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impurities in new drug products

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Impurities <strong>in</strong> New Drug ProductsAttachment 3: Decision Tree for Identification and Qualification of aDegradation ProductIs degradationproduct greater thanidentificationthreshold c ?YesNoNo actionStructureidentified?YesAnyknown humanrelevant risks d ?YesReduce tosafe levelNoNoReduceto not more than(≤) identificationthreshold c ?NoYesNo furtheractionYesReduceto not more than(≤) qualificationthreshold c ?YesGreaterthan qualificationthreshold c ?NoNo actionNoConsider patient population and duration of useand consider conduct<strong>in</strong>g:• Genotoxicity studies (po<strong>in</strong>t mutation,chromosomal aberration) a• General toxicity studies (one species, usually14 to 90 days) b• Other specific toxicity endpo<strong>in</strong>ts, asappropriateReduce tosafe levelYesAnycl<strong>in</strong>icallyrelevant adverseeffects?NoQualified11

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