensed into each container, 3. 1. 4. 2 Contents of polysaccharide and nucleic
and lyophilized immediately after filling. acid
The total content of polysaccharide and nucleic acid
2. 2. 8 Control tests on bulk
shall be not more than 0. 1 mg/ mg of protein.
See Section 3. 1.
( 1) Polysaccharide content: Dilute the anhydrous
2. 2. 9 Storage and storage period glucose standard with physiological saline to make
The bulk shall be stored at 2-8 °C. The storage the glucose standard solutions of 0-100 µg/ml. Add
period of the liquid bulk is 60 months starting from 225 ml of sulfuric acid to 75 ml of physiological
the date when the potency test proved qualified. saline, and dissolve 0. 6 g of anthrone in 10 ml of
The freeze-dried bulk can be used continually when ethanol. Mix above two solutions to obtain the
it is qualified in control tests described in Section anthrone mixture. Measure accurately 1. 0 ml of
3. 1, which shall be carried out every 60 months glucose standard solution at different concen-
starting from the date when the potency test trations and the test sample, respectively, mix
proved qualified. each with 4. 0 ml of anthrone mixture, and heat in
2. 3 Final bulk a boiling water bath for 20 minutes. Read the
absorbance by spectrophotometry at 620 nm. A
2. 3. 1 Formulation regression equation is obtained by plotting the
The bulk qualified in control tests shall be diluted concentration of the glucose standard solution
to 20 IU/ml or 50 IU/ml with 0. 01 mol/L PBS against the corresponding absorbance by minitab or
(pH 7.2-7. 4 containing 0. 0005% polysorbate 80 other statistical methods. The polysaccharide
and 3. 0 g/L phenol). The ingredients shall be content of the test sample is calculated by inserting
mixed well during dilution. Samples shall be taken the absorbance of the test sample into the linear
from each bottle for sterility test ( Appendix regression equation.
XII A). (2) Nucleic acid content: Take 2-3 ml of the test
2. 3. 2 Control tests on final bulk sample and read the absorbance by UV-visible
See Section 3. 2. spectrophotometry at 260 nm ( Appendix II A).
Purified Protein Derivative of Brucellin (BR-PPD)

Calculate the content of nucleic acid by usmg consecutive days and the reactions of the two
extinction coefficient E~~ = 200. groups shall not be significantly different.
3. 1. 5 Potency test 3. 2 Control test on final bulk
3. 1. 5. 1 Animal test Sterility test
The BCG-PPD (or TB-PPD) standard and the test It complies with the test for sterility ( Appendix
sample are diluted to three suitable dilutions, XII A).
respectively. Each of at least four BCG sensitized 3. 3 Control tests on final product
female guinea pigs in white colour weighing
3. 3. 1 Identity test
400-600 g, after the hair on the back is removed,
Each of at least four BCG sensitized guinea pigs
shall be injected i. d. with 0. 1 ml or 0. 2 ml of
shall be injected i. d. with 0. 2 ml of the test
each dilution of the standard and the test sample on
sample. The mean diameter of lesions at the 24th
each side of spine in symmetry, respectively.
hour after injection of the test sample shall be not
Observe the longitudinal and transverse diameters
less than 5 mm.
of induration at the 24th and the 48th hours after
injection. Calculate the sum of diameters ( or 3. 3. 2 Inspection on final containers
mean area) of induration at the 24th and the 48th The preparation shall be a clear, colourless liquid
hours after injection of each dilution of the test free of any insoluble matters and foreign matters.
sample and the standard and evaluate the ratio, 3. 3. 3 Chemical tests
which shall be 0. 8-1. 2. If the ratio falls short of
this value, adjust the dilutions and retest the 3. 3. 3. 1 pH
potency until the ratio is appropriate. The pH shall be 6. 8-7. 4 (Appendix V A).
3. 1. 5. 2 Selection of appropriate dilution 3. 3. 3. 2 Phenol content
The appropriate dilution shall be selected so that The phenol content shall be not more than 3. 0 g/L
the diameters of lesions produced 24 hours after ( Appendix VI M).
injection shall be 8-25 mm. The diameters of 3. 3. 4 Potency test
induration caused by sample and BCG-PPD ( or Inject i. d, 0. 2 ml of the test sample and the BCG-
TB-PPD) standard shall be approximately equal, PPD (or TB-PPD) standard into each of at least
and the logarithm dose-response curves of three four BCG sensitizedguinea pigs weighing 400-600 g, ·
dilutions. for both shall be approximately parallel. respectively. Observe the induratiori of the injection
If the potency of the test sample is different from site at the 24th and the 48th hours after injection,
that of the standard, the test shall be repeated measure the mean diameter ( the sum of longitudinal
once by the same method. The potency shall be and transverse diameters is divided by 2) of
calculated corresponding to the standard and induration caused by the test sample and the
adjustment shall be made. After adjustment, standard at the 48th hour, calculate the accumula-
retest the potency by sampling again until the tive value and evaluate the ratio. The ratio of the
dilution is appropriate. test sample to the standard shall be 0. 8-1. 2.
3. 1. 6 Sterility test 3~ 3. 5 Sterility test
It complies with the test for sterility ( Appendix It complies with the test for sterility ( Appendix
XII A). XII A).
3. 1. 7 Test for absence of virulent mycobacteria 3. 3. 6 Test for abnormal toxicity
3. 1. 7. 1 Test in animals It complies with the test for abnormal toxicity
See Section 2. 1. 4. 4. ( Appendix XII F).
3. 1. 7. 2 Cultivation of mycobacteria 4 Storage, shipping and validity period
Each of ten tubes of Lowenstein-Jensen medium is Store and ship at 2-8°C, protected from light.
inoculated with 1. 0 ml of the test sample and The validity period is 12 months starting from the
incubated at 37°C for 4 weeks. No growth of date of filling of final product.
mycobacteria shall be found. 5 Package inserts
3. 1. 8 Test for sensitizing effect The Requirements for Packaging of Biologics shall
Divide six guinea pigs that have not been apply.
previously used for any tests, each weighing
300-400 g, into test and control groups equally.
Each of the three guinea pigs in test group shall be
inoculated i. d. with 500 IU of the test sample in Purified Protein Derivative of Brucellin
a volume of 0. 1 ml for 3 times, at intervals of 5 (BR-PPD)
days. Fifteen days after the third injection, the
animals in both groups shall be inoculated i. d.
each with 500 IU of the test sample in a volume of Purified protein derivative brucellin (BR-PPD) is a
0. 1 ml. The animals shall be observed for 3 preparation made by cultivation of Bacillus Brucella ,
PurifiedProtein Derivative of Brucellin (BR-PPD)

sterilization and filtration, followed by purification. The liver infusion agar medium or other approved
It is used for the clinical diagnosis of brucellosis, media shall be used for production.
the selection of eligibles for brucellosis vaccination
2. 2. 2 Inoculum preparation
and monitoring of . the immune response after
The bacterial seed shall be inoculated onto liver
brucellosis vaccination.
infusion agar medium and incubated at 37°C for 2-3
1 Basic requirements days. It can be passaged once more on liver infusion
The facilities, source and subsidiary materials, agar medium. The well-grown bacterial pellicles
water, apparatus, and animals used for production shall be used for inoculation.
and control tests shall comply with the require-
2. 2. 3 Inoculation and cultivation
ments set forth in the General Notices.
Inoculate the well-grown bacterial pellicles onto
The production area for BR-PPD shall be separated
liver infusion agar slant in bottles and incubate at
from the production area for other biologics. All
· 37°C for 2 days.
production process of bulk including the inactivation
of Bacillus Brucella , shall be performed in a 2. 2. 4 Sterilization and centrifugation
completely isolated area. The facilities and At the end of incubation, the cultures shall be
apparatus for BR-PPD production shall be used sterilized by autoclaving at 121°C for 30 minutes
exclusively. and then centrifuged to remove the bacteria.
2 Manufacturing 2. 2. 5 Collection and storage
2. 1 Bacterial seeds The supernatant shall be collected for purification.
The bacterial seeds used for production shall If the supernatant need storage, 3. 0 g/L phenol
comply with the requirements for Bacterial' and or other appropriate preservatives shall be added.
Viral Strains/Seeds Used for Production and The supernatant shall be stored at 4-8°C, the storage
Quality Control of Biologics. period shall not exceed 30 days, and prevented
from freezing.
2. 1. 1 Name and origin of bacterial strains
The Brucella suis type I strain CMCC 55007 2. 2. 6 Purification
(S2) shall be used for production of BR-PPD. The protein in the supernatant shall be precipitated
by trichloroacetic acid ( TCA ) and saturated
2. 1. 2 Establishment of seed lot system ammonium sulfate. Purify the precipitates by the
It complies with the Requirements for Bacterial and approved methods and sterilize by filtration to
Viral Strains/Seeds Used for Production and obtain bulk.
Quality Control of Biologics.
2. 2. 7 Pooling and lyophilization
2. 1. 3 Passage of seed lots
The total number of passages for a single 2. 2. 7. 1 Pooling
production harvest from working seed lot shall not The bulk from not more than five runs of
exceed 12. · purification can be pooled.
2. 1. 4 Control tests on bacterial seed lots 2. 2. 7. 2 Filling and lyophilization
The bulk qualified in control tests shall be diluted
2. 1. 4. 1 Microscopicexaminationof stained smears
to a definite concentration based on the protein
The bacilli shall be Gram-negative coccobacilli.
content The bulk is dispensed into each container,
2. 1. 4. 2 Biochemical reactions and lyophilized immediately after filling.
The bacilli shall be negative in the test for
dissociation with 1 : 1000 trypaflavine, and it shall 2. 2. 8 Control tests on bulk
grow on media containing thionine but not grow on See Section 3. 1.
media containing basic fuchsin. The bacilli cultures 2. 2. 9 Storage and storage period
shall produce a large amount of hydrogen sulfide The bulk shall be stored at 2-8°C. The storage
on liver broth agar slant, and no supplementary period of the liquid bulk is 60 months starting from
carbon dioxide is required for growth. the date when the potency test proved qualified.
2. 1. 4. 3 · Serological test The freeze-dried bulk can be used continually when
The agglutination titer of the bacilli with brucella it is qualified in control tests described in Section
diagnostic serum shall be more than 1 : 800 3. 1, which shall be carried out every 60 months
(++). starting from the date when the potency test
proved qualified.
2. 1. 4. 4 Phage bacteriolytic test
The cultures shall be lysed by Wb brucella-phage, 2. 3 Final bulk
2. 1. 5 Storage of bacterial seed 2. 3. 1 Formulation
The freeze-dried seeds shall be stored at 2-8°C. The bulk qualified in control tests shall be diluted
The liquid seeds shall be stored at or below - 7 0°C. to 20 IU/ml or 50 IU/ml with 0. 01 mol/L PBS
(pH 7. 2-7. 4 containing 0. 0005% polysorbate 80
2. 2 Bulk and 3. 0 g/L phenol). The ingredients shall be
2. 2. 1 Production medium mixed well during dilution. Samples shall be taken
Purified Protein Derivative of Brucellin (BR-PPD)

from each bottle for sterility test ( Appendix XI[ A). (2) Nucleic acid content: Take 2-3 ml of the test
2. 3. 2 Control tests on final bulk sample and measure the absorbance by UV-visible
See Section 3. 2. spectrophotometry at 260 nm ( Appendix II A).
Calculate the content of nucleic acid by usmg
2. 4 Final product extinction coefficient Et~= 200.
2. 4. 1 Defining batches 3. 1. 5 Potency test
The Requirements for Defining Batches of
Biologics shall apply. 3. 1. 5. 1 Animal test
The BR-PPD standard and the test sample are
2. 4. 2 Filling diluted to three suitable dilutions , respectively.
The Requirements for Filling and Lyophilization of Each of at least four BR sensitized female guinea
Biologics shall apply. pigs in white colour weighing 400-600 g, after the
2. 4. 3 Specifications hair on the back is removed, shall be injected i. d.
1 ml or 2 ml per container. Each single human with 0. 1 ml or 0. 2 ml of each dilution of the
dose is 0. 1 ml containing 1 U of BR-PPD. standard and the test sample on each side of spine
2. 4. 4 Packaging in symmetry, respectively. Observe the longitudinal
The Requirements for Packaging of Biologics shall and transverse diameters of induration at the 24th
apply. and the 48th hours after injection. Calculate the
sum of diameters ( or mean area) of induration at
3 Control tests the 24th and the 48th hours after injection of each
3. 1 Control tests on bulk dilution and evaluate the ratio. The ratio of each
dilution of the test sample to the standard shall be
3. 1. 1 Visual inspection O. 8-1. 2. If the ratio falls short of this value,
The freeze-dried bulk looks like a white crisp cake.
adjust the dilutions and retest the potency until the
The reconstituted or liquid bulk shall be a clear,
ratio is appropriate.
brown liquid, free of insoluble and foreign matters.
3. 1. 5. 2 Selection of appropriate dilution
3. 1. 2 Reconstitution time
The appropriate dilution shall be selected so that
After adding the water for the injection as stated
the diameters of induration produced 24 hours after
on the label, the freeze-dried bulk shall be
injection shall be 10-30 mm. The diameters of
reconstituted completely within 3 minutes.
induration caused by sample and BR-PPD standard
3. 1. 3 Moisture content shall be approximately equal, and the logarithm
The moisture content shall be not more than 3. 0 % dose-response curves of three dilutions for both
(Appendix VII D). shall be approximately parallel. If the potency of
3. 1. 4 Purity test the test sample is different from that of the
standard, the test shall be repeated once by the
3. 1. 4. 1 Protein content same method. The potency shall · be calculated
It complies with the determination of protein corresponding to the standard and adjustment shall
content (Appendix VI B, method 1). be made. After adjustment, retest the potency by
3. 1. 4. 2 Contents of polysaccharide and nucleic sampling again until the dilution is appropriate.
acid
3. 1. 6 Sterility test
The total content of polysaccharide and nucleic acid
It complies with the test for sterility ( Appendix
shall be not more than 0. 1 mg/mg of protein.
XI[ A).
(1) Polysaccharide content: Dilute the anhydrous
glucose standard with physiological saline to make 3. 1. 7 Test for abnormal toxicity
the glucose standard solutions of 0-100 µg/ ml. Add It complies with the test for abnormal toxicity
225 ml of sulfuric acid to 75 ml of physiological C Appendix XI[ F).
saline, and dissolve 0. 6 g of anthrone in 10 ml of 3. 1. 8 Test for sensitizing effect
ethanol, mix above two solutions to obtain the
Divide six guinea pigs, that have not been
anthrone mixture. Measure accurately 1. 0 ml of
previously used for any tests, each weighing
glucose standard solution at different concentra-
300-400 g, into test and control groups equally.
tions and the test sample, respectively, mix each
Each of the three guinea pigs in test group shall be
with 4. 0 ml of anthrone mixture, and heat in a
inoculated i. d. with 20 µg of the test sample in a
boiling water bath for 20 minutes. Read the
volume of 0. 2 ml for 3 times, at intervals of 5
absorbance by spectrophotometry at 620 nm. A
days. Fifteen days after the third injection, the
regression equation is obtained by plotting ~he
animals in both groups shall be inoculated i. d. each
concentration of the glucose standard solution
with 20 µg of the test sample in a volume of 0. 2 ~l.
against the corresponding absorbance by minitab or
The animals shall be observed for 3 consecutive
other statistical methods. The polysaccharide
days and the local cutaneous reaction of the two
content of the test sample is calculated by inserting
groups shall not be significantly different.
the absorbance of the test sample into the linear
regression equation. 3. 2 Control tests on final bulk
Schick Test Toxin

Sterility test and quality control shall comply with the require-
It complies with the test for sterility ( Appendix ments set forth in the General Notices.
XII A). 2 Manufacturing
3. 3 Control tests on final product
2. 1 Bacterial seeds
3. 3. 1 Identity test The bacterial seeds for production shall comply
Each of at least four BR sensitized guinea pigs shall with the requirements for Bacterial and Viral
be injected i. d. with 0. 2 ml of the test sample. Strains/Seeds Used for Production and Quality
The mean size of induration at the 24th hour after · Control of Biologics.
injection of the test sample shall be not less than
2. 1. 1 Name of bacterial strains
5 mm.
The strain of Corynebacterium diphtheriae PW8
3. 3. 2 Inspection on final containers or _ highly toxinogenic and immunogenic strains
The preparation shall be a clear, colourless liquid derived from the PW8 strain shall be used for
free of any insoluble and foreign matters. production.
3. 3. 3 Chemical tests 2. 1. 2 Establishment of seed lot system
3. 3. 3. 1 pH It complies with the Requirements for Bacterial and
The pH shall be 6. 8-7. 4 ( Appendix V A). Viral Strains/Seeds Used for Production and
Quality Control of Biologics.
3. 3. 3. 2 Phenol content
The phenol content shall be not more than 3. 0 g/L 2. 1. 3 Passage of seed lot
( Appendix VI M). The subculture of the bacterial seed from master
seed lot shall not exceed five passages.
3. 3. 4 Potency test
Inject i, d. 0. 2 ml of the test sample and the BR- 2. 1. 4 Control tests on seed lots
PPD standard into each of at least four BR 2. 1. 4. 1 Cultural characteristics
sensitized guinea pigs weighing 400-600 g, The colonies grown on Loeffler agar medium shall
respectively. Observe the induration of the be circular, protuberant and grey in colour with a
injection site at the 24th and the 48th hours after smooth surface and regular border; those grown
injection, calculate the mean diameter ( the sum of on potassium tellurite agar medium shall be shining
longitudinal and transverse diameters is divided by and grey-black in colour; those grown on blood
2) of induration caused by the test sample and the agar medium shall be opaque, grey in colour, and
standard, and evaluate the ratio of diameters for produce no o-hemolysin.
both. The ratio of the test sample to the standard
shall be 0. 8-1. 2. 2. 1. 4. 2 Microscopicexaminationof stained smears
The bacterium shall be Gram-positive rod with
3. 3. 5 Sterility test metachromaticgranules, and-club-shaped swellings at
It complies with the test for sterility ( Appendix its poles. The bacilli arrange themselves in
XII A). palisades, X or Y shape.
3. 3. 6 Test for abnormal toxicity· 2. 1. 4. 3 Biochemical reactions
It complies with the test for abnormal toxicity The cultures shall ferment glucose, maltose,
( Appendix XII F). galactose and dextrin with production of acid but
4 Storage, shipping and validity period not gas. They shall not ferment sucrose, mannitol ,
Store and ship at 2-8°C, protected from. light. · lactose or soluble starch (Appendix XI V ).
The validity period is 12 months starting from the 2. 1. 4. 4 Specific neutralization test
date of filling of final product. When the bacterial seed is inoculated onto Elek
5 Package inserts agar medium, an apparent white precipitation line
The Requirements for Packaging of Biologics shall shall be observed.
apply. 2. 1. 5 Storage of seed lots
The seed lot shall be preserved at 2-8°C.
2. 2 Bulk
Schick Test Toxin 2. 2. 1 Working seed lots for production
The bacterial seed from working seed lot shall be
inoculated on blood agar slant and subcultured in
Schick test toxin is a preparation made by diluted toxin producing medium for two to three passages,
purified diphtheria toxin. It is used to test the which shall be then transplanted into seed bottles
susceptibility of humans to diphtheria. containing the same medium.
1 Basic requirements 2. 2. 2 Production medium
The facilities, source and subsidiary materials, Trypsin-digested beef medium or other approved
water, apparatus, and animals used for production appropriate media shall be used for production.
Schick Test Toxin

The media shall not contain any horse meat or 3. 1. 2 Toxicity test
other horse tissues. The toxicity of bulk shall be 25-50 MLD/Lf.
2. 2. 3 Crude toxin 3. 2 Control tests on final bulk
The crude toxin is made by the cultivation of the 3. 2. 1 Visual inspection
working seed in the toxin-producing medium at It shall be a clear, colourless or light milky-white
appropriate temperature for a period of time, liquid free of precipitate and foreign matters.
clarified and sterilized by filtration. The potency
of crude toxin shall be not less than 150 Lf/ ml. 3. 2. 2 pH
Microbial contamination shall be avoided during The pH shall be 7. 2-8. 2 (Appendix V A).
preparation. If contaminating microorganisms are 3. 2. 3 Potency test
found by microscopic examination, the cultures
3. 2. 3. 1 Determination of MLD
shall be discarded.
Inject s. c. 5 ml of the test sample into each of
2. 2. 4 Toxin purification . four guinea pigs weighing 240-270 g at abdomen.
2. 2. 4. 1 Ammonium sulfate-active carbon fraction- At least three animals shall die within 72-96 hours
ation method or other approved appropriate methods after injection and the other one may die earlier or
shall be used. later. This indicates that sample contains about
The toxin for purification can be pooled from not 0. 2 MLD/ml of purified diphtheria toxin.
more than five batches. 3. 2. 3. 2 Tests for combining power
Dilute the standard of diphtheria antitoxin to 1/75
2. 2. 4. 2 Purified toxin shall be sterilized by
IU/ml and 1/125 IU/ml respectively to which add
filtration. Toxins produced with the same seed,
an equal volume of the test sample. Incubate at
same medium, and purified by the same method,
room temperature or 37°C for 30 minutes. Inject i. d
which are pooled in one container after sterilization
0. 2 ml to each of two rabbits weighing 2-3 kg.
by filtration shall be defined as one batch of bulk.
Observe the results 72 hours after injection. The
The bulk. shall be preserved at 2-8°C for· an
injection site of the test sample containing 1/1250
appropriate time, so as to insure a stable toxicity
IU of diphtheria antitoxin shall show a redness
for preparation of final bulk.
with a size of 10 mm X 10 mm or larger. No
2. 2. 5 Control tests on bulk reaction shall occur at the injection site of the test
See Section 3. 1. · sample containing 1/750 IU of the antitoxin.
2. 3 Final bulk 3. 2. 4 Stability test
After exposure to 3 7°C for 24 hours, the potency
2. 3. 1 Formulation
of the test sample shall comply with the requirement
Dilute the bulk to 0. 2 MLD/ml with glycerol-
given in Sections 3. 2. 3.
gelatin-borate buffer solution or other approved
appropriate buffer solutions free from antigenic and 3. 2. 5 Sterility test
allergenic substances. It complies with the test for sterility ( Appendix
XII A).
2. 3. 2 Control tests on final bulk
See Section 3. 2. ·3. 3 Control tests on final product
2. 4 Final product 3. 3. 1 Identity test
See Sections 3. 2. 3. 2.
2. 4. 1 Defining batches
The Requirements for Defining Batches of 3. 3. 2 Inspection on final containers
Biologics shall apply. The preparation shall be a clear, colourless or
light milky-white liquid, free of precipitate and
2. 4. 2 Filling foreign matters.
The Requirements for Filling and Lyophilization of
Biologics shall apply. 3. 3. 3 pH
The pH shall be 7. 2-8. 2 (Appendix V A).
2. 4. 3 Specifications
1 ml per container, containing 0. 2 MLD of 3. 3. 4 Potency test
diphtheria toxin. See Section 3. 2. 3.

2. 4. 4 Packaging 3. 3. 5 Sterility test


The Requirements for Packaging of Biologics shall It complieswith the test for sterility (Appendix XII A)
apply. 4 Storage, shipping and validity period
Store and ship at 2-8°C, protected from light.
3 Control tests
The validity period is 24 months starting from the
3. 1 Control tests on bulk date of filling of final product.
3. 1. 1 Purity test 5 Package inserts
The purity of bulk shall be not less than 2000 The Requirements for Packaging of Biologics shall
Lf/ mg PN C Appendix XI D). apply.
APPENDICES
Contents of Appendices A- 3

Contents of Appendices

Appendix I VI A Determination of Nitrogen A-44


, General Requirementsfor Preparations A-6 VI B Determination of Protein
I A Injections A-6 Content ································· A-45
VI C Determination of Sialic Acid
I B Suppositories · · · · · · · · · · · · · · · · · · · · · · · · · · · A-7
Content · · · · · · · · · .. · · .. · .. · .. · · · .. · · · · · · · A-46
I C Eye Preparations · · · · · · · · · · · · · · · · · · · · · · · · A-8
I D Liquids for External VI D Determination of Residual Ethanol
Content .. · · .. · · · · · · · · · .. · · · · .. · .. · .. · ·.. A-4 7
Application · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · A-9
VI E Determination of Free Histamine
I E Tablets ··· ·· · ··· · ·· · ·· ··· · ·· ··· · ·· · ·· ·· · ··· A-9 Phosphate in Human Histamine
I F Capsules ································· A-10
I G Ointments, Emulsions A-10 Immunoglobulin · · · · · · · · · · · · · · · · · · · · · · · · A-48
I H Sprays ········· ··· ··· ········· ········· ··· A-11 VI F Determination of 0-Acetyl
I J Granules · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · A-12 Content · · · · · · · · · · · · · · · · · · · · · · · · · .. · · · · · · A-48
I K Powders · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · A-13 VI G Determination of Residual Polyethylene
I L , Nasal Preparations A-14 Glycol Content · · · .... · · · · .. · .. · · · · .. · · A-49
I M Gels ···································· A-15 VI H Determination of Residual Polysorbate 80
Content · · · .. · · .. · · · .. · · · · .. · · · · · · · · · · ·.. A-50
Appendixll VI I Determination of Residual Glutaraldehyde
Spectrophotometry · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · A-16 Content···································· A-50
Il A Ultraviolet-visible Spectrophotometry VI J Determination of Tributylphosphate
·············································· A-16 Content ··· ·~···· A-51
Il B Atomic Absorption Spectrophotometry VI K Determination of Sodium Caprylate
.............................................. A-17 Content · ..... ·· · · .. · · · ... · ·· · · · ... · ·· · · · A-51
Il C Fluorimetry A-19 VI L Determination of Free Formaldehyde
Il D Flame Photometry A-20 Content · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · A-52
VI M Determinationof Phenol Content ...... A-53
Appendix J: VI N Determination of Metacresol
Chromatography· · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · A-21 Content .. · · · · · · · · · · · .. · · · · · · .. · · .. · · · · · · A-53
Ill A Paper Chromatography ·· · ·· · ·· · ··· · ·· A-21 VI O Determination of Trichloromethane
Ill B High Performance Liquid Content · · · · · · · · · · · · · · · · · · · · · · · · · · · · .. · · · A-54
Chromatography ·· · · ·· · ·· ·· · · ·· ·· · ··· ··· A-22 VI P Determination of Saccharides and Sugar
Ill C Gas Chromatography ...... · ..... ··· ... A-26 Alcohol Content in Human Blood
Ill D Size Exclusion Chromatography A-27 Products ································· A-54
Appendix N VI Q Determination of Polymer Content in
Human Albumin A-55
Electrophoresis ································· A-30 VI R Determination of lgG Monomer and
N A Cellulose Acetate Film Dimer in Human Immunoglobulins
Electrophoresis · · · · · · · · · · · · · · · · · · · .. · · · A-30 ············································· A-55
N B Agarose Electrophoresis · · · · · · · · · · · · A-30
N C SDS-Polyacrylamide Gel Appendix W
Electrophoresis A-31 VlI A Determination of Phosphorus Content
N D Isoelectric Focusing ············································· A-57
Electrophoresis · · · · · · · · · · · · · · · · · · · · · · · · A-32 VlI B Determination of Thimerosal Content
Appendix V ············································· A-57
VlI C Determination of Ammonium Sulfate
V A Determination of pH Value A-35
Content · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · A-58
V B Test for Visible Particles ·· · ·· .... · ·· A-36 VlI D Determination of Moisture Content
V C Determination of Disintegration ······ A-37
············································· A-58
V D Disintegration Test for Suppositories VlI E Determination of Sodium Bisulfite
and Vaginal Tablets ··· ·· · ··· ··· ··· · .. A-39 Content · ·· · · · ·· · ··· · · · ·· · ··· ··· · ·· · · · ·· · A-59
V E Test for Tablet Friability A-40
VlI F Determination of Aluminium Hydroxide
V F Test for Minimum Fill · ·· A-41 (or Aluminium Phosphate) Content
V G Determination of Particle Size A-41
············································· A-60
V H Determination of Osmolality A-42 VlI G Determination of Sodium Chloride
Content ·· · ··· ··· ··· · ·· ··· ··· ··· ·· · · ·· ·· · A-61
Appendix VI VlI H Determination of Citrate Content
A-4 Contents of Appendices

············································· A-61 Appendix X


VH I Determination of Potassium Content
X A In vitro Test for Relative Potency of
............................................. A-62
· Recombinant Hepatitis B Vaccine
VH J Determination of Sodium Content
(Yeast) · · · · · · · .. · · · · · · · · · · · · · · · · · · · · · · · · A-87
············································· A-62 X B In vivo Test for Biological Activity of
VH K Determination of Residual Aluminium
Recombinant Human Erythropoietin
Content in Human Albumin · · · ·· · A-63
VH L Determination of Loss on Drying ············································· A-87
............................................. A-63 X C Biological Activity Test for Interferon
VH M Determination of Total Solid A-64 ············································· A-88
X D Biological Activity Test for Recombinant
Appendix "\I Human Interleukin-2 A-89
VIII A Immunoblot A-65 X E Biological Activity Test for Recombinant
VIII B Immunodot .. · · · .. · · .. · · · · · · · .. · · · · · · · A-65 Human Granulocyte Colony-stimulating
VIII C Double Immunodiffusion · · · · · · · · · · · · A-66 Factor · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · A-89
VIII D Immunoelectrophoresis ·· · ·· A-67 X F Biological Activity Test for Recombinant
VIII E Peptide Mapping A-67 Human Granulocyte/Macrophage
VIII F Determination of F(ab)2 Content in Colony-stimulating Factor ········· A-90
Antitoxin · · · · · · · · · ·· · · ·· · · · ·· · · ·· · · · ·· · A-68 X G Biological Activity Test for Recombinant
VIII· G Determination of Molecular Size for Bovine Basic Fibroblast Growth Factor
Group A Meningococcal Polysaccharide ············································· A-91
································.············· A-68 X H Biological Activity Test for Recombinant
VIII H Determination of Molecular Size for Epidermal Growth Factor ········· A-92
Typhoid Vi Polysaccharide ········· A-69 X I Biological Activity Test for Recombinant
Streptokinase A-93
Appendix ]X X J Potency Test for Human Coagulation
IX A Determination of Residual Antibiotics Factor II · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · A-93 ·
·············································· A-71 X K Potency Test for Human Coagulation
IX B Determination of Residual Extraneous Factor VH •••••••••••••••••••••••••••••• A-94
DNA ···································· A-71 X L Potency Test for Human Coagulation
IX C Determination of Residual Host Bacterial Factor IX · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · A-94
Protein ( E.coli) · ········· A-73 X M Potency Test for Human Coagulation
IX D Determination of Residual Host Bacterial Factor X · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · A-95
Protein (Pseudomonas) A-74 X N Potency Test for Human Coagulation
IX E Determination of Residual Host Yeast Factor VIII • .. • • • • • • • • • • • • • • •.• .. • • • • • • • • • A-96
Protein ································· A-75 X O Potency Test for Diphtheria Antibody in
IX F Determination of Prekallikrein Activator Human Immunoglobulin ... ·· · · ·· · ·· A-96
Content ································· A-76 X P Test for Fe Function in Human
IX G Test for Losing Rate of Plasmid Immunoglobulin ··· ··· · · · · · · ·· · · ·· · ·· A-97
············································· A-77 X Q Potency Test for Anti-human T Lymphocyte
IX H Test for Nucleotide Sequence of SV40 Immunoglobulin ( E-rosette Formation-
; .- A-77 inhibition Test) ·· · .. · · · · .. · ... ··· .. · A-98
IX I Test for Blood Group A-like Substance X R Potency Test for Anti-human T Lymphocyte
············································· A-78 Immunoglobulin ( Lymphocytotoxicity
IX J Test for Anti-A and Anti-B Test) A-99
Hemagglutinins · ·· · · · ·· · · ·· · · · .. · · ·· · .. A-78 Appendix XI
IX K Test for Anticomplement Activity
············································· A-79 XI A Potency Test for Rabies Vaccine for
IX L Determination of Residual Murine lgG Human Use ··························· A-101
............................................. A-81 XI B Potency Test for Adsorbed Tetanus
IX M Test for Reverse Transcriptase Activity Vaccine · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · A-101
············································· A-82 XI C Potency Test for Adsorbed Diphtheria
IX N Test for Human Thrombin Activity Vaccine································· A-102
...................................... , A-83 XI D Determination of Flocculation Unit
IX O Test for Activated Coagulation Factor of Toxoid ·· · ··· ·· · ...... ··· ... · · · · · · ··· A-103
Activity · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · · A-83 XI E Potency Test for Diphtheria Antitoxin
IX P Determination of Heparin Content ························:················· A-104
············································· A-84 XI F Potency Test for Tetanus Antitoxin
IX Q Determination of Human Erythrocyte ·········································· A-105
Antibody · · · · · · · · · · .. · .. · · · · · · · · · .. · · · · A-84 XI G Potency Test for Gas-gangrene
IX R Determination of Human Platelet Antitoxins ... ··· ... ·· · · ·· · ·· ·· · · ·· · ·· A-105
Antibody · · · · .. · · · · · · · · · · · · · · · · · · · · · · · · A-85 XI H Potency Test for Botulinum
Contents of Appendices A- 5

Antitoxin A-106 Appendix XI


XI I Potency Test for Snake Antivenins XIII A Test Requirements for SPF Chicken
·········································· A-107 Embryos · ·· · · · ·· · · ·· ·· · · ·· · · · ·· · · ·· · · · A-137
XI J Potency Test for Rabies Antiserum XIII B Test Requirements of Microbes for
·········································· A-108 Laboratory Animals A-137
XI K Determination of lgG Content XIU C Test Requirements of Parasites for
·········································· A-110 Laboratory Animals A-139
XI L Test for N eurovirulence in Monkeys XIII D Test Requirements for Calf Serum
·········································· A-110 ·········································· A-140
Appendix XII Appendix XIV
XII A Sterility Test A-113 Culture Media for Biochemical Reactions of
XII B Test for Mycoplasma A-116 Bacteria and Test Method A-141
XII C Test for Adventitious Viruses Appendix XV
·········································· A-118 Sterilization · · · · ..... · · · · · · ... · · · .. · · .. · · · · · · ... A-146
XII D Pyrogen Test A-119
XII E Test for Bacterial Endotoxin A-120 Appendix XVI
XII F Test for Abnormal Toxicity A-124 Names, Symbols and Atomic Weights
XII G Microbial Limit Tests · .. · · .. A-125 of Elements ···································· A-150
XII H Test for Murine Virus A-134
A- 6 Appendix I

Appendix I General Requirements for Preparations

The General Requirements are applicable to the or other aqueous solutions may also be used.
biologics for therapeutic use, including blood ( 2) The sterile solvents for freeze-dried preparation
products, immune sera , cytokines, monoclonal are also defined as diluent for injection use. The most
antibodies, immunoregulators, probiotics , etc. commonlyused diluents are sterile water for injection
The biologics for prophylactic use shall comply and sodium chloride injection, which shall comply
with the requirements in relevant monographs. with the relevant requirements in the Pharmacopeia
(Volume II). Other diluents for injection use,
unless otherwise specified, shall be tested for
sterility, pyrogens · or bacterial endotoxins and
I A Injections abnormal toxicity, and shall comply with the
requirements.
3. Suitable additives may be added according to the
Injections Injections are sterile preparation made nature of the preparations during formulation of
from drug substances and appropriate stabilizers or injections. The commonly used additives include
other subsidiary materials, intended for parenteral pH adjusting solutions, stabilizers, solubilizers ,
administration into the body, including solutions, antioxidants, preservatives etc. The additives
emulsions, suspensions as well as sterile freeze- used shall not affect the therapeutic efficacy of
dried products which shall be reconstituted with injections or interfere the results of tests.
sterile solvents to make solutions or suspensions The concentrations of preservatives used for
before use. injections shall be controlled. The concentration
The injections are in forms of liquid and sterile of phenol used as a preservative shall be not more
powder. than 0. 5 % , and that of thimerosal used shall be
Solutions for iltjection Solutions for injection are not more than 0. 01%. Unless otherwise specified,
sterile, aqueous solutions, emulsions or suspensions the injectionsfor intravenous use shall be free from any
intended for parenteral administration into the body. preservatives, and the solubilizersshall be used with
They may be used for subcutaneous, intradermal, caution. The antioxidants, such as vitamin C,
intramuscular and intravenous injections, as well as vitamin E and sodium thiosulfate , may enhance
intravenousdrip. The solutions in large volumes ( not the stability of biologically active substances after
less than 50 ml in general, unless otherwise specified) lyophilization during storage. The excipients,
for intravenous drip are . also defined as intravenous such as sucrose, sorbitol and lactose, may make
infusion the biologically active substances to develop
definite forms during and after lyophilization and
Sterile powders for injection ( freeze-dried products
protect the substances from loss due to spread.
are considered as powders for injection) Sterile
powders for injection ref er to the sterile powder or 4. The containers commonly used for injections
mass which is reconstituted with suitable sterile include glass ampoules, glass bottles, plastic
solvents to make clear solutions or homogeneous bottles, prefilled syringes etc. All the containers, as
suspensions before use. After reconstitution they well as their stoppers, shall comply with the relevant
can be used for injection. They can also be used national standards.
for intravenous drip after addition of intravenous 5. The actual filling quantity of injections shall
infusion. comply with the Requirements for Filling and
The production and storage of injections shall Lyophilization of Biologics.
comply with the following requirements. A multi dose container, unless otherwise specified,
1. The drug substances used shall comply with the shall contain not more than 10 injecting doses.
requirements in relevant monographs. 6. The container after filling shall be immediately
2. The solvents used must be safe and innocuous sealed by fusion or sealed tightly with stopper. If
and shall not affect the therapeutic efficacy and the containers are required to be sealed under
quality of the injections. They are classified as vacuum or after filling with nitrogen, the air in
aqueous and nonaqueous solvents in general. containers shall be expelled at first. For the
(1) Water for injection is the most commonly used temperature-sensitive preparations, the temperature
aqueous solvent, 0. 9 % sodium chloride solution during filling and sealing shall be controlled, and
Appendix I A- 7

the containers after sealing shall be stored at the Average weight Weight variation limit
specified temperature immediately.
O. 05 g or less ±15%
7. The freeze-dried preparations for injection after More than 0. 05 g to 0. 15 g ±10%
filling shall be lyophilized timely under suitable
More than 0. 15 g to 0. 50 g ±7%
conditions according to the Requirements for
More than 0. 50 g ±5%
Filling and Lyophilization of Biologics. The
residual moisture content in preparations after Visible particles Comply with the test for visible
lyophilization shall comply with the requirements particles (Appendix V B) , unless otherwise specified.
in relevant monographs.
Unless otherwise specified, after being sealed by Sterility Comply with the test for sterility
fusion or sealed tightly with stopper, the containers of ( Appendix XII A).
injections shall be subject to an inspection of leakage
by reduced pressure or by other suitable methods.
8. Unless otherwise specified, the injections shall
be stored and shipped at 2-8°C, protected from
I B Suppositories
light.
Filling quantity Unless otherwise specified, the Suppositories are solid preparations made of drug
filling quantity of injection shall comply with the substances, in liquid or dry powder form,' and
following requirements. suitable bases, intended for rectal, vaginal and
Take 5 containers of test sample if the labelled quantity urethral administration.
is 2 ml or less; 3 containers if the labelled quantity is The suppositories for rectal use are made in shapes
of torpedo, cylinder or circular cone etc; the
more than 2 ml but . not more than 50 ml. Open the
suppositories for vaginal use are in shapes of duck
containers with caution to avoid any loss of the
mouth, ball or egg; the suppositories for urethral
contents. Take up individually the contents of each
use are in shapes of club in general.
container into a dry syringe, then transfer the contents
The production and storage of suppositories shall
in the syringe into a calibrated cylinder' and measure
comply with the following requirements.
the volume at room temperature. The cylinder shall
be selected to make the volume to be measured 1. The drug substances used shall comply with the
account for at least 40 % of its specified volume. requirements in relevant monographs.
For injections of suspension, shake the containers 2. Semisynthetic fatty acid glycerides, cocoa butter,
thoroughly before removing the contents, then polyoxyethylene stearate , fatty acid ester of
determine as mentioned above. The filling polyoxyethylenesorbitan, hydrogenated vegetable oil,
quantity in each container shall be not less than the glycerinated gelatin, polyethylene glycols and other
labelled quantity of the injection. suitable materials are usually used as the bases of
The injections with labelled quantities of more than suppository.
50 ml shall comply with the test for minimum fill Oily materials such as cocoa butter shall not be
( Appendix V F). used as the bases of suppository for vaginal admin-
Weight variation Unless otherwise specified, the istration since they can not be absorbed in vagina
weight variation of freeze-dried preparations for and may form residues. The suppositories for
vaginal - administration are usually prepared with
injection shall comply with the following requirements.
water-soluble bases or those that can be mixed well
Procedure Take 5 containers of test sample, with water.
remove their label and aluminium cover, wash the
3. Solid drug substances used for preparation of
outside wall with ethanol and dry thoroughly. suppositories, unless otherwise specified, shall be
Open the containers with caution to avoid foreign prepared into fine powder by suitable methods
matter such as glass bits falling into container and before use. Suppositories may be made in different
weigh accurately the individual container immediately. shapes according to their usage.
Remove the content, wash the container with
water or ethanol, dry under a suitable condition 4. Surfactants, diluents , absorbents, lubricants,
and weigh accurately again. Calculate the weight of preservatives etc. may be added if necessary.
each container and the average weight of 5 containers. 5. The drug substances and bases used for
The weight variation of each container shall not deviate suppositories shall be mixed well. The supposi-
from the average weight by a percentage greater than tories shall be smooth in appearance and uniform in
that shown in the following table. If the weight texture. Suppositories shall be non-irritating and
variation of contents of one container does not comply molten, soften or dissolved when inserted into the
with the above requirements, repeat the test with canals and shall be miscible with secretion, then
another 10 containers of test sample. All of them shall gradually release the medicaments to exert local or
comply with .the requirements listed in the following systemic effects. Suppositories shall be of suitable
table. hardness to prevent from deformation during
A- 8 Appendix I

packaging or storage. for dispersion and absorption of medicaments.


6. Packing materials or containers used for suppos- 5. The containers shall not be broken easily. They
itories shall be non-toxic and do not interact shall be cleaned and sterilized, and their trans-
physically or chemically with the medicaments or parency shall not interfere the test for visible
bases. particles.
7. Unless otherwise specified, suppositories shall 6. Unless otherwise specified, eye preparations
be stored and shipped at 2-8°C, protected from shall be stored and shipped at 2-8°C in tightly
light, heat and damp to avoid deformation, mould closed containers, protected from light.
contamination or deterioration. 7. Multidose eye preparations shall be used within
The suppositories shall be subject to the following 4 weeks after opening the container.
tests. The eye preparations shall be subject to the fol-
Weight variation Weight variation of suppositories lowing tests.
shall comply with the following requirements. Visible particles Unless otherwise specified, eye
drops shall comply with the test for visible particles
Average weight Weight variation limit (Appendix V B).
1. 0 g or less than 1. 0 g ±10% Metal particles Unless otherwise specified, semi-
More than 1. 0 to 3. 0 g ±7.5% solid eye preparations shall comply with the test
for metal particles.
More than 3. 0 g ±5.0%
Procedure Take 10 containers of test sample,
Procedure Weigh together ten suppositories transfer the content of each container as completely
accurately and calculate the average weight, then as possible into separate culture dishes which are
weigh accurately each of the ten suppositories. 6 cm in diameters with flat bottoms and to make
Not more than one of the individual weight shall the test sample free from gas bubbles or visible
deviate from the average weight by more than the foreign particles. Cover the dishes, heat at 85°C
weight variation limit shown in the table, and for 2 hours and make the test sample distributing
none shall deviate· by more than twice of that uniformly, cool at room temperature until it is
percentage. congealed. Invert each dish on the stage of a
suitable microscope. Each dish is illuminated from
Disintegration Comply with the disintegration test above direction by a spotlight placed at an angle of
for suppositories (Appendix V D), unless otherwise 45° to the bottom of the plate. Examine at a 30
specified. magnificationand count the lustrous metal particles of
Microbial limit Comply with the microbial limit 50 µm or greater in dimension. Not more than one
tests (Appendix XII G), unless otherwise specified. out of 10 containers shall be found to contain more
than 8 metal particles, and not more than 50
particles shall be found in total in the 10 contai-
ners. If the preparation fails to pass the test,
repeat the test with another 20 containers and the
I C Eye Preparations results from both tests shall be calculated together.
The preparation passes the test if not more than 3
Eye preparations are liquid or semisolid eye containers are found each containing more than 8
preparations intended for administration upon the metal particles, and not more than 150 particles
eyeball for therapeutic use. Liquid preparations are found in total in the 30 containers.
include eye drops, eye washings and intra-ocular Variation of weight or filling quantity Unless
injections , semisolid preparations include eye otherwise specified, the semisolid eye preparations
ointments, eye emulsions and eye gels. supplied in singledosecontainers shall complywith the
The production and storage of eye preparations followingrequirements.
shall comply with the following requirements. Procedure Weigh the content of each of 20
1. The drug substances used shall comply with the containers and calculate the average weight. It
requirements in relevant monographs. shall be not more than 2 containers with the excess
of content by +10% of average weight, and none
2. Unless otherwise specified, eye drops shall be
with the excess of content by + 20 % of average
isotonicwith tears and shall be tested for osmolality.
weight.
3. Unless otherwise specified, the filling quantity
Filling quantity Unless otherwise specified, the
of eye drops in each container shall be. not more
filling quantity of single-dose liquid eye prepara-
than 10 ml.
tions shall comply with the following requirements.
4. The bases of eye ointments shall be filtrated and Take the test sample from each of 10 containers
sterilized. Eye ointments shall be homogeneous, and measure the volume of individual content. The
fine, non-irritating and easy to be spread to eyes filling quantity in each container shall be not less
Appendix I A- 9

than the labelled quantity. Most of uncoated tablets are conventional oral
The multidose eye preparations shall comply with tablets. The weight of each tablet is 0. 1 - 0. 5 g in
the test for minimum fill (Appendix V F). general.
Microbial limit Comply with the microbial limit Effervescence tablets Effervescence tablets refer
test ( Appendix XI[ G) , unless otherwise specified. to the tablets containing sodium bicarbonate and
Where the sterility tests on eye preparations are organic acids, which release carbon dioxide m
required, the microbiallimit test may not be carried effervescent appearance when dissolved m
out. water.
The ingredients in effervescent tablets shall be
freely soluble. They shall be dissolved after water
is added and bubbles are produced. The organic
ID Liquids for External Application acids used are citric acid, tartaric acid and fumaric
acid in general.

Liquids for external application are sterile clear Enteric coated tablets Enteric coated tablets are
solutions prepared with drug substances and the tablets coated with enteric coating materials.
suitable stabilizers or other subsidiary materials, Tablets may be coated with enteric coating
intended for application to the surface of materials to prevent the active ingredients from
wound. decomposition and losing their effectiveness,
The production and storage of liquids for external irritation to stomach or to control the active
application shall comply with the following ingredient target releasing in the intestinal fluid.
requirements. Colon specific tablets are film-coated tablets
intended for treatment of colon diseases.
1. The drug substances used shall comply with the The production and storage of tablets shall comply
requirements in relevant monographs. with the following requirements.
2. The medicaments shall be absorbed by the surface 1. The drug substances used shall comply with the
of wound. Apply the solutions onto wound parts requirements in relevant monographs.
slightly with cotton sticks or other soft materials,
which shall be clean, sterilized and free from 2. The drug substances shall be mixed well with
contamination of microorganisms. the subsidiary materials, and the contents of
medicaments shall be accurate. Tablets containing
3. The liquids for external application shall be free
drug substances in small amount shall be dispersed
from abnormalities such as rancidity, abnormal
uniformly by an appropriate method.
odor and discolouration. Suitable preservatives or
antioxidants may be added to solutions if necessary. 3. Tablets containing volatile, thermolabile or
4. Unless otherwise specified, liquids for external photosensitive substances shall be protected from
application shall be stored and shipped at 2-8°C, light and heat during processing to avoid the loss
protected from light. of ingredient or effectiveness.

Filling quantity Comply with the test for filling 4. The moisture content in final bulk before
quantity (Appendix I A) , unless otherwise specified compressing tablets shall be controlled to meet the
requirements in relevant monographs. Correctives,
Sterility Comply with the test for sterility aromatics and colouring agents may be added
(Appendix XI[ A). according to the actual need.
5. Tablets may be coated with a film in order to
enhance the stability, mask unpleasant tastes and
I E Tablets improve the appearance.
6. Tablets shall have a clean, smooth and
uniformly coloured surface. They shall be of
Tablets are solid preparations, in round or other suitable hardness and wearing-resistance. Unless
shapes, obtained by compressing the uniform otherwise specified, the uncoated tablets shall
mixture of drug substances of biologics, in a form comply with the test for friability to resist wearing
of dry powder, and suitable subsidiary materials. or cracking during packaging, storage and
The drug substances may contain one or more shipping.
active ingredients.
· They are mainly conventional oral tablets, or 7. Unless otherwise specified, the tablets shall be
effervescent tablets, enteric coated tablets stored and shipped in tightly closed containers at
etc .. 2-8°C or in a suitable humidity.
The tablets shall be subject to the following tests.
Conventional oral tablets Conventional oral tablet
are prepared by compressing uniform mixture of Weight variation Weight variation of tablets shall
drug substances and suitable subsidiary materials. comply with the following requirements.
A - 10 Appendix I

Average or labelled weight Weight variation limit 3. Capsules shall have a clean and smooth surface
and be well shaped without adhesion, deformation,
Less than O. 30 g ±7.5% leakage or breakage. Capsules shall not have abnormal
0. 30g or more ±5.0% odor.
4. Unless otherwise specified, capsules shall be
Procedure Weigh accurately 20 tablets and calculate
stored and shipped at 2-8°C in tightly closed
the averageweight; then weigh individuallyeach of the
containers.
20 tablets (compare the weight of each tablet with the
The capsules shall be subject to the following
labelled weight for the tablets without content
tests.
determination). Not more than 2 of the individual
weights shall deviate from the average weight by Weight variation Weight variation of capsules
more than the weight variation limit shown in the shall comply with the following requirements.
table, and none shall deviate by more than twice
the limit. Average weight Weight variation limit
The film coated tablets shall comply with the test
Less than 0. 30 g ±10%
for weight variation after being coated.
0. 30 g or more ±7.5%
Disintegration Unless otherwise specified, comply
with the test for disintegration (Appendix V C). Procedure Weigh accurately 20 capsules, unless
Where dissolution test, drug release test or disin- otherwise specified. Open each capsule and
tegration test for suppositories is required, disinteg- remove the content ( without loss of capsule shell)
ration test may not be carried out. as completely as possible ( for hard capsules,
Microbial limit Comply with the microbial limit clean the shell with a small brush). Weigh
test ( Appendix XII G) , unless otherwise specified. accurately the shell of each capsule and calculate
Where the test for contaminating microorganisms on the weight of content of each capsule and the
tablets is required, the microbial limit test may average weight of the capsules. Not more than 2
not be carried out. capsules of the individual weight shall deviate from
the average weight by more than the weight
variation limit shown in the table, and none shall
deviate by more than twice of that percentage.
I F Capsules Disintegration Comply with the test for disintegra-
tion (Appendix V C), unless otherwise specified
Microbial limit Comply with the microbial limit
Capsules are solid preparations consisting of dry
test (Appendix XII G), unless otherwise specified.
powder of drug substances and suitable subsidiary
Where the test for contaminating microorganisms
materials, enclosed in hard or soft shells. They
on capsules is required, the microbial limit test
usually contain one or more active ingredients.
may not be carried out.
Capsules include hard capsules (generally called as
capsules) and enteric capsules etc.
Hard capsules Hard capsules are prepared by
enclosing in a capsule shell the uniform powders, I G Ointments, Emulsions
granules, small tablets or small pills made of drug
substances and suitable subsidiary materials.
Enteric capsules Enteric capsules are prepared by Ointments are semisolid preparations made of drug
treating hard capsules with medicinal high molec- substances, in liquid or dry powder form, and
ular materials or by other suitable methods. They suitable bases which are mainly lipophilic or water-
may be prepared with suitable enteric materials or soluble, and intended for external use. Ointments
by enclosing in a capsule shell the granules or may be divided into solution and suspension
small pills coated with enteric materials. The ointments according to the phases of medicaments
dispersed in bases. Solution ointments are the
capsules shall be insoluble in gastric fluid, but can
be disintegrated in intestinal fluid to release active ointments in which the medicaments dissolve or
melt into the simple or compound bases;
ingredients.
suspension ointments are the ointments in which
The production and storage of capsules shall
the fine powders of the medicaments are dispersed
comply with the following requirements.
into the bases evenly.
1. The drug substances used shall comply with the
Emulsions are homogeneous semisolid preparations
requirements in relevant monographs.
made of drug substances, in liquid or dry powder
2. The active ingredients or subsidiary materials form, dispersed or dissolved in emulsion bases, and
enclosedin capsules shall not cause the deteriorationof intended for external use. They may be divided into
shells. oil-in-water and water-in-oil emulsions based on the
Appendix I A - 11

different bases used. Particle size Unless otherwise specified, spread a


The production and storage of ointments and quantity of the suspension ointments onto three
emulsions shall comply with the following require- microscope slides separately with a thin layer
ments. whose area is equivalent to the covered slide. Carry
out the test for particle size ( Appendix V G,
1. The drug substances used shall comply with the
method 1), and no particle of greater than 180 µm
requirements in relevant monographs.
in dimension shall be observed.
z. The bases of ointments and emulsions shall be
Filling quantity Comply with the test for minimum
selected according to the characteristics of dose
fill ( Appendix V F).
forms, properties, therapeutic effects and stabil-
ities of preparations. The different kind of bases Microbial limit Comply with the microbial limit
may be mixed for use. test ( Appendix XII G) , unless otherwise specified
The bases of ointments include lipophilic and Where the tests for sterility on ointments and
water-soluble ones. Lipophilic bases are mainly emulsions are required, the microbial limit test
Vaselin, paraffin, liquid paraffin, silicone oil, may not be carried out.
beeswax, stearic acid and wool fat etc. Water- Sterility Unless otherwise specified, ointments
soluble bases are mainly polyethylene glycols. and emulsions used for treatment of extensive burn
The bases of emulsions include oil-in-water and and severely injured skin shall comply with the test
water-in-oil emulsifying agents. The oil-in-water for sterility (Appendix XI[ A).
emulsifying agents are mainly sodium soap,
triethanolamine soap, aliphatic ethanol sodium
sulfate ( sodium dodecyl sulfate) and polysor-
bate. The water-in-oil emulsifying agents are
mainly wool fat, monoglyccride , fatty alcohol
I H Sprays
etc.
3. The bases of ointments shall be homogeneous, Sprays are liquid preparations made from drug
fine and smooth and nonirritating to skin or substances with suitable stabilizers or subsidiary
mucous membranes. Insoluble solid medicaments materials, which are filled into special devices.
in suspension ointments shall be powdered finely The preparations are released in the form of
by suitable method in advance to ensure the aerosol with the aid of atomizing devices, or by
particle size in compliance with the relevant means of high pressure gas, supersonic vibration
req u irem en ts. or other suitable methods. They are also called
spray for external use and classified to quantitative
4. If necessary, moisturizers, preservatives, and non-quantitative preparations based on
thickeners, antioxidants and transdermal acceler- quantitative administration of drug or not.
ants may be added to the ointments or emulsions. The production and storage of liquids for nebuli-
5. When ointments or emulsions are to be used for zation shall comply with the following require-
extensive burns and severely injured skin, both ments.
bases and preparations shall be sterilized before 1. The drug substances used shall comply with the
use. requirements in relevant monographs.
6. Ointments and emulsions shall be of proper 2. The temperature during production shall be
viscosity. They shall be applied easily to the skin controlled, and the produced liquids for nebuli-
or mucous membrane but shall not be melted. The zation shall be stored at the specified temperature
viscosity shall only change a little with different immediately to minimize the adverse effect on the
seasons. active ingredients of drug.
7. Ointments and emulsionsshall show no evidence of 3. During processing of liquids for nebulization,
deterioration such as rancidity, abnormal odor, solvents, solubilizers, antioxidants, surfactants
discolouration, hardening or separation of oil and or other auxiliary substances may be added if
water. necessary. The added substances shall be non-
8. The immediate packaging materials for oint- irritating to skin.
ments and emulsions shall not interact physically 4. The solution sprays shall be clear. Emulsion
or chemically with the medicaments or with the sprays shall be dispersed uniformly in the vehicle.
bases. The immediate packaging materials for Suspension sprays shall be a stable suspension
sterile preparations shall be sterile. prepared by mixing drug substances and additives
9. Unless otherwise specified, ointments and emul- thoroughly.
sions shall be stored and shipped at 2-8°C in tightly 5. All the component units of the atomizing device
closed containers, protected from light. shall be nontoxic, nonirritating, stable, and
Ointments and emulsions shall be subject to the compatible with the contents.
following tests. Unless otherwise specified, the sprays shall be
A - 12 Appendix I

stored and shipped at 2-8°C, protected from light. the interval. of 5 seconds and with slow shaking)
The sprays shall be subject to the following tests. and collect the content into a quantity of absorbent
Total number of deliveries per container For solution. Transfer the combined solution to a
multidose sprays, the total number of deliveries suitable volumetric flask, 'dilute with the solvent
per container shall· comply with the requirements of to volume and shake up. Determine the content
the following test. and divide the result by 10 or 20 to calculate the
content of active ingredient in a unit spray. The
Procedure Take 4 containers of test sample and result shall be not less than 8 0 % and not more
remove their covers. Weigh each container than 120 % of the labelled amount of ingredient in
accurately ( W1 ) , shake· thoroughly, and discharge a unit spray.
10 doses to a container containing a quantity of
absorbent solution in a fume hood following the Weight variation Unless otherwise specified, the
instructions. Wash the mouthpieces with a weight variation for single-dose sprays shall
suitable solvent, dry and weigh each container comply with the following requirements.
accurately (W2 ). Shake, and continuously discharge
10 doses to the above container. Wash the Average weight Weight variation limit
mouthpieces with a suitable solvent, dry suffi- Less than 0. 30 g ±10%
ciently, and weigh each container accurately
(W3 ). Open the storage container, remove the 0. 30 g or more ±7.5%
drug liquid, wash each container with a suitable
Procedure Unless otherwise specified, take 20
solvent, dry and weigh each container accurately
containers of test sample and calculate the weight
(W4). Calculate the total number of delivery per
of content of each container and the average weight
container by the following formula. The total
- by the methods given in relevant monographs.
number of delivery per container shall be not less
Not more than 2 of the individual weights shall
than the labelled number of delivery.
deviate from the average weight by more than the
Total number of delivery per container
weight variation limit shown in the table, and
=lOX CW1 -W4)/CW2-W3)
none shall deviate by more than twice of that
Delivery amount in a dose Unless otherwise percentage.
specified, quantitative sprays shall comply with
the requirements of the following test. Filling quantity Multidose preparations shall
comply with the test for minimum fill ( Appendix
Procedure Take 4 containers of test sample and VF).
remove their covers, discharge several doses
following the instructions, blot the containers and Microbial limit Comply with the microbial limit
weigh accurately. Continuously discharge 3 doses, test ( Appendix XII G) , . unless otherwise specified
blot the containers each time after discharging and Where the sterility test on sprays is required, · the
_weigheach container accurately;' then calculate the microbial limit test may not be carried out.
delivery amount in a dose based on the 3 doses. Sterility The sprays intended to be applied to
Continuously discharge 10 doses, blot the, contai- burns, serious wounds or ulcer shall comply with
ners and weigh each container accurately. Repeat test for sterility (Appendix XII A).
the procedure and calculate the delivery amount in
a dose based on the other 3 doses. Continuously
discharge 10 doses, blot the containers and weigh
each container accurately. Repeat the procedure
and calculate the delivery amount in a dose based
I J Granules
on another 4 doses. Calculate the average delivery
amount per spray based on the 10 deliveries. Granules are dry granular preparations with an
Unless otherwise specified, the result shall be not appropriate particle size, which are made of dry
less than 80 % and not more than 120% of the powders of drug substances and suitable subsidiary
labelled amount in one delivery. materials. The drug substances may contain one or
Where the test for content of active ingredient per more active ingredients. Granules are intended for
spray is required, the test for delivery amount in a oral administration, which may be classified into
dose may not be carried out. soluble granules ( generally called as · granules ) ,
Content of active ingredient in a unit spray Unless suspension granules, enteric granules etc.
otherwise specified, quantitative sprays shall Suspension granules Suspension granules are dry
comply with the requirements of the following granular preparations with an appropriate particle
test. size, which are made of insoluble .drug substances
Procedure Take one container- of test sample, and suitable subsidiary materials. They are
discharge 5 deliveries following the instructions, intended for oral administration, which are disper-
wash the mouthpiece with a suitable solvent and sed in water or other suitable solvents on shaking
dry sufficiently. Discharge 10 or 20 deliveries ( at to form a suspension.
Appendix I A- 13

Unless otherwise specified, suspension granules suspension granules are required, the test for
shall comply with the dissolution test. dispersion may not be carried out.
Enteric granules Enteric granules are the Weight variation The weight variation limit of
preparations made of granules coated with enteric single-dose package of granules shall comply with
materials or made by other suitable methods. the following requirements.
Enteric granules are gastro-resistant and modified-
release granules that are intended to resist the Average or labelled weight Weight variation limit
gastric fluid and to release active ingredients in
intestinal fluid to avoid the decomposition of 1. 0 g or less than 1. 0 g ±10%
medicaments in stomach and the irritation to More than 1. 0 g to 1. 5 g ±8%
stomach and control the release.
Unless otherwise specified, enteric granules shall More than 1. 5 g to 6. 0 g ±7%
be subject to the drug release test. More than 6. 0 g ±5%
The production and storage of granules shall
comply with the following requirements. Procedure Take 10 packs (bottles) of test sample,
1. The drug substances used shall comply with the remove the wrapper, and weigh accurately the
requirements in relevant monographs. content of each separately .. Calculate the weight of
each pack ( bottle ) and the average weight.
2. The drug substances and subsidiary materials
Compare the weight of each pack ( bottle) with
shall be mixed well. Temperature shall be
the average weight (for granules without content
controlled during the manufacture of volatile or
determination, compare· the weight of each pack
heat-labile drug substances. The drug sub-
(bottle) with the labelled weight). Not more
stances unstable to light shall be protected from
light. than 2 individual values shall exceed the limit, and
none shall exceed by doubling the limit.
3. Granules shall be dry, uniform in particle size Where the test for content uniformity on granules is
and colour, and show no evidence of moisture required, the test for weight variation may not be
absorbing, softening, agglomeration or delique- carried out.
scence.
Filling quantity For multidose granules, comply
4. If necessary, some suitable auxiliary substances with the test for minimum fill (Appendix V F).
such as flavoring agents, aromatics, colouring
agents, dispersing agents and preservatives etc. Microbial limit Comply with the microbial limit
may be added to granules during the manufacture. test ( Appendix XII G) , unless otherwise specified
Where the sterility test on granules is required,
5. Unless otherwise specified, granules shall be the microbial limit test may not be carried out.
preserved in well-closed containers and stored and
shipped at 2-8°C in a dry place, and protected from
light.
The granules shall be subject to the following
tests. I K Powders
Size of granules Comply with the test for particle
size ( Appendix V G) , unless otherwise specified. Powders are the preparations made of dry powders
The total weight of granules including those can of drug substances of biologics and suitable
not pass through sieve No. 1 ( 2 0 0 0 µm) and subsidiary materials by the process of pulverization
those can pass through sieve No. 5 ( 180 µm) , and homogenization.
shall be not more than 15 % of the quantity of Powders for oral administration, which generally
test sample. dissolve and disperse in water or other liquids, can
Loss on drying Comply with the test for loss on be administered directly with water.
drying (Appendix v1[ L), unless otherwise specified. The production and storage of powders shall
The test sample shall be dried to constant weight at comply with the following requirements.
105°C. Granules containing sugar shall be dried at 1. The drug substances used shall comply with the
80°C under a reduced pressure and shall lose not requirements in relevant monographs.
more than 2. 0 % of its weight.
2. The ingredient for preparing powders shall be
Dispersion Unless otherwise specified, soluble dried and made into fine powders. Powders shall
granules shall comply with the requirements of the be dry, loose, mixed well and uniform in appear-
following test.
ance and colour.
To 10 g of granules, add 200 ml of hot water and
stir for 10 minutes .. Soluble granules shall be 3. Powders may contain or not contain subsidiary
dissolved completely or show slight turbidity materials. Flavoring agents, aromatics or
without foreign matter. colouring agents may be added during preparation
Where the tests for dissolution or drug release on of powders for oral administration if necessary.
A - 14 Appendix I

4. To prevent the destruction of active ingredients comply with the test for minimum fill ( Appendix
in powders by gastric acid, the ingredients with VF).
capacity of neutralizing gastric acid may be added
Microbial limit Comply with the microbial limit
to the diluent of powders.
test ( Appendix X[ G) , unless otherwise specified.
5. Powders are packaged as single-dose or multi- Where the test for contaminating microorganisms on
dose preparations, and a dose dividing tool shall powders is required, the microbial limit test may
be attached for multidose preparations. not be carried out.
6. Powders containing volatile or hygroscopic
medicaments shall be packaged with moisture-
proof materials.
7. Unless otherwise specified, powders shall be
I L Nasal Preparations
stored and shipped at 2-8°C in well-closed contai-
ners. Nasal preparations are liquid, semisolid or solid
Powders shall be subject to the following tests. preparations, intended for administration. to the
Fineness Weigh accurately 10 g of test sample, nasal cavities to produce a systemic or local
unless otherwise specified, place on sieve No. 7 therapeutic effect. The dose forms of liquid
( 125 µm) , cover the sieve with a lid, fit tightly preparations include nasal drops, washings and
an appropriate receiver under the sieve. Carry out sprays, for semisolid preparations including
the test for particle size (Appendix V G). Weigh ointments, emulsion and gel, and for solid .
accurately the fractions passing through the sieve. preparations including powders, powder aerosols
The weight shall be not less than 95 % of the and club suppositories.
powder weighed. The production and storage of nasal preparations
Uniformity of appearance Spread evenly a shall comply with the following requirements.
quantity of powders in an area of about 5 cm2 on a 1. The drug substances used shall comply with the
piece of smooth paper, press the surface to be requirements in relevant monographs.
even, observe the powder under a bright light. It
2. In general, nasal preparations contain the
shall be uniform in colouration without discoloura-
subsidiary materials which have the capacity of
tions or colour stains.
adjusting viscosity, controlling pH, enhancing
Loss on drying Carry out the test for loss on the dissolution of active ingredients, or improving
drying ( Appendix W L ) , unless otherwise the stability of preparations, or may be used as
specified. Losses shall be 'not more than 2. 0 % of excipients. Other than the preparations with the
its weight after drying to constant weight at capacity of bacteriostasis, bacteriostatic agents at
105°C. suitable concentrations shall be added to aqueous
Weight variation The weight variation of single-dose nasal preparations supplied in multidose
powders shall complywith the followingrequirements. containers, unless otherwise specified.
3. The containers of multidose nasal preparations
Average or labelled weight Weight variation limit shall be fitted with a set of dropping pipettes,
generally with spiral caps and rubber or plastic
0. 1 g or less than 0. 1 g ±15%
nipples. The containers shall be innocuous and
More than 0. 1 g up to 0. 3 g ±10% clean, and shall not react physically or chemically
More than 0. 3 g up to 1. 5 g ±7.5% with medicaments or subsidiary materials. The
More than 1. 5 g up to 6. 0 g ±5% walls of containers shall be in a certain and even
More than 6. 0 g ±3% thickness. Unless otherwise specified, the filling
quantity in each container shall be not more than
Procedure Take 10 packs (bottles) of test 10 ml or 5 g.
sample, remove the wrapper, and accurately
4. Liquid nasal preparations shall be dear and free
weigh the content of each separately. Calculate
from precipitates or foreign matters. Nasal
the weight of each pack ( bottle) and the average
suspension may contain precipitates which shall be
weight. Compare the weight of each pack (bottle)
easily dispersed on shaking. For nasal emulsion
with the average weight (for the granules without
phase separation between oil and water may occur
content determination, compare the weight of each
which can be restored on shaking.
pack (bottle) with the labelled weight). Not
more than 2 individual values shall exceed the 5. Nasal preparations shall be nonirritating and
limit, and none shall exceed by doubling the limit. shall not adversely affect the function of nasal
Where the test for content uniformity for powders mucosa and its cilia. Liquid nasal preparations
is required, the test for weight variation may not shall be isotonic.
be carried out. 6. Unless otherwise specified, nasal preparations
Filling quantity The multi dose powders shall shall comply with the corresponding requirements
Appendix I A - 15

in the General Requirements for Preparations. For suspended gel which is thixotropic. It is in a semi-
example, nasal sprays shall comply with the solid form in stationary and changes into a liquid
requirements for sprays. by stirring or shaking.
Unless otherwise specified, nasal preparations The bases of hydrophilic gels usually consist of
shall be stored and shipped at 2-8°C, protected water, glycerin or propylene glycol gelled with
from light. . suitable gelling agents such as tragacanth,
Nasal preparations shall be subject to the following gelatin, starch, cellulose derivatives, carbomer
tests. and alginates. The bases of hydrophobic gels
Variation of weight or of filling quantity Unless consist of liquid paraffin with polyethylene glycol
otherwise specified, the variation of weight or of or fatty oil gelled with colloidal silica or aluminium
filling quantity of solid or semisolid nasal soap or zmc soap.
preparations supplied in single-dose containers The production and storage of gels shall comply
shall comply with the following requirements. with the following requirements.

Procedure Take 20 containers of test sample, 1. The drug substances used shall comply with the
weigh the content of each container and calculate requirements in relevant monographs.
the average weight. Not more than 2 containers 2. Colloid particles in suspended gels shall disperse
shall deviate from the average weight by+ 10 % , homogenously. No sedimentation or caking shall
and none shall deviate by+20%. occur.
Where the test for content uniformity of nasal 3. Gels shall be homogenous, fine and kept in gel
preparations is required, the tests for variation of structure without drying up or liquefaction at room
weight or of filling quantity may not be carried temperature.
out.
4. Additives such as moisturizers, preservatives,
Filling quantity Unless otherwise specified, antioxidants, emulsifying agents, thickeners and
single-dose nasal preparations shall comply with transdermal accelerators may be added to gels if
the following requirements. necessary.
Take 10 containers of test sample, remove the
total contents and determine the filling quantity of 5. The bases of gels shall not interact physically or
each container, which shall be not less than the chemically with medicaments.
labelled quantity. . 6. "Shake up before use" shall be stated on the
Multidose nasal preparations shall comply with the label of suspended gels.
test for minimum fill (Appendix V F).
7. The gels used for severely injured skin, nasal
Microbial limit Comply with the microbial limit cavity or vagina shall be sterile.
test ( Appendix XII G) , unless otherwise specified.
Where the sterility test on nasal preparations is 8. The immediate packaging materials for gels
required, the microbial limit test may not be shall not interact physically or chemically with
carried out. medicaments or bases.

