I’m currently evaluating the possibility of applying the Less Than Lifetime (LTL) approach for nitrosamine risk assessment in the context of new generic product registrations. I’d be very interested to hear about your practical experiences with different agencies (EMA, FDA, TGA). Have you successfully applied the LTL approach in a new registration dossier?
Any insights or lessons learned would be greatly appreciated.
As per my knowledge, LTL is not acceptable for US market products. However, I am having experience of LTL approach with EU region where we have communicated the proposal for one of the product with LTL approach & received the positive response from agency.
In my experience LTL in this point in time, it is a ‘tool’ that CAN only be leveraged by the regulatory authority for a particular drug to prevent shortage. There are clear discussion under M7 to evaluate the considerations in the future, but at the moment is not accepted by manufacturing for proposing a higher limit.
My experience with EMA has been that LTL has not been accepted for products not already in the market. I believe the question in the Q&A explicitly says it does not apply for new/ongoing applications