“ As per 21CFR211.94 Drug product containers and closures:
(a) Drug product containers and closures shall not be reactive, additive, or absorptive so as to alter the safety, identity, strength, quality, or purity of the drug beyond the official or established requirements.
(b) Container closure systems shall provide adequate protection against foreseeable external factors in storage and use that can cause deterioration or contamination of the drug product.”
Glass has many advantages over other packaging materials,
but one well-known disadvantage is the potential for glass under certain
conditions to shed thin, flexible fragments called “glass lamellae.” These
lamellae are shed from the interior surface of the glass container directly
into the drug and are difficult to detect by visual inspection.
To date, no adverse events have been reported nor can any be
directly attributed to this phenomenon. However, there is the potential
for drugs administered intravenously that contain these fragments to cause
embolic, thrombotic and other vascular events (e.g., phlebitis); and, when
administered subcutaneously, to lead to development of foreign body granuloma,
local injection site reactions, and increased immunogenicity.
The following conditions have been associated with a higher
incidence of the formation of glass lamellae:
- Glass vials manufactured by tubing process (and thus manufactured under higher heat). These vials are less resistant than molded glass vials and may shed lamellae more easily. The processing conditions used to manufacture glass vials can be designed to mitigate the potential for later delamination.
- Drug solutions formulated at high pH (alkaline) and with certain buffers. Common buffers associated with lamellae formation include citrate and tartrate.
- Length of time the drug product remains exposed to the inner surface of the container. The time duration has a direct correlation to the potential for glass lamellae formation to occur during the product shelf life.
- Drug products with room temperature storage requirements. Drugs stored at room temperature have a greater chance of glass lamellae formation than do products stored at colder temperatures.
- Terminal sterilization has a significant effect on glass stability.
The referenced literature, below, includes recommended
actions to help prevent the formation of glass lamellae.
For example, for products “at risk” the vial surface
alkalinity can be minimized by proper selection of glass composition (e.g.,
highly resistant, non-alkaline earth borosilicate glass) appropriate selection
and qualification of vendors, and proper quality control of the incoming
vials. Accordingly, FDA advises drug manufacturers of products to
re-examine their supplier quality management program with the glass vial
manufacturers to assure that this phenomenon is not occurring. Further,
the Agency reminds finished drug product manufacturers that current good
manufacturing practice regulations require that drug containers not be reactive
or additive so as to alter the safety or quality of the drug.
References :
See deviation reporting regulations for Field Alert Reports
(21 CFR 314.81) and Biological Product Deviation Reports (21 CFR 600.14)
http://www.fda.gov/Safety/Recalls/EnforcementReports/default.htm (epoetin
alfa, methotrexate, hyaluronidase recombinant, and fluorouracil)
Lachman, L., Lieberman, H. Kanig, J., The Theory and
Practice of Industrial Pharmacy, 3rd ed., pages 645-649, 796-798
Iacocca, R.G.,Toltl, N.,et al. Factors Affecting the
Chemical Durability of Glass Used in the Pharmaceutical Industry. AAPS
PharmSciTech 2010; DOI:10.1208/s12249-010-9506-9
Singh Sk, Afonina N, et al. (2010). An industry perspective
on the monitoring of subvisible particles as a quality attribute for protein
therapeutics. J. Pharm. Sci. 99(8);3302-3321
Ennis RD, Pritchard R, et al., Glass vials for small
volume parenterals: influence of drug and manufacturing process on glass
delamination. Pharm. Dev. and Tech. 2001; 6(3):393-405
Sacha, G., et al., Practical fundamentals of glass, rubber,
and plastic sterile packaging systems,Pharmaceutical Development and Technology 2010;
15(1):6-34
Iacocca, R.G. and Allgeier, M. 2007. Corrosive attack of
glass by a pharmaceutical compound. J. Mater. Sci. 42: 801-811.
21 CFR 211.94, Drug product containers and closures
[10] Rx-360,
an International Pharmaceutical Supply Chain Consortium, has recently commented
on this issue of delamination (http://www.rx-360.org).
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