Sterility The sterile nasal preparations as stated 9. Unless otherwise specified, gels shall be
on the label shall comply with the test for sterility preserved in well-closed containers and stored and
(Appendix XII A). shipped at 2-8°C, protected from light or freezing.
Gels shall be subject to the following tests.
Particle size Unless otherwise specified, spread a
quantity of the suspended gels onto three
I M Gels microscope slides separately with a thin layer
whose area is equivalent to the covered slide. Carry
out the test for particle size ( Appendix V G,
Gels are homogeneous suspended or emulsive thick method 1), and no particle of greater than 180 µm
liquid or semi-solid preparations, which are made in dimension shall be observed.
of drug substances, in liquid or dry powder form, Filling quantity Comply with the test for
and suitable gelling subsidiary materials .. Unless minimum fill (Appendix V F).
otherwise specified, gels are intended for local
application to skin, nasal cavity, vagina and Microbial limit Comply with the microbial limit
rectum. Emulsive liquid gels are also called as test ( Appendix XII G) , unless otherwise specified.
emulsive gels. A gel of small molecule of inorganic Where the sterility test on gels is prescribed, the
medicaments Ce. g. aluminum hydroxide) consists of microbial limit test may not be carried out.
a network of small discrete gel particles of drug Sterility Sterile gels shall comply with the test for
substances presenting in liquid. It is classified as a sterility (Appendix XII A).
two-phase dispersion system, and is also called as
A - 16 Appendix II

Appendix ll Spectrophotometry

Spectrophotometry is a method used in qualitative tometer and cause a drift of the wavelength scale,
and quantitative analysis in which the light therefore it must be calibrated regularly and
absorption or the intensity of light emission of the immediately before the measurement. Mercury
substance being examined is measured at a definite lamp is the best choice of light source for this
wavelength or within a definite range of wave- purpose, the following spectral lines of the
length. mercury lamp can be used: 237. 83 nm, 253. 65 nm,
The spectral ranges involved in pharmaceutical 275.28 nm, 296. 73 nm, 313.16 nm, 334. 15 nm,
analysis mainly consist of 3 regions: ( 1 ) the 365. 02 · nm, 404. 66 nm, 435. 83 nm, 546. 07 nm
ultraviolet region ( 200-400 nm) , ( 2) the visible and 576. 96 nm. The wavelength scale may also be
region ( 400- 7 60 nm) and ( 3) the infrared region calibrated by means of the 486. 02 nm and 656. 10 nm
(2. 5-25 µm or 4000-400 cm-1 ). The instruments lines of deuterium discharge lamp. Holmium glass
used are the ultraviolet-visible spectrophotometer, filter exhibits sharp absorption peaks at 279. 4 nm,
visible spectrophotometer ( or colourimeter) , 287. 5 nm, 333. 7 nm, 360. 9 nm, 418. 5 nm,
infrared spectrophotometer or atomic absorption 460. 0 nm, 484. 5 nm, 536. 2 nm and 637. 5 nm
spectrophotometer. All instruments shall be therefore can be used for calibration of wavelength.
calibrated regularly to insure the precision and the However, the exact values for the position of
accuracy. these peaks may change slightly depending on the
When monochromatic radiation passes through an commercial source of the filter or along with the
absorbing medium, the absorbance of the radiation time goes by.
is proportional to the concentration of the 2. The absorbance scale. Check the absorbance
absorbing substance and the thickness of the with a solution of potassium dichromate in sulfuric
absorbing medium, this relation is expressed by acid. Dissolve about 60 mg of potassium
the following equation: dichromate primary standard, previously dried to
A=lg l/T=ECL constant weight at 120°C and accurately weighed,
in 0. 005 mol/L sulfuric acid solution to make 1000 ml.
Where A is the absorbance, Tis the transmittance, E Check the absorbance at wavelength indicated in
is the absorption coefficient, C is the concentration the following table and calculate the absorption
of the substance expressed in g per 100 ml, coefficient which shall accord with the specified
calculated on the dried or dehydrated basis and L is range in the table when compared with the
the absorption path length expressed in cm. The specified absorption coefficient.
term Et~ is used in this pharmacopoeia to- denote
the absorbance of a 1 % solution in a 1 cm cell. Wavelength/ nm 235(min) 257(max) 313(min) 350(max)
The wavelength of the selective absorption and the Specific 124.5 144.0 48.6 106.6
corresponding absorption coefficient are physical absorbance
constants of the substance being examined. When E1%
1 cm
the absorption coefficient of a substance is known, Maximum 123. 0- 142. 8- 47. 0- 105. 5-
its content can be calculated from the above tolerance 126.0 146. 2 50.3 108.5
equation. In the visible region, the content of a
colourless substance can be determined colourimet- 3. Limit of stray light. Stray light may be
rically after the addition of a colour developing detected at the given wavelength with suitable
agent or any other treatment. solutions indicated in the following table. The
transmittance of these solutions measured in a 1 cm
quartz cell against water shall accord with the limit
specified in the table.
ll A Ultraviolet-visible Concentration/% Wavelength/ Transmittance/
Reagent
Spectrophotometry (g/rnl) nm %
Sodium Iodide 1. 00 220 <0.8
Sodium Nitrite 5.00 340 <0.8
Calibration and performance test of the instrument
1. Wavelengh The change of enviroment may Requirements for the solvents
affect the mechanical parts of the spectropho- The organic solvents containing heteroatoms
Appendix II A - 17

usually have strong absorption at the lower and with solvent of the same batch. Determine the
wavelength. Thus, their ranges of use shall be absorbances of solutions of test preparation and of
less than the cut off wavelength. For example, reference preparation at specified wavelength,
the cut off wavelength of methanol and ethanol is calculate the concentration of the test preparation
205 nm. Otherwise, impurity of solvents would in the solution according to the following equation:
enhance the interference of absorption. The . Cx=CAxlAR)CR
solvent used in spectrophotometric determinations
Where C, is the concentration of the test
should be checked for any interfering absorption
preparation; Ax is the absorbance of the test
peak around the selected wavelength for the
preparation; CR is the concentration of the
measurement of the absorbance being examined The
reference preparation and AR is the absorbance of
absorbance of a solvent shall not exceed 0. 40 in the
the reference preparation.
range of 220 nm to 240 nm, 0. 20 in the range of
241 nm to 250 nm, 0. 10 in the range of 251 nm to (2) Absorption coefficient method Prepare the
300 nm and 0. 05 at wavelengths above 300 nm; when solutions of the substance being examined
measured in a 1 cm quartz cell against air. according to the method described under the
individual monograph, determine the absorbance at
Procedure specified wavelength. Calculate the concentration of
Unless otherwise specified, the same batch of the test preparation with the absorption coefficient
solvent used to prepare the · solution of the specified in the monograph concerned. Usually,
substance being examined should be employed as absorption coefficient shall be more than 100. Pay
the blank in matched 1 cm quartz cells. The attention to the calibration and check of the
wavelength of maximum absorption shall be instrument being used,
checked by measuring the absorbance of the
( 3 ) Chemometric methods Carry out the assay as
substance being examined in the vicinity of the
described under the specifiedmonograph. Absorbances
specified wavelength, within a range of + 2 nm,
are measured at wavelengths of the ascending or
to check the wavelength of the absorption descendingposition of the absorption curve, the minor
maximum is correct or not. Unless otherwise variation of the wavelength may affect the result
specified, the absorption maximum must be within significantly. It is essential to determine the reference
+2 nm as specified in the monograph, otherwise, and test preparations under the same condition
the identity, purity of the substance or the Commonly, chemometric method is not suitable
correctness of the wavelength of the spectro- for the assay.
photometer should be considered, The assay
should be carried out at the wavelength of ( 4) Colourimetry Colourimetry is used with the
maximum absorption. The concentration of the addition of suitable developer before determination
solution shall be adjusted to give an absorbance when the substance being examined has no strong
reading of O. 3 to O. 7 where the experimental error absorption in the ultraviolet-visible region, or
though absorption in that region, to avoid the
is the smallest. The width of the spectral slit must
interference or increase the sensitivity.
be smaller than the tenth of half-width of the
Colourimetric determination shall be carried out
absorption band, otherwise low absorbance will be
with a reference substance concomitantly. Unless
resulted. The slit width is appropriate if further
otherwise specified, an equal volume of solvent,
reduction does not result in an increase of the
added with the same reagent and treated in the
absorbance reading. The absorbance of an
same manner is used as blank. Calculate the
unmatched cell with the solvent concerned as cl
concentration of test preparation as "(1) Reference
blank must be subtracted from the absorbance of substance comparison method" described under the
the substance being examined or be automatically above method Cl).
deducted by the spectrophotometer. If the linear relation between absorbance and
When the pH value affects the results determined, concentration is not good enough, the absorbance
the pH of the test preparation shall be adjusted of a series of reference preparations containing
equal to that of the reference preparation. gradient amounts of the reference substance shall
Ultraviolet spectrophotometry used for identifica- be measured, and a calibration curve shall be
tion and quality tests is proceeded according to the produced by plotting the absorbance against
method described in the items specified under the concentration. The concentration of the test
corresponding monograph. preparation can be determined by interpolating its
Ultraviolet spectrophotometry is used for assay absorbance on the calibration curve.
usually as the following methods.
(1) Reference substance comparison method
Prepare separately solutions of the substance being
examined and CRS according to the method ][ B Atomic Absorption Spectropho-
described under item of the individual monograph. tometry
The content of the CRS in the solution shall be
within 100% + 10% of the labelled amount of the
solution prepared with substance being examined Atomic absorption spectrophotometry is used m
A- 18 Appendix II

the determination of metal elements and some non- ( 4) Cold va par atomizer It consists of a mercury
metal elements in the atomic state. vapor atomizer and an absorption cell. It is
The light of characteristic wavelength emitted from suitable for the determination of mercury. Its
a cathodic discharge lamp is absorbed when it function is to reduce the mercuric ion into mercury
passes through the atomic vapor generated from vapor which is swept into the quartz absorption cell
sample containing the element being examined by carrier gas.
atomized to the ground state. The assay of the
3. Monochromator Its function is to separate the
element being examined is tested by determing the specified wavelength 'radiation from the electro-
decreased degree of light intensity of radiation.
magnetic radiations eradiated from the light
Atomic absorption obeys the general rule for source. The optical path of the apparatus should
absorption spectrophotometry. The assay is assure the good spectra resolution and has the
carried out by comparing the absorbance of the test ability to work well at the condition of narrow
preparation with that of the reference preparation. spectral band ( 0. 2 nm). The commonly used
Apparatus wavelength region is 190. 0-900. 0 nm.
An atomic absorption spectrophotometer consists 4. Detector system It consists of a detector, a
of a light source, an atomic generator, a mono- signal processor and a recording system. It should
chromator and a detector system. Some are have relatively higher sensitivity and better
equipped with a background compensation system stability, and can follow the rapid change of the
and automatic sampling system, etc. signal absorption.
1. Light source A hollow-cathode discharge lamp 5. Background compensation system System
is usually used. The cathode is made of the employed for the correction of atmospheric effects
element being examined. on the measuring system. Four principles can be·
2. Atomic generator There are four main types: utilized for background compensation: continuous
flame atomizer, graphite furnace atomizer, hydride- spectrum sources (a deuterium lamp is often used
generated atomizer and cold vapor atomizer. in the UV region), the Zeeman effect, the self-
inversion phenomena and the nonresonancespectrum.
(1) Flame atomizer It mainly consists, of a
In the analysis using atomic absorption spectro-
nebulizer and a burner. Its function is to nebulize photometry, the interference to the determination
the test solution into aerosol which is mixed with caused by background and other reasons should be
combustion gas. And the mixture is introduced noticed Changes of some experimental conditions,
into the Harne generated by the burner. So that such as the wavelength, the slit width, the
the substance being examined is to be dried, atomnzmg condition, etc. , may affect the
evaporated to form the ground state atoms of the sensitivity, the stability and the interference. If it
element being examined. The burning flame is is flame, the suitable wavelength, slit width and
generated by different mixtures of gases, flame temperature, the addition of complexing
acetylene-air is mostly used. By modifying the agents and releasing agents, and the use of
proportion of combustion gas, the temperature of Standard addition method may eliminate inter-
the flame can be controlled, and a better stability ference. If it is furnace, system, the selection of
and a better sensitivity can be obtained. suitable background compensation system and the
(2) Furnace atomizer It consists of electric addition of suitable matrix modifying agents, etc.
furnace and a power supply. Its function is to dry may remove the interference. Background compen-
and incinerate the substance being examined. sation method shall be selected as specified in the
During the stage of high temperature atomization, individual monograph.
the ground state atoms of the element being Procedure
examined are to be formed. Graphite is commonly
used as the heater. Protection gas is introduced Method 1 (Direct calibration method) Prepare
into the furnace to avoid oxidation and used to not less than 3 reference solutions of the element
transfer the sample vapor. being examined of different concentrations,
covering the range recommended by the instrument
(3) Hydride-generated atomizer It consists of manufacturer and add separately the corresponding
hydride generator and atomic absorption cell. It is reagents as that for the test solution and prepare
used for the determination of the elements such as the blank reference solution with the corresponding
arsenic, selenium, stannum and antimony etc. reagents. Measure the absorbances of the blank
Its function is to reduce the element to be reference solution and each reference solution of
examined in acidic medium to the low-boiling and different concentrations separately, record the
easily pyrolyzed hydride. And then the hydride is readings and prepare a calibration curve with the
swept by a stream of carrier gas into the atomic average value of 3 readings of each concentration
absorption cell which consists of quartz tube and on the ordinate and the corresponding concentra-
heater etc. , in which the hydride is pyrolyzed by tion on the abscissa.
heating to form the ground-state atom. Prepare a test solution of the substance being
Appendix II A - 19

examined as specified in the monograph, adjust the exciting radiation. The excitation and emission
the concentration to· fall within the concentration spectra of a substance can be used for qualitative
range of the reference solution. Measure the analysis. The intensity of the fluorescence emitted
absorbance 3 times, record the readings and by a substance, when the intensity and wave-
calculate the average value. Interpolate the mean length of the exciting radiation, the solvent and
value of the readings on the calibration curve to the temperature are constant, is directly propor-
determine the concentration of the element. tional to the concentration of the substance within
Method 2 ( Standard addition method) Place a definite range, therefore, this relation can be
equal volumes of the test preparation prepared as used for quantitative determinations. The sensit-
specified in the individual monograph in each of 4 ivity of fluorescence spectrophotometry is usually
higher than that of UV and visible spectro-
volumetric flasks of the same size, to each of the
flasks, except the first one, add an accurately photometry. However, if a solution is too
measured amount of the reference preparation concentrated, a self-quenching effect and an
containing increasing amounts of the element being absorption of the exciting radiation near the surface
determined. Dilute separately with de-ionized may result in a declination of the intensity of
water to the volume and proceed as directed in the emitted radiation, and the intensity of fluorescence
emitted is not directly prortional to the concen-
direct calibration method. Measure the absorbances
tration. Therefore, fluorescence spectrophoto-
and record the readings. Plot the mean values of
each group of 3 readings against the corresponding metry should be carried out only in dilute solutions.
concentration of the element contributed by the Procedure The instrument used is fluorometer or
reference preparation, extrapolate the straight line fluorometry spectrophotometer. Select the excitation
to intersect with the axis of zero absorbance. The and emission bands and prepare the reference and
interception represents the concentration of the the test solutions as specified in the monograph.
element contributed by the test preparation. Measurements are usually made with reference to a
Calculate the concentration of the element in the properly selected reference substance to determine
test preparation from the result so obtained. This the linear relation of fluorescence intensity and
method can be used only. when the standard curve concentration. When the linear relation is good,
obtained in method 1 is linear and passes the adjust the sensitivity of the instrument with
ongm. appropriate dilutions of the reference solution
before each test; record the fluorescence inten-
Absorbance sities of the test preparation and reference
0.3 preparation and their corresponding blanks. The
following equation can be used for calculation of
0.2 the content in the test preparation:
Concentration of
element contributed
by the test preparation 0.1 ( )
c. _Rx-Rxb XC
1 Rr-Rrb
Where C, is the concentration of the test
2 1 0 1 2 3 preparation; Cr is the concentration of the
Concentration of the element
contributed by the reference preparation reference preparation; Rx is the fluorescence
intensity of the test preparation; R, is the
When used in the test for impurities, prepare two fluorescence intensity of the reference preparation;
test preparations of the same concentration as Rxb and Rrb are the fluorescence intensity of the
specified in the monograph. To one of the test corresponding blanks.
preparation add an amount of the reference The range within which the fluorescence intensity
substance equivalent to the limit of the element is directly proportional to the concentration of the
specified in the monograph. Proceed as directed substance is usually very narrow, therefore, the
above and measure this solution to give an ratio (Rx - Rxb) / (R - Rrb) shall be not less than
appropriate reading a; then measure the test 0. 5 or more than 2, otherwise the concentration of
preparation without the addition of the reference the solutions shall be adjusted and the measure-
substance under the same condition and record the ments made again. If the fluorescence intensity is
reading b ; bis not greater than (a-b). not strictly proportional to the concentration, the
previously drawn calibration curve under the same
conditions shall be used.
For a substance which decomposes on exposure to
Il C Fluorimetry light or its relaxation time is too long, in order to
avoid the fluorescence intensity affected by multi-
irradiation of the exciting radiation, the sensitivity
When substances are exposed to ultraviolet or of the instrument maybe checked with a stable
visible radiation, some of them may emit reference solution of another fluorescent substance
fluorescence at a wavelength longer than that of with excitation and emission bands similar to those
A - 20 Appendix II

of the substance being examined in place of alkali metals and alkaline-earth metals being
reference substance of the substance being examined is introduced into a· flame as the form of
examined. For instance, quinine in dilute sulfuric aerosol by an equipment of nebulization , the
acid is usually used for blue fluorescence, sodium element being examined is atomised by the heat
fluorescence for green fluorescence and rhodamine energy of the flame and excited its characteristic
B for red fluorescence. spectrum. The content of the element being
Announcements The interferences of fluorometry examined is determined by measuring the light
are great due to high sensitivity. intensity of the element using photoelectric
(1) The purity of solvent may markedly affect the
detector and comparing the light intensity of the
intensity of fluorescence, blank test should be reference solution and the test solution.
carried out and the solvent distilled in a glass Apparatus Flame photometer consists of a combustion
distillator before use if necessary. system including nebulizer-burner, combustion
( 2) The presence of suspended particles may cause lamp, combustion gas and supply of assisted
the light to be scattered, therefore, it is necessary combustion gas, a monochromator and a detector.
to eliminate such particles by centrifugation or The combustion gas is often a mixture of air-coal
filtration with a sintered glass filter. gas or air-liquefied petroleum gas (LPG) using air
( 3 ) All glasswares and cells must be cleaned as assisted-combustion gas and coal gas or LPG as
thoroughly. combustion gas.
( 4) It is also important to regulate the temper- Any variation of the experimental condition, such
ature. because it would notably affect the fluores- as type and state of flame, the pressure supplied
cence intensity. by air-compressor may affect and interfere with the
(5) Oxygen dissolved in the solution has a strong sensitivity and steadiness of the instrument, so
quenching effect, it can be removed by passing a they should be selected as specified in the
current of inert gas through the solution when monograph.
necessary. Procedure When used for assay and limit test of
(6) The effect on the fluorescence intensity by the
impurities, flame photometry is carried out
pH value of the solution and the purity of the respectively as method 1 and 2 described under
reagents, etc. should be noticed during the Atomic Absorption Spectrophotometry ( Appendix
determination. II B).

][ D Flame Photometry

When a test solution containing the element of


Appendix III A- 21

Appendix ][ Chromatography

Depending on the mechanism of the separation ted visually, colourless substances can be detected
process, chromatographic can be classified into under ultraviolet radiation of 254 nm or 365 nm.
adsorption chromatography, partition chromatog- In paper chromatography or thin layer chromato-
raphy, ion-exchange chromatography, size-exclu- graphy, colourless substances can also be detected
sion chromatography etc. by spraying with a colour-developing agent. Silica
Adsorption chromatography is based on the gel plates containing a fluorescent substance are
different affinity of individual components to the sometimes used in thin-layer chromatography, so
adsorbent ( stationary phase) ' so that they can be that colourless substance can be detected by the
eluted successively with a solvent or gas ( mobile fluorescence quenchingmethod. In column chromato-
phase ) . The adsorbents commonly used are graphy, gas chromatography and high performance
aluminum oxide, silica gel, polyamide powder liquid chromatography, the components can be
etc. detected by a suitable detector connected to the
outlet of the column. In column chromatography, the
Partition chromatography is based on the components sometimes can be determined quantita-
distribution of individual components between two
tively by a suitable method after fractionation.
phases. The stationary phase is coated on or
chemically bonded to a solid support of large
surface area. The mobile phase is a liquid or a
gas. The supports commonly used are silica gel,
kieselguhr , diatomaceous earth, cellulose powder, m: A Paper Chromatography
polymers with suitable functional grounds etc.
In ion-exchange chromatography, the stationary Paper chromatography is a partition chromato-
phase is either a cation exchange resin or an anion graphic technique, in which paper is used as a
exchange resin. The mobile phase is usually an support and the water or other substance contained
aqueous buffer solution, sometimes a definite in the paper is used as a stationary phase.
quantity of organic solvent is added to modify the The substance being examined is developed by the
exchange property. develeper, after which the shift ratio value ( Rf )
Size exclusion chromatography is also known as gel could be used to denoted the location of each
permeation chromatography or gel filtration component (Rf is the ratio of the distance between the
chromatography. It is based on the different center of the origin and that of the spots to the distance
permeability of components of different molecular botween the canter of the origin and the frontal of the
size into a support of definite pore size. Molecular mobile phase). In practice, Rf values may vary consid-
sieves, cross-linked· polystyrene gels, glucosan erably due to experimental conditions. Therefore, the
gels, silica gel and porous glass beads are identificationof a compound is usually carried out
commonly used as the stationary phase. Water or by comparing the behaviour of the compound to be
organic solvent is used as the mobile phase, identified with that of a reference substance under
depending on the chemical characteristics of the the same conditions. For drug identification, the
support and the substance being examined. location and colour ( or fluorescence) of the main
Chromatographymay be classified into paper chroma- spots of the substance being examined on the
tography, thin layer chromatography, column chromatogram shall be identical with those of the
chromatography, gas chromatography, high perfor- reference substances. For purity inspection, the
mance liquid chromatography and so on based on number or colour intensity ( or fluorescence
the method of separation. intensity) of the impurities contained shall be
examined according the requirements specified
Solvents used in chromatography must be of high under each monograph, after a certain amount of
purity and must not react with the substance being substance being examined has been developed. For
examined. Except gas chromatography, the assay, the main chromatographic spot could be cut
operation is carried out at room temperature,
out from the paper, eluted with a solvent and
unless otherwise specified. In column chromato-
subjected to a suitable measurement.
graphy, paper chromatography and thin layer
chromatography, the coloured zones can be 'detec- 1. Apparatusand Materials
A - 22 Appendix III

( 1) Developing chamber It is usually a glass Introduce a sufficient quantity of the mobile phase
chamber, cylindrical or rectangular, which could into the solvent trough and allow it to move along
be tightly closed with a glass lid. When it is used the chromatographic paper for the prescribed
for descending method, a separator could be distance. Remove the chromatographic paper from
inserted through the lid with a hole on it for the the chromatographic chamber, mark the position
addition of the mobile phase. A solvent trough of the solvent frontal and visualize the chromatogram
supported by a rack is placed inside near the top of prescribed in the monograph when. the solvent is
the chamber, a glass rod is used for holding the volatilized.
chromatographic paper, on both sides of the
(2) Ascending method The solution of substance
trough, there are two glass rods used to guide the
being examined is applied on the pencil line as
paper so that no part of it, is in contact with the
directed in the descending method. The chamber
wall of the trough. When it is used for ascending
is saturated with the vapour of a specified solvent
method, the hole on the lid is blocked by a stopper
or the developer placed in it. Lower the hook so
with a· glass hook where the paper is suspended.
that the paper is immersed in the developer to a
The hook is capable of being lowered without
depth of O. 5 cm, allow the mobile phase to ascend
opening the chamber. Remove the trough and
for about 15 cm, unless specified otherwise.
rack.
Remove the paper from the chamber, mark the
(2) Sample applicator Microsyringe or capillary position of the solvent frontal and visualize the
tubes with a rack are often used, which· could chromatogram as prescribed in the monograph
ensure a correct and compact position of the when the solvent is volatilized.
applicated spot. One dimensional. chromatography is that the
(3) Chromatographic filter paper Filter paper development proceeds along one direction. Some-
should be clean and uniform in texture and times two-dimensional chromatography may be
thickness, and has a tensile strength. It shall performed by turning the filter paper at right angle
contain no impurities which may affect developing and then continue the development with . the
process or react with visualizing reagent employed, original developer or a different solvent system.
and affect the separation or identification. It may Other chromatographic techniques, such as
be· pretreated before use if necessary. For multiple development, continuous development
descending method, cut a piece of filter paper and wedge shaped strip development etc. , may
along the grain direction into strips of sufficient also be used.
length and a convenient width, and draw a fine
pencil line horizontally across the paper at such a
distance from one end to make the line a few
centimeters below the guide rod. When this end is ][ B High Performance Liquid
secured in the solvent trough and the remainder of Chromatography
the paper is hanging freely outside the trough.
The lower end of the paper may be cut into saw-
toothed form to facilitate the mobile phase to drop High performance liquid chromatography ( HPLC)
down homogeneously, · if necessary. For is a method of chromatographic separation in which
ascending method, the length of the paper is about the mobile phase is pumped into a column
25 cm, the width of the paper is varied as containing stationary phase by a high-pressure
required. Sometimes the paper can be rolled into pump system. The test solution injected is carried
cylindrical form to save space, the spotting line is into the column by the mobile phase. All the
about 2. 5 cm from the lower edge of the paper. components are separated in the column and pass
through the detector sequentially. The recorder,
2. Procedure
integrator or data acquisition system thus records
( 1) Descending method Dissolve the substance the chromatographic signals.
being examined in a suitable solvent or solvent
1. General requirements for the instrument
mixture to prepare a solution of specified
The HPLC instrument is used here, which should
concentration. Apply the solution in portions to
be checked periodically and meets the requirements
the pencil line, allow it to dry in air or in a stream
of relative specification,
of warm air before the next application. The spots
are commonly 2-4 mm· in diameter, and spaced ( 1) Chromatographic column The most widely
about 1. 5:...2. 0 cm apart from each other in circular used packing material is the chemically bonded
shape. Place the spotted end of paper in the silica gel. Reverse-phase chromatographic system
solvent trough and hang the paper freely over the uses non polar packing materials, in which the
guide rod. Put a Petri dish containing the specified most frequently used is octadecylsilane bonded
solvent or a strip of chromatographic filter paper silica gel. Octylsilane and other type of chemically
moistened with the specified solvent into the bonded silica gel ( such as cyano and amino group
chromatographic chamber to pre-equilibrate the bonded silica gel) are also used. Positive-phase
chamber with the vapour of the specified solvent. chromatographic system uses polar packing
Appendix Ill A - 23

material, the most widely used of which is silica within the prescribed wavelength range simultane-
gel. The ion-exchange resin is used in ion- ously, thus could be used to measure the spectrum
exchange chromatography. The gel and macro- and inspect the purity of the chromatographic
molecular porous microsphere are used in size peaks.
exclusion chromatography. Chiral bonded packing The response values of the UV spectrophoto-
materials are used in separation of enantiomers meters, fluorescence spectrophotometers, electro-
( chiral chromatography). chemical detectors and differential refractometers
The characteristics of the packing materials ( the are linear with the concentration of the test
shape of. the support, the particle size, the pore solution within a certain range, while the response
diameter, the surface area, the surface coverage value of the evaporative light scattering detectors is
of the bonded functional group, the carbon not always linear with the concentration of the test
content and the bonding mode, etc.) and the pack solution, if necessary, it should be transferred
of the chromatographic column effect directly the mathematically before calculation.
retention behavior and separation performance. Different detectors have different requirements for
The packing material with pore diameter less than the mobile phase. For example, if the UV
15 nm (1 nm= 10 A) is suitable for analysis of the spectrophotometer is used in the experiment, the
compound whose molecular weight is less than mobile phase should at least meet the requirements
2000, pore diameter more than 30 nm is suitable for the solvent described in the UV spectrophoto-
for analysis of compound whose· molecular weight metry(Appendix II A). When the light of lower
is more than 2000. wavelength is applied for detection, the cut-off
The mobile phase in which the pH value is 2-8 is wavelength of the organic solvent should be
suitable for the stationary phase with silica gel as considered and it is better to use chromatographic
the support. If the pH value is more than 8, the grade organic solvent. The evaporative light
silica gel may be dissolved and if the pH value is scattering detectors and the mass spectrometers
less than 2, the phase chemically bonded with the generally do not allow using the mobile phase that
silica gel may be broken off. In the case when the contains non-volatile salts.
mobile phase in which the pH value is more than 8
should be used, the packing material, which is (3) Mobile phase As the C18 chain is not able to
alkali-proof, should be chosen. , such as bonded keep an spread state in the water solution, the
silica gel with high purity silicon as support and a ratio of the organic solvent of the mobile phase
high surface coverage, polymer coated packing shall not less than 5 % , in the reverse phase
material, · the organic and inorganic hybridized chromatographic system of which the stationary
packing materials and the non-silica gel packing phase is octadecylsilane bonded silica gel.
materials. In the case when the mobile phase in Otherwise the random curl of the C18 chain will
which the pH value is less than 2 .should be used, lead to the change of the retention value of the
the packing material, which is acid-proof, may be component, which may result in the instability of
chosen. Such as the octadecylsilane modified silica the chromatographic system.
gel with diisopropyl or diisobutyl substitution, The type of the stationary phase, the composition
which has a bulk mass and thus results in a of the mobile phase and the mode of the detectors
protection through a steric hindrance, or organic specified under the monograph shall not be
and inorganic hybridized packing material, etc. changed. Others, such as the inner diameter, the
length, the brand of the stationary phase and the
(2) Detectors The most commonly used detector
particle size of the support, the flow rate of the
is the ultraviolet ( UV ) spectrophotometers.
mobile phase and the ratio of each component in
Besides, diode array detectors (DAD) , fluores-
the mixed mobile phase, the time span in the
cence spectrophotometers, differential refractome-
gradient elution program, the temperature of the
ters, evaporative light scattering detectors, elec-
column, the injection volumn and the sensitivity of
trochemical detectors and mass spectrometers may
the detectors could be changed appropriately to
also be used.
meet the requirements of the system suitability
The UV spectrophotometers, diode array detectors,
test. But for some certain monographs, in which
fluorescence spectrophotometers and electrochemical
only the specific brand of packing material is able
detectors are all selective detectors. The response
to satisfy the requirements of the separation, clear
value is related not only to the concentration of the
indications should be given under them.
test solution, but also to the structure of the
compound. On the contrary, the differential 2. The system suitability test
refractometers and evaporative light scattering The suitability test of the chromatographic system
detectors are general-purpose detectors; they will generally includes four indexes, number of
respond to all compounds. The response value of theoretical plates, resolution, repeatability and
the evaporative light scattering detectors for tailing factors, in which the resolution and the
compounds with similar structure is almost related repeatability are more practical indexes.
to the mass of the test compound. Diode array To carry out the suitability test of the chromato-
detector may record the absorption spectrum graphic system according to the requirements under
A - 24 Appendix ill

the individual monograph is to test the chromato- the performance of the separation and the precision
graphic system by using specific reference sub- of the measurement, the tailing factor should be
stance. The separation conditions of the chromato- inspected to see whether itrneets the prescription
graphy should be adjusted in case if the require- under each monograph. The equation for
ment cannot be met. calculating the tailing factor is as follows:
Cl) Theoretical plates of the column (n) Inject T= Wo.o5h
the test solution or the internal standard specified 2d1
under the monograph into the system according to
Where Wo. osn is the peak width at 5 % of the peak
the prescribed chromatographicconditions. Record the
height, d, is the distance between the perpen-
chromatogram and measure the retention time tR
dicular line passing through the peak maximum and
(in minutes or length units, the same as below,
that of the leading edge of the peak.
which should be in the same unit) and the peak
width at half peak height (Wh;z) of the principle
component peak of the test solution or that of the
internal standard. Calculate the theoretical plates
of the chromatographic column by the equation:
n=S. 54(tR/Wh;z )2•
(2) Resolution CR) No matter in qualitative
analysis or quantitative analysis, the peak ( s) of
substance being examined and. other peaks, such
as internal standard peak ( s) or specific impurity
peak Cs) must have good resolution. The
equation for calculating the resolution is:
Unless otherwise specified, the T value shall be
R_ 2(tR2-tR1) within 0. 95-1. 05 in the quantitative analysis by
W1+W2 using peak height. In the quantitative analysis by
Where tRZ is the retention time of the latter of the using peak area, the over deviation of the T value
two adjacent peaks, tR1 is the retention time of the will also effect the detection and the quantification
former of the two adjacent peaks. precision of the small peak Cs).
W1 and W2 are the peak width of the two adjacent 3. Procedure
peaks.
Unless specified otherwise, the resolution value (1) Corrected internal standard method for the
shall be not less than 1. 5 in quantitative determination of individual impurities or the main
analysis. components
Prepare solutions containing an accurately weighed
quantity of the reference substance and the internal
standard respectively as specified in the mono-
graph. Accurately measure each solution and
prepare the reference solution for determining the
correction factors. Inject a certain amount of
solution into the equipment and record the
chromatogram. Measure the peak area or height of
the reference substance and the internal standard
and calculate the correction factor according to the
following equation:
( 3) Repeatability Inject the reference solution
described under the monograph for 5 times · . f As/Cs
Correction actor(f) = AR/CR
successively, Unless specified otherwise, the
relative standard deviation of the measured value of Where As is the peak area or the peak height of
the peak areas shall be no more than 2. 0 per the internal standard
cent. ARis the peak area or the peak height of
According to the measurement of the correction the reference substance
factor specified under each monograph, prepare a Cs is the concentration of the internal
series of reference solutions equivalent to 80 % , standard
100% and 120% of the content of the substance CR is the concentration of the reference
being examined, each containing a definite amount solution I
of internal standard substance, inject each solution Prepare solutions containing the substance· being
at least 2 times, calculate the average correction examined and the internal standard as described in
factors, the relative standard deviation of which the monograph. Inject the solution into the
shall be no more than 2. 0 % . equipment and record the chromatogram. Measure
(4) Tailing factor CT) In order to guarantee the peak area or the peak height of the substance
Appendix ill A - 25

being examined and that of the internal standard. When measuring the content of the impurities,
Calculate the content as follows: dilute the solution of the substance being examined
to a concentration as specified in the individual
Content(Cx)= JX A'~C's monograph so that its peak area is around that
produced by the impurities in the original
Where Ax is the peak area or peak height of the concentration. Inject and adjust the attenuation of
substance being examined ( or its the detector (limited by the noise level that can be
impurity) accepted) or vary the injection volume (limited by
Cx is the concentration of the solution of the load ability of the column) until the peak
the substance being examined ( or its height of the main component is about 10 %-25 %
impurity) of the full scale or the peak area which could be
A's is the peak area or the peak height of accurately measured (generally, for the impurity,
the internal standard solution the content of which is lower than O. 5 % , the RSD
C's is the concentration of the internal of the peak area shall be less than 10%; while for
standard solution the impurity, the content of which is between
f is the correction factor. 0. 5 %-2 % , the RSD of peak area shall be less than
If an equal amount of the internal standard of the 5 % ; for the impurity whose content is higher than
same concentration is used both in preparing the 2 % , the RSD of the peak area shall be less than
reference solution for measuring the correction 2 % ) . Inject separately an appropriately amount of
factor and in preparing the test solution, that is test solution and reference solution. The recorded
Cs= C' 5• In this case accurate weighing is not time span of the test solution, unless specified
necessary for preparing the internal standard otherwise, shall be 2 times that of the main
solution. component. Measure the peak areas of each
( 2) External standard method for the determin- impurity on the chromatogram of the test solution.
ation of the individual impurity or the main Multiply them by the respective correction factors
component and then compare them with the peak area of the
Prepare solutions containing an accurately weighed main component of the reference solution and
quantity of the reference substance and the calculate the content of the impurities accordingly.
substance being examined respectively and inject ( 4) Peak areas of impurities compared with that
certain amount of each solution into the equip- produced by the main peak of a diluted solution of
ment. Record the chromatogram and measure the substance being examined
peak area ( or peak height). Calculate the content This method could be used when the impurity
as follows: . reference substance is not available. Prepare the

Content(Cx) =CR 1: reference solution according to method ( 3) and


adjust the attenuation of the detector. Inject
separetely an appropriate . volume of the test
Where each symbol has the same meaning as that solution and reference solution. The record time
mentioned above. span of the former shall be 2 times the retention
As the microsyringe is not able to control the time of the main component, unless specified
amount of solution being injected precisely, the otherwise. Measure the peak areas of the
sampling loop or automatic sampler may be used in impurities on the chromatogram of the test solution
measuring the content of the impurity and main and compare them with those of the main
components in the substance being examined. component of the reference solution and calculate
(3) Corrected peak areas of impurities compared the content of the impurities.
with that produced by the main peak of a diluted If there are some impurities in the substance being
solution of substance being examined examined which are not completely separated from
This method could be used to measure the content the solvent peak, record the chromatogram I of
of the impurity. Prepare solutions containing an the substance being examined according to the
accurately weighed quantity of the reference specification and then record the chromatogram II
substances of impurities and the main component of the pure solvent of equal volume. The peak area
as specified in the monograph. Inject a volume and of the solvent solution on the chromatogram II is
record the chromatogram. Calculate the correction subtracted from the total peak area of the
factor of the impurity according to the method impurities in the chromatogram I ( including the
described in the (1). The correction factor could solvent peak ) . The result is equal to the
be directly. recorded in the individual monograph correction peak area of the total· impurities.
and used for correction of the measured peak areas Calculate the content of the impurities accordingly.
of impurities. These impurities, which need ( 5) Peak area normalization method
correction computation, are generally located by As the deviation of this method is so large that it
the relative retention time to the main component can be only used to roughly inspect the contents of
as the reference and all these data are recorded in impurities in the substance being examined. It is
the individual monograph. not suitable for the determination of minute
A - 26 Appendix III

impunties, unless specified otherwise. In this time, allowing the volatile components in the test
method, the peak area of the impurities and the solution to reach a equilibrium between the
total peak area on the chromatogram except the nongaseous phase and the gaseous phase. A
solvent peak are measured. Calculate the peak predetermined amount of the head-space of the
area of each impurity and the percentage of their vial is flushed into the column by automatic
sum in the total peak area. syringe.
(3) The chromatographic column The chromato-
graphic columns are classified into the packed
columns and capillary columns. The packed
][ C Gas Chromatography columns, which are made of stainless steel or
glass, are 2-4 mm in internal diameter and 2-4 m
in length. The columns are packed with the
Gas chromatography ( GC) is a separation tech- sorbent , porous polymer bead or the supports
nique in which the mobile phase, an inert gas coated with liquid phase, particle size of which is
known as carrier gas, is passing through the 0. 25-0. 18 mm, 0. 18-0. 15 mm or, 0. 15-0. 125
chromatographic column packed with packing mm. The support usually used is acid washed and
materials for separation and determination. The silanized diatomaceous earth or porous polymer
substance or its derivatives are injected into the beads; the liquid phase commonly used is methyl-
vaporizer with a micro-syringe and vaporized, polysiloxane, polysilphenylene of different consist,
separated on the stationary phase, each component polyethyleneglycol etc. The capillary columns are
passes through the detector in succession and a made of glass or quartz. The inner wall of the
chromatogram is thus recorded by integrator, column is coated or cross-linked with stationary
recorder or data acquisition system. liquid, the internal diameter is usually 0. 25 mm,
1. General requirements for the instrument 0. 32 mm or 0. 53 mm, the length is 5-60 m, and
The apparatus consists of a carrier gas source, an the film thickness of the stationary liquid is 0. 1-
injector port, a chromatographic column contained 5. 0 µm. The stationary liquid commonly used are
in an oven, a detector and a data acquisition methyl poly siloxane, phenylmethylpolysiloxane
system. The injection port, column, and detector with different ratio of composition and carbowax,
are temperature-con trolled. etc.
New packed and capillary -column must be condi-
(1) Carrier gas source The mobile phase of gas
tioned before use to remove oxygen and residual
chromatography is gas, known as carrier gas.
solvents. The chromatographic column must be
Carrier gases used are usually nitrogen, helium
conditioned before use until the baseline is stable if
and hydrogen. The gas is supplied by a high-
the column is not in use long time.
pressure steel cylinder or high-purity gas generator
and passes through suitable pressure-reducing ( 4) The column oven The temperature-controlled
valves and a flow meter to the injector port and precision of the oven shall be + 1 °C and fluctuation
column. The gas selection depends on the of temperature shall be less than 0. 1 °C per hour,
properties of the substances being examined and as the temperature fluctuation of oven will
the species of the detector. The commonly used influence the reproducibility of chromatographic
carrier gas is nitrogen, unless specified otherwise. analysis result. Temperature-controlled system
may be classified into constant temperature and
(2) Injection port Direct injections of solutions
temperature programming.
'and headspace injection are the usual modes of
injection. (5) Detector The detectors suitable for the gas
Direct injection may be carried out by using a chromatography include flameionization detector
syringe or an injection valve, or into a vaporization ( FID) , thermal conductivity detector ( TCD) ,
chamber which may be equipped with a stream nitrogen-phosphorus detector ( NPD ) , flame-
splitter. The temperature of the vaporizer is photometer detector ( FPD ) , electron-capture
usually 30-50°C higher than that of the column detector ( ECD ) , mass spectrometric detector
when using direct injection. The volume of (MSD) etc.. FID responses well to hydrocarbon
solution injected is not more than several µl. The and is suitable for the determination of most drug
smaller the column diameter the less volume of compounds; · NPD is sensitive to organic nitrogen
injected solution is. Capillary column is used with and phosphorus compounds; FPD is sensitive to
injectors which is able to. split samples into two organic sulfur and phosphorus compounds; ECD is
fractions to avoid overloading. suitable for determination of halogen compounds;
Headspace injectors are suitable for separation and MSD can offer chemical construction information
determination of volatile component in solid or of the compounds which is useful for structure
liquid substance being examined. The test verification. Unless specified otherwise, the
solutions produced with solid or liquid substance detector should be FID which employs hydrogen as
being examined and stored in tightly closed combustion gas and air as combustion-supporting
containers are heated in the chamber for a period of gas. When FID is used, its temperature is higher
Appendix ill A - 27

than that of the column and not less than 150°C to substance of component being examined
prevent condensation of the vapour, which usually Aisis the peak area of component X after
is 250-350°C. adding reference substance of component
being examined
( 6) Data process system It is classified into
In quantitative assay of gas chromatography, a
recorder, integrator and computer station etc.
major source of error is the irreproducibility in the
If necessary, parameters which specified under the
amount of sample injected, which is affected by
individual monograph, except the kind of the
retaining time of syringe and room temperature,
detector, the type of the stationary phase and the
notably when manual injections are made with a
material of the column, other parameters such as
syringe. The effects of variability can be
the intenal diameter and length of the column,
minimized by an internal standard. Automatic
brand and size of the support, concentration of the
injectors greatly improve the reproducibility of
stationary phase, the flow rate of carrier gas, the
sample injections and reduce the need for internal
temperature of the column, the injection volume,
standards. When headspace injectors are equipped,
the sensitivity of the detector etc, may be varied
the effect of matrix may be eliminated by standard
to meet the requirment of the system suitability
addition method because the test solution and
test. Usually the chromatogram is completed
reference solution are in different matrix. When
within 30 minutes.
the quantitative result of standard addition method
2. System suitability test is different from others, the result of standard
The requirements are the same as described under addition method should be adopted.
High Performance Liquid Chromatography, unless
otherwise specified.
3. Procedure
C 1 ) Corrected internal standard method for the ][ D Size Exclusion Chromatography
determination of individual impurities or the main
component.
(2) External standard method for the determina- Size-exclusion chromatography is a liquid chroma-
tion of individualimpurities or the main component. tographic technique that separates molecules in
( 3) Peak area normalized method. solution according to their size. The separation of
The specific content of ( 1 )-( 3) is the same as size-exclusion chromatography is based on molec-
described under High Performance Liquid Chromato- ule sieve mechanism of the column. Hydrophilic
graphy. silica gel, gel · or modified gel, such as sephadex
( 4 ) Standard addition method for the determin- and sepherose , etc. , are usually used as the
ation of individual impurities or the main packing material of the column. The different size
component. Dissolved an accurately weighed pores _are distrieuted in the surface of the packing
quantity of impurities or reference substance ofthe material. When the sample is introduced into the
substance to be examined to produce reference column, the molecules apparently larger than the
solution with a suitable concentration. Measure maximum pore size of the packing material migrate
accurately the solution and add to the test along the column only through the spaces between
solution, then calculate the content of individual the particles of the packing material without being
impurities or the main component by internal retained and elute earliest by the mobile phase,
standard method or external standard method. their retention time is the shortest. The molecules
Deduct the content of added standard solution and which are smaller than all pores size penetrate all
gain the content of individual impurities or the the pore spaces and elute latest, their retention
time is the longest. Other molecules elute through
main component in the test solution.
The content may also be calculated by the t?e column in sequence according to their molecule
size.
following equation. The correction factor is the
same as that of adding the reference solution. 1. General requirements for the apparatus
The injector and detector are as same as those for
As_Cx+LCx
High performance Liquid Chromatography.
Ax C,
Pumping systems typically includes normal
The concentration Cx of component being examined pressure pump, middle pressure pump and high
may be calculated by the following equation. pressure pump. High performance size-exclusion
chromatography (HPSEC) is the most frequently
Cx= f:::.Cx adopted in pharmaceutical analysis, especially in
(Ais/Ax) -1
determination of molecular weight and molecular
Where Cx is the concentration of component X weight distribution. The packing material adopted
being examined; should be suitable for the molecular weight of
Ax is the peak area of component X being samples. Mobile phase is usually aqueous solution
examined; or buffer solution, pH value of which should not
!:::.Cx is the concentrationof added reference exceed endurance of the packing material and is
A - 28 Appendix ill

better between 2 and 8. A suitable quantity of Mn=~Rij~ (RijMi)


organic modifier can be added in the mobile phase, sc-» (RijMJ /~Rii
but the concentration should not be high and D=Mw/Mn
usually not exceed 30 %. Flow rate should not be Where Mn is number-average molecular weight
fast and is usually 0. 5-1. 0 ml/min. Mw is weight-average molecular weight
2. System suitability test D is distribution coefficient
Generally the determination method of the number of Rl, is peak height of samples at retention
theoretical plates ( n), resolution, repeatability and time i
tailing factor of the column for system suitability Mi is molecular weight of samples at reten-
test is as same as the method stated in High tion time i
Performance Liquid Chromatography. But if (3) Determination of macromolecule impurities
monomer and dimer of some drug molecule cannot Macromolecule impurities are the impurities with
be separated by baseline during determination of higher molecular weight than drug molecule,
macromolecule impurities, resolution is calculated which produced during procedure of manufacture
by the following formula: or storage and cannot be removed completely
( sensitizing polymers).
R- peak height of dimer
Separation is carried out according to the chromato-
valley height between monomer and dimer graphic condition stated in the monograph.
Resolution is more than 2. 0, unless otherwise Quantitative method
specified in the monograph. (I)Peak areas of impurities compared with those
3. Procedure produced by the main peak of the sample See the
section of High Performance Liquid Chromatogram.
(1) Determination of molecular weight The
The method is typically used for determination of
method is generally suitable for determination of
macromolecule impurities with low content in the
molecular weight of protein and peptide. Carry out
samples.
the method stated in the monograph, using a @Peak area normalization method See the section of
column and reference substances suitable for the High Performance Liquid Chromatogram.
molecular weight of samples. Reference substance ®Retention time limit method Unless otherwise
and samples should both be processed by specified, it is specified that component with
dithiothreitol ( DTT) and sodium lauryl sulfate shorter retention time than that of the main peak is
(SDS) in order to break disulfide bond and make not allowed to be · detected. This method is
the molecule configuration and conformation typically used to control macromolecule impurities
concord. Usually the processed protein and. in the mixture.
peptides which have been turned to a straight line @External standard method by the substance to be
are separated. Plot a graph of the retention time of examined This method is typically used for
the reference substance as a function of the determination of macromoleculeimpurities in [t-lactam
logarithm molecular weight and calculate the antibiotics by Sephadex G-10 gel chromatography
equation of linear regression, lgMw = a + btR. system. Except for some oligomers, macromolecule
Calculate molecular weight or subunit molecular impurities in [t-lactam antibiotics are not retained in
weight from the regression equation this system and only appear to be one peak. Calculate
(2) Determination of molecular weight and content of the macromolecule impurities by external
molecular weight distribution of polymers standard method, using the substance to be examined
Molecular weight of biopolymers , such as as reference·substance.
amylase, nucleic acid and collagen, is usually Announcements Processing method for Sephadex
unhomogeneous. Molecular weight and molecular G-10
weight distribution of the biopolymer is a key
index. To determine the molecular weight and Packingchromatographic column Soak about 15 g
molecular weight distribution of biopolymers , it is of Sephadex G-10 with water for 48 hours before
important to adopt reference substances with packing and make it swelling thoroughly, stir to
similar structures and properties to the samples. expel air bubbles .. Slowly add the mixture as
Carry out the method stated in the monograph, slurry into the chromatographic tube. Wash
unless otherwise specified, use molecular weight down the Sephadex G-10 adhering to the inner
reference substance and suitable GPC software, wall of the tube with water, smooth the surface
plot a graph of the retention time of the reference of the column. Newly packed column should be
substance as a function of the logarithm of weight- eluted with water for 4-6 hours to expel air
average molecular weight and calculate the bubbles.
equation of linear regression lgMw = a +btR. Loading the sample Both automatic inject valve
Process the result with suitable GPC software and and manual loading can be adopted to load the
calculate the molecular weight and molecular substance being examined into the column. Add
weight distribution of samples. the test solution slowly along the inner wall of the
Appendix ill A - 29

tube, care should be taken that the packing mobile phase after sample solution permeate
material is not disturbed. Wash down the samples through the column surface.
adhering to the inner wall of the tube with 3-5 ml
A - 30 Appendix N

Appendix N Electrophoresis

Electrophoresis is a method employing an inert serum. Continue the electrophoresis until the
supporting medium ( such as paper, cellulose distance between albumin and gamma globulin is
acetate, agarose gel, and polyacrylamide gel, about 2 cm.
etc. ) , in which the electrically charged . test After electrophoresis, immerse the strips in amino
samples ( protein and nucleic acid, etc. ) migrate black staining solution for 2 - 3 minutes. Then,
towards the electrode of opposite charge under the wash with washing solution repeatedly until the
action of an electric field. Each component background is colourless. Immerse the washed and
migrates at its own speed and is separated in completely dried strips in the. hyalinization solution
narrow zone. The electrophoretogram and content of until fully soaked. Take out the strips and spread
every component can be examined with appropriate flatly on a clean glass plate. Transparent films are
assaying methods. Various electrophoreses are carried obtained after drying. The films can be used for
out according to the following procedures unless purity determination and be kept as specimen for
otherwise specified. long-term storage.
Scan the dry cellulose acetate film with chromato-
graphic scanner by means of reflection ( for non-
transparent film) or transmission ( for transparent
N A Cellulose Acetate Film film). A curve of protein fractions is plotted with
Electrophoresis an automatic recorder. The percentage of each
protein fraction ( % ) is calculated according to
their peak areas using human serum as a control.
Reagent
(1) Barbital buffer solution (pH 8. 6)
Dissolve 2. 76 g of barbital and 15. 45 g of sodium
barbital in water and dilute to 1000 ml.
(2) Amino black staining solution
N B Agarose Electrophoresis
Dissolve 0. 5 g of amino black lOB in a mixture of
50 ml of methanol, 10 ml of glacial acetic acid and Reagent
40 ml of water. · (1) Barbital buffer solution (pH 8. 6)
(3) Washing solution Dissolve 4. 14 g of barbital and 23. 18 g of sodium
Mix 45 ml · of ethanol, 5 ml of glacial acetic acid barbital in a volume of water by heating. Cool
and 50 ml of water thoroughly. down to room temperature and add 0. 15 g of
(4) Hyalinization solution sodium azide. After sodium azide is dissolved,
Mix 25 ml of glacial acetic acid and 75 ml of dilute the solution to 1500 ml with water.
absolute ethanol thoroughly. (2) 1. 5% agarose solution
Procedure Add 50 ml of water and 50 ml of barbital buffer
Cut a piece of cellulose acetate film into strips with solution (pH 8. 6) to 1. 5 g of agarose. Heat the
a dimension of 2 cmX 8 cm. Immerse the strips in mixture until the agarose is completely swollen. .
barbital buffer solution ( pH 8. 6) with their (3) 0. 5 % Amino black solution
rough side downward. After soaking thoroughly, Dissolve 0. 5 g of amino black lOB in a mixture of
take out the strips and absorb the excess buffer 50 ml of methanol, 10 ml of glacial acetic acid and
solution carefully with filter paper. Place the 40 ml of water.
strips on the electrophoresis frame with their ( 4) Destaining solution
rough side upward. Immerse the film into barbital Mix 45 ml of ethanol, 5 ml of glacial acetic acid
buffer solution ( pH 8. 6) · through filter paper and 50 ml of water thoroughly.
Bridge. Load 2 - 3 µl of test sample ( containing ( 5) Bromophenol blue indicator solution
about 5 % protein) dropwise along a line of the Dissolve 50 mg of bromophenol blue in water and
strip 2 cm from the cathode edge. Connect and dilute to 100 ml.
control the current at 0. 4 - 0. 6 mA/ cm [ total
Reference substance
current= current ( mA/ cm) X width of each strip
(cm) X number of strips] At the same time, a Normal human serum or other suitable reference
control test is carried out using fresh human substances can be· used.
Appendix N A - 31

Preparationof test sample solution 10% tetramethylethylenediamine


Dilute the test sample to a protein concentration of (6) Solution E
1 %-2 % with physiological saline. 10% ammonium persulfate
(7) Solution.F
Procedure
0. 5 mol/L tris-( hydroxymethyl )-aminomethane-
Pour the hot 1. 5 % agarose solution onto a
hydrochloric acid solution
horizontal glass plate of suitable size to a thickness
Dissolve 6. 05 g of tris-( hydroxymethyl )-amino-
of 3 mm. Allow to stand to form a thin and even
methane in a quantity of water. Adjust p'H to 6. 8
agarose gel plate which is free of bubble. Punch
with hydrochloric acid and dilute to 1000 ml with
wells at the one-third length of the agarose gel
water.
plate apart from the cathode. The diameter of eac.h
(8) Electrode buffer solution
well is 2-3 mm. Put the plate onto an eletrophoresis
Dissolve 3 g of tris-( hydroxymethyl r-aminomethane,
trough containing barbital buffer solution ( pH
14. 4 g of glycine and 1 g of sodium dodecyl sulfate in
8. 6). Add a quantity of test sample solution and
a quantity of water. Adjust pH to 8. 3 with
one drop of bromophenol blue indicator solution
hydrochloric acid and dilute to 1000 ml with water.
into test sample well. Add a quantity of-reference
(9) Test sample buffer solution
substances and one drop of bromophenol blue
Dissolve 0. 303 g of tris-( hydroxymethyl )-amino-
indicator solution into the control well. Connect
methane, 2 mg of bromophenol blue, 0. 8 g of
the two ends of the gel plate to barbital buffer solution
sodium dodecyl sulfate, 0. 189 ml of hydrochloricacid
( pH 8. 6) through three layers of filter paper.
and 4 ml of glycerol in water and dilute to 10 ml. This
· Perform 'electrophoresis for 2 hours at a constant
solution is used for non-reducing SDS-PAGE. For
voltage of 100 V until the indicator migrates to the
reducing SDS-PAGE, add 2 ml of [3-mercaptoethanol
forward position. Stain the plate with 0. 5 %
into the solution.
amino black solution after electrophoresis and then
(10) Molecular weight standard
decolourize in destaining solution until the back- The molecular weight of test sample shall be in the
ground is colourless. range of molecular weight of protein standards
used.
(11) Fixing solution
Dilute 250 ml of methanol and 60 ml of glacial
N C SDS-PolyacrylamideGel acetic acid to 500 ml with water.
Electrophoresis (12) Washing solution
Dilute 100 ml of ethanol and 50 ml of glacial acetic
acid to 1000 ml with water.
Most proteins may form complex with sodium (13) Auxiliary staining solution
dodecyl sulfate ( SDS) , an anionic surfactant, Dissolve 10 g of potassium dichromate in a quantity
and make the negative charges on protein of water. Add 2 ml-of nitric acid and dilute to 200 ml
complexes . much more than that on the natural with water. Make 40-fold dilution before use.
proteins. The charge-effect of different proteins is (14) Silver staining solution
then eliminated and proteins are separated Dissolve 2. 04 g of silver nitrate in water and dilute
according to their molecular sizes. to 1000 ml.
Instrument (15) Developing solution .
Power source supplying constant voltage or Dissolve 30 g of sodium carbonate in a quantity of
constant current shall be used. Disc or vertical water. Add O. 5 ml of formalin and dilute to 1000 ml
plate electrophoretic troughs and gel preparation with water.
mould shall be used. (16) Stopping solution
Dilute 10 ml of glacial acetic acid to 1000 ml with
Reagent water.
(1) Water (17) Coomassie brilliant blue staining solution
The specific electric resistance of water used shall Dissolve 1 g of Coomassie brilliant blue R-250 in a
be not less than 18. 2 Mn • cm. mixture of 200 ml of methanol, 50 ml of glacial
(2) Solution A 1. 5 mol/L Tris (hydroxymethyl) acetic acid and 250 ml of water .
aminomethane hydrochloric acid solution .(18) Coomassie brilliant blue destaining solution
Dissolve 18. 15 g of Tris (hydroxymethyl) amino- Mix 400 ml of methanol, 100 ml of glacial acetic
methane in a quantity of water. Adjust pH to 8. 8 acid and 500 ml of water thoroughly.
with hydrochloric acid and dilute to 100 ml with
water. Preparationof test sample solution
(3) Solution B Mix three volumes of test sample with one volume
30 % acrylamide-0.8 % N, N' -methylene-bisacrylamide of test sample buffer solution thoroughly. Heat in
(protected from light) l00°C water bath for 3 - 5 minutes.
( 4) Solution C Procedure .
1 % sodium dodecyl sulfate (SDS) (1) Preparation of separating gel
(5) Solution D Prepare the separating gel according to the
A - 32 Appendix N

compositions listed in the following table and inject Immerse the gel into stopping solution for 10
the gel into the electrophoresis trough to a certain minutes and then preserve in water.
height. Cover the top with water and polymerize @Coomassie brilliant blue staining method
at room temperature. The polymerization time is Immerse the gel after electrophoresis i~to Coom-
changeable at different room temperatures. assie brilliant blue staining solution overnight.
Take out the gel from staining solution and
Stacking immerse into destaining solution until the backg-
Type of gel Separating Gel
Gel
round is almost colourless. Take out the gel and
Gel concentration 5% 7. 5% 10% 12. 5% 15% 17. 5% 4.5% preserve in water.
Solution At ml) 4 4 4 4 4 4 Result calculation
Solution B(ml) 2. 7 4 5.4 6. 7 8 9.4 1. 35 Scan the non-reducing electrophoresis gel for
Solution C(ml) 1. 6 1. 6 1. 6 1. 6 1. 6 1. 6 0. 9 purity analysis. Scan the reducing electrophoresis
Solution D(ml) 0.1 0.1 o. 1 o. 1 o. 1 0.1 0.07 gel to obtain molecular weight standard curve and
Solution E(ml) 0.1 0.1 0.1 0. 1 0. 1 0. 1 0.07 calculate the molecular weight of test sample.
Solution F(ml) 2. 25
Water(ml) 7. 3 6 4.88 3. 3 2.28 0.88 4.33

(2) Preparation of stacking gel N D lsoelectric Focusing Electrophoresis


After the separating gel is polymerized, blot out
the water on its top with filter paper and inject in
stacking gel ( see formula in the above table). Ampholytes form a pH gradient in an electropho-
Insert the test sample comb carefully to prevent retie field. Protein, as an ampholyte , carries the
the occurrence of air bubbles. electric charges related to the pH value of the
( 3) Sample loading medium. The charged protein will migrate
Remove the sampling comb after the stacking gel is towards the electrode of opposite charge during
polymerized. Fill both front and rear electropho- electrophoresis and stop at the position with a
retie troughs with electrode buffer solution. Add minimum migration force where the pH value is
5µg ( intended for silver staining) or more than equal to its isoelectric point ( at this point, the
LOug ( intended for Coomassie brilliant blue specified protein no longer carries electric charge).
staining) of the treated test sample into the sample This method is used for the determination of the
loading well. isoelectric point of protein test samples.
( 4) Electrophoresis
Method 1 Vertical gel isoelectric focusing
Connect circuit and turn. on condensed water.
Perform electrophoresis at a constant current of Reagent
10 mA until the test sample enters the separating (1) Water
gel. Then, adjust the current to 20 mA until The specific electric resistance of water shall be not
electrophoresis is completed. less than 18. 2 MD,• cm.
( 5) Fixing and Staining (2) Solution A
(!)Silver staining method Dissolve 29. 1 g of acrylamide and 0. 9 g of N, N' -
Silver staining method is not used for quantitative methylene-bisacrylamide in a quantity of water and
determination unless otherwise specified. The dilute to 100 ml. Filter with two layers of filter
amount of test sample loaded may be properly paper and store protected from light.
increased for qualitative tests. (3) Solution B
Immerse the gel after electrophoresis into fixing A 10% ammonium persulfate solution is prepared
solution overnight. Take out the gel and wash 3 just before use. .
times, 10 minutes for each time, with washing ( 4) Test sample buffer solution ( 4 times of
solution at temperatures not lower than 25°C. concentration )
After washing, immerse the gel into auxiliary Dilute 8 ml of glycerin and 4 ml of 40 % ampho-
staining solution for 7-10 minutes. Take out the lytes solution ( pH 3 - 10) with water to 20 ml.
gel and wash 3 times by immersing into water, 2 Add 20 µ1 of 0. 1 % methyl red solution.
minutes for each time. (5) Fixing solution
After washing, immerse the gel into silver Dissolve 34. 5 g of trichloroacetic acid and 10. 4 g
staining solution. Expose to relatively strong of sulfosalicylic acid in water and dilute to 300 ml.
sunlight or similar light source for 30 minutes, (6) Destaining solution (Balancing solution)
allow to stand under indoor light for 20 minutes. Dilute 500 ml of 95% ethanol and 160 ml of glacial
Take out the gel from silver staining solution and acetic acid with water to 2000 ml.
wash twice by immersing in water, 1 minute for (7) Staining solution
each time. To 0. 35 g of Coornassie brilliant blue G250 ( or
After washing, immerse the gel into developing R250), add 300 ml of destaining solution. Heat in
solution. Change the solution every 2 minutes 60 - 70°C water bath until the solid is dissolved.
until all the protein bands develop completely. (8) Preserving solution
Appendix N A - 33

Mix 30 ml of glycerin and 300 ml of destaining paper and store protected from light.
solution thoroughly. (3) Solution B
(9) Cathode solution ( 0. 01 mol/L phosphoric A 10% ammonium persulfate solution is prepared
acid solution) just before use.
Dilute 1 ml of phosphoric acid to 1800 ml with ( 4) Fixing solution
water. Dissolve 34. 5 g of trichloroacetic acid and 10. 4 g
(10) Anode solution (0. 01 mol/L sodium hydroxide of sulfsalicylic acid in water and dilute to 300 ml.
solution) (5) Destaining solution (Balancing solution)
Dissolve 0. 4 g of sodium hydroxide with a small Mix 500 ml of 95% ethanol and 160 ml of glacial
volume of water and dilute to 1000 ml with water. acetic acid with water and dilute to 2000 ml.
(6) Staining solution
Preparationof test sample solution
Desalt the test sample by dialyzing against water, To 0. 35 g of Coomassie brilliant blue G250 ( or
or by other methods, and mix with test sample R250), add 300 ml of destaining solution. Heat in
60 - 70°C water bath until it is dissolved.
buffer solution at a volume ratio of 3 : 1. The final
(7) Preserving solution
concentration of the test sample solution shall be
more than 0. 5 mg per ml. If the concentration is Mix 30 ml of glycerin with 300 ml of destaining
solution thoroughly.
too low, the test sample shall be concentrated by a
(8) Cathode solution (0. 5 mol/L phosphoric acid
suitable method.
solution)
Procedure Dilute 5'0 ml of 85 % phosphoric acid to 1800 ml
Set up the vertical electrophoresis trough and with water.
squeeze out water. Add 1 ml of 60 % glycerin (9) Anode solution (0. 2 mol/L sodium hydroxide
between cellophane paper and glass plate. Mix solution)
12 ml of water, 2 ml of glycerin, 4. 0 ml of Dissolve 8 g of sodium hydroxide in water and
solution A and 1. 0 ml of ampholyte ( pH 3-10) dilute to 1000 ml.
solution ( or other ampholytes) thoroughly. Mix
Preparationof test sample solution
well arid degas. Add 72 µl of solution Band 3 µl of
N, N, N', N' -tetramethyl-ethylenediamine Desalt the test sample by dialyzing against water or
by other methods. Adjust the protein concen-
(TEMED), and mix well. Inject the mixture into
tration of test sample to more than 0. 5 mg per ml.
the trough and polymerize for one hour. Add 20 µl
If the concentration is too low, the test sample
of test sample buffer solution to each well.
shall be concentrated by a suitable method.
Connect cooling water and perform electrophoresis
at l0°C for 30 minutes under 250 V ( about Procedure
10 mA). Load 20 µl of test sample to each well. The polyacrylamide gel solution is prepared by
Perform the electrophoresis at l0°C for about mixing 6. 25 ml of solution A and 1. 5 ml of pH
3. 5 hours under 500 V ( about 10 mA) with a 3-10 ampholyte (or other ampholyte) with 17.1 ml
maximum of 2000 V. A control test is performed of water. Degas by suction for 5-10 minutes.
at the same time using isoelectric focusing markers Then, add 175 µl of solution B and 20 µl of N, N,
instead of test sample. After electrophoresis, fix N' , N' -tetramethylethylenediamine ( TEMED). Mix
the gel for more than 20 minutes in fixing solution well. Inject the gel solution slowly into a horizontal
and transfer to balancing solution for 20-30 minutes. mould and polymerize at room temperature. Smear
Then, immerse the gel into staining solution for liquid paraffin or kerosene on the surface of the
40-60 minutes. Decolourize the gel with destaining cooling plate and put on the prepared polyacry-
solution until the background is colourless and lamide gel carefully to prevent the occurrence of air
transfer to preserving solution for 30 minutes. bubbles. Moisten the cathode strip with cathode
The gel may also be preserved as a dry film. solution and the anode strip with anode solution,
A linear regression equation is obtained by and then put them onto the cathode and anode
regressing the pl values of the isoelectric focusing respectively. Place filter paper for sample loading
markers with the corresponding migration on the gel. Load 5-30µ1 of test sample solution.
distances. The isoelectric point of test sample is Lay the electrodes at the center of electrode strips
obtained by inserting the migration distance of test and lid a cover. Perform the electrophoresis for
sample into the equation. 2. 5 hours at 4°C at a voltage with an upper limit of
2000 V and a current with an upper limit of
Method 2 Slab gel isoelectric focusing 50- mA. The power is 1 W per cm of gel. A control
Reagent test is performed at the same time using isoelectric
(1) Water focusing markers instead of test sample. Remove
The specific electric resistance of water shall be not the filter paper for sample loading after the first 30
less than 18 MO • cm. minutes of eletrophoresis. After electrophoresis,
(2) Solution A fix the gel in fixing solution for more than 20
Dissolve 29. 1 g of acrylamide and 0. 9 g of N, N' - minutes and transfer to balancing solution for 20-
methylene-bisacrylamide in a quantity of water and 30 minutes. Stain the gel in staining solution for
dilute to 100 ml. Filter with two layers of filter 40-60 minutes and then wash by immersing into
A - 34 Appendix N

destaining solution until the background is regressing the pl values of the isoelectric focusing
colourless. Take out the gel and put into markers with the correspondent migration
preserving solution for 30 minutes. Dry the gel in distances. The isoelectric point of test sample is
air. The gel may also be prepared into a dry film obtained by inserting the migration distance of test
for long-term storage. sample into the equation.
A linear regression equation is obtained by
Appendix V A - 35

Appendix V

mentioned above are given in the following table.

Temp. Standard buffer solutionsf


V A Determination of pH Value ·c 1 2 3 4 5
0 1. 67 4. 01 6. 98 9.64 13.43
The pH value of an aqueous solution is determined 5 1. 67 4.00 6.95 9.40 13.21
by a pH meter using a glass electrode as the 10 1. 67 4.00 6. 92 9.33 13.00
indicator electrode, and a saturated calomel 15 1. 67 4.00 6.90 9.28 12.81
electrode as the reference electrode. Metro logical 20 1. 68 4.00 6.88 9.23 12.63
verification of the pH meter should be carried out 25 1. 68 4.01 6. 86 9.18 12.45
at regular intervals to meet the related national 30 1. 68 4.02 6. 85 9. 14 12.29
requirements. Before each measurement, the pH
35 1. 69 4.02 6.84 9. 10 12. 13
meter should be calibrated with the standard buffer
40 1. 69 4.04 6.84 9.07 11. 98
solutions prepared as follows, or those of a
declared pH valve accurate to 0. 01 pH unit 45 1. 70 4.05 6.83 9.04 11. 84
distributed by national administrative department 50 1. 71 4.06 6.83 9. 01 11. 71
of certified reference material (CRM). 55 1. 72 4.08 6.83 8.99 11. 57
1. Standard buffer solutions used for the calibration 60 1. 72 4.09 6.84 8.96 11. 45
of pH meters are prepared as follows. CD The standard buffer solutions are numbered here in the same
sequence as shown in the preceding paragraph.
Cl) Standard tetraoxalate BS Dissolve 12. 71 g of
potassium tetraoxalate, previouslydried at 54°C + 3 °C 2. Announcements Operate the pH meter according
for 4-5 hours and accurately weighed, in water to to the manufacturer's instructions and pay
produce 1000 ml. attention to the following precautions when pH
value is determined.
(2) Standard biphthalate BS Dissolve 10. 21 g (1 ) Select two standard buffer solutions with
of potassium biphthalate , previously dried at difference in pH value of 3 units before deter-
115°C+5°C for 2-3 hours and accurately weighed, mining test solution, and the pH value of the test
in water to produce 1000 ml. solution is between that of two standard buffer
(3) Standard phosphate BS Dissolve 3. 55 g of solutions.
anhydrous disodium hydrogen phosphate and 3. 40 g ( 2 ) Calibrate the apparatus using the primary
of potassium dihydrogen phosphate, previously standard buffer solution whose pH value is closer
dried at 115°C + 5°C for 2-3 hours and accurately to test solution, adjusting the meter ( fixed
weighed, in water to produce 1000 ml. position) to read the appropriate pH value given in
table mentioned above.
( 4) Standard sodium tetraborate BS Dissolve
(3) Then calibrate the apparatus using the second
3. 81 g of sodium tetraborate, accurately weighed
standard buffer solution. The deviation shall be
(avoid efflorescence), in water to produce 1000 ml.
not more than + 0. 02 pH units, adjusting the
Preserve the solution in well closed polyethylene
slope carefully to make the observed pH value
containers, protected from carbon dioxide in the meet the value in the table mentioned above if it is
air. not. Repeat the adjusting procedure for fixed
(5) Standard calcium hydroxide BS Use the position and slope until the difference between the
supernatant of a saturated solution of calcium observed value on the apparatus and the value of
hydroxide, saturated with carbon dioxide-free standard buffer solutio~ is not more than 0. 02 pH
water at 25°C. Store protected from carbon units. Otherwise the apparatus should be
dioxide in the air. Discard and repeat the prepara- examined or the electrode should be exchanged till
tion if the solution becomes turbid. comply with the requirements.
Standard buffer solutions mentioned above must be (4) The electrode should be 'rinsed with water and
prepared from the certified reagents for pH dried ( or rinsed with the solution being examined)
determination. The exact pH values of the before each· measurement.
standard buffer solutions at different temperatures ( 5) A highly alkaline . glass electrode should be
A - 36 Appendix V

used ifthe pH value of the solution being examined foreign particles).


is high. The error caused by alkalinity should be D indicates the white background with light
corrected if the electrode used is apt to produce reflection ( i. e. inboard light baffle).
such an error. Requirements for inspector
(6) The determination of the pH value of a liquid By both near and distant vision tests, the visual
with weak buffering capacity (e.g. water) should acuity of inspectors shall be equal to or above 4. 9
be conducted after the pH meter is calibrated with ( the corrected visual acuity shall be equal to or
standard potassium biphthalate BS and repeated above 5. 0) and inspectors shall not have colour
after the pH meter is calibrated with standard blindness.
sodium tetraborate BS. The readings should not
be recorded until the shift in 1 minute is within 0. 05 Procedure
unit. The pH value of the liquid being examined is the Injections Unless otherwise specified, take 20
mean value of the two readings provided that they do containers of test sample, remove the labels from
not differ by more than 0. 1 unit. containers, clean .the outer surfaces of containers,
(7) Freshly boiled and cooled distilled water with allow to stand at room temperature for a certain
a pH value of 5. 5-7. 0 should be used for preparing period of time ( allow human albumin and human
standard buffer solutions and dissolving the immunoglobulin to stand overnight in general).
substance to be examined in pH determinations. Carry out the visual examination in a light
( 8) Usually, the standard buffer solutions can be sheltered room or dark place. Hold the neck of
kept for 2-3 months, but should not be used if any containers at the edge of light baffle in an
turbidity, mould or precipitate is discovered. appropriate distance to inspector's eyes ( usually
25 cm) and view against black and white
backgrounds respectively· by gently swirling and
inverting the individual containers in order to make
the visible particles, possibly existing in
V B Test for Visible Particles solutions, floating. (Care shall be taken to avoid
(Lamp Test) the production of air bubbles. ) The time limit for
visual examination is 20 seconds. For the samples
with a filling quantity of 10 ml or less than 10 ml,
Visible particles refer to the insoluble substances
two containers shall be examined each time, and
that present in injections or eye drops and can be for the samples of more than 10 ml, one containers
observed visually under specified conditions. shall be examined each time. The injections with a
Introducing foreign particles during laboratory test filling quantity of 50 ml or more shall be examined
shall be avoided. The operations of reconstituting by viewing vertically, horizontally and invertedly ,
freeze-dried preparations or tra'nsferring test respectively. The intensity of illumination for
sample to clean, transparent containers when the examining colourless solution shall be 1000-1500 Lx.
original containers are unsuitable for examination For coloured solutions or the solutions in trans-
( for example, opaque, irregular in shape, etc. ) parent plastic containers, the intensity of illumi-
shall be conducted in an environment with nation for examination shall be 2000-3000 Lx.
cleanliness of Class 100 ( preferably in a laminar-
air-flow cabinet). Freeze-dried preparations for injection Unless
otherwise specified, take 5 containers of test
Device for examination sample. Balance the temperatures of the test
The examination device is shown in the following sample and the attached diluent to the temperature
diagram. specified for reconstitution. Inject the diluent
slowly along the wall of container and shake gently
until the content is completely reconstituted. For
test sample under vacuum, release the vacuum
when the test sample is almost reconstituted and
conduct the examination according to the above
procedures; for test sample not under vacuum,
.D conduct the examination according to the above
procedures after the test sample is completely
reconstituted.
Eye drops Unless otherwise specified, take 20
A indicates a fluorescent lamp fitted with a light containers of test sample and examine according to
baffle. The intensity of illumination may be the procedures for injections.
adjustable in the range of 1000-3000 Lx. Result evaluation
B indicates the black background without light Injections Unless otherwise specified, no glass
reflection. scraps, fibers, colour dots, colour lumps or
C indicates the white background and bottom other visible foreign particles shall be found in all
without light reflection ( for examining coloured the 20 containers. Other visible particles found in
Appendix V A - 37

any containers shall be within the test limits as which appears as a floating fog-like precipitate by
listed in the table below. The number of gently inverting the container and disappears on
containers with visble particles beyond the test gently shaking.
limits as listed in the table below shall be not more (5) Precipitate not dispersed on shaking refers to a
than one. If two containers are found with visible trace of precipitate formed in· protein solutions
particles beyond the test limits, the test shall be after · storage for a long time, which can not be
repeated with additional 20 containers according to dispersed on gently shaking.
the same procedures. In both primary and repeat [Note]
tests the total number of containers with visible ( 1) Sterility test shall be carried out on the
particles beyond the test limits as listed in the table samples with a loose cap or with a trace .of
below shall be not more than two. precipitate.
Freeze-dried preparations for injection Unless ( 2) Freeze-dried preparations shall be reconstituted
otherwise specified, no glass scraps, fihers, under the specified temperature by the specified
colour dots, colour lumps or other visible foreign method for the said product.
particles shall be found in all the 5 containers. ( 3) Rubber scraps created by needling through
Other visible particles found in any containers shall rubber stoppers during the test on freeze-dried
be within the test limits as listed in the table preparations are not regarded as visible particles.
below. If one container is found with visible
particles beyond the test limits, the test shall be
repeated with additional 10 containers according to
the same procedures. In both primary and repeat V C Determination of Disintegration
tests the total number of containers with visible
.particles beyond the test limits as listed in the table
below shall be not more than one. Disintegration is provided to determine whether the
Eye drops Unless otherwise specified, no glass oral solid preparations disintegrate or disperse into
scraps, Iibers., colour dots, colour lumps or fragments or particles within a prescribed time
other visible foreign particles shall be found in all when placed in a liquid medium under the
the 20 containers. Other visible particles found in prescribed experimental conditions.
any containers shall be within the test limits as Disintegration is considered to be achieved when no
listed in the table below. The number of residue, except fragments of undissolved tablet
containers with visible particles beyond the test coating or of capsule shell, remains on the screen
limits as listed in the table below shall be not more of the test apparatus. Disintegration can be also
than one. If two containers are found with visible considered to be achieved when the residue remained
particles beyond the test limits, the test shall be consists of a soft mass having no palpably,
repeated with additional 20 containers according to unmoistened core, or floats because of light weight
the same procedures. In both primary and repeat Disintegration is not required for the preparations
tests the total number of containers with visible which comply with the requirements for Dissolu-
particles beyond the test limits as listed in the table tion, Drug release or Disintegration for Supposi-
below shall be not more than three. tories and Vaginal Tablets.
1. Tablets
Other types of visible Filling quantity Test limit
particles per container per container Apparatus The apparatus mainly consists of a
basket-rack assembly with disks and a metallic
White dots, fine protein __ ~_5_0_m_l ~_3__ device capable of raising and lowering the basket in
flocculus or protein particles >50 ml ~5
the liquid medium at a constant rate between 30
Small amount of flocculus or and 32 cycles per minute through a distance of
protein particles, a trace of 55 mm+2 mm.
precipitate or the precipitate I Undetectable
not dispersed on shaking Basket-rack assembly The basket-rack assembly
consists of six glass tubes, each 7 7. 5 mm+ 2. 5 · mm
The explanation of visible particles long, 21. 5 mm in internal diameter with a wall of
(1) While dots refer to the white particles without 2 mm in thickness. The tubes are held in a vertical
clear plane or edges. position by two transparent plastic plates, each
(2) Fine protein flocculus or protein particles refer about 90 mm in diameter and 6 mm in thickness, with
to the translucent protein flocculus or protein six holes, each about 26 mm in diameter. On the top
particles of less than 1 mm in length. of the upper plastic plate is a stainless-steel plate
(3) Small amount of flocculus or protein particles about 90 mm in diameter and 1 mm in thickness,
refer to the protein flocculus or protein particles with six holes each about 22 mm in diameter.
which are difficult to count within the specified Attached to the under surface of the lower plate is
time limit for the examination. a disk of stainless-steel wire gauze about 90 mm in
( 4) A trace of precipitate refers to a trace of diameter, with apertures of 2. 0 mm in internal
precipitate formed after stationary standing, diameter. A stainless-steel central shaft about
A - 38 Appendix V

80 mm long is fixed with the upper plastic plate and Film-coated tablets Carry out the test as described
stainless-steel plate. The stainless-steel plate, the above. Replacing the water in the beaker with
two plastic plates and the wire gauze are fixed hydrochloric acid ( 9 - 1000), all of the tablets
together by three screws. shall disintegrate within 30 minutes. If any one of
the tablets has not disintegrated, repeat the test
on additional six tablets; all the tablets shall
comply with the test.
Sugar-coated tablets Carry out the test as described
above. All of the tablets shall disintegrate with in
60 minutes. If any one of the tablets has not
disintegrated, repeat the test on additional six
tablets; all the tablets shall comply with the test.
Enteric-coated tablets Entric-coated tablets are
tested in the same way as described above using
hydrochloric acid solution ( 9 - 1000) as the
·(mm) (mm) immersion fluid and the tablets shall show no
evidence of cracking, disintegrating or softening in
Disks The disk is made of a smooth transparent 2 hours. Remove the basket, wash the tablets
plastic material having a specificgravity of 1. 18-1. 20 with a small quantity of water, add a disk to each
with 20. 7 mm±O. 15 mm in diameter, and 9. 5 mm+ tube. Repeat the operation using phosphate BS
0. 15 mm in thickness. It has five holes with 2 mm (pH6. 8) as the immersion fluid, all tablets shall
in diameter, one of the holes is located in the disintegrate completely within 1 hour. If 1 tablet
center and the others at an equal distance of 6 mm fails to comply with the test, repeat the operation
from the central hole. Equally spaced on the sides with additional 6 tablets. All the tablets shall
of the disk are four V-shaped notches. The comply with the test.
dimensions of each notch are such that. the upper Buccal tablets Unless otherwise specified, buccal
openings are 9. 5 mm wide and 2. 55 mm deep and tablets are tested in the same way as described
the lower openings are 1. 6 mm wide and 1. 6 mm above. All of the tablets shall disintegrate or
deep. dissolve within 30 minutes. If any one of the
tablets has not disintegrated, repeat the test on
additional six tablets. All the tablets shall comply
with the test.
Sublingual tablets Unless otherwise specified,

-H----""".JI
- ij
•O
sublingual tablets are tested in the same way as
described above. All of the tablets shall
disintegrate and dissolve within 5 minutes. If any
one of the tablets has not disintegrated, repeat the
_JL test on additional six tablets. All the tablets shall
comply with the test.
1.6
(mm) Soluble tablets Unless otherwise specified, soluble
tablets are tested in the same way as described
(mm) above maintained the temperature at 15-25°C. All
of the tablets shall disintegrate and dissolve within
Procedure The basket is suspended in a water 3 minutes. If any one of the tablets has not
bath preferably using a 1000 ml of beaker, disintegrated, repeat the test on additional six
maintained at 37°C± 1 °C, the volume of the fluid tablets. All the tablets shall comply with the test.
in the vessel is adjusted appropriately so that at the Colon-located enteric-coated tablets Unless otherwise
highest point of the upward stroke the wire mesh specified, colon-located enteric-coated tablets are
remains at least 15 mm below the surface of the tested in the same apparatus as described under the
fluid and descends to a distance not less than individual· monograph. All of the tablets shall not
25 mm from the bottom of the vessel on the release and disintegrate in the sulfuric acid solution
downward stroke. (9-1000) and the phosphoric acid buffer solution
Unless otherwise specified, place 1 tablet in each with pH value less than 6. 8, but release and
of the six tubes of the basket and operate the disintegrate in the phosphoric acid buffer solution
apparatus. All of the tablets shall disintegrate with pH value between 7. 8 and 8. 0 within 1 hour,
completely within 15 minutes. If 1 tablet fails to and the tablet core also disintegrates. If any one of
disintegrate completely, repeat the test on 6 the tablets has not disintegrated, repeat the test
additional tablets. All of the tablets shall comply on additional six tablets. All the tablets shall
with the requirements. comply with the test.
Appendix V A - 39

