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Genotoxic impurities – how to detect?<br />

NOVARTIS<br />

The structure of impurities present at levels above the identification threshold is<br />

known, their impact on safety of the drug substance can be appropriately assessed<br />

But: the ICH guidance on drug substance impurities does not stipulate identification<br />

of the structure of impurities below a level of 0.1% =1000 ppm (0.05% or 500 ppm if<br />

daily dose is above 2 g).<br />

1000 ppm (500 ppm) may be unacceptably high for an impurity if it is genotoxic.<br />

‣ A 2 g daily dose of a pharmaceutical may contain 2 mg of a potential toxin<br />

‣ E.g. 2 mg residues of an alkylating starting material would not be desired<br />

What would happen if you spike drug substance X with 1000ppm of an alkylating<br />

agent?<br />

Genotoxicity tests may not be sensitive enough to detect the effect of genotoxic<br />

impurities in a batch if the impurity is present at the 0.1% level<br />

In other words: few genotoxic compounds have a potency e.g. in the Ames that<br />

would enable their detection at or below 0.1% (the same is true for rodent<br />

carcinogenicity studies)<br />

‣ Without a structure, we do not have an idea whether we have a genotoxic impurity<br />

problem unless we start to approach the problem from the synthesis side<br />

L. Müller, Swissmedic, 21-Oct-2003

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