be provided in Word format at the time of PD submission. The QIS should be revised and submitted with the change history (see table at the end of the template) each time additional data is provided during the assessment process. If no revision is necessary due to no change in the information, a statement should be made to this effect in the covering letter. For variations and reregistration dossiers, the QIS should be completed in its entirety (regardless of the proposed change), it should include information on all strengths, with any changes highlighted and it should be provided at the time of filing.
When completing the QIS template, this covering Foreword should be deleted.
QUALITY INFORMATION SUMMARY (QIS)
(a)
Summary of product information:
Non-proprietary name of the finished pharmaceutical product (FPP) Proprietary name of the finished pharmaceutical product (FPP) International non-proprietary name(s) of the active pharmaceutical ingredient(s) (API(s)), including form (salt, hydrate, polymorph) Applicant name and address Name: Phone: Contact information Fax: Email: Website: Dosage form Reference Number(s) Strength(s) Route of administration Proposed indication(s) Authorised Agent Name: Phone: Contact information Fax: Email: Website:
(b)
Administrative Summary:
Reference number e.g. A001 Applicant's date of preparation or revision of the QIS Internal version and/or date of acceptance (NDA use only)
Related dossiers (e.g. FPP(s) with the same API(s) submitted to the Prequalification Programme by the applicant): API, strength, dosage Reference/ File Prequalifie form (e.g.. Abacavir (as API manufacturer number (e.g. A001) d (Y/N) sulphate) 300 mg (including address) tablets)
2.3. S DRUG SUBSTANCE (or ACTIVE PHARMACEUTICAL INGREDIENT (API)) (NAME, MANUFACTURER)
Indicate which option applies for the submission of API information: Name of API: Name of API manufacturer Certificate of suitability to the European Pharmacopoeia (CEP) ? Active • pharmaceutical ingredient master file (APIMF) procedure: APIMF number assigned by WHO (if known): _______ ; version number • (and/or date) of the open part: _______ ; version number (and/or date) of the closed part: _______ ; • Full details in the PD
2.3. S.2 Manufacture (name, manufacturer) 2.3. S.2.1 Manufacturer(s) (name, manufacturer) (a) Name, address and responsibility (e.g. fabrication, packaging, labelling, testing, and storage) of each manufacturer, including contractors and each proposed production site or facility involved in these activities: Name and address APIMF/CEP Letter of access (including Responsibility number (if provided? block(s)/unit(s)) applicable)
2.3. S.4 Control of the API (name, manufacturer)
2.3. S.4.1 Specification (name, manufacturer)
API specifications of the FPP manufacturer: Standard (e.g. Ph.Int., Ph.Eur., BP, USP, House) Specification reference number and version Test Acceptance criteria Analytical procedure (Type/Source/Version) Description Identification Impurities Assay etc.
2.3. S.6 Container Closure System (name, manufacturer)
(a)
Description of the container closure system(s) for the storage and shipment of the API:
2.3. S.7 Stability (name, manufacturer)
2.3. S.7.1 Stability Summary and Conclusions (name, manufacturer) (c) Proposed storage conditions and re-tests period: Container closure Storage statement Re-test period* system
* indicate if a shelf-life is proposed in lieu of a re-test period (e.g. in the case of labile APIs)
WRITTEN COMMITMENTS OF THE MANUFACTURER
API If applicable (primary stability study commitment): The Applicant (or API manufacturer) undertook in writing (date of letter of commitment) to continue long-term testing of <INN of API> for a period of time sufficient to cover the whole provisional re-test period (period ending month/year) and to report any significant changes or out-of-specification results immediately to WHO for the following batches : <Batch numbers, manufacturing dates, batch size, and primary packing materials>
If applicable (commitment stability studies): Since stability data on three production scale batches were not provided with the application, the remaining number of production scale batches should be put on long-term stability testing and the data should be provided as soon as available. Any significant changes or out-of-specification results should be reported immediately to WHO. The approved stability protocol should be used for commitment batches.
API option 2 - CEP The Applicant provided a commitment in writing (date of letter of commitment) to inform WHO in the event that the CEP is withdrawn. Note that withdrawal will require additional consideration of the API data requirements to support the dossier.
API option 3 - full details in the PD (ongoing stability study commitment) The Applicant undertook in writing (date of letter of commitment) a commitment regarding ongoing stability studies. Unless otherwise justified, at least one batch per year of the product will be included in the stability programme (unless none is produced during that year). The stability protocol will be that which was approved for primary batches (or the protocol was submitted for assessment). Out-of-specification results or significant atypical trends should be investigated. Any confirmed significant change, out-ofspecification result, or significant atypical trend should be reported immediately to WHO. The possible impact on batches on the market should be considered in consultation with WHO inspectors.
FPP If applicable (primary stability study commitment): The Applicant undertook in writing (date of letter of commitment) to continue long-term testing of < FPP reference number, trade name (INN of API), strength, pharmaceutical form> for a period of time sufficient to cover the whole provisional shelf-life (period ending month/year) and to report any outof-specification results or significant changes immediately to WHO for the following batches : <Batch numbers, manufacturing dates, batch size, primary packing materials >
If applicable (commitment stability studies): Since stability data on three production scale batches was not provided with the application, the Applicant undertook in writing, (date of letter of commitment) to put the remaining number <e.g. additional two (2)> production scale batches of < FPP reference number, trade name (INN of API), strength, pharmaceutical form, primary packing material> on long-term stability testing. Any out-ofspecification results or significant changes during the study should immediately be reported to WHO. The approved stability protocol should be used for commitment batches.
If applicable (the proposed commercial batch size is 200 000 units (x units) or less) The Applicant undertook in writing (date of letter of commitment) to place the first three batches of any production size larger than x units on stability. The stability protocol will be that which was approved for primary batches (or the protocol was submitted for assessment). Out-of-specification results or significant atypical trends will be investigated. Any confirmed significant change, out-of-specification result, or significant atypical trend will be reported immediately to WHO.
Ongoing stability study commitment The Applicant undertook in writing (date of letter of commitment) a commitment regarding ongoing stability studies. Unless otherwise justified, at least one batch per year of the product manufactured in every primary packaging type will be included in the stability programme (unless none is produced during that year). The stability protocol will be that which was approved for primary batches (or the protocol was submitted for assessment). Out-of-specification results or significant atypical trends should be investigated. Any confirmed significant change, out-of-specification result, or
significant atypical trend should be reported immediately to WHO. The possible impact on batches on the market should be considered in consultation with WHO inspectors.
If applicable (validation of production batches) Since validation data on production scale batches of not less than three (3) consecutive batches of <FPP reference number, trade name (INN of API), strength, pharmaceutical form, primary packing material> were not provided with the application, the Applicant submitted a written commitment (date of letter of commitment) that a validation report -in accordance with the details of the validation protocol provided in the dossier- would be made available as soon as possible for evaluation by assessors or for verification by the WHO inspection team. The approved validation protocol should be used for commitment batches.
APPLICATION FORM FOR REGISTRATION OF VACCINES AND OTHER IMMUNOLOGICAL PRODUCTS FOR HUMAN OR VETERINARY USE
THE NATIONAL DRUG POLICY AND AUTHORITY ACT, CAP 206
Section A: General Information