Effervescent tablets Effervescent tablets are


tested in the following way. Place one tablet in a
250 ml beaker containing 200 ml of water
maintained at 15-25°C, numerous gas bubbles are V D Disintegration Test for Suppo-
evolved. When the evolution of gas around the
tablet or its fragments has ceased the tablets
sitories and Vaginal Tablets
disintegrate, dissolve or disperse in the water so
that no agglomerates of particles remain. Unless The test for disintegration of suppositories and
otherwise specified, the preparation being vaginal tablets determines whether a solid dosage
examined complies with the test if 6 tablets used in form such as suppositories and vaginal tablets can
the test disintegrate in the manner prescribed disintegrate, soften, dissolve or disperse under the
within 5 minutes. If any one of the tablets has not specifiedexperimentalconditions.
disintegrate, repeat the test on additionalsix tablets.
1. Suppositories
All the tablets shall comply with the test.
Apparatus The apparatus is composed of a
2. Capsules
transparent sleeve and a metal device.
Unless otherwise specified, hard capsules or soft
capsules are tested comply with the test as
described above. If the capsules float on the -rD
!!:l ~
~I I
'~
surface of the water, a disk may be added. The I I
I
hard capsules shall disintegrate within 30 minutes I , ·,..
and the soft capsules disintegrate within 1 hour. If 0
in
0
one of the capsules has not disintegrated, repeat ~ I

the test on further six capsules, all the capsules


w
shall comply with the test. For soft capsules, --1-
,,
replacing the water in the beaker with simulated w

gastric fluid. 50
Unless otherwise specified, enteric capsules are -
-- 52
tested in the same way as described above using -
(mm)
hydrochloric acid solution ( 9 ~ 1000) as the
immersion fluid and the capsule shells show no
evidence of cracking, disintegrating in 2 hours. Transparent sleeve The transparent sleeve is
Remove the basket, wash the capsules with a made of glass or suitable plastic, with a height of
small quantity of water, add a disk to each tube. 60 mm, an internal diameter of 52 mm and an
Repeat the operation using simulated intestinal appropriate wall thickness.
fluid as the immersion fluid, all capsules shall Metal device The metal device consists of two
disintegrate completely within 1 hour. If 1 capsule stainless metal discs and three metal hooks. Each
fails to comply with the test, repeat the operation of the disc has a diameter of 50 mm and contains 39
with another 6 capsules. All the capsules shall holes, each 4 mm in diameter. The discs are
comply with the test. separated by a distance of 30 mm. The metal
3. Dripping pills device is attached to the outer sleeve by means of
Carry out the test with the same apparatus as the three equally-spaced hooks.
described as tablets using the stainless steel wire
gauze with apertures of 0. 425 mm in internal
diameter. Carry out the test as described above
using 6 dripping pills, unless otherwise specified.
All of the· dripping pills disperse completely within
30 minutes, and the coated-dripping pills shall
disperse completely within 60 minutes. If any one
of the dripping pills has not dispersed completely,
repeat the test on further six dripping pills, all the
dripping pills shall comply with the test.
Dripping pills made of gelatin matrix may be tested
in simulated gastric fluid.
Annotation Simulated gastric fluid Add about
800 ml of water and 10 g of pepsin to 16. 4 ml of Procedure Take 3 suppositories being examined
dilute hydrochloric acid, mix well, dilute with and allow to stand at room temperature for 1 hour.
water to produce 1000 ml. Place them on the lower discs of 3 metal devices
respectively, then insert the devices into separate
Simulated intestinal fluid See Phosphate-Pancreatin sleeves and fix them by means of the hooks. Unless
B5 (pH 6. 8) (Appendix XV D of Volume II). otherwise specified, place each piece of the above
A - 40 Appendix V

apparatus in 3 vessels separately, each containing not of about 286 mm and a depth of 39 mm made of a
less than 4 litres of water at 37. 0°C +o. 5°C and fitted transparent synthetic polymer with polished internal
with a slow stirrer and a means of holding the surfaces, and not subject to static build-up. One side
apparatus vertically90 mm below the surface of water, of the drum is removable. The tablets are tumbled at
after each 10 minutes invert each apparatus without each turn of the drum by a curved projection with
allowing it to emerge from the liquid an inside radius of 80 mm+ 1 mm that extends
Interpretation Unless otherwise specified, all of from the middle of the drum to the outer wall.
the fat-based suppositories shall disintegrate, The drum is attached to the horizontal axis of a
soften or have no solid core offering resistance to device that rotates at 25+1 r/min. Thus, at each
pressure within 30 minutes; all of the water- turn the tablets roll or slide and fall onto the drum
wall or onto each other.
soluble based suppositories shall completely dissolve
within 60 minutes. If one of the suppositories fails to inner-diameter
comply with the requirements, repeat the test on 3 286±0.2
additional suppositories and all of them shall
comply with the requirements.
2. Vaginal tablets
Apparatus The apparatus is the same as that used
for suppositories except that set the hook-end
upside down in the vessel.

thickness6±0. l
39±0.3
(mm)

Tablet friability apparatus

Procedure For tablets weighing up to 0. 65 g


each, take a 6. 5 g of sample; for tablets weighing
1-Vaginal tablet; 2-Glass plate;
3-Water surface
over 0. 65 g each, a 10-tablet sample is sufficient.
Place the tablets on a No. 10 sieve and remove any
Procedure Adjust the water surface level until the loose dust with the aid of air pressure or a soft
holes of the upper metal disc are just covered by a brush. Accurately weigh the tablet sample, and
uniform layer of water. Put 3 vaginal tablets being place the tablets in the drum. Rotate the drum 100
examined on separate upper discs and cover the times, and remove the tablets. Remove any loose
apparatus with a glass plate to maintain dust from the tablets as before and weigh.
appropriate humidity. Generally, the test is run once. If the results are
Interpretation Unless otherwise specified, all of doubtful or if the weight loss is greater than 1 % ,
the vaginal tablets shall dissolve or disintegrate the test should be repeated twice and determine the
into fragments and pass through the perforated mean of the three tests. A maximum weight loss
plates or only remain a small amount of soft of not more than 1 % of the weight of the tablets
masses which have no solid core within 30 being tested is considered acceptable and any
minutes. If one of the tablets fails to comply with tablets broken, chapped and smashed are not
the requirements, repeat the test on 3 additional picked up.
tablets and all of them shall comply with the If tablet size or shape causes irregular tumbling,
requirements. adjust the drum so that - its axis forms a 10° angle
with the base and the tablets no longer bind
together when lying next to each other, which
prevents them from falling freely.
If tablet size or shape causes severe irregular
V E Test for Tablet Friability tumbling in the drum, or tablets are produced by
special procedure, this method are not suitable and
may not be used to test the tablets.
This chapter provides guidelines for the friability In the cases of hygroscopic tablets, care must be
determination of compressed, uncoated tablets. taken to perform the test quickly enough to
The test procedure presented in this chapter is prevent moisture absorption ( relative humidity is
generally applicable to most compressed tablets, not more than 40 % ) .
and supplements other physical strength measure-
ments, such as tablet crushing strength -
Apparatus Use a drum with an internal diameter
Appendix V A - 41

net weight of contents in each container and the


average net weight of contents. The results comply
with the requirements. If one container fails the
V F Test for Minimum Fill requirements, a further 5 ( or 3) containers may be
tested individuallyand all must comply.
Volumetric method ( for containers labelled by
The following tests and specifications apply to volume)
solid, semisolid, and liquid dosage forms packed Unless otherwise specified, select 5 containers
in containers, except those preparations for which (or 3 containers if the labelled quantity is more
the tests for Weight Variation of Contents and than 50 ml). Open the containers with caution to
Volume in Container are otherwise specified avoid any loss of the contents. Take up
required or radio active pharmaceuticals. individually the contents of each container into a
Procedure dry, previously standardized syringe, or pour into
a dry, previously standardized graduated cylinder,
Gravimetric method ( for containers labelled by
weight) if the labelled quantity is more than 50 ml. For
Unless otherwise specified, select 5 containers viscous liquids, keep the containers upside down
for 15 minutes to pour the contents as completely
( or 3 containers if the labelled quantity is more than
50 g) , remove the cover and label. Thoroughly clean as possible. Measure the volume of the contents in
and dry the outside of the containers by suitable each container, calculate the average volume of
contents. The results comply with the requirements.
means, and weigh individually and accurately.
If one container fails the requirements, a further 5 ( or
Accurately remove the contents from each container,
3) containers may be tested and all must comply.
wash the container with a suitable solvent. Dry, and
again weigh each empty container. Determine the

Solids, semisolids, liquids Viscous liquids( volumetric method) ·


Labelled quantity
Average quantity Quantity in each container Average quantity Quantity in each container
Less than 20 g(ml) Not less than the Not less than 93% of the Not less than 90 % of Not less than 85 % of
labelled quantity Labelled quantity the labelled quantity the labelled quantity
20-50 g'(rnl) Not less than the Not less than 95 % of Not less than 95% of Not less than 90 % of
labelled quantity the labelled quantity the labelled quantity the labelled quantity
More than 50 g(ml) Not less than the Not less than 97 % of the Not less than 95 % of Not less than 93% of
labelled quantity labelled quantity the labelled quantity the labelled quantity

ocular, and insert the ocular micrometer within


the tube of the ocular by placing it on the shelf
which is about halfway between the upper and
V G Determination of Particle Size lower lenses of the ocular. The engraved surface
must be faced upper. Screw the cover of the
ocular, and place the ocular back to the tube of the
The following procedures are used for the ocular. The image of the stage micrometer and the
determination of particle size or particle distri- scale of the ocular micrometer can be observed in
bution. The. method 1 and method 2 are used for the same field of view. Make the lines on the two
the determination of particle size or size limit in micrometers parallel each other and the extreme
pharmaceutical preparation. left line ( marking O) on each scale coincide by
adjusting the stage micrometer and rotating the
Method 1 (microscopy) ocular. Find the second lines which coincide, and
The particle size determined by this method is count the number of included units of each
expressed as the length of particles observed under micrometer and calculate the ratio. The value
a microscope. (µm) of each unit of the ocular micrometer for the
objective, with which it is used, will be judged
Standardi7.ation of ocular micrometer Standardization
based on the ratio. As the value for each unit of
of ocular micrometer is carried out to ascertain the
the stage micrometer is 10 µm, the value of each
value of each unit of the ocular micrometer for each
unit of the ocular micrometer can be calculated by
optical combination ( objective, ocular, and tube
length). the following equation:
Place the stage micrometer on the stage of the 10 X the number of included units of the stage micrometer
microscope. Focus the illuminator and the scale of the number of included units of the ocular micrometer
the stage micrometer. Adjust stage micrometer When two objectives with different magnification
until the image is in the centre of the field of view. are to be used, it is necessary to ascertain the
Take out the ocular. Unscrew the cover of the value of each unit of the ocular micrometer for each
A - 42 Appendix V

objective with which it is used. label of intravenous replenishment liquid, neu-


Procedure Thoroughly mix the substance being trient ( s), electrolyte ( s) or osmotic diuretic
examined. For the substance with .high viscosity, agents, such as Monnitol Injection, are required
a suitable quantity of glycerin solution ( 1- 2) to inform the clinical doctors.
The units of osmolar concentration are usually
specified in the individual monograph may be
expressed as milliosmoles ( mOs mol) of solute
added. Introduce 1-2 drops of the substance being
per kilogram of solution. The ideal milliosmole
examined onto a slide as specified in the appendix
concentration may be determined according to the
of the dosage form or in the individual monograph,
formula:
cover a cover glass, and press gently to make the
particles spread uniformly. Prevent formation of Milliosmole concentration (mOs mol/kg)
bubbles. For the substance being examined which weight of solute (g/kg)
- .. XnXlOOO
is semisolid, it can be spread directly onto a slide. molecular weight ( g)
Immediately examine the slide under a microscope,
in the whole field of view, using 50-100 X magnifi- Where n is the number of ions or chemical species
cation. No agglomeration occurs and none of the produced when the solute is dissolved. In ideal
particles has a dimension of 50 µ.m or greater than solutions, for example, n = 1 for glucose, n = 2
it specified in the individual monograph. Examine for sodium chloride or magnesium sulfate, n = 3
the slide again under a microscope, in the field of for calcium chloride, n = 4 for sodium citrate.
view specified in the appendix of the dosage form Deviation from ideal condition is usually slight in
or in the individual monograph, using 200-500 X solutions within the physiological range and for
magnification. Record the total number of more dilute solutions, but for highly concentrated
particles observed and the number of particles solutions, the actual osmolarities may be appre-
having the specified dimension. Calculate the ciably lower than ideal values. For example, the
percentage. ideal osmolality of 0. 9 % Sodium Chloride Injection
is 2 X 1000 X 9/58. 4 = 308 mOs mol/kg, but in
Method 2 ( sieving)
fact, its n is slightly less than 2, and the actual
Single sieve Place a quantity of the substance measured osmolarity is 286 mOs mol/kg. The
being examined, as specified in the individual theoretical osmolarity of a complex mixture, such
monograph, upon the specified No. sieve with a as Protein Hydrolysate Injection, can not be
close-fitting receiving pan and cover. Shake the readily calculated, so the actual measured value is
sieve in a rotary horizontal direction for not less usually used.
than 3 minutes, and gently tap on the sieve
frequently in vertical direction. Weigh accurately Apparatus It is difficult to directly measure
the amount in the receiving pan, and calculate the osmolality, but more convenient to measure the
percentage. freezing point, so osmolarity is often determined
by measuring the depression of freezing point. In
Two sieves Place the accurately weighed content
of 5 single-dose units or of 1 multi-dose unit upon ideally dilute solution, the depression of freezing
the sieve specified in the appendix of the dosage point shall conform to the following equation:
form or in the individual monograph. Shake the ~Tr=Kr • m , where ~Tf is the depression value of
sieve in a left-to-right horizontal direction by freezing point, K, is the depression constant of
gently tapping on the sieve for 3 minutes. Weigh freezing point ( K = 1. 86 when the solvent is
accurately the amount remaining on the smaller water), m is the weight mole concentration.
No. sieve and passing through the larger No. sieve. Osmolality is calculated by Po = Ko • rn , where
Calculate the percentage of the fraction. Po is osmolality, Ko is the constant of osmolality,
and m · is the weight mole concentration. Due to
the same meaning of concentration in the two
formula mentioned above, osmolality can be
determined by measuring the depression of freezing
V H Determination of Osmolality point. Osmometer is generally designed according
to the principle of the depression of freezing point.
The phenomenon that a solvent diffuses through a An osmometer consists of a test tube containing
semi-permeable membrane from a solution of low the solution to be examined, a cooling system with
concentration to a higher concentration solution is temperature regulator and a pair of resistor
called osmosis. The pressure that is needed to sensitive to temperature ( thermistors ) . When
prevent osmosis is called osmotic pressure. measuring, immerse the sensor into the solution in
Biomembrane, such as cell membrane or capillary the glass tube, lower the tube into the cooling
wall of the body, has the properties of a semi- system and the temperature of the cooling system
permeable membrane, thus the osmotic pressure is decreased until the solution is super-cooled. The
must be considered for injection and eye drops. measured freezing point is converted to a measure-
The declaration of osmolar concentration on the ment value by instrument.
Appendix V A - 43

Procedure Determine the zero point by using a Determination of milliosmole concentration ratio
certain volume of water (prepared freshly), calibrate The ratio of milliosmole concentration of the test
the osmometer using reference solutions whose sample to that of 0. 9 % (W /V) sodium chloride
osmolality range is close to that expected for the solution is called milliosmole concentration ratio.
solution being examined, then measure the Determine the milliosmole concentration of the test
osmolality of the solution being examined. When sample ( Or ) and that of the reference solution
the osmolality of the solution being examined is ( Os ) respectively, calculate the milliosmole
beyond the range limit of the osmorneter , dilute it concentration ratio by the following equation:
with appropriate solvent to a measurable range of
osmolality. If the sample is a solid, dissolve it in mi·11·iosmo1 e concentration
. ratio=
. Or
Os
an appropriate solvent and then determine.
Preparationof reference solution for measurement of
Preparation of reference solution for calibration of
milliosmole concentration ratio Weigh accurately
osmometer
0. 900 g of sodium chloride ( primary reference
Dissolve a quantity, accurately weighed, of
substance) , previously dried for 40-50 minutes at
sodium chloride ( primary reference substance)
previously dried for 40 to 50 minutes at 500-650°C 500-650°C and cooled to room temperature in a
and cooled to room temperature in a desiccator desiccator containing silica gel, into a 100 ml
contain in silica gel, as described in the Table, as volumetric flask, dissolve in water and dilute to
required, in 1 kg of water, mix well. volume, mix well.
For the preparation of injections or eye drops
containing sodium chloride, osmolality is often
Reference solution for calibration of osmometer
measured instead of the assay of sodium chloride if
Weights of sodium Milliosmole The depression of the function of sodium chloride is mainly to
chloride in 1 kg of concentration freezing point regulate the osmotic pressure.
water(g) (mOsmol/kg) (°C)

3.087 100 0. 186


6.260 200 0.372
9.463 300 o. 558
12.684 400 o. 744
15. 916 500 0. 930
19. 147 600 1. 116
22. 380 700 1. 302
A - 44 Appendix VI

Appendix VI

acid VS to a 1000 ml volumetric flask. Dilute to


volume with water and mix thoroughly.
Procedure
VI A Determination of Nitrogen Measure accurately a quantity of test sample
(Semi-micro Method) ( containing about 1. 0-2. 0 mg of nitrogen) and put
into a Kjeldahl flask. Add approximately 0. 3 g of
digestion mixture and 1 ml of sulfuric acid. Digest
The method is based on the principle that nitrogen- the mixture by heating to form a clear bluish-green
containing organic substances form ammonium colour solution and continue the digestion for 60
sulfate after digestion with sulfuric acid. Ammo-
minutes.
nium sulfate is decomposed by sodium hydroxide
Measure 10 ml of 2% boric acid absorption solution
and ammonia is released. The released ammonia is
and put into a 100 ml conical flask. Immerse the
evaporated by steam distillation and absorbed by
condenser tip of Kjeldahl distillation apparatus into
boric acid solution to form ammonium borate.
2% boric acid absorption solution. Then, pour
After titration with strong acid, the nitrogen
the digested test sample into the Kjeldahl
content of test sample can be calculated from the
distillator. Wash the Kjeldahl flask 3-4 times with
volume of strong acid consumed.
water, All the washings are transferred to the
Reagent distillator. Add 5 ml of 50 % sodium hydroxide
( 1) Digestion mixture solution and distill until the total volume of the
Prepare by grinding and rruxrng 10 g of cupric received liquid reaches 35-50 ml. Lower the
sulfate (CuS04 • 5H20) and 100 g of potassium receiving bottle to let the condenser tip rises above
sulfate thoroughly in an agate mortar. the surface of liquid. Continue the distillation for
(2) Mixed indicator solution 1 minute and wash the tip of condenser with a
Prepare by mixing five volumes of 0. 2% bromo- small volume of water. The received liquid is then
cresol green ethanol solution and two volumes of titrated with 0. 005 mol/L sulfuric acid VS until
0. 1 % methyl red ethanol solution thoroughly. the colour of the liquid changes from green to pale
(3) 2% boric acid absorption solution purple. The titration result is calibrated with a
Dissolve 20 g of boric acid in water and dilute to blank test.
1000 ml. Add 10 ml of mixed indicator solution Calculate the result according to the following
and mix well. equation:
( 4) Sulfuric acid VS ( 0. 05 mol/L)
Add slowly 3 ml of sulfuric acid to a quantity of Total nitrogen content of test sample (mg/ml)= .
water. Cool the mixture to room temperature and (Vx-Vo) XCX 14. 01XnX2/V
dilute to 1000 ml with water. Where: Vx=Titer of sample, ml;
Weigh accurately 0. 15 g of dehydrated sodium Vo=Titer of blank, ml;
carbonate primary standard, which has been dried C = Concentration of sulfuric acid VS,
at 270-300°C to constant weight, and dissolve in mol/L;
50 ml of water. Add ten drops of mixed indicator n __: Dilution factor of sample;
solution. Titrate with the above sulfuric acid V=Volume of sample, ml.
solution until the colour of the solution changes The value of 14. 01 is the relative atomic weight of
from green to purple. Boil for 2 minutes and cool nitrogen.
down to room temperature. Continue the titration
until the colour of the solution changes from green [Notes]
to dark purple. One ml of 0. 05 mol/L sulfuric (1) The distillator shall be washed by distillation
acid VS is equivalent to 5. 30 mg of dehydrated for more than 15 minutes before distillation.
sodium carbonate. The concentration of the (2) Several drops of sulfuric acid and methyl red
sulfuric acid solution is calculated according to the indicator solution shall be added to the steam
volume of the sulfuric acid solution consumed and generator until the colour of water is distinctly
the weight of dehydrated sodium carbonate taken. red.
(5) Sulfuric acid VS (0. 005 mol/L) ( 3) The test may also be carried out with an
Transfer accurately 100 ml of 0. 05 mol/L sulfuric automatic Kjeldahl nitrogen determination apparatus.
Appendix VI A - 45

V1 = Volume of test sample solution for


total nitrogen determination, ml; .
V2 = Volume of test sample solution for non-
VI B Determination of Protein Content protein nitrogen determination, ml.
The value of 14. 01 is the relative atomic weight of
nitrogen;
Method 1 Kjeldahl Method The value of 6. 25 is a constant (1 g of nitrogen is
equivalent to 6. 25 g protein).
The protein content in test sample is calculated
through the determination of total nitrogen content [Note]
and the determination of non-protein nitrogen ( 1) If the protein content of the test sample is
content after the protein is removed by tungstic more than 10% (g/rnl) , the dilution factor of test
acid precipitation. sample upon deproteinization shall increase properly.
Meanwhile, the amounts of 10% sodium tungstate
Preparationof test sample solution solution and sulfuric acid solution shall increase
(1) Preparation of solution for total nitrogen
proportionally so as to maintain the concentration
determination of tungstic acid at 1 % in the solution.
Dilute volumetrically 1 ml of test sample with (2) Same blank control may be used for total nitrogen
physiological saline to a nitrogen content of about and non-protein nitrogen determinations.
1 mg per ml.
(2) Preparation of solution for non-protein Method 2 Lowry Method
nitrogen determination The method is used for the micro-determination of
Measure accurately 2 ml of test sample and mix protein content. Protein can form cupper-protein
with 14 ml of water. Add 2 ml of 10% sodium complex in alkaline solution and the complex reacts
tungstate solution and 2 ml of sulfuric acid solution with phenol reagent to form a blue compound. The
(1. 86-100). Mix thoroughly. Allow the mixture to absorbance of the compound at 650 nm is directly
stand for 30 minutes and filter. Preserve the proportional to protein content The protein content
filtrate for determination. of test sample is calculated according to the
Procedure absorbance.
Measure accurately 1 ml of solution for total Reagent
nitrogen determination and put into a Kjeldahl Cl) Phenol reagent
flask. Determine the total nitrogen content of the Weigh 100 g of sodium tungstate ( NazW04 •
test sample according to nitrogen determination 2H20) and 25 g of sodium molybdate (Na2Mo04 •
method (Appendix VI A). A blank control test is 2H20), and put into a 1500 ml distillation flask.
carried out at the same time. Add 700 ml of water, 50 ml of 85 % phosphoric
Measure accurately 5 ml of solution for non-protein acid and 100 ml of hydrochloric acid. Fix a reflux
nitrogen determination and put into a Kjeldahl condenser on top of the flask by using a cork or
flask. Determine the non-protein nitrogen content rubber stopper ( wrapped with tinfoil) and reflux
of the test sample according to nitrogen determina- for 10 hours by gently boiling. Disconnect the
tion method (Appendix VI A). reflux condenser. Add 150 g of lithium sulfate,
Result calculation 50 ml of water and several drops of bromine water.
Boil about 15 minutes to expel excessive bromine.
CTN (mg/ml) =(Vx1 -Vo) XCX 14. 01 XnX2/V1 Cool down. Dilute to 1000 ml with water and
CNPN (mg/ml)= (VX2 -Vo) X ex 14. 01 X n X 2/Vz filter. A phenol reagent stock solution is prepared.
CPN (mg/ml) = CTN -CNPN The acidity of phenol reagent stock solution is
Protein content of test sample,% (g/ml) titrated with 0. 5 mol/L sodium hydroxide VS.
=CPNX 6. 25 X 100/1000 The phenol reagent stock solution is then diluted
Where: Cm = Total nitrogen content of test with water to a concentration equivalent to 1 mol/L
sample, mg/ml; hydrochloric acid. This solution is phenol reagent.
CNPN = Non-protein nitrogen content of (2) Alkaline copper solution ·
test sample, mg/ ml; · Mix 0. 5 ml of 0. 1 mol/L potassium tartrate
Vx1 = Titer of test sample solution for solution, O. 5 ml of 0. 04. mol/L cupric sulfate
total nitrogen determination, ml; (CuS04 • 5H20) solution, 25 ml of 4% sodium
VX2 = Titer of test sample solution for carbonate solution and 25 ml of 0. 8 % sodium
non-protein nitrogen determination, · hydroxide solution thoroughly. The solution shall
ml; be prepared just before use.
V0 =Titer of blank, ml; ( 3) Preparation and calibration of 0. 5 mol/L
C = Concentration of sulfuric acid VS, sodium hydroxide VS
mol/L, Dissolve a quantity of sodium hydroxide in water to
CPN = Protein nitrogen content of test make a saturated solution. Store in a polyethylene
sample," mg/ml; bottle after cooling down. Allow to stand for
n=Dilution factor of test sample; several days until the supernatant is clear. Dilute
A - 46 Appendix VI

28 ml of the clear saturated sodium hydroxide Method 3 Biuret Method


solution with freshly boiled and cooled water to The method is based on the principle that peptide
1000 ml. Mix well. bonds of protein react with Cu++ and form a
Weigh accurately 3 g of potassium biphthalate purple complex in alkaline solution, and the colour
primary standard, which has been dried to intensity of the complex is directly proportional to
constant weight at 105°C. Add 50 ml of freshly the protein content. The protein content of test
boiled and cooled water. Shake well to make the sample is determined against a protein standard
solid dissolved as much as possible. Add two solution by using ultraviolet-visible spectrophoto-
drops of phenolphthalein indicator solution. metry (Appendix II A).
Titrate with the sodium hydroxide solution until Reagent
the end point is near. The potassium biphthalate Biuret reagent
shall be completely dissolved. Continue the Dissolve 3. 0 g of cupric sulfate (CuS04 • 5H20),
titration procedure until a distinct pink colour 9. 0 g of potassium sodium tartrate (KNaC4~(\ •
appears. One milliliter of the sodium hydroxide 4H20), 5. 0 -g of potassium iodide and 24 g of
VS is equivalent to 102. 1 mg of potassium sodium hydroxide in water and dilute to 1000 ml.
biphthalate. The concentration of sodium hydrox- Mix well.
ide solution is calculated according to the weight of
potassium biphthalate taken and the volume of Preparationof protein standardsolution
volumetric solution consumed. Measure accurately a quantity of human albumin
standard and dilute volumetrically with water to a
Preparationof protein standardsolution concentration of 50 mg of protein per ml.
A protein standard stock solution is prepared by
accurately diluting one container of human albumin Preparationof test sample solution
standard with water to 1 mg of protein per ml. A Dilute volumetrically a quantity of test sample with
protein standard solution of 100 µg of protein per water to about 50 mg of protein per ml.
ml is prepared by transferring accurately 2. 5 ml of Procedure
protein standard stock solution to a 25 ml Measure accurately 0. 05 ml of test sample solution
volumetric flask and diluting to volume with and 0. 05 ml of protein standard solution, and put
water. Mix well. into two test tubes separately. To each test tube,
Procedure add 4. 0 ml of biuret reagent and mix well. Allow
Measure accurately a volume of test sample the mixture to stand in 37°C water bath for 30
( containing about 50 µg of protein) and put into a minutes. Read the absorbance at 540 nm by
test tube. Make up to 1 ml with water. Add 5 ml ultraviolet-visible spectrophotometry ( Appendix
of alkaline copper solution and mix well. Allow II A). Carry out a blank control test by meas-
the mixture to stand for 10 minutes at room uring accurately 0. 05 ml of water to a test tube and
temperature. Add quickly 0. 5 ml of phenol proceed with the same procedure starting from
reagent and mix well. Allow the mixture to stand "add 4. 0 ml of biuret reagent".
for 30 minutes at room temperature. Read the Calculate the result according to the following
absorbance at 650 nm according to ultraviolet-visible equation:
spectrophotometry (Appendix II A). If the mixture is Protein content (mg/ml)= (A1 I Az) X CX n
turbid after colour development, centrifuge at Where: A1 = Absorbance of sample solution;
3000 r/ min for 15 minutes and read the absorbance Az = Absorbance of protein standard
of supernatant. solution;
Measure accurately0. 2 ml, 0. 4 ml, 0. 6 ml, 0. 8 ml C = Concentration of protein -standard
and 1. 0 -ml of protein standard solution and put solution, mg/ml;
into a series of test tubes separately. For each n = Dilution factor of test sample.
tube, make up the volume to 1 ml with water and
[Note]
then proceed with the same procedure as that for
The determination range of the method is 1-10 mg
test sample starting from "add 5 ml of alkaline
of protein.
copper solution". A standard curve is obtained.
Carry out a blank control test by measuring
accurately 1 ml of water in a test tube and proceed
with the same procedure as that for test sample
starting from adding 5 ml of alkaline copper VI C Determination of Sialic Acid
solution. Content
A regression equation is obtained by regressing the (Resorcinol Colorimetry)
concentrations of protein standard with the corre-
sponding absorbance. The protein content of test
sample is obtained by inserting its absorbance into The method is based on the principle that
the regression equation. conjugated sialic acid becomes free acid after acid
hydrolysis. Free sialic acid reacts with resorcinol
to form a coloured compound. The sialic acid
Appendix VI A - 47

content is determined after the coloured compound is obtained from the linear regressing equation.
is extracted with organic acid. The sialic acid content of test sample is calculated
by the following equation.
Preparation of 200 µg/ ml sialic acid reference
solution Sialic acid content of test sample ( mol/mol
Weigh accurately 10. 52 g of sialic acid CRS (1 µg Protein) =A2 X5X3. 24XWXD/(A1 XPX 100)
is equivalent to 3. 24 nmol) and dissolve in a small Where: A1 = Absorbance of sialic acid CRS
amount of water. Transfer totally to a 10 ml (5 µg);
volumetric flask and dilute to volume with water. Az = Absorbance of test sample;
Mix well and a 1 mg/ml sialic acid reference stock D= Dilution factor of test sample;
solution is prepared. Dispense the stock solution P=Protein content of test sample,
to the volume for one test and store at - 70°C. µg/µl;
The validity period of the dispensed standard is 12 W = Amount of 1 nmol erythropoietin is
months. It can only be frozen and thawed once. equivalentto 18. 2 µg ( sugar component
The validity period is 2 weeks if it is stored at 4 °C. is not included).
Measure accurately 1 ml of sialic acid reference
stock solution ( 1 mg/ml) and put into a 5 ml
volumetric flask. Dilute to volume with water.
The sialic acid reference solution at a concen-
tration of 200 µg per ml shall be prepared just
VI D Determination of Residual
before use. Ethanol Content
Procedure ( Conway Diffusion Method)
Dilute a quantity of test sample with water to a
protein concentration of about 0. 2-0. 4 mg per ml. The method is based on the principle that ethanol
To a set of glass test tubes, add sialic acid is evaporated from saturated sodium carbonate
reference solution, test sample solution and water solution upon heating. After the evaporation
respectively according to the volume listed in the ethanol is absorbed by potassium dichromate
following table, mix well. To each tube, add solution, and a yellow-green to green colour
1 ml of resorcinol-hydrochloric acid solution (Mix appears. The residual ethanol content in blood
2. 5 ml of 2 % resorcinol solution and 62. 5 µl of products is determined by spectrophotometry.
0. 1 mol/L cupric sulfate solution with 20 ml of Procedure
25 % hydrochloric acid. Dilute to 25 ml with water Spread a thin layer of vaseline evenly on the
and mix well. This solution is prepared within 4 outside rim of a Conway Disk. Measure accurately
hours prior to the test). Stopper the tubes and 2. 0 ml of potassium dichromate-sulfuric acid
heat in a boiling water bath for 30 minutes with solution (Dissolve 3. 7 g of potassium dichromate
their liquid surface level about 2 cm lower than in 150 ml of water. Add 280 ml of concentrated
that of water bath. Take the test tubes out of sulfuric acid slowly. Cool down and dilute to
boiling water bath and cool in an ice bath for 3 500 ml with water. Mix well) and put into the
minutes with shaking. Then, add 2 ml of butyl inner circle of the disk. Measure accurately 1. 5 ml
acetate-butanol solution ( Mix four volumes of of test sample solution and 1. 5 ml of saturated
butyl acetate with one volume of butanol. Store at sodium· carbonate solution [Measure a quantity of
room temperature and use within 12 hours) to sodium carbonate ( Na2C03 • lOH20) and mix
each tube and mix well. Allow the mixture to with the same quantity of water. Mix thoroughly
stand at room temperature for 10 minutes. Read and preserve the supernatant for use. J and add
the absorbance at 580 nm by ultraviolet-visible into the outer circle of the disk. Put on a glass
spectrophotometry ( Appendix II A). immediately with its rough side downward to seal
the disk tightly. Mix well by shaking carefully.
Sialic acid CRS tubes Sample React at 80°C for 30 minutes. Determine the
Tube absorbance (A1) of the solution in the inner circle
Blank 2 µg 4 µg 5 µg 6 µg 8 µg tube
at 650 nm by ultraviolet-visible spectrophotometry
Sialic acid reference
10 20 25 30 40 ( Appendix II A).
solutionrul)
An ethanol reference solution is prepared by
Water(µl) 100 90 80 75 70 60 measuring accurately a quantity of absolute ethanol
and dilute with water to a concentration of 0. 25 mg
Test sample
100 per ml. Measure accurately 1. 5 ml of the ethanol
solutionvul)
reference solution and carry out the same
A linear regression equation is obtained by procedure as that . for test sample solution. The
regressing the concentrations of sialic acid absorbance obtained is A2. The reading of A1 shall
reference solution with the corresponding absor- be not greater than Az.
bance ( the correlation coefficient shall be not less
than 0. 99). The absorbance of sialic acid (5 µg)
A - 48 Appendix VI

hydrochloric acid. To each tube, add 0. 5 ml of


water and 0. 1 ml of 25 % trichloroacetic acid
solution. Mix well and add 1. 5 g of sodium
VI E Determination of Free chloride to each tube. Carry out the same
procedure as that for test sample solution starting
Histamine Phosphate in Human from "add ... 4. 0 ml of n-butanol".
Histamine lmmunoglobulin A regression equation is obtained by regressing the
concentrations of histamine phosphate reference
The method is based on the principle that histamine solution with the corresponding fluorescence
phosphate reacts with o-phthaldialdehyde in alkaline intensity. The alkaline base concentration of test
solution to form a fluorescence derivative. The free sample solution ( G, ng/ml ) is obtained by
histamine phosphate content in human histamine inserting its fluorescence intensity into the
immunoglobulinis determined with fluorometry. regression equation. The free histamine content of
test sample is calculated by the following equation.
Preparation of histamine phosphate reference
solution Free histamine content of test sample ( ng/rnl) =
Weigh accurately 7 mg of histamine phosphate CRS GX2. 76X2. 5
and dissolve in a small volume of 0. 1 mol/L The value of 2. 5 is the dilution factor of test
hydrochloric acid. Transfer totally to a 25 ml sample.
volumetric flask and dilute to volume with [Note]
0. 1 niol/L hydrochloric acid. Mix well and a stock The relative molecular weight of histamine
histamine phosphate reference solution is prepared. phosphate is 307. 148. The concentration of
Store at - 20°C for use. On the date of test, reference solution is calculated as alkaline base and
measure accurately 0. 1 ml of stock histamine the relative molecular weight ratio of alkaline base
phosphate reference solution and put into a 100 ml to histamine phosphate is 1 : 2. 76.
volumetric flask. Dilute to volume with 0. 1 mol/L
hydrochloric acid A histamine phosphate reference
solution is prepared.
Preparation of test sample solution VI F Determination of 0-Acetyl
Mix 0. 5 ml of test sample with 1. 2 ml of water. Content
Add 0. 3 ml of 25 % trichloroacetic acid and mix
well. Centrifuge at 4000 r/min for 10 minutes.
The supernatant is taken as test sample solution. Reagent
(1) 2 mol/L hydroxylamine hydrochloride solution
Procedure Dissolve 13. 9 g of hydroxylamine hydrochloride in
Measure 1. 6 ml of test sample solution and put water and dilute to 100 ml. Store in a cold -place.
into a test tube. Add 1. 5 g of sodium chloride, (2) 3. 5 mol/L sodium hydroxide solution
4. 0 ml of n-butanol and 0. 2 ml of 2. 5 mol/L Dissolve 14. 0 g of sodium hydroxide in water and
sodium hydroxide solution. Mix instantly for 5 dilute to 100 ml.
minutes. Allow the mixture to stand for the (3) 4 mol/L hydrochloric acid solution
separation of liquids. Measure 3. 6 ml of the Dilute 33. 3 ml of hydrochloric acid to 100 ml with
nbutanol phase and put into a test tube containing water.
1. 2 ml of 0. 1 mol/L hydrochloric acid solution and ( 4) 0. 3 7 mol/L ferric chloride-hydrochloric acid
2. 0 ml of - n-heptane. Oscillate for 5 minutes and solution
discard the organic phase. Mix 1. 0 ml of the Dissolve 10. 0 g of ferric chloride (FeCb • 6H20)
aqueous phase with an equal volume of water. in 0. 1 mol/L hydrochloric acid solution and dilute
Add 0. 5 ml of O. 4 mol/L sodium hydroxide to 100 ml.
solution. Mix well and add quickly 0. 1 ml of ( 5) Basic hydroxylamine solution
O. 1 % o-phthaldialdehyde-methane solution. Mix Mix 2 mol/L hydroxylamine hydrochloride solution
well instantly. Allow the mixture to stand at with an equal volume of 3. 5 mol/L sodium
21-22°C for 10 minutes. Stop the reaction by hydroxide solution. Use within 3 hours.
adding 0. 5 ml of 0. 5 mol/L hydrochloric acid
solution. Transfer 200 ,ul of the reaction mixture Preparation of reference solution
to a well of microtiter plate. Measure the intensity Weigh accurately 22. 7 mg of acetylcholine chloride
of fluores-cence light at an excitation wavelength of ( or 28. 3 mg of acetylcholine bromide) , which has
350 nm and an emission wavelength of 450 nm with been dried to constant weight, and dissolve in a
a fluorophotometer. small volume of 0. 001 mol/L sodium acetate
Measure accurately 1. 0 ml, 0. 8 ml, 0. 6 ml, solution (pH 4. 5 ). Transfer totally to a 50 ml
0. 4 ml, 0. 2 ml, 0. 1 ml, 0. 05 nil and 0. 025 ml volumetric flask and dilute to volume with 0. 001
of histamine phosphate reference solution and put mol/L sodium acetate solution. Mix well.
into a series of test tubes separately. Make up the Preparation of test sample solution
volume of each tube to 1. 0 ml with 0. 1 mol/L Dilute the test sample with water to an 0-acetyl
Appendix VI A - 49

concentration of 0. 5-2. 5 mmol/L. metry.


Procedure Procedure
Measure accurately 0. 2 ml, 0. 4 ml, O. 6 ml, 0. 8 ml A test sample solution is prepared by diluting the
and 1. 0 ml of 2. 5 mmol/L acetylcholine chloride test sample with water to a protein concentration
(or acetylcholine bromide) reference solution and of not more than 1 % . Measure accurately 1. 0 ml
put into a series of test tubes separately. Make up of the test sample solution and put into a test tube.
the volume of each tube to 1. 0 ml with water and Add 5. 0 ml of 0. 5 mol/L perchloric acid and mix
add 2 ml of freshly prepared basic hydroxylamine well. Allow the mixture to stand at room
solution. Mix well, allow to stand for 4 minutes temperature for 15 minutes and centrifuge at 4000
at room temperature. Toeach tube, add 1 ml of r / min for 10 minutes. Mix 4. 0 ml of the
4 mol/L hydrochloric acid solution to adjust the supernatant with 1. 0 ml of 5 % barium chloride
pH to 1. 2 +0. 2 and mix well. Then, add 1 ml of solution ( Dissolve 5 g of powdered barium
0. 37 mol/L ferric chloride-hydrochloric acid chloride in water and dilute to 100 ml) and 0. 5 ml
solution and mix well again. Read the absorbance of 0. 1 mol/L iodine solution ( Dissolve 2. 0 g of
at 540 nm by ultraviolet-visible spectrophotometry potassium iodide with a small amount of water.
(Appendix II A). Corresponding blank controls Then, add 1. 3 g of iodine and dilute to 50 ml with
are prepared by measuring accurately another set of water.) Mix well and react at room temperatures
2. 5 mmol/L acetylcholine chloride ( or acetylcholine for 15 minutes. Read the absorbance at 535 nm by
bromide) reference solution and putting into ultraviolet-visible spectrophotometry ( Appendix
another series of test tubes separately. Carry out II A). A blank control test is carried out with the
the blank control tests with the same procedures same procedure using 1 ml of water' instead of test
starting from "make up the volume of each tube to sample solution.
1. 0 ml with water" except that the order of adding Weigh accurately 0. 100 g of polyethylene glycol
basic hydroxylamine hydrochloride solution and ( relative molecular weight 4000 or 6000) and
4 mol/L hydrochloric acid solution is reversed. dissolve in water to prepare a polyethylene glycol
Transfer accurately 1 ml of test sample solution to reference stock solution at a concentration of
a test tube. Carry out the same procedure as that 100 µg perml.
for CRS starting from " add 2 ml of freshly Prepare the reference solutions at the concentration
prepared basic hydroxylamine solution". Carry out of 10-50 µg/ ml according to the following table.
a blank control test for test sample by transferring
accurately 1 ml of test sample solution to another Polyethylene glycol(µg/ml) 10 20 30 40 50
test tube. Other procedures are the same as that Polyethylene glycol reference
for test sample solution except that the order of stock solutionfrnl)
0.2 0.4 o. 6 0.8 1. 0
adding basic hydroxylamine hydrochloride solution
1 % Protein solutionvml) o. 2 0.2 0.2 o. 2 0.2
and 4 mol/L hydrochloric acid solution is reversed.
Subtract the absorbance of corresponding blanks Water(ml) 1. 6 1. 4 1. 2 1. 0 0. 8
from that of CRS tubes respectively. A linear
regression equation is obtained by regressing the Transfer 1. 0 ml of each of the polyethylene glycol
volume of reference solutions with the corre- reference solution to a series of test tubes
sponding absorbance after blank correction. separately. To each tube, add 5. 0 ml of 0. 5 mol/L
Subtract the absorbance of test sample blank from perchloric acid and mix well. Carry out the same
that of the test sample tube and insert into the procedure as that for test sample solution starting
regression equation. Calculate the volume of test from " allowing the mixture to stand at room
sample equivalent to the . volume of reference temperature for 15 minutes".
solution (E, ml).
Result calculation
0-acetyl content of. test sample solution ( mmol/L) = A linear regression equation is obtained by
EX2.5. regressing the concentration of polyethylene glycol
The value of 2. 5 is the acetylcholine concentration reference solutions with the corresponding
of reference solution in mmol/L. absorbance. The polyethylene glycol concentration
F (µg/ml) of the test sample solution is obtained
by inserting the absorbance of the test sample
solution to the linear regression equation.
VI G Determination of Residual Polyethylene glycol concentration of test sample
Polyethylene Glycol Content (g/L)=FXGX103•
Where: F = Polyethylene glycol content of test
The method is based on the principle that sample solution, µg/ml;
polyethylene glycol reacts with barium and iodine G= Dilution factor of test sample.
ions and forms a complex. The polyethylene [Note]
glycol content is determined by spectrophoto- (1) The whole course of absorbance reading shall
A - 50 Appendix VI

be completed within 15-45 minutes after the the concentrations of polysorbate 80 tubes with the
addition of reagents, otherwise the result will be corresponding absorbance. The correlation coefficient
influenced. obtained shall be. not less than 0. 98. The polysorbate
(2) The sensitivity of this method increases along 80 content (µg/ml) of the test sample is obtained by
with the increase of relative molecular weight of inserting the absorbance of the test sample into the
polyethylene glycol. linear regression equation.
(3) The protein solution used for the preparation
of 1 % protein solution shall not contain poly-
ethylene glycol.
VI I Determination of. Residual
GlutaraldehydeContent
VI H Determination of Residual
The method is based on the principle that glutaral-
Polysorbate 80 Content dehyde reacts with 2, 4-dinitrophenylhy-drnzine to
form n-pentanal-dinitrophenylhydrazine. The glutaral-
The method is based on the principle that poly- dehyde content of test sample is determined with
ethoxylated radicals in polysorbate 80 react with high performance liquid chromatography ( Appendix
cobaltic ammonium thiocyanate to form a blue ill B).
complex, which is soluble in dichloromethane.
Parameters · for chromatography
The polysorbate 80 content is determined by
The chromatographic column of 4. 6 mm in
spectrophotometry.
diameter and 250 mm in length is filled with
Procedure octadecyl silane of silica gel ( SG120) of 5 µm
Measure accurately 1. 0 ml of test sample and put grain size. The mobile phase is 70 % acetonitrile
into a centrifugal tube. Add 5 ml of saturated solution at a flow rate of 1. 2 ml per minute.
sodium chloride ethanol solution and mix well Record the chromatogram at 360 nm for 30
Centrifuge at 3000 r/min for 10 minutes and collect minutes.
the supernatant. Wash the wall of tube carefully
Procedure
with 1. 0 ml of saturated sodium chloride ethanol
Weigh accurately a quantity of glutaraldehyde and
solution, and pool the washing and supernatant.
dissolve in water to prepare a glutaraldehyde
Centrifuge at 3000 r/min for 10 minutes again.
reference solution at a concentration of 10 µg per
Allow the supernatant to stand in 55°C water bath
ml. Measure accurately 0. 2 ml, 0. 4 ml, 0. 6 ml,
and concentrate to a volume of about 0. 1-0. 5 ml
0. 8 ml and 1. 0 ml of glutaraldehyde reference
with blowing air. Dissolve with 1 ml of water.
solution and put into test tubes separately. Make
Add accurately 2. 0 ml of dichloromethane and
up the volume of each tube to 1. 0 ml with water.
3. 0 ml of cobaltic ammonium thiocyanate solution
To each tube, add accurately 1 ml of mobile phase
(Dissolve 6. 0 g of cobaltic nitrate and 40. 0 g of
solution and 0. 1 ml of 2, 4-dinitrophenylhydrazine
ammonium thiocyanate in water and dilute to
solution ( Dissolve 2. 4 g of 2, 4-dinitrophenylhy-
200 ml). Stopper and mix well, allow to stand at
drazine in 30 % perchloric acid solution to make a
room temperature for one and a half hours. Shake
100 ml solution). Mix by a mixer immediately.
the mixture every 15 minutes. Allow the mixture
Filter with a 0. 45 µm membrane separately.
to stand for another half an hour before deter-
Centrifuge a quantity of test sample at 3000 r/min
mination. Discard the upper layer. Read the
for 10 minutes. Measure accurately 1 ml of the
absorbance of the lower layer of dichloromethane
supernatant and carry out the same procedure as
at 620 nm by ultraviolet-visible spectrophotometry
that for CRS starting from "add accurately 1 ml of
(Appendix II) using dichloromethane as a blank.
mobile phase solution". Measure accurately 10 µl
Measure accurately O µl, 10 µl, 25 µl, 50 µl,
of each of reference solutions and test sample
75 µl and 100 µl of polysorbate. 80 reference
solution, and inject into the apparatus separately.
solution (Weigh accurately 100 mg of polysorbate
Record the chromatogram.
80, calibrated accurately, and dissolve in small
A linear regression equation is obtained by
amount of water. Transfer the solution totally to a
regressing the concentration of glutaraldehyde
100 ml volumetric flask and dilute to volume with
reference solutions with the corresponding peak
water) and put into a series of centrifugal tubes
areas. The glutaraldehyde content of test sample
containing 1 ml of water separately. Mix well. To
is obtained by inserting its peak area into the
each tube, add accurately 2. 0 ml of dichloro-
equation.
methane and 3. 0 ml of cobaltic ammonium thio-
cyanate solution. Stopper and mix well. Carry [Note]
out the same procedure as that for test sample Cl) The purity of glutaraldehyde solution used for
starting from "allow to stand at room temperature the preparation of reference solution has been
for one a half hours". determined by chromatography and the amount of
A linear regression equation is obtained by regressing 0. 1 g is calculated on the base of 100% glutaral-
Appendix VI A - 51

dehyde, A regression equation is obtained by regressing the


( 2 ) The correlation coefficient of the linear tributyl phosphate concentration of reference
regression equation shall be not less than 0. 99. solutions with the corresponding peak area ratios
of tributyl phosphate reference solutions to the
internal standard. Calculate the tributyl phosphate
content (µ.g/ml) of sample solution.
VI J Determination of [Note]
Tributylphosphate Content ( 1) The evaporation speeds of test sample solution
and reference solution shall be kept in conformity
as much as possible. If emulsion fails to disappear
The residual tributyl phosphate content in test completely after centrifugation, oscillate the tube
sample is determined by gas chromatography slightly on the oscillator and centrifuge once again.
(Appendix III C). ( 2 ) The correlation coefficient of the linear
Parameters for chromatography and test for system regression equation shall be not less than O. 99.
suitability
Acid denatured polyethylene glycol ( 20M )
capillary column is used. The temperature of
column is 140°C and that of vaporizer is 190°C. VI K Determination of Sodium
Flame ionization detector ( FID) or nitrogen Caprylate Content
phosphorus detector is used at a temperature of
210°C. Flow gas is pure nitrogen at a flow rate of
60 ml per minute. Detection parameters may also The sodium caprylate content in test sample is
be chosen according to the instrument used. The determined by gas chromatography ( Appendix III
number of theoretical plates ·of column based on C).
the peak of tributyl phosphate shall be not less Parameters for chromatography and test for system
than 5000. · The separation degree between tributyl suitability
phosphate and tripropyl phosphate shall be not less Acid denatured polyethylene glycol ( 20M )
than 1. 5. The relative standard deviation (RSD) capillary column is used. The temperature of
for the peak area ratio of tributyl phosphate to column is 160°C and that of vaporizer is 230°C.
tripropyl phosphate shall be not more than 5 % in Flame ionization detector ( FID) is used at the
five successive determinations of tributyl phosphate temperature of 230°C. Flow gas is pure nitrogen
reference solution. at a flow rate of 35 ml per minute. The separation
Preparationof internal standard degree between peaks of caprylic acid and
Weigh accurately a quantity of tripropyl phosphate heptanoic acid shall be greater than 1. 5. The
and dissolve in n-hexane to prepare volumetrically tailing factor for the peak of caprylic acid shall be
a solution of 400 µ.g per ml. 0. 95-1. 20. The relative standard deviation (RSD)
for the peak area ratio of caprylic acid to heptanoic
Procedure acid shall be not greater than 5 % in five successive
Measure accurately 3 ml of test sample and put determinations of caprylic acid reference solution.
into a glass centrifugal tube with stopper. Add
accurately 50 µ.l of tripropyl phosphate internal Preparationof internal standardsolution
standard solution and 0. 75 ml of 1. 5 mol/L Dissolve heptanoic acid in trichloromethane to
perchloric acid solution. Oscillate for 1 minute and prepare a solution of 10 mg per ml.
incubate in 37°C water bath for 10 minutes. Add Procedure
4 ml of n-hexane and oscillate for 2 minutes. Dilute accurately a quantity of test sample with
Centrifuge at 2000 r/min for 20 minutes. Suck out water to a protein concentration of 40-50 g/L.
the upper n-hexane layer carefully, concentrate to Measure accurately 0. 5 ml of the diluted sample in
about O. 2 ml with blowing air ( heating is not a test tube. Add 30 µ.l of internal standard
allowed) and inject 0. 1 µ.l into the gas chromato- solution and 0. 2 ml of 1. 5 mol/L perchloric acid
graphic device. solution. Mix for 1 minute on an oscillator. Add
Weigh accurately a quantity of tributyl phosphate 4 ml of trichloromethane and lid a cover. Mix on
CRS and dissolve inn-hexane to prepare volumetri- an oscillator vigorously. for 2 minutes. Centrifuge
cally a solution of 600 µ.g per ml. To a set of glass at 3000 r/min for 20 minutes. Discard the upper
centrifugal tubes with stoppers, each containing water layer and pour the trichloromethane layer
3 ml of water, add 10 µ.l, 20 µ.l, 40 µ.l, 60 µ.land into a 10 ml test tube carefully. Evaporate out the
80 µ.l of tributyl phosphate reference solutions trichloromethane until dry. Add accurately 100 µ.l
( 600 µ.g/ml) separately. To each tube, add of trichloromethane to dissolve the residue.
accurately 50 µ.l of tripropyl phosphate internal Measure accurately 0. 1 µ.l and inject into the gas
standard solution. Carry out the same procedure chromatographic apparatus.
as that for test sample starting from "oscillate for Weigh accurately 0. 15 g of caprylic acid and
1 minute". dissolve in a small volume of trichloromethane.
A- 52 Appendix VI

Transfer totally to a 10 ml volumetric flask and Procedure


dilute to volume with trichloromethane. Measure A test sample solution is prepared by measuring
accurately 10 µl, 20 µl, 30 µl, 40 µland 50 µl of accurately 1 ml of test sample and dilute to a
caprylic acid reference solution and put into a set of formaldehyde concentration of about 0. 005 % with
test tubes separately. To each tube, add accurate- water. Transfer accurately 1 ml of the test sample
ly 30 µl of internal standard solution. Mix for 1 solution to a 50 ml test tube with stopper. Add
minute on an oscillator. Add 4 ml of trichloro- 4 ml of water, 10 ml of fuchsin-sulfurous acid
methane to each tube and evaporate the trichloro- solution and 10 ml of mixed acid solution ( Put
methane until dry. Add accurately 100 µl of 783 ml of water into a beaker. Add 42 ml of
trichloromethane to each tube to dissolve the hydrochloric acid and 175 ml of sulfuric acid slowly
residues and proceed with the same procedures as with gently stirring. Mix well). Mix well, allow
above. to stand for 3 hours at 25°C. Read the absorbance
A regression equation is obtained by regressing the at 590 nm by ultraviolet-visible spectrophotometry
concentration of caprylic acid reference solution ( Appendix II A).
with the corresponding peak area ratios of caprylic Measure accurately O ml, 0. 5 ml, 1. 0 ml, 1. 5 ml
acid CRS to the internal standard. Calculate the and 2. 0 ml of 0. 005 % formaldehyde reference
amount of caprylic acid ( A ) in test sample solution and put into a series of 50 ml test tubes
solution. The sodium caprylate content in test with stoppers separately, add water to 5 ml.
sample is calculated by the following equation. Other procedures are the same as that for test
Sodium caprylate content ( mmol/ g protein) = sample solution starting from the addition of 10 ml
AXN /144. 22XBXCX1000 of fuchsin-sulfurous acid solution.
A linear regression equation is obtained by regres-
Where: A= Amount of caprylic acid in test sample sing the concentration of formaldehyde reference
solution, µg; solutions with the corresponding absorbance. The
B=Volume of test sample solution taken, concentration of formaldehyde in test sample
i.e. 0. 5 ml; solution is obtained by inserting its absorbance to
N = Dilution factor of test sample; the regression equation. Calculate the free formal-
C= Protein content of test sample, g/ ml. dehyde content in test sample.
The value 144. 22 is the relative molecular weight
of caprylic acid. [Note]
(1) Preparation of fuchsin-sulfurous acid solution
[Note] and calibration of sulfur dioxide content
(1) 1 mmol of caprylic acid is equivalent to 1 mmol Weigh 4. 5 g of basic fuchsin and put into a 3000 ml
of sodium caprylate. conical flask. Add 1500 ml of water. Dissolve the
(2) The evaporation speed of sample solution and fuchsin completely by shaking or heating. Cool
reference solution shall be kept in conformity as far down. Add 10 g of sodium sulfite and mix well.
as possible. Allow the mixture to stand for 5-10 minutes.
( 3) The correlation coefficient of the regression Then, add 40 ml of 3 mol/L sulfuric acid solution
equation shall be not less than 0. 99. and mix well again. Stopper tightly with a rubber
stopper, allow to stand overnight. If colour
appears, add 5-10 g of bone charcoal and mix
rapidly. Filter quickly with a Buchner funnel.
VI L Determination of Free The filtrate is fuchsin-sulfurous acid solution. The
FormaldehydeContent sulfur dioxide content of this solution may be
controlled at a range of 28-48 mol/L. The excess
of sulfur dioxide may be expelled by aeration. If
The method is based on the principle that Iuchsin- the sulfur dioxide content is too low, more sulfur
sulfurous acid can react with formaldehyde and form a dioxide gas may be conducted into the solution.
violet complex. The formaldehyde content in test Determination of sulfur dioxide content
sample is determined by spectrophotometry. Measure 10 ml of fuchsin-sulfurous acid solution
Preparation of reference solution and put into a conical flask. Add 20 ml of water
Measure accurately a quantity of standardized and 5 ml of starch indicator solution. Titrate with
formaldehyde solution and put into a 500 ml 0. 1 mol/L iodine VS until light blue colour
volumetric flask. Dilute to volume with water and appears.
mix well. A formaldehyde reference stock solution Calculate the sulfur dioxide content according to
at a concentration of 0. 05 % is prepared. the following equation:
Measure accurately 10 ml of 0. 05 % formaldehyde sulfur dioxide content (mmol/L) =50XVXC
reference stock solution and put into a 100 ml
volumetric flask. Dilute to volume with water and Where: V = Volume of 0. 1 mol/L iodine VS
mix well. A formaldehyde reference solution at a consumed, ml;
concentration of 0. 005% is prepared This solution C=Concentration of iodine VS, mol/L.
shall be prepared just before use. (2) Calibration of formaldehyde solution
Appendix VI A- 53

Measure accurately about 1. 5 ml of formaldehyde, titration until the blue colour disappears. The
37 % aqueous solution and put into a conical flask. titration result is calibrated with a blank test.
Add 10 ml of water, 25 ml of hydrogen peroxide
Result calculation
solution and two drops of bromothymol blue
indicator solution. Add 1 mol/L sodium hydroxide Phenol content of test sample ( %) = (V0 - Vi) X
VS dropwise until the solution shows a blue CX15. 69Xl00/1000
colour. Then, add accurately 25 ml of 1 mol/L Where: V0 =Titer of blank test, ml;
sodium hydroxide VS. · Put a small funnel on top Vi =Titer of test sample ml;
of the conical flask. Heat the flask in a water bath C = Concentration of sodium thiosulfate
for 15 minutes, shaking constantly. Cool down. VS, mol/L.
Wash the funnel with water and let the washings The value of 15. 69 is the one sixth of the relative
flow into the conical flask. Add two drops of molecular weight of phenol.
bromothymol blue indicator solution and titrate [Note]
with 1 mol/L hydrochloric acid VS until the ( 1) Preparation and calibration of 0. 1 mol/L
solution shows a yellow colour. Calibrate the sodium thiosulfate VS
result with a blank test. One ml of 1 mol/L Dissolve 26 g of sodium thiosulfate and 0. 20 g of
sodium hydroxide VS is equivalent to 30. 03 mg of anhydrous sodium carbonate in freshly boiled and
formaldehyde. cooled water and dilute to 1000 ml. Mix well.
( 3 ) Sometimes, the colour developing times of All~w the mixture to stand for 1 month and filter.
test sample solution and reference solutions are Weigh accurately 0. 15 g of potassium dichromate
different. In such case, fuchsin-sulfurous acid primary standard, which has been dried to
solution may be added earlier for those develop constant weight at 120°C, and put into an iodine
slower as required. bottle. Add 50 ml of water and shake until the
( 4) If the test sample contains phenol red, the solid is dissolved. Add 2. 0 g of potassium iodide
standard tubes shall be calibrated correspondingly. and dissolve by shaking gently. Add 40 ml of
diluted hydrochloric acid ( 5. 7 ___. 100 ). Stopper
tightly and mix well. Allow the mixture to stand
for 10 minutes in a dark place. Add 250 ml of
VI M Determination of Phenol water and titrate with the sodium thiosulfate
Content solution until the end point is nearly reached. Add
3 ml of starch indicator solution (Suspend 0. 5 g of
soluble starch with 5 ml of water and pour slowly
The method is based on the principle that phenol into 100 ml of boiling water with constantly
combines with bromine, which is produced by the stirring. Continue the boiling for 2 minutes and
reaction of bromate and. hydrochloric acid, and cool down. Decant and collect the upper clear
forms tribromophenol. The excess bromine reacts liquid. The solution shall be prepared just before
with potassium iodide and iodine is released. The use). Continue the titration until blue colour
released iodine is then titrated with sodium disappears and a brilliant green colour appears.
thiosulfate and the phenol content of test sample Calibrate the titration result with a blank test.
can be calculated according to the sodium thio- One ml of 0. 1 mol/L sodium thiosulfate solution is
sulfate VS consumed. equivalent to 4. 903 mg of potassium dichromate.
Procedure The concentration of the volumetric solution is
Transfer accurately 1 ml of test sample to an iodine calculated according to the weight of potassium
bottle and add 50 ml of water. Add accurately 15- dichromate taken and the volume of volumetric
25 ml ( 25 ml for the test sample in which phenol solution consumed.
content is 0. 3 % - 0. 5 % and 15 ml for the test (2) Preparation of 0. 02 mol/L sodium thiosulfate
sample in which phenol content is less than O. 3 % ) vs
of 0. 02 mol/L bromine solution (Dissolve 0. 56 g Measure accurately 100 ml· of 0. 1 mol/L sodium
of potassium broma te and 3 g of potassium bromide thiosulfate titration, dilute volumetrically to
in water and dilute to 1000 ml) Then, add 10 ml 500 ml with water and 'rnix well.
of 6 mol/L hydrochloric acid solution along the (3) A limit test may be carried out.
inner wall of the bottle and stopper tightly. Mix
well, allow to stand for 30 minutes in a dark
place. Add 2 ml of 25 % potassium iodide solution
onto the neck of the iodine bottle. Open the VI N Determination of Metacresol
stopper slightly to let the solution flow into the
bottle. Stopper tightly and shake well. Wash the
Content
neck of the bottle with a small volume of water.
Titrate with o. 02 mol/L sodium thiosulfate VS The method is based on the principle that
until the end point is nearly reached. Add about metacresol reacts with 4-amino antipyrine and
0. 5 ml of starch indicator solution and continue the potassium ferricyanide under an alkaline condition
A - 54 Appendix VI

and forms a red compound. The metacresol test tube with stopper. Add 5 ml of alkaline
content in test sample is determined by spectro- pyridine ( Mix two volumes of 20 % sodium
photometry. hydroxide solution with five volumes of pyridine
and shake vigorously until the mixture becomes
Procedure
alkaline. Allow the mixture to stand statically for
A volume of test sample is diluted 50-fold
separation. Collect the supernatant. If the colour
volumetrically to prepare a test sample solution.
of pyridine is red, it shall be redistilled. This
Mix 1. 0 ml of test sample solution with 5. 0 ml of
solution shall be prepared just before use) and inix
water thoroughly. Add successively 1. 0 ml of pH
well. Heat in 80°C water bath for 8 minutes and
9. 8 buffer solution (Dissolve 6. 36 g of anhydrous
cool down in cold water. Make up the volume to
sodium carbonate and 3. 36 g of sodium bicarbonate
12 ml with water. Oscillate sufficiently, allow to
in water and dilute to 800 ml. Adjust pH to 9. 8
stand statically for separation of liquids. Discard
with 1 mol/L hydrochloric acid solution and dilute
the upper layer and measure 'the absorbance at
to 1000 ml with water), 0. 3% 4-amino antipyrine
520 nm by ultraviolet-visible spectrophotometry
solution, 1. 2% potassium ferricyanide solution
( Appendix II A).
and 1 mol/L potassium dihydrogen phosphate
Measure accurately 1 ml of trichloromethane and
solution. Mix well, allow to stand for 10 minutes
put into a 100 ml volumetric flask. Dilute to
at room temperature, protected from light. Read
volume with ethanol. Just before use, dilute the
the absorbance at 510 nm according to ultraviolet-
solution volumetrically to prepare a 0. 1 % trich-
visible spectrophotometry (Appendix II A).
loromethane reference solution with water.
Weigh accurately a quantity of metacresol and
Measure accurately 0. 1 ml, 0. 2 ml, 0. 3 ml, 0. 4
dissolve in a small volume of water. Totally
ml and 0. 5 ml of 0. 1 % trichloromethane reference
transfer to a suitable volumetric flask and dilute
solution and put into five test tubes with stoppers
with water to prepare a metacresol reference
separately. Make up the volume of each tube to
solution at a concentration of 10 µg of metacresol
0. 5 ml with water. Carry out the same procedure
per ml. Measure accurately 1. 0 ml, 2. 0 ml,
as that for test sample solution starting from the
3. 0 ml, 4. 0 ml, 5. 0 ml and 6. 0 ml of metacresol
addition of 18 ml of peroxidate-free ether.
reference solution and put into a series of test
A linear regression equation is obtained by
tubes separately. To each tube, make up the
regressing the volume of 0. 1 % trichloromethane
volume to 6. 0 ml with water. Carry out the same
reference solutions with the corresponding absor-
procedure as that for test sample solution starting
bance. The content of trichloromethane in test
from "add successively 1. 0 ml of pH 9. 8 buffer
sample is obtained by inserting the absorbance test
solution".
sample solution into the regression equation.
A regression equation is obtained by regressing the
concentration of metacresol reference solutions [Note]
with the corresponding absorbance. The meta- (1) Sodium hydroxide used for the preparation of
cresol content (mg/ml) of test sample is obtained alkaline pyridine must be free of sodium carbonate
by inserting its absorbance into the regression otherwise the solution will be turbid.
equation. (2) A limit test may be carried out.

VI O Determination of VI P Determination of Saccharides


TrichloromethaneContent and Sugar Alcohol Content in Human
Blood Products
The method is based on the principle that
trichloromethane , after extraction with ether, The contents of saccharides and sugar alcohol in
reacts with alkaline pyridine and forms a red human blood products are determined with high
compound after being warmed in water bath. The performance liquid chromatography ( Appendix ill
trichloromethane content in test sample is deter- B).
mined by spectrophotometry.
Parameters for chromatography and test for the
Procedure suitability of system
A test sample solution is obtained by measuring Cation chromatographic column ( H+ ) at a
accurately 1 ml of test sample, put into a 5 ml diameter of 7. 8 mm and a length of. 300 mm filled
volumetric flask and dilute to volume with water. with co-polymerized phenylethylene and divinyl-
Transfer accurately 0. 5 ml of the test sample benzene matrix with a grain size of 8 µm or 9 µmis
solution to a test tube with stopper and add 18 ml used. Column temperature is 50°C ( 20-30°C for
of ether, which is free of peroxidate, Shake sucrose determination) and mobile phase is 0. 004
vigorously for 3 minutes, allow to stand. Transfer mol/L sulfuric acid solution at a flow rate of
accurately 5 ml of the ether extract to a graduated 0. 8 ml per minute. The detector is a differential
Appendix VI A - 55

refractometer. may be properly adjusted according to the content


Mix 1 ml of 2 % maltose and 1 ml of 1. 5 % of saccharide or sugar alcohol in test sample.
sulfosalicylic acid. Inject 20 µl of the mixture into (2) The correlation coefficient of linear regression
the chromatographic column and record the equation shall be not less than 0. 999.
chromatogram. The separation degree between (3) The mobile phase and its flow rate, column
peaks of maltose and sulfosalicylic acid shall be temperature for cation chromatographic column
more than 1. 5 with a tailing factor of 0. 95-1. 20 ( H+ ) obtained from different suppliers may be
calculated as the peak of maltose. different. The chromatographic parameters may
Preparation of ref erence solutions be properly adjusted according to the instructions.
( 1) Maltose reference solution
Weigh accurately 1. 0 g, 2. 0 g and 3. 0 g of
maltose, previously dried to constant weight
under reduced pressure, and transfer totally to VI Q Determination of_ Polymer
three 100 ml volumetric flasks separately. Dilute Content in Human Albumin
each of them to volume with water and mix well.
(2) Glucose reference solution
Weigh accurately 0. 5 g, 1. 0 g and 1. 5 g of The polymer content in human albumin is determined
glucose, previously dried to constant weight under with molecular exclusion chromatography ( Appendix
reduced pressure, and transfer totally to three III r».
100 ml volumetric flasks separately. Dilute each of Parameters for chromatography and test for the
them to volume with water and mix well. suitability of system
(3) Sorbitol reference solution High efficiency volume exclusion chromatographic
Weigh accurately 0. 5 g, 1. 0 g and 1. 5 g of column (SEC, exclusion limit 300 kD, grain size
sorbitol, previously dried to constant weight 10 µm ) at a diameter of 7. 5 mm and a length of
under reduced pressure, and trans£er totally to 30 cm or 60 cm filled with hydrophilic silica gel is
three 100 ml volumetric flasks separately. Dilute used. The mobile phase is 0. 2 mol/L pH 7. 0
each of them to volume with water and mix well. phosphate buffer solution containing 1 % isopro-
( 4) Sucrose reference solution panol ( Mix 200 ml of 0. 5 mol/L sodium
Weigh accurately 1. 0 g, 2. 0 g and 3. 0 g of dihydrogen phosphate, 420 ml of 0. 5 mol/L
sucrose, previously dried to constant weight under disodium hydrogen phosphate and 15. 5 ml of
reduced pressure, and . transfer totally to three isopropanol with 914. 5 ml of water) at a flow rate
100 ml volumetric flasks separately. Dilute each of of 0. 6 ml per minute. The wavelength for
them to volume with water and mix well. detection is 280 nm.
Preparation of test sample solution Inject 20 µl of protein solution at a concentration of
Measure accurately 1 ml of test sample. Add 4 mg per ml into the chromatographic column and
4. 0 ml of 1. 5 % sulfosalicylic acid solution and mix record the chromatogram. The separation degree
well. Allow the mixture to stand at room between peaks of monomer and dimmer shall be
temperature for at least 2 hours. Centrifuge at more than 1. 5. The tailing factor shall be 0. 95-
3000 r/min for 10 minutes and collect the super- 1. 40 calculated as peak of protein monomer.
natant for use. Procedure
Procedure Dilute a quantity of test sample with mobile phase
Measure accurately 20 µl of reference solutions and to a protein concentration of about 4 mg per ml.
test sample solutions and inject into the liquid Inject 20 µl into the chromatographic column.
chromatographic device separately. Record the Record the chromatogram for 30 minutes ( chromato-
chromatograms. graphic column length 30 cm) or 60 minutes
Regression equations are obtained by regressing (chromatographic column length 60 cm).
the content of reference solutions ( g/L ) of Calculate the result using area regression method.
individual saccharide or sugar alcohol with the Divide the content ( %) of total exclusion peak by
corresponding peak areas. Calculate the content of 2 to obtain the polymer content of human albumin.
individual saccharide or sugar alcohol ( A) in test
sample solution. The saccharide or sugar alcohol
content of the test sample is calculated by the
following equation: VI R Determination of lgG Monomer
Saccharide or sugar alcohol content (g/L) =AX n and Dimer in Human Immunoglobulins
Where: A=Saccharide or sugar alcohol content in
test sample solution,· mg; The sum of lgG monomer and dimer in human
n =Dilution factor of test sample; immunoglobulins is determined by molecular
[Note] exclusion chromatography (Appendix Ill D).
(1) The volume of CRS and test samples loaded Parameters for chromatography and test for the
A - 56 Appendix VI

suitability of system O. 95-1. 40 calculated as peak of protein monomer.


High efficiency volume exclusion chromatographic Procedure
column (SEC, exclusion limit 300 kD, grain size Dilute a quantity of test sample with mobile phase
10 µm or 13 µm), filled with hydrophilic silica to a protein concentration of 4 mg per ml and inject
gel, at a diameter of 7. 5 mm and a length of 30 cm 20 µl into the chromatographic column. Record
or 60 cm is used. The mobile phase is 0. 2 mol/L the chromatogram for 60 minutes. Calculate the
phosphate buffer solution ( pH 7. 0 ) contai~ing result using area regression method. The content
1% isopropanol (Mix 200 ml of O. 5 mol/L sodium of monomer and dimer peaks is the sum of
dihydrogen phosphate solution, 420 ml of O. 5 mol/L monomer and dimmer representing the percentage
disodium hydrogen phosphate solution and 15. 5 ml of the total area. of the chromatogram. The
of isopropanol with 914. 5 ml of water thoroughly) boundary of peaks in the chromatogram is the
at a flow rate of 0. 6 ml per minute. The wavelength vertical line from the point at the gorge between
for detection is 280 nm. two peaks to the base line. The principal peak
Inject 20 µl of protein solution at a concentration of corresponds to lgG monomer and there is a peak
4 mg per ml into the chromatographic column and corresponding to dimer with a retention time
record the chromatogram. The separation degree relative to monomer of about 0. 85.
between peaks of monomer and dimmer shall be
more than 1. 5. The tailing factor shall be
Appendix VIl A - 5 7

Appendix W

same procedure as that for test sample starting


from the addition of sulfuric acid and read the
absorbance of each tube.
· "\I A Determination of A linear regression equation is obtained by
regressing the volume of phosphorus reference
Phosphorus Content solution with the corresponding absorbance. The
volume of test sample is obtained by inserting its
The method is based on the principle that organic absorbance into the regression equation.
phosphorus is transformed into inorganic phos- Phosphorus content of test sample ( µg/ml) =
phorus.· The phosphate radical reacts with VXCR/Vx.
ammonium molybdate in acid solution and forms
ammonium phosphomolybdate, In the presence of Where: V = Volume of phosphorus reference solution
reducing agent, phosphomolybdate is reduced to a corresponding to the absorbance of the
blue colour substance called "Molybdenum blue" test sample, ml;
( A mixture of molybdenum trioxide and molyb- CR = Concentration of phosphorus reference
denum pentoxide). The phosphorus in test sample solution, µg/ml;
is determined by spectrophotometry. Vx=Volume of test sample, ml.

