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4 MUCOSAL DRUG PRODUCTS—PRODUCT QUALITY TESTS

INTRODUCTION
The mucosal route of drug administration is subdivided into seven membrane surfaces for the purposes of taxonomic distinction of dosage forms by route of administration. These membrane surfaces are characterized as otic, ophthalmic, nasal, oropharyngeal, urethral, vaginal, and rectal. This grouping does not include the pulmonary mucosal route addressed in Inhalation and Nasal Drug Products—General Information and Product Quality Tests 5. A drug product is administered to any of these seven mucosal surfaces to effect either local action or systemic absorption. Local action is to the area proximate to application. Where local action is intended, systemic absorption is not typically desired and is unnecessary for therapeutic effect. In some cases, however, the mucosal delivery of a drug for systemic absorption is used because it avoids first-pass metabolism, it provides more rapid systemic delivery, or it provides an alternative when oral delivery (to the gastrointestinal tract) is not possible due to a disease state. A large number of the dosage forms listed in Pharmaceutical Dosage Forms 11511 can be delivered by way of the various membrane surfaces in the mucosal category.
Analytical procedures and acceptance criteria for testing drug products are divided into two categories: those that assess general product quality attributes and those that assess product performance. Drug product quality tests assess attributes such as identification, assay (strength), dose content uniformity, and impurities and are usually part of the compendial monograph. Product performance tests include the dissolution test for a solid oral dosage form, Dissolution 711, and the drug release test, Drug Release 724. Taken together, quality and performance tests ensure the identity, strength, quality, and purity of a mucosal drug product.
This chapter also provides lists of consolidated, common product quality tests and certain specific tests based on route of drug administration requirements. Existing monographs contain all the tests required for the article. For new, specific drug product monographs or where a monograph is not available, the chapter provides specific quality tests as a resource for manufacturers until particular monographs for the specific product are developed by USP.

PRODUCT QUALITY TESTS FOR MUCOSAL DRUG PRODUCTS
This chapter provides product quality tests that are generally necessary, tests that apply to specific products, and tests that apply to one or more of the specific mucosal routes. Quality tests listed under a specific mucosal route in this chapter represent expectations for any dosage form administered by that specific route.
Generally Necessary Tests
Product quality attributes for mucosal dosage forms should reflect acceptable requirements for marketed products. The following tests should be generally applied to all dosage forms intended for mucosal delivery. Tests that are generally necessary for any article include: Definition, Identification, Assay, and Impurities (organic, inorganic, and residual solvents). Uniformity of Dosage Units 905 is typically included in a USP product monograph.
definition
The Definition section (see General Notices and Requirements 4.10) in a USP monograph describes the drug product and specifies the range of acceptable assayed content of the drug substance(s) present in the dosage form. For certain products, the Definition includes any relevant additional information, such as the presence or absence of other components, excipients, or adjuvants, and cautionary statements on toxicity and stability. Appearance information is used in a regulatory submission to aid in product identification. Because the size, shape, color, etc., are attributes of individual marketed products, a qualitative description is typically not required as part of a USP monograph (see 1151).
identification
Identification is included in a monograph as an aid in verifying the identity of the article and to provide a positive identification of the drug substance or substances in a drug product (see General Notices and Requirements 5.40).
assay
The assay is used to determine the strength (content) of the drug product. Typically, the assay is specific and stability-indicating. When a nonspecific assay is justified, other supporting analytical procedures should ensure that any interfering species will be detected and can be limited. Assay results are often reported as a percentage of the label claim, with acceptance criteria that are typically in the range from 90.0% to 110.0%. For some antibiotic products, the range may be wider. The width of these limits is intended to allow for manufacturing variability, including changes in stability, as well as analytical variation. The narrower acceptance range of 95.0%–105.0% is used less often and with justification.
impurities
Process impurities include those arising from starting materials, synthetic byproducts, and other inorganic and organic impurities that may be present in the drug substance and in the excipients used in the manufacture of the drug product. These impurities are controlled by using the appropriate test, as specified within the drug substance and excipient monographs. Impurities in the drug product may also result from degradation of the drug substance or excipients, from interactions between the drug substance and an excipient, or from interactions between the drug substance and the packaging components. The procedures and acceptance criteria should specifically limit toxic degradation products as well as degradation products that endanger the quality of the article if they exceed certain levels. Limits should be provided for process impurities that are found to be present during the test for degradation products. A more complete discussion of impurities is provided in Impurities in Drug Substances and Drug Products 10861 and in ICH Q3B Impurities in New Drug Products.2
uniformity of dosage units
Chapter 905 is used to ensure the consistency of drug substance content in dosage units within a narrow range around the label claim. The test is applied only to dosage forms containing a single dose or a part of a dose of the drug substance in each unit. Uniformity of dosage units may be demonstrated by one of two methods: content uniformity or weight variation. Content uniformity is based on the assays of a number of individual dosage units. Weight variation can be used to estimate content uniformity under certain conditions.
Dosage Forms by Specific Mucosal Route and Product-Specific Tests
In addition to the generally necessary product quality tests already discussed, the dosage form may require specific quality tests that are common across routes of administration. Injections 1 provides testing requirements common to injectable and implantable products. Oral Drug Products—Product Quality Tests 2 provides testing requirements for tablets and lozenges. Topical and Transdermal Drug Products—Product Quality Tests 3 provides testing requirements common to semi-solids (creams, ointments, and gels). Chapter 5 presents testing requirements for sprays and aerosols. Where a dosage form has no specific test given in this chapter, no additional test is required unless included in the individual monograph specification.
otic route
The otic route is characterized by administration of a preparation into, or by way of, the ear. Demonstration of sterility (see Sterility Tests 71) is not always required for products delivered to the ear. Typically, sterility is required where the product is administered to the inner ear or where the eardrum is damaged. Where sterility is not required, the quantitative enumeration of mesophilic bacteria and fungi that grow under anaerobic conditions, Microbiological Examination of Nonsterile Products: Microbial Enumeration Tests 61, or the determination of the absence or limited occurrence of specified organisms, Microbiological Examination of Nonsterile Products: Tests for Specified Microorganisms 62, may be required.
