EBF Tiered approach final recommendation of … · 2018-06-06 · EBF recommendationEBF...
Transcript of EBF Tiered approach final recommendation of … · 2018-06-06 · EBF recommendationEBF...
EBF Tiered approach final recommendation of Scientificrecommendation of Scientific
Validation criteria
Philip Timmerman, on behalf of the EBF8th EBF Open Symposium - 2015
The problem statementp
1990 CC-I
2001 FDA2001 FDA
Further refinement, maybe Many new formats, technologies and analyticaloverdesign of requirements
for BA/BE studies via 483 or CC-conference papers
technologies and analytical requests in earlier phases
for which applying Guidance is challengingp p Guidance is challenging
.20152015
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Tiered approach 1st appearanceTiered approach – 1st appearanceFormally introduced in CC-III (2006) in relation toFormally introduced in CC-III (2006) in relation to metabolites in early developmen
<<Characterization of UMMs should proceed using a flexible, “ tiered ” approach to bioanalytical methods validation. This tiered
h ld ll t b lit i t di t b f dapproach would allow metabolite screening studies to be performed in early drug development using bioanalytical methods with limited
validation, with validation criteria increasing as a product moves into clinical trials. A tiered validation approach to metabolite
determination would defer bioanalytical resource allocation to later in the drug development timeline when there is a greater likelihood g p g
of drug success. As a minimum, the specifics of this tiered validation process should be driven by scientifically appropriate
criteria established a priori >>criteria, established a priori >>
Workshop/Conference Report — Quantitative Bioanalytical Methods Validation and Implementation:Workshop/Conference Report Quantitative Bioanalytical Methods Validation and Implementation: Best Practices for Chromatographic and Ligand Binding Assays. CT Viswanathan et al., AAPS J. 2007 Mar; 9(1): E30–E42
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Tiered approach 1st appearanceTiered approach – 1st appearance No clear definition or further context was given on No clear definition or further context was given on
waiver As a stand alone paragraph it was not ‘ready for As a stand alone paragraph, it was not ready for
use’ as alternative approach, and hence not embracedembraced
Increased pressure of 483s/new Guidelines (EMA/Anvisa/ ) took priority in BA community(EMA/Anvisa/…) took priority in BA community since 2010
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So Tiered approach?So….Tiered approach?
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Still Early 2009Still…Early 2009
A Tiered Approach team was established in EBFA Tiered Approach team was established in EBF
Team members: Achim Freisleben (Merck), Ben Gordon (Servier), Morten Kall (Lundbeck), Philip Timmerman (JnJ), Richard Hucker (Pfizer) Sirpa Laakso (Orion)(Pfizer), Sirpa Laakso (Orion)
Survey on key elements of ‘qualified assays’ issued Survey on key elements of ‘qualified assays’ issued
– EBF identified 3 tiers of quality: S-Q-V– 34 questions translating ‘method validation criteria’
into ‘refined criteria for qualified assays’– Plans to refine and publish in 2010
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AAPS Annual Meeting 2009AAPS Annual Meeting 2009
FB from EBF on their efforts to further develop the FB from EBF on their efforts to further develop the principles of tiered approach as guidance principle for many studies with initial focus on MISTfor many studies, with initial focus on MIST
P t ti b B i B th fl ti t fi Presentation by Brian Booth on reflections to refine tiered approach into Low/Medium/High validations
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ButBut… Late 2009:
f C ( )– Discussions refocussed on ICH M3 (R2)– Team decided to publish on metabolite
tifi ti fi tquantification first: – Ref: Best practices in a tiered approach to metabolite quantification:
views and recommendations of the European Bioanalysis Forum. p yBioanalysis, July 2010, Vol. 2, No. 7, Pages 1185-1194
Mid 2010:– GBC formed– A2 tiered approach identified as team– EBF decided to postpone further publication plansEBF decided to postpone further publication plans
and feed current results of EBF discussion into GBC
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2009 - 2015, Overcoming the hurdles:2009 2015, Overcoming the hurdles: building, brick by brick
I d tIndustry: – Refinement of semantics of qualified/research/non-validated
l t i t “ i tifi lid ti / l t lid ti ”nomenclature into “scientific validation/regulatory validation” Ref. Tiered Approach revisited: introducing Stage-Appropriate or Assay-Appropriate Scientific Validation, Bioanalysis, Vol. 6, No. 5, Pages 599-604.
– Frequently challenging the value of regulatory validation as h kb f ll t dicheckbox for all studies.
– Identified areas where alternative approaches can be proposedT k f h l k t h i ti l ti h ld h ld t– Took a fresh look at how existing regulations should or should not impact day-to-day practice (GLP, ICH, GCP, CSV,..)