Procedure [Note]
( 1) If necessary, one to two drops of 30 %
Measure accurately a quantity of test sample
hydrogen. peroxide may be added during the
(containing about 4-20, µg of phosphorus) and put
digestion with perchloric acid but hydrogen
into a test tube. Add four drops (about 0. 08 ml)
peroxide must be decomposed completely at last.
of sulfuric acid and heat until carbonization occurs.
(2) If the mixture after digestion with perchloric
Add two drops ( about 0. 06 ml ) of perchloric
acid is cooled down, it shall be heated again before
acid. Digest until the liquid becomes clear and
adding water.
colourless. Allow to stand for a while and add 2 ml of
(3) To determine the phosphorus content of group
water immediately. Add 0. 4 ml of 0. 04 mol/L
A meningococcal polysaccharide vaccine, at least
ammonium molybdate solution ( Dissolve 5 g of
three ampoules of test samples shall be recons-
ammonium molybdate in water and dilute to 100 ml
tituted and mixed for determination.
with water) and mix well. Then, add 0. 2 ml of
reducing reagent (Dissolve 6 g of sodium bisulfite,
1. 2 g of sodium sulfite and 0. 1 g of 1-amino-2-
naphthol-4-sulfonic acid in water and dilute to
50 ml. Store in a brown colour bottle and use "\I B Determination of Thimerosal
within a week) and mix well again. Dilute to 6 ml Content
with water. Allow to stand for 15-20 minutes and
read the absorbance at 820 nm by ultraviolet-
visible spectrophotometry (Appendix II A). The method is based on the principle that organic
Weigh accurately 439. 3 mg of potassium mercury compound may be digested by strong acid
dihydrogen phosphate, which has been dried to to form inorganic mercuric ion. After extraction
constant weight, and dissolve in a small volume of by carbon tetrachloride, the mercuric ion reacts
water. Transfer totally to a 100 ml volumetric with disulfurazone and forms a green compound.
flask and dilute to volume with water. Measure The thimerosal content of test sample can be
accurately 2 ml of the above phosphorus solution calculated from the disulfurazone VS consumed.
and put into a 100 ml volumetric flask. Dilute to Reagent
volume with water to prepare a phosphorus ( 1) Disulf urazone VS
reference solution at a concentration of 20 µg per Weigh accurately 50 mg of disulfurazone and
ml. dissolve in a small amount of chloroform.
Measure accurately 0. 2 ml, 0. 4 ml, 0. 6 ml, 0. 8 ml Transfer totally to a 100 ml volumetric flask and
and 1. 0 ml of phosphorus reference solution and dilute to volume with carbon tetrachloride to
put into a series of test tubes separately. Make up prepare a disulfurazone stock solution.
each volume to 1 ml with water. Carry out the Measure accurately 2. 5 ml of disulfurazone stock
A - 58 Appendix VIl

solution, put into a 100 ml volumetric flask and solution, mg/ml;


dilute to volume with carbon tetrachloride just The value of 2. 02 is a constant ( 1 g of mercury is
before use. Mix well and a disulf urazone VS is equivalent to 2. 02 g of thimerosal),
obtained. Store in a dark cold place. [Note]
(2) Mercury reference solution (1) A small amount of Ilocculus , without
Weigh accurately 0. 135 g of mercuric chloride, influence on the test result, may occur during the
which has been dried to constant weight in a titration of test sample of antitoxins or immuno-
sulfuric acid desiccator, and .dissolve in a small globulins by water bath digestion method.
volume of 0. 5 mol/L sulfuric acid solution. (2) A limit test may be carried out.
Transfer totally to a 100 ml volumetric flask and
dilute to volume with 0. 5 mol/L sulfuric acid
solution. Mix well to obtain a mercury reference
stock solution.
Upon use, measure accurately a quantity of
vi C Determination of Ammonium
mercury reference stock solution and put into a Sulfate Content
100 ml volumetric flask. Dilute to volume with
0. 5 mol/L sulfuric acid solution and mix well. The method is based on the principle that
One ml of this reference solution is equivalent to · ammonium sulfate may be decomposed by sodium
50 µ.g of Hg. hydroxide and ammonia is released. The released
Procedure ammonia is then absorbed by boric acid to form
( 1) Digestion ammonium borate, which may be titrated with
Measure accurately a quantity ( containing about acid VS. The ammonium content of test sample
50µ.g of mercury) of test sample and put into a can be calculated according to the volume of acid
150 ml round bottom flask fitted with a 40 cm long VS consumed.
reflux condenser through ground joint. Add 2 ml Preparation of test sample solution
of sulfuric acid solution and 0. 5 ml of 8. 0 mol/L The method for deproteinizationis the same as that for
nitric acid solution. Mix well and reflux on an the determination of protein content (Appendix VI B,
electric heater for 15 minutes ( or heat in 85-90°C method 1).
water bath for one hour using a 3 cm X 24 cm test
Procedure
tube with stopper). Cool down. Add 40 ml of
Measure accurately 10 ml of deproteinized filtrate
water and 5 ml of 20 % hydroxylamine hydro-
and put into a Kjeldahl distillator. Add 1 ml of
chloride. 4 % sodium hydroxide solution and a small volume
(2) Titration of water. Distill and titrate by semi-micro Kjeldahl
Wash the digested test sample into a 125 ml method (Appendix VI A). Calibrate the titration
separating funnel for several times with water at a result with a blank test.
total volume of 40 ml and titrate with disulfurazone Calculate according to the following equation:
VS. Add about 2 ml of the volumetric solution
each time at the beginning and reduce the volume Ammonium sulfate content ( %) = (V1 -V0) X C X
to 0. 5 ml gradually. At last, the volume of 14. 01X4. 715X2X100/l000
volumetric solution may be reduced to 0. 2 ml. Where: Y1 =Titer of sample, ml;
Shake for 10 seconds and discard the carbon V2 =Titer of blank control, ml;
tetrachloride after the separation of liquids by C = Concentration of sulfuric acid VS,
standing following each addition. Continue the mol/L,
titration procedure until the green colour of The value of 4. 715 is a constant (1 g of nitrogen is
disulfurazone persists, i. e. the end-point. equivalent to 4. 715 g of ammonium sulfate).
(3) Standardization of disulfurazone solution The value of 14. 01 is the relative atomic weight of
Measure accurately 1 ml of mercury reference nitrogen.
solution and put into a 125 ml separation funnel.
Add 2 ml of concentrated sulfuric acid, 80 ml of water
and 5 ml of 20% hydroxylamine hydrochloride
solution. Carry out the same procedure starting from vi D Determination of Moisture
"titratie with disulfurazoneVS''.
Calculate according to the following equation:
Content
(Karl Fischer's Method)
Thimerosal content ( % ) = V1 X 0. 050 X 2. 02 X
100/ (V2 XV3 X 1000)
A. Volumetric titration
Where: V1 =Titer of test sample, ml; This method is based on the quantitative reaction
V2 = Titer of mercury reference solution, of water with a solution of sulfur dioxide and
ml; iodine in pyridine and methanol. The apparatus
V3 =Volume of test sample, ml; used should be dry and moistureproof. The
0. 050 = Concentration of mercury reference determination of water is preferably carried out in a
Appendix VJI A - 59

low humidity environment. This method is also based on the Kar 1 Fischer
(1) Preparation of Karl Fischer reagent Place reaction and using dead-stop titration ( Appendix
110 g of iodine, previously dried in a desiccator Vll A of Volume II) to determine the content of
water. However, compared with volumetric
over sulfuric acid for more than 48 hours, in a dry
titration, iodine is not added in the form of a
stoppered conical beaker, add 160 ml of anhydrous
volumetric solution from the titration tube but is
pyridine and cool, shake to effect complete
produced in an iodide-containing solution by anodic
dissolution. Add 300 ml of anhydrous methanol
oxidation. When all the water has been consumed
and weigh the conical beaker. Keep the conical
an excess of iodine occurs, which can make the
beaker cold in an ice bath and keep the atmospheric
platinum electrodes polarize, thus indicating the
moisture excluded from the system, pass dry
endpoint. According to Faraday's law, the
sulfur dioxide into the conical beaker until the amount of iodine produced is directly proportional
increase of weight is 72 g, add anhydrous to the electric quantity passed through, so the
methanol to produce 1000 ml. Stopper tightly and total amount of water can be determined by
mix well, allow to stand for 24 hours protected measuring the total amount of electric quantity
from light. consumed. This method is predominantly used for
This reagent should be preserved in tightly closed substances with a very low water content ( 0. 1 %
containers, protected from light and stored in a to 0. 0001%). It is particularly suited to
cool and dry place, standardized before use. chemically inert substances like hydrocarbons,
(2) Standardization of Karl Fischer reagent alcohols, and ethers. All the apparatus used must
Standardize with a water determination apparatus be dry and atmospheric moisture is excluded from the
directly or place about 30 mg of redistilled water, system. Procedure should be operated in a dry place.
accurately weighed, in a dry stoppered flask, add Karl Fischer reagent Prepare or purchase the
2-5 ml of anhydrous methanol. Titrate with Karl titration reagent according to the requirements of
Fischer reagent until the colour changes from pale Karl Fischer's coulometric titrator. Calibration of
yellow to reddish brown. The end-point may also the instrument is not necessary.
be determined electrometrically by dead-stop
titration (Appendix Vll A of Volume II). Perform Procedure Moisture is eliminated from the system
a blank titration and calculate the water equivalent by preelectrolysis , transfer quickly a quantity of
of the reagent in mg of water per ml by the formula: test specimen estimated to contain 0. 5-5 mg of
water, accurately measured, into the anolyte
w solution. Perform coulometric titration to the
F=A-B
electrometric endpoint. Read the water content of
in which F is the water equivalent of the reagent, the specimen directly from the instrument's dis-
W is the weight of redistilled water in mg, A is play, and calculate the percentage of water in the
the volume, in ml, of the reagent consumed in the substance. One mg of water is equivalent to 10. 72
titration of water and B is the volume, in ml, of Coulomb of electric quantity.
the reagent consumed in the blank titration.
(3) Procedure Weigh accurately a quantity of
the substance being examined which is anticipated
to consume 1-5 ml of Karl Fischer reagent and W E Determination of Sodium
determine with a water determination apparatus Bisulfite Content
directly or place in a dry stoppered flask, add
2-5 ml of anhydrous methanol, titrate with Karl
Fischer reagent with continuous shaking or stirring The method is based on the principle that sodium
until the colour changes from pale yellow to bisulfite may react with an excess of iodine. The
reddish brown. The end-point may also be surplus iodine is then titrated with sodium
determined electrometrically by dead-stop titration thiosulfate VS. The sodium bisulfate content of
(Appendix Vll A of Volume II). Perform a blank test sample can be calculated according to the
titration and calculate the percentage of water in volume of sodium thiosulfate VS consumed.
the substance being examined by the formula: Procedure
(A-B)F XlOO Measure accurately a quantity of test sample
w (containing about 2. 5 mg of sodium bisulfite) and
put into an iodine bottle. Add accurately 20 ml of
in which A and B are the volumes in ml of the 0. 1 mol/L iodine solution ( Dissolve 36 g of
reagent consumed in the titration of water in the potassium iodide and 13. 0 g of iodine in 50 ml .of
substance being examined and in the blank titration water successively. Add three drops of hydro-
respectively; F is the water equivalent to the chloric acid and dilute to 1000 ml with water. Mix
reagent in mg per ml and W is the weight of the well and filter with sintered-glass filter), allow to
substance being examined in mg. stand for 5 minutes. Add 2. 0 ml of hydrochloric
B; Coulometric titration acid ( 5 __... 10) along the inside wall of the bottle
A - 60 Appendix VJ[

and mix well. Titrate with 0. 1 mol/L sodium be calculated according to the volume of zinc vs
thiosulfate VS until the end point is nearly consumed.
reached. Adcf 0. 5 ml of 0. 5% starch indicator
Procedure
solution and continue the titration until the
Measure accurately a quantity of test sample
disappearance of blue colour. Calibrate the
(containing about 1-10 mg of aluminium) and
titration result with a blank test.
transfer to a 250 ml conical flask. Dissolve
Calculate according the following equation:
completely by adding 1. 5 ml of phosphoric acid
Sodium bisulfite content (%) = (Vo-V1) X C X solution ( 6 - 100 ). Warm in a water bath if
5. 203 X 100/ (V2 X 1000) necessary (an additional volume of phosphoric acid
Where: V0 =Titer of blank test, ml; solution may be added to the test samples which is
V1 =Titer of test sample, ml; not easy to dissolve). Add accurately 10 ml of
V2 = Volume of test sample, ml; 0. 05 mol/L sodium ethylenediamine tetraacetate
e = Concentration of sodium thiosulfate VS. Then, add 10 ml of pH 4. 5 ammonium
VS, mol/L. acetate buffer solution ( Dissolve 7. 7 g of
ammonium acetate in 50 ml of water. Add 6 ml of
[Note] glacial acetic acid and dilute to 100 ml with water).
Preparation and titration of 0. 1 mol/L sodium Heat in boiling water bath for 10 minutes. Take
thiosulfate VS out the flask from the water bath and cool down to
Dissolve 26 g of sodium thiosulfate and 0. 20 g of room temperature. Add 1 ml of 0. 1 % dicresol
anhydrous sodium carbonate in freshly boiled and (xylenol ) orange indicator solution. Titrate with
cooled water and dilute to 1000 ml, allow to stand 0. 025 mol/L zinc VS to the end point when the
for one month and filter. colour of solution changes from brilliant yellow to
Weigh accurately 0. 15 g of potassium dichromate orange. Calibrate the titration result with a blank
primary standard, which has been dried to test.
constant weight, and put into an iodine bottle Calculate according to the following equation:
containing 50 ml of water for dissolution. Add
2. 0 g of potassium iodide and dissolve by shaking Aluminium hydroxide content (mg/ml)=
gently. Add 40 ml of diluted hydrochloride acid (Vo-V1) X ex 78. oi.v,
( 5. 7 - 100). Stopper the bottle tightly and mix Aluminium phosphate content (rng/rnl) =
well. Allow the mixture to stand in a dark place (Vo-V1) X ex 121.95/Vz
for 10 minutes. Add 250 ml of water and titrate Aluminium content (mg/ml)= (V0-V1) X
with the sodium thiosulfate solution until the end eX26. 98/Vz
point is nearly reached. Add 3 ml of starch Where: V0 =Titer of blank test, ml;
indicator solution (Suspend 0. 5 g of soluble starch V1 =Titer of test sample, ml;
in 5 ml of water and pour slowly into 100 ml of e=Concentration of zinc VS, mol/L;
boiling water with constantly stirring. Continue V2 =Volume of test sample, ml;
the boiling for 2 minutes and cool down. Decant The values of 78. 01, 121. 95 and 26. 98 are the
and collect the upper clear liquid. The solution relative molecular (atomic) weights of aluminium
shall be prepared just before use) and continue the hydroxide, aluminium phosphate and aluminium
titration until the blue colour disappears and a respectively.
brilliant green colour appears. Calibrate the [Note]
titration result with a blank test. One ml of (1) Preparation and titration of 0. 05 mol/L zinc
sodium thiosulfate VS is equivalent to 4. 903 g of vs
potassium dichromate. Calculate the concentration Weigh 15 g of zinc sulfate ( equivalent to about
of sodium thiosulfate VS according to the weight of 3. 3 g of zinc) and mix with 10 ml of diluted
potassium dichromate taken and the volume of the hydrochloric acid ( 23. 4 - 100 ). Dissolve in a
sodium thiosulfate solution consumed. quantity of water and dilute to 1000 ml with
water. Mix well. Measure accurately 25 ml of the
solution. Add one drop of 0. 025 % methyl red
ethanol solution. Add ammonia test solution.
W F Determination of Aluminium dropwise until the solution becomes slightly
yellow. Add 25 ml of water, 10 ml of ammonia-
Hydroxide ( or Aluminium ammonium chloride buffer solution ( pH 10. 0)
Phosphate) Content and a small amount of eriochrome black T indicator
solution. Titrate with 0. 05 mol/L sodium
The method is based on the principle that ethylenediamine tetraacetate VS until the colour
aluminium ion reacts with an excess of sodium changes from purple to pure blue. Calibrate the
ethylenediamine tetraacetate and the surplus titration result with a blank test. The concen-
sodium ethylenediamine tetraacetate is titrated tration of the zinc solution is calculated according
with zinc VS. The aluminium hydroxide ( or to the volume of 0. 05 mol/L sodium ethylene-
aluminium phosphate) content in test sample can diamine tetraacetate VS consumed.
Appendix VJI A - 61

(2) Preparation of 0. 025 mol/L zinc VS Sodium chloride content (g/L) =


Measure accurately 100 ml of 0. 05 mol/L zinc VS (Vo-Vx) XCX 58. 45
and dilute volumetrically to 200 ml with water. Where: V0 =Titer of blank test, ml;
(3) Preparation and titration of 0. 05 mol/L Vx=Titer of test sample, ml;
sodium ethylenediamine tetraacetate VS C= Concentration of ammonium thiocyanate
Dissolve 19 g of sodium ethylenediaminetetraacetate in VS, mol/L;
water and dilute to 1000 rnl.. .Mix well. Weigh The value of 58. 45 is the relative molecular weight
accurately 0. 12 g of zinc oxide primary standard, of sodium· chloride.
which has been ignited to constant weight at about
800°C. Add 3 ml of diluted hydrochloric acid [Note]
( 23. 4 - 100 ) to dissolve the zinc oxide. Add Cl) Preparation and titration of 0. 1 mol/L
25 ml of water and one drop of O. 025 % methyl red ammonium thiocyanate VS
ethanol solution. Add ammonia test solution Dissolve 8. 0 g of ammonium thiocyanate in water
dropwise until the colour of solution becomes and dilute to 1000 ml. Mix well. Measure
slightly yellow. Add 25 ml of water, 10 ml of accurately 25 ml of 0. 1 mol/L silver nitrate VS.
ammonia-ammonium chloride ( pH 10. 0) buffer Add 50 ml of water, 2 ml of nitric acid and 2 ml of
solution and a small amount of eriochrome black T 8% ammonium ferric sulfate indicator solution.
indicator solution. Titrate with 0. 05 mol/L Titrate· with the ammonium thiocyanate. solution
sodium ethylenediamine tetraacetate VS until the until the colour of solution becomes faint brownish
colour of the solution changes from purple to pure red. The end point is reached when the colour persists
blue. Calibrate the titration result with a blank test. after shaking vigorously. The concentration of the
One ml of 0. 05 mol/L sodium ethylenediamine ammonium thiocyanate VS is calculated according to
tetraacetate VS. is equivalent to 4. 069 mg of zinc the volume of the volumetric solution consumed.
oxide. Calculate the concentration of the (2) Preparation of 0. 05 mol/L ammonium
volumetric solution according to the weight of zinc thiocyanate VS
oxide taken and the volume of the volumetric Measure accurately 100 ml of 0. 1 mol/L ammonium
solution consumed. thiocyanate VS and dilute volumetrically to 200 ml
with water. Mix well.

-W G Determination of Sodium
Chloride Content -W H Determination of Citrate
Content
The method -is based on the principle that sodium
chloride reacts with an excess of silver nitrate after Method 1 Colorimetric method
the proteins in test sample are destroyed by nitric Preparationof sodium citrate reference solution
acid. Chloride ion reacts completely with silver
nitrate and is precipitated out as sliver chloride. Weigh accurately 0. 6 g of sodium citrate
The surplus silver nitrate is then titrated with (C6H5Na307 • 2H20), which has been dried to
ammonium thiocyanate VS. The sodium chloride constant weight under reduced pressure, and
content can be calculated according to the volume dissolve in a small volume of water. Transfer
of ammonium thiocyanate VS consumed. totally to a 100 ml volumetric flask and dilute to
volume with water. Mix well. Measure accurately
Procedure 5 ml of the solution and put into a 50 ml volumetric
Measure accurately 1 ml of test sample and add flask. Dilute to volume with 5 % trichloroacetic
accurately 5 ml of 0. 1 mol/L silver nitrate solution acid and mix well.
( Dissolve 17. 0 g of silver nitrate in water and
dilute to 1000 ml) and mix well. If the protein Preparationof test sample solution
content of test sample is high, add 2 ml of Measure accurately 0. 5 ml of test sample. Add
saturated potassium permanganate solution. Mix 4. 5 ml of water and 5 ml of 10% trichloroacetic
well and add 10 ml of 8. 0 mol/L nitric acid acid. Mix well and heat in 60°C water bath for 5
solution. Digest by heating until. the solution minutes. Centrifuge at 4000 r/min for 20 minutes
becomes clear. Cool down. Add 50 ml of water and collect the supernatant for use.
and 1 ml of 8 % ferric ammonium sulfate indicator Procedure
solution. Titrate with 0. 05 mol/L ammonium Measure accurately 1 ml of the test sample solution
thiocyanate VS until a faint brownish red colour and put into a 25 ml glass test tube with glass
appears. The end , point is reached whenever the stopper. Add accurately 1. 3 ml of pyridine and
colour persists after shaking. Calibrate the mix well. Then, add accurately 5. 7 ml of acetic
titration result with a blank test (digestion may be anhydride. Mix well immediately and put the tube
omitted). into 31°C + 1 °C water bath for 35 minutes. Read
Calculate according to the following equation: the absorbance at 425 nm by ultraviolet-visible
A - 62 Appendix VII

spectrophotometry (Appendix II A). result by the dilution factor (2) of test sample.
Measure accurately 0. 25 ml, 0. 5 ml, 0. 75 ml and [Note]
1. 00 ml of sodium citrate reference solution and (1) The concentration of citrate reference solutions
put separately into a series of 25 ml glass test may be adjusted according to the citrate
tubes with stoppers. Add accurately 0. 75 ml, concentration of test sample.
0. 50 ml, 0. 25 ml and 0. 00 ml of 5 % trichlo- (2) The correlation coefficient of the linear
roacetic acid respectively -( The corresponding regression shall be not less than 0. 999.
citrate concentrations of these mixtures are 0. 5 (3) The mobile phase and its flow rate, column
mmol/L, 1. 0 mmol/L, 1. 5 mmol/L and 2. 0 temperature for cation chromatographic column
mmol/L respectively). The same procedures as ( H+ ) of different producers may be different.
mentioned above are carried out starting from "add The operation parameters can be properly adjusted
accurately 1. 3 ml of pyridine". according to the instructions.
A linear regression equation is obtained by
regressing the concentration of citrate reference
solution with the corresponding absorbance.
Calculate the citrate concentration of the test
sample solution and multiply the result by dilution W I Determination of Potassium
factor ( 20), and the concentration of the test Content
sample in mmol/L is obtained.
Method 2 HPLC method The potassium content in test sample is determined
The citric content is determined with high with flame photometry.
performance liquid chromatography ( Appendix
Procedure
ill B). Measure accurately 2 ml of test sample and put
Parametersof chromatography into a 50 ml volumetric flask. Dilute to volume
Ion exchange chromatograph column ( H+) at an with water to prepare a test sample solution. Read
inner diameter of 7. 8 mm and a length of 300 mm the intensity of the light emitted from test sample
is used. The column is packed with a co-polymer solution at 769 nm by flame photometry
of styrene and divinylbenzene at a grain size of (Appendix II D). Weigh accurately 56. 0 mg of
9 µm or 8 µm. The column temperature is 50°C. potassium chloride, which has been dried to
The mobile phase is 0. 004 mol/L sulfuric acid at a constant weight at l l0°C, and dissolve with a
flow rate of 0. 8 ml per minute and the detector is quantity of water. Transfer totally to a 500 ml
differential refractometer. volumetric flask and dilute to volume with water.
Measure accurately 1. 0 ml, 2. 0 ml, 3. 0 ml,
Procedure
4. 0 ml and 5. 0 ml of the above solution and put
Weigh accurately 0. 735 g of sodium citrate
into a series of 50 ml volumetric flasks separately.
( CG 85 Na301 • 2H2 0) , which has been dried to
Dilute to volume with water to prepare a series of
constant weight under reduced pressure, and
potassium reference solutions at concentrations of
dissolve in a small volume of water. Transfer
totally to a 100 ml volumetric flask and dilute to
0. 03 mmol/L, O. 06 mmol/L, 0. 09 mmol/L,
0. 12 mmol/L and 0. 15 mmol/L respectively.
volume with water. Measure accurately 5. 0 ml,
Carry out the test with the same procedures as that
10. 0 ml and 15. 0 ml of the sodium citrate solution
for test sample solution.
and transfer to three 25 ml volumetric flasks
A linear regression equation is obtained by
separately. Dilute to volume with water to prepare
regressing the concentration of potassium reference
three citrate reference solutions at the concentrations
solutions with the "corresponding intensity of
of 5. 0 mmol/L, 10. 0 mmol/L and 15. 0 mmol/L
emitted light. The potassium concentration of test
respectively. Measure accurately 20 µl of each of
sample solution in mmol/L is obtained by inserting
the three tubes of reference solution and inject into
its intensity of emitted light into the linear
the chromatographic column respectively. Record
regression equation. Calculate the potassium
the chromatograms.
content of test sample by multiplying the res~lt
Mea~ure accurately 1 ml of test sample solution and
with the dilution factor (25) of test sample.
put into a 15 ml centrifugaltube. Add accurately 1 ml
of 1. 5 % sulfosalicylic acid solution and mix well.
Centrifuge at 2000 r/min for 10 minutes at room
temperature. Determine the supernatant by the
same method as above. W J Determination of Sodium
A linear equation is obtained by regressing the Content
concentration of citrate reference solutions with the
corresponding peak areas. Calculate the sodium
citrate concentration (mmol/L) of the test sample The sodium content in test sample rs determined
solution. The citrate concentration (mmol/L) of with flame photometry.
the test sample is obtained by multiplying the Procedure
Appendix VII A - 63

Measure accurately 0. 5 ml of test sample and put Where: B=Reading of blank control solution;
into a 50 ml volumetric flask. Dilute to volume 50 = Reading of test sample solution;
with water to prepare a test sample solution. Read S = Reading of mixed solution of
the intensity of light emitted from test sample aluminium CRS and test sample.
solution at 589 nm by flame photometry The value of 20 is the concentration of aluminium
(Appendix II D). Weigh accurately 0. 293 mg of in mixed solution of aluminium CRS and test
sodium chloride, which has been dried to constant sample, µg/L;
weight at l l0°C, and dissolve in a small volume of The value of 12. 5 rs the dilution factor of test
water. Transfer totally into a 100 ml volumetric sample.
flask and dilute to volume with water. Measure Table 1 Preparation of blank control solution,
accurately 0. 9 ml, -L 1 ml, 1. 3 ml, 1. 5 ml and test sample solution and mixed aluminium
1. 7 ml of the above solution and put into a series reference and test sample solution
of 50 ml volumetric flasks separately. Dilute to Blank control Test sample Aluminium CRS
volume with water to prepare a series of sodium Solution
(ml) (ml) plus test sample(ml)
reference solutions at concentrationsof 0. 9 mmol/L,
Test sample 0. 2 0.2
1. 1 mmol/L, 1. 3 mmol/L, 1. 5 mmol/L and
1. 7 mmol/L respectively. Carry out the test with the Aluminium CRS
0.5
same procedure as that for test sample solution. (100 ng/rnl)
A linear regression equation is obtained by 0. 15 rrol/L HNQ 2.5 2. 3 1. 8
regressing the concentration of sodium reference
solutions with the corresponding intensity of Table 2 Temperature-controlling Program for
emitted light. The sodium concentration of the Graphite Furnace
test sample solution in mmol/L is obtained by Time( second) for
Program Procedure Temperature(°C)
inserting its intensity of emitted light into the Climbing+ Duration
linear regression equation. Calculate the sodium 1 Pre-heating 80 0+10
content of the test sample by multiplying the result
2 Drying 220 120+5
by the dilution factor (100) of test sample.
3 Incinerating 1200 10+20
4 Atomizing 2600 o+5
5 Clearance 2650 o+5
W K Determination of Residual
Aluminium Content in Human [Note]
(1) The amounts of test sample and aluminium
Albumin CRS taken may be adjusted according to the
function of instrument used in order to make all
The residual aluminium content in human albumin the readings fall into the accurate range.
is determined with atomic absorption spectrop- (2) The temperature-controlling program for
hotometry. furnace given in Table 2 may be properly adjusted
Procedure according to the function of instrument used.
Prepare blank control solution, test sample ( 3) The use of glass containers shall be avoided as
solution, and mixed solution of aluminium CRS much as possible.
plus test sample according to the requirements in
Table 1. The test sample· and · 100 ng/ml
aluminium reference solution (Measure accurately
0. 1 ml of 100 p.g/ml aluminium reference solution W L Determination of Loss on Drying
and put into a 100 ml volumetric flask and dilute to
volume with 0. 15 mol/L nitric acid) shall be
measured accurately. Carry out the determination Mix the substance being examined thoroughly, if
by atomic absorption spectrophotometry ( Appendix it is in the form of large crystals, reduce them to a
II A) at 309. 3 nm using aluminium lamp with a size of about 2 mm by crushing. Place about 1 g or
slit of 0. 7 nm. The temperature controlling the amount specified under individual monographs
program for the drying, incinerating and atomizing of the substance being examined in a tared,
of graphite furnace is listed in Table 2. Measure shallow weighing bottle, previously dried to
accurately 30 p.l each of blank control solution, constant weight at 105°C, unless otherwise
test sample solution and mixed solution of directed.
aluminium CRS and test sample, and inject into The substance being examined should be evenly
the instrument separately. Record the readings distributed to form a layer of not more than 5 mm
in thickness, or not more than 10 mm in the case
and calculate by the following equation:
of bulky material. When the loaded bottle is
Aluminium content of test sample (p.g / L) placed in the drying chamber of desiccator, remove
20X(S0-B)X12. 5/(S-50) the stopper and put it beside the bottle, or leave it
A - 64 Appendix VlI

on the bottle in half open positron, Upon the liquid components of test sample at a certain
opening of the drying chamber or desiccator, the temperature. The content of total solid is
bottle should be closed promptly. If the substance calculated from the residual solid.
is dried by heating, allow it to cool to room Procedure
temperature in a desiccator before weighing.
If the substance melts at a lower temperature than Method 1 Drying at 105"C
the specified drying temperature, maintain the Measure accurately a quantity of test sample and
bottle with its content below the melting put into a suitable weighing bottle, which has
temperature until most of the water is removed, been dried to constant weight. Dry to constant
then dry it under the specified conditions. weight in an oven at temperature 105°C.
If a vacuum desiccator or constant temperature Method 2 Drying at SO°C
vacuum desiccator is to be used, a pressure of Measure accurately a quantity of test sample and
2. 67 kPa ( 20 mmHg) or less should be main- put into a suitable weighing bottle, which has
tained unless otherwise directed. The desiccants been dried to constant weight. Dry to constant
used in a desiccator are usually anhydrous calcium weight in an oven at temperature 50°C.
chloride, silica gel or phosphorus pentoxide. Calculate according to the following equation:
Phosphorus pentoxide is often used in a constant
temperature vacuum desiccator at 60°C, unless Total solid of test sample,% (g/rnl) =WX 100 /V
otherwise specified. The desiccants should be kept Where: W = Constant weight of test sample after
fully effective. drying, g;
Vr=Volurne of test sample, ml.

"\I M Determination of Total Solid

The method is based on the evaporation of the


Appendix Vlll A - 65

Appendix ""\I

immerse into blocking solution ( TTBS buffer


solution containing 10 % calf serum or other
suitable blocking solutions) to block for 60
VJI[ A Immunoblot minutes. Discard the blocking solution. Add
10 ml of TTBS buffer solution, and then add a
quantity of antibody ( diluted following the
The antigenic specificity of test sample is detected instructions) against test sample, allow to stand
by the colour developed through enzymological overnight at room temperature with shaking.
reaction after the test sample is bound to a specific Rinse the nitro cellulose membrane once with
antibody, which is further combined with an TTBS buffer solution, and then wash 3 times each
enzyme-labelled antibody. by immersing with the buffer solution for 8
minutes. Discard the buffer. solution, add another
Reagent
10 ml of TTBS buffer solution, then add a
( 1) TG buffer solution: Dissolve 15. 12 g of
quantity of the biotin-labelled secondary antibody,
trishydroxy-methylaminomethane ( THAM ) and
allow to stand at room temperature for 40 minutes
72 g of glycine in water and dilute to 500 ml.
with shaking. Rinse the nitro cellulose membrane
Store at 4°C.
once with TTBS buffer solution and wash 3 times
( 2) EBM buffer solution: Dilute 20 ml of TG
each by immersing with the buffer solution for 8
buffer solution and 40 ml of methanol to 200 ml
minutes. Discard the buffer solution, add another
with water. Store at 4°C.
10 ml of TTBS buffer solution, then add a
( 3) TTBS buffer solution: Dissolve 6. 05 g of
quantity of avidin solution and biotin-labelled
THAM and 4. 5 g of sodium chloride in a quantity
horseradish peroxidase solution, allow to stand at
of water. Add 0. 55 ml of polysorbate 80. Adjust
room temperature for 60 minutes with shaking.
pH to 7. 5 with hydrochloric acid and dilute to
Rinse the cellulose nitrate membrane once with
500 ml with water. Store at 4 °C.
TTBS buffer solution and wash 4 times each by
(4) Substrate buffer solution: Dissolve 15 mg of
immersing with the buffer solution for 8 minutes.
3, 31-diaminobenzidine hydrochloride in 25 ml of
Discard the buffer solution, add a quantity of
TTBS buffer solution. Add 5 ml of methanol and
substrate buffer solution, allow to stand at room
15 µl of 30 % hydrogen peroxide solution. Prepare
temperature for colour development, protected
just before use.
from light. When a suitable colour appears, stop
Procedure the reaction by washing with water.
Comply with the requirements for SDS-PAGE
Result evaluation
( Appendix N C ). Both the amounts of test
The result is judged as positive if obvious colour
sample and reference substance loaded shall be
bands appear. If no colour appears, the result is ·
more than 100 ng. Take out the gel and cut off its
judged as negative.
edge. Immerse the gel into EBM buffer solution
for 30 minutes. Immerse six pieces of thick filter
paper and one piece of nitro cellulose membrane
with EBM buffer solution sufficiently. Both the
filter paper and nitro cellulose membrane are the VJI[ B Immunodot
same size of the gel. Transfer the test sample onto
the nitro cellulose membrane using semi-dry gel
The antigenic specificity of test sample is detected
transfer apparatus according to the following
by the colour developed through enzymological
procedures: Put three pieces of wet filter paper,
reaction after the test sample is bound to a specific
nitro cellulose membrane, electrophoresis gel and
antibody, which is further combined with an
the other three pieces of wet filter paper in turn
enzyme-labelled anti body.
onto an electrode plate. Cover with another
electrode plate and transfer the test sample for 45 Reagent
minutes at a constant current of 0. 8 mA per cm2 of (1) TG buffer solution: Weigh accurately 15. 12 g
nitro cellulose membrane. of trishydroxymethylaminomethane · (THAM) and
Take the nitro cellulose membrane out and 72 g of gylcine , dissolve in water and dilute to
A - 66 Appendix Vffl

500 ml. Store at 4 °C.


(2) EBM buffer solution: Dilute 20 ml of TG
buffer solution and 40 ml of methanol to 200 ml
with water. Store at 4°C. W C Double lmmunodiffusion
( 3) TTBS buffer solution: Dissolve 6. 05 g of
THAM and 4. 5 g of sodium chloride in a quantity
of water. Add 0. 55 ml of polysorbate 80. Adjust The specificity of test sample is examined by the
pH to 7. 5 with hydrochloric acid and dilute to formation of precipitation lines between antigen
500 ml with water. Store at 4°C. and antibody on agarose plate. Antigen and
(4) Substrate buffer solution: Dissolve 15 mg of antibody are added to neighboring wells dug on
3, 3 '-diaminobenzidine hydrochloride in 25 ml of agarose plate respectively. Precipitation lines of
TTBS buffer solution. Add 5 ml of methanol and immunocomplex are formed in a certain length of
15 µ1 of 30% hydrogen peroxide solution. Prepare time when the antibody is specific to the antigen,
just before use. and they are at proper concentrations and with a
Procedure proper ratio.
Immerse a piece of nitro cellulose membrane in Preparationof test sample solution
EBM buffer solution for 15 minutes. Load test Dilute test sample with physiological saline to a
sample, negative control ( an equal volume of suitable protein concentration.
human albumin may be used) and reference
Reagent
substance onto the membrane by dotting. The
(1) 0. 5% amino black staining solution: Dissolve
amount of each sample or control loaded shall be
0. 5 g of amino black lOB in a mixture of 50 ml of
more than 10 ng. Dry the nitro cellulose
methanol, 10 ml of glacial acetic acid and 40 ml of
membrane at room temperature for 60 minutes and
water.
immerse in blocking solution ( TTBS buffer
( 2) Destaining solution: Mix 45 ml of ethanol,
solution containing 10 % calf serum or other
5 ml of glacial acetic acid and 50 ml of water.
suitable blocking solutions ) to block for 60
minutes. Discard the blocking solution. Add Procedure
10 ml of TTBS buffer solution, then add a Pour the completely swollen 1. 5 % agarose
quantity of antibody ( diluted following the solution onto a level glass plate ( 0. 19 ml of
instructions) against test sample, allow to stand agarose per cm2 ) • After the agarose is coagulated,
overnight at room temperature with shaking. dig several wells each at a diameter of 3 mm in a
Rinse the nitro cellulose membrane once with square array. The distance between neighboring
TTBS buffer solution and wash 3 times each by wells is 3 mm ( see the following figure). The
immersing with the buffer solution for 8 minutes. number of square array is determined according to
Discard the buffer solution, add another 10 ml of the actual need. Add antibody into the central well
TTBS buffer solution, then add a quantity of the and the test sample solutions into the surrounding
biotin-labelled secondary antibody, allow to stand wells, except one well is reserved for the
at room temperature for 40 minutes with shaking. corresponding reference serum. The volume of
Rinse the nitro cellulose membrane once with test sample or control added into each well is
TTBS buffer solution and wash 3 times each by 20 µl. Put the agarose plate into a level wet box at
immersing with the buffer solution for 8 minutes. 37°C and diffuse for 24 hours. Immerse the
Discard the buffer solution, add another 10 ml of agarose plate sufficiently with physiological saline
TTBS buffer solution, then .add a quantity of to remove the unbound protein. Stain the plate in
avidin solution and biotin-labelled horseradish 0. 5 % amino black solution, then decolourize with
peroxidase solution, allow to stand. at room destaining solution until the background is
temperature for 60 minutes with shaking. Rinse colourless and clear blue precipitation lines appear.
the nitro cellulose membrane once with TTBS buffer Preserve by a suitable method or copy the profile.
solution and wash 4 times each by immersing with
the buffer solution for 8 minutes. Discard the buffer
solution, add a quantity of substrate buffer
0
solution, allow to stand at room temperature for
colour development, protected from light. When a 000
suitable colour appears, stop the reaction by
washing with water. 0
Result evaluation Fig. Square array
The result is judged as positive if obvious colour
bands appear. If no colour appears, the result is Result evaluation
judged as negative. The test is valid if the reference substance forms a
corresponding precipitation line. If a precipitation
line forms between the test sample and antibody
wells, the test sample is judged as corresponding
Appendix VIIl A - 67

to the antibody. until the trough is full. Put the plate in a wet box
for diffusion at 37°C for 24 hours. After diffusion
immerse the plate into physiological saline to
remove the unbound protein. Stain the plate with
W D Immunoelectrophoresis 0. 5 % amino black stammg solution and
decolourize with the destaining solution until the
background is basically colourless. Preserve by a
The test sample is separated into antigen bands suitable method or copy the profile. Compared
through electrophoresis and subject to double with that of control, the main precipitation line of
immunodiffusionwith the corresponding antibodies. test sample shall be the protein to be tested.
When the ratio of antigens to antibodies is appro- Precaution
priate, visible precipitation arcs are formed. The ( 1) Cooling system shall be used during electro-
components and properties of test sample are phoresis, otherwise the agarose may be cracked
analyzed by comparing the sites and shapes of the due to drying.
precipitation arcs with those formed by standard (2) The plate shall be immersed sufficiently with
antigens and antibodies. physiological saline, otherwise the background is
Reagent unclear.
( 1) Barbital buffer solution ( pH8. 6): Dissolve
4. 14 g of barbital and 23. 18 g of barbital sodium in
a quantity of water by heating. Cool down to room
temperature. Add 0. 15 g of sodium azide and W E Peptide Mapping
dilute with water to make 1500 ml.
(2) 0. 5 % amino black staining solution: Dissolve
0. 5 g of amino black lOB in a mixture of 50 ml of The integrity and accuracy of protein primary
methanol, 10 ml of glacial acetic acid and 40 ml of structure is characterized by suitable analytical
water. methods after the protein has been cleaved by
(3) 1. 5% agarose solution: To 1. 5 g of agarose , protease or chemical substance.
add 50 ml of water and 50 ml of barbital buffer Method 1 Trypsin Cleavage-Reverse Phase
solution. Heat to swell completely.
HPLC Method
( 4) Destaining solution: Mix 45 ml of ethanol and
High performance liquid chromatography ( Appendix
5 ml of glacial acetic acid with 50 ml of water.
ill B) is applied for the characterization.
( 5) Bromphenol blue indicator solution: Dissolve
50 mg of bromphenol blue in water to make Parametersfor chromatography
100 ml. The column filled with octylsilane or octadecyl
silane groups chemically bonded to porous silica
Reference substance
particles for protein or peptide analysis is used.
Normal human serum or other suitable reference
The column temperature is 30°C + 5°C and the test
substances. sample is preserved at 4°C + 0. 5°C. The solution A
Preparationof test sample solution of mobile phase is 0. 1 % trifluoroacetic acid in water
Dilute the test sample with physiological saline to a and solution B of mobile phase is 0. 1 % trifluoroacetic
protein concentration of 0. 5 % . acid in acetonitrile. Elute with a gradient ( solution A
Procedure from 100% to 30% and solution B from 0% to 70%)
Pour 1. 5 % agarose solution onto a level glass plate for 70 minutes at a flow rate of 1 ml per minute and
to yield a layer of about 3 mm thick. Coagulate the detect at 214 nm.
agarose on standing to form an even thin layer Procedure
without bubble. Dig two wells, each at a Dialyze the test sample and reference solutions,
diameter of 3 mm and 10-15 mm apart, at the site each at a concentration of 1 mg per ml, sufficiently
about one-third of the full length apart from the against 1 % ammonium bicarbonate solution. If the
negative pole of the plate. Add 10 µl of test concentration of the test sample and reference
sample and one drop of bromphenol blue indicator substance is too low, they shall be concentrated
solution into the test well, and 10 µl of normal separately to the corresponding concentration.
human serum and one drop of bromphenol blue Add trypsin solution ( Dissolve a quantity of
indicator solution into the control well. Connect trypsin, pretreated with L-1-4 '-tosylamino-2-
barbital buffer solution ( electrophoresis buffer phenylethyl chloromethyl ketone or of pure grade
solution) to the plate by using three layers of filter for sequencing, in 1 % ammonium bicarbonate
paper. Perform electrophoresis at a constant solution to prepare a solution containing 0. 1 mg
voltage of 100 V for about 2 hours ( until the per ml ) to test sample solution and reference
indicator is migrated to the front edge). Dig a solution separately at a ratio of 1 : 50 ( mg/mg)
trough at a width of 3 mm between the two wells. and incubate at 37°C for 24 hours. Add 50% acetic
Each end of the trough is 3-5 mm apart from the acid solution at a ratio of 1 : 10. Centrifugeat 10000 r/
edge of the plate. Add antiserum into the trough min for 5 minutes (or filter with a 0. 45 µm membrane)
A - 68 Appendix VIIl

and collect the supernatant. Measure accurately Preparationof test sample solution
100 µl of the supernatant ( or filtrate) and inject To 0. 1 ml of the test sample at a certain protein
into the HPLC apparatus separately. Elute with a concentration, add 0. 1 ml of sample binding
gradient and record the chromatogram. Compare solution. Heat in l00°C water bath for 2 minutes
the chromatograms of test sample solution with or in 37°C water bath for 2 hours and then cool
those of reference solution. down.
Method 2 Cyanogen Bromide Cleavage Method Procedure
Add one to two drops of N, N, N', N'-
Procedure
tetramethylethyl-enediamine (TEMED) to the gel
Dialyze a quantity of test sample and reference
solution [ prepared by mixing phosphate buffer
solutions, equivalent to 50 µg of protein, against
solution, acrylamide solution, water and 1. 5%
water for 16 hours and lyophilize. Dissolve with
ammonium persulfate solution at a volume ratio of
20 µl of cyanogen bromide cleavage solution
2 : 1 : 0. 8 : 0. 25]. Mix well and add to the slit
[Dissolve 0. 3 g of cyanogens bromide in 1 ml of
between the two glass plates of electrophoresis
formic acid ( 7 0 - 100) J , allow to stand at room
trough. Care shall be taken to avoid the formation
temperature for 24 hours. Add 180 µl of water .to
of air bubbles. Add a treated test sample
the lysate and lyophilize again. Reconstitute the
containing 25 µg of protein to each test sample well
freeze-dried lysate with water to an appropriate
and then perform electrophoresis. A constant
concentration and perform SDS-PAGE ( Appendix
current of 2-3 mA shall be applied to each well.
NC) (Gel concentration is 20%). Silver staining
Electrophoresis shall be stopped when bromo-
is applied.
phenol blue reaches to the bottom.
Compare the chromatograms of test sample with
After electrophoresis, put the gel plate in fixing
those of reference.
solution overnight. Stain the gel in the staining
solution for 1-2 hours and decolourize in the
destaining solution until the background is
colourless. Scan the gel plate at 575 nm by using a
"ffl F Determination of F (ab)2 scanner to obtain ( or calculate) the F ( ab )2
Content in Antitoxin content of the test sample.

The content of components in test sample is


determined quantitatively using thin layer scanning
according to the principle of electrophoresis. "ffl G Determination of Molecular Size
Reagent
for Group A Meningococcal
(1) Acrylamide solution: Dissolve 14 g of acry- Polysaccharide
lamide and 0. 367 g of bis-acrylamide in water to
make 50 ml. Method 1 Phosphorus Determination Method
(2) Phosphate buffer solution: Dissolve 17. 8 g of ( arbitrarymethod)
sodium dihydrogen phosphate (NaH2P04 • 2H20), The method is used for the determination of
103 g of disodium hydrogen phosphate (Na2 HP04 • distribution coefficient (Kn) of bacterial capsular
12H2 0) and 4 g of sodium dodecyl sulfate in water polysaccharide on chromatographic column and the
· to make 2000 ml. recovery of polysaccharide before the specified Kn
(3) 10% sodium dodecyl sulfate (SDS) solution value is reached.
(4) Sample binding solution: Dilute 4 ml of 10%
SDS, 0. 2 ml of phosphate buffer solution and Reagent
10 ml of glycerol to 20 ml with water. (1) Mobile phase
(5) Electrode buffer solution: Dilute the above- Dissolve 11..7 g of sodium chloride and 0. 1 g of
mentioned phosphate buffer solution doubly with sodium azide. in water and dilute to 1000 ml.
water. Adjust pH to 7. 0 with 0. 1 mol/L sodium hydrox-
(6) Fixing solution: Mix 400 ml of methanol with ide solution.
70 ml of glacial acetic acid and dilute to 1000 ml (2) Blue dextran 2000 solution
with water. Dissolve 20 mg of blue dextran 2000 in the mobile
(7) Staining solution: Dissolve 2. 5 g of Coomassie phase solution and dilute to 10 ml.
brilliant blue in 500 ml of methanol. Add 70 ml of (3) Vitamin B12 solution
glacial acetic acid and dilute to 1000 ml with water. Dissolve 10 mg of vitamin B12 in the mobile phase
( 8) Destaining solution: Mix 70 ml of glacial solution and dilute to 10 ml.
acetic acid with 50 ml of methanol and dilute to Preparationof chromatographic column
1000 ml with water. Add 400 ml of the mobile phase to about 200 ml of
(9) Drying solution: Mix 30 ml of glycerol with agarose 4B or CL-4B gel and stir sufficiently.
200 ml of methanol and dilute to 1000 ml with Precipitate by standing for about one hour.
water. Discard the particles suspended in the upper layer.
Appendix VDI A - 69

Repeat the above procedure for 3-5 times. Add of 15-20 ml per hour and detect at 206 nm. Collect
200 ml of the mobile phase and mix well. Degas the eluent with a fraction collector and record the
and pack the chromatographic column ( 1. 5 cm X chromatogram. In the chromatogram, the· first peak
90 cm) to a height of about 87 cm. To equilibrate is the peak of blue dextrin 2000 and the volume of
the column, elute with the mobile phase solution eluent at the peak is the void volume V The
0•

at a rate of 15-20 ml per hour and about 500 ml of second peak is the peak of vitamin B12 and the
eluent ( double to triple bed volume) is used. volume of eluent at the peak is bed volume Vi.
Calibrationof chromatographiccolumn Procedure
Load 1 ml of blue dextran 2000 solution into the Load about 1 ml of test sample ( containing 3-5 mg
equilibrated column and elute with the mobile of polysaccharide antigen. If the sample is freeze-
phase at a rate of 15-20 ml per hour. Collect the dried, it shall be reconstituted with the mobile
eluent with a fraction collector, 3 ml for each phase ) into the calibrated chromatographic
tube. Read the absorbance of each tube at 260 nm column. Elute with the mobile phase at a flow rate
by ultraviolet-visible spectrophotometry ( Appendix of 15-20 ml per hour and detect at 206 nm. Collect
II A). Draw a graph using eluent volume (ml) the eluent with a fraction collector, 5 ml for each
as abscissa and absorbance as ordinate. The eluent tube, and record the chromatogram.
volume of the peak at 260 nm is void volume V 0• Calculate the distribution coefficient Ko of test
Carry out the same procedure with 1 ml of sample by the followingequation ,
vitamin B12 solution starting from loading into Distribution coefficient of test sample=
the equilibrated column. The eluent volume of (Ve-Vo)/(Vi-Vo).
the peak at 3 7 0 nm is bed volume Vi. Where: Ve=Eluent volume of test sample, ml;
Procedure V =Void volume, ml;
0

Load about 1 ml of test sample ( containing 3-5 mg Vi= Bed volume, ml


of polysaccharide antigen. If the sample is freeze- Calculate the recovery of polysaccharide of test
dried, it shall be reconstituted with the mobile phase) sample while Ko is less than 0. 5 by the following
into the calibrated chromatographic column and equation:
elute with the mobile phase. Collect the eluent Rx (%) =Ax/AXlOO%.
with a fraction collector, 5 ml for each tube. Where: Rx = Recovery of polysaccharide of test
Determine the phosphorus content ( Appendix sample while Ko is less than O. 5;
VIl A) of each tube. Plot a graph using eluent Ax= Chromatogram areas of test sample
volume (ml) of each tube as abscissa and while the Ko is less than 0. 5;
phosphorus content as ordinate. The eluent volume of At= Sum of total area of chromatogram for
the main peak is Ve. test sample.
Calculate the distribution coefficient K0 of test
[Note] The chromatography shall be carried out
sample according to the following equation:
at 10-20°C.
Distribution coefficient of test sample=
(Ve-Vo)/(Vi-Vo).
Where: Ve=Eluent volume of test sample, ml;
Vo=Void volume, ml; vll[ H Determination of Molecular
Vi= Bed volume, ml Size for Typhoid Vi Polysaccharide
Calculate the recovery of polysaccharide for test
sample while Ko is less than ·o. 5 by the following
equation: The method is used for the determination of
distribution coefficient (K0) of bacterial capsular
Rx (%)=AxX100%/At polysaccharide in chromatographic column and the
Where: Rx = Recovery of polysaccharide of test recovery of polysaccharide before the specified Ko
sample while Ko is less than 0. 5 ; value is reached.
Ax= Sum of phosphorus content of eluent
in tubes while Ko is less than 0. 5; Reagents and preparation and calibration of chromato-
At =Sum of phosphorus content of eluent graphiccolumn
in all tubes. See Method 2 in Appendix VIII G.
Procedure
Method 2 Instrument Method Load about 1 ml of test sample ( containing 3-5 mg
Preparationof reagentand chromatographiccolumn of polysaccharide antigen) into the calibrated
The method and procedures are the same as those chromatographic column and elute with the mobile
described in Method 1. phase at a flow rate of 15-20 ml per hour. Collect
Calibration of chromatographic column the eluent with a fraction collector, 3-5 ml per
Mix 1 ml of blue dextrin 2000 solution with 0. 2 ml tube. Determine the 0-acetyl content in each tube
of vitamin B12 and load into the equilibrated according to the test for determination of 0-acetyl
column. Elute with the mobile phase at a flow rate content ( Appendix VI F). The eluent volume
A - 70 Appendix Vlll

with the maximum 0-acetyl content is served as following equation:


the eluent volume of polysaccharide main peak Rx (%)=AxlAtXlOO%
(Ve). Where: Rx = Recovery of polysaccharide of test
The distribution coefficient Ko of test sample is sample when the Ko is not more
calculated by the following equation: than 0. 25
Ko=CVe-Vo)/(Vi-Vo) Ax= 0-acetyl content of eluent pooled in
Where: Ko = Distribution coefficient of test equal volumes from each tube when
sample; the Ko of test sample is not more
Ve= Eluent volume for test sample, ml; than 0. 25
V =Void volume, ml;
0
At= 0-acetyl content of eluent pooled in
Vi= Bed volume, ml equal volumes from each tube
Calculate the recovery of polysaccharide of test [Note] The chromatography shall be carried out
sample while Ko is not more than 0. 25 by the at 10-20°C.
Appendix IX A - 71

Appendix ]X

the determination of tetracycline.


Inoculate the nutrient agar slant culture of
Micrococcus luteus ( CMCC 28001) strain onto
]X A Determination of Residual nutrient agar slant and incubate at 26-27°C for 24
hours. Immediately before use, wash off the
Antibiotics bacterial lawn with sterile 0. 9 % sodium chloride
solution.
Antibiotic may inhibit the growth of microbe on Procedure
agar culture medium. The residual ampicillin or Pour 15 - 20 ml of melted antibiotic medium No. 2
tetracycline content in test sample is determined by into a Petri dish 8 cm or 10 cm in diameter and
comparing the size of bacteriastatic rings formed by spread evenly on the dish bottom. Put the dish on
test sample and standard against corresponding a horizontal platform and let the medium solidify to
bacteria which grow on culture medium. form a bottom layer. Transfer 10-15 ml of
Preparationof phosphate buffer solution ( pH 6. 0) antibiotic medium No. 2 to a test tube preheated in
Dissolve 8. 0 g of potassium dihydrogen phosphate 50°C water bath. Add 300 µl of 0. 5 %-1. 5 % (ml/
and 2. 0 g of dipotassium hydrogen phosphate in ml) of bacteria suspension and mix well. Pour a
water and dilute to 1000 ml. Sterilize at 121°C for quantity of the mixture onto the Petric dish spread
30 minutes. with a bottom layer. Put the dish on a horizontal
platform and cool down. Place steel tubes
Preparationof antibiotic No. 2 medium
( stainless steel tubes of smooth surface, with an
Dissolve 6 g of peptone , 1. 5 g of beef extract
inner diameter of 6 - 8 mm, a height of 10-15 mm
powder and 6 g of yeast extract powder in a
and a wall thickness of 1- 2 mm) evenly and apart
quantity of water. Add 13 - 14 g of agar and swell
with equal distances on each Petric dish. Add test
by heating. Filter to remove the insoluble
sample solution, negative control solution
matters. Dissolve 1 g of glucose in the mixture
and dilute to 1000 ml with water. Adjust pH so (phosphate buffer solution) and standard solution
dropwise into the steel tubes separately. Incubate
that after sterilization it is 6. 5 - 6. 6. Dispense the
medium in glass tubes or conical flasks. Sterilize the Petric dishes at 3-7°C for 18 - 22 hours.
at 115°C for 30 minutes and store at 4°C. Result evaluation
Preparationof standardsolution There is bacteriastatic ring for standard solution
Dissolve a quantity of ampicillin standard with but not for negative control solution. The result is
0. 01 mol/L hydrochloric acid and dilute to a judged as negative if the diameter of bacteriastatic
concentration of 10 mg of ampicillin per ml. ring of test sample solution is smaller than that of
Measure accurately a quantity of the above standard solution, otherwise it is judged as
ampicillin solution and dilute with phosphate positive.
buffer solution to a concentration of 1. 0 µg of [Note]
ampicillin per ml. The test shall be carried out aseptically. All the
Dissolve a quantity of tetracycline standard with glass apparatus and steel tubes used for the test
physiological saline and dilute to a concentration of shall be sterile.
0. 125 µg of tetracycline per ml.
Preparationof bacterial suspension
(1) Staphylococcus aureus suspension It is used
for the determination of ampicillin.
]X B Determination of Residual
Inoculate the nutrient agar slant culture of Extraneous DNA
Staphylococcus aureus (CMCC 26003) strain onto
nutrient agar slant and incubate at 35 - 37"C for The residual extraneous DNA in test sample is
20 - 22 hours. Immediately before use, wash off denatured to a single stranded and adsorbed onto
the bacterial lawn with sterilized water or sterile an immobilized membrane. Under a certain temper-
0. 9 % sodium chloride solution. ature, the single strand binds with a matched
(2) Micrococcus luteus suspension It is used for single strand and reassociates to form a double
A - 72 Appendix IX'

stranded DNA, which is called as hybridization. Laboratory Manual , 2002, or Short Protocols in
A labelled specific single stranded DNA probe is Molecular Biology, 1998.
hybridized with the single stranded DNA of test Adjust the cell suspension for extraction to a
sample, which is adsorbed onto an immobilized concentration of 107 cells per ml. If the host cell is
membrane. The hybridization result is shown by a bacteria, the concentration shall be adjusted to 108
display system corresponding to the label. The bacteria per ml. Centrifuge 1 ml of the
DNA content of test sample can be determined by suspension. Add 400 µl of lysis solution to the
comparing the result with that of positive DNA precipitate and mix well. React at 37°C for 12-24
reference substance of known DNA content. hours. Add 450 µl of saturated phenol solution
Reagent and mix vigorously. Centrifuge at 10000 r/min for
( 1) DNA labeling and detection kit. 10 minutes. Discard the supernatant and extract
(2) DNA hybridization membrane with 450 µl of saturated phenol solution once
Nylon membrane or nitrocellulose membrane. more. Discard the supernatant, add 450 µl of
(3) 2% Proteinase K solution trichloromethane and mix vigorously. Centrifuge
Dissolve 0. 20 g of proteinase K in 10 ml of sterile at 10000 r/min for 10 minutes. Discard the
water. Dispense the solution and store at - 20°C supernatant, add 40 µl of 3 mol/L sodium acetate
for use. (pH 5. 2) and mix well. Then, add 1 ml of cold
(4) 3% Bovine serum albumin solution absolute ethanol at a temperature lower than
Dissolve 0. 30 g of bovine serum albumin in 10 ml -20°C and mix sufficiently. React for 2 hours at a
of sterile water. temperature lower than -20°C. Centrifuge at
(5) 1 mol/L Tris ( hydroxymethyl ) ammo- 15000 r/min for 15 minutes and wash the
methane (Tris) solution (pH 8. 0) precipitate once with a quantity of 70 % cold
Adjust p'H to 8. 0 with hydrochloric acid. ethanol at a temperature lower than -20°C.
( 6) 5. 0 mol/L sodium chloride solution Centrifuge at 15000 r/min for 15 minutes and
(7) 0. 5 mol/L disodium ethylenediamine tetra- discard the supernatant. Dry the precipitate by air
acetate solution (pH 8. 0) blowing and dissolve with a quantity of sterile TE
Adjust pH to 8. 0 with 10 mol/L sodium hydroxide buffer solution. Cleave the RNA with RNase,
solution. extract with phenol/trichloromethane and purify
(8) 20% sodium dodecyl sulfate (SDS) solution with molecular sieve chromatography.
Adjust pH to 7. 2 with hydrochloric acid. Identify the DNA purity of the reference substance
(9) Proteinase buffer solution (pH 8. 0) by electrophoresis on 1 % agarose gel and
Mix 1. 0 ml of 1 mol/L Tris solution ( pH 8. 0) , spectrophotometry: RNA or oligonucleotide shall
2. 0 ml of 5. 0 mol/L sodium chloride solution, not be detected; the ratio of A26o to A280 shall be in
2 .. 0 ml of 0. 5 mol/L disodium ethylenediamine the range of 1. 8 - 2. 0 (The test sample is diluted
tetraacetate solution ( pH 8. 0) with 2. 5 ml of to A26o between 0. 2 and 1. 0 for testing).
20 % SDS solution and dilute to 10 ml with sterile The DNA used for the reference substance and
water. probe labeling shall be cleaved with enzyme or
(10) TE buffer solution (pH 8. 0) treated by ultrasonication in order to make the size
Dilute 10 ml of 1 mol/L Tris solution (pH 8. 0) of its fragments suitable for DNA hybridization
and 2 ml of 0. 5 mol/L disodium ethylenediamine and probe labeling.
tetraacetate solution (pH 8. O)_ to 1000 ml with The DNA concentration of the reference substance
sterile water. is calculated by the following formula:
(11) 1% Protamine DNA solution DNA concentration (ng/µ1)=50XA260
Weight accurately 0. 10 g of protamine DNA and The reference substance may be dispensed into
dissolve in a small volume of TE buffer solution. suitable tubes. Store at -20°C for long-term use.
Transfer totally to a 10 ml volumetric flask and Probe labeling: Carry out according to the
dilute to volume with TE buffer solution. Mix instructions of the reagent kit.
well. Shear the DNA into small molecules by Procedure
drawing and blowing repeatedly using a syringe
(1) Proteinase K pre-treatment
fitted with a No. 7 needle. Dispense the solution Prepare test sample, reference substance and
and store at -20°C.
negative control according to the following table.
(12) DNA dilution solution
Warm at 37°C for more than 4 hours to ensure that
Dilute 50 µl of 1 % protamine DNA solution to 10
the reaction of enzyme cleavage is completed,
ml with TE buffer solution.
Preparationof DNA Volume Proteinase
2% 3% BSA Water,
DNA used for probe labeling and used as DNA of test buffer
Tube Proteinase solution, add to,
reference substance is obtained by extraction and sample, solution,
K,µ1 µ1 µ1
µ1 µ1
purification from continuous cell line, engineering
bacteria or hybridoma cells where the test sample Sample 100 1 20 200
is produced. The methods of purification and Di 100 1 20 x 200
identification may refer to Molecular Cloning , A Dz 100 1 20 x 200
Appendix IX A- 73

Continued control in l00°C water bath for 10 minutes. Cool


Volume Proteinase down in an ice bath promptly. Centrifuge at 8000
2% 3% BSA Water,
of test buffer r/min for 5 seconds. Load the test sample and all
Tube Proteinase solution, add to,
sample, solution, controls onto the hybridization membrane by dot
K,µl µl µl
µl µl
blotting or slot blotting unit ( as protein pre-
Di 100 1 20 x 200 cipitate exists, the loading quantity is based on the
Negative 100 1 20 x 200 amount of precipitate and the loading of protein
Precaution precipitates should be avoided; the volume for the
The dilution of test sample: Dilute the test sample test sample, reference substance, negative control
(bulk preparation) with DNA dilution solution to and blank control shall be identical or in the same
a concentration of one hutnan dose per 100 111; if proportion).
the maximum dosage of final product is Air-dry the membrane and then heat at 80°C under
comparatively large and the protein concentration vacuum for more than one hour.
of the test sample is comparatively low, the test (3) Hybridization and colour development
sample may be diluted with DNA dilution to a Perform according to the instructions of the
concentration of 1/10 or 1/100 human dose per reagent kit.
100 111. Result evaluation
D1, D2, and D3 are diluted DNA reference The test is valid if the reference substances develop
substances. The DNA reference substance is colour and the intensity of colour corresponds with
diluted· with DNA dilution solution to a concen- the DNA content, and if the negative control and
tration of 1000 ng of DNA per ml and then three blank control do not develop colour or the colour
successive 10-fold dilutions are made to obtain the developed is lighter than that of the reference
concentrations of 10 ng/100 111 CD1), 1 i:ig/100 111 substance ( D3 ) . Compare the test sample with
CD2) and 100 pg/100 111 ( D3); if the dosage of reference substances and evaluate the residual
final product is comparatively large and the DNA extraneous DNA content of test sample according
content limit ( 100 pg/dose ) is strict, the to the colour intensity.
sensitivity of DNA test shall be elevated. Then the
corresponding DNA reference substance shall be
diluted to 100 pg/100 111 CD1), 10 pg/100 111 (Dz)
and 1 pg/100 111 (D3 ). The negative control is
DNA dilution solution and the blank control is TE
]X C Determination of Residual Host
buffer solution, which has not been pretreated Bacterial Protein (E. coli)
with proteinase K.
When 1/100 human dose of test sample is greater The content of residual host bacterial protein in
than 100 111, the final volume also increases. recombinant products prepared by E.coli expres-
Usually, the final volume is around twice the sion system is determined by ELISA.
volume of test sample. If the volume difference
between the test sample and final volume is too Reagent
small, the activity of proteinase K may be (1) Coating solution ( carbonate buffer solution,
influenced. pH 9. 6)
The volume ratio of 2 % proteinase K solution to Dissolve 0. 32 g of sodium carbonate and 0. 586 g of
proteinase buffer solution is 1/20 and that of sodium bicarbonate in water and dilute to 200 ml.
proteinase buffer solution to final volume is 1/10. (2) Phosphate buffer solution (pH 7. 4)
Add aquantity of 3% bovine serum albumin so Dissolve 8 g of sodium chloride, 0. 2 g of potas-
that the reference substance and negative control sium chloride, 1. 44 g of disodium hydrogen
may contain a certain amount of protein and phosphate and 0. 24 g of potassium dihydrogen
maintain the same enzyme cleavage conditions as phosphate in water and dilute to 500 ml. Sterilize
those for the test sample ( usually protein in at 121°C for 15 minutes.
nature). If other substances are used as the test (3) Washing solution (pH 7. 4)
samples, corresponding substances shall be used. Dilute 0. 5 ml of polysorbate 20 to 500 ml with
If protein in the pretreated test sample solution phosphate buffer solution.
interferes with the test, the DNA in test sample (4) Dilution solution (pH 7. 4)
may be extracted by the above saturated phenol Dissolve 0. 5 g of bovine serum albumin in washing
solution extraction method or by other suitable solution and dilute to 100 ml.
methods ( extraction shall also be carried out again ( 5) Concentrated dilution solution
for the DNA of reference substance and negative Dissolve 1. 0 g of bovine serum albumin in washing
control in parallel with the test sample). solution and dilute to 100 ml.
( 2) Dot blotting or slot blotting (6) Substrate buffer solution (citric acid-phosphate
After the hybridization membrane is immersed in buffer solution, pH 5. 0)
TE solution, heat the pretreated test sample, Dissolve 1. 84 g of disodium hydrogen phosphate
reference substance and negative control and blank (Na2HP04 • 12H2.0) and 0. 51 g of citric acid in
A - 74 Appendix. IX

water and dilute to 100 ml. D= Dilution factor of test sample;


(7) Substrate solution T = Protein content of test sample, mg/ ml.
Dissolve 8 mg of o-phenylenediamine in a quantity
of substrate buffer solution. Add 30 µl of 30 %
hydrogen peroxide and dilute to 20 ml with
substrate buffer solution. Prepare just before use. ]X D Determination of Residual Host
(8) Stopping solution
1 mol/L sulfuric acid. Bacterial Protein ( Pseudomonas)
Preparationof standardsolution
Reconstitute -the E. coli host cell protein standard The content of residual host bacterial protein in
with water according to the instructions and dilute recombinant products prepared by Pseudomonas
with dilution solution to 500 ng, 250 ng, 125 ng, expression system is determined by ELISA.
62.5 ng, 31. 25 ng, 15.625 ng and 7.8125 ng of Reagent
host cell protein per ml separately. Cl) Coating solution ( carbonate buffer solution,
Preparationof test sample pH9. 6): Weigh accurately 0. 3Z g of sodium
Dilute a quantity of test sample to a concentration carbonate and 0. 586 g of sodium hydrogen carbonate,
of about 250 µg per ml. If the concentration of the transfer into a 200 ml volumetric flask, dissolve with
test sample is lower than 500 µg per ml, dilute water and dilute to the volume.
with .an equal volume of concentrated dilution (2) Phosphate buffer saline: Transfer 8. 0 g of
solution. sodium chloride, 0. 20 g of potassium chloride,
1. 44 g of disodium hydrogen phosphate and 0. 24 g
Procedure of potassium dihydrogen phosphate into a 500 ml
Dilute a volume of rabbit anti-F. coli host cell volumetric flask, dissolve with water and dilute to
protein antibody to 10 µg per ml with coating the volume. Sterilize at 121°C for 15 minutes.
solution. Add 100 µl of the diluted antibody to (3) Washing solution: Dilute 0. 5 ml of polysorbate
each well of a 96-well microtiter plate. Allow to 20 to 500 ml with phosphate buffer saline.
stand overnight at 4°C (16 - 18 hours). Wash the ( 4) Concentrated diluent: Dissolve 1. 0 g of bovine
microtiter plate 3 times with washing solution. serum albumin in washing solution and dilute to-
Prepare a 1 % bovine serum albumin solut'ion with
100 ml.
washing solution and add 200 µl of the solution to (5) Diluent: Dilute the concentrated diluent with
each well of the 96-well microtiter plate. Incubate an equal volume of water.
at 37°C for 2 hours. Wash the blocked microtiter (6) Substrate buffer solution ( 0. 005 mol/L
plate 3 times with washing solution. Add 100 µl of
sodium acetate-crtric acid buffer solution ) :
the standard and test sample solutions into each
Dissolve 0. 68 g of sodium acetate and 1. 05 g of
well of the plate separately, in duplicate.
citric acid (C6Ha01 • H20) in water and dilute to
Meanwhile, add dilution solution into other two
1000 ml. Adjust pH to 3. 6.
wells as a blank control. Incubate at 37°C for 2
( 7) Substrate solution A: Dissolve 0. 08 g of
hours. Dilute rabbit anti-E. coli host cell antibody,
3, 3', 5, 5 '-tetramethylbenzidine ( TMB) in 40 ml
labelled with horseradish peroxidase ( HRP),
of dimethyl sulfoxide ( DMSO), add 60 ml of
with dilution solution at a ratio of 1 : 1000. Add
methanol and mix well. Add 100 ml of substrate
100 µl of the diluted solution into each well of the
buffer solution, stir in a dark place for 2 hours
plate. Allow to stand at 37°C for 1 hour. Wash
until the mixture is dissolved completely. Allow
the microtiter plate 10 times with washing
the solution to stand at room temperature for 4
solution. Add 100 µl of substrate solution into
hours.
each well of the plate. Allow to stand at 37°C for
(8) Substrate solution B: Dilute 3. 2 ml of 1. 5%
40 minutes, protected from light. Add 50 µl of
hydrogen peroxide to 1000 ml with substrate buffer
stopping solution into each well of the plate to stop
solution.
the reaction. Read the absorbance of each well at
(9) Substrate solution: Mix substrate solutions A
492 nm and analyze the data with a computer
and Bat equal volumes just before use.
software or calculate the result manually with
( 10) Stopping solution: 2 mol/L sulfuric acid
graphic method.
solution.
Plot a curve with concentration of standard
solution against the corresponding absorbance. Preparationof reference solution
Find out the host cell protein content on the curve Dissolve host bacterial protein reference with the
through its absorbance. Calculate the residual diluent following the instructions of reagent kit,
host cell protein content in test sample by the then measure accurately a quantity of the solution
following equation. and dilute with diluent to host bacterial protein
concentrations of 20 ng, 10 ng, 5 ng, 2. 5 ng ,
Residual host cell protein content of test sample
( %) =CXDX 100%/TX 106 1. 2 ng, 0. 6 ng and 0. 3 ng per ml.
Where: C = Residual host cell protein content of Preparationof test sample solution
test sample solution, ng/ml; Dilute a quantity of test sample with the diluent to
Appendix IX A - 75

a concentration of about 100 µg of protein per ml.


If the protein concentration is less than 200 µg/ml,
the test sample shall be diluted with an equal
volume of concentrated diluent.
1X E Determination of Residual Host
Procedure Yeast Protein
Dilute the coating antibody to a suitable concen-
tration with the coating solution. The dilution
factor is indicated in the instructions of the reagent The content of residual host yeast protein in
kit. Add 100 µl of the diluted antibody into each recombinant product prepared by yeast expression
well of a 96-well microtitre plate, allow the plate system is determined by ELISA.
to stand at 2-8°C for 16-20 hours. Wash the Reagent
microtitre plate 3 times with washing solution. Cl) Coating solution ( carbonate buffer solution,
Prepare a 1 % bovine serum albumin ( BSA ) pH9. 6): Dissolve 0. 32 g of sodium carbonate and
solution with washing solution. Add 200 µl of 0. 586 g of sodium bicarbonate in water and dilute
BSA solution into each well of the plate and to 200 ml.
oscillate (200-300 r/min) at room temperature for ( 2) PBS: Dissolve 8. 0 g of sodium chloride,
one hour. Wash the plate 3 times with washing 0. 20 g of potassium chloride, 1. 44 g of disodium
solution. Add the reference and test sample hydrogen phosphate and 0. 24 g of potassium
solutions into the wells of the plate separately, dihydrogen phosphate in water and dilute to
100 µl per well in duplicate. Meanwhile, add 1000 ml. Adjust pH to 7. 4 and sterilize at 121°C
diluent into other two wells as blank controls. for 15 minutes.
Oscillate (200-300 r/min) the microtitre plate at (3) Washing solution (PBS-Tween 20): Dilute
room temperature for one hour, and wash 3 times 0. 5 ml of polysorbate 20 to 1000 ml with PBS.
with washing solution. Dilute the primary ( 4) Diluent: Dissolve 0. 5 g of bovine serum
antibody with diluent to a suitable concentration albumin with washing solution and dilute to
following the instructions of reagent kit. Add 100 100 ml.
µl of the diluted antibody into each well of the (5) Substrate buffer solution ( 0. 005 mol/L
microtitre plate and oscillate ( 200-300 r/min) at sodium acetate-citric acid buffer solution ) :
room temperature for one hour. Wash the Dissolve 0. 68 g of sodium acetate and 1. 05 g of
microtitre plate 3 times with washing solution. citric acid (C6Hs01 • H20) in water and dilute to
Dilute horseradish peroxidase ( HRP )-labelled 1000 ml. Adjust pH to 3. 6.
secondary antibody with diluent to a suitable (6) Substrate solution A: Dissolve0. 08 g of 3, 3',
concentration following the instructions of reagent 5, 5 '-tetramethylbenzidine ( TMB) in 40 ml of
kit. Add 100 µl of the diluted antibody into each dimethyl sulfoxide ( DMSO ) , add 60 ml of
well of the microtitre plate and oscillate ( 200-300 methanol and mix welL Add 100 ml of substrate
r/min) at room temperature for 30 minutes. buffer solution and stir in a dark place for 2 hours
Wash the microtitre plate 8 times with washing until the mixture is dissolved completely. Allow
solution. Add 100 µl of substrate solution into the solution to stand at room temperature for 4
each well and set the microtitre plate at room hours.
(7) Substrate solution B: Dilute 3. 2 ml of 1. 5%
temperature to react for 10-15 minutes, protect
hydrogen peroxide to 1000 ml with substrate buffer
from light. Add 100 µl of stopping solution into
solution.
each well to stop the reaction. Read the
(8) Substrate solution: Mix substrate solutions A
absorbance of each well at 450 nm with a microtitre,
and B at equal volumes just before use.
plate reader and analyze the data with a computer
( 9) Stopping solution: 1 mol/L sulfuric acid
software or calculate the result manually with
solution.
graphic method.
Plot a curve with the concentrations of the Preparationof reference solution
reference solutions against their absorbance. Find Reconstitute the reference with water, then
out the host bacterial protein content of test measure accurately a quantity of the solution and
sample solution on the curve through its dilute with diluent to make 1 ml containing 1000 ng ,
absorbance. Calculate the residual host bacterial 500 ng, 250 ng, 125 ng and 62. 5 ng of host yeast
protein content in the test sample by the following protein.
formula. Preparationof test sample solution
Residual host bacterial protein content ( % ) in the Dilute a quantity of test sample with the diluent to
test sample= (CXD)/(TX 106) X 100% a suitable concentration.
Where: C= Host bacterial protein concentration in Procedure
the test sample, ng/ml; Dilute a quantity of guinea pig anti-yeast protein
D= Dilution factor of the test sample; antibody with coating solution to a suitable
T = Total protein content in the test sample, concentration. Add 100 µl of the diluted antibody
mg/ml. into each well of a 96-well microtitre plate. Seal
A - 76 Appendix IX

the plate with a piece of film, allow to stand at O. 15 mol/L sodium chloride solution ( TNB):
4 °C overnight. Wash the plate 3 times with Adjust pH to 8. 0 with 1 mol/L hydrochloride acid
washing solution. Prepare a 1 % bovine serum solution.
albumin ( BSA) solution with washing solution. ( 2) 2 mmol/L kallikrein chromogenic substrate
Add 200 µl of 1 % BSA solution into each well of (S-2302) solution: Dissolve 12. 5 mg of S-2302 in
the plate, allow to stand at 37°C for 2 hours. 10 ml of water.
Wash the blocked plate 3 times .with washing (3) Prekallikrein (PK): Prepare PK by a suitable
solution. Add the reference and test sample method, dispense it in small volumes and store at
solutions into the wells of the microtitre plate - 30°C or below for use.
separately, 100 µl per well in duplicate. Mean-
Preparationof PKA standardsolution
while, add diluent into other two wells as blank
Dilute a quantity of PKA standard with 0. 85 %
controls. Seal the microtitre plate with a piece of
sodium chloride solution to contain 10. 0 IU,
film, allow to stand at 37°C for one hour. Wash
20. O IU, 30. 0 IU, 40. O IU and 50. O IU per ml
the plate 6 times with washing solution. Dilute
respectively, According to the required amount for
rabbit anti-yeast antibody with diluent to a suitable
each test, dispense the standard solution in small
concentration. Add 100 µl of the diluted antibody
volumes and store at -30°C. Thaw before use and
into each well of the microtitre plate. Seal the
dilute 10- fold with TNB. Each tube can only be
microtitre plate with a piece of film, allow to
thawed once.
stand at 37°C for one hour. Wash the plate 6 times
with washing solution. Dilute horseradish perox- Preparationof test sample solution
idase ( HRP) -labelled sheep anti-rabbit antibody Dilute the test sample 10-fold with TNB.
(IgG-HRP) solution with the diluent to a suitable
Procedure
concentration. Add 100 µl of the diluted IgG-HRP
To a 96-well microtitre plate, add 20 µl of test
solution into each well. Seal the microtitre plate
sample solution and 20 pl of PK. Oscillate the
with a piece of film, allow to stand at 37°C for one
microtitre plate for one minute and cover with a
hour. Wash the plate 6 times with washing
lid, allow to stand at 25-30°C for 30 minutes ( or
solution. Add 100 µl of substrate solution into
at 37°C for 10 minutes). To each reaction well,
each well, allow to stand at room temperature for
add 20 µl of 2 mmol/L S-2302 solution .. Oscill~te
5-1O minutes, protected from light. Add 100 µl of
the plate for one minute and cover with a lid,
stopping solution into each well to stop the
allow to stand at 25-30°C for 15 minutes ( or at
reaction. Read the absorbance of each well at
37°C for 10 minutes). Add 20 µl of 50% acetic
450 nm with a microtitre plate reader, using 630
acid solution to each well and oscillate for one
nm as a reference wavelength. Analyze the data
minute. Read the absorbance of each well at 405
with a computer software or calculate the result
nm by ultraviolet-visible spectrophotometry
manually with graphic method.
(Appendix II A). At the same time, set up a
Plot a curve with the concentrations of the
blank control by using 20 µl of TNB instead of PK
reference solutions against their absorbance. Find
with the same procedure. Use 20 µl of PKA
out the host yeast protein content of sample
standard solution instead of test sample solution
solution on the curve through its absorbance.
and repeat the procedure. A linear regression
Calculate the residual host yeast protein content of
formula is obtained by regressing the logarithm of
the test sample by the following formula.
PKA activity of standard solutions with the
Residual host yeast protein content ( % ) = logarithm of their corresponding absorbance.
(CXD)/(TX 106) X 100% Calculate the PKA activity of test sample by the
Where: C - Host yeast protein concentration of formula.
test sample, ng/ ml;
[Note]
D =Dilution factor of test sample;
( 1) Three wells shall be set up for each standard
T=Total protein content of test sample,
and test sample, among them, two are the test
mg/ml.
wells, and the other one is the control well. The
difference between absorbance of the two test wells
shall be less than 0. 020.
(2) According to the PKA content in the test
]X F Determination of Prekallikrein sample, select a suitable dilution range of
Activator Content standard.
(3) The correlation coefficient of linear regression
shall be not less than 0. 99.
The content of prekallikrein activator ( PKA) in test
(4) Whenever PK, S-2302 and 50% acetic acid
sample is determined by chromogenicsubstrate method
solutions are added to the wells, the time intervals
( or chromogenicmatrix method).
of addition between wells, as well as the order of
Reagent addition, shall be the same so as to allow each
( 1) 0. 05 mol/L trishydroxymethylaminomethane- well react under the same conditions.
Appendix IX A - 77

volumes of ethanol. Keep at -20°C for 16 hours.


