šŸ‡ŖšŸ‡ŗ EMA Q&A Rev. 16 EMA/409815/2020 - MAJOR UPDATE

Can anybody tell about the logic of this alpha H atom given in table regarding the score

Correct David, Similarly sore 1 have 18 ng/day whereas US guidance tell about 26.5 ng/day for worst case scenario.

Score of N-nitroso-vonoprazan is 1 = 18ng/day

And David, do you think that the double bond is a really suitable analogue for the aromatic ring? The CF3 is a strong electron withdrawing group that can certainly render the aromatic ring with very unique electronic properties that would be have an impact on the alpha hydrogen of the nitrosamine, and it would be very different from the double bond.
In fact, while it cannot be categorized currently as an EWG, it may have that effect. Do you think that modelling softwares could predict if this would be the case?

Javier

Dear @ASrinivasan, thank you very much for the reply!
How do you see this issue:
Additionally, the potency categorization approach does not apply to Nitrosamines where the N-nitroso group is within an aromatic ring (e.g., nitrosated indole).

Is the CPCA not applicable here and we have to use 18ng/day as AI, or are nitrosamines based on these structures not to be considered at all? This would make life quite easy for all potential imidazole-based nitrosamines.

For the nitrosated indoles, they arenā€™t nitrosamines per se; the indole nitrogen is not a secondary amine. Definitely still worth mentioning in the assessment if you consider there is risk of formation or have evidence thereof (donā€™t conceal anything is normally good advice!), but the implausibility of diazonium formation means that I would argue very strongly for treating these as conventional impurities under ICH M7 rather than as part of the cohort of concern.

I recently summarised this on another thread: šŸ—“ Nitrosamines Conversation Event w/ Dr. Raphael Nudelman - #13 by David

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We are asked to test 3-methyl-1-nitrosoindoline, 1-nitroso-indoline and 2-methyl-1-nitroso-indole as a part of nitrosamine risk assessment by Health Canada in recent query.

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Modelling software certainly could have an impact - itā€™s entirely plausible that an electron-poor ring like this is going to be electron-withdrawing, at which point it could be argued that the +1 and -1 would cancel each other out. However, the CPCA is designed to be facile to implement, and conservative, so including this evidence moves out of the CPCA to a weight-of-evidence assessment.

As a result it would need a substantive research project and sufficient evidence to argue this to the point it could be included in a revised CPCA.

Only one of those is a nitrosated aromatic system - the two indolines both have the nitrosamine in non-aromatic rings (though fused to aromatic, yes) and the nitrogen has true single bonds.

image

1-nitrosoindoline would be category 4 by CPCA:
(0,2) for hydrogen count, and in a generic 5-membered ring, for a total of 5 points.

3-methyl-1-nitrosoindoline would be category 4 as well, with the same features but also the beta-methyl for an activating feature and a total of 4 points

Iā€™m unsure why you were asked to test 2-Methyl-1-Nitroso indole (in an aromatic system and completely lacks a-hydrogens!), but would be really interested to see the data if you do - Iā€™d expect a very different Ames strain profile (TA98/100 +/- S9, as described in Ponting and Foster).

Hi david,
you have applied CPCA approach for the ā€œ1-nitrosoindolineā€ (See below the structure) and ā€œ3-methyl-1-nitrosoindolineā€ (See below the structure) as they are considered as non-aromatic ring. and both are falls under category-4 and AI limit would be 1500 ng/day.

But, ā€œ2-methyl-1-nitrosoindolineā€ (See below the structure), which is present as an impurity in the Indapamide API EP monograph with a limit of 5 ppm and corresponding MDD of indapamide is 2.5 mg hence AI limit would be 12.5 ng/day for the ā€œ2-methyl-1-nitrosoindolineā€.
If we apply CPCA approach for the ā€œ2-methyl-1-nitrosoindolineā€ then it also falls under category-4 and AI limit would be 1500 ng/day.

what i believe is that the toxicity of ā€œ2-methyl-1-nitrosoindolineā€ is not due to the nitroso structure but might be due to some other functionality or re-arrangement as described in Ponting and Foster .

so my question is, all the three indoline structures are more or less similar and ā€œ2-methyl-1-nitrosoindolineā€ is already having AI limit of 12.5 ng/day.
In this case,ā€¦
is it the correct way to apply CPCA approach and categorise ā€œ1-nitrosoindolineā€ and ā€œ3-methyl-1-nitrosoindolineā€ as category-4 with 1500 ng/day as AI limit?
or
should we stick to default AI limit of 18 ng/day for the ā€œ1-nitrosoindolineā€ and ā€œ3-methyl-1-nitrosoindolineā€ ?
or
should we consider AI limits 12.5 ng/day for the ā€œ1-nitroso indolineā€ and ā€œ3-methyl-1-nitrosoindolineā€ as per ā€œ2-methyl-1-nitrosoindolineā€?

