Outsourcing Clinical Supplies Manufacturing | Page 3

A Common Practice No Longer Allowed » The regulations regarding import of drug supplies (21CFR Parts 312 and 201) into the US has not substantively changed, but the interpretation of the regulations into practice by industry has evolved. Over the last 20 years, it has been standard practice to allow API/drug product to be imported in advance of having an effective IND. If the supplies were properly labeled and accompanied by a letter indicating that the material was destined solely for use in clinical research, then you were usually able to clear customs without a problem. On rare occasions, you might have been asked by either customs or US Food and Drug Administration (FDA) personnel for the investigational new drug application (IND) number associated with the supplies. As most sponsors did not obtain an IND number until the IND was actually submitted or until a request was made for a pre-IND meeting, this request could be satisfied with the number or with an affidavit verifying the intended use of the API. However, not everyone importing API has been doing so in good faith. According to FDA’s guidance to its field personnel (known as Import Alert 66-66)2: Import Alert 66-66 “Some persons importing APIs have found that they could obtain entry of these articles if they simply supply an NDA or IND number at the point of entry. Districts should be alert to the possibility that: 1) the NDA or IND number provided does not cover the source of the particular API or 2) the persons importing the API have no authorization to refer to the particular NDA or IND number. In the past, the persons importing an API have referred to legitimate numbers to get their APIs released, but the APIs were not destined for use in the application referenced.” In light of these issues and several recent – and troubling Figure 3. Interpretation of US Importation Laws – events (eg, adulterated cancer drugs in 2012, heparin 3 contamination in 2008,4 and the melamine pet food Present Past 20 Years recall in 2007 ), FDA increased its efforts to fight against 5 FDA increased efforts to fight against counterfeit drug product and protect supply chain counterfeit drug product and to protect the supply chain. The agency maintains a database to improve their ability to cross reference drug approvals and research permits (INDs) and ensure that only authorized drug imports are allowed through customs. This database, called the Establishment Evaluation System (EES), was first API/drug product imported in advance of having an effective IND Supplies properly labeled and solely for u  se in Clincal research usually cleared customs without problem IND must be “in effect” before important API/drug product into US Establishment Evaluation System (EES) created by FDA to ensure only authorized drug imports are allowed through customs implemented in a test program in Philadelphia in 1997. Access to the database has expanded to other FDA districts handling API imports,6 and its use is becoming standard practice. clinipace.com 2