Centrifuge at 10000 r/min for 15 minutes. Wash
the precipitate with 75 % ethanol and dry.
]X G Test for Losing Rate of Plasmid Dissolve in 10 µl of DNase-free and RNase-free
water. Positive control and negative control are
treated by the above-mentioned method simul-
The recombinant bacteria in E. coli expression taneously with ·test sample.
system contain plasmids for the expression of Primers
target protein. In general, the plasmid carries Upstream primer for VPl: 2220 51-ACA CAG
antibiotic-resistant gene to facilitate selection. CAA CCA CAG TGG TCC-3'2240
During subculture in the environment with a Downstream primer for VPl: 2319 51-GTA AAC
certain concentration of antibiotic, such as in seed AGC CCA CAA ATG TCA AC-312297
culture medium, the recombinant bacterium can Upstream primer for C-terminus of T antigen:
not survive after the plasmid is lost. However, in 3070 5' -GAC CTG TGG CTG AGT TTG CTC A-
the fermentation medium without antibiotic, along 313049
with the increasing number of passage, a part of Downstream primer for C-terminus of T antigen:
E. coli may lose the plasmid, as a result, the 2619 51-GCT TTA TTT GTA ACC ATT ATA
antibiotic-resistant gene and the ability to AG-3'2641
expressing target protein may lose at the same
time. "The stability of plasmid is evaluated by the Procedure
losing rate of plasmid determined by comparing the ( 1 ) The amount of primer added to the test
numbers of survival bacteria in the media with or sample for amplification is 30 X 10-12 mol. 1 µl of
without antibiotic. DNA template is added and the final volume is
The real-time fermentation liquid during fermen- 50 µl. PCR amplification parameters are as follows:
tation or mimic fermentation process, including Denature at 94°C for 3 minutes; a total of 40 cycles
those at the final stage of fermentation when the of 94°C for 20 seconds, 50°C for 20 seconds and
bacteria are subcultured to the maximum passage, 72°C for 40 seconds, with final extension of 72°C
are collected and used for the test in general. for 3 minutes.
Dilute the fermentation liquid properly, spread to ( 2) Detect the amplified products by electropho-
an antibiotic-free medium and incubate at 37°C resis with 2 % agarose gel containing 1 µg of
overnight. Select at least 100 colonies on the ethidium bromide per millilitre. Perform electropho-
medium and inoculate onto the Petric dishes with resis in 1 X T AE buffer solution at 100 V for about
or without antibiotic respectively. Incubate at 40 minutes. The length of the amplified fragment
37°C overnight and compare the numbers of for VPl is 100 bp , and that for C-terminus of
colonies in the two Petric dishes and calculate the major T antigen is 451 . bp.
losing rate of plasmid. The test shall be repeated (3) Repeat the amplification of VPl fragment with
for more than 2 times in general. The losing rate the same template. Care shall be taken to avoid
of plasmid shall be specified in the validation of nonspecific amplification due to contamination.
production procedure and shall be within the Alternatively, transfer the amplified products and
allowable range. the controls from the gel to Hybond N nylon
membrane for Southern blotting with VPl probe in
order to make sure that the amplified fragment is
VPl.
( 4 ) Sequence the C-terminus coding major T
]X H Test for Nucleotide Sequence antigen of the amplified products in the test sample
of SV40 and in the positive control with automatic sequencer.
Result evaluation
The presence of SV40 nucleotide sequence in the The test is valid if the specific products are
test sample is detected by polymerase chain obtained in the positive control and no such
reaction (PCR) using two pairs of specific primers products are found in the negative control.
designed to amplify two fragments, i. e. 100 bp Criteria for evaluation are as follows.
( 2220-2319) of SV40 VPl and 451 bp ( 2619- The result is negative if no VPl fragment is
3070) at C-terminus of major T antigen. amplified.
Preparationof test sample and control solutions If the VPl fragment is amplified, the test shall be
Add 25 µl of 2% protease K solution, 50 µl of repeated. If no VPl amplification is shown in the
10% SDS solution and 10 µl of 0. 05 mol/L EDTA repeated test, the result is negative.
solution (pH8. 0) into 400 µl of the test sample. If VPl amplification is positive in the repeat test,
Incubate at 56°C for one hour. Extract with an the fragment of C-terminus coding major T antigen
equal volume of mixture of phenol and trichloro- shall be further amplified. If the fragment is
methane (1 : 1), and extract again with an equal amplified, its sequence shall be compared with
volume of trichloromethane. Then add two that amplified from the positive control. If the two
A - 78 Appendix IX

sequences are identical, the result is judged as Procedure


positive. If no fragment of C-terminus coding To 0. 1 ml of each dilution of test sample and blood
major T antigen is amplified, the test shall be group A-like substance reference, add 0. 1 ml of
repeated following the steps ( 1) to ( 3). If the anti-blood group A serum containing two testing
assay fails again to amplify the C-terminus coding doses and mix well by shaking. Allow the mixture
major T antigen, the result is judged as negative. to stand at 36. 5-37. 5°C for 10 minutes and then
add 0. 1 ml of 1 % human blood group A
erythrocytes into each tube. Mix well again by
shaking, allow to stand at 36. 5-37. 5°C for 15
1X I Test for Blood Group A-like minutes. Centrifuge at 1500 r/min for one minute
and observe the agglutination extent according to
Substance the sedimentation of erythrocytes.
( Hemagglutination Inhibition Assay)
Result evaluation
The content ( mg ) _ of blood group A-like
The blood group A-like substance content in test substance in 1 ml of the sample is calculated by
sample is determined by reacting blood group A- multiplying the highest dilution factor of test
like substance reference and test sample with anti- sample showing complete hemagglutination inhi-
blood group A serum respectively and comparing bition ( end point) by the content" of blood group
the end-points of the two reactions. A-like substance in the highest dilution of control
1 % blood group A erythrocyte suspension sample showing the similar extent of hemagglu-
Mix the blood of group A from six donors at equal tination inhibition.
volumes, add a quantity of physiological saline and
mix well. Centrifuge at 2000 r/min for 10
minutes. Decant the supernatant and wash the
precipitate 3 times with physiological saline. Mix
1 ml of the precipitate with 99 ml of physiological
1X J Test for Anti-A and Anti-B
saline to make a 1 % erythrocyte suspension. Hemagglutinins
Preparation of blood group A-like substance
(Indirect Anti-human Globulin Test)
reference solution
The blood group A-like substance reference is The anti-A and anti-B hemagglutinins in test
distributed or accredited by the NCL. The sample are determined by indirect anti-human
reference solution is made to contain 1 mg per ml. globulin test ( Coombs test).
In a group of ten test tubes 9 mm in diameter, Reagent
carry out a series of 2-fold dilutions for 0. 1 ml of ( 1) Erythrocyte suspension: Mix three samples of
blood group A-like substance reference with each group A, B and RhD-positive group O
physiological saline starting from 1/100 dilution erythrocytes separately. Wash 3 times with
(0. 01 mg/ml). physiological saline. After the last washing,
Preparation of test sample solution centrifuge at 2000 r/min for 5 minutes. Measure a
In a group of ten test tubes 9 mm in diameter, quantity of the deposit and prepare into a 5 %
carry out a ~eries of 2-fold dilutions for 0. 1 ml of (ml/ml) erythrocyte suspension with physiological
test sample with physiological saline starting from saline. The erythrocyte shall be used within one
the original concentration. week after blood collection. ·
(2) Anti-human globulin serum: Polyvalent anti-
Determination of the testing dose of anti-blood group
serum against human globulin shall be calibrated
A serum
before use and diluted to an optimal dilution which
In a group of ten test tubes 9 mm in diameter,
is determined accordingto the instructions providedby
carry out a series of 2-fold dilutions for 0. 1 rril of
the manufacturer or by the method described in the
anti-blood group A serum with physiological saline
Note.
starting from 1/2 dilution. To 0. 1 ml of each
dilution, add 0. 1 ml of 1 % blood group A human Procedure
erythrocyte suspension. At the same time, Make a quantity of test sample a series of 2-fold
prepare a negative control by adding 0. 1 ml of dilutions. Set up two rows of small test tubes
blood group A human erythrocyte to 0. 1 ml of (75 mmX 12 mm) for the test sample of each
physiological saline. Mix well by shaking, allow dilution. Add 0. 2 ml of test sample to each tube.
the mixtures to stand at room temperature for 15 Add 0. 2 ml of 5 % group A erythrocyte suspension
minutes, centrifuge at 1500 r/min for one minute to each tube of the first row and 0. 2 ml of 5 %
and observe the agglutination extent according to group B erythrocyte suspension to each tube of the
the status of cell sedimentation. The highest second row, mix well, allow to stand in 3 re
dilution of anti-blood group A serum which still water bath for 30 minutes. Wash the erythrocytes
shows complete agglutination ( + + + +) is 3 times with a quantity of physiological saline each
served as one testing dose. by centrifugation at 1000 r/min for one minute.
Appendix IX A- 79

Add 0. 2 ml of anti-human globulin serum into each ++++: one solid clot;
tube, mix well and centrifuge at 1000 r/min for + + + : . several large clots;
one minute. Observe the results visually. At the ++: medium-sizedclots and clear background;
same time, negative, positive and erythrocyte +: small clots and turbid background;
control tests shall be performed. - : no hemagglutination or hemolysis.
Negative control: Add O. 2 ml of 5 % erythrocyte ( 4) Negative, positive and erythrocyte control
suspensions of groups A and group B, in tests shall be performed in parallel.
duplicate, into 0. 2 ml of group AB human serum
separately and mix well. Carry out the same
procedure as that for test sample starting from
"allow to stand in 37°C water bath for 30 ]X K Test for Anticomplement
minutes".
Positive control: Add 0. 2 ml of 5 % RhD positive Activity
group O erythrocyte suspension into 0. 2 ml of
anti-D lgG serum and mix well. Carry out the The method is based on immune hemolytic
same procedure as that for test sample starting reaction. The anticomplement activity (ACA) of
from "allow to stand in 37°C water bath for 30 test sample is determined according to the change
minutes". of hemolysis rate caused by the consumption of
Erythrocyte control: Add 0. 2 ml of 5 % eryth- complement.
rocyte suspension of groups A and B into 0. 2 ml of
physiological saline separately and mix well. Carry Reagent
out the same procedure as that for test sample (1) Magnesium and calcium stock solution:
starting from "allow to stand in 37°C water bath Dissolve 1. 103 g of calcium chloride and 5. 083 1l of
for 30 minutes". magnesium chloride (MgClz • 6H20) in water and
dilute to 25 ml.
Result· evaluation
(2) Barbital buffer stock solution: Dissolve 41. 5 g
The test is valid if the results of negative and
of sodium chloride and 5. 1 g of barbital sodium in
erythrocyte controls are negative and that of
800 ml of water. Adjust pH to 7. 3 with 1 mol/L
positive control is not less than "+++".
hydrochloric acid. Add 2. 5 ml of magnesium and
The titers of anti-A and anti-B hemagglutinins are
calcium stock solution and dilute to 1000 ml with
calculated as the highest dilution of the test sample
water. Filter with a 0. 22 µ.m membrane and store
which produce agglutination "+ ", regardless of
at 4°C.
the volumes of erythrocyte suspension and anti-
(3) Gelatin-barbital buffer ( GBB ) solution:
human globulin serum.
Dissolve 0. 625 g of gelatin in 30 ml of water by
[Note] boiling. Add 100 ml of barbital buffer stock
( 1) The test sample of coagulation factor VIII shall solution and dilute to 500 ml with water. Prepare
be diluted to 4 IU/ml with physiological saline fresh solution daily.
before test. ( 4) Alsever solution: Dissolve 0. 5 g of citric
( 2) Calibration of anti-human globulin serum: acid, 8. 0 g of sodium citrate, 20. 5 g of glucose
Carry out a series of 2-fold dilutions for 0. 2 ml of and 4. 2 g of sodium chloride in water and dilute to
anti-human globulin serum and anti-D serum 1000 ml (pH about 6. 2). Dispense the solution in
separately with physiological saline. Add 0. 1 ml blood collecting bottles with a quantity needed for
of 5 % packed erythrocytes suspension of RhD:- one bleeding of a sheep. Carry out steam
positive group O to each dilution of anti-D serum sterilization at ll6°C for 10 minutes ( after
and mix well. Allow the mixture to stand in 37°C sterilization, the steam shall be released as soon as
water bath for 30 minutes, wash 3 times possible). Store at 4°C.
separately with physiological saline and then ( 5) Sheep erythrocytes: Collect sheep blood from
prepare into a 2 % cell suspensions. Add 0. 2 ml of jugular vein aseptically and mix with an equal
each dilution of sensitized erythrocytes suspension volume of Alsever solution. Dispense the mixture
to a row of diluted anti-human globulin solutions in tubes under an aseptic condition and store at 4 °C
and mix well. · Centrifuge at 1000 r/min for one for one week before use.
minute and read the result. Repeat the same ( 6 ) Hemolysin , Rabbit anti-sheep erythrocyte
procedure by replacing the sensitized erythrocytes serum.
with an equal volume of un-sensitized human C 7) Guinea pig serum C complement) : Dispense
erythrocytes of RhD positive group Oas a negative
the pooled sera collected from more than ten guinea
control. If the negative control test is valid, . the
pigs after removing blood cells by centrifugation at
highest dilution of anti-human globulin serum
4 °C. Store at - 70°C or store lyophilized. The
corresponding to the highest dilution of anti-D
total complement activity of guinea pig serum shall
serum showing hemagglutination reaction ( +) is
be not less than 200 CHso / ml.
regarded as the optimal dilution.
(3) The criterion for the judgement of hemagglutina- Preparationof 5 % sheep erythrocyte suspension
tion is as follows: Wash a quantity of above-mentioned sheep
A - 80 Appendix IX

erythrocytes at least 3 times with GBB and suspend Ach = Absorbance of complete hemolysis
in a quantity of the same solution. Add 0. 2 ml of control tube.
the erythrocyte suspension to 2. 8 ml of water. Plot a curve by using hemolysis rate Y as ordinate
Measure the absorbance at 541 nm by ultraviolet- and dilution factor of hemolysin as abs~issas to
visible spectrophotometry ( Appendix II A) after determine the optimal dilution of the hemolysin for
the complete hemolysis of erythrocytes. Adjust preparation of sensitized sheep erythrocyte. Select
the absorbance of the suspension to 0. 62 + 0. 01 a dilution such that further increase in the amount
according to the following formula. After the of hemolysin does not cause appreciable change in
adjustment, the erythrocyte concentration of the the degree of hemolysis , and define this dilution
suspension shall be 1 X 109 cells/ ml. as one minimal hemolysin dilution unit ( 1
Volume ( ml ) of erythrocyte suspension after MHU) in 1. 0 ml. The maximum hemolysis
dilution =V, XA/0. 62 rate shall be within the range of 50 %-70 % ,
Where: Vi = Volume of erythrocyte suspension otherwise the test is invalid.
before dilution, ml; Table 1 Preparationof hemolysin dilutions
A = Absorbance of hemolyzed erythrocytes
before dilution. Preparation
Required
dilution of Gelatin-barbital Hemolysin
Titrationof hemolysin
hemolysin buffer solution,
Dilute hemolysin according to the parameters in ml Dilution(l: x) ml
Table 1. Starting from 1 : 75 dilution of hemo- ·
7.5 0.65 Undiluted o. 1
lysin , mix 1. 0 ml of hemolysin of each dilution
with 1. 0 ml of 5 % sheep erythrocyte suspension
10 0.90 Undiluted o. 1
and incubate at 37°C for 30 minutes. To 0. 2 ml of 75 1. 80 7. 5 0.2
each incubated mixture, add 1. 10 ml of GBB and 100 1. 80 10 o. 2
0. 2 ml of diluted guinea pig serum ( e. g. 1/150 150 1. 00 75 1. 0
dilution). Incubate at 37°C for 60 minutes. 200 1. 00 100 1. 0
Centrifuge the incubated mixture at 2000 r/min for 300 1. 00 150 1. 0
5 minutes. Collect the supernatant and measure 400 1. 00 200 1. 0
the absorbance of each tube at 541 nm by 600 1. 00 300 1. 0
ultraviolet-visible spectrophotometry ( Appendix 800 1. 00 400 1. 0
II A). The.above tests shall be done in duplicate. 1200 1. 00 600 1. 0
At the same time, prepare three tubes of non-
hemolysis controls by adding 0. 1 ml of 5 % sheep 1600 1. 00 800 1. 0
erythrocytes to 1. 4 ml of barbital buffer solution 2400 1. 00 1200 1. 0
and another three tubes of complete hemolysis 3200* 1. 00 1600 1. 0
controls by adding 0. 1 ml of 5 % sheep 4800* 1. 00 2400 1. 0
erythrocytes to 1. 4 ml of water with the same
procedure as mentioned above. Calculate the * discard 1. 0 ml of the mixture
hemolysis rate CY) of each tube according to the Preparationof optimal sensitized sheep erythrocytes
following formula: CEA) .
Y A-An XlOO% Add a quantity of 2 MHU/ml hemolysin slowly to
Ach-Acn . an equal volume of 5 % sheep erythrocyte
Where: Y=Hemolysis rate,%; suspension. Allow the mixture to stand at 37°C
As= Absorbance of each sample tube; for 15 minutes. Store at 2-8°C and use within 6
Acn = Absorbance of non-hemolysis control hours.
tube;
Table 2 Protocol for the titrationof complement activity
Tube No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14
GBB(ml) 1. 2 1. 1 1. 0 0. 9 0. 8 o. 7 0.6 0.5 0.4 0.3 o. 2 o. 1 1. 3 1. 3

Diluted complement(ml) o. 1 0.2 0.3 0.4 0.5 0. 6 o. 7 0.8 0. 9 1. 0 1. 1 1. 2

EACmD 0. 2 0.2 0.2 0.2 0.2 o. 2 o. 2 0. 2 0.2 0. 2 0.2 o. 2 0.2 0. 2


Incubate at 37°C for 60 minutes - cool in an ice bath- centrifuge at 2000 r/min for. 5 minutes-measure the absorbance of
supernatant at 541 nm

Titrationof complement activity in guinea pig serum logarithm of the amount of complement used with
Dilute the guinea pig serum properly with gelatin the logarithm of Y / Cl -Y). Calculate the intercept
barbital buffer solution and titrate the complement (a), slope ( b) and correlation coefficient ( r ).
according to the protocol in Table 2. A linear The complement activity is calculated by the
regression formula is obtained by regressing the following formula:
Appendix IX A- 81

Complement activity (CH50/ml)=(l/X) XF/5 pH9. 6): Dissolve 0. 32 g of sodium carbonate and
Where: ( 1/ X) = Reciprocal of antilog a; 0. 586 g of sodium hydrogen carbonate in water and
F= Dilution factor of complement dilute to 200 ml.
(2) PBS (pH7. 4) solution: Dissolve 8. 0 g of
Determination of anticomplement activity (ACA)
sodium chloride, O. 20 g of potassium chloride,
According to the titrated guinea pig serum
1. 44 g of disodium hydrogen phosphate and 0. 24 g
complement activity, dilute the complement to 100
of potassium dihydrogen phosphate in water and
CH50/ml with gelatin barbital solution. Prepare
incubation mixtures according to the parameters in dilute to 1000 ml. Sterilize at 121°C for 15
minutes.
Table 3.
(3) Washing solution (PBS-Tween 20): Dilute
The concentration of IVIG in Table 3 is calculated
0. 5 ml of polysorbate z'o to 1000 ml with PBS.
on the basis of 50 mg/ml. If the concentration of
(4) Diluent: Dissolve 0. 5 g of bovine serum
IVIG is not 50 mg per ml, the volume of IVIG
albumin in washing solution and dilute to 100 ml.
needed is adjusted by the following formula:
(5) Substrate buffer solution ( citric acid-PBS):
Volume of IVIG needed (ml)= 10 mg/C Dissolve 1. 84 g of disodium hydrogen phosphate
Where: C=IgG (mg) content in 1 ml of IVIG (Na2HP04 • 12H20) and 0. 51 g of citric acid in
Table 3 Preparationof incubationmixture water and dilute to 100 ml.
( 6) Substrate solution: Dissolve 8 mg of o-
Complement
Tube Test sample (ml) control (ml) phenylenediamine in 20 ml of substrate buffer
solution. Add 30 µl of 30 % hydrogen peroxide.
Test sample(50 mg/ml) 0. 2 Prepare just before use.
Gelatin-barbital buffer(ml) 0.6 0.8
Preparationof reference solution
Complement Cl 00 CHso / ml) o. 2 o. 2 Measure accurately a volume of murine IgG
Then, calculate the quantity of gelatin barbital reference substance, reconstituted with a quantity
of water according to the instructions, and dilute
buffer solution to be added according to the actual
with diluent to contain 100 ng , 50 ng, 25 ng,
amount of IVIG, but the total volume of the
12. 5 ng , 6. 25 ng and 3. 13 ng per ml respectively.
mixture shall be maintained at 0. 8 ml. Allow the
mixture to stand at 37°C for 60 minutes. To Preparationof test sample solution
0. 2 ml of the incubated mixture, add 9. 8 ml of Dilute a quantity of test sample to make 1 ml
gelatin-barbital buffer solution ( 50-fold dilution) containing one dose of final product. If specifica-
and determine the remaining complement activity. tions of the product are not defined, the test
The anticomplement activity of test sample is sample is diluted to a concentration of the maxi-
calculated by the following formula. The test· is mum dose of final product per ml.
valid if the remaining complement activity of the Procedure
control is within the range of 80-120 CH5o/ml.
Dilute goat anti-mouse IgG with coating solution to
Anticomplementactivity of test sample ( %) = contain 10 µg per ml and add to a 96-well
CD-G) I DX 100% microtitre plate, 100 µl per well. Allow the plate
Where: D = Remaining complement activity of to stand at 4°C overnight (16-18 hours). Wash
control, CH5o/ml; the plate 3 times with washing solution. Prepare a
G= Remaining complement activity of test 1 % bovine serum albumin solution with washing
sample, CH5o/ml; solution and add to the plate, 200 µl per well.
Block at 37°C for 2 hours. Wash the blocked plate
[Note]
3 times with washing solution. Add reference and
( 1) Leukocytes must be removed during the
test sample solutions to the plate separately,
washing of erythrocytes;
100 µl per well, allow to stand at 37°C for one
(2) Shake the erythrocyte gently during sensitization.
hour. Wash the plate 3 times with washing
(3) Only clarified gel solution is permitted to use.
solution. Dilute horseradish peroxidase-labelled
sheep antimouse IgG with diluent following the
instructions and add to the plate, 100 µl per well.
Allow the plate to stand at 37°C for 30 minutes and
1X L Determination of Residual - wash 3 times with washing solution. Add
Morine IgG substrate solution to the plate, 50 µl per well,
allow to stand at 37°C for 20 minutes, protected
from light. Add 50 µl of stopping solution
The residual murine IgG content in the recombi-
(1 mol/L sulfuric acid) into each well to stop the
nant product, after purificationby affinity chromato-
reaction. Read the absorbance of each well at
graphy with monoclonal antibody, is determined by
492 nm with microtitre plate reader and analyze the
ELISA. data with a computer software or calculate the
Reagent result manually with graphic method.
(1) Coating solution ( carbonate buffer solution, Plot a curv_e with the concentrations of the
A - 82 Appendix IX

reference solutions against their absorbance. The of deoxycytidine triphosphate (dCTP), 200 µmol of
correlation coefficient of the curve shall be more deoxyguanosine triphosphate ( dGTP), 200 µmol of
than 0. 995. Find out the murine lgG content of deoxyuridine triphosphate ( dUTP) , 0. 4 X 10-3
test sample solution on the curve through its mmol of upstream primer, 0. 4 X 10-3 mmol of
absorbance. Calculate the residual murine lgG downstream primer, 0. 8 g of ribonuclease A, 6X
content of test sample by the following formula: 104 U of Taq DNA polymerase and 4 X 104 U of
uracil N-glycosylase (UNG).
Residual murine lgG content ( ng) - C X DX F / T
(7) Blocking solution: PBS containing 3% bovine
Where: C = Murine lgG content of test sample
serum albumin or 0. 5 % casein.
solution, ng/ml;
(8) Denaturation buffer solution: 0. 2 mol/L
D= Dilution factor of test sample solution; sodium hydroxide, 5 mmol/L EDTA solution.
F = Specification of final product, IU / dose ( 9) Coating solution: 0. 05 mol/L disodium
or µg/dose; hydrogen phosphate solution (pH 8. 5).
T= Potency or protein content of principal
constituent of the test sample, IU/ml . Preparation of test sample, positive . control and
or µg/ml. sensitivity control
( 1) Test sample: Centrifuge 200 µ1 of test sample
at 5000 r/min for 5 minutes and collect the
supernatant. To 100 µl of the supernatant, add
100 µ1 of solution B and 2 µ1 of diethylpyrocar-
]X M Test for Reverse Transcriptase bonate ( DEPC )-treated 5 % Triton X-100. Mix
Activity well and allow the mixture to stand in an ice bath
for 15 minutes. Store at-70°C for use.
The reverse transcriptase activity in test sample is (2) Positive control: Treat the supernatant of SP
determined by amplifying a specified fragment with 2/0 cell culture by the same procedure as that for
test sample and dispense it according to the amount
RT-PCR method using brome mosaic virus
used in a single test. Store at -70°C for use.
( BMV) RNA as a template and detecting the
(3) Sensitivity control: Dilute a quantity of
hybridization signal of the fragment with probe by
murine leukemia virus reverse transcriptase ( M-
ELISA.
ML V) serially with solution A to contain 10-s U
Reagent per µl. Vortex thoroughly for each dilution.
(1) Diluent for test sample (solution A): Each liter Dispense the mixture according to the amount used
of solution A contains 25 mmol of trishydroxymethy- in a single test. Store at -70°C for use.
Iaminomethane-hydrochloric acid ( Tris-HCl, pH Procedure
7. 5), 50 mmol of potassium chloride, 5 mmol of ( 1) Reverse transcription: Make the treated test
dithiothreitol (DTT), 0. 25 mmol of tetramethyl sample and positive control 10-fold dilution with
ethylene diamine (EDTA), 25 ml of Triton X-100 solution A.
and 500 ml of glycerol. Add 20. 8 µ1 of reverse transcription buffer
(2) Preservative solution for test sample (solution solution and 0. 2 µl of 500 mg/L BMV-RNA into a
B): Add 1 mg of leupeptin , 0. 7 mg of gastric reverse transcription tube. Mix well and mark.
inhibitory peptide and 1 mg of aprotinin to 1 L of Allow the tube to stand at 70°C for 10 minutes and
solution A. then set in an ice bath.
(3) Sequences of primer and probe Add . 4 µ1 of either diluted test sample, positive
Upstream primer: 5'-biotin- CGT GGT TGA CAC control or sensitivity control into corresponding
GCA GAC CTC TTA C-3' reverse transcription tubes, using solution A as a
Downstream primer: 51 -TCA ACA CTG TAC negative control. The total volume of reverse
GGC ACC CGC ATT C-3' transcription reaction system is 25 µl. React at
Probe: 5'-NH2 ATTATCTGGCC TTT GAG 3 7°C for 90 minutes.
AGTTA CTC TTT G-3' (2) PCR amplification: Add 5 µl of reverse
(4) Template: BMV RNA transcription product into 20 µl of PCR amplification
(5) Reverse transcription buffer solution: Each buffer solution and mix well. The total volume of
liter of reverse transcription buffer solution . PCR amplification reaction system is 25 µl.
contains 50 mmol of Tris- HCl ( pH 8. 3 ) , Perform PCR amplification by the following
40 mmol of potassium chloride, 6 mmol of magne- schedule: 37°C for 30 minutes for reverse transcrip-
sium chloride, 10 mmol of DTT, 200 µmol of tion, 94°C for 5 minutes for pre-denature, 35
deoxyribonucleotide and 0. 8 X 10-3 mmol of cycles of 94°C for 45 seconds, 56°C for 45 seconds
downstream primer. and 72°C for 45 seconds, with a final extension at
(6) Amplification buffer solution: Each liter of 72°C for 5 minutes.
amplification buffer solution contains 25 mmol of ( 3) Determination of hybridization: Coat DNA
Tris-HCl ( pH 8. 8), 40 mmol of potassium binding plate with probe diluted with coating
chloride, 2 mmol of magnesium chloride, 200 µmol solution properly, 100 µl per well, allow to stand
of deoxyadenosine triphosphate ( dATP ) , 200 µmol at 4°C overnight. Block the plate with blocking
Appendix IX A - 83

solution, 200 µl per well, at 37°C for 60 minutes tituted freeze-dried human fibrinogen solution with
and wash 3 times with washing solution for use. physiologicalsaline to a· concentrationof 5 mg per ml.
After amplification, add 25 µl of denaturation (2) Human thrombin solution: Dilute the recons-
buffer solution into each reaction tube and mix tituted freeze-dried human thrombin with physi-
well. Add 25 µl of test sample and 100 µl of ological saline to a concentration of 0. 5 IU per ml.
hybridization solution into each well of the coated Procedure
plate after blocking and washing. Mix well and To 0. 2 ml of test sample, add 0. 2 ml of 0. 5%
react at 37°C for 60 minutes. Wash the plate 5 fibrinogen solution, allow to stand at 37°C for 24
times with washing solution, add 100 µl of hours. Observe whether coagulum or fibrin is
streptavidin-labelled horseradish peroxidase and formed at least 2 times during the observation
react at 37°C for 30 minutes. Wash 5 times with period. Negative and positive control tests shall be
washing solution. Add 100 µl of colour developing performed in parallel.
solution into each well and develop at 37°C for 10 (1) Negative control: Repeat the above-mentioned
minutes. Add 100 µl of stopping solution into each procedure using 0. 2 ml of physiological saline
well to stop the reaction. Read the absorbance of instead of test sample.
each well with microtitre plate reader at 492 nm (2) Positive control: Repeat the above-mentioned
using 630 nm as a reference wavelength. procedure using 0. 2 ml of o. 5 IU/ml human
Result evaluation thrombin solution instead of test sample.
The cutoff value is defined as the absorbance of Result evaluation
negative control plus 0. 2. The test is valid if coagulum or fibrin is formed in
The absorbance of negative control shall be not positive control but not in negative control. No
more than 0. 2. The absorbance less than 0. 05 shall coagulum or fibrin shall be observed visually in the
be calculated as 0. 05. test sample.
The result of positive control shall be positive,
and its absorbance shall be not less than 1. 5. [Note]
The result of sensitivity control shall be positive, If the test sample contains heparin, a quantity of
and its absorbance shall be not less than 0. 8. protamine sulfate ( 10 µg for 1 IU of heparin)
If the absorbance of test sample is more than the shall be added to neutralize the heparin before test.
cutoff value, the result shall be judged as positive.
Precaution
(1) If the test sample is cell culture, it shall be
]X O Test for Activated Coagulation
subcultured for 3-4 days to form a monolayer.
Collect the supernatant for the test. Prior to the Factor Activity
test sample taking, the medium shall not be
changed. The method is based on the principle that, in the
(2) All the reagents and pipette tips used for the presence of cephalin , activated coagulation factor
test shall be sterilized. The reagents and materials can coagulate platelet-poor human plasma. The
involving in RNA procedure shall be treated with presence or absence of activated coagulation factor
diethylpyrocarbonate (DEPC). in test sample is determined by the coagulation
(3) The areas in which test sample loading, time after the test sample is mixed with platelet-
amplification and determination of PCR product are poor human plasma and cephalin.
performed, as well as the pipettes and clothes,
shall be dedicated. Reagent
( 4) All the areas shall be disinfected periodically. ( 1) Platelet-poor H~an plasma: Collect human
The PCR product and the pipette tips used for test blood aseptically and ix well with 3. 8~ sodium
sample shall be effectively treated in time. citrate as an anticoagul t at a volume ratio of 9 :
1. Centrifuge at 1500 r/min, 4 °C for 30 minutes.
Collect the upper two-third of plasma with a plastic
syringe and centrifuge at 3500 r/min, 4 °C for 30
minutes. Collect the upper two-third of plasma
]X N Test for Human Thrombin and fill into plastic tubes, 3 ml per tube. Store at
Activity -40°C.
(2) Tris buffer solution (pH 7. 5): Dissolve 7. 27 g
of Tris and 5. 27 g of sodium chloride in water
The method is based on the principle that .thrombin
and dilute to 1000 ml. Adjust pH to 7. 5 with
can coagulate human fibrinogen. The thrombin
hydrochloric acid.
activity of test sample is determined by the
(3) Cephalin suspension: Reconstitute freeze-
formation of coagulum after the test sample is dried cephalin with water and dilute with a
mixed with human fibrinogen. quantity of physiological saline to a concentration
Reagent so as· to make the blank coagulation time between
( 1 ) 0. 5 % fibrinogen solution: Dilute the recons- 200 and 300 seconds.
A - 84 Appendix IX

( 4) 0. 025 mol/L calcium chloride solution: plasma and fill into plastic tubes, 3 ml per tube.
Dissolve 147 g of calcium chloride (CaCl2 • 2H20) Store at -40°C.
in 1000 ml of water to prepare 1 mol/L calcium (2) Tris buffer solution, pH 7. 5: Dissolve7. 27 g of
chloride stock solution. Make the stock solution Tris and 5. 27 g of sodium chloride in water and
40-fold dilution with water just before use. dilute to 1000 ml. Adjust pH to 7. 5 with
(5) Protamine sulfate solution: Dissolve a . hydrochloric acid.
quantity of protamine sulfate in Tris buffer (3) Cephalin suspension: Reconstitute freeze-
solution ( pH7. 5 ) and dilute to a suitable dried cephalin with water and dilute with a
concentration. quantity of physiological saline to a concentration
so as to make the blank coagulation time between
Preparationof, test sample solution
200 and 300 seconds.
Add a quantity of protamine sulfate into the
(4) 0. 025 mol/L calcium chloride solution:
reconstituted test sample according to the heparin
Dissolve 147 g of calcium chloride (CaClz • 2H20)
content determined by the method in Appendix
in 1000 ml of water to prepare a 1 mol/L calcium
IX P to neutralize the heparin ( 1 IU of heparin chloride stock solution. Make the stock solution
shall be neutralized with 10 µg of protamine
40-fold dilution with water just before use.
sulfate), and make the mixture 10-fold and 100-
(5) Protamine sulfate solution: Dissolve a
fold dilutions with Tris buffer solution (pH7. 5).
quantity of protamine sulfate in Tris buffer
Procedure solution (pH7. 5) and dilute to a concentration of
Mix 0. 1 ml of platelet-poor human plasma with 1-20 mg per ml.
0. 1 ml of cephalin suspension and allow the
Preparationof test sample solution
mixture to stand at 37°C for one minute. Add
Reconstitute the test sample according to the
0. 1 ml of test sample ( 10-fold or 100-fold
labelled volume. Transfer 0. 5 ml of the
dilution) and 0. 1 ml of 0. 025 mol/L calcium
reconstituted sample to each of plastic tubes
chloride solution preheated to 37°C. Record the
containing 10 µl of protamine sulfate solution at
coagulationtime. A blank control test is performed by
different concentrations respectively and mix well.
the above-mentioned procedure using 0. 1 ml of Tris
buffer solution (pH7. 5) instead of test sample. Procedure
Add 0. 1 ml of cephalin suspension into a plastic
Result evaluation .
tube containing 0. 1 ml of platelet-poor human
The test is valid if the coagulation time of blank
plasma and mix well. Allow the tube to stand at
control is not less than 200 seconds. The
3 7°C for one minute. Add o. 1 ml of test sample
coagulation times of 1 : 10 and 1 : 100 test sample
solution and 0. 1 ml of 0. 025 mol/L calcium
dilutions shall be not less than 150 seconds.
chloride solution preheated to 37°C. Record the
[Note] coagulation time. A blank control test is
( 1 ) The apparatus directly contacting blood or performed by the above-mentioned procedure using
plasma shall be made of plastic or siliconized glass. 0. 1 ml of Tris buffer solution (pH7. 5) instead of
The test shall be completed within 30 minutes test sample. The test is valid if the coagulation
starting from the dilution of test sample. time of blank control is not less than 200 seconds.
(2) Each dilution of the test sample is tested in The protamine sulfate co~ent in the tube with the
duplicate. shortest coagulation time s all be selected for the
neutralization of heparin con ent in 0. 5 ml of the
test sample. On this basis, IU heparin can be
neutralized by 10 µg of protamine sulfate. For
lX P Determinationof Heparin example, if the test sample tube with the shortest
coagulation time contains 30 µg of protamine
Content sulfate, 3 IU of heparin in 0. 5 ml of test sample is
(Coagulation, Method) then neutralized. So the heparin content in 1 ml of
test sample shall be 6 IU.
The heparin content in test sample is determined [Note]
based on the principle that protamine sulfate can The apparatus directly contacting blood or plasma
neutralize anticoagulant heparin and influence the shall be made of plastic or siliconized glass.
coagulation time of plasma.
Reagent
(1) Platelet-poor human plasma: Collect human
blood aseptically and mix well with 3. 8 % sodium lX Q Determination of Human
citrate anticoagulant at a volume ratio of 9 : 1.
Centrifuge at 1500 r/min, 4 °C for 30 minutes.
ErythrocyteAntibody
Collect the upper two-third of the plasma with a ( Micro titre Plate Method)
plastic syringe and centrifuge at 3500 r/min, 4 °C
for 30 minutes. Collect the upper two-third of the The method is based on the principle that
Appendix IX A - 85

erythrocytes bind to the corresponding antibody disodium solution as an anticoagulant: Dissolve


with the occurrence of coagulation. The potency 0. 365 g of disodium hydrogen phosphate
of human erythrocyte antibody in test sample is (Na2 HP04 • 12H2 0), 0. 875 g of potassium
determined by comparing the hernagglutination dihydrogen phosphate, 2. 125 g of sodium chloride
reaction end points of test sample and control. and 12. 5 g of ethylenedia:minetetraacetic acid
Reagent disodium (EDTA-Na2 • 2H20) in water and dilute to
1% group O erythrocyte suspension: Mix group O 250 ml.
blood containing an anticoagulant, from three (2) 0. 33% EDTA solution: Dissolve 0. 73 g of
healthy donors or more, and use within 7 days disodium hydrogen phosphate ( Na2HP04 •
after blood colle~tion. Wash the blood 3 times 12H20)' 1. 75 g of potassium dihydrogen
with physiological saline before use. The last phosphate, 4. 25 g of sodium chloride and 1. 65 g
washing is carried out by· centrifugation at 2000 r/ of ethylenediaminetetraacetic acid disodium
min for 10 minutes. Dilute the erythrocyte (EDTA-Na2 • 2H20) in water and dilute to 500 ml.
sediment with physiological saline to 1% for use. (3) Diluent for platelet: Mix group AB sera from
more than three donors and inactivate at 56°C for
Procedure 30 minutes. Add 50 g of barium sulfate into each
Make the test sample a series of 2-fold dilutions on 100 ml of group AB serum and adsorb at 37°C for
a V-shaped 96-well microtitre plate, with an angle one hour. Stir the mixture during adsorption from
of 90° at the. bottom, in duplicate in two rows, time to time. Centrifuge the mixture at 3000 r/rnin
50 µl per well. Add 50 µl of 1 % 0 group erythrocyte for 30 minutes. Discard the precipitate and collect
suspension into each well and mix well by patting the supernatant for use.
the microtitre plate slightly for 30 seconds. Allow Dilute one volume of the supernatant with three
the plate to stand at room temperature for 3 hours volumes of physiological saline to prepare a diluent
and observe the result. A negative control test is for platelet on the date of the test. Care shall be
performed by the above-mentioned procedure in taken to prevent the existence of erythrocytes and
parallel using physiological saline instead of test the occurrence of hemolysis in the group AB
sample. . serum.
Result evaluation ( 4) Preparation of platelet suspension: Collect
Put the microtitre plate on a white background and 20 ml of human intravenous blood and mix with
compare the results of test sample wells with those 5 % EDTA solution at a volume ratio of 9 : 1.
of control wells. If erythrocytes settle at the Centrifuge the mixture at 20°C, 800 r/min for 15
bottom of the well and form a regular spot without minutes and collect the supernatant ( plasma).
sticking on the wall, the result shall be judged as Add 0. 33% EDTA solution into the plasma up to
negative. However, if the wall of the well is the original whole blood volume and centrifuge at
stuck with a layer of erythrocytes evenly or only a 20°C, 1500 r/min for 10 minutes. Discard the
part of the erythrocytes settle at the bottom and supernatant. Wash the sediment with o. 33 %
the rest are stuck on the wall, the result shall be EDT A solution twice further by the above-
judged as positive. The highest dilution of test mentioned steps and discard the supernatant. Add
sample showing positive result is served as the 0. 5 ml of diluent for platelet into the sediment and
potency of erythrocyte antibody. If the difference mix well. Count platelet and adjust its
between results of test sample of the same batch in concentration to 2. 5 X 103-3. 5 X 105 platelets/
the two rows is more than one dilution, the test mm3• (Caution: Allow the platelet suspension to
shall be repeated. If the difference is one dilution, stand on the counting plate for 2-3 minutes at fir~t
the highest dilution of test sample showing positive and the counting shall be completed within 10
result in the two rows is served as the potency of minutes. )
erythrocyte antibody. "'~,.Preparation of the test sample solution
Make the test sample a series of 2-fold dilutions
with physiological saline to a dilution of 1 : 16.
Preparationof positive control solution
]X R Determination of Human Inactivate 0. 5 ml of porcine plasma ( or rabbit
Platelet Antibody serum) immunized with human platelets at 60°C
for 10 minutes and adsorb with 0. 05 g of barium
The method is based on the principle that platelet sulfate at 37°C for 15 minutes. Centrifuge at
bind to the corresponding antibody with the 3000 r / min for 20 minutes and collect the supernatant
occurrence of coagulation. The potency of human for use.
platelet antibody in test sample is determined by Negative control solution
comparing the hemagglutination reaction end Physiological saline and diluent for platelet.
points of test sample and control. Procedure
Reagent To 0. 1 ml of test sample of each dilution, add
( 1) 5 % ethylenediaminetetraacetic acid ( EDT A) 0. 1 ml of platelet suspension and warm at 37°C for
A - 86 Appendix IX

30 minutes. Drop the mixture onto a counting Result evaluation


plate, allow to stand for 2-3 minutes and count The test is valid if positive control shows "+ +"
under a microscope with a magnifying power of 20- while negative control shows " - ". The highest
40. Negative and positive controls shall be set up dilution of test sample when " +" appears rs
at the same time. served as the potency of platelet antibody.
(1) Positive control: To O. 1 ml of positive control
[Note]
solution, add 0. 1 ml of platelet suspension and (1) - : No coagulum or occasionally two to three
proceed with the same procedure as that for test platelets appear in a chain array.
sample. (2) +: Small coagula consisting of three to five
( 2) Negative control! To 0. 1 ml of negative
platelets with a few of free platelets appear.
control solution, add 0. 1 ml of platelet suspension
and proceed with the same procedure as that for
( 3)++: Large coagula consisting of more than
six platelets with few of free platelets appear.
test sample.
Appendix X A - 87

Appendix X

the in vitro relative potency of the test sample.


Using the reference as a standard, the test result
shall be judged as qualified if the geometric mean
X A In vitro Test for Relative of relative potency of test sample is not less than
0. 5.
Potency of Recombinant Hepatitis B
Vaccine (Yeast)
The HBsAg content in test sample is determined X B In vivo Test for Biological
by ELISA, and its relative potency is calculated by Activity of Recombinant Human
double parallel line assay against a reference.
Erythropoietin
Reagent
(1) PBS (pH 7. 2): Dissolve 8. 850 g of sodium
( Reticulocyte Method)
chloride, 0. 226 g of sodium dihydrogen phosphate
This method is based on the stimulating effect of
( NaH2 P04 • 2H2 0) and 1. 698 g of disodium
human erythropoietin (EPO) on the production of
hydrogen phosphate ( Naz HP04 • 12H20) in a
reticulocyte. The number of reticulocytes in mice
quantity of water, adjust pH to 7. 2 and dilute
injected s. c. with EPO increases with the
with water to 1000 ml.
increasing dosage. The in vivo biological activity
( 2) Treatment solution for test sample: Mix
of EPO is determined by dose-response parallel line
1. 25 ml of 20 % diethylaminoethanol and 0. 20 ml
analysis on the count· ratio of reticulocyte to
of 10 % Triton X-100 solution with 8. 55 ml of PBS
erythrocyte.
thoroughly for use.
(3) Diluent for test sample: Dissolve 10. 0 g of Reagent
bovine serum albumin in PBS and dilute to (1) Dipotassium ethylenediamine tetraacetate
1000 ml. (EDTA-K2) anticoagulant: Dissolve 100 mg of
EDTA-K2 in 10 ml of physiological saline and mix
Preparationof reference and test sample solutions well. Prepare just before use.
Measure accurately 0. 1 ml of reference and test ( 2) Diluent: Dissolve 0. 1 g of bovine serum
sample, and transfer to two test tubes containing albumin in physiological saline and dilute to
0. 1 ml of treatment solution for test sample 100 ml.
respectively. Lid a cover and mix well, allow to
stand at 20-28°C for 30-35 minutes. Dilute Preparationof standard . solution
properly the treated reference and test sample with Reconstitute EPO ~~ndard following the
the diluent and carry out the tests on the dilutions instructions and dilute wit diluent to three (high,
of 1 : 2000 , 1 : 4000 , 1 : 8000 , 1 : 16000 and medium and low) concentrations.
1 : 32000 or other suitable dilutions, in duplicate. Preparationof test sample solution
Use the diluent for test sample as a negative Dilute the test sample with diluent to three
control. No dilution is needed for positive and concentrations similar to those of standard solution.
negative controls.
Procedure
Procedure Inject s. c. the standard and test sample solutions
The test is carried out according to the instructions of low, medium and high dosages (e.g. 10 IU,
of reagent kit. The same tests shall be repeated 20 IU and 40 IU per mouse) into the inbred mice
twice within 3 days. The test is valid if both the (female BALB/ c mice) aged 6-8 weeks or B6D2Fl
mean absorbance of negative and positive controls mice respectively. Both the standard and test
are within the range specified in the instructions of sample at each dosage are injected into at least four
the reagent kit. Calculate the relative potency by mice, not more than 0. 5 ml per mouse. Bleed
dose-response parallel line assay ( see Statistical . three to four drops of blood from orbit of each
Methods for Biological Assays described in Chinese mouse on the 4th day and transfer to a tube
Pharmacopoeia, Volume II ) with the data containing 200 µl of EDTA-K2 anticoagulant for
obtained from the three tests. The geometric mean determining the cell number ratio ( Ret % ) of
obtained from the three calculations is defined as reticulocyte to erythrocyte of each mouse by an
A - 88 Appendix X

automatic reticulocyte analyzer. Calculate the in under an aseptic condition.


vivo biological activity of test sample by dose- Preparation of test sample solution
response parallel line assay ( see Statistical Dissolve the test samples based on the labelled
Methods for Biological Assays described in Chinese volume and dilute to contain about' 1000 IU per ml
Pharmacopoeia, Volume II) using injecting dose with testing medium, then make eight 4-fold
(IU) against Ret%. dilutions serially on a 96-well cell culture plate, in
duplicate. Prepare the solution under an aseptic
condition.
Procedure
X C Biological Activity 'lest for Incubate WISH cells in a culture bottle to form a
Interferon monolayer of anchored cells. Trans£ er the cells
(Cytopathic Inhibition Assay) into complete medium for subculture at a ratio of
1 : 2-1 : 4, 2-3 times a week. Discard the
The method is based on the principle that interferon medium, wash the cells twice with PBS and digest
can protect human amnion-derived WISH cell from with digestion solution. Collect the cells and
the damage of vesicular stomatitis virus ( VSV). dilute with complete medium to prepare a
The biological activity of interferon is determined by suspension at a concentration of 2. 5 X 105-3. 5 X
the protective effect curve of live WISH cells after 105 cells per ml. Add the suspension onto a 96-
beingstained with crystal violet well cell culture plate, 100 µl per well, and
incubate at 37°C in a 5 % carbon dioxide incubator
Reagent for 4-6 hours. Transfer the prepared standard and
(1) MEM or RPMI 1640 medium: Dissolve one test sample solutions to the plate inoculated with
bag ( the specification is 1 L) of MEM or RPMI WISH cells, 100 µl per well and incubate at 37°C
1640 medium powder in water and dilute to 1000 ml. in a 5 % carbon dioxide incubator for 18-24 hours.
Add 105 IU of penicillin, 105 IU of streptomycin Discard the supernatant. Dilute the vesicular
and 2. 1 g of sodium bicarbonate. Mix well after stomatitis virus, stored at -70°C, with challenge
dissolution and sterilize by filtration. Store at 4°C. medium to 100 CCID50, inoculate onto the plate,
(2) Complete medium: To 10 ml of newborn calf 100 µl per well and incubate at 37°C in a 5 %
serum, add 90 ml of MEM or RPMI 1640 medium. carbon dioxide incubator for 24 hours, until the
Store at 4 °C. 50% CPE point of standard solution appears at a
(3) Testing medium: Mix 7 ml of newborn calf concentration of 1 IU per ml under microscope.
serum with 93 ml of MEM or RPMI 1640 medium. Discard the supernatant, add 50 µl of staining
Store at 4 °C. solution into each well, allow to stand at room
(4) Challenge medium: Mix 3 ml of newborn calf temperature for 30 minutes. Remove the staining
serum with 97 ml of MEM or RPMI 1640 medium. solution by washing with flowing water carefully
Store at 4 °C. and adsorb the residual moisture. Add 100 µl of·
( 5) Digestion solution: Dissolve 0. 2 g of ethylenedia- destaining solution into each well, ¥low to stand
minetetraaceticacid disodium, 8. 0 g of sodium at room temperature for 3-5 minutes. Mix well
chloride, 0. 2 g of potassium chloride, 1. 152 g of and read absorbance with microtitre plate reader at
disodium hydrogen phosphate and 0. 2 g of potassium 570 nm using 630 nm as a reference wavelength.
dihydrogen phosphate in water and dilute to 1000 ml. Record the determination results.
Sterilize at 121°C for 15 minutes. Analyze the data by using four-parameter
( 6) Staining solution: Dissolve50 mg of crystal violet regression method or other relevant computer
in 20 ml of absolute ethanol and dilute to 100 ml software. Calculate the test result by the
with water. following formula:
(7) Destaining solution: Dilute 50 ml of absolute Biological activity (Il.I/rnl) of test sample=
ethanol and 0. 1 ml of· acetic acid to 100 ml with Pr x [ CDs XEs)/(Dr XEr)J
water. Where: Pr= Biological activity of standard,
(8) PBS: Dissolve 8. 0 g of sodium chloride, O. 20 g IU/ml;
of potassium chloride, 1. 44 g of disodium hydrogen D; = Pre-dilution factor of test sample;
phosphate and 0. 24 g of potassium dihydrogen Dr= Pre-dilution factor of standard;
phosphate in water and dilute to 1000 ml. Sterilize at Es = Dilution factor of test sample with
121°C for 15 minutes. response equivalent to that of standard
Preparationof standardsolution at 50% effectiveconcentration;
Reconstitute the national standard for testing the Er= Dilution factor of standard with 50 %
biological activity of human interferon following effective concentration
the instructions and dilute to a concentration of
1000 IU per ml with testing medium, then make
eight 4-fold dilutions serially on a 96-well cell
culture plate, in duplicate. Prepare the solution
Appendix X A - 89

culture plate, in duplicate. Keep 50 µl of test


sample solution in each well and discard the rest.
Prepare the solution under an aseptic condition.
X D Biological Activity Test for Procedure
Recombinant Human Interleukin -2 Incubate CTLL-2 cells in complete medium at 37°C
in a 5 % carbon dioxide incubator to prepare
(CTLL-2 Cell/MTT Colorimetric enough cells for test. Collect the cells by
Method) centrifugation, wash 3 times with RPMI 1640
medium and resuspend at a concentration of 6. 0 X
The method is based on· the principle that the 105 cells per ml in basic medium. Keep at 37°C in
viability of CTLL-2 cell is dependent on 5 % carbon dioxide incubator for use. Add the cell
stimulation of interleukin-2 ( IL-2) at different suspension onto a 96-well cell culture plate
potency. The biological activity of IL-2 may be containing standard and test sample solutions ,
determined according to the growth of CTLL-2 50 µl per well, and incubate at 37°C in a 5%
cells. carbon dioxide incubator for 18-24 hours. Add 20
Reagent µl of MTT solution into each well and incubate the
(1) RPMI 1640 medium: Dissolve one bag ( the plate at 37°C in a 5 % carbon dioxide incubator for
specification is IL) of RPMI 1640 medium powder 4-6 hours. Add 150 µl of lysis solution into each
in water and dilute to 1000 ml. Add 105 IU of well and incubate at 37°C in a 5 % carbon dioxide
penicillin, 105 IU of streptomycin and 2. 1 g of incubator for 18-24 hours. All the above steps
sodium bicarbonate. Mix well after dissolution shall be carried out under an aseptic condition.
and sterilize by filtration. Store at 4 °C. Mix the cell culture thoroughly and read
(2) Basic medium: Mix 10 ml of newborn calf absorbance with microtiter plate reader at 570 nm
serum with 90 ml of RPMI 1640 medium. Store at using 630 nm as a reference wavelength. Record
4°C. the determination results.
( 3) Complete medium: Add recombinant human Analyze the data by using four-parameter
IL-2 into 100 ml of basic medium to a final regression method or other relevant computer
concentration of 400-800 IU. Store at 4 °C. software. Calculate the test result by the
(4) PBS: Dissolve 8. 0 g of sodium chloride, 0. 20 g following formula:
of potassium chloride, 1. 44 g of disodium
Biological activity OU/ml) of test sample=
hydrogen phosphate and 0. 24 g of potassium
PrX[ (DsXEs)/CDrXEr)J
dihydrogen phosphate in water and dilute to 1000 ml.
Where: Pr=Biological activity of standard,
Sterilize at 121°C for 15 minutes.
IU/ml;
(5) Thiazole blue ( MTT) solution: Dissolve
D, =Pre-dilution factor of test sample;
0. 1 g of MTT in PBS and dilute to 20 ml. Sterilize
Dr= Pre-dilution factor of standard;
by filtration with a 0. 22 µm membrane. Store at
Es= Dilution factor of test sample with
4 °C , protected from light.
response equivalent to that of
(6) Lysis solution: 15% sodium dodecyl sulfate
standard at 50 % effective concentr-
(SDS). Use the solution within 12 months after
ation;
preparation.
Er= Dilution factor of standard with 50 %
CTLL-2 cell effective concentration
The CTLL-2 cell culture shall be a weak acidic and
slightly turbid liquid. It is used for the biological
activity test of interleukin-2 48-60 hours after
passage. X E Biological Activity Test for
Preparationof standardsoluti~ Recombinant Human Granulocyte
Reconstitute the national standard for the
determination of biological activity of human Colony-stimulating Factor
interleukin-2 following the instructions and dilute (NFS-60 Cell Strain/MTT Colorimetric
with basic medium to a concentration of 200 IU per Method)
ml, then make eight 2-fold dilutions serially on a
96-well cell culture plate, in duplicate, Keep 50 µl The method is based on the principle that the
of standard solution in each well and discard the growth rate of murine myeloid leukemia cells
rest. Prepare the solution under an aseptic ( NFS--60 ) is dependent on stimulation of
condition. recombinant human granulocyte colony-stimulating
factor ( rh~CSF) at different potency. The
Preparationof test sample solution
biological activity of rh~CSF is determined
Reconstitute the test samples based on the labelled
according to the growth of NFS--60 cells.
volume, and dilute with basic medium to a
concentration of about 200 IU per ml, then make Reagent
eight 2-fold dilutions serially on a 96-well cell Cl) RPMI 1640 medium: Dissolve one bag ( the
A - 90 Appendix X

specification is lL) of RPMI 1640 medium powder incubator for 5 hours. All the above steps shall be
in water and dilute to 1000 ml. Add 105 IU of carried out under an aseptic condition. Add 100 µ.l
penicillin, 105 IU of streptomycin and 2. 1 g of of lysis solution into each well and mix well. Read
sodium bicarbonate. Mix well after dissolution absorbance with microtitre plate reader at 570 nm
and sterilize by filtration. Store at 4 °C. using 630 nm as a reference wavelength. Record
(2) Basic medium: Mix 100 ml of newborn calf the determination results.
serum with 900 ml of RPMI 1640 medium. Store Analyze the data by using four-parameter regression
at 4°C. method or other relevant computer software. Calculate
(3) Complete medium: Add rhG-CSF into basic the test result by the following formula:
medium to a final concentration of 20 ng or 3000 IU
Biological activity OU/ml) of test sample=
per ml.
(4) PBS: Dissolve 8 g of sodium chloride, 0. 2 g PrX[ CDsXEs)/CDrXEr)J
Where: Pr=Biological activity of standard,
of potassium chloride, 1. 44 g of disodium
IU/ml;
hydrogen phosphate and 0. 24 g of potassium
dihydrogen phosphate in water and dilute to 1000 ml.
D; = Pre-dilution factor of test sample;
Dr= Pre-dilution factor of standard;
Sterilize at 121 °C for 15 minutes.
Es = Dilution factor of test sample with
(5) Thiazole blue ( MTT) solution: Dissolve
response equivalent to that of
0. 10 g of MTT powder in 20 ml of PBS to prepare
a 5. 0 mg/ml solution. Sterilize by filtration with a standard at 50 % effective concen-
0. 22-pm membrane. Store at 4 °C , protected from tration;
light. Er= Dilution factor of standard with 50 %
(6) Lysis solution: Dilute 14 ml of hydrochloric effective concentration
acid and 50 ml of Triton X-100 solution to 500 ml
with isopropanol. Store at room temperature,
protected from light.
Preparationof standardsolution
X F Biological Activity Test for
Reconstitute the standard for the determination of Recombinant Human Granulocyte/
biological activity of rhG-CSF following the Macrophage Colony-stimulating Factor
instructions and dilute with basic medium to a (TF-1 Cell/MIT ColorimetricMethod)
concentration of 50-100 IU per ml, then make
eight 2-fold dilutions serially on a 96-well cell The method is based on the principle that the
culture plate, in duplicate. Keep 50 µ.l of standard growth rate of human erythroleukemia cell (TF-1)
solution in each well and discard the rest. Prepare is dependent on stimulation of recombinant human
the solution under an aseptic condition. granulocyte/macrophage colony-stimulating factor
Preparationof test sample solution (rhGM-CSF) at different potency. The biological
Dissolve the test samples based on the labelled activity of rhGM-CSF is determined according to
volume, and dilute with basic medium to a the growth of TF-1 cells.
concentration of about 50-100 IU per ml, then Reagent
make eight 2-fold dilutions serially on a 96-well cell (1) RPMI 1640 medium: Dissolve one bag ( the
culture plate, in duplicate. Keep 50 µ.l of test specification is lL) of RPMI 1640 medium powder
sample solution in each well and discard the rest. in water and dilute to 1000 ml. Add 105 IU of
Prepare the solution under an aseptic condition. penicillin, 105 IU of streptomycin and 2. 1 g of
Procedure / sodium bicarbonate, mix well after dissolution and
Incubate NFS-60 cell strain in-complete medium at sterilize by filtration. Store at 4 °C.
37°C in a 5 % carbon dioxide incubator. Control (2) Basic medium: Mix 100 ml of newborn calf
the concentration of culture at a range of 1. 0 X 105- serum and 900 ml of RPMI 1640 medium. Store at
4. 0 X 105 cells per ml. The culture which has been 4°C.
incubated for 24-36 hours after passage shall be (3) Complete medium: Add rhGM-CSF into basic
used for the biological activity test. Prewarm all medium to a final concentration of 5. 0 ng or 80 IU
the solutions for test to 37°C. Centrifuge enough per ml.
culture to collect NFS-60 cells. Wash the cells 3 (4) PBS: Dissolve 8 g of sodium chloride, 0. 2 g
times with RPMI 1640 medium, resuspend at a of potassium chloride, 1. 44 g of disodium
concentration of 2. 0 X 105 cells per ml in basic hydrogen phosphate and 0. 24 g of potassium
medium, and keep at 37°C for use. Add the cell dihydrogen phosphate in water and dilute to 1000 ml.
suspension onto a 96-well cell culture plate Sterilize at 121°C for 15 minutes.
containing standard arid test sample solutions, (5) Thiazole blue (MTT) solution: Dissolve 0. 10 g
50 µ.l per well, and incubate at 37°C in a 5 % of MTT powder in 20 ml of PBS to prepare a
carbon dioxide incubator for 40-48 hours. Add 5 mg/ml solution. Sterilize by filtration with a
20 µ.l of MTT solution into each well, and 0. 22 µ.m membrane. Store at 4 °C , protected from
incubate the plate at 37°C in a 5 % carbon dioxide light.
Appendix X A - 91

(6) Lysis solution: Dilute 14 ml of hydrochloric


acid and 50 ml of Triton X-100 solution to 500 ml
with isopropanol.
Preparationof standardsolution X G Biological Activity Test for
Reconstitute the rhGM-CSF standard following the Recombinant Bovine Basic Fibroblast
instructions and dilute with basic medium to a
concentration of 10-20 IU per ml. Make eight 2-
Growth Factor
fold dilutions serially on a 96-well cell culture ( Cell Prolif era tion/MTT Colorimetric
plate, in duplicate. Keep 50 µl in each well and Method)
discard the rest. Prepare the solution under an
aseptic condition. The method is based on the stimulating effect of
recombinant bovine basic fibroblast growth factor
Preparationof test sample solution ( rbBFGF) on the growth of murine embryonic
Reconstitute the test samples based on the labelled fibroblasts ( BALE/ c 3T3 cell). The biological
volume, and dilute with basic medium to a activity of rbBFGF is thus determined by the effect
concentration of about 10-20 IU per ml, then on the growth of BALE/ c 3T3 cells.
make eight 2-fold dilutions serially on a 96-well cell
culture plate, in duplicate. Keep 50 µl in each Reagent
(1) RPMI 1640 medium: Dissolve one bag ( the
well and discard the rest. Prepare the solution
under an aseptic condition. specification is IL) of RPMI 1640 medium powder
in water and dilute to 1000 ml. Add 105 IU of
Procedure penicillin, 105 IU of streptomycin and 2. 1 g of
Incubate TF-1 cell strain in complete medium at sodium bicarbonate, mix well after dissolution and
37°C in a 5 % carbon dioxide incubator. Control sterilize by filtration. Store at 4 °C.
the concentration of culture at a range of 2. 0 X 105- (2) Maintenance medium: Dilute 4 ml of newborn
7. 0 X 105 cells per ml. The culture which has been calf serum to 1000 ml with RPMI 1640 medium.
incubated for 24-36 hours after passage shall be (3) Complete medium: Dilute 100 ml of newborn
used for biological activity test. Prewarm all the calf serum to 1000 ml with RPMI 1640 medium.
solutions for test to 37°C. Centrifuge enough (4) PBS: Dissolve 8 g of sodium chloride, 0. 2 g
culture to collect TF-1 cells. Wash the cells 3 of potassium chloride, 1. 44 g of disodium
times with basic medium, resuspend at a concen- hydrogen phosphate and 0. 24 g of potassium
tration of 4. 0 X 105 cells per ml in basic medium, dihydrogen phosphate in water and dilute to 1000 ml.
and keep at 37°C for use. Add the cell suspension Sterilize at 121°C for 15 minutes.
onto a 96-well cell culture plate containing (5) Thiazole blue (MTT) solution: Dissolve 0. 10
standard and test sample solutions, 50 µl per g of MTT powder in 20 ml of PBS. Sterilize by
well, and incubate at 37°C in a 5% carbon dioxide filtration with a 0. 22 µm membrane. Store at 4 °C,
incubator for 48-52 hours. Add 20 µl of MTT protected from light.
solution into each well and incubate the plate at
Preparationof standardsolution
37°C in a 5 % carbon dioxide incubator for 5 hours.
Reconstitute the standard of rbBFGF following the
All the above steps shall be carried out aseptically.
instructions and dilute with maintenance medium
Add 100 µl of lysis solution into each well and mix
to a concentration of 40 IU per ml, then make
well. Read absorbance with microtitre plate reader
eight 4-fold dilutions serially on a 96-well cell
at 570 nm using 630 nm as a reference wavelength.
culture plate, in duplicate. Prepare the solution
Record the determination results.
under an aseptic condition.
Analyze the data by using four-parameter regression
method or other relevant computer software. Calculate Preparationof test sample solution
the test result by the following formula: Reconstitute the test sample based on the labelled
volume and dilute with maintenance medium to
Biological activity~U/ml) of test sample= contain about 40 IU per ml. Make eight 4-fold
PrX[ CDsXEJ/CDrXEJ] dilutions serially on a 96-well cell culture plate, in
Where: Pr . Biologicalactivity of standard, IU/ml;
duplicate. Prepare the solution under an aseptic
D, = Pre-dilution factor of test sample; condition.
Dr= Pre-dilution factor of standard;
Es = Dilution factor of test sample with Procedure
response equivalent to that of Incubate BALE/ c 3T3 cell strain in complete
standard at 50 % effective concen- medium at 37°C in a 5 % carbon dioxide incubator.
tration; Control the concentration of culture at a range of
Er= Dilution factor of standard with 50 % 1. 0 X 105-5. 0 X 105 cells per ml. The culture which
effective concentration has been incubated for 24-36 hours after passage
shall be used for the determination of biological
activity of rbBFGF. Discard the medium, digest
and collect cells to prepare a suspension of 5. 0 X
104-1. 0 X 105 cells per ml with complete medium.
A - 92 Appendix X

Inoculate the suspension onto a 96-well cell culture hydrogen phosphate and 0. 24 g of potassium
plate, 100 µl per well, and incubate at 37°C in a dihydrogen phosphate in water and dilute to 1000 ml.
5 % carbon dioxide incubator for 24 hours. Sterilize at 121°C for 15 minutes.
Replace the complete medium with maintenance (5) Thiazole blue ( MTT) solution: Dissolve
medium and incubate at 37°C in a 5 % carbon 0. 10 g of MTT powder in 20 ml of PBS. Sterilize
dioxide incubator for another 24 hours. Discard by filtration with a 0. 22 µm membrane. Store at
the maintenance medium, add standard and test 4 °C , protected from light.
sample solutions, 100 µl per well, and incubate at Preparationof standardsolution
37°C in a 5% carbon dioxide incubator for 64-72 Reconstitute the standard of rhEGF following the
hours. Add 20 µl of MTT solution into each well instructions and dilute with maintenance medium
and incubate at 37°C in a 5 % carbon . dioxide to a concentration of 50 IU per ml, then make
incubator for 5 hours. All the above steps shall be eight 4-fold dilutions serially on a 96-well cell
carried out under an aseptic condition. Discard the culture plate, in duplicate. Prepare the solution
liquid on the plate, add 100 µl of dimethyl under an aseptic condition.
sulfoxide ( DMSO ) into each well and mix
thoroughly. Read the absorbance with microtitre Preparationof test sample solution
plate reader at 5 70 nm using 630 nm as a reference Reconstitute the test samples based on the labelled
wavelength. Record the determination results. volume, and dilute with maintenance medium to a
Analyze the data by using four-parameter concentration of about 50 IU per ml, then make
regression method or other relevant computer eight 4-fold dilutions serially on a 96-well cell
software. Calculate the test result by the culture plate, in duplicate. Prepare the solution
following formula: under an aseptic condition.
Procedure
Biological activity CIU/ml) of test sample=
Incubate BALE/ c 3T3 cell strain in complete
Pr x [ CDs XEs) I (Dr XEr) J
medium at 37°C in a 5 % carbon dioxide incubator.
Where: Pr=Eiological activity of standard, IU/ml;
Control the concentration of culture at a range of
D, = Pre-dilution factor of test sample;
1. 0 X 105 -5. 0 X 105 cells per ml. The culture which
Dr= Pre-dilution factor of standard;
has been incubated for 24-36 hours after passage
Es = Dilution factor of test sample with
shall be used for the determination of biological
response equivalent to that of standard
activity of rhEGF. Discard the medium, digest
at 50% effectiveconcentration;
and collect cells to prepare a suspension of 5. 0 X
Er= Dilution factor of standard with 50 % 104-8. 0 X 104 cells per ml with complete medium.
effective concentration. Inoculate the suspension onto a 96-well cell culture
plate, 100 µl per well, and incubate at 37°C in a
5 % carbon dioxide incubator for 24 hours.
Replace the complete medium with maintenance
X H Biological Activity Test for medium and incubate at 37°C in a 5 % carbon
Recombinant Epidennal Growth Factor dioxide incubator for another 24 hours. Discard
the maintenance medium, add standard and test
( Cell Proliferation ;MTT Colorimetric sample solutions, 100 µl per well, and incubate at
Method) 3 7°C in a 5 % carbon dioxide incubator for 64-72
hours. Add 20 µl of MTT solution into each well
The method is based on the stimulating effect of and incubate at 37°C in a 5 % carbon dioxide
recombinant human epidermal growth factor incubator for 5 hours. All the above steps shall be
( rhEGF) on the growth of murine embryonic carried out under an aseptic condition. Discard the
fibroblast ( BALB/ c 3T3 cell). The biological liquid on the plate, add 100 µl of dimethyl
activity of rg.EGF is thus determined by the effect sulfoxide ( DMSO ) into each well and mix
on the g~th of BALE/ c 3T3 cells. . thoroughly. Read the absorbance with microtitre
Reagent plate reader at 570 nm using 630 nm as a reference
( 1) RPMI 1640 medium: Dissolve one bag ( the wavelength. Record the determination results.
specification is lL) of RPMI 1640 medium powder Analyze the data by using four-parameter
in water and dilute to 1000 ml. Add 105 IU of regression method or other relevant computer
penicillin, 105 IU of streptomycin and 2. 1 g of software. Calculate the test result by the following
sodium bicarbonate, mix well after dissolution and formula:
sterilize by filtration. Store at 4 °C. Biological activity CIU/ml) of test sample=
(2) Maintenance medium: Dilute 4 ml of newborn PrX[ CDsXEs)/CDrXEr)J
calf serum to 1000 ml with RPMI 1640 medium. Where: Pr=Biological activity of standard, IU/ml;
(3) Complete medium: Dilute 100 ml of newborn D; = Pre-dilution factor of test sample;
calf serum to 1000 ml with RPMI 1640 medium. Dr= Pre-dilution factor of standard;
(4) PBS: Dissolve 8 g of sodium chloride, 0. 2 g Es = Dilution factor of test sample with
of potassium chloride, 1. 44 g of disodium response equivalent to that of standard
Appendix X A - 93

at 50% effectiveconcentration; plate contammg fibrin. Add test sample and


Er= Dilution factor of standard with 50 % standard solutions at each dilution into the wells
. effective concentration separately in duplicate, 10 µl per well, allow the
culture dish to stand horizontally at 37°C in a wet
box for 24 hours. Measure the longitudinal and
transverse diameters of each lysis ring twice
X I Biological Activity Test for separately and calculate the mean diameters. A
linear regression formula is obtained by regressing
Recombinant Streptokinase the logarithm of the standard activity of each
dilution with the logarithm of mean diameter of the
The method is based on the principle that a corresponding lysis ring. Calculate the biological
complex formed by streptokinase with plasminogen activity of test sample by inserting the logarithm of
can activate free plasminogen to become a diameter of its lysis ring into the linear regression
biologically active plasmin. The biological activity formula.
of recombinant streptokinase is determined
quantitatively with the transparent rings of lysis
formed on agarose plate due to the degradation of
human fibrin into soluble fibrin fragments by X J Potency Test for Human
biologically active plasmin.
Coagulation Factor ll
Reagent (One-step Method)
(1) Human thrombin solution: Dissolve human
thrombin and dilute to a concentration of 100 IU
per ml with physiological saline solution. Store at The potency of human coagulation factor II is
-20°C. determined by one-step method using human
(2) Human plasminogen solution: Dissolve human coagulation factor II deficiency plasma as substrate
plasminogen with physiological saline and dilute to plasma.
a concentrationof o. 5 mg per ml. Store at -20°C. Reagent
(3) Human fibrinogen solution: Prepare just Cl) Diluent: Dissolve 11. 75 g of barbital sodium
before use. Preheat human fibrinogen and physi- and 14. 67 g of sodium chloride in a quantity of
ological saline in 37°C water bath for 15 minutes water, adjust pH to 7. 3 with 1 mol/L hydro-
before preparation. Dissolve fibrinogen in a chloric acid and dilute to 2000 ml with water. Add
quantity of physiological saline. Keep the solution 20 % human albumin to a final concentration of 1 %
in 37°C water bath for 30 minutes to dissolve the just before use.
fibrinogen completely and dilute to a concentration (2) Calcium-containing thromboplastin
of 6 mg per ml with physiological saline. (3) Coagulation factor II deficiency plasma:
Preparationof standardsolution Human plasma or artificial substrate plasma, in
Reconstitute the national standard for determina- which human coagulation factor II concentration is
tion of biological activity of recombinant strepto- less than 1 % .
kinase following the in?t;uctions and dilute with Preparation of standard solution of human
physiologicalsaline to 1he concentrations of 1000 IU, coagulation factor n
250 IU, 62. 5 IU, 15. 6 IU and 3. 9 IU per ml Dilute the standard with coagulation factor II
res pectively. deficiency plasma to a concentration of 1 IU per
Preparationof test sample solution ml, then make 10-fold, 20-fold, 40-fold and
Reconstitute the test sample based on the labelled 80-fold dilutions with diluent respectively, allow
volume, and dilute with physiological saline to a to stand in an ice bath for use.
concentration of 100 IU or 1 µg per ml. Preparationof test sample solution
Procedure Dilute the test sample with coagulation factor II
Swell 125 mg of agarose in 23 ml of physiological deficiency plasma to a concentration of about 1 IU
saline by boiling, and equilibrate in 55-60°C water per ml, then make 10-fold, 20-fold, 40-fold and
bath. Add 14 µl of 100 IU per ml human thrombin 80-fold dilutions respectively with diluent, allow
solution and 280 µl of 0. 5 mg/ml human to stand in an ice bath for use.
plasminogen solution with shaking, then add Procedure
2. 2 ml of 6 mg/ml human fibrinogen solution and Mix 0. 1 ml of test sample solution and 0. 1 ml of
shake continuously until the mixture is turbid. coagulation factor II deficiency human plasma
Pour the mixture into a culture dish 8 cm in thoroughly and warm in 37°C water bath for a
diameter immediately and allow the culture dish to certain time ( 3 minutes in general). Add 0. 2 ml
stand horizontally. After agarose is coagulated of calcium-containing thromboplastin preheated to
completely, allow the culture dish to stand at 4°C 37°C and record the coagulation time.
for at least 30 minutes and use within 2 days. Dig Repeat the above-mentioned procedure using
wells 2 mm in diameter, on the coagulated agarose 0. 1. ml of standard solution of human coagulation
A - 94 Appendix X

factor II at various dilutions instead of the test Procedure


sample solution. Mix 0. 1 ml of test sample solution and 0. 1 ml of
A linear regression formula is obtained by coagulation factor VII deficiency plasma thoroughly
regressing the logarithm of potency (IU/ml) of and warm in 37°C water bath for a certain time
human coagulation factor II standard solution with (3 minutes in general). Add 0. 2 ml of calcium-
the logarithm of corresponding coagulation time containing thromboplastin preheated to 37°C and
( second ) . Calculate the potency of human record the coagulation time.
coagulation factor II in test sample solution and Repeat the above-mentioned procedure using
multiply with the dilution factor to obtain the 0. 1 ml of standard solution of human coagulation
human coagulation factor II potency CIU/ml) of factor VII of various dilutions instead of the test
test sample. sample solution.
[Note] A linear regression formula is obtained by
( 1) The correlation coefficient of linear regression regressing the logarithm of potency (Tl.J/ml ) of
shall be not less than 0. 98. human coagulation factor VII standard solution with
( 2) F.achdilution of test sample shall be determinedin the logarithm of corresponding coagulation time
duplicate, and the difference between the two results ( second). Calculate the potency of human
shall not exceed 10% of the mean value, otherwise coagulation factor VII in test sample solution and
the test shall be repeated. multiply with the dilution factor to obtain the
(3) The apparatus directly contacting the human coagulation factor VII potency CIU/ml) of
standard, test sample and plasma shall be made of test sample.
plastic or siliconized glass. [Note]
( 4) The test is carried out with an automatic blood Cl) The correlation coefficient of linear regression
coagulation analyzer following the instructions. shall be not less than 0. 98.
(2) Each dilution of test sample shall be
determined in duplicate, and the difference
between the two results shall not exceed 10% of
X K Potency Test for Human the mean value, otherwise the test shall be
Coagulation Factor VI repeated.
(3) The apparatus directly contacting the
(One-step Method) standard, test sample and plasma shall be made of
plastic or siliconized glass.
The potency of human coagulation factor VII is ( 4) The test is carried out with an automatic blood
determined by one step method using human coagulation analyzer following the instructions.
coagulation factor VII deficiency plasma as substrate
plasma.
Reagent
Cl) Diluent: Dissolve 1)<75 g of barbital sodium X L Potency Test for Human
and 14. 67 g of sodiurri chloride in a quantity of
water , adjust pH to 7. 3 with 1 mol/L hydro-
Coagulation Factor ]X
chloric acid and dilute to 2000 ml with water. Add (One-step Method)
human albumin to a final concentration of 1 % just
before use. The potency of human coagulation factor IX is
(2) Calcium-containing thromboplastin determined by one-step method using human
(3) Coagulation factor VII deficiency plasma: coagulation factor IX deficiency plasma as substrate
Human plasma or artificial substrate plasma, in plasma.
which human coagulation factor VII concentration is
less than 1 % . Reagent
Cl) 3. 8% sodium citrate solution: Dissolve 9. 5 g
Preparation of standard solution of human of anhydrous sodium citrate in water and dilute to
coagulation factor "\I 250 ml.
Dilute the standard with coagulation factor VII (2) lmidazole buffer solution (pH 7. 3): Dissolve
deficiency plasma to a concentration of 1 IU per 0. 68 g of imidazole and 1. 17 g of sodium chloride
ml, then make 10-fold, 20-fold, 40-fold and in 100 ml of water. Add 42. 2 ml of 0. 1 mol/L
80-fold dilutions with diluent respectively, allow hydrochloric acid solution and dilute to 200 ml with
to stand in an ice bath for use. water.
Preparation of test sample solution (3) Diluent: Mix one volume of 3. 8% sodium
Dilute the test sample with coagulation factor W citrate with five volumes of imidazole buffer
deficiency plasma to a concentration of about 1 IU solution. Add 20% human albumin to a final
per ml, then make 10-fold, 20-fold and 40-fold concentration of 1 %.
dilutions respectively with diluent, allow to stand ( 4) Activated partial thromboplastin time ( AP'IT)
in an ice bath for use. reagent
Appendix X A - 95

