ICH Q12: A Transformational Product Life-Cycle Management Guideline
On 20 November 2019, the ICH Assembly endorsed the Q12 guideline, “Technical and Regulatory Considerations for Pharmaceutical Product Lifecycle Management,” at its biannual meeting in Singapore. This transformational guideline has a wide scope of applicability across pharmaceutical drug substances and products (both chemical and biological), drug-device combination products that meet the definition of a pharmaceutical or biological product, as well as both new molecular entities and authorized products.1
- 1. International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use. “ICH Harmonised Guideline: Technical and Regulatory Considerations for Pharmaceutical Product Lifecycle Management. Q12. Final Version.” 20 November 2019. https://database.ich.org/sites/default/files/Q12_Guideline_Step4_2019_1119.pdf
This article focuses on the final version of ICH Q12, including revisions made after the Step 2 draft was published in 2017. Appendix comparing the Step 2 draft and the final guideline is available as a download.
ICH Q12, which was over five years in the making, builds on the framework established in ICH Q8, Q9, Q10, and Q112, 3, 4,5 and aims to address key remaining technical and regulatory hurdles that prevented the full adoption and realization of flexible science- and risk-based approaches to post-approval chemistry, manufacturing, and controls (CMC) change management during commercial manufacturing.
ICH Q12 defines various tools and approaches to facilitate CMC change management, including in the following sections of the guideline:
- Established Conditions (ECs)
- Risk-Based Reporting Categories
- Product Lifecycle Management (PLCM) Document
- Post-approval Change Management Protocol (PACMP)
Currently, global regulatory approval of even simple postapproval CMC changes could take more than five years. More complex changes, such as manufacturing improvements and enhancements that could increase product quality assurance, may take longer or might be abandoned if the regulatory burden outweighs perceived benefits. The implementation of ICH Q12 is intended to provide a framework to facilitate the management of postapproval CMC changes in a predictable and expeditious manner, demonstrate how enhanced product knowledge and process understanding improve regulatory flexibility for postapproval changes, and reinforce the importance of an effective change management system through the product life cycle.
Figure 1 illustrates the magnitude of the regulatory burden required to implement an innovative CMC change globally prior to ICH Q12. In the example, an industry central testing lab tests a wide range of different products containing 20 different active pharmaceutical ingredients; this lab would benefit from being able to run its tests using a single efficient “always on” method. The products are sold in 176 different countries, and global implementation of this analytical improvement would require 6,364 licenses6 and take 10 or more years. Use of ICH Q12 tools such as Established Conditions and Post-approval Change Management Protocols could drastically reduce the postapproval burden by, for example, reducing the volume of submissions to a single simplified submission to each country for all products; thus, the ICH Q12 tools can facilitate changes globally while maintaining product quality and patient safety.
The original ICH Q12 concept paper was endorsed in September 2014, and the Step 2 draft was issued for public comments in November 2017. During the development process, the ICH Q12 Expert Working Group acknowledged that ICH Q12 was a transformational guideline and it may be challenging for some regions to fully implement all ICH Q12 provisions in a timely manner. The draft version received over 600 consolidated comments and recommendations from regulatory authorities, pharmaceutical industry stakeholders, and various trade groups. All comments and recommendations were considered, and some of this critical feedback resulted in substantial revisions in the final version.
- 2. International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use. “ICH Harmonised Tripartite Guideline: Pharmaceutical Development. Q8(R2): Current Step 4 Version Dated August 2009.” https://database.ich.org/sites/default/files/Q8_R2_Guideline.pdf
- 3. International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use. “ICH Harmonised Tripartite Guideline: Quality Risk Management. Q9. Current Step 4 Version Dated 9 November 2005.” https://database.ich.org/sites/default/files/Q9_Guideline.pdf
- 4. International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use. ICH Harmonised Tripartite Guideline: Pharmaceutical Quality System. Q10. Current Step 4 Version Dated 4 June 2008.” https://database.ich.org/sites/default/files/Q10_Guideline.pdf
- 5. International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use. ”ICH Harmonised Tripartite Guideline: Development and Manufacture of Drug Substances (Chemical Entities and Biotechnological/Biological Entities). Q11. Current Step 4 Version Dated 1 May 2012.” https://database.ich.org/sites/default/files/Q11_Guideline.pdf
- 6. Nasr, M. M. “Update on ICH Q12: An Industry Perspective.” Presentation, CASSS WCBP, Washington DC, 26 January 2017. https://cdn.ymaws.com/www.casss.org/resource/resmgr/wcbp_speaker_slides/2017_WCBP_NasrMoheb.pdf
Legal Disclaimer Language
One critical issue was the “opt-out” provision included in the Step 2 draft that stipulated incompatibility of certain ICH Q12 conceptual elements with currently established legal frameworks in several ICH regions. The concepts of Established Conditions and Post-approval Change Management Protocol introduce mechanisms specifically intended to improve regulatory compliance without the need for notification. The proposed “opt-out” provision would therefore have limited the potential global applicability of the guideline, and it would have undermined the fundamental purpose of ICH. Among the various drivers behind this provision, economic reasons relating to the anticipated reduction in the number of postapproval variations and associated user fees were particularly prominent in some regions.7 Fortunately, these objections were subsequently reconciled. In the final version, the controversial “opt-out” provision was replaced with a recommendation for regulatory members in ICH to clearly communicate the implementation plans in their respective regions to appropriately accommodate the provisions of these concepts in ICH Q12.