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Unfortunately I donā€™t have access to the EP monographs to read their rationale, but my understanding is that the limits in them are specification limits taking a number of factors into account, not strictly the regulator-requested AI limits. This compound lacks compound-specific carcinogenicity data to derive a limit from, so it must have been found in some other way, and I would definitely hope that EP take the CPCA into account when they next update the monograph.

My best guess would be that there are multiple nitrosamine impurities, which results in different treatment of the limits (EMA Q&A section 10) in the specification for each, but the AI limits for the compounds in the abstract case are not changed.

As a result, I would say that back-conversion from a DP-specific monograph for general AI limit determination for any compound is not an appropriate, especially as it is in this case implying a limit less than 18 ng/day which was the limit before the CPCA was developed, and argue even more strongly against taking a read-across from this value to other compounds where the default CPCA is 1500 ng/day.

Should a Fischer-Hepp rearrangement occur, as I described in Ponting & Foster, the potency of the resultant C-nitroso compounds is not cohort of concern-worthy - so again the limit if mutagenic would be 1500.

As a result I would argue strongly that the AI limit for all three indoline compounds should be 1500 ng/day in the general case. (as an aside, 2-methyl-1-nitrosindoline is actually category 5, lacking an a-CH2 group)

Iā€™d like to read the justification from the monographs to see where that exceptionally low specification limit came from, if anyone can DM the relevant section to me!

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Hi David,
it is to clarify that it is not DP specific monograph it is API monograph in EP.
and find the below screenshot of EDQM FAQs on how EP defines the limit of impurities in their monograph.
i hope this helps.

so ultimately now the question is, can we defend the pharmacopoeial limits based on CPCA approach?

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Thanks, that probably solves my question: ā€œnot higher than the limits approvedā€¦ā€ and based on batch data, rather than derived directly from the AI limits.

To my eye this suggests that this impurity is well-controlled in currently marketed batches, and the EP/EDQM are of the opinion that a good batch can be reliably controlled to this level, rather than that it is sufficiently potent to require control to this level for patient health?

Iā€™m sufficiently far removed from the routine batch manufacturing process that I canā€™t comment as to how and whether the current specification could be changed/challenged if required, but this confirms that back-extrapolation is not applicable, because the monograph limits themselves are not derived based on the AI alone.

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As I see, David has provided a response to your questions. There have been a lot of studies on nitroso indoles which are well known. Many of them are mutagenic. My recommendation will be to look for surrgates with do have nitroso indole group and again, they are not ā€œnitrosaminesā€. So, dont mix them up and provide separate analysis. Like the nitroso carbamates and nitroso guanidines, they do not need metabolic activation to show their mutagenicity in Ames. Look at this paper, which may give you some idea on nitroso indoles In-vitro testing and the carcinogenic potential of several nitrosated indole compounds - PubMed

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Hello ,

Somebody can help me to set Limit for Vancomycin Hydrochloride Nitrosamine impurity .

image

Thanks in advance.

Hi Chirag
In the minutes CHMP PROM May 15, there is information about 2-Methyl-1-nitroso-2,3-dihydro-1H-indole.
image

It can be assumed that EMA does not consider this substance to be a strong genotoxic. Did Health Canada impose any limits on you for these molecules?

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Dear all,

Now CPCA Approach is available in Japan. I add the translation by DeepL translation.

Q15.
Attachment 2 (2) of the Voluntary Inspection Notice states, "If carcinogenicity test data are not available, limit values should be set using a scientifically valid method, such as setting limits based on structure-activity relationships or genotoxicity tests. However, the EMA guidance has recently been updated and The Carcinogenic Potency Categorization Approach (CPCA) for N-nitrosamines (Annex 2) has been presented. Is it acceptable to use the CPCA for setting limits in Japan?

A15.
For nitrosamines for which there is no sufficient carcinogenicity test data, it is acceptable to set limit values using the CPCA presented by the EMA. In the case of setting the limit values using the CPCA in the case of Attachment 2 (2) (ii) of the Voluntary Inspection Notice, consultation with the MHLW regarding the validity of the limit values is not required. In cases where the limit value can be regarded as scientifically valid, setting the limit value based on the conventional structure-activity relationship is not denied.

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Can we extrapolate invivo data of Nitroso Quinapril to other ACE inhibitors like Lisinopril, Ramipril, Enalapril etc. if we have negative results of enhanced Ames test using test conditions described in guidance for their respective nitroso impurity (Nitroso Lisinopril, Nitroso Ramipril etc) to prove that these are not a CoC and can be controlled as per ICHQ3B?, as these all impurity have almost similar chemical environment.

Dear Team,

Reference to EMA Rev No. 16 for Eu and US Federal register on going harmonization,
how do one approach for method validation to comply current limit as per US (e.g. based on 96 ng/day) and Eu (CPCA approach e.g. 400 ng/day) to take care of linearity considering risk assessment with target concentration based on 96 ng and linearity to comply Eu requirement (based on 400 ng)?

Regards, Samir Shah

Dear @David, dear @ASrinivasan,
thank you very much for your clarifications!