(5) Human coagulation factor IX deficiency coagulation analyzer following the instructions.
plasma: Human plasma or artificial substrate
plasma, in which human coagulation factor IX
concentration is less than 1 %.
( 6) 0. 05 mol/L calcium chloride solution: X M Potency Test for Human
Dissolve 147 g of calcium chloride (CaClz ·• 2H20)
in water and dilute to 1000 ml to prepare a 1 mol/L Coagulation Factor X
calcium chloride stock solution. Make the stock (One-step Method)
solution 20-fold dilution with water to prepare a
O. 05 mol/L calcium chloride solution just before The potency of human coagulation factor X is
use. determined by one-step method using human
Preparation of standard solution of human coagu- coagulation factor X -deficiency plasma as substrate
lation factor ]X plasma.
Dilute the standard human coagulation factor IX Reagent
with coagulation factor IX deficiency plasma to a (1) Diluent: Dissolve 11. 75 g of barbital sodium
concentration of 1 IU per ml, then make 10-fold, and 14. 67 g of sodium chloride in a quantity of
20-fold, 40-fold and 80-fold dilutions with diluent water, adjust pH to 7. 3 with 1 mol/L hydro-
respectively, allow to stand in an ice bath for use. chloric acid and dilute to 2000 ml with water. Add
Preparation of test sample solution human albumin to a final concentration of 1 % just
If the test sample contains heparin, the heparin before use.
shall be neutralized with protamine sulfate at first. (2) Calcium-containing thromboplastin
Dilute the test sample with coagulation factor IX (3) Coagulation factor X deficiency plasma:
deficiency plasma to a concentration of about 1 IU Human plasma or artificial substrate plasma, in
per ml, then make 10-fold, 20-fold and 40-fold which human coagulation factor X concentration is
dilutions with diluent respectively, allow to stand less than 1 % .
in an ice bath for" use. Preparation of standard solution of human coagu-
Procedure ~ lation factor X
Keep 0. 1 ml of APTT reagent in 37°C water~ath Dilute the standard with coagulation factor X
for a certain time ( 4 minutes in general) , add deficiency plasma to a concentration of 1 IU per
0. 1 ml of coagulation factor IX-deficiency plasma ml, then make 10-fold, 20-fold, 40-fold and 80-
and 0. 1 ml of test sample solution, mix well and fold dilutions with diluent respectively, allow to
warm in 37°C water bath for a certain time ( 5 stand in an ice bath for use.
minutes in general). Add 0. 1 ml of 0. 05 mol/L Preparation of test· sample solution
calcium chloride solution preheated to 37°C and Dilute the test sample with coagulation factor X
record the coagulation time. deficiency plasma to a concentration of about 1 IU
Repeat the above-mentioned procedure using per ml, then make 10-fold, 20-fold and 40-fold
0. 1 ml of standard solution of human coagulation dilutions with diluent respectively, allow to stand
factor IX of various dilutions instead of the test in an ice bath for use.
sample solution.
A linear regression formula is obtained by Procedure
regressing the logarithm of potency CID/ml) of Mix 0. 1 ml of test sample solution and 0. 1 ml of
human coagulation factor IX standard solution with coagulation factor X -deficiency plasma well and
the logarithm of corresponding coagulation time warm in 37°C water bath for a certain time ( 3
( second). Calculate the potency of human minutes in general). Add 0. 2 ml of calcium-
coagulation factor IX in test sample solution and containing thromboplastin preheated to 37°C and
multiply with the dilution factor to obtain the record the coagulation time.
human coagulation factor IX potency CIU/ml) of Repeat the above-mentioned procedure using
test sample. 0. 1 ml of standard solution of human coagulation
factor X of various dilutions instead of the test
[Note]
sample solution.
( 1) The correlation coefficient of linear regression
A linear regression formula is obtained by
shall be not less than 0. 98.
regressing the logarithm of potency ( IU /ml) of
(2) Each dilution of test sample shall be
human coagulation factor X standard solution with
determined in duplicate, and the difference
the logarithm of corresponding coagulation time
between the two results shall not exceed 10% of
( second). Calculate the potency of human
the mean result, otherwise the test shall be
coagulation factor X in test sample solution and
repeated.
multiply with the dilution factor to obtain the
(3) The apparatus directly contacting the
human coagulation factor X potency CIU/ml) of
standard, test sample and plasma shall be made of
test sample.
plastic or siliconized glass.
The test is carried out with an automatic blood [Note]
A - 96 Appendix X

(1) The correlation coefficient oflinear regression per ml, then · .make 10-fold, 20-fold and 40-fold
shall be not less than O. 98. dilutions with diluent respectively, allow to stand
(2) Each dilution of test sample shall be in an ice bath for use.
determined in duplicate, and the difference
Procedure
between the two results shall not exceed 10 % of Keep 0. 1 ml of APTT reagent in 37°C water bath
the mean result, otherwise the test shall be for a certain time ( 4 minutes in general) , add 0. 1 ml
repeated. of coagulation factor VIII deficiency plasma and
(3) The apparatus directly contacting the
0. 1 ml of test sample solution, mix well and keep
standard, test sample and plasma shall be made of warm in 37°C water bath for a certain time ( 5
plastic or siliconized glass. minutes in general). Add 0. 1 ml of 0. 05 mol/L
( 4) The test is carried out with an automatic blood
calcium chloride solution preheated to 37°C and
coagulation analyzer following the instructions. record the coagulation time.
Repeat the above-mentioned procedure using
O. 1 ml of standard solution of human coagulation
factor VIII of various dilutions instead of the test
X N Potency Test for Human sample solution.
A linear regression formula is obtained by
Coagulation Factor W regressing the logarithm of potency (Tl.I/rnl ) of
(One-step Method) human coagulation factor VIII standard solution with
the logarithm of corresponding coagulation time
The potency of human coagulation factor VIII is ( second). Calculate the potency of human
determined by one-step method using human coagulation factor VIII in test sample solution and
coagulation factor VIII deficiency plasma as sub- multiply with the dilution factor to obtain the
strate plasma. human coagulation factor VIII potency (IU/ml) of
Reagent test sample.
(1) 3. 8% sodium citrate solution: Dissolve~ [Note]
of anhydrous sodium citrate in water and dilute to ( 1) The correlation coefficient of linear regression
250 ml. I
shall be not less than 0. 98.
(2) lmidazole buffer solution (pH 7. 3): Dissolve ( 2) Each dilution of test sample shall be determinedin
O. 68 g of imidazole and 1. 17 g of sodium chloride duplicate, and the difference between the two results
in water and dilute to 100 ml. Add 42. 2 ml of shall not exceed 10% of the mean result, otherwise
O. 1 mol/L hydrochloric acid solution and dilute to the test shall be repeated.
200 ml with water. ( 3) The apparatus directly contacting the standard,
( 3) Diluent: Mix one volume of 3. 8 % sodium test sample and plasma shall be made of plastic or
citrate with five volumes of imidazole buffer siliconizedglass.
solution and add 20 % human albumin to a final ( 4) The test is carried out with an automatic blood
concentration of 1 % . coagulation analyzer following the instructions.
( 4) Activated partial thromboplastin time ( APlT)
reagent
( 5) Human coagulation factor VIII deficiencyplasma:
Human plasma or artificial substrate plasma, in
which human coagulation factor VIII concentration is
X O Potency Test for Diphtheria
less than 1 % . Antibody in Human lmmunoglobulin
(6) 0. 05 mol/L calcium chloride solution:
Dissolve 147 g of calcium chloride (CaCli • 2H20) The method is based on the principle that sheep
in water and dilute to 1000 ml to prepare a 1 mol/L erythrocytes after treatment with aldehyde and
calcium chloride stock solution. Dilute the stock tannic acid can adsorb diphtheria toxoid onto their
solution 20-fold with water to prepare a 0. 05 mol/L surfaces. The adsorbed toxoid can bind the
calcium chloride solution just before use. diphtheria antitoxin in test sample and cause
Preparation of standard solution of human coagu- specific agglutination. The potency of diphtheria
lation factor 11 antitoxin of test sample is determined by
Dilute the standard human coagulation factor VIII comparison of the agglutination reaction end
with coagulation factor VIII deficiency plasma to a points.
concentration of 1 IU per ml. Then, make 10-
Reagent
fold, 20-fold, 40-fold and 80-fold dilutions with (1) Physiological saline contammg 1 % rabbit
diluent' respectively, allow to stand in an ice bath serum: Collect rabbit blood aseptically, separate
for use. serum and inactivate at 56°C for 30 minutes. Mix
Preparation of test sample solution 0. 5 ml of the rabbit serum with 49. 5 ml of
Dilute the test sample with coagulation factor VIII physiological saline thoroughly.
deficiency plasma to a concentration of about 1 IU ( 2) Diphtheria antitoxin diagnostic erythrocyte
Appendix X A - 97

suspension: Reconstitute freeze-dried diphtheria bottom of well, and only a few of them are
antitoxin diagnostic erythrocyte with physiological seattered around the bottom.
saline containing 1 % rabbit serum to prepare a 5 % "+ +": A part of erythrocytes are agglutinated,
erythrocyte suspension. and a loose small red loop appears at the center of
well bottom.
Preparationof diphtheriaantitoxinstandardsolution
Dilute the diphtheria antitoxin standard with
"+ + +": Most of erythrocytes are agglutinated
and distributed evenly, and only a slightly red
physiological saline containing 1 % rabbit serum to
loop appears at the center of bottom of well.
a concentration of 0. 2 HAU per ml.
"++++": All the erythrocytes are agglutinated
Preparationof test sample solution and distributed evenly.
Make the test sample 4-fold dilution with physi- ( 2) The wells of microtitre plate shall be kept
ological saline containing 1 % rabbit serum. clean, and the abrasion on their surfaces shall be
Procedure avoided, otherwise the erythrocytes are not easy
Make the test sample 2-fold dilutions serially with to be deposited, and false positive result may
physiological saline containing 1 % rabbit serum on appear easily.
a UV type microtitre plate and keep 25 µl of
solution in each well. Add 25 µl of diphtheria
antitoxin diagnostic erythrocyte suspension into
each well and mix thoroughly on an oscillator for X P Test for Fe Function in
30-60 seconds, Bind at 37°C in a wet box for one
hour. Human lmmunoglobulin
Make diphtheria antitoxin standard solution 2-fold
dilutions serially with physiological saline con- The method is based on the principle that the Fab
taining 1 % rabbit serum on a UV type microtitre fragment of specific antibody ( immunoglobulin)
plate and keep 25 µl of solution in each well. can bind to the corresponding coated antigen on
Carry out the same procedure as that for test human erythrocyte and expose the binding site of
sample starting from adding . 25 µl of diphtheria complement Clq on the Fe fragment, then activate
antitoxin diagnostic ~ocyte suspension into the subsequent various components of comple-
each well. - ment. Eventually, the membrane of erythrocyte
Add 25 µl of physiological saline containing 1 % is attacked and disrupted, then hemoglobin is
rabbit serum on a UV type microtitre plate and released. The Fe function of the test sample is
carry out a negative control test by the same determined by the calculation of the function index
procedure as that for test sample starting from ( IFc ) of human immunoglobulin activating
" add 25 µl of diphtheria antitoxin diagnostic complement with the dynamic curve of hemolytic
erythrocyte suspension into each well". reaction.
Typical result " - " shall be observed in the Reagent
negative control wells, otherwise the test is (1) PBS: Dissolve 1. 02 g of anhydrous disodium
invalid and shall be repeated. The appearance of hydrogen phosphate, 0. 34 g of anhydrous sodium
result "+ +" is served as the reaction end point. dihydrogen phosphate and 8. 77 g of sodium
The diphtheria antitoxin potency of test sample is chloride in a quantity of water, adjust pH to 7. 2
calculated by the following formula: with 1 mol/L sodium hydroxide or hydrochloric
acid solution and dilute to 1000 ml with water.
Diphtheria antitoxin potency ( HAU/g) of test
(2) Calcium and magnesium stock solution:
sample= (EXD) /F
Dissolve 1. 10 g of calcium chloride and 5. 08 g of
Where: E = Potency of diphtheria antitoxin
magnesium chloride in 25 ml of water.
standard of the highest dilution
(3) Barbital-calcium and magnesium stock
showing the result " + + ", solution: Dissolve 51. 85 g of sodium chloride and
HAU/ml;
6. 37 g of barbital sodium in 1000 ml of water.
D = The highest dilution factor of test
Add 3. 125 ml of calcium and magnesium stock
sample showing the result "++";
solution, adjust pH to 7. 3 with 1 mol/L
F = IgG content in the test sample of
hydrochloric acid solution and dilute to 1250 ml
human immunoglobulin for intra-
with water. Sterilize by filtration and store at 4°C
venous injection, g/ml; or the
for use.
protein content of test sample of
(4) Bovine albumin-barbital buffer: Add 0. 15 g of
human immunoglobulin, g/ml.
bovine serum albumin into 20 ml of barbital stock
[Note] solution, dissolve in water and dilute to 100- ml.
(1) The criterion for judgment is as follows: Prepare just before use.
" - ": Erythrocytes are centralized at the bottom (5) 1. 3 mg/L tannic acid-PBS (pH 7. 2) solution
of well and appear as a dense small red point with Solution A: Dissolve 1 mg of tannic acid in 10 ml
smooth border. of PBS (pH 7. 2).
"+": Most of erythrocytes are centralized at the Solution B: Mix 0. 1 ml of solution A with 7. 5 ml
A - 98 Appendix X

of PBS (pH 7. 2) thoroughly. Prepare just before absorbance of test sample at 541 nm against the
use. time. Stop the determination when the absorbance
(6) 10% chromium chloride solution: Dissolve 5 g is above the turning point of the curve. Repeat the
of chromium chloride in 50 ml of physiological above-mentioned procedure using 0. 9 ml of
saline. The solution may be preserved for not reference and negative control ( bovine albumin-
more than 6 months at 4 °C. barbital buffer ) instead of the test sample
(7) 1% chromium chloride solution: Mix 0. 1 ml respectively. Calculate the slopes of curves of
of 10 % chromium chloride solution with 0. 9 ml of reference, test sample and negative control by the
physiological saline thoroughly. Prepare just following formula ( 1 ) , and the function index
before use. ( he ) of test sample activating complement by
Preparationof sensitized erythrocytes formula (2).
Solution A: Pool the group O blood, contammg S' = Sexp/As (1)
anticoagulant, from at least three healthy donors IFc=[ cs; S,") /(Sr' -Sc')] X 100%
+ (2)
and wash 3 times with PBS. At the last washing, Where: S' = Slope of Sexp after calibration by As ;
centrifuge the pooled blood at 2000 r/min for 10 As= Starting absorbance of test sample,
minutes to separate erythrocytes. Suspend a reference or negative control at 541
quantity of the packed erythrocytes in 1. 3 mg/L nm;
tannic acid-PBS at a volume ratio of 1 : 40 and Sexp = Maximum slope between three adjacent
gently shake in 37°C water bath for 30 minutes. "' points on hemolytic reaction dynamic
Wash 3 times with PBS. Then, prepare into a curve of test sample, reference or
2. 5 % erythrocyte suspension with PBS. negative control;
Solution B: Mix the diphtheria toxoid or mumps I Fe= Function index of test sample activating
virus, properly diluted with PBS, with 0. 25 ml of complement;
1 % chromium chloride solution at a volume ratio of Ss' = Slope of curve for test sample;
10 : 1 and shake gently in 37°C water bath for 15 Sr' = Slope of curve for reference;
minutes. Sc'= Slope of curve for negative control.
Mix solutions A and B at a volume ratio of 1 : 4
and shake gently ;in 37°C water bath for 30
minutes. Centrifu¢e and discard the supernatant.
Wash the sediment ( sensitized erythrocytes) 3
times with PBS. , Suspend the erythrocytes with X Q Potency Test for Anti-human T
bovine albumin-barbital buffer solution and adjust Lymphocyte Immunoglobulin
to· a suitable concentration at which the absorbance CE-rosette Formation-inhibition Test)
of suspension is 1. 0 + 0. 1 at 541 nm.
Preparationof reference solution The method is based on the principle that anti-
Adjust the pH of reference to 6. 8-7. 0 with 1 mol/L human T lymphocyte immunoglobulin may bind
sodium hydroxide solution and dilute the reference the E-receptor of human lymphocyte and inhibit
to contain 40 mg of IgG per ml with bovine the specific binding of sheep erythrocytes with
albumin-barbital buffer solution. lymphocyte E-receptor. The potency of anti-
Preparationof test sample solution human T lymphocyte lgG in test sample is
Adjust the pH of test sample to 6. 8-7. 0 with determined according to its inhibiting rate of
1 mol/L sodium hydroxide solution and dilute the binding.
test sample to contain 40 mg of IgG per ml with Reagent
bovine albumin-barbital buffer solution. ( 1) Lymphocyte separating solution (Ficoll solution)
Procedure (2) Hank solution
To 0. 9 ml of test sample solution, add 0. 1 ml of (3) Hank solution containing 20 % fetal calf
sensitized erythrocytes and mix well. Shake gently serum: On the date of test, add the fetal calf
in 37°C water bath for 30 minutes. Centrifuge and serum, inactivated at 56°C for 30 minutes and
discard the supernatant. Wash the erythrocyte adsorbed with sheep erythrocytes, into a quantity
sediment 3 times with 1 ml of bovine albumin- of sterilized Hank solution to a final concentration
barbital buffer. Discard 800 µ.l of· supernatant of 20%. Adjust pH to 7. 2-7. 4 with 0. 5 mol/L
after the last centrifugation, add 600 µl of bovine sodium bicarbonate or hydrochloric acid ·solution.
albumin-barbital buffer preheated to 37°C and mix ( 4) 1 % sheep erythrocyte suspension: Collect
well. Two minutes later, add 200 µl of blood from the jugular veins of sheep, add to
complement prediluted to 150 CH50 per ml and mix Alserver solution and store for not more than 2
well. Determine the starting absorbance (As) at weeks. Wash a quantity of sheep erythrocytes 3
541 nm by ultraviolet-visible spectrophotometry times with physiological saline and prepare into a
( Appendix IT A) immediately, then determine 1 % sheep erythrocyte suspension with Hank
the absorbance every other minute to obtain a solution containing 20 % fetal calf serum just
hemolytic reaction dynamic curve with the before test.
Appendix X A - 99

( 5 ) Lymphocyte suspension: Mix fresh human solution)


intravenous blood contammg heparin as an (2) Hank solution
anticoagulant with an equal volume of physiological (3) Hank solution contammg 20% fetal calf
saline thoroughly, and add slowly onto the surface serum: Add fetal calf serum, inactivated at 56°C
of an equal volume of lymphocyte separating for 30 minutes, to a quantity of sterile Hank
solution. Centrifuge at 2000 r/min for 20 solution to prepare a 20 % solution on the date of
minutes. Suck out the lymphocyte layer and wash test. Adjust pH to 7. 2-7. 4 with 0. 5 mol/L
with a quantity of physiological saline. Centrifuge sodium bicarbonate solution or diluted hydrochloric
at 1200 r/min for 10 minutes. Discard the acid solution.
supernatant, add a quantity of Hank solution (4) Lymphocyte suspension: Mix fresh human
containing 20 % fetal calf serum into the precipitate intravenous blood contammg heparin as an
and shake well to obtain a lymphocyte stock anticoagulant thoroughly with an equal volume of
solution. Make the stock solution 20-fold dilution physiological saline. Add slowly onto the surface
with 1 % acetic blue solution and count the of an equal· volume of lymphocyte separating
lymphocytes by microscopy. The lymphocyte solution and centrifuge at 2000 r/min for 20
suspension is prepared by diluting the lymphocyte minutes. Suck out the lymphocyte layer and wash
stock solution to a concentration of 5 x 106 with a quantity of physiological saline. Centrifuge
lymphocytes per ml, according to the result of
at 1200 r/min for 10 minutes and discard the
counting, with Hank solution containing 20 %
supernatant. Add a quantity of Hank solution
fetal calf serum.
containing 20 % fetal calf serum into the precipitate
Preparationof test sample solution and shake well to obtain a lymphocyte stock
Dilute the test sample according to its potency into solution. Make the lymphocyte stock solution
several suitable concentrations with Hank solution 20-fold dilution with 1 % acetic blue solution and
containing 20 % fetal calf serum. count the lymphocytes by microscopy. Dilute the
Procedure lymphocyte stock solution with Hank solution
Add 100 µl of lymphocyte suspension into 100 µl of containing 20 % fetal calf serum into a suspension
test sample solution o!each dilution, in duplica.te. at a concentration of 5 X 106 lymphocytes per ml
Mix well and allow t e mixture to stand in 37°C according to the result of counting.
water bath for 30 m nutes. Add 100 µl of 1 % (5) Complement: Normal rabbit serum used as
sheep erythrocyte sust ension , mix well and allow complement shall have no significant toxicity to the
the mixture to stand at room temperature for 15 target cells used in the test. The rabbit serum
minutes. Centrifuge at 500 r/min for 5 minutes, shall be selected prior to the test by the following
allow to stand overnight at 2-8°C. Add 100 µl of method: To 0. 05 ml of lymphocyte suspension,
0. 2 % trypan-blue solution diluted on the date of add 0. 05 ml of 1 : 5 diluted rabbit serum and allow
test, shake well gently and count the formation the mixture to stand at 37°C for one hour. Add
rate of E-rosette by microscopy. A control test is 0. 05 ml of physiological saline containing 0. 5 %
performed by the above procedure using 100 µl of trypan-blue , incubate at 37°C for 5 minutes and
Hank solution containing 20 % fetal calf serum then count lymphocytes by microscopy. Only the
instead of test sample solution. Calculate the E- rabbit serum, in which the number of dead cells is
rosette inhibition rate. The highest dilution factor less than 10% , may be used as complement.
of test sample, in which the E-rosette inhibition ( 6) Physiological saline containing 0. 5 % trypan-
rate is more than 25 % , is served as the E-rosette blue
inhibiting potency. ( 7) 2. 5 % glutaraldehyde solution ( diluted with
Hank solution)
Preparationof test sample solution
Dilute the test sample with Hank solution
X R Potency Test for Anti-human T containing 20 % fetal calf serum to several suitable
Lymphocyte lmmunoglobulin concentrations according to its potency.
(Lymphocytotoxicity Test) Preparationof positive control solution
Heat the porcine plasma or rabbit serum, which
The method is based on the principle that anti- have been immunized with human T lymphocytes,
human T lymphocyte immunoglobulin may bind to at 60°C for 10 minutes and make 10-fold dilution
human lymphocytes and destroy them in the with physiological saline.
presence of complement. The potency of anti- Preparationof negative control
human T lymphocyte immunoglobulin in test Heat normal porcine plasma or rabbit serum at
sample is determined according to the percentage of 60°C for 10 minutes and make 10-fold dilution with
dead lymphocytes. physiological saline.
Reagent Procedure
Cl) Lymphocyte separation solution ( Ficoll To 0. 05 ml of test sample solution, add 0. 05 ml
A- 100 Appendix X

of lymphocyte suspension and allow the mixture to dead cells in test group:
stand at 37°C for one hour. Add 0. 05 ml of 1 : 5 Percentage of dead cells Result
diluted rabbit serum, allow to stand at 37°C for 30 Less than 10% (-)
minutes. Add 0. 05 ml of physiological saline 10%-20% (+)
containing 0. 5 % trypan-blue , allow to stand at 21%-40% (+)
3 7°C for 5 minutes. Count the lymphocytes 41%-60% ( ++)
immediately by microscopy and calculate the 61%-80% ( +++)
percentage of dead cells. One hundred lympho- Not less than 81% ( ++++)
cytes are counted in general. A positive control (2) To avoid the experimental error when the test
test is carried out by the above procedure using sample is in a large quantity or there is no enough
O. 05 ml of positive control. solution instead of test time to observe the result, 0. 05 ml of physiol-
sample. A negative control test is carried out by ogical saline containing 0. 5 % trypan-blue may be
the above procedure using 0. 05 ml of negative added into the test sample after the reaction of
control solution instead of test sample. antigen, antibody and complement. Allow the
Result evaluation mixture to stand at 37°C for 5 minutes and add
The test is valid if the percentage of dead cells is 0. 05 ml of 2. 5 % glutaraldehyde solution imme-
more than 20 % in positive control group and less diately. Then, count by microscopy at an
than 10% in negative control group. The result appropriate time. Alternatively, add 0. 05 ml of
"+" is served as the end point for judgment. The 2. 5 % glutaraldehyde solution into test sample and
highest dilution factor of test sample which shows allow the mixture to stand at room temperature for
the result of "+" is defined as lymphocytotoxic 10 minutes at first. Then, add 0. 05 ml of
potency. physiological saline containing 0. 5 % trypan-blue
and allow to stand at 37°C for 5 minutes. Count
[Note] by microscopy at an appropriate time.
(1) The result is evaluated by the percentage of
Appendix XI A - 101

Appendix X[

are required for each dilution. Observe the animals


daily for 14 days starting from the date of
challenge, and record the death. The mice that
XI A Potency Test for Rabies Vaccine die or manifest typical signs of encephalopathy on
or after the 5th day following challenge shall be
for Human Use included in the evaluation.
(NIH Method) Calculate the ED5o values of the test sample and
reference vaccine.
The immunogenicity of rabies vaccine for human The relative potency of vaccine shall be calculated
use is determined by the changes of antibody levels by the following equation:
in mice immunized with test sample. Potency (IU/ml) of test sample=
Reagent . (T/S) X (dT/ds) XD
Diluent (PBS): Dilute 75 ml of 0. 9 % potassium Where: T= Reciprocal of ED50 of test sample;
dihydrogen phosphate solution, 425 ml of 2. 4% S = Reciprocal of ED50 of reference
disodium hy~gen phosphate (Na2HP04 • 12H20) vaccme ,
solution and 500 ml of 8. 5 % sodium chloride d-. = A single human dose of test sample,
solution to 5 00 ml with water. Adjust pH to ml;
7. 2-8. 0. ds = A single human dose of reference
vaccine, ml;
Preparation of challenging virus strain CVS D=Potency of reference vaccine, IU/ml
Resuspend the seed virus and dilute to a 10-2
suspension. Inoculate i. c. 0. 03 ml of the [Note]
(1) The vaccine shall be kept in an ice-bath during
suspension into each of not less than eight mice
weighing 11-13 g. Undergo the virus in mice for animal immunization.
two to three passages. Harvest the brain tissues (2) All groups of animals shall be fed under the
of the mice with typical rabies signs on the 4th or same condition.
5th day after inoculation. Grind the brain tissue to (3) More than 80% of mice inoculated with
original challenging virus suspension ( dilution
make a 20 % suspension with 2 % horse or calf
10°) shall die.
serum solution. Centrifuge the suspension at
1000 r/min for 10 minutes and collect the superna-
tant for sterility test and virus titration using ten
mice each weighing 18-20 g. The supernatant
qualified in sterility tests shall be used for challenge. XI B Potency Test for Adsorbed ·
Dilution of reference vaccine Tetanus Vaccine
Dilute the reference vaccine with PBS to make a
serial dilutions of 1 : 25, 1 : 125 and 1 : 625, etc. The potency of absorbed tetanus vaccine is
Preparation of test sample solution calculated by comparing the survival rates of mice
Make the test sample 5-fold dilutions of 1 5, (or guinea pigs), which have been immunized
1 : 25, 1 : 125, 1 : 625, etc serially. with test sample or standard and then challenged
with tetanus toxin.
Procedure
Inoculate i. p. 0. 5 ml of each dilution of test Preparation of standard and test sample solutions
sample and reference vaccine into sixteen mice each Prepare 3-5 dilutions of the test sample and the
weighing 12-14 g, respectively. Inoculate again at standard with physiological saline at a proper ratio
an interval of 7 days. separately ( the median dilution shall protect about
Fourteen days after the first injection, inoculate half of animals after challenge).
i. c. each mouse with 0. 03 ml of the challenging Procedure
virus containing 5-100 LD50, which was predeter- Inoculate s. c. 0. 5 ml (or 1 ml for guinea pig) of
mined. At the same time, dilute the challenging each dilution of standard and test sample solutions
virus into four dilutions ( 10°, 10-1, 10-2 and into each of at least fourteen mice weighing 14-16 g
10-3) for virulence titration, at least eight mice ( or each of at least ten guinea pigs weighing
A- 102 Appendix XI

250-350 g) respectively. Use ten unimmunized sample per single human dose shall be not less than
mice ( or five unimmunized guinea pigs) as control. 30 IU. If the 95 % confidence interval is greater
Four weeks after immunization, challenge s. c. than 50 %-200 % , the lower 95 % confidence limit
each of immunized mouse with 0. 5 ml of tetanus of the estimate of potency shall be greater than
toxin containing 50 LD50 (or 1. 0 ml containing 100 30 IU per single human dose.
LD50 for guinea pig) , and each of the control mice
[Note]
with 0. 5 ml of tetanus toxin containing 1 LD5o ( or
The test is valid provided that:
1. 0 ml containing 1 LD50 for guinea pig). Record
(1) The lowest dilution of test sample protects
the death of animal daily for 5 days following
more than half of the animals;
challenge. The result shall be calculated by
(2) The highest dilution of test sample protects
parallel line analysis according to the survival rate
less than half of the animals;
on the 5th day after challenge. The 95 % confidence
(3) Animals in control group die partially but not
interval shall be not greater than 50 %-200 % of the
totally;
potency, otherwise the lower. 9 5 % confidence
( 4) The dose-response curves of the test sample
limit shall be greater than the required potency
and standard do not deviate significantly in paral-
specification of the corresponding product.
lelism and linearity.
[Note] The test is valid provided that:
( 1) The lowest dilution of test sample protects
Method 2 Mouse-Vero Cell Antibody Titration
more than half of animals; Method
(2) .The highest dilution of test sample protects The potency of adsorbed diphtheria vaccine is
less than half of animals; determined by measuring the antitoxin levels in
( 3) The dose-response curves of the test sample sera of mice immunized with test sample and
and standard do not deviate significantly in standard separately, using Vero cell method.
parallelism, and linearity; Reagent
( 4) AnimaUs in control group die partially but not ( 1) MEM: Just before use, add calf serum; 3 %
totally. \ glutamine solution, penicillin and streptomycin into
MEM to final concentrations of 10%, 0. 03%,
100 IU per ml and 100 µg per ml respectively.
Adjust pH to 7. 0-7. 2 with 7 % sodium bicarbonate
X[ C Potency Test for Adsorbed solution.
(2) Calcium and magnesium ions-free buffer
Diphtheria Vaccine solution: Dissolve 8. 0 g of sodium chloride, 0. 2 g
of potassium chloride and 1. 15 g of disodi um
Method 1 Toxin Challenge Method in Guinea hydrogen phosphate in water and dilute to 1000 ml.
Pig ( abitration mthod) ( 3) 0. 25 % trypsin solution: Dissolve 2. 5 g of
The potency of adsorbed diphtheria vaccine is trypsin and 0. 2 g of disodium ethylene diamine
determined by comparing the survival rates of tetraacetate with calcium and magnesium ions-free
animals, which have been immunized with test buffer solution and dilute to 1000 ml. Adjust pH
sample and standard and then challenged with to 7. 0 with 7% sodium bicarbonate solution.
diphtheria toxin. Preparationof Vero cell suspension
Preparationof standardand test sample solutions Incubate the Vero cell in a 150 cm2 flask. Discard
Prepare 3-5 dilutions of the test sample and the the culture medium in the upper layer when the
standard with physiological saline at an equal cell monolayer is confluent and about 80 %-100 %
proportion separately ( the median dilution shall full. Add 10 ml of 0. 25 % trypsin solution and
protect about half of the animals after challenge). digest at 37°C for· several minutes. Discard the
trypsin solution and add 10 ml of medium to
Procedure
disperse the cells. Count the cells and dilute to a
Inoculate s. c. 1. 0 ml of each dilution of standard
concentration of 2. 5 X 105 cells per ml with the
and test sample solutions into each of at least ten
medium.
guinea pigs weighing 250-350 g respectively. Use
five unimmunized guinea pigs as control. Dilution of standardand test sample
Four weeks after immunization, challenge s. c. Prepare three to five serial 2-fold dilutions of the
each immunized guinea pig with 1. 0 ml of standard and test sample of adsorbed diphtheria
diphtheria toxin containing 100 LD50 and each of vaccine with physiological saline separately.
the control animals with 1. 0 ml of 100-fold diluted Procedure
toxin mentioned above. Record the death of (1) Immunization and bleeding
animals daily for 5 days following challenge. Inoculate s. c. 0. 5 ml of each dilution of standard
Calculate the potency of test sample by parallel line and test sample into each of eight NIH mice
analysis according to the survival rate on the 5th weighing 10-14 g respectively. Bleed each mouse 5
day after challenge, using the potency of diphtheria weeks after injection, separate the serum, inactiv-
toxoid standard as a standard. The potency of test ate at 56°C for 30 minutes and store at -20°C.
Appendix XI A- 103

(2) Positive control serum That is, the exponent of highest dilution of serum
Immunize a number of mice with adsorbed showing yellow colour is the end point. For
diphtheria vaccine and bleed 5 weeks later. example, if the highest dilution is 256 (28) folds,
Separate the serum, inactivate at 56°C for 30 the result shall be recorded as 8.
minutes, dispense it in small tubes, Iyophilize and The result shall be calculated by parallel line
then store at -20°C. analysis. The dose-response curves of the test
(3) Determination of test dose of toxin sample and standard shall not deviate significantly
The concentration of toxin used to determine in parallelism and linearity. The potency of test
diphtheria antibody titer by Vero cell method is sample per single human dose shall be not less than
1/10000 Led. 30 IU. If the 95 % confidence interval is greater
Dilute the toxin 2-fold serially with MEM on a 96- than 50%-200 % , the lower 95 % confidence limit
well microtitre plate, 50 µ1 per well. Add 50 µl of shall be greater than 30 IU per single human dose.
diphtheria antitoxin standard ( 0. 0001 IU) to each [Note]
well. Lid a cover and allow the plate to stand at The requirements for the test are as follows:
room temperature for one hour. Add 50 µl of Vero (1) All the results of wells Ell, El2, Fll and
cell suspension to each well. Lid a cover, seal the Fl2, which represent the amount of toxin and the
plate with a piece of film, incubate at 37°C in a sensitivity of Vero cell, are negative. If they are
5 % carbon dioxide incubator for 6-7 days and positive, both the amount of toxin and sensitivity
observe the result. The highest dilution that of cells are very low, and the test shall be
causes the death of cells (red colour) is defined as repeated.
1/10000 Led. (2) All the results of wells Gll and Gl2 and
The amount of 1/10000 Led of toxin is equivalent positive wells Hl 1 and Hl2 must be positive. If
to 1 X 10-4 Lf and is suitable for the test. they are negative, the test shall be repeated.
( 4) Antibody titration ( 3) If the amount of toxin used is correct, all the
The test is carried out on a 96-well microtitre results of wells All, Al2, Bll and Bl2 shall be
plate. positive, and those of wells Cll , Cl 2 , Dll and
(DAdd 50 µl of medium to each well except Al 1, 012 shall be negative. Otherwise, the test shall
Al2 and Hl l , Hl2. Add 100 µl of medium to be repeated.
wells Gll and G12. ( 4) The cell counting shall be accurate.
@Add eight serum samples to be tested to wells
Al to Hl respectively, 50 µl per well. Carry out
serial 2-fold dilutions horizontally to wells AlO and
HlO respectively.
@ Dilute the diphtheria antitoxin standard to a
X[ D Determination of Flocculation
concentration of 0. 008 IU per ml. Add 50 µl to Unit of Toxoid
each of wells All, 'Al2, Bll and Bl2, then carry
out serial 2~fold dilutions vertically from wells Bl 1 The flocculation unit (Lf) of toxoid is determined
and Bl2 to wells Dll and 012 respectively. by the reaction of toxoid with the corresponding
@Add 50 µl of positive control serum to wells Hll antitoxin in test tubes when their contents, ratio,
and Hl2 respectively. reaction temperature and reaction time are optimal.
@Add 50 µl of toxin ( Lcd/10000) to each well
except Gll and G12 and mix well. Lid a cover and Reagent
allow the plate to stand at room temperature for Borate buffer solution: Dissolve 0. 5 g of sodium
one hour. borate (Na2B407 • lOH20), 4. 5 g of boric acid
®Collect and count the Vero cell suspension, and and 8. 5 g of sodium chloride in 1000 ml of water.
then dilute to a concentration of 2. 5 X 105 cells per The pH of the buffer solution is 7. 0-7. 2.
ml. Preparationof standardsolution
(J) Allow the microtitre plate to stand at room Measure the national standard of diphtheria or
temperature for one hour. Add 50 µl of cell tetanus flocculating antitoxin accurately and dilute
suspension immediately to each well. Lid a cover, with borate buffer solution to contain 100 Lf per
seal the plate with a piece of film and incubate at ml.
37°C in a 5 % carbon dioxide incubator for 6 - 7
days. Preparationof test sample solution
® Take out the plate - and record the result· Dilute test sample with borate buffer solution to a
according to the change of colour. Yellow and red suitable limit of flocculation unit.
colours represent positive and negative results Procedure
respectively. The results can be examined by Accurately measure 0. 3 ml, 0. 4 ml, 0. 5 ml, 0. 6 ml
microscopy when the change of colour is not clear. and 0. 7 ml of 100 Lf per ml standard flocculating
If the cell monolayer is intact, the result shall be antitoxin ( SFA) and add into five flocculating
judged as positive. Otherwise it shall be negative. reaction tubes respectively. Then accurately
The final result is expressed as the exponent of 2. measure 1 ml of test sample solution and add
A - 104 Appendix XI

rapidly into each of the above tubes. Mix well and volume of stock solution of the antitoxin standard
put the tubes into 45°C water bath. Observe in one measurement shall be not less than
continuously the appearance of flocculating 0. 5 ml.
phenomenon in each tube. Record the SFA volume Preparationof test sample solution
and time (kf) of the tube in which the flocculating Prepare several dilutions of the test sample to
phenomenon appears first. Repeat this test with contain about 1/15 IU per ml. The interval of
another five flocculating reaction tubes. Accu- dilutions is about 5%-10%.
rately measure the same SFA volume as that of the
tube in which flocculating phenomenon appears Procedure
first in the last test, add into one of the five tubes The toxin is diluted to contain 20 test doses per
and put this tube in the middle. Put the other four ml, that is, each 0. 1 ml of injecting dose contains
tubes on the two sides of this tube, two for each. one test dose ( Lr/300) after mixing the toxin
To the two tubes at one side, add SFA volumes with an equal volume of antitoxin. A quantity of
increasing by 0. 05 ml in turn compared with that diluted antitoxin standard and different dilutions of
of the tube in the .middle , and, to the two tubes test sample solution are measured and transferred
at the other side, add SFA volumes decreasing by to test tubes respectively. Add an equal volume of
0. 05 ml in turn. Add 1 ml of the test sample into the diluted toxin to each tube and mix well.
each of the five tubes, mix well and put into 45°C Stopper the test tubes, bind at 37°C for one hour,
water bath. Observe the appearance of flocculat- and inject into rabbits immediately.
ing phenomenon. Record again the SFA volume Healthy rabbits with white skin, each weighing
and time (kf) of the tu~ in which the flocculating 2-3 kg, are used. Remove hair on the back of the
phenomenon appears firs!~ Repeat the test using rabbits by an appropriate method one day before
another five tubes. However, the interval the test. If inflammation or a large number of
between the SFA volumes iri the five tubes is spots are found on the skin, the rabbit shall not be
0. 02 ml instead. Record again the SFA volume used. Inject each sample solution into two
and time (kf) of the tube in which the flocculating rabbits, four sample dilutions for each rabbit at
phenomenon appears first. Repeat this test 2-3 the most. Inject i. d. 0. 1 ml of each dilution
times. The identical result obtained from two to into the rabbit at both sides of spine. Control test
three tests is defined as the final determination shall be carried out on at least three different
result. injection sites ( front, middle and rear) for each
The flocculation unit of test sample shall be rabbit. Different syringes shall be used for the
calculated by the following equation: injection of standard solution and test sample
solution.
Flocculation unit of test sample (Lf/rnl) =
EXFXlOO Result evaluation
Where: E= Volume of 100 Lf/ml SFA in which The test rabbits shall be observed 48 and 72 hours
flocculating phenomenon appears at first, ml; after injection respectively, and the sizes of
F= Dilution factor of test sample. reaction areas shall be measured. The final result
shall be evaluated by the reactions observed during
48.!72 hours. Generally, mild redness at the sites
of injection with control occurs during 48-72 hours
and their diameters are 10-14 mm. The highest
X[ E Potency Test for Diphtheria dilution causing the same reaction intensity as that
Antitoxin caused by most controls is regarded as the potency
(Rabbit Skin Test) of test sample. However, the reaction intensity
caused by the test sample shall not exceed that
caused by the control.
The potency (IU/ml) of diphtheria antitoxin is
The test shall be repeated if one of the following
calculated by comparing the test sample with
cases occurs.
standard based on the principle that toxin can be
(1) The reactions of the control do not conform to
neutralized by antitoxin.
the criteria mentioned above.
Reagent (2) The dilutions of test sample are too high or
Diluent (borate buffer solution): Dissolve 8. 5 g of too low. ·
sodium chloride, 4. 5 g of boric acid and 0. 5 g of (3) The reactions are irregular.
borax ( Na2B401 • lOH20) in water, dilute to [Note]
1000 ml and filer. After sterilization, the pH of The toxin is provided by the NCL or prepared by
the solution shall be 7. 0-7. 4. the manufacturer, but only that with a proper
Preparationof standardsolution toxicity and has been stored for more than 12
The diphtheria antitoxin standard shall be diluted months shall be used. The toxin used for testing
to contain 1/15 IU per ml, that is, each 0. 1 ml of shall be accurately calibrated for its test dose
the injecting dose contains 1/300 IU after mixing (Lr/300)with the antitoxin standard distributed by
the standard with an equal volume of toxin. The the NCL, and the calibration shall be repeated
Appendix XI A - 105

once 3 months. The toxin shall be stored at be used for the injection of control and test
2-8°C, protected from light, and toluene or other sample. The same syringe may be used for
appropriate preservatives shall be added. injecting different dilutions of the same sample in
the order from high dilution to low dilution. The
syringe shall be washed 2-3 times with the next
dilution when changing dilution. The mice shall be
X[ F Potency Test for Tetanus observed at least twice a day in· the morning and
afternoon. Record the morbidity and death of mice
Antitoxin · for 5 consecutive days.
(l\1ouse Bioassay)
Result evaluation
All the mice in control group shall die within 72-
The potency CIU/ml) of tetanus antitoxin can be 120 hours.
calculated by a comparative test on the test sample The highest dilution of the test sample, which
and antitoxin standard based on the principle that causes the death or neurotoxic symptoms of mice in
toxin can be neutralized by antitoxin. test and control groups at the same time shall be
Reagent regarded as the potency of test sample.
Borate buffer saline: Dissolve 8. 5 g of sodium The test shall be repeated if one of the following
chloride, 4. 5 g of boric acid and 0. 5 . g of borax cases occurs.
(Na2B4Q7• lOH20) in water and dilute to 1000 ml, Cl) The dilutions of test sample are too high or
then filter. After sterilization, the pH of the solution too low.
shall be 7. 0-7. 2. (2) The mice in control group die within 72 hours
or more than 120 hours after injection.
Preparationof standard solution
(3) The death of mice is irregularly, or nonspecific
( 1) Dilution of tetanus antitoxin standard: The
death occurs in more than two mice injected with
tetanus antitoxin standard is diluted with borate
the same dilution.
buffer saline to contain 0. 5 IU per ml, that is,
each a. 4 ml of injecting dose shall contain 1/10 IU [Note]
after mixing the standard with an equal volume of The dry toxin used shall be weighed accurately and
toxin. The volume of stock solution of tetanus each weighing shall be not less than 10 mg. · The
antitoxin standard in one measurement shall be not toxin after being dissolved shall be used up at one
less than 0. 5 ml. time. The remaining dry toxin shall be stored in a
(2) Dilution of tetanus toxin: The toxin is diluted . sealed vacuum container with desiccant. The dry
with borate buffer saline to contain 5 test doses toxin may also be made into a liquid form by
CL+ /10) per ml, that is, each 0. 4 ml of dissolving with physiological saline and mixing
injecting dose contains 1 test dose CL+ /10) after with an equal volume of neutral glycerol (sterilized
mixing the toxin with an equal volume of at ll6°C for 10 minutes). Each ml of the liquid
antitoxin. The test dose CL+/10) of toxin used toxin shall contain at. least 20 test doses. The
shall be accurately calibrated against the antitoxin toxin shall be stored at 2-8°C and protected from
standard distributed by the NCL and the light.
calibration shall be repeated once 3 months.
Preparationof test sample solution
Prepare several dilutions of the test sample with
borate buffer saline to contain about 0. 5 IU per X[ G Potency Test for Gas-gangrene
ml, that is, each 0. 4 ml of injecting dose contains Antitoxins
about 1/10 IU after mixing the antitoxin with an
equal volume of toxin. The interval of dilutions is (Mouse Bioassay)
about 5 %.
The potency of gas-gangrene antitoxins is deter-
Procedure
mined by comparing the survival and death of mice
A quantity of diluted antitoxin standard and the
injected with different dilutions of test sample and
different dilutions of test sample solutions shall be
antitoxin standard after combination with the
measured and transferred to test tubes respec-
corresponding toxin, based on the principle that
tively. Add an equal volume of the diluted toxin
toxin can be neutralized by antitoxin.
into each tube and mix well. Stopper the test
tubes. Bind at 37°C for one hour and inject into Reagent
mice immediately. Diluent: Dissolve 8. 5 g of sodium chloride, 4. 5 g
A portion of 0. 4 ml of each mixture is injected s. c. of boric acid and 0. 5 g of borax ( NazB4 07 •
into the abdomen or inguinal part of each mouse 10H20) in water and dilute to 1000 ml, then
weighing 17-19 g. Care shall be taken to avoid filter. After sterilization, the pH of the solution
overflow of the injecting contents. At least three shall be 7. 0-7. 2.
mice shall be used for each dilution of test sample Preparation of gas-gangrene toxin solution: The
and control respectively. Different syringes shall toxins shall be provided by the NCL or prepared by
A - 106 Appendix XI

the manufacturer. The test doses of toxins used Continued


for testing shall be accurately calibrated with the Type of Cl. Cl. Cl. Cl.
antitoxin sta~dard distributed by the NGL (see the antitoxin per fringens septicum histoiyticum oedematiens
table below) once 3 months. The toxins shall be Dose(ml) 0.5 o. 5 0.5 0. 2
diluted with the diluent just before use to make Antitoxin
each ml contain 5 test doses ( 20 test doses for 1/5 1 1/2 1/50
CIU)
Cl. oedematiens).
InjectionTest dose
1 1 1 1
Preparation of gas-gangrene antitoxin standard of toxin
solution Animal 4 4 4 4
Gas-gangrene antitoxin standards (Cl. perfringens,
Route i. v. 1. v. 1. v. 1. m.
Cl. oedematiens, Cl. septicuni and Cl. histolyticum)
shall be provided by the NCL, stored at 2-8°C and Result evaluation
protected from light. The antitoxin standards are The animals are observed twice a day in the
diluted with the diluent to make each ml contain morning and afternoon. Record the morbidity and
the titers as indicated in the t~ble below. The death of mice for 3 consecutive days. In antitoxin
volume of the stock solution of antitoxin standard group, at least two of the four animals
standards in one measurement shall be not less injected with the minimum amount ( 0. 8 ml) of
than 0. 5 ml. antitoxin shall die within 3 days. Compare the
Preparation of test sample solution numbers of death in antitoxin standard and test
Prepare several dilutions of the test sample with sample groups and calculate the potency of test
the diluent to contain about 5 test doses per ml (20 sample.
test doses for Cl.'oedematiens). The interval of The test shall be repeated if one of the following
dilutions is about 5 %- 10%. cases occurs.
(1) All or none of the animals in antitoxin
Procedure standard group die within 3 days, or less than two
Measure accurately 0. 8 ml, 1. 0 ml and 1. 2 ml of of four mice injected with the minimum amount of
gas-gangrene antitoxin standard solutions and antitoxins die, or more than two of four mice
transfer to a set of test tubes separately. Add injected with the maximum amount of antitoxins
0. 7 ml, 0. 5 ml and 0. 3 ml of the diluent die.
following the order of tubes. Measure accurately ( 2 ) All or none of the animals in test sample
1. 0 ml of each dilution of test sample and transfer group die within 3 days.
to a series of test tubes separately. Add 0. 5 ml of (3) The death of animals occurs so irregularly that
the diluent to each tube. The diluent may be the result can not be evaluated.
added before the addition of antitoxins. Add ( 4) Nonspecific death occurs in more than two
1. 0 ml of gas-gangrene toxin solution ( 0. 5 ml for animals injected with the same dilution.
Cl. oedematiens) to each of the above-mentioned [Note]
tubes and mix well. Stopper the test tubes and (1) The bacterial strains and media used, cultural
bind at 20-25°C for one hour. Inject into mice conditions and drying methods used by the
immediately, each weighing 17-19 g. Each manufacturer in toxin preparation shall be
dilution shall be injected into four mice. The consistent with those for the standards distributed
dosages and injection routes are indicated in the by the NCL.
table below. (2) The dry toxins used for test shall be weighed
accurately and each weighing shall be not less than
Table Parametersfor the potency test of
10 mg. The toxins after being dissolved shall be
gas-gangrene antitoxins
used up at one time. The remaining dry toxins
Type of Cl. Cl. Cl. Cl. shall be stored in sealed vacuum containers with
antitoxin per fringens septicum histolytiaon oedematiens desiccant. The dry toxins may also be made into a
liquid form by dissolving in physiological saline and
Test dose of toxin L+/5 L+ L+/2 L+/50 mixing with an equal volume of neutral glycerol
(sterilized at l16°C for 10 minutes). Each ml of toxin
Antitoxin
OU/ml)
1. 0 5. 0 2. 5 0.2 shall contain at least 50 test doses. The toxin shall be
stored at 2-8°C and protected from light
Dilution
Toxin
testing 5 5 5 20
dose/ml
Antitoxin
(ml) 1. 0 1. 0 1. 0 1. 0 X[ H Potency Test for Botulinum
Antitoxin
Mixing Toxint ml) 1. 0 1. 0 1. 0 0.5
(l\1ouse Bioassay)
Diluent
(ml) 0.5 0.5 o. 5 0.5
The potency of botulinum antitoxins is determined
Appendix XI A - 107

by comparing the survival and death of mice Table Parametersfor the potency test of
injected with different dilutions of test sample and botulinum antitoxins
antitoxin standard after combination with the Type of antitoxin A B c D E F
corresponding toxins, based on the principle that 1/5 1/10 1/50 1/20
toxin can be neutralized by antitoxin. Test dose of toxin
L+ L+ L+ L+ L+ L+
Reagent Antitoxin(IU/ml) 1. 0 0.5 5. 0 5.0 0. 1 0.25
Dilution
Diluent: Dissolve O. 7 g of potassium dihydrogen Toxin test dooe(ml) 5 5 5 5 5 5
phosphate, 2. 4 g of disodium hydrogen phosphate Antitoxin( ml) 1. 0 1. 0 1. 0 1. 0 1. 0 1. 0
(Na2HP04 • 12H20) and 6. 8 g of sodium chloride Mixing Toxintrnl) 1. 0 1. 0 1. 0 1. 0 1. 0 1. 0
in water for injection and dilute to 1000 ml. Add Diluerrt(ml) 0. 5 0.5 0.5 0.5 0.5 0.5
·2. 0 g of gelatin and filter after dissolution. The Dosevml) o. 5 0.5 o. 5 0.5 0.5 0.5
pH after sterilization shall be 6. 2-6. 8. Antitoxin(IU) 1/5 1/10 1 1 1/50 1/20
Preparationof botulinum antitoxin standardsolution Injection Test doses of toxin 1 1 1 1 1 1
Dissolve the botulinum antitoxin with physiological Animal 4 4 4 4 4 4
saline, mix with an equal volume of neutral Route i. p, i. p. i. p, i, p. i. p. i. p.
glycerol ( sterilized at l16°C for 10 minutes) and The test shall be repeated if one of the following
dilute to a certain concentration. Store at 2-8°C cases occurs.
and protect from light. Dilute the botulinum (1) All or none of animals in antitoxin standard
antitoxin standard solution with diluent to make group die, or the death occurs so irregularly that
each ml contain the titers as indicated in the table the end point of 50% mortality rate can not be
below just before use. The volume of stock
calculated.
solution of botulinum antitoxin standard in one (2) All or none of animals in test group die, or
measurement shallbe not less than 0. 5 ml.
the death occurs so irregularly that the end point of
Preparationof botulinum toxin solution 50 % protection rate can not be calculated.
The botulinum toxins shall be provided by the NCL or (3) Nonspecific death occurs in more than two
prepared by the manufacturer. The test dose of animals injected with the same dilution.
botulinum toxins used for testing shall be accurately
calibrated once 3 months with the botulinum antitoxin [Note]
standard distributed by the NCL as indicated in the (1) The bacterial strains and media used, cultural
table below. The toxin solution shall be diluted to conditions and drying methods used by the
make each ml contain 5 test doses just before use. manufacturer in toxin preparation shall be
consistent with those for the standards distributed
Preparationof test sample solution by the NCL.
Prepare several dilutions of the test sample to ( 2) The dry toxins used for test shall be weighed
make each ml contain the titers as indicated in the accurately and each weighing shall be not less than
table below. The interval of dilutions is about 10 mg. The toxins after being dissolved shall be
5%-10%. used up at one time. The remaining dry toxins
Procedure shall be stored in sealed vacuum containers with
Measure accurately 0. 8 ml, 1. 0 ml and 1. 2 ml of desiccant. The dry toxins may also be made into a
botulinum antitoxin standard solution and transfer liquid form by dissolving in physiological saline and
to a set of test tubes separately. Add 0. 7 ml, 0. 5 ml mixing with an equal volume of neutral glycerol
and 0. 3 ml of the diluent following the order of (sterilized at l16°C for 10 minutes). Each ml of
tubes. Measure accurately 1. 0 ml of each dilution toxin shall contain at least 20 test doses. The
of test sample solution, transfer into a set of test toxin shall be stored at 2-8°C and protected from
tubes separately and add O. 5 ml of the diluent to light.
each tube. Add 1. 0 ml of botulinum toxin solution
to each of the above test tubes and mix well.
Stopper the test tubes and bind at 37°C for 45
minutes. Inject into mice immediately. Each X[ I Potency Test for Snake
dilution shall be injected into four mice each
weighing 14-16 g. The dosages and routes of Antivenins
injections are indicated in the table below. (1\1:ouse Bioassay)
Result evaluation
The animals shall be observed twice a day in the The potency of snake antivenins is determined by
morning and afternoon. Record the morbidity and comparing the time and number of death of animals
death of animals for 4 consecutive days. Compare injected with different dilutions of test sample and
the end point of 50 % animal protection rate in test antivenin standard/ reference after combination
sample group with the end point of 50% animal with the corresponding snake venoms, based on
mortality rate in antitoxin standard group and the principle that snake venoms can be neutralized
calculate the potency of antitoxin. by snake antivenins.
A - 108 Appendix XI

Reagent of test sample.


Diluent: Dissolve 8. 5 g of sodium chloride, 4. 5 g The test shall be repeated if the test animals fail· to
of boric acid and 0. 5 g of borax ( Na2B401 • meet the above-mentioned requirements.
10H20) in water for injection, dilute to 1000 ml [Note]
and filter. The pH of the solution after Cl) The mice shall be injected with an accurate
sterilization shall be 7. 0-7. 2. dosage and in a right injecting site. Meanwhile,
Preparationof snake antivenin standardsolution the overflow of injecting contents shall be avoided.
Dilute snake antivenin standard/ reference to make (2) The dry toxins used for test shall be weighed
each ml contain 5 U ( Bungarus multicinctus or accurately and each weighing shall be not less than
Agkistrodon halys antivenin), 5 IU ( Naja naja 5 mg. The toxins after being dissolved shall be
(atra) antivenin) or 10 U (Agkistrodon acutus stored at 2-8°C and used up within 3 days. The
antivenin). That is, each 0. 4 ml of injecting dose remaining dry toxins shall be stored in sealed
contains 1 U or 2 U (or IU) of antivenin after the vacuum containers with desiccant. They may also
standard/reference is mixed with 5 test doses of be prepared into a liquid form and mixed each with
the corresponding venom. an equal volume of neutral glycerol ( sterilized at
ll6°C for 10 minutes). One ml of the mixture
Preparationof snake venom solution
shall contain at least 50 test doses. The venoms
The test dose of snake venom shall be accurately
shall be stored at 2-8°C and protected form light.
calibrated by the corresponding snake antivenin
standard/ reference, which is distributed by the .
NCL (1 L+ for Agkistrodon hal ys , Naja naja
(atra) and Bungarus multicinctus and 2 L + for
Agkistrodon acutus), Dilute the snake venom with X[ J Potency Test for Rabies
a volume of not more than 0. 8 ml containing 5 test Antiserum
doses. That is, each 0. 4 ml of injecting dose
contains one test· dose of venom after mixing the
The potency of rabies antiserum is determined by
snake venom with antivenin and adding diluent to a
comparing the survival and death of mice at
total volume of 2 ml.
specified time, injected i. c. with different
Preparationof test sample solution dilutions of test sample and the standard of rabies
Prepare several dilutions of the test sample to antiserum after combination with rabies virus
make each 1. 0 ml contain about 5 U ( or IU) of suspension, based on the principle that rabies
Agkistrodon hal ys , Naja ( naja ) atra or virus can be neutralized by rabies antiserum.
Bungarus multicinctus antivenin, or about 10 U of
Reagent
Agkistrodin acutus antivenin. The interval of
(1) Phosphate buffer solution containing 2% calf
dilutions shall be 5 %-10 %.
serum: Dissolve 1. 2 g of potassium dihydrogen
Procedure phosphate and 20. 8 g of disodium hydrogen
Transfer 1. 0 ml of each dilution of test sample to a phosphate (Na2 HP04 • 12H20) in water for
series of small test tubes separately. Use 1 ml and injection, dilute to 1000 ml and filter. Adjust the
1. 2 ml of snake antivenin standard solutions as pH to 7. 6. The pH of the solution after
controls CD and® respectively. To each of above sterilization shall be 7. 2-8. 0. Add 2 ml of
antivenin tubes, add 5 test doses of venom inactivated calf serum to 98 ml of the buffer
solution corresponding to the test sample and make solution just before use.
up to 2 ml with the diluent, that is, each 0. 4 ml (2) Phosphate buffer solution containing 20 % calf
of test sample for injection contains 1 or 2 test serum: Dissolve 1. 2 g of potassium dihydrogen
doses. Mix well and stopper the tubes. Bind at phosphate and 20. 8 g of disodium hydrogen
37°C for 45 minutes and inject to mice phosphate ( Na2HP04 • 12H2 0 ) in water for
immediately. injection, dilute to 1000 ml and filter. Adjust the
Inject i. p. 0. 4 ml of each dilution of test sample, pH to 7. 6. The pH of the solution after
control CD and control ® into each of four mice sterilization shall be 7. 2-8. 0. Add 20 ml of
weighing 18-20 g respectively. inactivated calf serum into 80 ml of the phosphate
Result evaluation buffer solution just before use.
Observe the test mice once a day for 48-72 hours Preparationof virus suspension for neutralization
and record the morbidity and death. For the test ( 1) Preparation of virus suspension
to be valid, not less than 50 % of mice in control Prepare a 10-2 virus suspension of CVS strain
group CD shall die, and the mice in control group (generally freeze-dried) according to the method
® shall die later or die less than those in control described in section ( 2) of preparation of virus
group CD, or even no death. The highest dilution suspension for neutralization. Inoculate mice i. c.
of the test sample which cause the death of mice at each weighing 10-12 g with 0. 03 ml of the
the same time and in the same number as those in suspension. Prepare a 10-2 suspension with the
control group CD shall be regarded as the potency brain of mouse showing signs of illness. Inoculate
Appendix XI A - 109

mice i. c. with the suspension and undergo for two LD50 shall be calculated statistically based on the
to three passages in general. The brains of mice mice dying from the disease beyond 5 days after
showing signs of illness and paralysis on the 5th inoculation.
day shall be ground to prepare a 20 % suspension ( 3 ) Preparation of virus suspension used for
with skimmed milk. Dispense 0. 5 ml of the neutralization
suspension into each container, seal under vacuum The virus dilution of 100 LD50 estimated in
after lyophilization to prepare freeze-dried virus for preliminary determination shall be used as the
neutralization and store at -30°C for use. dilution of virus suspension for neutralization test
Alternatively, grind the brain tissue of mice in mice. After incubation in 37°C water bath for one
showing signs of illness and paralysis on the 5th hour, the suspension shall contain 32-320 LP,0 of
day to prepare a 10-1 suspension with phosphate virus.
buffer solution containing 20 % calf serum. After Preparationof rabies antiserum standardsolution
centrifugation at 2000 r/min for 20 minutes, Antiserum standard shall be provided by the NCL.
collect the supernatant, mix well, dispense the The working standard of antiserum used by the
mixture into small tubes and store at - 70°C for manufacturer shall be acc~edited by the NCL.
use. Prepare the standard solution following the
( 2) Preliminary determination of virulence for virus instructions.
suspension
Cl)Preliminary determination of freeze-dried virus Preparationof test sample solution
To the freeze-dried virus containing 20 % mouse Make the test sample 2-fold dilutions serially with
brain suspension, add 1. 0 ml of phosphate buffer phosphate buffer solution containing 2 % calf
solution containing 2 % calf serum and mix well. serum. Dilutions from 1 : 800 to 1 : 102400 may
Then, add 4. 0 ml of phosphate buffer solution be generally adopted. But on the basis of the
containing 2 % calf serum and mix well. After actual titer of test sample, the lowest dilution
centrifugation at-l-500 r/min for 10 minutes, add factor may be appropriately decreased or increased.
an equal volume of phosphate buffer solution If the above eight dilutions are adopted, first add
containing 2% calf serum to the supernatant to 2. 7 ml of diluent to 0. 3 ml of test sample to make
prepare a 10-2 suspension and mix well. Then, a dilution of 1 : 10. Then, add 3. 5 ml of diluent
make serial 10-fold dilutions of 10-3, 10-4, 10-s to 0. 5 ml of the 1 : 10 diluted sample to prepare a
and 10-5• Transfer 0. 5 ml of above dilutions dilution of 1 : 80 and add 2. 7 ml of diluent to
( from 10-2 to 10-5 ) to five small tubes 0. 3 ml of 1 : 80 diluted sample to prepare test
respectively. Add 0. 5 ml of phosphate buffer sample solution (1) at a dilution of 1 : 800. After
solution containing 2 % calf serum to each tube and that, test sample solutions· ( 2 ) to ( 8 ) , at
incubate in 37°C water bath for one hour. Thirty dilutions of 1 : 1600, 1 : 3200, 1 : 6400, 1 : 12800,
mice each weighing 10-12 g are divided into five 1 : 25600 and 1 : 102400 respectively, shall be
groups and injected i. c. with 0. 03 ml of the prepared by serial 2-fold dilution with the addition
incubated ( at 37°C) virus suspensions of 10-5, of 0. 5 ml of dilution solution to 0. 5 ml of diluted
10-s, 10-4, 10-3 and 10-2 respectively. Each samples starting from solution (1).
dilution shall be given to six mice. Observe the Procedure
mice daily for 14 days. The deaths within 4 days Add 0. 5 ml of test sample solutions ( 1) to ( 8)
after inoculation shall be considered as nonspecific. into eight small test tubes separately. Add 0. 5 ml
LD50 shall be calculated · statistically based on the of standard of antiserum of the eight dilutions into
mice dying from the disease beyond 5 days after another eight small test tubes separately. Add
inoculation. 0. 5 ml of virus suspension for neutralization test
@Preliminary determination of virus suspension into each the sixteen tubes, incubate in 37°C water
stored at -70°C bath for one hour and use for injection in mice. In
Thaw the frozen virus suspension containing 10 % addition, the mice of the same body weight are
of mouse brain to obtain a 10-1 suspension. used to determine the actual LD50 of the virus
Prepare serial 10-fold dilutions from 10-2 to 10-7• suspension for neutralization test. The method is
Transfer 0. 5 ml of each of 10-1 , 10-5 , 10-5 , as follows: Use virus suspension for neutralization
· 10-4 and 10-3 dilutions to five small test tubes, test as the original stock to prepare dilutions of
separately. Add 0. 5 ml of phosphate buffer 10°, 10-1, 10-2 and 10-3• Transfer 0. 5 ml of
solution containing 2 % calf serum to each tube and each of the above four dilutions to four small test
incubate in 37°C water bath for one hour. Thirty tubes, add 0. 5 ml of phosphate buffer solution
mice each weighing 10-12 g are divided into five containing 2% calf serum into each tube and
groups and injected i. c. with 0. 03 ml of the incubate in 37°C water bath for one hour as the
incubated ( at 37°C) virus suspensions of 10-1, neutralizationvirus control. Inoculate i. c. 0. 03 ml of
10-5 , 10-s , 10-4 and 10-3 respectively. Each the four dilutions of neutralized test sample, the
dilution shall be given to six mice. Observe the standard of antiserum and virus suspension control
mice daily for 14 days. The deaths within 4 days to each mouse weighing 10-12 g respectively. Each
after inoculation shall be considered as nonspecific. dilution shall be injected into six mice. The
A - 110 Appendix XI

inoculation of test sample and standard shall be and read the absorbance at 340 nm by ultraviolet-
carried out in an order from low to high dilutions, visible spectrophotometry (Appendix II A).
and the inoculation of virus control shall be carried Repeat the above-mentioned procedure using 10 µl
out from high to low dilutions. of IgG standard solution instead of test sample
Observe the mice for 14 days and record the solution.
morbidity and death of the mice daily. The deaths Calculate the mean absorbance of each dilution of
within 4 days after inoculation shall be considered standard and sample respectively. A linear
as nonspecific. regression equation is obtained by regressing the
Potency OU/ml) of test sample=(B1/B2) XD logarithm of lgG content of the standard solutions
Where: B1 = Reciprocal ED50 of test sample with the logarithm of corresponding absorbance.
B2 = Reciprocal ED50 of standard of The correlation coefficient of linear regression
antiserum equation shall be not less than 0. 99. Insert the
D = International unit of standard of logarithm of absorbance of test sample solutions
antiserum, IU / ml into the regression equation and calculate the
antilogarithm of corresponding lgG contents.
Multiply the result with the dilution factor to
obtain the lgG content ( g/L) in 1 ml of test
sample. The lgG content of the test sample is the
XI K Determination of IgG Content mean of the IgG contents obtained (g/L).
(Ultraviolet-visible Spectrophotometry)
[Note]
( 1) All the measurement of reaction tubes shall be
The method is based on the principle that lgG may completed within 10 minutes.
specifically bind to the corresponding antibody to (2). The slit width for ultraviolet-visible spectro-
cause agglutination and form antigen-antibody photometry shall be designed as 2 nm.
complex at suitafile electrolyte concentration, (3) The IgG concentration of standard solution
temperature and pH, The lgG content may be may be properly adjusted according to the IgG
calculated according to the absorbance of test content of test sample.
sample.
Reagent
(1) Buffer solution: Dissolve 12. 42 g of Tris, 9 g
of sodium chloride, 50 g of polyethylene glycol XI L Test for Neurovirulence in
( PEG, 6000), 1 g of bovine serum albumin Monkeys
(BSA) and 1 g of sodium azide (NaN3) in water.
Adjust pH to 7. 4 with 1. 0 mol/L hydrochloric
acid solution and dilute to 1000 ml with water. The method is used for the control tests on live
( 2) Anti-human lgG serum: Reconstitute the attenuated poliomyelitis vaccine.
freeze-dried anti-human IgG serum following the Healthy monkeys each weighing 1. 5 kg or above
instructions. According to the labelled potency, shall be used. The monkey serum after 1 : 4
dilute a certain amount of anti-human IgG serum dilution shall be shown to contain no neutralizing
with buffer solution to a titer of 1 : 4 ( for antibody to virus of the same type. The monkeys
example, to 2 ml of 1 : 100 anti-human lgG shall be selected and quarantined, and shall have
serum, add 48 ml of buffer solution). Mix well not been used for other tests. The quarantine
and filter with a 0. 45 µm membrane. Store at period shall be not less than 6 weeks. There shall
4°C. be no tuberculosis, B virus infection or other acute
infectious diseases. The serum shall be free from
Preparationof IgG standardsolution antibody to foamy virus. The monkeys with
Dilute the standard IgG with physiological saline to serious purulent foci, neoplasm as well as
make a series of dilutions at a concentration range discernable nephro- and hepatopathy shall not be
of 0. 2-6. 0 mg per ml. Five dilutions are required used for the test. Intraspinal or intracerebral
in general. injection method can be adopted.
Preparationof test sample solution lntraspinal inoculation
Prepare three dilutions (high, medium and low) ( 1) Number of monkeys
of the test sample with physiological saline, in Reference preparation shall be established. For
which the lgG content is within the limits of
the evaluation of vaccines and their respective
standard curve.
reference preparations of types I and II , at least
Procedure eleven valid monkeys for each type shall be
To 10 µ1 of test sample solution at each dilution, included. However, for the evaluation of type lli,
in duplicate, add 1 ml of antibody solution at least eighteen valid monkeys are required. The
preheated to 37°C and mix well. Warm the monkeys with different body weights and sexes
mixture in 37°C water bath for one hour. Mix well shall be allocated randomly in every group. One
Appendix XI A - 111

reference preparation can be tested in parallel with but no needle track, shall be regarded as valid. A
more than one lot of vaccine. monkey having damage due to trauma in the
A valid monkey is the one of which neuronal sections, but no specific · pathological lesions,
lesions specific for poliovirus shall be shown in the shall not be regarded as valid.
central nervous system. The severity is assessed based on the accumulation
It is permitted to fill the vacancies if the valid of total scores of readings of the histological
monkeys are not enough in the test group, and it sections of lumbar cord (Le), cervical cord (Cc)
shall be necessary to supplement the same number and brain (Br). The Lesion Score (LS) for each
of monkeys to the ref ere nee group, and vice versa. valid monkey is calculated as follows:
If the test needs two working days, the number of
monkeys used in both test and reference groups
+ +
LS= ( 4Lcs/h 4Ccs/h 4Brs/h) / 3
shall be the same on each day. In order to ensure Note: s/h-score/hemisections
the numbers of valid monkeys in the two groups, Then calculate the mean LS for each group of valid
it is always to inoculate more monkeys than that monkeys.
required. Only when the mean lesion score of the reference
preparation situates within the range between the
Virus titers of test sample and reference preparation upper limit and lower limit, whether the vaccines
The virus contents of the test sample and the being tested are qualified can be evaluated
reference preparation shall be adjusted to be as according to error constants, C1 , C2 and C3
close as possible. Inject 0. 1 ml ( containing 6. 5- values. The criteria for evaluation are as follows.
7. 5 ·lg CCID50 per ml) interspinally between the Compare the mean LS of vaccine tested (X\est) and
first and second vertebrates of each monkey. Only that of reference CXref).
the virus suspension at an appropriate dilution Qualified: Xtest - Xref<C1
shall be used for injecting the animals. Unqualified: Xtest - Xref>C2
Procedure Retest I : C1 <Xtest - Xref<C2 (retest can only be
All the inoculated-monkeys shall be observed for conducted once)
17-22 days. Monkeys that survive the first 24 Retest II : If in the same test the difference
hours but die afterwards shall be autopsied to between the mean LS of test group and the mean
determine whether poliomyelitis is the cause of LS of reference group is less than Cl , while the
death. Those dying due to causes other than highest LS of some individual monkey in test group
poliomyelitis shall be excluded from the is equal to or more than 2. 5 and, moreover, 2-
evaluation. The test is valid if at least 80 % of the· fold more than the highest LS of an individual
monkeys in each group survive the observation monkey in the reference group, the test shall be
period. Animals that become moribund or are repeated.
severely paralyzed shall be killed for autopsy. Pass in retest: CX<testi+test2) - X<refi+ref2)) /2<C3
Central nervous system of each monkey shall be Fail in retest: (X(testHtest2) - X(refl+ref2)) /2>C3
subjected to histopathological examination. Sections
shall be made at a thickness of 10-15 µm and lntracerebralinoculation
stained with gallocyanine. The minimum number Inoculate 0. 5 ml of virus sample ( not less than
of sections examined shall be as follows: . 7. 0 Lg CCID50 per ml) into the thalamus region of
12 sections from the whole of the lumbar enlarge- each hemisphere of individual twenty healthy
ment; monkeys after being anesthetized. Ten monkeys
10 sections from the whole of the cervical enlarge- receive undiluted virus sample and the other ten
ment; receive 1 : 10 diluted sample. Observe the
2 sections from the medulla oblongata; inoculated monkeys for 21 days. The test is valid
1 section each from the pons and cerebellum; if not less that 80 % of the animals survive the
1 section from the mid-brain, and 1 section each observation period, and the number of valid
from the left and right of the cerebral cortex and monkeys is not less than 16. Otherwise, it is
the thalamus. necessary to make up the deficiencies. Those die
An evaluation of 4-grade-system of scoring on the within 48 hours after inoculation or shown
· severity of the lesions shall be used. A specially nonspecific paralysis shall be excluded from the
designated, experienced person shall examine the evaluation. The CNS tissues of the animals which
sections. die during the observation period and of those
Grade 1: Cellular infiltration only ( this is not killed at the end of observation period shall be
sufficient to consider the monkey as valid). subjected to histopathologic examination. The
Grade 2: Cellular infiltration with a small number criteria of evaluation are as follows.
of neuronal damage. Qualified:
Grade 3: Cellular infiltration with extensive The virus preparation shall be judged as qualified if
neuronal damage. the examination result accords with one of
Grade 4: Massive neuronal damage with or followings.
without cellular infiltration. CD No histopathologic lesion suggestive to polio--
A monkey having neuronal lesions in the section, myelitis infection found in CNS;
A- 112 Appendix XI

®Two monkeys with less than or equal to low- with more than or equal to low-grade histopathologic
grade histopathologic lesions; lesions;
®One monkey with less than or equal to mid-grade ®One monkey with severe histopathologiclesions.
histopathologic lesions. Retest:
Unqualified: If the test result of a pooled lot from several sub-
The virus preparation shall be judged as lots of vaccine does not comply with the require-
unqualified if the examination result accords with ments, it is permitted to repeat the test for the
one of followings. sub-lots, separately. The results of retest shall
(DOne monkey with mid-grade histopathologic be evaluated in accordance ·with the criteria
lesions and, at the same time, another monkey mentioned above.
Appendix XII A - 113