If an antimicrobial preservative is used, Antimicrobial Effectiveness Testing 51 and Antimicrobial Agents—Content 341 may be required.
Dosage forms given by the otic route include liquids, solutions, and suspensions.
ophthalmic route
The ophthalmic route is to the eye. In addition to the generally necessary tests, the following specific tests for ophthalmic drug products should be considered (see Table 1). For products that are injected or implanted into the eye, see 1. Some of the important product quality tests for products administered by the ophthalmic route are listed below. See Ophthalmic Ointments 771 for details and other product quality information.
  • Foreign and Particulate Matter
  • Sterility
  • Particle Size and Particle Size Distribution
  • Antimicrobial Preservative
nasal route
The nasal route is administration to the nose, or by way of the nose, for local or systemic effect (see Table 2).
oropharyngeal route
The oropharyngeal route is into the oral cavity and/or pharyngeal region. The oropharyngeal route is subclassified by the specific intra-oral surfaces, such as buccal or sublingual. Buccal and sublingual administrations are typically intended to promote systemic absorption by permeation through the respective mucosa. However, in this context, oral administration may mean topical application for local action (see Table 3). Product quality tests for products administered to oropharyngeal surfaces often conform to those for oral administration to the gastrointestinal tract (see 2).
Table 3. Drug Products Administered by the Oropharyngeal Route, with Product-Specific Tests
Oropharyngeal Route
Dosage Form Product-Specific Tests
Buccal Patches See Topical and Transdermal Drug Products—Product Quality Tests 3 for testing requirements common to patches.
Films Currently no specific tests (additional specific monograph requirements may apply)
Gels Minimum Fill 755
Topical and Transdermal Drug Products—Product Quality Tests 3
Gums Currently no specific tests (additional specific monograph requirements may apply)
Lozenges Currently no specific tests (additional specific monograph requirements may apply)
Ointments Topical and Transdermal Drug Products—Product Quality Tests 3
Minimum Fill 755
Solutions (Rinses) Currently no specific tests (additional specific monograph requirements may apply)
Sprays Inhalation and Nasal Drug Products—General Information and Product Quality Tests 5
Tablets Oral Drug Products—Product Quality Tests 2
urethral route
The urethral route is into the urethra, typically for local action, but systemic distribution is also possible. Chapter 61 and chapter 62 may apply. Drug products in this category include urethral inserts.
vaginal route
The vaginal route is into the vagina, typically for local action, but systemic distribution is also possible. Chapter 61 and chapter 62 may apply (see Table 4).
Relative foam density: Determine relative foam density by weighing a mass of foam (m) and a mass of the same volume of water (e) in a flat-bottom dish. Relative foam density = m/e.
Volume of foam expansion: Estimate the volume of foam expansion at 25 using a graduated buret and a foam-generating container equipped with a dose-actuating device and fitted to the buret.
Table 4. Drug Products Administered by the Vaginal Route, with Product-Specific Tests
Vaginal Route
Dosage Form Product-Specific Tests
Creams Minimum Fill 755
Topical and Transdermal Drug Products—Product Quality Tests 3
Foams Minimum Fill 755
Physical appearance (of the foam and of the collapsed foam)
Relative foam density
Volume of foam expansion
Gels Minimum Fill 755
Topical and Transdermal Drug Products—Product Quality Tests 3
Inserts Currently no specific tests (additional specific monograph requirements may apply)
rectal route
The rectal route is into the rectum. Rectally administered products may produce local effect(s) or delivery to the systemic circulation.
Softening time determination of lipophilic suppositories: The test is intended to determine, under defined conditions, the time that elapses until a suppository maintained in water at 37 ± 0.5 softens to the extent that it no longer offers resistance when a defined weight is applied (see Table 5).
Relative foam density: Determine relative foam density by weighing a mass of foam (m) and a mass of the same volume of water (e) in a flat-bottom dish. Relative foam density = m/e.
Volume of foam expansion: Estimate the volume of foam expansion at 25 using a graduated buret and a foam-generating container equipped with a dose-actuating device and fitted to the buret.
Table 5. Drug Products Administered by the Rectal Route, with Product-Specific Tests
Rectal Route
Dosage Form Product-Specific Tests
Foams Minimum Fill 755
Physical appearance (of the foam and of the collapsed foam)
Relative foam density
Volume of foam expansion
Ointments Minimum Fill 755
Topical and Transdermal Drug Products—Product Quality Tests 3
Suppositories Softening time of lipophilic suppositories
Solutions Currently no specific tests (additional specific monograph requirements may apply)
Suspensions Currently no specific tests (additional specific monograph requirements may apply)
USP38
1  Note that all references to chapters above 1000 are for informational purposes only, for use as a helpful resource. These chapters are not mandatory unless explicitly called out for application.
2  ICH Q3B (R2) Impurities in New Drug Products, 2006, http://www.ich.org/fileadmin/Public_Web_Site/ICH_Products/Guidelines/Quality/Q3B_R2/Step4/Q3B_R2_Guideline.pdf, Accessed 6 May 2014.
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