Another hot topic that elicited many comments was the distinction between the “implicit” and “explicit” Established Conditions as defined in the Step 2 draft. Although the concept of Established Conditions itself was clearly defined as “legally binding information considered necessary to assure product quality,” many respondents felt that the further division of Established Conditions into “implicit” and “explicit” categories was redundant and counterproductive because it would likely lead to different interpretations and confusion.8 Thus, the terms “implicit” and “explicit” were eliminated in the final version, with the added clarification that some Established Conditions with reporting categories may already be defined in the regional legal frameworks, and a market authorization holder (MAH) may use one or more approaches detailed in the guideline to propose their own Established Conditions and reporting categories.
With respect to identification of Established Conditions in the manufacturing process, the Step 2 draft contained a recommendation that Established Conditions include “inputs (e.g., process parameters, material attributes) and outputs (that may include in-process controls) necessary to assure product quality.” For manufacturing process parameters, the draft introduced a new key process parameters (KPPs) category, in addition to the familiar critical process parameters (CPPs) category as defined in ICH Q8. key process parameters were defined as “parameters of the manufacturing process that may not be directly linked to critical product quality attributes but need to be tightly controlled to assure process consistency as it relates to product quality.” A decision tree was provided in the Step 2 draft to further clarify how to identify Established Conditions based on the three criticality-based categories (critical process parameter, key process parameter, or nonreportable process parameter) and then further assign the appropriate reporting categories based on the level of potential risk to quality (e.g., using the tools and concepts found in ICH Q9).
- 7. Cox, B. “EMA Fee Revisions Expected to Resolve EC’s Objections to ICH Q12 Guideline.” Informa Pharma Intelligence Pink Sheet. 2 Oct 2019. https://pink.pharmaintelligence.informa.com/PS140943/EMA-Fee-Revisions-Expected-To-Resolve-ECs-Objections-To-ICH-Q12-Guideline
- 8. European Medicines Agency. “Overview of Comments Received on ICH Guideline Q12 on Technical and Regulatory Considerations for Pharmaceutical Product Lifecycle Management (EMA/CHMP/ICH/804273/2017).” 17 January 2019. https://www.ema.europa.eu/en/documents/comments/overview-comments-received-ich-guideline-q12-technical-regulatory-considerations-pharmaceutical_en.pdf
During the Step 2 draft review and consultations, it became evident that the three-tiered approach to classify the criticality of process parameters has been adopted throughout the industry. However, the proposed definition for key process parameter introduced the concept of “process consistency,” which is not defined in any ICH guidelines. In addition, fundamental provisions of the ICH Q12 guideline indicate that the management of changes impacting process consistency that do not directly impact quality should be managed under the market authorization holder’s Pharmaceutical Quality System (PQS). Consequently, the final version of ICH Q12 retained the overall three-tiered approach to process parameter classification (Figure 2), but the reference to key process parameter was replaced with “other process parameters where an impact on product quality cannot be reasonably excluded.” As a result, ICH Q12 defined more clearly the scope for the assessment of Established Conditions relative to their impact on product quality. Furthermore, regardless of the approach used, manufacturing process descriptions in Module 3 are expected to remain suitably detailed and to include both Established Conditions and supportive information. These changes in the final version mirror the key provisions from the 2017 EMA guideline on manufacture of the finished dosage form.9
In the final version of ICH Q12, the discussion of the different approaches available to identify Established Conditions in the manufacturing process was reworked and enhanced to improve clarity. Minimal and enhanced approaches were grouped together as parameter-based approaches because they are primarily focused on the Established Conditions related to process inputs. The performance-based approach was set apart to highlight its primary focus on the Established Conditions related to process outputs. The performance-based approach description was clarified with some additional illustrative examples of the approach’s scope of applicability, such as “in-line monitoring of relevant attributes or with feedback controls or optimisation algorithms to achieve the relevant targets for that process step.”