Appendix XII

and anaerobes)
Tryptone (or pancreatic digest of casein, 2000 mg
of total nitrogen) 15. 0 g
:xn A Sterility Test Yeast extract ( or 200 ml of yeast dialysate)
5. 0 g
Glucose 5. 0 g
Sterility test is applied to the biologics, source and Sodium chloride 2. 5 g
subsidiary materials and other substances, which L-cystine ( or cysteine hydrochloride) 0. 5 g
are required to be sterile. A satisfactory result only Sodium thioglycolate ( or 0. 6 ml of thioglycolic
indicates that no contaminating microorganism has acid) 0. 5 g
been found in the sample examined under the Agar o. 65-0. 75 g
conditions of the test. Resazurin o. 001 g
The test for sterility shall b_~__gu-r.ied out in the Water 1000 ml
cleanliness of class 100 laminar-airflow cabinet Add above-mentioned components, except glucose
located within the cleanliness of class 10000 clean and resazurin , into water and dissolve by slightly
areas, or in an isolated system. · All the operations heating. Adjust the pH to make the solution
shall be performed strictly under an aseptic slightly alkaline. Boil the solution and clarify by
condition to avoid contamination of micro- filtration. Dissolve glucose and resazurin in the
organisms. The standard of cleanliness of laminar- solution and mix well. Adjust pH of the solution
airflow area, working table and laboratory so that it is 7. 1 +o. 2 after sterilization.
environment shall be validated periodically Before the test sample is inoculated, the depth of
according to the current national standard in The oxidizing layer ( pink colour) shall not exceed one-
Test Method for Suspended Particles, Floating third of total depth of the medium. Otherwise the
Bacteria and Sedimentary Bacteria in Clean Room medium shall be heated in a boiled water bath for
( Area ) of Pharmaceutical Industry. The not more than 20 minutes until the pink colour
isolated system shall be validated according to disappears and cooled down immediately. The
relevant requirements and the standard of medium can only be heated once and shall be
cleanliness of internal environment shall be protected from contamination.
validated and shall meet the requirements for 2. Modified Martin-Lester agar medium ( used for
sterility test. fungi)
The diluent, washing solution, medium and Peptone 5. 0 g
laboratory apparatus shall be sterilized by the Yeast extract (or 100 ml of yeast dialysate)
procedures qualified in validation, unless other- 2. 0 g
wise specified, Glucose 20. 0 g
The sterility tests for all the biologics, unless Dipotassium hydrogen phosphate 1. 0 g
otherwise specified, shall be performed by the Magnesium sulfate (MgS04 • 7H20) 0. 5 g
method in this Appendix. Water 1000 ml
When sterility test is applied to the sample of a Add the above-mentioned components, except
new product or the product manufactured by a glucose, into water and dissolve by slightly
modified procedure, the method for test shall be heating. Adjust pH to about 6. 8 and boil the
validated to confirm that the sample has no anti- solution. Dissolve glucose in the solution, mix
microbial activity under the conditions of the test well and clarify by filtration. Adjust pH of the
or such activity may be neglected. solution so that it is 6. 4 +o. 2 after sterilization.
Culture medium and method for preparation 3. Nutrient agar medium ( used for aero bes)
The media used shall be suitable for the growth of Peptone 10. 0 g
aerobes , anaerobes or fungi and can be prepared Beef extract 5. 0 g
according to the following formula. The dehy- Sodium chloride 5. 0 g
drated medium produced according to the formula Agar 14. 0 g
may also be used provided that they comply with Water 1000 ml
the requirements. Add above-mentioned components into water and
1. Thioglycolate liquid medium ( used for aerobes dissolve by slightly heating. Adjust pH to make
A- 114 Appendix :xlI

the solution slightly alkaline. Boil the solution and 4. Result evaluation
clarify by filtration. Adjust pH of the solution so The highest dilution of the bacteria that can grow
that it is 7. 2+0. 2 after sterilization. in two-thirds of the inoculated tubes of a given
The above-mentioned media are usually dispensed medium, is regarded as the sensi ti vity of the
into tubes or other suitable containers each at a medium. The highest sensitivity that can be
volume of 10 ml, 40 ml, 100 ml or 200 ml ( or reached in two out of the three tests is judged as
other suitable volumes). The height of medium in the standard sensitivity.
each container is two-fifth of total height of the Sensitivity of media The sensitivities of media
container. Sterilize the media by the procedures shall be 10-8 for ~-hemolytic streptococcus, 10-7
qualified in validation test, then test for sterility. for Bacillus brevis and Clostridium sporogenes and
The media qualified in sterility test shall be stored 10-6 for Candida albicans.
at 2-25°C, protected from contamination and shall 5. Precautions
be used within 3 weeks. (1) In order to avoid cross contamination, rt is
forbidden to handle two bacterial strains in the
Test for sensitivity of media
same clean room simultaneously.
1. Bacterial seeds (Distributed by the NCL)
(2) Each batch of media for sterility test shall be
Aero bes
subject to sensitivity test, and only those qualified
~-hemolytic streptococcus [CMCC CB) 32210]
can be used.
Bacillus brevis 7316
Anaerobes Application of media
Clostridium. sporogenes [CMCC CB) 64941] 1. Thioglycolate liquid medium shall be used for
Fungi testing the contaminating anaerobic and aerobic
. .
Candida albicans [CMCC CF) 98001] rmcroorgarusms.
2. Preparation of bacterial suspensions 2. For testing live vaccines, more agars shall be
Inoculate the freshly cultured ~-hemolytic added into the medium to make slant.
streptococcus, Clostridium sporogenes and Sampling quantity and number of containers for a
Bacillus brevis into the media to be tested test
respectively and incubate at 30-35°C for a certain 1. Bulk and final bulk
time ( 24-48 hours for ~-hemolytic streptococcus The sampling quantity of bulk and final bulk shall
and Clostridium sporogenes , and 18-20 hours for be at least 0. 1 % but not less than 10 ml. If the
Bacillus brevis ). Harvest [t-hemolytic streptococcus · bulk or final bulk is dispensed into several
and Clostridium sporogenes respectively to make a containers after sterilization by filtration, the
homogeneous bacterial suspension with sterile sampling quantity of each container shall be not
0. 9 % sodium chloride solution. Draw the less than 10 ml. Bulk and final bulk shall be
suspension of Bacillus brevis , transfer· to a sterile sampled as described above at each opening of the
tube and dilute with sterile 0. 9 % sodium chloride container. The sampling quantity of final bulk of
solution to make a homogenous bacterial diagnostic reagents for in vitro test shall be not
suspension. Inoculate Candida albicans onto a less than 3 ml.
potato medium and incubate at 20-25°C for 5-7 2. Final product
days, then wash the lawn down with sterile 0. 9 % Sterility test shall be performed on each sub-lot of
sodium chloride solution and prepare a homo- final product by sampling at random at the early,
genous bacterial suspension. Dilute the above middle and late stages during the filling process or
bacterial suspensions to the same concentration as in the different layers of freeze-drying chamber.
that of the standard opacity tubes ( distributed by The numbers of containers of final products for
the NCL), then make 10-fold dilution serially delivery and for post-marketing surveillance are as
with 0. 1 % peptone water. follows.
3. Inoculation of medium 2. 1 Final product for delivery
Add 1 ml of Bacillus brevis and 1 ml of ( 1) When the number of containers to be filled is
Clostridium sporogenes at each dilution of 10-8 - 100 or less, at least 5 containers shall be sampled;
10-5, 1 ml of ~-hemolytic streptococcus at each for 101-500 containers, not less than 10 containers
dilution of 10-9 - 10-7 and 1 ml of Candida shall be sampled; for 501 containers or more, not
albicans at each dilution of 10-7 -10-s into 9 ml of less than 20 containers shall be sampled.
medium to be tested respectively. The medium in ( 2 ) For freeze-dried blood products containing
the tubes for anaerobes shall be not lower than more than 20 ml each bottle, if less than 200
7 cm in height. Each dilution shall be inoculated bottles are freeze-dried in the chamber, 2 bottles
into at least three tubes of the medium to be shall be sampled, and for 200 bottles and more, 4
tested, using the uninoculated medium as a bottles shall be sampled. If the filling quantity per
control. Incubate the media inoculated with bottle of the product is within the range of 6-20 ml,
~-hemolytic streptococcus and Clostridium sporo- number of sampling shall be doubled. If the filling
genes at 30-35°C for 3 days, with Bacillus brevis quantity per bottle is 5 ml or less, the sampling
at 30-35°C for 5 days, and with Candida albicans shall be conducted as described in (1) of Section
at 20-25°C for 5 days. Record the result daily. 2. 1.
Appendix XII A - 115

2. 2 Final product for post- marketing surveillance tube of nutrient agar slant at 30-35 °C , and the rest
( 1) Eight containers shall be sampled from each of the tubes at 20-25°C. A negative control test is
batch of biologics except for blood products. performed in parallel by the same procedure using
( 2) If the filling quantity per bottle of blood sterile 0. 9 .% sodium chloride solution instead of
product is less than 50 ml, 6 bottles shall be the test sample. The whole incubation period of
sampled from each batch; if the filling quantity is time for the enrichment tubes and the subcultured
50 ml or more, 2 bottles shall be sampled. tubes shall be not less than 14 days.
2. 3 If the result of sterility test needs to be ( 2) The test sample free from preservative does
checked, the number of containers sampled is the not need enrichment. According to the requirements
same as that of the final product for post- for sampling quantity and number of containers for a
marketing surveillance. test on final product of each batch ( or sub-lot),
2. 4 Sampling quantity of each container take samples container by container and mix well.
( 1) Direct inoculation method The sampling Ten containers of sample· shall be taken and mixed
quantity of each container for direct inoculation is if the volume per container is 5. 0 ml or less, and 7
described in the following table. containers of sample shall be mixed if the volume is
more than 5. 0 ml. The number of tubes of media
Filling quantity is determined according to the total volume of the
(V/mDof each V<0.5 O. 5~V<5 5~V<20 20~V<lOO
container
mixed test samples to be inoculated. Inoculate the
mixed test samples into thioglycolate liquid
Sampling quantity
(ml)ofeach
Total
0. 5 1. 0 5. 0
medium, nutrient agar slant and modified Martin
volume agar medium directly. The volume of test sample
container
inoculated shall not exceed 10 .% of the volume of
( 2) Membrane filtration method If the filling medium. The number of inoculated tubes of
quantity per container is 100 ml or less, the total thioglycolate liquid medium, nutrient agar slant
volume shall be sampled; if the filling quantity is and modified Martin agar medium shall be in a
more than 100 ml, half of the total volume shall proportion of 1 : 1 : 1. Inoculate half of all the
be sampled.
Procedure --
Sterility tests may be performed by direct inocu-
inoculated tubes of thioglycolate liquid medium and
nutrient agar slant at 30-35°C respectively and the
rest of tubes at 20-25°C. The inoculated modified
lation or membrane filtration method. If the Martin agar medium shall be incubated at 20-25°C.
nature of test sample permits, membrane filtration A negative control test is performed in parallel by
method shall be adopted preferentially, unless the same procedures using sterile 0. 9 .% sodium
otherwise specified. chloride solution instead of the test sample. The
duration of incubation shall be not less 14 days.
1. Direct inoculation method ( 3) If the test sample is turbid and/ or the result is
(1) The test sample containing preservative shall
uncertain, test sample shall be taken according to
be cultured at first for enrichment. According to
the quantity specified in above table for sterility
the requirements for sampling quantity and number
test by the enrichment procedure described in
of containers for a test of final product, take
Direct Inoculation Method.
samples container by container. Mix the test
( 4) For the diagnostic reagents for in vitro test,
samples from 20 containers and inoculate into
only final bulk needs to be tested for sterility, that
suitable media. The number of tubes of media is
it to say, samples shall be taken after sterilization
determined according to the total volume of the
by filtration and before the addition of preserva-
mixed test samples to be inoculated. The quan-
tive. Inoculate the test samples directly into
tities of inoculum and the medium shall be in a
media, incubate for 8 days and observe the result.
proportion described below: If phenol or trichloro-
If there is growth of microorganisms, the final
methane is used as a preservative, the proportion
bulk shall be sterilized by filtration and tested for
of inoculum to medium shall be at least 1 : 20;
sterility again. If there is still growth of
and, if mercury compounds are used as the
microorganisms in the retest, the final bulk shall
preservative, or formaldehyde or antibiotics is
be discarded. If the final bulk is sterilized by
contained in the product, the proportion of
filtration after the addition of preservative, the
inoculum to medium shall be at least 1 : 50.
sample shall be taken for sterility test by the
According to the above-mentioned proportions,
enrichment procedure in direct inoculation method.
inoculate the mixed test sample first into
However, the whole incubation period of time for
thioglycolate liquid medium for enrichment and the
enrichment tubes and subcultured tubes shall be
enriched medium shall be not less than 200 ml.
not less than 8 days.
Incubate the inoculated medium at 20-25°C for 3-4
days and then transfer O. 5 ml of the incubated 2. Membrane filtration method
culture into each of the two tubes containing 10 ml A completely closed membrane filter shall be used.
of thioglycolate liquid medium, nutrient agar slant The pore size of membrane is not more than
and modified Martin agar medium. Incubate one 0. 45 µm. The diameter of membrane is about 47 mm.
tube of the thioglycolate liquid medium and one A given number of test samples . shall be taken as
A - 116 Appendix XI[

required and added aseptically into a membrane virus harvest or bulk vaccine, the cultivation
filter immediately for filtration under increased or method is used. The indicator cell culture method
reduced pressure. The test sample less than 10 ml may be used for screening of media, if necessary.
shall be diluted with 100 ml of sterile 0. 9 % sodium Other methods accepted by the NCL may also be
chloride or other suitable solvents before filtration. used.
For the test sample containing mercury compound
Method 1 Cultivation Method
as the preservative, flush the filter membrane
after filtration for 3 times with sterile 0. 9 % Recommended culture media and formulas
sodium chloride solution or other appropriate (1) Mycoplasma broth medium
sterile solvent, 100 ml for each time. After Pig gastric digest 500 ml
filtration, add 100 ml of thioglycolate liquid Beef extract ( 1 : 2) 500 ml
medium to each of two filters, and 100 ml of Yeast extracts 5. 0 g
modified Martin medium to the other filter. Sodium chloride 2. 5 g
Incubate one filter added with thioglycolate liquid Glucose 5. 0 g
medium at 30-35°C, and the other two at 20-25°C, Phenol red 0. 02 g
for not less than 14 days. A negative control test pH 7. 6 + 0. 2. Sterilize at 121°C for 15 minutes,
is performed in parallel by the same procedure (2) Mycoplasma arginine broth medium
using sterile 0. 9 % sodium chloride solution instead Pig gastric digest 500 ml
of the test sample. Beef extract (1 : 2) 500 ml
Yeast extracts 5. 0 g
3. Result evaluation Sodium chloride 2. 5 g
If both thioglycolate liquid medium and modified Glucose 1. 0 g
Martin medium after incubation are clear or turbid L-arginine 2. 0 g
but being proved free from microorganism, and no Phenol red 0. 02 g
growth of microorganism is observed on the pH 7. 1 + 0. 2. Sterilize at 121°C for 15 minutes.
nutrient agar slant, the test sample passes sterility (3) Mycoplasma semifluid medium
test. If there is growth of=miereerganism in any Prepare the medium according to the formula (1).
tube of the three media, and the microorganisms Add 2. 5-3. 0 g of agar but no phenol red is added.
are proved originating from test sample, the (4) Mycoplasma agar medium
sample fails to pass sterility test. The test is Prepare the medium according to the formula (1).
invalid if one of the following situations occurs: Add 13. 0-15. 0 g of agar but no phenol red is
(1) The microbiological monitoring data show that
added.
the facilities related to sterility test fail to meet the
requirements; Sensitivity test on culture media ( Color change unit
(2) The review on the process of sterility test method)
shows that the procedures are incorrect. (1) Strain
(3) There is growth of microorganism in negative Mycoplasma pneumoniae (Strain ATCC 15531)
control tube. and Mycoplasma orale (Strain ATCC 23714) are
( 4 ) The microorganisms growing in the tubes distributed by the NCL.
containing test sample are identified and confirmed ( 2) Procedure: Inoculate the strain in a suitable
that the contamination is due to unsuitable mycoplasma medium and incubate at 36 + 1 °C till
materials and / or aseptic operations used during the colour of the medium changes. After two blind
sterility test. passages, inoculate the culture into the medium to
If the test is confirmed as invalid, it shall be be tested and make a serial 10-fold dilution. For
repeated with the same amount of the test sample Mycoplasma pneumoniae , dilute to 10-7 -10-9 and
by the same procedure as those for original test. If then inoculate into mycoplasma broth medium; for
there is no growth of microorganism in the Mycoplasma orale , dilute to 10-3-10-s and then
repeated test, the sample is judged as qualified; if inoculate into mycoplasma argznzne broth
there is growth of microorganism, the sample is medium, three tubes of medium for each dilution.
judged as unqualified. Incubate at 36+ 1 °C for 7-14 days and observe the
result of colour changing.
(3) Result evaluation: The highest dilution,
which makes a colour change in more than two-
thirds of all the inoculated medium tubes, is
XII B Test for Mycoplasma regarded as the sensitivity of the culture medium.
Sensitivity of liquid medium: 10-s· for Mycoplasma
Where the test for .mycoplasmas is carried out on pneumoniae ( Strain ATCC 15531 ) and 10-4 for
master cell bank, working cell bank, virus seed Mycoplasma orale (Strain ATCC 23714).
lot, control cells or cells for therapeutic use, both Procedure
the cultivation method and the indicator cell (1) Test sample may be preserved at 2-8°C if the
culture method (DNA staining method) are used. test for mycoplasma is carried out within 24 hours
Where the test for mycoplasmas is carried out on after filling; otherwise it shall be preserved below
Appendix XI[ A - 117

-20°C. (3) Fixing solution


( 2) Semifluid medium and broth medium ( or Mix one volume of acetic acid with three volumes
mycoplasma agar medium) shall be used for the of methanol.
test. Before use, boil the semifluid medium ( or ( 4) Sealing solution
agar medium) for 10-15 minutes and cool down to Mix 22. 2 ml of 0. 1 mol/L citric acid solution and
about 56°C. Add inactivated calf serum ( The 27. 8 ml of 0. 2 mol/L disodium hydrogen
volume ratio of medium to serum is 8 : 2) and a phosphate solution with 50. 0 ml of glycerin.
quantity of penicillin, wherever necessary, and Adjust pH to 5. 5.
make it even by shaking. For broth medium the
Culture media and indicatorcells
same components as mentioned above shall be (1) DMEM complete medium
added but boiling is not needed.
(2) DMEM medium without antibiotic.
Inoculate 0. 5...:1. 0 ml of test sample into each of
( 3) Indicator cells ( Vero cell or other cell line
four tubes containing 10 ml of semifluid medium
which has proved free from mycoplasma contami-
( which have been cooled to 36 + 1 °C) and into each
nation)
of four tubes containing 10 ml of broth medium,
Digest the incubated Vero cells and prepare a cell
and incubate at 35-37°C for 21 days. On the 7th
suspension at a concentration of 105 cells per ml
day after inoculation, make a subculture of each
and inoculate 0. 5 ml into each well of a 6-well
inoculated medium by inoculating two fresh tubes
culture plate or other containers. To each well,
of semifluid and broth media and incubate at 35-37°C
add 3 ml of antibiotic-free culture medium.
for 21' days, and. the inoculated media, during the
Incubate in a 5 % carbon dioxide incubator at
incubation, shall be observed every other 3 days.
36 + 1 °C overnight for use.
(3) Result evaluation: The product to be tested
passes the test if growth of mycoplasmas has not Treatmentof test sample
occurred in any of the inoculated media at the end ( 1) Cell cultures
of incubation. If there is suspected, growth of Make not fewer than one subculture of test sample
mycoplasmas , the test may be repeated once in antibiotic-free medium. Collect the supernatant
using twice the amounts of test sample. The of the culture in a three-day-unchanged medium
product complies with the test if growth of when a confluent cell sheet is formed.
mycoplasma does not occur. (2) Viral suspensions
If for viral suspensions the interpretation of results
[Note]
is affected by marked cytopathic effects, the virus
Quality control department shall examine the
may be neutralized using a specific antiserum that
sensitivrty of mycoplasma culture media in
has no inhibitory effects on mycoplasmas or a cell
coordination with medium preparation department
culture substrate that does not allow growth of the
periodically.
virus may be used.
Method 2 Indicator Cell Culture Method (DNA ( 3) Other test samples
staining method) The indicator cells used for test shall be those that
Inoculate indicator cell cultures ( with Vero cells their growths are not effected by the test sample.
free from contamination or other cells accepted by Procedure
the NCL) with the test sample and then stain with Add 2 ml of test sample (supernatant of cell
a specific fluorescent dye. If the test sample has culture) or at least 1 ml of viral suspension or
been contaminated with mycoplasmas , the DNA of other test sample into the prepared indicator cell
mycoplasmas attached on the cell surface shall be culture plate and incubate in a 5 % carbon dioxide
stained with the fluorescent dye that binds incubator at 36+1 °C for 3-5 days. Make not fewer
specifically to the DNA of mycoplasma , which can than one subculture of the indicator cell culture ,
be easily recognized by using fluorescent micro- and grow the last subculture in a 6-well culture
scopy. plate with glass covers for 3-5 days. Draw out the
Reagent culture fluid from the wells, add 5 ml of fixing
(1) Concentrated solution of bis-benzimide fluorescent solution, allow to stand for 5 minutes. Draw out
dye ( Hoechst 33258) the fixing solution, add another 5 ml of fixing
Dissolve 5 mg of bis-benzimide fluorescent dye in solution and fix for 10 minutes. Draw out the
100 ml of Hank balance solution without phenol fixing solution again and dry the glass covers in the
red or sodium bicarbonate. Stir with a magnetic air. Add 5 ml of bisbenzimide fluorescent dye
stirrer at room temperature for 30-40 minutes to working solution ( or other DNA dyes) and put on
make it dissolved completely. Store at - 20°C, covers. Allow the plate to stand at room
protected from light. temperature for 30 minutes. Draw out the dye
(2) Bis-benzimidefluorescent dye working solution solution and wash each well 3 times with water,
Dilute 1 ml of concentrated solution of bis- 5 ml for each time. Draw out the water and dry
benzimide fluorescent dye with 100 ml of Hank glass covers in the air. Add one drop of sealing
balance solution without phenol red or sodium solution on a clean slide and put the glass cover up
bicarbonate. Mix well. side down on the sealing solution to make sealed
A- 118 Appendix XII

slides. Observe with a fluorescent microscope. Carry out an autopsy of all mice that die after the
Carry out the negative control test with the same first 24 hours of the test or that show signs of
procedure by using 2 ml of antibiotic-free culture illness, and examine for the pathological evidence
medium. of viral infection by direct macroscopicalobservation.
Carry out the positive control test with the same The suspensions prepared with the tissues showing
procedure by using 2 ml of standard strain known pathological changes are inoculated i. c. and i. p.
as positive. into at least five additional mice of 15-20 g which
are observed for 21 days. The virus seed lot
Result evaluation
complies with the test if no mouse shows evidence
( 1) Negative control
of virus infection.
Extranuclear fluorescence of the indicator cells
(2) Test in suckling mice
shall be examined which shall be greenish-yellow
Inoculate i. c. each of at least ten suckling mice,
fluorescent light.
less than 24 hours old, with 0. 01 ml and inoculate
(2) Positive control
i. p. with at least 0. 1 ml of virus suspension after
Besides the cells, fluorescent particulates with
neutralization with antiserum. Observe daily for at
irregular pattern of fluorescence on the cell surface
least 14 days. The test is valid if at least 80 % of
can be observed under fluorescent microscope.
the inoculated mice survive the observation period.
The test is valid only when the validity tests of
Carry out an autopsy of all mice that die after the
both negative and positive controls proved
first 24 hours of the test or that show signs of
qualified.
illness and examine for the pathological evidence of
If the' test result is negative, the product complies
viral infection by direct macroscopical observation.'
with the test. If the test result is positive or
The suspensions prepared with the tissues showing
suspected, the test shall be repeated. If the result
pathological changes as well as with the brain and
is positive again, the product fails-to-pass the test.
spleen are inoculated i. c. and i. p. into at least
five additional suckling mice of less than 24 hours
old which shall be observed for 14 days. The virus
seed lot complies with the test if no suckling mouse
:xn C Test for Adventitious Viruses shows evidence of viral infection.
2. Cell culture method
During the seed selection and production process of (1) Test for non-haemadsorbing viruses
viral preparations, animal or cell substrates are Inoculate the virus suspension after neutralization
usually used, so the preparations may be with antiserum into the cell cultures of human,
potentially contaminated with adventitious agents, simian origins and of the same cell as that used for
especially adventitious viruses. Tests for adventi- the production of vaccine, respectively. If the
tious agents on virus strain and cells are necessary virus is grown on human diploid cells, the
to ensure the quality of the preparations. • neutralized virus suspension shall be tested on a
separate cultures of the diploid cells. At least six
Tests for adventitious agents in virus seed lots bottles of each kind of cell cultures shall be
A sufficient quantity of samples shall be taken from inoculated' and the volume of virus suspension
the master or working seed lots for testing inoculated into each bottle shall be not less than
adventitious agents. Before the test, neutralize 25 % of the total volume of culture medium.
the viruses with specific antibodies from non- Incubate at 36+ 1 °C and observe for 14 days.
human and non-simian origins, apart from an Change the cell culture medium in case of
exceptional case. The immunizing agents used to necessity. It complies with the requirements if no
prepare antiserum ( or monoclonal antibody) CPE appears.
shall be produced in cell culture ( or animal) (2) Test for haemadsorbing viruses
from a species different from that used for the Take two bottles of each of above-mentioned cell
production of the vaccine and free from cultures inoculated with virus on days 6-8 and 14
adventitious agents. , If the viruses have been respectively and test for the presence of
propagated in avian tissues or cells, the haemadsorbing viruses. Add the mixed suspension
antibodies must be of non-avian origin. If chick of 0. 2 %-0. 5 % chicken and guinea pig erythrocytes
embryo is used for the test, it shall be obtained onto the surface of the cell cultures, incubate at
from a flock free from specific pathogens. 2-8°C for 30 minutes and 20-25°C for another 30
1. Test in animals minutes, and examined microscopically. Both the
( 1) Test in adult 'mice results shall be negative.
Inoculate i. c. each of at least ten adult mice, 3. Test in chick embryo
weighing 15-20 g, with 0. 03 ml and inoculate i. p. The virus seed propagated in avian tissues or cells
with 0. 5 ml of virus suspension after neutralization shall be tested for the contamination of avian
with antiserum. Observe the mice for at least 21 viruses using chick embryos. Inoculate the virus
days. The test is valid if at least 80 % of the suspension after neutralization with antiserum into
inoculated mice survive the observation period. the allantoides of a group of at least five SPF chick
Appendix XI[ A - 119

embryos of 9-11 days old with 0. 5 ml for each, measuring the body temperature prior to the test.
and into the yolk sacs of a second group of at least During this period, no abnormal manifestations,
five chick embryos of 5-7 days old with 0. 5 ml for such as loss of body weight, problems in spiritual
each. Incubate the chick embryos for 7 days. status, appetite or excretions, shall occur. The
Collect the allantoic fluid and test for the presence rabbits, which have not been previously used for
of haemadsorbing viruses with a mixture of chick pyrogen test shall . be selected by screening.
and guinea pig erythrocytes, and the result shall Measure the body temperature of each rabbit 3-7
be negative. The test is valid if at least 80 % of the days prior to the test for 8 times· at intervals of 30
inoculated chick embryos survive for 7 days. minutes under the same condition as that for
pyrogen test, but no test sample is injected. Only
Tests for adventitious agents in cells used for
when all the body temperatures in eight
production
measurements are at a range of 38. 0-39. 6°C, and
1. Test for non-haemadsorbing viruses
the difference between the highest and the lowest
( 1) Direct observation on cells
body temperatures is not more than 0. 4 °C , the
A portion of 5 % ( or not less than 500 ml) of cell
rabbit may be used for pyrogen test. After
suspension of each batch of cells used for
pyrogen test in which the test sample has shown a
production shall remain uninoculated as a control,
satisfactory result, the rabbits used can be reused
and cultured in the same cell maintenance medium
after rest for at least 48 hours. The rabbits may
under the same conditions as those for production.
be reused only once within 5 days for the pyrogen
Observe the cell cultures for 14 days by
test of blood products, antitoxins or other samples
microscopic examination for CPE. It complies
containing the same anaphylactogen. However, if the
with the requirements if no CPE appears. The test
result of pyrogen test is unsatisfactory, all the
is valid if at least 80 % of the cell cul~s survive rabbits shall not be used again for the test.
the observation period. <.
(2) Test in cell cultures Preparation prior to test
Pool the culture supernatant at the end of above- The rabbits shall be kept in a place where the
mentioned observation period. Examine for the ambient temperature shall be as stable as possible
presence of adventitious agents by inoculation of 1-2 days prior to the pyrogen test. The tempe-
the cell cultures of human and simian origins. If rature difference between the laboratory and the
the vaccine virus is grown in a cell system other animal house shall be not more than 5 °C. The
than human or simian, the cells of that species but temperature of the laboratory shall be 17-25°C and
from a separate batch are also inoculated. The the temperature change shall be not more than 3°C
amount inoculated shall be not less than the 25 % during the period of test. The laboratory shall be
of total amount of the pooled supernatant. For kept quiet and protected from strong light, noise
each kind of cell, at least 5 ml of the pooled and disturbance of the animals. Withhold food
supernatant shall be tested. Incubate the cultures from the rabbits at least one hour prior to the test,
inoculated with the pooled supernatant under the and put the rabbits into suitable unit until the test
same condition as that for production. If no CPE is completed. The accuracy of device used for
appears, the result is negative and complies with measuring the body temperature of rabbits shall be
the requirements. within the range of + 0. 1 °C. Insert the thermo-
meter or probe into the rectum of the rabbit to a
2. Test for haemadsorbing viruses depth of about 6 cm for at least one and a half
At least 25 % of cell cultures used for the above minutes. The depth and time duration of insertion
direct observation and cell culture test shall be is consistent for any rabbit in any test. Measure
tested for the presence of haemadsorbing viruses at the body temperature of each rabbit twice in
the end of observation period by the same method general at an interval of 30 minutes. The
as that for virus seed lot. difference between the two measurements shall not
exceed 0. 2°C. The mean of the two measurements
is regarded as the normal body temperature of the
rabbit. All the normal body temperatures of the
:xn D Pyrogen Test rabbits used on the date of test shall be within the
range of 38. 0-39. 6°C, and the difference between
normal body temperatures of rabbits of the same
Pyrogen test is performed by injecting i. v. a given group shall be not more than 1 °C.
dosage of the test sample into rabbits. Observe the Syringes, needles and other apparatus contacting
rise of body temperature for a specified period of directly the test sample shall be heated at 250°C for
time to judge whether the limit of pyrogen in the 30 minutes or sterilized by other suitable methods
test sample can meet the requirements. · to remove pyrogen.
Rabbits used for the test Procedure
Healthy male or healthy and non-pregnant female The test sample or the pyrogen-free diluent shall
rabbits each weighing 1. 7-3. 0 kg shall be used. be preheated to 38°C before injection. The
Feed the rabbits with the same forage 7 days before injecting dose of test sample shall be determined
A - 120 Appendix XII

according to the requirements of the individual method, unless otherwise indicated in the mono-
product. However, the injecting dose shall be not graph.
less than 0. 5 ml and not more than 10 ml per kg of The quantities of endotoxin are expressed in
rabbit body weight. Endotoxin Units (EU).
Within 15 minutes after measuring the normal The National Standard for Endotoxin ( NSE ) is
body temperatures of three rabbits, inject slowly prepared and purified from Escherichia coli. It is used
the test sample preheated to 38°C at the prescribed only for calibration of the working standard for
dose into the ear vein of each rabbit. Measure the endotoxin ( WSE) and for calibration and verifying
body temperature of each rabbit for 6 times at the sensitivity of TAL reagents.
intervals of 30 minutes. The difference between the The working standard for endotoxin (WSE) of which
highest body temperature among the six measure- the potency has been standardized against NSE in
ments and the normal body temperature is regarded collaboration assay, is used for bacterial endotoxin test
as the body temperature rise of that rabbit. If one as positive control, for interference test and for
of the three rabbits shows a temperature rise of · sensitivity test of TAL reagent.
0. 6°C or more, or the temperature rise of each of The water used in the gel-clot test for bacterial
the three rabbits is less than 0. 6°C, but the sum endotoxins is a sterile water for injection, of
of temperature rises of the three rabbits reaches which quantities of bacterial endotoxins are less
1. 4°C or more, the rest shall be repeated using than 0. 015 EU per ml. The quantities of bacterial
another five rabbits with the same method as endotoxins of water used in the photometric test
mentioned above. are less than 0. 005 EU per ml.
Result evaluation Depyrogenate all glassware and other heat-stable
The. test sample passes the pyrogen test if one of apparatus used in the test by heating in a hot-air
the following situations occurs: \ oven at 250°C for at least 60 minutes ( or by any
(1) All the· temperature rises of three rabbits u~c;l other validated suitable method) to eliminate
for the test are less than 0. 6°C, and the sum of extraneous endotoxin that may present. lf
temperature rises of the three rabbits is less than employing plastic apparatus, such as microtitre
1. 4 °C; plates and pipette tips for automatic pipetters, use
(2) Only one of the five rabbits used for repeated apparatus shown to be free of detectable endotoxin
test shows a temperature rise of 0. 6 °C or more, and of interfering effects for the test. Avoid
and the sum of temperature rises of the eight microbial contamination during the test.
rabbits used for the test and repeated test is not Preparationof the test· solutions Prepare the test
more than 3. 5°C. solutions by dissolving or diluting active
The sample fails to pass the pyrogen test if one of substances or medicinal products using water for
the following situations occurs: bacterial endotoxins .test ( water for BET). Some
(1) More than one of the three rabbits used for substances or preparations may be more appro-
the test show temperature rises of 0. 6°C or more; priately dissolved or diluted in other aqueous ·
(2) More than one of the five rabbits used for solutions. If necessary, adjust the pH of the test
repeated test show the temperature rises of 0. 6°C solution ( or dilution thereof) so that the pH of
or more; the mixture of the T AL reagents and test solution
(3) The sum of temperature rises of the eight falls within the pH range specified by the TAL
rabbits used for test and repeated test is more than reagents manufacturer. This usually applies to a
3. 5°C. product with a pH in the range of 6. 0 to 8. 0. The
When the value of temperature rise of the rabbit is pH may be adjusted by the use of acid, base or a
negative, it shall be regarded as 0°C. suitable buffer, as recommended by the T AL
reagents manufacturer. Acids and bases may be
prepared from concentrates or solids with water for
BET in containers free of detectable endotoxin.
XII E Test for Bacterial Endotoxin Buffers must be validated to be free of detectable
endotoxin and interfering factors.
Establishment of endotoxin limits The endotoxin
The test for bacterial endotoxins is used to detect limit ( L ) for drugs or biological products is
or quantify endotoxins of Gram-negative bacterial usually defined as follows:
origin using T AL regent. It is used to determine
the limit concentration of bacterial endotoxin in a L=K/M
preparation being examined. Where L is the endotoxin limit for active
Two method are used for this test: the gel-clot substances administered parenterally,
method and the photometric method. The latter which is specified in units such as EU/
includes a turbidimetric method and a chromogenic ml, EU/mg, or EU/Unit of
method. Proceed by any one of these two biological activity;
methods. In the event of doubt or dispute, the K is the threshold human pyrogenic dose
final decision is made based on the gel-clot of endotoxin per kg of body weight in a
.
Appendix XII A - 121

single hour period, which is expressed Dissolve NSE or CSE in water for BET according
as EU/ (kg • h). For injections, K = 5 to the labelled sensitivity of T AL reagent (A),
EU/(kg • h); for injections of radio-- mix for 15 minutes using a vortex mixer. Prepare
pharmaceuticals, K = 2. 5 EU/ (kg • h) ; four replicate series of two-fold dilutions of NSE or
and for intrathecal injections, K = CSE using water for BET to produce 4 dilutions
o. 2 EU/ (kg • h); with concentration of 2. 0 A, 1. 0 A, 0. 5 A, 0. 25 A,
M is equal to the maximum recomm- mix each dilution for 30 seconds using a mixer.
ended human dose of product per kg Use 18 tubes of 10 mmX 75 mm in size containing
of body weight in a single · hour of 0. 1 ml of T AL reagent or use 18 original
period, which is specified in units such ampoules of 0. 1 ml of T AL reagent. Add 0. 1 ml
as ml/ ( kg • h) , mg/ ( kg • h) , or of each of 16 endotoxin standard solutions ( four
U/(kg • h). Here the human average standard concentrations in quadruplicate) to each
body weight is 60 kg; the injection of 16 tubes, and 0. 1 ml of water for BET to each
period is calculated as 1 hour when of 2 tubes as negative control. Mix gently after
the injection is completed within each addition, cover the tubes tightly and incubate
1 hour. the tubes vertically at 37+1°C for 60+2 minutes.
The endotoxin limit calculated by human dose may Take each tube in turn directly from the incubator
be adjusted according to the situation of manu- and invert it through about 180° in one smooth motion
facture and clinical use if necessary. In that case, to test the integrity of the gel. If a firm gel has formed
appropriate reasons for adjustment have to be that remains in place upon inversion, record the result
submitted. as positive. A result is negative if an intact gel is not
formed. Handle the tubes with care to avoid
Determination of the Maximum Valid Dilution
vibration, or false negative may result
(MVD) The Maximum Valid Dilution (MVD)~
The test is not valid unless all the four tubes of
the maximum allowable dilution of the substance ·
highest concentration ( 2. 0 A ) give positive
being examined at which the endotoxin limit can be
results, all the four tubes of lowest concentration
determined. Determine the MVD using the
( 0. 25 11.) give negative results and the two tubes of
following formulae:
negative control give negative results. Calculate
MVD=cLh. the geometric mean endpoint concentration, i.e.
Where L is the endotoxin limit of the substance the measured sensitivity of the TAL reagent C11.c),
being examined using the following expression:
c is the concentration of the substance 11.c=lg-1 C~X/4)
being examined, when L is expressed
Where Xis the log endpoint concentration which is
as EU/ml, c is 1. Oml /ml ; when Lis
the last positive result. in a series of decreasing
expressed as EU/ mg or EU /U, the
concentrations of endotoxin.
unit of C is mg /ml or U/ml. Minimum
valid dilution concentration, c = ,../L, If this Ac is not less than 0. 5 A and not more than
may be calculated for drug substance or
2 A, the labelled sensitivity (11.) is confirmed and
is used in tests performed with this T AL reagent.
sterilized powders for injection when
MVD is 1. Test for interfering factors Prepare solutions A,
A is the labelled sensitivity of TAL B, C and D as shown in Table 1 , and use the test
reagent in the gel-clot method (EU/ ml) solutions at a dilution less than the MVD, not
or the lowest point used in the standard containing any detectable endotoxins , operating as
curve of the turbidimetric or chromogenic described under the Test for confirmation of
method. . labelled TAL reagent sensitivity.
Gel-clot method ( Method 1 ) The test is not valid unless all replicates of
The gel-clot method detects or qualifies endotoxins solutions A and D show no reaction and the result
of solution C confirms the labelled TAL reagent
based on clotting of the T AL reagent in the
sensitivity. The geometric mean endopoint concen-
presence of endotoxins.
trations of solutions B ( Et ) and C ( Es ) are
Test for confirmation of labelled TAL reagent determined using the following formulas.
sensitivity The labelled sensitivity of T AL
reagent ( EU/ ml ) is defined as the lowest
.e.«lg-1 (~Xs/ 4)
Et=lg-1 C~Xt/4)
concentration of endotoxin that is required to cause
the TAL reagent to clot under the conditions Where X, is the log endpoint concentration of the
specified in the following procedure. The test for solution C. X, is log endpoint concentration of the
confirmation of the labelled T AL reagent solution B.
sensitivity is to be carried out when each new batch If both Es and Et are not less than 0. 5 A and not
of T AL reagent is used or when there is any more than 2 11., the test solution does not contain
change in the experimental conditions which may interfering factors under the experimental. condi-
affect the outcome of the test. tions used. Otherwise, the solution interferes
A- 122 Appendix XII

with the test. If the preparation being examined use of a more sensitive T AL regent permits a
interferes with the test at a dilution less than the greater dilution of the preparation being examined
MVD, repeat the test for interfering factors using and this may contribute to the elimination of
a greater dilution, not exceeding the MVD. The interf erence.
Table 1 Preparationof solutions in the test for interfering factors by using gel-elot method
Solution Endotoxin Concentration/Solution Diluent Dilution Initial endotoxin Number of
to which endotoxin is added factor concentration replicates
A None/Test solution 2
B 2 >-/Test solution Test 1 2" 4
solution 2 4
1 "
4 O. 5" 4
8 O. 25" 4
c 2 >-/Water for BET Water for 1 2" 4
BET 2 4
1 "
4 0. 5" 4
8 O. 25" 4
D None/Water for BET 2
Solution A: solution of the preparation being examined that is free of detectable endotoxins.
Solution B: test for interference.
Solution C: control of the labelled TAL reagent sensitivity.
Solution Ds negative contorl(water for BET).
Interference may be overcome by suitable treat- formula or the manufacture process of the
ment, such as filtration, neutralization, dialysis substance being examined are changed, or there
or heat treatment. To establish that the treatment is any change in the experimental conditions
chosen effectively eliminates interference without which may affect the outcome of the test, the
loss of endotoxins, repeat the test for interfering test for interfering factors should be performed
factors using the preparation being examined to again.
which the standard endotoxin has been added and Procedure
which has then been submitted to the chosen
treatment. ( 1 ) Gel-clot limit test
When establish a method of bacterial endotoxin Prepare solutions A, B, C and D as shown in
test for a new drug, the test for interf ering factors Table 2, and perform the test following the
should be carried out. procedure in the Test for confirmation of labelled
When the souce of the . T AL reagent, or the T AL reagent sensitivity.

Table 2 Preparationof solutions in gel-clot limit test


Solution Endotoxin Concentration/Solution to which endotoxin is added Number of replicates
A None/Diluted test solution 2
B 2 >-/Diluted test solution 2
c 2 >-/Water for BET 2
D None/Water for BET 2
Solution A: solution of the preparation being examined
Solution B: positive product control
Solution C: positive control
Solution D: negative control
Prepare solution A and solution B ( positive A Repeat the test by 4 replicates of solution A when
product control) using a test solution at the a positive result is found for one replicate of solution A
dilution of the MVD, with which the Test for and a negative result is found for the other. The
interfering factors was completed. . preparation being examined complies with the test if a
Invaluation of results The test is not valid unless negative result is found for all replicates of solution A
both replicates of the two positive control solutions in the repeat test.
Band C are positive and those of negative control ( 2) Gel-clot semiquantitative test
solution D are negative. The test quantifies bacterial endotoxins in the test
The preparation being examined complies with the solution by titration to an endpoint. Prepare
test when a negative result is found for both solutions A, B, C and D as shown in Table 3,
replicates of solution A. The preparation being and perform the test following the procedure in the
examined does not comply with the test when a Test for confirmation of labelled TAL reagent
positive result is found for both replicates of solution sensitivity.
Appendix XI[ A - 123

Table 3 Preparationof solutions in the gel-clot semiquantitativetest


Solution Endotoxin Concentration/Solution Diluent Dilution Initial endotoxin Number of
to which endotoxin is added factor concentration replicates
A None/Test solution Water for 1 2
BET 2 2
4 2
8 2
B 2 1../Test solution 1 2 "A 2
c 2 "A/Water for BET Water for 1 2 "A 2
BET 2 1 "A 2
4 O. 5 "A 2
8 0. 25 "A 2
D None/Water for BET 2
Solution A: test solution at the dilution, not exceeding the MVD, with which the test for interference factors was carried out.
Subsequent dilution of the test solution must not exceed the MVD. Use water for BET to make two dilution series of
1, 1/2, 1/ 4, and 1/8, relative to the dilution with which the test for interfering factors was carried out.
Solution B: solution A containing standard endotoxin at a concentration of 2 "A (positive product control).
Solution C: two series of water for BET containing the standard endotoxin at concentrations of 2 "A, "A, 0. 5 ).., and 0. 25 "A,
repectively,
Solution D: negative control (water for BET).

Invaluation of results The test is not valid unless turbidimetric test. The endpoint-turbidimetric test
the following 3 conditions are metj -Cl ) both repli- is based on the quantitative relationship between
cates of solution D (negative control) ',are negative; the concentration of endotoxins and the turbidity
(2) both replicates of solution B ( positive product ( absorbance or transmission) of the reaction
control) are positive; and (3) the geometric mean mixture at the end of an incubation period. The
endpoint concentration of solution C is in the range kinetic-turibidimetric test in a method to measure
of 0. 5 11. to 2 11.. either the onset time needed for the reaction
To determine the endotoxin concentration of mixture to reach a predetermined absorbance , or
solution A, calculate the endpoint concentration the rate of turbidity development.
for each replicate series of dilutions by multiplying The chromogenic method measures the chromo-
each endpoint dilution factor by 11.. The endotoxin phore released from a suitable chromogenic peptide
concentration in the test solution is the geometric by the reaction of endotoxins with the T AL
mean endpoint concentration of the replicates reagent. Depending on the test principle employed,
CE= lg-1 ( ~X/2) ). If the test is conducted with a this method is classified as being the endpoint-
diluted test solution, calculate the concentration of chromogenic test or the kinetic-chromogenic test.
endotoxin in the original solution by multiplying the The endpoint-chromogenic test is based on the
result by the dilution factor. quantitative relationship between the concentration
If none of the dilutions of the test· solution is of endotoxins and the quantity of chromophore
positive in a valid test, record the endotoxin released at the end of an incubation period. The
concentration as less than A ( or, if a diluted kinetic-chromogenic test is a method to measure
either the onset time needed for the reaction
sample was tested, as less than A times the lowest
mixture to reach a predetermined absorbance, or the
dilution factor of the sample). If all dilutions are
rate of colour development.
positive, the endotoxin concentration is recorded
All photometric tests are usually carried out by
as equal to or greater than the greatest dilution
special instrumentation at the incubation temper-
factor multiplied by 11..
ature of 37°C+ 1 °C.
The preparation being examined meets the require- The quantities and volume ratios of the substance
ments of the test if the concentration of endotoxin is being examinedand the TAL reagent, incubationtime
less than that specified in the individual monograph. etc. employed in the test are decided according to
Otherwise, the preparation being examined does not the related instructions of instruments and the
meet the requirementsof the test. T AL reagents.
Photometric method ( Method 2) To assure the precision or validity of the turbi-
The photometric method includes a turbidimetric dimetric and chromogenic tests, preparatory tests
method and a chromogenic method. are conducted to assure that the criteria for the
The turbidimetric method measures the endotoxin standard curve are satisfied and that the test
concentrations of test solutions based on the solution does not interfere with the test.
measurement of the increase in turbidity during the Assurance of criteria for the standard curve The
gel formation of the T AL reagent. Depending on test for assurance of criteria for the standard curve
the test principle used, this method is classified as must be carried out when each new batch of T AL
being the endpoint-turbidimetric test or the kinetic- reagent is used or any changes are made to the
A - 124 Appendix XII

experimental conditions that are likely to influence time. When both reaction times of the duplicate of
the result of the test. negative control solution are greater than that of
Using the standard endotoxin solution, prepare at the lowest concentration, perform statistic
least three endotoxin concentrations ( the dilution analysis of linear regression for all the data.
factor of adjacent concentrations is not greater than The test is not valid unless the absolute value of
10) to generate the standard curve within the the correlation coefficient, I r I , is greater than or
range of endotoxin concentrations indicated by the equal to 0. 980, otherwise repeat the test.
T AL reagent manufacturer. The mixing time for Test for interfering factors Select an endotoxin
every dilution is the same as that of gel-clot concentration (Am) at or near the middle of the
method. Perform the test using at least three endotoxin standard curve. Prepare solutions A,
replicates of each standard endotoxin solution, and B, C and D as shown in Table 4.
duplicate of negative control solution at the same
Table 4 Preparationof solutions in the test for interfering factors by using photometricmethod
Solution Endotoxin Concentration Solution to which Number of Replicates
Endotoxin is Added
A None Test solution not less than 2
B Middle concentrationt x.Yof the standard curve Test solution not less than 2
c At least 3 concentrationsOowestconcentration,A, is Water for BET each not less than 2
designated)
D None Water for BET not less than 2
Solution A: test solution, that may be diluted not to exceed the MVD
Solution B: preparation to be examined at the same dilution as Solution A, containing added endotoxin at a concentration equal to
or near the middle of the standard curve.
Solution C: standard endotoxin solution ~concentrations used in the validation of the method described in Assurance of criteria
for the standard curve. ·
Solution D: water for (negative control) BET.
Calculate the content of endotoxin contained in the criteria for the standard curve under Photometric
solution A ( Ct ) and solution B ( Cs ) respec- method;
tively, and calculate the recovery of the endotoxin (2) the endotoxin recovery, calculated from the
added to solution B as followes, · concentration found in solution B after subtracting the
endotoxin concentration found in solution A, rs
R = [ (Cs-Ct) /Am] X 100 %
within the range of 50 % to 200 % ;
If under the conditions of the test, the recovery of (3) both reaction times of the solution D
the endotoxin added to solution B is within 50 % to ( negative control) are greater than that of the
200% , the test solution is considered to be free of lowest concentration of the endotoxin standard
interfering factors. curve.
When the endotoxin recovery is out of the specified
lnvaluation of results The preparation being
ranges, the interfering factors must be removed as
examined complies with the test if the mean
described in the Test for interfering factors under
endotoxin concentration of the replicates of
Gel-Clot Techniques. The efficiency of the
solution A, after correction for dilution and
treatment is verified by repeating the test for
concentration, is less than the endotoxin limit for
interfering factors.
the product. Otherwise, the preparation being
When the souce of the T AL reagent, or the
examined does not meet the requirenents of the
origin, formula and the manufacture process of
test.
the substance being examined are changed, or
there is any change in the experimental conditions Note In this chapter, the term "tube" includes
which may affect the outcome of the test, the all types of receptacles such as micro-titer plate
Test for interfering factors should be performed wells.
agam.
Procedure
Follow the procedure described in the Test for
interfering factors tinder Photometric method. XI[ F Test for Abnormal Toxicity
Calculate the endotoxin concentration of each
replicate of solution A using the standard curve
generated by the series of positive controls, Abnormal toxicity test refers to the general safety
solution C. test for the non-specific toxicity of the biologics.
The test is not valid unless the following 3 require- It is performed to find out any possible
ments are met: contamination caused by exogenous agents and
(1) the results obtained with the series of positive
those unexpected factors that may create safety
controls, solution C, comply with the require- problems.
ments for validation defined in the Assurance of Procedure
Appendix XII A- 125

For abnormal toxicity test, both mice and guinea 10 g, 10 ml or 10 cm2•


pigs shall be used, unless otherwise specified.
Quantity of products to be tested
1. Test in mice
Five mice are used for the test on each batch of It refers to the quantity of the product to be
product, unless otherwise specified. Weigh each examined for one single test ( in g, ml, or cm2).
mouse before test. The body weight of each mouse Unless otherwise prescribed, use samples of 10 g
shall be 18-22 g. Each mouse shall be injected i. p. or 10 ml of the product to be examined for testing.
with 0. 5 ml of test sample and observed for 7 Use 100 cm2 ·for pellicles. The quantity may be
days. The product passes the test if all the mice appropriately decreased for expensive drugs and
remain healthy and survive the observation small-package drugs. Increase the quantity by 10 g
period, without any abnormal reactions, and or 10 ml when Salmonella is tested.
with increase of body weight by the end of Select the samples at random from at least 2
observation period. If the product fails to pass the minimum containers, and at least 4 pieces for
test, the test may be repeated once by using another pellicles.
ten mice, and the result shall be judged as described The quantity of sampling ( from at least 2
above. minimum containers) is 3 times the quantity for
2. Test in guinea pigs testing.
Two guinea pigs are used for the test on each batch Preparationof the sample
of product, unless otherwise specified. Weigh
each guinea pig before test. The body weight of Samples are prepared appropriately depending on
each guinea pig shall be 250-350 g. Each guinea their physico-chemical properties and biological
pig shall be injected i. p. with 5. 0 ml of test characteristics. If necessary, samples are warmed
sample and observed for 7 days. The product in a water bath not more than 45°C. The samples
passes the test if all the guinea pigs remain healthy are inoculated to the culture media within one hour
and survive the observation period, without any of preparation.
abnormal reactions, and with incr~ase-of body Unless specified otherwise, follow the methods
weight by the end of observation period. If the below to prepare the samples.
product fails to pass the test, the test may be 1. Liquids
repeated once by using another four guinea pigs, Take 10 ml of the product, dilute to 100 ml with
and the result shall be judged as described above. sterile sodium chloride-peptone buffer (pH 7. 0),
mix well. Use this 1 : 10 solution as the test
solution. Add an appropriate amount of sterile
polysorbate 80 to an oil to make it dispense evenly.
XII G Microbial Limit Tests For aqueous preparations, the products may be
mixed as the test solution.
2. Solids, semisolids and viscous products
Microbial limit tests provide tests for the esti- Take 10 ml of the product, dilute to 100 ml with
mation of the number of viable microorganisms sterile sodium chloride-peptone buffer (pH 7. 0),
present in non-sterile pharmaceutical products of rnix well with a homogenizer or other devices. Use
all kinds, including preparations, raw materials, this 1 : 10 solution as the test solution. If
excipients. The bacteria, fungi or yeasts count, necessary, add an appropriate amount of poly-
as well as the specified bacteria, are tested. sorbate 80 and warm the sample in a water bath so
Microbial limit tests shall be carried out in a class that it dispense evenly.
100 laminar-air-flow cabinet located within a class
10000 clean room. The whole process shall be 3. Sample specified preparation
performed under strictly aseptic conditions to avoid ( 1 ) Non-aqueous products
any microbial contamination. The cleanliness of
working areas including laminar flow cabinet, Method 1 Transfer 5 g (or 5 ml) of the product
working bench, background room shall be into a sterile beaker containing 5 g melt ( not
monitored regularly according to the current exceeding 45°C) Span 80, 3 g glyceryl mono-
national standard such as the detecting method for stearate, 10 g polysorbate 80, mix, slowly add
airborne particles, airborne microbe and settling sterile sodium chloride-peptone buffer ( pH 7. 0,
microbe in the clean room ( area) of the 45°C) to 100 ml with agitating to make an
pharmaceutical industry. emulsion. Use this 1 : 20 emulsion as the test
Surfactants, neutralizing agents, or inactivators solution.
do not affect the growth of microorganisms if they Method 2 Transfer 10 g of the product to a
are used in the products to be examined. suitable container with 20 ml sterile isopropyl
Unless otherwise specified, incubate bacteria at myristate ( prepared as described under Sterility
30-35°C, at 23-28°C for fungi or yeasts, and at test, the amount may be increased if necessary)
35-37°C for specified bacteria. and sterile glass beads, agitate thoroughly to
The test result is reported in the unit of 1 g, 1 ml, dissolve the product. Then add 100 ml sterile
A - 126 Appendix XII

sodium chloride-peptone buffer ( pH 7. 0, 45°C), contains antimicrobial agents like mercury,


agitate for 5-10 min for extraction. Allow it to arsenic, or antiseptics, use suitable neutralizing
stand until the two layers separate. Use the 1 : 10 agents or inactivators to eliminate its antimicrobial
aqueous layer as the test solution. activity. The neutralizing agents or inactivators
( 2 ) Pellicles may be added in the diluting solutions or culture
Take 100 cm2 of the pellicles , cut into pieces. media.
Immerge into 100 ml of sterile sodium chloride- Bacteria, fungi or yeasts count
peptone buffer ( pH 7. 0), and agitate. Use the Method validation
1 : 10 diluent as the test. solution. The bacteria, fungi or yeasts count method for
( 3) Enteric-coated and colonic-coated products microbial limit tests is validated before it is used
Transfer 10 g of the product, dilute to 100 ml for drugs. The count method is revalidated if
with sterile phosphate buffer solution (pH 6. 8 for changes in composition of the product or testing
enteric-coated and pH 7. 6 for colonic-coated), conditions may affect the result.
warm in a 45°C water bath, and shake to dissolve. Validation test is to be conducted as described
Use this 1 : 10 solution as the test solution. under Bacteria, fungi or yeasts count using exactly
the same methods and the following instructions.
( 4) Aerosols and sprays
The tests should be performed separately for each
Chill a prescribed amount of the product in a
of the microorganism tested.
refrigerator for approximately 1 hour. Take it
out, "dig a small hole rapidly and aseptically. Put Test strains
it at room temperature and allow the propellant to The viable microorganisms used in the test must be
escape. Transfer all the residue with a sterile not more than five passages removed from the
syringe, add an appropriate amount of sterile original master seed lot. The suitable seed-stock
sodium chloride-peptone buffer Cpt=t-'t.-o, add an technique should be used so that the micro-
appropriate amount of sterile polysorbate 80 for organism characters can be maintained.
water-insoluble ingredients), and mix well. Take Escherichia coli [CMCC (B) 44102]
a sample equivalent to 10 g or 10 ml, and dilute by Staphylococcus aureus [CMCC (B) 26003]
10 folds. Use this 1 : 10 solution as the test Bacillus subtilis [CMCC (B) 63501]
solution. Candida albicans [CMCC (F) 98001]
Aspergillus niger [CMCC (F) 98003]
( 5) rroducts containing antimicrobial agents
When the products to be examined possess Preparation of Inoculum Inoculate freshly
antimicrobial activities, eliminate the actrvity cultured of Escherichia coli, Staphylococcus
before the test. Follow the methods described aureus , or Bacillus subtilis to . nutrient broth
below. medium or nutrient agar medium, incubate for 18-
24 hours; Inoculate freshly cultured of Candida
©Culture media dilution Transfer the prescribed
albicans to modified Martin medium or modified
amount of the product to an adequate volume of
Martin agar medium, and incubate for 24-48
culture media. Thus the concentration of the
hours; The above cultures are diluted to 50-100
product decreases until it possesses no antimicro-
colony-forming units ( CFU) per ml with sterile
bial activity. For the limit test of bacteria, fungi,
solution of 0. 9 % sodium chloride. Inoculate
and. yeasts, distribute 2 ml of the diluted solution
freshly cultured of Aspergillus niger to modified
over Petri dishes. Add agar media, mix well, and
Martin agar medium,· and incubate for 5-7 days.
allow it to solidify. Incubate the dishes under
Wash out the spores with 3-5 ml sterile solution of
appropriate conditions. Count the average number
0. 9 % sodium chloride. Transfer the spore
of colonies obtained with 1 ml of the solution.
suspension to a sterile test tube. Dilute the
Report the counts by the plate-count method. The
suspension to 50-100 CFU per ml with sterile
amount of diluting culture media may increase
solution of 0. 9 % sodium chloride.
when specified bacteria are tested.
Validation test Carry out at least 3 parallel tests,
@Enrichment. of microorganisms by centrifugation
and calculate the recovery of microorganisms for
Centrifuge a specified quantity of the product at
each test.
3000 r/min for 20 minutes. If the product contains
precipitates, centrifuge at 500 r/min for 5 minutes ( 1) Testing group When the plate count method
at first, and then collect the supernatant and is used, transfer 1 ml of the lowest possible serial
centrifuge again as described above. Discard the dilution of the sample and 50-100 CFU testing
supernatant and dilute the residue at the bottom microorganisms to a Petri dish, and pour the agar
(about 2 ml) to orginal specified quantity with medium immediately. Use 2 Petri dishes for each
diluting solution. microbial strain, and record the colony number by
the plate count method. When the membrane
@Membrane filtration See the membrane filtration
filtration method is used, transfer specified
method under Bacteria, fungi, and yeasts count
quantity of the sample solution through a
@ Neutralization If the product to be examined membrane, rinse appropriately, add 50-100 CFU
Appendix XII A - 127

testing microorganisms in the last portion of Negative control Transfer 1 ml of the dilution to a
rinsing solution. Record the colony number by sterile Petri dish, promptly add the culture
membrane.filtration method. medium, and allow the contents to solidify at
room temperature. Invert the Petri dish and
( 2 ) Microbial group Determine the number of
incubate under appropriate conditions. Use at
microorganisms added in the test.
least 2 Petri dishes for each culture medium. No
( 3) Product control Transfer a prescribed quantity of evident growth of microorganisms occurs in either
the product, determine the number of bacteria, of the Petri dish.
fungi or yeasts in sample.
Incubation and COIBlting Unless otherwise prescribed,
( 4 ) Diluting solution control . Diluting solution incubate the bacteria for 48 hours, count the
control should be carry out when the sample of number of colonies every day, report the number
preparation used dispersant, emulsification, neutra- on the 48 hour; incubate the fungi and yeasts for
lization, centrifugation and filtration etc. Use 72 hours, count the number of colonies every day,
diluting solution instead of sample and add the report the number on the 72 hour; extend the
testing microorganisms to 50-100 CFU per ml, incubation time to 5-7 days if necessary. Do not
preparation test solution and determine the number count the number if colonies assemble. Following
of microorganisms as described above for testing counting, calculate the number of colonies of each
group. dilution of the product, report the result following
the Microbial number report rule described below.
Evaluation of results For liquid preparations containing honey and royal
In each of the 3 parallel tests, the microbial jelly, use Sodium rose bengal agar medium for
recovery is not less than 70 % ( average colony fungi count and Yeast extracts peptone glucose
number of the diluting solution control/ average agar medium for yeasts count. Sum the counts as
colony number of the testing___g_roupX 100%). If the final result.
the microbial recovery of the testing group is not
less than 70 % [ ( average colony number of the Microbial number report rule . Select the -dilution
testing group-average colony number of the in which the average number of colonies of
product control)/ average colony number of the bacteria and yeasts is 30-300 CFU and of the
microbial group X 100 %] , proceed the bacteria, fungi is 30-100 CFU.
fungi or yeasts count of the product to be examined If average microbial number of any dilution is less
as described above. If the microbial recovery in any than 30, select the number of the lowest dilution.
of the tests is below 70% , eliminate the antimicrobial Calculate the number of CFU per g or per ml
activities of the product by appropriate methods like product to be tested.
culture media dilution, centrifugation, membrane When no microbial growth occurs in any of the
filtration, or neutralization. The method needs re- dilutions, or it only occurs· for the lowest dilution
validation. where the average microbial number of the CFU is
The validation test is carried out in parallel with less than 1, report the result with 1 multiplying
the bacteria, fungi, or yeasts count of the product by the lowest dilution folds.
to be examined. 2. Membrane filtration
Examination method Use membranes having a nominal pore size not
Examination method include plate count and greater than O. 45 µm, and a diameter of
membrane filtration method. Use validated plate appropriately 50 mm. The type of filter material is
count method or membrane filtration method to chosen in .such a way that the bacteria retaining
carry out the bacteria, fungi, or yeasts count of efficiency is not affected by the component or
the product to be examined. solvent of the sample to be investigated. The filter
Dilute the homogenized solution to be test with pH unit and membrane are sterilized prior to use by
7. 0 sterile solution of sodium chloride-peptone appropriate means. Maintain the performance
buffer solution to make serial dilutions of 1 : 10, characteristic of the filter during the testing
1 : 100 , 1 : 1000 , etc. process. Moist the membrane with a minimum
amount of rinsing solution before the test· of
1. Plate count method aqueous products. Where the product to be
Use two to three successive serial dilutions as the examined is an oil, the membrane and filter unit
testing solution. Transfer 1 ml of the sample to a are thoroughly dried before use. Let the product
sterile Petri dish (90 mm in diameter), add 15-20 solution and rinsing solution cover the whole
ml Nutrient agar medium, or Sodium rose bengal membrane to obtain its maximal performance.
agar medium, or Yeast extracts peptone glucose Rinse the membrane with 100 ml of rinsing
agar medium (melted at not exceeding 45°C), mix solution each time if necessary. Do not use a large
well, and allow the contents to solidify at room amount of rinsing solutions to avoid disturbance of
temperature. Invert the Petri dish and incubate the microorganisms on the membrane.
under appropriate conditions. For each dilution, Take representing 1 g or 1 ml of the product, or
use at least 2 Petri dishes for each culture medium. 1 ml suitable dilution solution of the sample if
A- 128 Appendix XI[

product include large numbers of microorganism), microorganisms to the culture medium, carry out
and dilute to 100 ml with diluting solution, mix the test by prescribed methods described below.
well and filter. Rinse the membrane with pH 7. 0 When the membrane filtration method is used,
sterile sodium chloride-peptone buffer solution or filter an appropriate quantity of the product
other suitable rinsing solution, as described above through a membrane, rinse appropriately, add the
for validation test. Transfer the membrane onto a testing microorganisms in the last portion of
Nutrient agar medium or Sodium rose bengal agar rinsing solution. Transfer the membrane to the
medium, or Yeast extracts peptone glucose agar culture medium for incubation.
medium plate, and incubate. Use at least one ( 2) Negative control Negative control is set to
membrane for each medium. verify the specificity of the testing method. The
Negative control Use 1 ml of the dilution, and procedure is the same as described above for
carry out the test as described above. No evident testing group. Use Staphylococcus aureus as the
growth of microorganisms occurs in the negative negative control microorganism for the test of
control. Escherichia coli, coliform, or Salmonella species.
Use Escherichia coli as the negative control
Incubation and counting Carry out the test as
microorganism for the test of P seudomonas
described above for plate count method. The
aeruginosa , Staphylococcus aureus , and Clostri-
number of microorganisms on each membrane is
dium species. No control microorganism ts
not more than 100.
detected.
Microbial number report rule Multiply the
Evaluation of results
average microbial number by dilution folds as the
No control microorganism is detected in the
number of CFU per g or per ml product to be test.
negative control. If the tested microorganism is
If no microbial growth occurs, report the result
detected in the testing group, proceed the test
with less than 1 or 1 multiplying by the lowest
with the product to be examined. If the tested
dilution folds.
microorganism is not detected in the testing
Test for specified microorganisms group, eliminate the antimicrobial activities of the
Method validation product by appropriate methods like culture media
The method for specified microorganisms test is dilution, centrifugation, membrane filtration, or
validated before it is used for microbial limit tests neutralization. The method needs revalidation.
for drugs. The method is 'revalidated if changes in The validation test is carried out in parallel with
composition of the product or testing conditions the test for specified microorganisms of the product
may affect the result. to be examined.

Validation microorganisms used shall be complied Examination method


Carry out the test of the product to be examined as
with requirements of the microbial limits of the
described above for validation test.
product. Validation the method of coliform should
be used Escherichia coli. Carry out the test · as Positive control Add 10-100 CFU of the tested
described under the Test for specified micro- microorganism to the positive control, carry out
organisms exactly the same methods and the the test as the Test for specified microorganisms.
following instructions. The tested microorganism can be detected in the
positive control.
lest strains he strains comply with the requirements
. as described above ~for bacteria, fungi, or yeasts Negative control Transfer 10 ml of diluting
count solution to a prescribed amount of culture media,
Escherichia coli [CMCC (°B) 44102] and incubate as the Test for specified micro-
Staphylococcus aureus [CMCC CB) 26003] organisms. No microorganism growth occurs in
Salmonella paratyphi B [CMCC (B) 50094] the negative control.
Pseudomonas aeruginosa [CMCC (B) 10104] ( 1) Escherichia coli Inoculate 10 ml of the test ·
Clostridium sporogenes [CMCC (B) 64941] solution (equivalent to 1 g, 1 ml or 10 cm2) to be
Preparationof lnoculum Inoculate freshly cultured of examined to an appropriate amount of Bile salt
Escherichia coli, Staphylococcus aureus , Salmonella lactose culture medium ( not less than 100 ml)
paratyphi B, or Pseudomonas aeruginosa to nutrient directly or after appropriate treatment, incubate
broth medium or nutrient agar medium; inoculate for 18-24 hours (48 hours if necessary).
freshly cultured of Clostridium sporogenes to fluid Inoculate 0. 2 ml of the above culture to a tube
thioglycollate medium; incubate for 18-24 hours. containing 5 ml MUG medium, and incubate.
Dilute the suspension to 10-100 CFU per ml with Observe under 366 nm UV light at the time of 5
sterile solution of 0. 9 % sodium chloride. hours and 24 hours, respectively. Use blank
MUG medium as the negative control. The result
Validation test
is MUG-positive if the cultures give fluorescent
( 1) Testing group Add a specified quantity of the light, or MUG negative if no fluorescent light is
product to be examined and 10-100 CFU testing observed. Following observation, add several
Appendix XI[ A - 129

drops of indole test solution. The result is indole- Otherwise, absence coliform in the product.
positive if the liquid surface presents a rosy colour,
or indole-negative if no colour change takes place. Table 2 Morphologic characteristics of
colifonn colonies
The negative control is MUG-negative and indole-
negative. Culture medium Characteristic colonial morphology
A MUG-positive and indole-positive result Eosin methylene blue Purple black, or purple red,
indicates the presence of E.coli in the product. A agar medium circular, slight convex, regular
MUG-negative and indole-negative result indicates margin, smooth surface, moist..
the absence of E.coli in the product. If the MacConkey agar
Brilliant pink or pale red, circular,
product is MUG-positive and indole-negative, or medium
flat, regular margin, smooth
MUG-negative and indole-positive , inoculate the surface, moist.
cultures on eosin methylene blue agar medium
plate or MacConkey agar medium plate, and According to the number of coliform-positive
incubate for 18-24 hours. tubes, and Table 3, record the probable number
If no growth of microorganism occurs on the plate, of coliform 1 g or 1 ml of the product.
or the appearance of the microbial colonies does not Table 3 Probable number of coliform
match the descriptions in Table 1, the product
passes the test. Otherwise, confirm the result by Result of each quantity of product
Probable number of
suitable biochemical tests. coliform N
0. 1 g or 0. 01 g or 0. 001 g or (per g or ml)
O. 1 ml 0. 01 ml 0. 001 ml
Table 1 Morphologic characteristics of
Escherichia coli colonies + + + N>l03
Culture medium Characteristic colonial morphology
+ + l02<N<l03
Eosin methylene blue Purple black, light purple, bluish
agar medium purple or pink, deep purple at the + lO<N<l02
center of colony or no obvious dark N<lO
center, circular, slight convex,
reg~lar margin, smooth su~ Note: + represents coliform is detected, and - not
moist, metal gloss often appeared. ·- detected.
MacConkeyagar medium Brilliant pink or pale red, deep pink ( 3} Salmonella species Inoculate 10 g or 10 ml of
at center of the colony, circular,
flat, regular margin, smooth
the product to be examined to an appropriate
surface, moist. amount (not less than 200 ml) of Nutrient broth
culture medium directly or after appropriate
(2} Coliform Use 3 tubes each containing an treatment, mix well with a homogenizer or other
appropriate amount of Bile salt lactose fermentation devices, and incubate for 18-24 hours.
culture medium ( not less than 10 ml), respectively Inoculate 1 ml of the culture above to 10 ml
add 1 ml of 1 : 10 (containing 0. 1 g or 0. 1 ml of Sodium tetrathionate brilliant green culture
the product), 1 : 100 (containing 0. 01 g or 0. 01 ml medium, incubate for 18-24 hours. Then streak
of the product), 1 : 1000 ( containing 0. 001 g or the cultures on the surface of Bile salt sulfur milk
0. 001 ml of the product) dilutions. Add 1 ml of agar culture medium ( or Salmonella and Shigella
diluting solution to another tube as the negative agar medium) and MacConkey agar medium ( or
control. Incubate for 18-24 hours. Eosin methylene blue agar) plates separately,
The product passes the test if no microbial growth incubate for 18-24 hours ( or 40-48 hours· if
occurs, or no gas bubbles or acid forms. If the necessary). If no bacterial growth occurs on the
formation of acid and gas bubbles is observed, plate, or the morphology of the colonies does not
inoculate the cultures on Eosin methylene blue agar conform to the descriptions in Table 4, Salmonella
medium plate or MacConkey agar medium plate, is absence in the product to be tested.
and incubate for 18-24 hours. If the morphology of the colonies conforms to or is
If no growth of microorganisms occurs on the similar to the description in Table 4, choose 2-3
plate, or the appearance of the microbial colonies colonies and transfer to Triple sugar iron agar
does not match the descriptions in Table 2, or the culture medium slant with a inoculating needle,
colonies are not Gram-negative bacilli, the product using surface and deep inoculation. Incubate for
passes the test. If the morphology of the colonies 18-24 hours. If red colour on the surface and
matches the descriptions in Table 2, and they are yellow colour at the bottom, or yellow on the
Gram-negative bacilli without spores, confirm the surface and black at the bottom is not observed,
result by suitable biochemical tests. Salmonella )s absence in the product to be tested.
Otherwise, confirm the presence of Salmonella by
Validation test Choose 4-5 suspect colonies from carrying out suitable biochemical and Serum
the plate, individually inoculate in tubes contain- agglutination tests with the cultures on triple sugar
ing bile salt lactose culture medium, and incubate iron agar culture medium slant.
for 24-48 hours. The formation of acid and gas
bubbles indicates the presence of coliform.
Appendix XII A- 131

negative tube does not conform to the above Diluting solutions


description, repeat the test.
The diluting solutions are sterilized by validated
If the suspect bacteria are not Gram-positive cocci, sterilization methods after preparation.
and the coagulase test is negative, Staphylococcus
aureus is absence in the product to be tested. 1. pH 7. 0 sterile sodium chloride-peptone buffer
solution
( 6) Clostridium Take two equal portions (10 ml, Prepare the solution as described under the Test
equivalent to 1 g or 1 ml of the product) of the for Sterility (Append Xl H, Volume II )
sample solution. Heat one portion at 80°C for 10
minutes and cool rapidly. Do not heat the other 2. pH 6. 8 sterile phosphate buffer solution, pH 7. 6
portion. Inoculate the test solutions above to 100 ml sterile phosphate buffer solution
of Chopped meat culture medium directly or after Prepare the solution as described under Appendix
appropriate treatment separately. Incubate under J:i/ D of Volume II, and then filter, dispense in
anaerobic conditions for 72-96 hours. If no containers, and sterilize. ·
turbidity, gas bubbles, beef digestion, or bad If necessary, add surfactants or neutralizing
smells form in the testing tube, Clostridium is solutions before or after the sterilization.
absent in the product being examined. Otherwise, 3. 0. 9 % sterile sodium chloride solution
spread 0. 2 ml of the cultures onto the surface of Transter 9. 0 g sodium chloride, dissolve in 1000 ml
columbia agar culture medium plate to which water, filter, dispense in containers, and
gentamicin has been added, and incubate under sterilize.
anaerobic conditions for 48-72 hours. If no
Culture media
microbial growth occurs on the plate, Clostridium
is absent in the product to be tested. If colonies The media may be prepared as described below, or
are observed on the plate, select 2-3 colonies and their dehydrated formulations may be used. The
carry out Gram's staining test and catalase test. media should be sterilized using a validated
process.
Catalase test Put the colonies from the plate above
onto clean glass slices, add dropwise 3% hydr~n 1. Nutrient agar culture medium, nutrient broth
peroxide solution. If gas bubbles appear on the _culture - medium, fluid thioglycollate medium,
colony surface, the catalase test is positive, or modified Martin medium, and modified Martin
otherwise, negative. agar medium
If the suspect colonies are Gram-positive Clostri- Prepare the media as described under the Test for
dium, with or without oval or round spores, and Sterility (Appendix Xl H, Volume II).
catalase test is negative, Clostridium is presence in 2. Sodium rose bengal agar medium
the product being examined. Or otherwise, Peptone 5. 0 g
Clostridium is absence. Glucose 10. 0 g
Evaluation of results. Potassium dihydrogen phosphate (KH2P04)
1. 0 g
If specified microorganisms or other pathogenic Magnessium sulfate (MgS04 • 7H2 0) 0. 5 g
microorganisms are detected in one single test, the Sodium tetrachloro-tetraiodo-fluorescein 0. 0133 g
product does not pass the test. The test needs not Agar 14. 0 g
repetition. water 1000 ml
If any count of bacteria, of fungi, or of yeasts Mix the above ingredients in water except glucose
does not comply with the requirements, take and sodium tetrachloro-tetraiodo-Il uorescein , heat
samples at random from the same batch, and carry until dissoved, filter, and then add glucose and
out two more independent repetitive tests. Report sodium tetrachloro-tetraiodo-£1uorescein , Dispense
the average value from three determinations as the in containers and sterilize.
final result.
If fungi and yeasts are detected in eye prepa- 3. Yeast extracts peptone glucose agar medium
rations, the product being examined passes the (YPD)
test for fungi and yeasts count only if micro- peptone 10. 0 g
organisms are not detected in two more repetitive Yeast extracts 5. 0 g
tests. Glucose 20. 0 g
If results of bacteria, fungi and yeasts count, as agar 14. 0 g
well as the test for specified microorganisms meet water 1000 ml
the specified requirements for the product being Mix the above ingredients in water except glucose,
examined, the product passes the test. If the heat until dissolved, filter, and then add glucose,
result of bacteria, fungi and yeasts count, or the · Dispense in containers and sterilize.
result for the test for specified microorganisms 4. Bile salts lactose medium (BL)
does not comply with the specified requirements peptone 20. 0 g
for the product being examined, the product does lactose 5. 0 g
not pass the test. Sodium chloride 5. 0 g
A - 132 Appendix XII

Dipotassium hydrogen phosphate (Kz HP04) sterilize.


4. 0 g 9. Triple sugar iron agar medium (TSI}
Potassium dihydrogen phosphate (KH2P04) Pep tone 20. 0 g
1. 3 g Glucose 1. 0 g
Ox bile salts (or sodium desoxycholate 0. 5 g) Beef extract powder 5. 0 g
2. 0 g Sodium chloride 5. 0 g
water 1000 ml , Lactose 10. 0 g
Mix the above ingredients in water except lactose Sucrose 10. 0 g
and ox bile salts (or sodium desoxycholate), heat Ferrous sulfate 0. 2 g
until dissolved, adjust the pH so that after Sodium thiosulfate 0. 2 g
sterilization it is 7. 4 + 0. 2, boiling. Filter, add 0. 2% phenosulfonphthalein solution 12. 5 ml
lactose and ox bile salts ( or sodium desoxy- Agar 12. 0 g
cholate), dispense in containers and sterilize. Water 1000 ml
5. Bile salts lactose fermentation medium Mix pep tone, beef extracts powder, sodium
Add 0. 04 % bromocresol purple indicator to the chloride, ferrous sulfate and sodium thiosulfate ,
unsterilized bile salts lactose medium, dispense in dissolve in water heat until dissolved, adjust the
suitable tubes containing inverted tubule, and pH so that after sterilization it is 7. 3 + 0. 1. Add
sterilize. agar, heat to melt, then add the other ingre-
dients. Shake thoroughly, dispense in containers,
6. Eosin methylene blue agar medium (EMB) and sterilize. Make short slants ( 2-3 cm) after
Nutrient agar medium 100 ml the media cool.
2% eosin solution 2 ml 10. Sodium tetrathionate brilliant green medium
20 % lactose solution 5 ml (TTB)
0. 5 % methylene blue solution l. 3-1. 6 ml Peptone 5. 0 g
.Melt the nutrient agar medium by heating, cool to Calcium carbonate 10. 0 g
60°C , add aseptically the other three solutions, Ox bile salts 1. 0 g
shake thoroughly, and pour into Petri dishes. Sodium thiosulfate 30. 0 g
7. MacConkey agar medium ( MacC) Water 1000 ml
Peptone 20.0 g Dissolve the above ingredients in water heat until
Sodium chloride 5. 0 g dissolved, and sterilize.
Lactose 10. 0 g Just prior to use, add 0. 2 ml iodine test solution
1 % neutral red solution 3. 0 ml and 0. 1 ml brilliant green test solution to 10 ml of
Ox bile salts 5. 0 g the medium, and shake thoroughly.
Agar 14. 0 g 11. Salmonella and Shigella agar culture medium
Water 1000 ml (SS)
Mix peptone and sodium chloride in water, heat Peptone 5. 0 g
until dissoved, adjust the pH so that after Sodium citrate 8. 5 g
sterilization it is 7. 2 + 0. 2. Add agar, heat to 0. 1 % Brilliant green solution 0. 33 ml
melt, then add the other ingredients. Shake Beef extract powder 5. 0 g
thoroughly, dispense in containers, and sterilize. Ammonium ferrous citrate 1. 0 g
Cool to 60°C, and pour into the Petri .dishes, Lactose 10. 0 g
8. 4-methyhnnbelliferyl-P,-D-glucuronide(MUG) culture Sodium thiosulfate 8. 5 g
medium Ox bile salts 8. 5 g
Peptone 10. 0 g 1 % neutral red solution 2. 5 ml
Manganese sulfate 0.5 mg Agar 16. 0 g
Zinc sulfate 0. 5 mg Water 1000 ml
Magnesium sulfate 0.1 g Mix the above ingredients in water except lactose,
Sodium chloride 5. 0 g neutral red solution and agar, heat until
Calcium chloride 50 mg dissolved, adjust the pH so that after sterilization
Potassium dihydrogen phosphate (anhydrous) it is 7. 2+0. 1. Filter, add agar and heat to melt.
0. 9 g Then add the other ingredients, shake thoroughly,
Disodium hydrogen phosphate (anhydrous) 6. 2 g sterilize, cool to 60°C, and pour into Petri dishes.
Sodium sulfite 40 mg 12. Bile salts sulfur lactose agar culture medium
Sodium desoxycholate 1. 0 g (DHL)
MUG 75 mg Pep tone 20. 0 g
Water 1000 ml Beef extracts 3. 0 g
Mix the above ingredients in water except MUG, Lactose 10. 0 g
heat until dissolved, adjust the pH so that after Sucrose 10. 0 g
sterilization it is 7. 3 ± 0. 1, add MUG, dissolve, Sodium desoxycholate 1. 0 g
dispense 5. ml of the medium to each tube and Sodium thiosulfate 2. 3 s
Appendix XII A - 133

Sodium citrate 1. 0 g water 1000 ml


Ammonium ferrous citrate 1. 0 g Mix the above ingredients in water except 0. 04 %
1 % neutral red solution 3 ml bromocresol purple indicator, heat . until dissolved,
Agar 16. 0 g adjust the pH so that after sterilization it is 7. 2+
Water 1000 ml 0. 2, add the indicator, dispense in suitable tubes
Mix the above ingredients in water except sugars, ( 3 ml per tube). Sterilize.
indicators and agar, heat until dissolved, adjust 18. Pyocyanin culture medium
the pH so that after sterilization it is 7. 2 ± 0. 1. Pep tone 20. 0 g
Add agar and heat to melt. Then add the other Magnesium chloride· (anhydrous) 1. 4 g
ingredients, shake thoroughly, sterilize, cool to Potassium sulfate (anhydrous) 10. 0 g
60°C, and pour into Petri dishes. Glycerol 10 ml
13. Cetrimide agar medium Agar 14. 0 g
Peptone 10. 0 g Water · 1000 ml
Beef extracts powder 3. 0 g Mix peptone, magnesium chloride and potassium
Sodium chloride 5. 0 g sulfate, heat until dissolved, adjust the pH so
Cetyl trimethyl ammonium bromide 0. 3 g that after sterilization it is 7. 3+0. 1, add glycerol
Agar 14. 0 g and agar, heat to melt, shake thoroughly,
Water 1000 ml dispense in suitable tubes and sterilize. Cool at
Mix the above ingredients in water except agar, room temperature to make slants.
heat until dissolved, adjust the pH so that after 19. Chopped meat culture medium
sterilization it is 7. 2+0. 1. Add agar and heat it to
melt, shake thoroughly. Dispense in containers, Preparation of the Beef bits. Use fresh beef,
sterilize, cool to 60°C, and pour into Petri dishes. remove the fats and muscles, and boil for 10
minutes. Cut into pieces of 5 mm3 , add three
14. Tellurite broth medium folds ( w/w) of distilled water, immerse in
Just prior to use, add 0. 2 ml of freshly prepared 4-10 °C water for 18~ 20 hours, then boil for 1
1 % sodium ( or potassium) tellurite solution, hour, filter through gauze. The residue is washed
mix well. twice with water. Then put the beef bits into an
15. Egg yolk high salts agar medium appropriate amount of sodium hydroxide solution
Peptone 6.0 g so that the pH is around 8. 4, agitate thoroughly.
Beef extracts 1. 8 g Immerse the beef overnight, arid discard the upper
Sodium chloride 30. 0 g water the next day, and wash 2-3 times with
10 % sodium chloride egg yolk solution 100 ml water. Spread the beef on a tray, sterilize, and
Agar 16. 0-18. 0 g dry at 80-100°C, remove the powders, put into
Water 650 ml bottles, and keep away from moisture.
Mix the above ingredients in water except 10 % Preparation of chopped meat culture medium. Put
sodium chloride egg yolk solution, heat until the beef bits in suitable containers, add an
dissolved, adjust the pH so that after sterilization appropriate amount of Nutrient broth medium so
it is 7. 6 + 0. 1. Sterilize and cool to 60°C. Add that the beef bits constitute 1. 5 % of the volume,
aseptically 10 % sodium chloride egg yolk solution, adjust the pH so that after sterilizationit is 7. 3+0. 1,
shake thoroughly, and pour into Petri dishes. sterilize.
16. Mannitol high salts agar medium 20. Columbia agar culture medium
Peptone 10. 0 g Pancreatic digest of casein 10. 0 g
Beef extracts 1. 0 g Pepsin digest of beef 5. 0 g
Mannitol 10. 0 g Pancreatic digest of heart 3. 0 g
Sodium chloride 75. 0 g Yeast extracts powder 5. 0 g
1 % phenolsulfonphthalein solution 2. 5 ml Corn flour 1. 0 g
Agar 14. 0 g Sodium chloride 5. 0 g
Water 1000 ml Agar 15. 0 g
Mix the above ingredients in water except Water 1000 ml
mannitol, phenolsulfonphthalein solution and Mix the above ingredients in water except agar,
agar, heat until dissolved, adjust the pH so that heat until dissolved, adjust the pH so that after
after sterilization it is 7. 6+0. 1, add agar and heat sterilization it is 7. 3 + 0. 2, add agar and heat to
to melt. Filter and dispense in containers, melt. Filter, dispense in containers and sterilize.
sterilize and cool to 60°C, then pour into Petri Cool to 45-50°C, add sterile gentamicin sulfate
dishes. ( equivalent to 20 mg gentamicin) , mix well, and
17. Lactose fermentation culture medium pour into Petri dishes.
Pep tone 20. 0 g Microbial contamination limits of Pharmaceutical
Lactose 10. 0 g Preparations
0. 04 % bromocresol purple indicator 25 ml The microbial contamination limits of non-sterile
A - 134 Appendix XII

preparations is drawn by fully considering the drug per ml or per 10 cm2.


administration routes and potential harm to the
Staphylococcus aureus and P seudomonas aeruginosa
patients. Unless otherwise prescribed, Microbial
Absence in 1 g, 1 ml or 10 cm2.
limit test follows the criterion below in the
manufacturing, storage and distribution of prepa- 4. Oral · preparations containing animal tissues
rations, as well as in the establishment of new ( including extracts)
preparations standards, evaluation of imported Salmonella species are absence per 10 g or per
preparations, and the quality control of prepa- 10 ml.
rations, raw materials, and excipients. 5. Preparations for more than one administration
1. Sterile preparations specified in General Notice or routes
monographs, and other preparations labelled sterile Comply with the requirements for each
Comply with the test for Sterility. administration route.
2. Preparations for oral administration 6. Raw materials and excipients
Bacteria count not more than 1000 per g, or 100 Refer to the limit for corresponding preparation.
per ml.
Fungi and yeasts count not more than 100 per g or
per ml.
E. coli. Absence in 1 g or 1 ml. XI[ H Test for Murine Virus
3. Preparations for local administration
( 1 ) Local administration preparations for surgery, Murine monoclonal antibodies may be potentially
bum or serious injury contaminated with viruses such as epidemic
Comply with the test for sterility. hemorrhagic fever virus, lymphocytic chorio-
( 2) Preparations for eye administration meningitis virus, respiratory enteric orphan virus
Bacteria count Not more than 10 per g or per ml. type 3 , Sendai virus, mouse pox virus, mouse
Fungi and yeasts count Absence in 1 g or 1 ml. adenovirus, mouse pneumonia virus and retrovirus,
Staphylococcus aureus , Pseudomonas aeruginosa etc. The viruses are classified as groups I and
and Escherichia coli Absence in 1 g or 1 ml. II . The viruses in group I , including epidemic
hemorrhagic fever virus, lymphocytic chorio-
( 3) Preparations administered via ear, nose or meningitis virus, respiratory enteric orphan virus
respiratory tract type 3 and Sendai virus, can infect humans and
Bacteria count Not more than 100 per g, per ml or primates. The viruses in group II , including
per 10 cm2. mouse pox virus, mouse adenovirus , mouse
Fungi and yeasts count Not more than 10 per g, pneumonia virus and retrovirus, so far there is no
per ml or per 10 cm2. evidence that they can infect humans, but can
Staphylococcus aureus and Pseudamonas aeruginosa replicate in vitro in the cell cultures of human,
Absence in 1 g, 1 ml or 10 cm2. simian and monkey origins and may be potentially
dangerous to humans, thus shall be monitored
Escherichia coli. Absence in 1 g, 1 ml or 10
emphatically.
cm2 for preparations for nose and respiratory tract
The method is applied to the test for the presence
administration.
of murine viruses in hybridoma cell lines and
. ( 4) Preparations for vagina and urethraadministra- murine monoclonal antibodies. The live virus
tion antigen and antibody are tested by in vitro
Bacteria count Not more than 100 per g or per ml. infectivity assay, animal antibody production test,
Fungi and yeasts count less than 10 per g or per infectivity assay in embryonated eggs, and so on.
ml.
Reagent
Staphylococcus aureus and Pseudomonas aeruginosa (1) 0. 01 mol/L pH 7. 4 PBS: Dissolve 2. 9 g of
Absence in· 1 g or 1 ml. disodium hydrogen phosphate (Na2HP04 • 12H20),
( 5 ) Preparations for rectal administration 0. 2 g of sodium dihydrogen phosphate, 8. 0 g of
Bacteria count Not more than 1000 per g, and not sodium chloride, 0. 2 g of potassium chloride in
more than 100 per ml. water and dilute to 1000 ml.
Fungi and yeasts count Not more than 100 per g or (2) pH 9. 6 coating buffer solution: Dissolve 1. 59 g
per ml. of sodium carbonate, 2. 93 g of sodium bicarbonate
and 0. 20 g of sodium azide in water and dilute to
Staphylococcus aureus , Pseudomonas aeruginosa 1000 ml.
and Escherichia coli Absence in 1 g or 1 ml. (3) 0. 01 mol/L pH 7. 4 PBS washing solution:
( 6) Other preparations for local administration Dissolve 2. 9 g of disodium hydrogen phosphate
Bacteria count Not more than 100 per g, per ml or (Na2HP04 • 12H20), 0. 295 of sodium dihydrogen
per 10 cm2. phosphate, 8. 5 g of sodium chloride and 5 ml of
Fungi and yeasts count Not more than 100 per g, polysorbate 80 in water and dilute to 1000 ml.
Appendix XII A - 135

(4) Substrate buffer solution: Dissolve 12. 9 g of negative control. After adsorption at 37°C for one
disodium hydrogen phosphate (Na2HP04 • 12H20) hour, discard the adsorbed test sample fluid and
and 3. 26 g of citric acid in water and dilute to 700 add a quantity of cell maintenance media into each
ml. flask. Observe the morphology of cells every day
(5) Substrate solution: Dissolve 4 mg of o- under microscope and record the results. Change
phenylenediamine in 10 ml of substrate buffer the media every 3-4 days. Maintain the first
solution and add 4 µl of 30 % hydrogen peroxide. passage of cells for 10-14 days. After 3 times of
(6) Stopping solution: 1 mol/L sulfuric acid freezing and thawing, pool the two flasks of
solution. negative control and four flasks of test sample
Preparationof test sample separately. Inoculate the harvested cell suspen-
The test samples include hybridorna cell strain, sions in test and control groups into the same kind
ascites and final bulk or final product of of cells, and change the medium every 3-4 days.
monoclonal antibody. Hybridoma cell strain shall (2) Smear: After incubation of the pooled cell
be subject to in vitro infectivity assay, animal suspension for 10-14 days, remove the mainte-
antibody production test and infectivity assay in nance media and wash the cells twice with PBS.
embryonated eggs; however, ascites and final Add 0. 15 ml of digestion solution into each flask to
bulk or final product of monoclonal antibody shall detach the cells. Pipette the cell suspension into a
be subject to animal antibody production test and tube and wash twice with PBS. Resuspend the cell
infectivity assay in embryonated eggs. pellet with a quantity of PBS. Smear the normal
( 1) Test sample for in vitro infectivity assay: cells in negative control group onto the first row of
Three flasks of hybridoma cells growing well are wells on a glass slide, and the test sample onto the
subject to freezing and thawing at -40°C for 3 second row. Dry the slide by blowing and fix the
times, pooled aseptically and dispensed into small cells with acetone to obtain the cell slide of test
tubes, 3 ml per tube. Seal the tubes with rubber sample. Store the slide at -40°C.
stoppers and store at -40°C. Indirect immunofluorescence assay: Prepare a
( 2) Test sample for animal antibody production slide of known virus antigen. make the known
test: Ascites and final bulk or final product of specific positive and negative sera 5- to 20- fold
monoclonal antibody need no treatment and shall dilutions with PBS respectively. Examine the slide
be stored at -20°C. However, hybridoma cells of - test sample using the prepared slide of known
shall be treated by the following method before virus antigen as a serum control. Add the known
use. positive and negative sera diluted 10-fold with PBS
Remove the media in seven flasks in which respectively into different wells on the slide of test
hybridoma cells grown well. Wash the cells down sample and incubate at 37°C for 30 minutes in a
with PBS by blowing slightly and transfer into wet box. Wash the slide 3 times, each by
small tubes. Wash the flask once with PBS to immersing with PBS for 5 minutes, and dry.
collect the residual cells into the same tube and Drop fluorescein-labelled antibody into each well
centrifuge at 1000 r/min for 10 · minutes. Discard and incubate at 37°C for 30 minutes. Wash the
the supernatant and resuspend the cells with PBS. slides 3 times each by immersing with PBS for 5
Repeat the above procedure twice. Resuspend the minutes, then wash once with water and dry.
pooled cell pellet in 4 ml of PBS. After 3 times of Add 50% glycerin onto the slides and cover with a
freezing and thawing, ultrasonicate the cell cover glass. Examine the slide under microscope.
suspension and centrifuge at 10000 r/min for 30 (3) Result evaluation
minutes. Collect the supernatant and centrifuge at The test is valid if on the slides of known virus
40000 r/min for 4 hours. Discard the supernatant antigen, negative control sera show no fluore-
and dissolve the pellet in a quantity of PBS to scence with normal cell and virus cell wells, while
obtain the antigen for animal antibody production positive control sera show no fluorescence with
test. Store the antigen at -40°C. normal cell wells but show fluorescence with virus
Procedure cell wells; and if on the slides of test sample,
The methods for detection of murme viruses negative control sera show no fluorescence with
include in vitro infectivity assay, animal antibody normal cell and test sample wells, while positive
production test, infectivity test in embryonated control sera show no fluorescence with normal cell
eggs, and so on. well.
1. In vitro infectivity assay: Detect the presence of The test is invalid if negative control sera show
unknown virus antigen in test sample with known fluorescence with normal cell and test sample
virus antibody. wells, or positive control sera show fluorescence
(1) Cell culture: Select the cells sensitive to the with normal cell well.
virus to be tested. Six flasks of 'each kind of cells The result is judged as positive if, on the slide of
growing well shall be used. Wash the cells twice test sample, the positive control sera show
with O. 01 mol/L pH 7. 4 PBS. Inoculate 0. 3 ml of fluorescence with test sample well.
test sample of each batch into each of four flasks, 2. Animal antibody production test
and 0. 3 ml of PBS into the other two flasks as Preparation of antibody to test sample: Inject each
A - 136 Appendix :XU.

batch of test sample into 50 SPF BALBI c or KM N = Absorbance of conjugate of murine sera
mice according to the requirements in the following immunized with control and virus antigen-
table: Absorbance of conjugate of murine sera immunized
with control and normal cell antigen
Nt.nnber of mouse Dosage 3. Infectivity assay in embryonated eggs
Iniection
Mouse Test Control (ml/ Note Observe the embryonated eggs 24 hours before
Route
group group mouse) inoculation. Clear blood vessels and dark shadow
Observe the mice shall be observed in live embryonated eggs, and
for 4 weeks. The blastokinesis may be observed in - bigger ones.
Suckling 10 i.m 0.03 survival rate shall However, if the chick embryo is dead, the blood
be not less than vessels are dusky and blurred, and no blasto-
80%.
kinesis shall be observed. Examine the eggs for
Observe the mice vitality of chick embryo again with inspection lamp
Aged for 4 weeks. The
just before inoculation, and mark the locations of
3-4 10 10 i. p. 0.03 survival rate shall
weeks be not less than air chamber and embryo. Inoculate aseptically the
80%. test sample into yolk sac, allantoic cavity and
Inject 2 doses at villous allantoic membrane, incubate the embryo-
an interval of 10 nated eggs for 5 days and observe daily. Harvest
Aged i.m
i.m: days. Bleed the the yolk sac, villous allantoic membrane and
6-8 · 10 10 and
o. 1 mice 14 days after allantoic liquid by an aseptic operation. Grind yolk
i. p.: the second injec-
weeks i. p. o. 2 tion. Inject PBS
sac and villous allantoic membrane and centrifuge
into the mice in to collect the supernatant. Carry out hemagglu-
control group. tination tests on the supernatant and allantoic fluid
with guinea pig or chick erythrocyte separately.
Serological examination: Bleed the mice injected Take a microtitre plate of eight wells in each row.
i. m. and i. p. with test sample and PBS Add 50 µ1 of physiological saline into the 2nd to
( control) and separate sera for detecting antibody the 8th well. Add 50 µl of test sample treated by
by ELISA. Coat a 96-well microtitre plate with above-mentioned procedures into the 1st and the
virus and normal cell antigens, 0. 1 ml per well. 2nd well respectively. Dilute the test sample 2-
Incubate the plate at 37°C for one hour, allow to fold serially by transferring 50 µl of sample from
stand at 4 °C overnight. Wash the plate sufficiently the 2nd to the 3rd well with a pipette, then 50 µ1
with washing solution then pat to dry. Add test from the 3rd well to the 4th well, and so on, until
sample into one virus antigen well and one normal 50 µ1 is transferred from the 6th to the 7th well.
cell antigen well respectively and incubate at 37°C Pipette out 50 µl of sample from the 7th well and
for one hour. Wash the plate sufficiently with discard. The 8th well is used as a control. Add
washing solution then pat to dry. Add enzyme- 50 µl of 1 % guinea pig erythrocyte suspension into
labelled secondary antibody into each well and the .l st to the 8th well and mix thoroughly. The
incubate at 37°C for one hour. Wash the plate test is performed in duplicate. Allow the two
sufficiently with washing solution then pat to dry. microtitre plates stand at 4°C and room
Add O. 1 ml of substrate solution into each well and temperature respectively until clear negative result
incubate at 37°C for 10-20 minutes. Stop the is observed in control well.
reaction by adding 0. 1 ml of 1 mol/L sulfuric acid Result evaluation:
solution into each well when positive serum control + + + +: Erythrocytes are evenly dispersed at
wells develop colour, but negative control wells the bottom of well;
show no colour. Read the absorbance of each + + +: Erythrocytes are evenly dispersed at the
well. bottom of well, but their borders are irregular and
( 4) Result evaluation show a tendency of decline.
If the value of PIN is not less than 2. 1, the result
is judged as positive;
+ +: Erythrocytes form a small loop at the
bottom of well, surrounded by small clots;
If the value of PIN is 1. 5-2. 0, the result is judged +: Erythrocytes form a small block at the bottom
as doubtful; of well, bordered with a small number of clots;
If the value of PIN is less than 1. 5, the result is - : Erythrocytes are centralized at the bottom of
judged as negative. well and form red point with a dense border.
P = Absorbance of conjugate of murine sera
immunized with test sample and virus antigen-
If the hemagglutination reaction of " + +" or
more appears, the result shall be judged as
Absorbance of conjugate of murine sera immunized positive.
with test sample and normal cell antigen
Appendix XIII A- 137

Appendix XDI

Procedure
(1) Sampling
Fresh egg samples are required for detecting avian
XDI A Test Requirements for encephalomyelitis virus and avian lymphoid
leukosis virus. Serum samples are required for
SPF Chicken Embryos detecting other pathogenic microbial infections in
chicken. The amount of each sample shall be at
Specific pathogen-free ( SPF) chicks represent that least 1 ml. To avoid contamination, sampling
the chicks are bred under a strictly cohtrolled shall follow the aseptic procedures.
surveillance to meet the requirements for specified (2) Amount of egg samples
microbiologicalexamination. SPF chick embryo refers For detecting lymphoid leukosis virus antigen, 200
to the embryo which is hatched from a fertilized egg eggs shall be sampled from each flock of chickens,
one egg from each hen ( If the chicken number in ·
laid by SPF hen and incubated under an appropriate
one flock is less than 200, sample shall be taken
conditionfor the production of biologics. The quality
from each individual).
of the SPF chick embryos shall be controlled through
For detecting avian encephalomyelitis virus, at
detecting specific pathogenic microorganisms in SPF
least 50 eggs shall be sampled from each flock,
chick flocks and their eggs. one egg from each hen ( If the chicken number in
Detection of pathogens and method one flock is less than 50, samples shall be taken
Detection of pathogens for surveillance on SPF from each individual).
chick embryos and the detection methods used are For detecting other pathogenic microorganism
listed as follows: infections, samples shall be taken at random at a
rate of 5 % from each chicken flock. For the flock
No. Pathogenic microorganism Demand Method consisting of ·less than 200 chickens, sample shall
be taken at a proportion of 10 %-15 %.
1 Salmonella pullorum
• SPA,IA,TA
(3) Storage and shipping of the samples
2 Avian influenza virus( type A) • AGP,HI
3 Infectious bronchitis virus • AGP,SN,HI After collection, samples shall be sent to the
4 Infectious bursal disease virus • AGP,SN laboratory for tests as soon as possible.
5 Infectious laryngotracheitis virus• AGP,SN If samples can not be sent to the laboratory in
6 Newcastle disease virus • HI time, sera shall be stored frozen at or below
7 Fowl pox virus
• AGP -15 °C. Eggs shall be stored at 4-10 °C. The
8 Marek' s disease virus
• AGP storage period shall not exceed one week.
9 Haemophilus paragallinarum
10 Pasteurella multocida
• 0
SPA
AGP
Samples shall be marked with distinct labels.
Delivery sheets shall be attached indicating the
11 Avian adenovirus Group III
• HI names and numbers of chicken groups as well as
12 Mycoplasma gallisepticum • SPA,HI the names and quantity of the samples.
13 Mycoplasma synoviae • SPA,HI During shipping of samples, care shall be taken
14 Avian encephalomyelitis virus • AGP,EST,SN to avoid temperature rising and the breakage of
15 Lymphoid leukosis. virus • ELISA eggs.
16 Reticuloendotheliosis virus
17 Avian reovirus
• •
AGP
AGP
Result evaluation
If any detecting result of sample fails to meet the
18 Avian adenovirus Group I • AGP requirements in this Appendix, the sampling
19 Chicken infectious anaemia virus • IF A batch of chick embryo shall be judged as
Note: •=Obligatory, result shall be negative unqualified.
O=In case of need, result shall be negative
SPA=Serum Plate Agglutination Test
IA= Isolation of pathogen
AGP= Agar Diffusion Test
HI= Haemagglutination Inhibition Test
ELISA=Enzym~Linked Immunosorbent Assay
XDI B Test Requirements of Microbes for
EST=Embryo Sensitive Test LaboratoryAnimals
SN=Serum Neutralization Test
TA=Test-tube Agglutination Test
IF A= Indirect Immunofluorescence Assay The Requirements (quoted from GB14922. 1-2001)
A - 138 Appendix XIU

are suitable for guinea pig, hamster, rabbit, dog ( 3) Specific pathogen-free ( SPF) animals: Except
and monkey, as well as the mouse and rat above the pathogens that shall be excluded for the CL
clean level. animals, the SPF animals shall be free from the major
1. Microbiological grade of laboratory animals potentially infectiouspathogens, conditionalpathogens
( 1) Conventional ( CV) animals: The CV animals or the pathogens significantly interfering scientific
shall be free from pathogens of specified anthro- experiments.
(4) Genn-free (GF) animal: They shall be free from
pozoonosis or fulminating zoonoses.
(2) Clean ( CL) animals: Except the pathogens any detectable organisms.
that shall be excluded for the CV animals, the CL 2. Test requirements
animals shall be free from the pathogens seriously (1) Appearance: The animals shall be healthy and
harmful to animals or significantly interfering show no abnormal signs in appearance.
scientific research. (2) Pathogens: See Tables 1, 2 and 3.
(3) Viruses: See Tables 4, 5 and 6.
Table 1 Test requirementsfor pathogensin mouse and rat
Grade of animal Pathogen Mouse Rat
GF SPF CL Salmonella spp.
Listeria monocytogenes
• •
0 0 Table 3 Test requirementsfor pathogensin dog and monkey
Y ersinia pseudotuherculosis 0 0 Grade of animal Pathogen Dog Monkey
Yesinia enterocolitica 0 0
SPF CV Salmonella sp p,
• •••
Pathogenic dermal fungi 0 0
Pathogenic dermal fungi

Streptobacillus monili formis
Bordetella bronchiseptica
0

0
Brucella spp.
Leptospira spp.
•c:
Mycoplasma spp.
• • Shigella spp.

Corynebacterium kutscheri
• • •
Tyzzer' s organism
Escherichia coli 0115 a, C, K
• •
0
Mycobacterium tuherculosis
Leptospira spp, *

(B) Yesinia enterocolitica 0 0
Campylobaceter jejuni 0 0
Pasteurella pneumotropica
• •••
Klebsiella pneumoniae
• Note:• Obligatory, result shall be negative; o In case of
Staphylococcus aureus
Streptococcus pnemoniae
• •
0 0
need-result shall be negativej zx In case of need,immunization
is permittedj " Immunization is not permitted, and the result
shall be negative.
~-Hemolytic streptococcus 0 0
P seudomonas aeruginosa • •
No any detectable microorganisms
• Obligatory, result shall be negatives O In case of need,
• • Table 4 Test requirementsfor virusesin mouse and rat
result shall be negative. Grade of animal Virus Mouse Rat
GF SPf CL Lymphocytic choriomeningitis virus 0
(LCMV)
Table 2 Test requirementsfor pathogensin guinea pig,
hamster and rabbit
Han ta virus( HV)
Ectromelia virus(Ect. )
0
• •
Grade of animal Pathogen
GuineaHarn-
pig ster
Rabbit
Mouse hepatitis virus(MHV)
Sendai virus( SV)
•• •
GF SPF CL CV Salmonella spp.
• • •
Pneumonia virus of mice(PVM)
Reovirus type ill (Reo-3)
•• •

Listeria monocytogenes 0 0 0
Yersinia pseudotuberculosis 0 0 0
Minute virus of mice(MVM)
Theiler's mouse encephalomyelitis 0

Yesinia enterocolitica 0 0 0 virus(TMEV)
Pathogenic dermal fungi 0 0 0 Mouse adenovirus(Mad) 0
Streptobacillus moniliformis 0 0 Polyoma virus(POL Y) 0

Pasteurella multocida
•• •• •
Rat parvovirus(KRV)
Rat parvovirus(H-1)
••
Bordetella bronchiseptica
Tyzzer's organism • • • Rat coronavirus ( RCV)/Sialodacry-
oadenitis virus( SDAV)

Pasteurella pneumotropica
• •• • No any detectable virus. • •
Klebsiella pneumoniae
Staphylococcus aureus

• •
•• Note:• Obligatory, result shall be negative; 0 In case of
need, result shall be negative.
Streptococcus pnemoniae 0 0 0
~-hemolytic streptococcus
• 0 0
P seudomonas aeruginosa
• • •
No any detectable
microorganisms • • •
Note:e Obligatory, result shall be negative; 0 In case of need,
result shall be negative.
Appendix D A - 139

the parasites that shall be excluded for the CL


Table 5 Test requirementsfor vu-mes in guinea pig, animals, the SPF animals shall be free from the
hamster and rabbit major potentially infectious parasites, conditional
Grade of animal Virus Gu~neaHam- Rabbit pathogenic parasites or the parasites significantly
pig ster
interfering scientific experiments.
GF SPF CL CV Lymphocytic choriomenin-
gitis virus(LCMV)
• • ( 4) Germ-free ( GF) animals: They shall be free
from any detectable organisms .
Rabbit hemorrhagic disease ... 2. Test requirements
virus(RHDV)
( 1) Appearance: The animals shall be healthy and
Sendai virus(SV)
* Rabbit hemorrhagic
• • show no abnormal signs in appearance.
disease virus(RHDV) • (2) Parasites: See Tables 1, 2 and 3 .
Sendai virus(SV)
Pneumonia virus. of mice • •

(PVM) Table 1 Test requirementsfor parasites in mouse and rat
Reovirus type III ( Reo-3) • • Grade of animal
Rotavirus (RRV)
• Parasites Mouse


Rat


No any detectable virus • • • GF SPF CL Ectoparasites
Note:• Obligatory, result shall be negative; .&. Obligatory,
immunization is permitted; * Immunization is not permitted,
Toxoplasma gondii
. Encephalitozoon cuniculi

0

0
and the result shall be negative. Pneumocystis carinii 0 0
All helminths • •
Table 6 Test requirementsfor vu-mes in dog and monkey Flagellates
• •
Grade of animal Virus Dog M:mkey
Ciliates • •
SPF CV Rabies virus (RV) ... No any detectable parasites • •
Canine parvovirus ( CPV) ... Note:e Obligatory-result shall be negative;O In case of need,
Canine distemper virus ( CDV) ... result shall be negative.
Infectious canine hepatitis virus ...
(ICHV)
Cercopithecine herpesvirus Type
l(BV)
• Table 2 Test requirementsfor parasites in guinea pig,
Simian retrovirus D ( SRV)
• hamster and rabbit
Simian immunodeficiency virus
(SIV)
• Grade of animal Parasites Gu~neaHam- Rabbit
pig ster
Simian T lymphotropic virus
Type l(STLV-1)
• GF SPF CLICV Ectoparasites
• • •
Simian pox virus (SPV)
• Toxoplasma gondii • • •
The above 4 kinds of viruses
are not permitted to be used for
• Encephalitozoon cuniculi
Eimaria spp.
0
0
0
0
immunization.
Note:• Obligatoryvresult shall be negative; .&. Obligatory-the
Pneumocystis carinii
All helminths • •


animals shall be immunized.
Flagellates • • •
Ciliates
No any detectable parasites

Note:• Obligatory-result shall be negative;O In case of need,
result shall be negative.
XDI C lest Requirements of Parasites for
LaboratoryAnimals
The Requirements (quoted from GB14922. 2-2001) Table 3 Test requirementsfor parasites in dog and monkey
are suitable for hamster, guinea pig, rabbit, dog
Grade of animal Parasites Dog Monkey
and monkey, as well as the mouse and rat above
clean level. SPF I CV Ectoparasi tes
• •
1. Parasitological grade of laboratory animals Toxoplasma gondii • •
( 1 ) Conventional (CV) animals: They shall be All helminths
• •
free from the specified parasites causmg Entamoeba spp. 0

Anthropozoonosis. Plasrrwdium spp. •
(2) Clean ( CL) animals: Except the parasites Flagellates • •
that shall be excluded for the CV animals, the CL Note:e Obligatory-result shall be negative;O In case of need,
animals shall be free from the parasites seriously result shall be negative.
harmful to animals or significantly interfering
scientific research.
( 3 ) Specific pathogen-free ( SPF) animals: Except
A - 140 Appendix Xlll

Test for proliferation of supporting cells The test


is performed by using Sp2/0-Agl4 cell or other
suitable continuous cell line which is anchorage-
XIU D Test Requirements for independent.
( 1) Determination of cell growth curve: Prepare
Calf Serum cell culture medium with the test sample to a
concentration of 10%. Inoculate cells into the
Protein content 3.5%-5.0% (Appendix VI B, medium to a final concentration of 1 X 104 cells per
method 1). ml. Count live cells every day for 7 days and plot a
cell growth curve. The maximum proliferation
Sterility test Complies with the test for sterility
concentration of cells shall be not less than 1 X 106
( Appendix XII A).
cells per ml.
Bacterial endotoxin Not more than 10 EU/ml (2) Determination of cell doubling time: Calculate
( Appendix XII E, the limit test of gel-clot the cell doubling time according to the cell growth
method). curve by the following equation:
Bovine diarrhea virus The serum shall be free The cell doubling time= T / A A = log, Y / X
from contamination with bovine diarrhea virus. Where: T= Time for cell growth, hour;
The virus shall be detected by the following culture Y = Cell count one day before the growth
method or other suitable method. reaches the peak value;
Culture method: Prepare primary bovine kidney X = Number of cells inoculated.
cells into a suspension with MEM and inoculate The doubling time of Sp2/0-Agl4 cells shall be not
with an equal volume of calf serum to be tested. more than 20 hours.
Incubate at 37°C for 5-7 days and observe the CPE. (3) Determination of cloning rate: Dilute the cells
Positive and negative control tests shall be by limited dilution method and inoculate onto a 96-
performed in parallel. well cell culture plate, one cell per well. Incubate
Hemoglobin Cyanomethemoglobin method or the plate at 37°C in a 5 % carbon dioxide incubator
other suitable method shall apply. The for one week and calculate the cloning rate by the
hemoglobin content in calf serum shall be not more following equation.
than 0. 02%. · Cloning rate= (A/B) X 100%
Coliphage Bacteriophage plaque and proliferation Where: A = Number of wells showing cell
method shall apply. No coliphageshall be detected growth;
B = Total number of wells inoculated
Mycoplasma Culture method and DNA staining with cells.
method shall apply ( Appendix XII B ) . No
contamination of mycoplasma shall be detected.
Appendix XIV A - 141

Appendix XN Culture Media for Biochemical Reactions


of Bacteria and Test Method

The following culture media are commonly used to Water 1000 ml


test the biochemical reactions arisen from bacteria ( 2) Method for preparation
in the metabolism of carbohydrates, amino acids Mix . the above ingredients except esculin and
and proteins as well as the utilization of carbon and dissolve the solids by slightly warming. Add
nitrogen sources. esculin and mix well. Adjust the pH so that after
sterilization it is 7. 3 + 0. 1. Dispense the medium
1.. Sugar or alcohol fennentationmedium
into test tubes and sterilize at 121 °C for 15
Cl) Formula
minutes .
. Basal medium: (3) Use
Peptone 10 g
The medium is used to differentiate bacteria based
Sodium chloride 5 g on the test of esculin hydrolysis. The production
0. 5 % Acid fuchsin indicator solution 10 ml of a brownish black precipitate indicates a positive
(or 0. 4% bromothymol blue solution 6 ml) reaction.
Water 1000 ml.
Sugars or alcohols 3. Phosphate. glucose peptone water medium
0. 5 g per 100 ml of basal medium. Cl) Formula
(2) Method for preparation Peptone 7 g
Dissolve peptone and sodium chloride in water by Dipotassium hydrogen phosphate 3. 8 g
slightly warming. Adjust the pH so that after Glucose 5 g
sterilization it is 7. 3 + 0. 1. Add acid fuchsin Water 1000 ml
solution (or bromothymol blue solution) and mix (2) Method of preparation
well. To 100 ml of the solution, add one kind of Mix the above ingredients and dissolv~ the solids
sugar, alcohol or glycoside, Mix well. Dispense by slightly warming. Adjust the pl-I so that after
the medium into small tubes (if observati~n of gas sterilization it is 7. 3 + 0.1. Dispense the medium
production is needed, Durham inverted tubes are into small test tubes and sterilize at 121 °C for 15
placed in small tubes) and sterilize at l16°C for 15 minutes.
(3) Use
minutes.
. Sugars, alcohols or glycosides commonly used: The medium is used to differentiate bacteria
arabinose , xylose , rhamnose , glucose, fructose, through methyl red test ( M-R reaction) · and
mannose , galactose, maltose, lactose, sucrose, acetylmethylcarbinol test (V-P reaction).
trehalose, cellubiose, melibiose, raffinose, melezi- CD Methyl red test ( M-R reaction): Inoculate
suspected colony or culture on slant into phosphate
tose, inulin, dextrin, starch, mannitol, dulcitol,
glucose peptone water medium and incubate at an
sorbitol, inositol, glycerol, salicin, esculin, etc.
appropriate temperature for 2-5 days. Add several
(3) Use
drops. of methyl red solution ( Dissolve 0. 1 g of
The medium is used to differentiate various kinds
methyl red in 300 ml of 95 % ethanol and dilute to
of bacteria through the biochemical reactions of
500 ml with water) into the culture tube and
sugar fermentation. Fermentation may produce
observe immediately. The appearance of bright
acid and change the colour of medium (The colour
red or orange red colour indicates a positive
of medium containing acid fuchsin indicator may
reaction and yellow colour indicates a negative
change from colour less to red or even to yellow;
reaction.
the colour of medium containing bromothymol blue
@ Acetylmethyl-carbinol test ( V-P reaction):
indicator may change from blue colour to yellow).
Inoculate suspected colony or culture on slant into
When gas is produced, small air bubbles can be phosphate glucose peptone water medium and
seen in Durham inverted tube. incubate at an appropriate temperature for 48
2. Esculin Medium hours. Add 1 ml of a-naphthol ethanol solution
Cl) Formula (Dissolve 5 g of a-naphthol in absolute ethanol and
Pep tone 5 g dilute to 100 ml) into 2 ml of the culture and mix
Dipotassium hydrogen phosphate 1 g well. Then, add 0. 4 ml of 40 % potassium
Ferric citrate 0. 5 g hydroxide solution and mix thoroughly. If a red
Esculin 3 g colour appears instantly or within several minutes,
A - 142 Appendix XIV

it indicates a positive reaction. If no red colour The medium is used for the preliminary identifi-
appears, it indicates a negative reaction. For a cation of bacteria in Enterobacteriaceae based on
negative reaction, observe again after incubation the fermentation of sugars and hydrogen sulfide
in a 35°C water bath for 4 hours. production.
4. Peptone water medium Test method and result observation: Streak the
(1) Formula suspected colony or culture from slant onto the
Peptone 10 g medium slant· and also puncture into the deep
Sodium chloride 5 g bottom. Incubate at 35°C for 24-48 hours and
Water 1000 ml observe the result. When the colour at the bottom
(2) Method of preparation of the medium becomes yellow, it indicates a
Mix the above ingredients and dissolve the solids positive reaction of glucose fermentation. When
by slightly warming. Adjust the pH so that after the colour of the slant becomes yellow, it indicates
sterilization it is 7. 3 + O. 1. Dispense the medium a positive reaction of lactose and sucrose
into small test tubes and sterilize at 121°C for 15 fermentation. When a black colour appears at the
minutes. bottom or in the whole medium, it indicates the
(3) Use production of hydrogen sulfide.
The medium is used to differentiate bacteria based 6. Kligler double sugar iron agar medium
on their ability to decompose tryptophan and (1) Formula
produce indole. Pep tone 20 g
Indole test: Inoculate the suspected colony or Beef extract 3 g
culture on agar slant into peptone water medium Yeast extract 3 g
and incubate at 35°C for 24-48 hours, or 4-5 days Lactose 10 g
if necessary. Add several drops of indole test Glucose 1 g
solution along the wall of test tube. A positive Sodium chloride 5 g
test shows a rosered colour on the surface of the Ferric citrate 0.3g
liquid and a negative test shows no colour change. Sodium thiosulfate o. 3 g
lndole test solution: Dissolve 5 g of p- 0. 2 % Phenol red solution 12. 5 ml
dimethylamin-obenzaldehyde in 75 ml of pentanol Agar 12-15 g
( or iso-pentanol ) and shake sufficiently. After Water 1000 ml
the dissolution is completed, add slowly 25 ml of (2) Method for preparation
concentrated hydrochloric acid dropwise with Mix the above ingredients except lactose, phenol
constant shaking to prevent the colour from red solution and agar and dissolve the solids by
becoming dark due to the sudden increase of heating. Adjust the pH so that after sterilization it
temperature. Alternatively, add 1 g of p- is 7. 3 + 0. 1. Add agar and swell by heating.
dimethylaminobenzaldehyde into 95 ml of 95 % Add the rest ingredients and mix well. Dispense
ethanol and shake sufficiently to dissolve the medium and sterilize at 121°C for 15 minutes,
completely. Add slowly 20 ml of concentrated allow to stand to form a short slant with high
hydrochloric acid dropwise. bottom (2-3 cm).
(3) Use
5. Triple sugar iron agar medium
(1) Formula The medium is used for the preliminary identifica-
Pep tone 20 g tion of bacteria in Enterobacteriaceae by test of
Beef extract 5 g sugar fermentationand hydrogen sulfide production
Lactose 10 g Test method and result observation: Streak the
Sucrose 10 g suspected colony or culture from slant onto the
Glucose 1 g medium slant and also puncture into the deep
Sodium chloride 5 g bottom. Incubate at 35°C for 24-48 · hours and
Ferrous sulfate o. 2 g observe the result. When the colour at the bottom
Sodium thiosulfate 0. 2 g of the medium becomes yellow, it indicates a
0. 2 % Phenol red solution 12. 5 ml positive reaction of glucose fermentation. When
Agar 12-15 g the colour of the slant becomes yellow, it indicates
Water 1000 ml a positive reaction of lactose fermentation. When
(2) Method of preparation the colour of slant becomes red, it indicates a
Mix the above ingredients except lactose, sucrose, negative reaction of lactose fermentation. When a
glucose, phenol red solution and agar and dissolve black colour appears at the bottom or in the whole
by heating. Adjust the pH so that after medium, it indicates the production of hydrogen
sterilization it is 7. 3+0. 1. Add agar and swell by sulfide.
heating. Then, add the rest ingredients and mix 7. Urea medium
well. Dispense the medium and sterilize at 121°C (1) Formula
for 15 minutes, allow to stand to form a short Peptone 1 g
slant with high bottom (2-3 cm). Glucose 1 g
(3) Use Sodium chloride 5 g
Appendix XIV A - 143

Dipotassium hydrogen phosphate 2 g Water 1000 ml


0. 2 % Phenol red solution 6 ml @Amino acids
20 % Sterile urea solution 100 ml L-lysine 0. 5 g (Dissolve in alkaline solution)
Water 1000 ml L-Omithine 0. 5 g (Dissolve in alkaline solution)
(2) Method for preparation L-Arginine 0. 5 g ( Dissolve in water without
Mix the above ingredients well except urea adding alkaline solution)
solution. Adjust the pH so that after sterilization (2) Method for preparation
it is 6. 9 + 0. 1. Sterilize the medium at 121 °C for Prepare the basal medium for use. Add the three
15 minutes. Cool down to 50-55°C. Add in sterile kinds of amino acids after dissolution into each 100
urea solution ( sterilized by membrane filtration) ml of the basal medium separately ( The final
and mix well. Dispense the medium into sterile concentration of amino acid is 0. 5%). Adjust the
test tubes. pH so that after sterilization it is 6. 8. Dispense
(3) Use the medium into small test tubes, 2. 5 ml for each,
The medium is used to differentiate the bacteria by and add liquid paraffin dropwise onto the medium
the test of urease production. to form a layer. At the same time, dispense a
Test .method and result observation: Inoculate the portion of the basal medium into small test tubes
suspected colony or a small amount of culture from as control medium. Sterilize all of media at ll6°C
slant onto the urea medium. Incubate at an for 10 minutes.
appropriate temperature for 24 hours and observe (3) Use
the result. When the colour of the medium The medium is used to differentiate the bacteria by
becomes red, it indicates .a positive reaction of the test of decarboxylase and dihydrolase.
urease production. If no colour changes, it Test method and result observation: Inoculate the
indicates a negative reaction. The culture with suspected culture from slant into the three kinds of
negative result shall be further observed for one media and basal media separately. Incubate at an
week. appropriate temperature for 24-48 hours.
8. Phenylalanine agar medium Both the media to be tested and control media shall
( 1) . Formula show yellow colour at the beginning due to glucose
Disodium hydrogen phosphate 1 g fermentation and acid production of bacteria to be
Yeast extracts 3 g tested. If the media to be tested show a purple or
DL-Phenylalanine 2g purple-red colour during continuous incubation, it
( or L-phenylalanine 1 g) indicates a positive reaction. If both the media to
Sodium chloride 5 g be tested and control media still show yellow
Agar 12-15 g colour at the end of incubation, the reaction shall
Water 1000 ml be judged as negative.
(2) Method for preparation 10. Gelatin medium
Dissolve the above ingredients in water except (1) Formula
agar. Adjust the pH so that after sterilization it is Peptone 5 g
7. 3 + 0. 1. Add agar and swell by heating. Beef extract 3g
Dispense the medium into test tubes and sterilize at Gelatin 120 g
121 °C for 15 minutes, allow to stand to form long Water 1000 ml
slants. (2) Method for preparation
(3) Use Mix the above ingredients in water and soak for
The medium is used to identify bacteria by the test about 20 minutes. Dissolve the solids by heating
of phenylalanine deaminase ( or phenyl pyruvic and adjust the pH so that after sterilization it is
acid test). 7. 3 + 0. 1. Dispense the medium into small test
Test method and result observation: Inoculate a tubes and sterilize at 121 °C for 15 minutes.
large amount of culture from slant onto the (3) Use
phenylalanine agar slant. Incubate at an appro- The medium is used to differentiate the bacteria by
priate temperature for 4 or 18-24 hours. Add 4-5 the test of gelatin liquefaction.
drops of 10 % ferric chloride solution on top of the Test method and result observation: Inoculate by
slant and let them flow down along the slant. The puncturing a small amount of suspected culture
appearance of dark green colour indicates a positive from slant into the gelatine medium and incubate at
reaction of phenylalanine deaminase. - If no colour an appropriate temperature for 24 hours. Take the
changes, it indicates a negative reaction. medium out of the incubator and put into a
9. Amino acid decarboxylase test medium refrigerator for 10-20 minutes. If the medium is
(1) Formula still in liquid form, the test is positive. · If the
(DBasal medium medium solidifies again, the · test is negative.
Peptone 5 g Sometimes, the reaction of gelatin liquefaction by
Yeast extract 3 g bacteria is very slowly. If the liquefaction of
Glucose 1 g gelatin is not seen, the final judgment of a
1. 6 % Bromocresol purple solution 1 ml negative reaction shall be made after 1-2 weeks of
A - 144 Appendix XIV

continuous incubation. colour of medium is still green, it indicates a


11. Sodium malonate medium negative reaction. The culture with negative result
(1) Formula
shall be further incubated and observed until the
Yeast extract 1 g 7th day.
Sodium chloride 2 g 13. Nitrate peptone water medium
Glucose 0. 25 g (1) Formula
Ammonium sulfate 2 g Peptone 10 g
Dipotassium hydrogen phosphate 0. 6 g Yeast extract 3 g
Potassium dihydrogen phosphate o. 4 g Potassium nitrate 2g
Sodium malonate 3 g Water 1000 ml
0. 4 % Bromothymol blue solution 6 ml (2) Method for preparation
Water 1000 ml Mix the above ingredients and dissolve in water by
(2) Method for preparation heating. Adjust the pH so that after sterilization it
Dissolve the above ingredients in water except is 7. 3+0. 1. Dispense the medium into small test
bromothymol blue solution. Adjust the pH so that tubes and sterilize at 121°C for 15 minutes.
after sterilization it is 6. 8. Add the bromothymol (3) Use
blue solution. Dispense the medium into test tubes The medium is used to differentiate bacteria by
and sterilize at 121°C for 15 minutes. judging whether the bacteria can reduce nitrate to
(3) Use nitrite.
The medium is used to differentiate the bacteria by Test method and result observation: Inoculate the
judging whether the bacteria can utilize sodium culture to be tested into nitrate peptone water
malonate as a source of carbon for growth and medium and incubate at an appropriate temperature
propagation. for 24 hours. Mix the following two solutions ( A
Test method and result observation: Inoculate the and B) at equal volumes. To each culture, add
culture from slant or broth medium into the 0. 1 ml of the mixture. H a red colour appears, it
sodium malonate medium and incubate at an indicates a positive reaction. If no red colour
appropriate temperature for 48 hours. Observe the appears, it indicates a negative reaction.
result 24 and 48 hours later respectively. The Solution A: Dissolve 5 g of c-naphthylamine in
colour change of the medium from green to blue 1000 ml of 5 mol/L acetic acid.
indicates a positive reaction. If no colour changes Solution B: Dissolve 8 g of sulfanilic acid ( p-
or the colour changes from green to yellow, it aminobenzene sulfonic acid) in 1000 ml of 5 mol/L
indicates a negative reaction. acetic acid.
12. Citratemedium 14. Litmus milk medium
(1) Formula
(1) Formula
Sodium chloride 5 g Skimmed milk 10 g
Magnesium sulfate 0. 2 g 10% Litmus solution 0. 65 ml
Dipotassium hydrogen phosphate 1 g Water 100 ml
Ammonium dihydrogen phosphate 1 g (2) Method for preparation
Anhydrous sodium citrate 2 g Dissolve the skimmed milk in water and add in
1. 0 % Bromothymol blue solution 10 ml 10 % litmus solution. Dispense the medium into
Agar 14 g small test tubes and sterilize at l16°C for 10
Water 1000 ml minutes.
(2) Method for preparation (3) Use
Mix the above ingredients except bromothymol
The medium is used to examme the bacteria for
blue solution and agar and dissolve by slightly
their solidification and fermentation effects on
warming. Adjust the pH so that after sterilization
milk.
it is 6. 9 + 0. 1. Add agar and swell by heating.
Add the indicator solution and mix well. Dispense 15. Semisolid agar medium
the medium into small test tubes and sterilize at (1) Formula
121°C for 15 minutes, allow to stand to form Peptone 10 g
slants. Beef extract 3 g
(3) Use Sodium chloride 5 g
The medium is used to differentiate bacteria by Agar 4g
judging whether the bacteria can utilize citrate as a Water 1000 ml
source of carbon for growth and propagation. (2) Method for preparation
Test method and result observation: Inoculate the Mix the above ingredients except agar and dissolve
suspected colony or culture on slant into the citrate the solids by slightly warming. Adjust the pH so
slant and incubate for 48-72 hours. The growth of that after sterilization it is 7. 2 + 0. 2. Add agar
colony on the slant and the colour change of the and swell by heating. Dispense the medium into
medium from green to blue indicate a positive small test tubes and sterilize at 121°C for 15
reaction. If no growth of colony is found and the minutes and solidify by standing vertically.
Appendix XIV A- 145

(3) Use temperature for 24 hours. If the growth of


The medium is used to observe the motility of bacteria diffuses around the puncture line, the
bacteria as well as to preserve bacterial strains. result is positive. Otherwise, it is negative and
Test for the mobility of bacteria: Inoculate by the culture shall be further incubated and observed
puncturing the suspected culture from slant into for 2-3 days.
semisolid medium and incubate at an appropriate
A - 146 Appendix YN

Appendix XV Sterilization

Sterilization is the process to inactivate or remove including changes in the load, take place.
any viable microorganisms of a product by physical The sterility assurance is related with the degree of
or chemical means. The methods described in this microbial contamination of the product before
chapter may be used for the sterilization of sterilization and the resistance of the contaminating
preparations, raw materials, excipients and microorganisms. Therefore, it is essential to
medical devices. control the level of viable microorganisms
Sterility is the absence of any viable micro- contamination of a product prior to sterilization and
organisms. Absolute sterility of a product can not the resistance of the contaminating micro-
be guaranteed nor can it be demonstrated - by orgamisms , to choose adequate precautions to
testing to any batch of sterilized product. In minimize the contamination within the prescribed
practice, a product is sterilized to decrease the limits in the manufacturing process.
survival probability of microorganisms to a It is necessary to avoid recontamination of the
specified level, and is designated as sterility product after sterilization. In all cases, the
assurance level (SAL). The survival probability container and closure are required to maintain the
of microorganisms of a product treated by terminal sterility of the product throughout its shelf-life.
sterilization is not more than 10-6• The SAL of a
Methods of sterilization
process for a given product is established by
The frequently-used methods include steam, dry
appropriate validation studies.
heat, ionization radiation, gas and filtration. One
The sterility assurance of a sterile product can not
or combinations of the above methods may be
be guaranteed by testing, but depends on the use
used, depending on the nature of the product.
of the validated sterilization process, good
Wherever - possible, the terminal sterilization
manufacturing practice ( GMP) , and good quality
should be chosen. If terminal sterilization is not
assurance system. It is essential that the following
possible, filtration or aseptic processing is used.
factors are fully considered in choosing a suitable
Wherever possible, appropriate additional
sterilization procedure, including nature of the
treatment ( for example, steam) of a non-final
product to be sterilized, effectiveness and economy
product is applied.
of the procedure, and integrity and stability of the
product after sterilization. 1. Steam sterilization
It is essential to validate the process before being In this method, the products are placed in a
applied to practice. The validated items include: chamber, and sterilized by saturated steam under
( 1) Establish the validation protocols and the pressure or overheated water flow which leads to
evaluation standard. denaturation of protein and nucleic acid to achieve
(2) Ensure that the equipment are suitable and the inactivation of microorganisms. Steam is the
running effectively. most effective and most widely used method, and
(3) Demonstrate that the key equipment and may be used for pharmaceutical preparations,
instrumentation are capable of operating within the containers, culture media, sterile coats, plastic
prescribed parameter criteria. plugs, and other materials resistant to high
( 4) Perform replicate cycles by employing actual temperature and moisture. Steam sterilization
or simulated product and demonstrate the does not guarantee the complete inactivation of
effectiveness of the process. bacterial spores, and is often used as an
( 5) Summarize the records and complete the complementary sterile technique for thermo-labile
documents above, to form a validation report. products.
In manufacture practice, the , process of The process is usually carried out by the following
sterilization should be monitored, and the key conditions:
parameters of the procedure ( such as temperature, 121°C 15 min
pressure, duration, humidity, concentration of 121°C 30 min
the gas and the dose of radiation etc. ) shall be l16°C 40 min
within the validated limits. The Validation of Other combinations of time· and temperature may
sterilization process should be repeated at a be used provided that they could give an SAL of
suitable interval. Revalidation is carried out 10-6 or less. For thermo-stable product, deep
whenever major changes in the procedure, sterilization is used, the SAL shall be less than
Appendix N A- 147

10-12• For thermolabile products, the standard radioisotopic source ( such as cobalt 60) or of a
time of sterilization ( F0) ( means the standard beam of electrons energized by a suitable electron
duration in the condition of 121. 1 °C of sterile accelerator. This method may be used for medical
temperature, one minute of D-value, and 10. 0°C devices, containers, manufacturing equipment,
of Z-value) usually is not less than eight minutes. and other raw materials and preparations resistant
If F0 is less than eight, the contamination of to radiation.
microorganisms should be monitored in the whole The SAL of the product is not more than 10-6 after
manufacturing process, all the measures should be ionising radiation sterilization. The key parameter
taken to minimize the level of contamination of of ionising radiation sterilization is mainly absorbed
microorganisms and to ensure that products being radiation dose. The radiation dose absorbed by the
sterilized meet the requirements of sterility material being irradiated shall be identified
assurance. according to the suitability of the products and the
For steam sterilization, the products to be maximum amount of the contaminated .micro-
sterilized should be loaded in the sterilizing organisms and the maximum resistance to
chamber perfectly, no tightness, to ensure that radiation. It should be validated before the
they are all effectively and equally sterilized. performance that the safety, efficiency and
Knowledge of the coolest part of the chamber is stability of a product shall not be changed by the
obtained before this method is applied. Put the radiation dose. A reference absorbed dose is 25
biological indicator at the coolest part to ensure kGy. Use the lowest possible radiation dose for
SAL ·of the products has been achieved. Spores of the final product, raw materials and medical
Bacillus stearothermophilus are usually used as the devices. Before irradiation, test the number of
indicator for this method. contaminated microorganisms and the resistance to
2. Dry heat sterilization the irradiation of the product to evaluate the SAL
Dry heat sterilization is carried out in an oven or of the procedure.
tunnel equipment for sterilization with forced air During the procedure, the radiation absorbed by
circulation, where microorganisms and pyrogens the product should be monitored regularly by
are inactivated by high temperature. This method means of suitable chemical or physical methods to
is suitable for products where steam sterilization is ensure that the dose is appropriate. If dosimeters
inappropriate, such as glass utensils, metal radiated along with sterilized products are adopted,
containers, fibre products, solid drugs, and place·them at specifid positions. Calibrate against
liquid paraffin wax. a standard source at suitable intervals.
The process is usually carried out by heating the Spores of Bacillus pumilus are usually used as the
product at 160-170°C for 120 minutes or longer, indicator for this method.
l 70-180°C for 60 minutes or longer, or 250°C for 4. Gas sterilization
45 minutes or longer. Other combinations of time In this method, microorganisms are inactivated in
and temperature may be used provided that they a high-pressure chamber filled with gas of
could give an SAL of 10-6 or less. For thermo- disinfectors , for· example, ethylene oxide,
stable product, sterilize it until the SAL is~l0-12 hydrogen peroxide, formaldehyde and ozone
wherever possible. In the latter case, sterility test ( 03 ) • This method is suitable for the products
for these products prior to sterilization is not which are stable in these gases. Inflammability,
necessary. Dry heat at 250°C for 45 minutes can teratogenesis and residue toxicity of the gases
also remove the pyrogens of containers and other should be considered in the process of sterilization.
equipment. The most generally used gas in this method which
Put the products in suitable containers to ensure is carried out in a high pressure chamber filled with
that they are all effectively and equally sterilized. sterilized gas is ethylene oxide, usually mixed with
Knowledge of the coolest part of the chamber is 80 %-90 % inert gases. This method is applicable
obtained before this method is applied. Spores of to medical devices and plastic products that are not
Bacillus subtilis are usually used as the indicator durable by using high temperature methods. This
for this method. Put the biological indicator at the method is not applicable to products which contain
coolest part to ensure SAL of the products has chlorine or can absorb ethylene oxide.
been achieved. Endotoxin inactivation test can Temperature, humidity and gas concentration in
verify the effectiveness of depyrogenation. the chamber, as well as the duration could affect
Generally not less than 1000 EU of endotoxin the effectiveness of sterilization by using ethylene
which is derived from Escherichia coli may be oxide. The following conditions are recom-
added into the items prior to depyrogenation , in mended:
this case the reduction of the endotoxin is at least Temperature: 54°C+l0°C.
3-log. Pressure: 8 X 105 Pa
3. Ionising radiation sterilization Relative humidity: (60+10) %
Sterilization by this method is achieved by Duration: 90 minutes
exposure of the product to ionizing radiation in the The process of sterilization is validated before
form of gamma radiation from a suitable application. During the procedure, the chamber is
A - 148 Appendix W

vacuumized first, then filled with vapor to the facility, package container, stopper and other
specified humidity and temperature. Fill in the materials should be sterilized by appropriate
filtered and preheated ethylene oxide. During the methods, and recontamination shall be avoided.
process, seriously monitor the temperature,
Pseudomonas diminuta are usually used as the
humidity, pressure, concentration of ethylene
indicator for this method.
oxide and time. Use biological indicators to
monitor the effectiveness of sterilization, if 6. Aseptic preparation
necessary. The process should be supervised by Aseptic preparation denotes the manufacturing of
skilled technicians. After the material to be sterile preparations under sterile condition. It may
sterilized is exposed either to ethylene oxide or to a include aseptic filling of products into containers
mixture of ethylene oxide with a suitable inert gas, and aseptic lyophilization. Filtration is usually
adequate time should be left to allow dispersal of used in the latter process.
residual ethylene oxide and other volatile residues. It is necessary to monitor the environmental of
It should be monitored that the residues are within aseptic preparation, and the filtration should be
the prescribed limits. Eliminate the remaining gas carried out under sterile conditions. The
in the product to a degree free of toxicity to equipment, containers, plugs and other materials
human. should be sterilized by· suitable methods and
Leaking test should be carried out to ensure recontamination shall be avoided.
obturation of the chamber. Package materials and Sterility assurance of this process is carried out by
alignment of the products can affect the gas simulating test for sterility by aseptic filling
penetration and diffusion. Spores of Bacillus culture media. Sterility of the circumstance,
subtilis are usually used as the indicator for this personnel and materials shall be monitored in the
method. whole process.
The aseptic preparation shall be validated at
S. Filtration
intervals, including periodic environmental filter
In this method, microorganisms in the gas or
examination and simulating test for sterility by
liquid products are removed by filtering through a
aseptic filling culture media.
certain type of filter material. It is usually used
for thermolabile solutions of drugs and raw Biological indicators
materials. sterilization filter units use microporous Biological indicators are preparations of viable
filter membranes (hydrophilic or lipophilic) as the microorganisms used to assess the performance of
filter material. The pore size is usually less than sterilization equipment, to validate and monitor
0. 22 µm. Avoid loss of solute by absorption on to the effectiveness of sterilization process. They
the filter and to avoid the release of contaminants usually consist of bacterial spores.
from the filter. Avoid use of membranes 1. The Requirements for microorganisms used as
containing asbestos. The filter unit and biological indicators
membranes are sterilized before use. The . filter Different biological indicators are used for different
units is cleaned first and then new membranes are sterilization methods. The microorganisms used as
used for a new batch of products. biological indicators comply with the following
The sterility assurance level in this method rs requirements:
related with bioburden of a product prior to ( 1 ) The test strain is more resistant than any
sterilization and the log reduction value (LRV) of possible contaminating microorganisms m the
the filter unit. Calculate LRV with the following product to be examined.
expression: (2) The test strain is non-pathogenic.
LRV=lgNo-lgN ( 3) The test strain is resistant to mutation and
easy to store.
Where No represents the number of micro-
( 4) The test strain is easy to culture. If resting
organisms before filtration, and N is the number
spores are used, they shall be more than 90 % of
after filtration.
the indicator.
LRV is used to express the efficiency of filtration.
The LRV per cm2 of active filter surface is not less 2. Preparation of biological indicators
than 7 for 0. 22 µm-pore-size membranes. Two The biological indicators are prepared using a
filters may be linked to increase the efficiency. specified procedure. Characteristics of the micro-
Key factors, such as pore size, membrane orgamsms are determined before use, for
integrity and LRV can not be monitored in the example, ~value, which is the duration
filtration process. Therefore, the integrity and (expressed in minutes) with which the number of
effectiveness of the membranes should be validated viable organisms are reduce to 10 % of the original
before use. Validate the filter unit for at least once number at a definite temperature. Use suitable
in a working day. culture media for the incubation. Suspend the
The products sterilized by this method should be cultures, which mainly consist of spores. Store
operated in a cleaned area with rigorous monitoring the spores as suspensions in innutrient liquids.
and a sterile area is recommended. Relative Biological indicators consist of a definite number of
Appendix }N A - 149

one or more types of spores. They are usually 8157, ATCC 7953) are recommended as the
placed on an inert carrier, for example a strip of indicator for steam sterilization. The D-value is
filter paper, a glass slide, stainless or plastic 1. 5-3. 0 minutes, the number of viable spores in
materials. Spore suspensions may be presented in each tablet (or ampul) is 5 X 105-5 X 106, and all
sealed ampoules. Biological indicators are packed the microorganisms are inactivated at 121 °C for 19
with suitable materials, and an expiry date is set. minutes. Spores of Clostridium sporogenes ( for
The carriers and package materials protect the example, NCTC 8594, NCIMB 8053, ATCC
biological indicators from any deterioration or 7955) may also be used, with D-value of 0. 4-0. 8
contamination, while allowing the sterilizing agent minutes.
to enter into and contact with the micro- ( 2) Dry-heat sterilization Spores of Bacillus
organisms. The packages are designed to facilitate subtilis ( for example, NCIMB 8058, ATCC
storage, transportation, sampling and subculture. 9372) are recommended as the indicator for dry-
Some biological indicators may be inoculated heat sterilization. The D-value is more than 1. 5
directly into a liquid product to be sterilized or into minutes, the number of viable spores in each
a liquid product similar to that to be sterilized. In tablet is 5 X 105-5 X 106• Use Escherichia coli
the latter case, the equivalence of the liquid endotoxin for validation of depyrogenation, the
products are demonstrated. amount added is not less than 1000 EU.
3. Application of biological indicators ( 3 ) Ionising radiation sterilization Spores of
In validation of sterilization process, though some Bacillus pumilus ( for example, NCTC 10327,
parameter can be used, the effectiveness of a NCIMB 10692, ATCC 27142) are recommended
sterilization process is most easily assessed by the as the indicator for ionising radiation sterilization.
degree to which biological indicators are The number of viable spores in each tablet is 107 -
inactivated. Commercial biological indicators, or 108• The D-value is around 3 kGy when a 25 kGy
spores prepared from resistant microorganisms radiation dose is applied. Contaminated micro-
isolated from contaminants are used as biological organisms in the product may be more resistant to
indicators. The resistance, purity and number of radiation than B pumlus. Therefore, the . latter
spores are validated for the, biological indicators. can only be used to monitor the process, and
The quantity and resistance of spore of the cannot be used to establish the radiation dose.
biological indicators used shall be more or greater
than the contamination of the product to ensure the ( 4) Gas sterilization Spores of Bacillus subtilis
effectiveness of the process. Put the biological ( for example, NCTC 10073, ATCC 9372) are
indicators at different position of the chamber for recommended as the indicator for gas sterilization
the terminal sterilization. Avoid direct contact of with ethylene oxide. The number of viable spores
the indicator with the product to be sterilized. in each tablet is 1 X 106-5 X 106• The D-value is
Incubate the indicators after specified sterilization more than 2. 5 minutes, and the concentration of
on suitable culture media to guarantee inactivation ethylene oxide is 600 mg/L. The relative humidity
of all the spores. is 60%. The microorganisms are inactivated at
Commercial biological indicators may be used for 54 °C for 60 minutes. Spores of Bacillus
validation test of deep · sterilization. For stearothermophilus ( for example, NCTC 10007,
susceptible products, select suitable strains and NCIMB 8157, ATCC 7953) are recommended as
spores as the biological indicator and design the the indicator for gas sterilization with hydrogen
process depending on the degree that the products peroxide.
are contaminated. Sterility assurance of these ( 5 ) Filtration Pseudomonas diminuta ( for
products are assessed by monitoring the number example ATCC 19146 ) is recommended as the
and resistance of contaminating microorganisms indicator when 0. 22 µm-pore-size membranes are
and the validation test. used for filtration. Serratin marcescens ( for
4. Common biological indicators example, ATCC 14756) is recommended when
0. 45 µm-pore-size membranes are used.
( 1) Steam sterilization Spores of Bacillus stearothermo-
philus C for example, NCTC 10007, NCIMB
A - 150 Appendix XVI

Appendix XVI Names, Symbols and Atomic


Weights of Elements

C=12. 00
Element Symbol Atomic weight Element Symbol Atomic weight
Aluminium Al 26.981538(2) Magnesium Mg 24.3050(6)
Antimony(Stibium) Sb 121. 760(1) Manganese Mn 54.938049(9)
Argon Ar 39. 948(1) Mercury( Hydrargyrum) Hg 200.59(2)
Arsenic As 74.92160(2) Molybdenum Mo 95. 94(2)
Barium Ba 137. 327(7) Nickel Ni 58.6934(2)
Bismuth Bi 208.98038(2) Nitrogen N 14.0067(2)
Boron B 10. 811(7) Oxygen 0 15.9994(3)
Bromine Br 79. 904(1) Palladium Pd 106. 42(1)
Cadmium Cd 112. 411(8) Phosphorus p 30. 973761(2)
Calcium Ca 40.078(4) Platinum Pt 195.078(2)
Carbon c 12.0107(8) Potassium(Kalium) K 39. 0983(1)
Cerium Ce 140. 116(1) Selenium Se 78.96(3)
Chlorine Cl 35.453(2) Silicon Si 28.0855(3)
Chromium Cr 51. 9961(6) Silver(Argentum) Ag 107.8682(2)
Cobalt Co 58.933200(9) Sodium( Natrium) Na 22.989770(2)
Copper( Cuprum) Cu 63.546(3) Strontium Sr 87. 62(1)
Fluorine F 18.9984032(5) Sulfur s 32.065(5)
Gallium Ga 69. 723(1) Technetium Tc [99]
Germanium Ge 72. 64(1) Tellurium Te 127.60(3)
Gold(Aurum) Au 196.96655(2) Thorium Th 232. 0381(1)
Helium He 4.002602(2) Tin(Stannum) Sn 118. 710(7)
Holmium Ho 164.93032(2) Titanium Ti 47. 867(1)
Hydrogen H 1. 00794(7) Tungsten ( Wolfram) w 183. 84(1)
Indium In 114. 818(3) Uranium u 238.02891(3)
Iodine I 126.90447(3) Vanadium v 50. 94150)
Iron( F errum) Fe 55.845(2) Xenon Xe 131. 293(6)
Lanthanum La 138.9055(2) Ytterbium Yb 173.04(3)
Lead( Plumb um) Pb 207. 2(1) Zinc Zn 65.409(4)
Lithium Li 6.941(2) Zirconium Zr 91. 224(2)
Notes 1. The last digit of an atomic mass is shown in parentheses.
2. The figure in square brackets is the atomic mass of an isotope which exists with the longest half-life.
INDEX
Index I- 3

Determination of Nitrogen A-44


A Determination of 0-Acetyl Content A-48
Determination of Osmolality A-42
Agarose Electrophoresis A-30 Determination of Particle Size A-41
Agkistrodon acutus Antivenin, Equine 166 Determination of Phenol Content A-53
Agkistrodon halys Antivenin, Equine 164 Determination of Phosphorus Content A-57
Anthrax Antiserum 172 Determination of pH Value A-35
Anthrax Vaccine (Live) for Percutaneous Scarification 51 Determination of Polymer Content in Human Albumin
Anti-human T Lymphocyte Porcine lmmunoglobulin 204 A-55
Anti-human T Lymphocyte Rabbit Immunoglobulin 207 Determination of Potassium Content A-62
Atomic Absorption Spectrophotometry A-17 Determination of Prekallikrein Activator Content A-76
Determination of Protein Content A-45
B Determination of Residual Aluminium Content in Human
Albumin A-63
BCG Vaccine for lntradermal lnj ection 5 7 Determination of Residual Antibiotics A-71
Biological Activity Test for Recombinant Bovine Basic Determination of Residual Ethanol Content A-4 7
Fibroblast Growth Factor A-91 Determination of Residual Extraneous DNA A-71
Biological Activity Test for Recombinant Epidermal Growth Determination of Residual Glutaraldehyde Content A-50
Factor A-92 Determination of Residual Host Bacterial Protein (E. coli)
Biological Activity Test for Recombinant Human A-73
Granulocyte Colony-stimulating Factor A-89 Determination of Residual Host Bacterial Protein
Biological Activity Test for Recombinant Human (Pseudomonas) A-74
Granulocyte/Macrophage Colony-stimulating Factor Determination of Residual Host Yeast Protein A-75
A-90 Determination of Residual Murine IgG A-81
Biological Activity Test for Recombinant Human Determination of Residual Polyethylene Glycol Content
lnterleukin-2 A-49
A-89 Determination of Residual Polysorbate 80 Content A-50
Biological Activity Test for Recombinant Streptokinase Determination of Saccharides and Sugar Alcohol Content in
A-93 Human Blood Products A-54
Biological Activity Test for Interferon A-88 Determination of Sialic Acid Content A-46
Botulinum Antitoxins 160 Determination of Sodium Bisulfite Content A-59
Botulinum Antitoxins, Freeze-dried 162 Determination of Sodium Caprylate Content A-51
Botulinum Toxin Type A for Injection 211 Determination of Sodium Chloride Content A-61
Brucellosis Vaccine (Live) for Percutaneous Determination of Sodium Content A-62
Scarification 54 Determination of Thimerosal Content A-5 7
Bungarus multicinctus Antivenin, Equine 168 Determination of Total Solid A-64
Determination of Tributylphosphate Content A-51
c Determination of Trichloromethane Content A-54
Diphtheria and Pertussis Combined Vaccine, Adsorbed 60
Capsules A-10 Diphtheria and Tetanus Combined Vaccine, Adsorbed 80
Cellulose Acetate Film Electrophoresis A-30 Diphtheria and Tetanus Combined Vaccine for Adults and
Chromatography A-21 Adolescents, Adsorbed 82
Culture Media for Biochemical Reactions of Bacteria and Diphtheria Antitoxin 150
Test Method A-141 Diphtheria Antitoxin, Freeze-dried 151
Diphtheria, Tetanus and Acellular Pertussis Combined
D Vaccine, Adsorbed 6 7
Diphtheria, Tetanus and Pertussis Combined Vaccine,
Determination of Aluminium Hydroxide ( or Aluminium Adsorbed 62
Phosphate) Content A-60 Diphtheria Vaccine, Adsorbed 75
Determination of Ammonium Sulfate Content A-58 Diphtheria Vaccine for Adults and Adolescents, Adsorbed
Determination of Citrate Content A-61 78
Determination of Disintegration A-37 Disintegration Test for Suppositories and Vaginal
Determination of F (ab)2 Content in Antitoxin A-68 Tablets A-39
Determination of Flocculation Unit of Toxoid A-103 Double Immunodiffusion A-66
Determination of Free Formaldehyde Content A-52 Dysentery Vaccine (Live) of S. flexneri and S. sonnei,
Determination of Free Histamine Phosphate in Human Oral 39
Histamine lmmunoglobulin A-48
Determination of Heparin Content A-84 E
Determination of Human Erythrocyte Antibody A-84
Determination of Human Platelet Antibody A-85 Electrophoresis A-30
Determination of IgG Content A-110 Eye Preparations A-8
Determination of IgG Monomer and Dimer in Human
Immunoglobulins A-55 F
Determination of Loss on Drying A-63
Determination of Metacresol Content A-53 Flame Photometry A-20
Determination of Moisture Content A-58 , Fluorimetry A-19
Determination of Molecular Size for Group A Meningococcal
Polysaccharide A-68 G
Determination of Molecular Size for Typhoid Vi
Polysaccharide A-69 Gas Chromatography A-26
1-4 Index

Gas-gangrene Antitoxin (Mixed) 157 of T Lymphocyte for Injection 209


Gas-gangrene Antitoxin (Mixed), Freeze-dried 159 Mumps Vaccine, Live 119
Gels A-15
General Requirements for Preparations A-6 N
Granules A-12
Group A Meningococcal Polysaccharide Vaccine 42 Naja naja (atra) Antivenin, Equine 170
Names, Symbols and Atomic Weights of Elements A-150
H Nasal Preparations A-14

Haemorrhagic Fever with Renal Syndrome Bivalent Vaccine, 0


Inactivated 97
Haemorrhagic Fever with Renal Syndrome (Type I ) Ointments, Emulsions A-10
Vaccine, Inactivated 91
Haemorrhagic Fever with Renal Syndrome (Type II) p
Vaccine, Inactivated 94
Hepatitis A (Live) Vaccine, Freeze-dried 136 Paper Chromatography A-21
Hepatitis A Vaccine, Live 133 Peptide Mapping A-67
Hepatitis B Vaccine Made by Recombinant DNA Techniques Plague Vaccine (Live) for Percutaneous Scarification 48
in CHO Cell 130 Poliomyelitis (Live) Vaccine (Monkey Kidney Cell),
Hepatitis B Vaccine Made by Recombinant DNA Techniques Oral 142
in Yeast 127 · Poliomyelitis Vaccine in Dragee Candy (Human Diploid
High Performance Liquid Chromatography A-22 Cell), Live 138
Human Albumin 175 Poliomyelitis Vaccine in Dragee Candy (Monkey Kidney
Human Albumin, Freeze-dried 178 Cell), Live 146
Human Coagulation Factor VID 199 Potency Test for Adsorbed Diphtheria Vaccine A-102
Human Fibrinogen 201 Potency Test for Adsorbed Tetanus Vaccine A-101
Human Hepatitis B Immunoglobulin 183 Potency Test for Anti-human T Lymphocyte
Human Hepatitis B Immunoglobulin, Freeze-dried 185 Immunoglobulin A-98
Human Immunoglobulin 180 Potency Test for Anti-human T Lymphocyte
Human Immunoglobulin for Intravenous Injection 197 lmmunoglobulin A-99
Human Immunoglobulin, Freeze-dried 181 Potency Test for Botulinum Antitoxin A-106
Human lmmunoglobulin (pH 4) for Intravenous Potency Test for Diphtheria Antibody in Human
lnj ection 193 Immunoglobulin A-96
Human lmmunoglobulin (pH 4) for Intravenous Injection, Potency Test for Diphtheria Antitoxin A-104
Freeze-dried 195 Potency Test for Gas-gangrene Antitoxin. A-105
Human Prothrombin Complex 203 Potency Test for Human Coagulation Factor II A-93
Human Rabies Immunoglobulin 186 Potency Test for Human Coagulation Factor W A-94
Human Rabies Immunoglobulin, Freeze-dried 188 Potency Test for Human Coagulation Factor IX A-94
Human Tetanus Immunoglobulin 190 Potency Test for Human Coagulation Factor X A-95
Human Tetanus Immunoglobulin, Freeze-dried 192 Potency Test for Human Coagulation Factor VID A-96
Potency Test for Rabies Antiserum A-108
I Potency Test for Rabies Vaccine for Human Use A-101
Potency Test for Snake Antivenins A-107
Immunoblot A-65 Potency Test for Tetanus Antitoxin A-105
Immunodot A-65 Powders A-13
lmmunoelectrophoresis A-67 Purified Protein Derivative of BCG (BCG-PPD) 267
Influenza Vaccine (Whole Virion), Inactivated 124 Purified Protein Derivative of Brucellin (BR-PPD) 270
Injections A-6 Purified Protein Derivative of Tuberculin (TB-PPD) 265
In vitro Test for Relative Potency of Recombinant Hepatitis Pyrogen Test A-119
B Vaccine (Yeast) A-87
In vivo Test for Biological Activity of Recombinant Human R
Erythropoietin A-87
Isoelectric Focusing Electrophoresis A-32 Rabies Antiserum 173
"Rabies Vaccine (Hamster Kidney Cell) for Human
J Use 107
Rabies Vaccine (Vero Cell) for Human Use 100
Japanese Encephalitis Vaccine, Inactivated 84 Rabies Vaccine (Vero Cell) for Human Use, Freeze-
Japanese Encephalitis Vaccine, Live 88 dried 103
Recombinant Bovine Basic Fibroblast Growth Factor Eye
L Drops 258
Recombinant Bovine Basic Fibroblast Growth Factor for
Leptospira Vaccine 45 External Use 256
Liquids for External Application A-9 Recombinant Bovine Basic Fibroblast Growth Factor for
External Use, Liquid 254
M Recombinant Human Epidermal Growth Factor Derivative
for External Use, Liquid 262
Measles and Mumps Combined Vaccine, Live 122 Recombinant Human Epidermal Growth Factor for External
Measles Vaccine, Live 110 Use 260
Microbial Limit Tests A-125 Recombinant Human Erythropoietin for Injection (CHO
Mouse Monoclonal Antibody Against Human CD3 Antigen Cell) 242

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