Product Life-Cycle Management
The Product Lifecycle Management document was one of the key tools introduced in the Step 2 draft guideline. It is intended to serve as central repository for Established Conditions and reporting categories and also includes a summary of the product control strategy, Post-approval Change Management Protocols, and postapproval CMC commitments, as applicable. The Product Lifecycle Management was envisioned to contain a summary of key elements of the product control strategy that justify and explain the selection of Established Conditions. However, in the final version, the summary of the product control strategy was removed to simplify the Product Lifecycle Management document and make it applicable across all ICH regions. In the Step 2 draft, the location for the Product Lifecycle Management document was conspicuously absent, in deference to existing regional/local regulatory requirements. Following critical feedback received during the draft review, the final version of ICH Q12 clarified that the Product Lifecycle Management document should be placed in 3.2.R or for some regions in Module 1 (e.g., Japan). Finally, the final version of the guideline emphasized that submission of the Product Lifecycle Management document is “critical” when a market authorization holder wishes to use any of the ICH Q12 risk-based approaches to define and propose their own Established Conditions with associated reporting categories.
The chapter on postapproval changes to authorized products was expanded in the final version of ICH Q12 to describe key considerations for structured approaches for some of the more frequent CMC changes, such as analytical method improvements, manufacturing process scale changes and improvements, and alternative packaging components. The detailed example of an approach for analytical procedure changes was moved to Annex II to allow flexibility in updating the example as appropriate. The ICH Q12 Expert Working Group noted, “The flexibility provided in Annex II may not be available in all regions and in all situations; some specific changes may require prior approval as defined in regional guidance.” Specific guidance on the type and amount of stability data expected to support postapproval changes was given its own chapter.
Post-approval Change Management Protocol is a regulatory tool providing prospective transparency and expectations for regulatory reporting categories for specific postapproval changes. Post-approval Change Management Protocol has been an integral ICH Q12 concept throughout the guideline’s development and must be approved by regulatory authorities. With the implementation of ICH Q12, Post-approval Change Management Protocol can help ensure robust change management globally by providing a consistent approach to regulatory reporting categories across ICH regions.
ICH Q12 Annex
Between Step 2 and Step 4, the ICH Q12 Annex documents were also revised and updated.10 The examples provided in Annexes IA and IB on how to identify Established Conditions in the manufacturing processes of chemical and biological products were reduced to focus on fewer individual process steps. However, the justifications substantiating these examples were significantly expanded to provide increased understanding and practical implementation of these concepts across all three risk-based approaches provided in the guideline. Annex IC was added to specifically illustrate how Established Conditions can be identified for analytical procedures, using as an example capillary electrophoresis for a biological drug substance under minimal development approach. The examples of Post-approval Change Management Protocols for chemical and biological products were moved into Annexes ID and IE, respectively, but otherwise remained largely unchanged. An example of a Product Lifecycle Management document, with a few important clarifications based on public comments, was moved into Annex IF. The revised example is not an exhaustive list of all Established Conditions that may be included in an application; it serves only as an illustrative example for manufacturing process-related Established Conditions for a small molecule drug. A comprehensive list of all Common Technical Document (CTD) sections containing Established Conditions is provided in Appendix 1 of the main guideline.
As mentioned previously, Annex II of the final guideline contains the detailed example of a structured approach to analytical procedure changes.
The adoption and implementation of ICH Q12 principles is expected to transform the global regulatory environment by leveraging the risk- and science-based concepts of Quality by Design articulated in ICH Q8, Q9, Q10, and Q11. ICH Q12 should drive regulatory convergence for postapproval changes and enable continual process improvement and the adoption of innovative technologies that increase quality assurance and reduce the volume, time, and resources needed to prosecute regulatory applications. The use of Established Conditions provides clarity and improves transparency between regulatory authorities and industry. Post-approval Change Management Protocol should improve clarity for verification, documentation, reporting, classification, and implementation of CMC postapproval changes. ICH Q12 encourages the industry to embrace the new paradigm to prospectively consider and assess process and product improvements and innovations by using the new tools and approaches to expedite regulatory assessments and inspections.
The implementation of ICH Q12 may warrant increased interactions between industry and regulatory agencies in the short term. However, the long-term expectation is that use of ICH Q12 will decrease the need for postapproval filings and agency interactions. The initial interactions may take many forms, ranging from product-specific meetings to open forums. ICH intends to develop additional training materials, which should be beneficial to both the industry and regulators.
Appendix: Detailed Table of ICH Q12
- 9. European Medicines Agency. “Guideline on Manufacture of the Finished Dosage Form.” 4 July 2017. https://www.ema.europa.eu/en/documents/scientific-guideline/guideline-manufacture-finished-dosage-form-revision-1_en.pdf
- 10. International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use. “ICH Harmonised Guideline: Technical and Regulatory Considerations for Pharmaceutical Product Lifecycle Management: Q12 Annexes. Final Version.” 20 November 2019. https://database.ich.org/sites/default/files/Q12_Annexes_Step4_2019_1119.pdf
Special thank you to the members of the ISPE Product Quality Lifecycle Implementation® (PQLI®) ICH Q12 Work Group, including Chi-wan Chen, PhD, Pfizer, and Ramani Raghavan, PhD, BioMarin Pharmaceutical.