Health Authorities Seem to be supporting the evolution– Seem to be supporting the evolution
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From pie in the sky into practice - 1From pie in the sky into practice - 1Until 2014, discussion was mainly focussed in EU and in BA community only Action
Actively engage other regions– US/NA @ Joint DV-DMDG meeting – Jan 2015– Japan @ Discussion at JBF – March 2015– China @ CPSA China – April 2015
I iti t d t t ith ICH Q1/2 2015– Initiated contact with ICH – Q1/2 2015
Reach out to other stakeholders Reach out to other stakeholders– Get perspective from QA, ClinPK, Toxicology (@ CPSA US,
2015)– Seek FB from regulators (@ EBF-2014 (David Jones,
MHRA), @ AAPS Open Forum 2015 FB Faye, next presentation)presentation)
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From pie in the sky into practice - 2From pie in the sky into practice - 2 Identify what is still missing for the BA communityy g y
– Manage fear– Show successes– Provide better tools to share the added value and the details of
TA (in the mean time re-worded into Scientific validation) with stakeholders
o Clear criteria 2015 EBF Recommendation next pageso Define areas of application (…..as a way to define areas on
non-application) 5 proposed areas • Tissue• Tissue• Urine• MetabolitesMetabolites• Early non pivotal GLP • Early non pivotal Clinicaly p
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A value propositionA value propositionCan Industry / HA agree on an alternative approach forCan Industry / HA agree on an alternative approach for validation of assays in support of non-pivotal studies in early development.y p
At all times concentration data generated should be in scientific compliance with key bioanalytical quality criteria:scientific compliance with key bioanalytical quality criteria: documented evidence of accuracy, precision, selectivity,
sensitivity stability and reproducibility of the bioanalyticalsensitivity, stability and reproducibility of the bioanalytical method to make the right decision in a study/project
tti no cutting corners Allow scientific freedom to answer the questions asked Facilitates retrospective review of data quality to support
other decisions if so required later in development
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EBF recommendationEBF recommendation
Reference:Reference:Tiered approach into practice - scientific validation for chromatography based assays in early development:chromatography-based assays in early development: a recommendation from the European Bioanalysis Forum.Forum. Bioanalysis, Vol. 7, No. 18, Pages 2387-2398
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The focus of the recommendationThe focus of the recommendation
Pre-GLP GLP POC Post POC
Screening/qualified accepted best
Validation (or ‘Regulatory
V lid ti ’) acceptedScientific
ppractice
Validation’) accepted best practicesvalidation
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Being awareBeing aware…..
Pre GLP GLP POC Post POCPre-GLP GLP POC Post POC
A f V lid ti (Area of ambiguity
d / f
Screening/qualified accepted best
practice
Validation (or ‘Regulatory
Validation’) accepted and / or fearpractice best practices
Not all in industry are convinced of added value of scientific validation. Some are convinced but not supported by their environment. Their main concerns: fear for 483, more FB in AAPS/EBF/JBF survey Are we really saving resources? see teaser
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EBF recommendation areasEBF recommendation - areasFive areas where applying scientific validation can be pp y gor has proven to be a valid alternative for regulatory validation.
1. All Urine analysis – clinical/preclinical
2 All tissue h t l i2. All tissue homogenate analysis
3. All metabolites analysis prior to decision which metabolites i ti d tifi ti i l t lid tirequire continued quantification using regulatory validation
based on ICH(M3) and EMA-DDI:
4 A selection of non pivotal ED clinical studies:4. A selection of non-pivotal ED clinical studies:focus on phase 0 and First into Man
5 All (Non pivotal) Early GLP studies: principles of5. All (Non pivotal) Early GLP studies: principles of scientific validation are compatible with GLP regulations
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Recommended approachRecommended approach Not built on loose sand:Not built on loose sand:
– Builds on 25 y of experience with Guideline criteria Refines them to the right balance of scientific– Refines them to the right balance of scientific requirements, scientific freedom and resource requirementsrequirements
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Recommended approachRecommended approach Tries to integrate discussions from many in industry Tries to integrate discussions from many in industry Proposes clear, recognizable and refined criteria
based on key elements of bioanalytical quality forbased on key elements of bioanalytical quality for harmonized day-to-day application.
Focuses on the scientific challenge of study Focuses on the scientific challenge of study. Allows better use of resources, both in the execution
and reportingand reporting Can withstand scientific scrutiny and regulatory review
if d dif needed Facilitates retrospective review of data quality to
support other decisions than intended if so required later in development
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In a Nut Shell
Scientific Validation
Exclude experiments that
Single run pre-study validation when it makes sense to do soC f Exclude experiments that
make no scientific sense (based on industry
Consider in-study validation for certain elements (e.g. stability, dilution integrity) experience...)
extensive selectivity ( )
dilution integrity) Combine stability experiments
to simplify (incl. haemolysed/lipemic) co-meds, OTCs, FDC
t ti
to simplify Wider P&A criteria may be
appropriate for the end point testing Recovery R li t f t d
appropriate for the end point decision (e.g. 20%/25%)
Increased focus on in-study Replicates of pre-study matrix, LLOQ, ULOQ
testing
ystudy performance
testing
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How does it work
Pre-study t it i
In-study t it iacceptance criteria acceptance criteria
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Metabolites in plasma (ICH Urine Tissue Early
development
Early development
In detail: pre-study validation plasma (ICH‐
M3) Urine homogenates development
clinical studies preclinical studies
d l f l d stage appropriate scientific
study validation
Guideline assay appropriate scientific validation stage appropriate scientific validation
CoA with at minimum proof of y N Y or use dosed batchminimum proof of identity/purity
y N Y or use dosed batch
Calibration curve: b f
Minimum 6, covering range Mi i 5 i i d l Minimum 6, covering rangenumber of
calibration samples
covering range incurred samples
Minimum 5, covering range incurred samples Minimum 6, covering range incurred samples
75% and at 75% and at Acceptance criteria
CAL
%least 5 points within 15%
(20% @ LLOQ)
%least 5 points within 20%
(25% @ LLOQ)
75% and at least 5 points within 25% (30% @ LLOQ
75% and at least 6 points within 20% (25% @ LLOQ)
Matrix QC identical as study y Y Y (or matrix matching) Y
4
QC levels – replicates
4 (LLOQ/low/mid/high) – min.
5 reps
3 (low/mid/high) – min 3 reps 4 (LLOQ/low/mid/high) – min. 5 reps
p
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Metabolites in plasma (ICH Urine Tissue Early
development
Early development
In detail: pre-study validation plasma (ICH‐
M3) Urine homogenates development
clinical studies preclinical studies
stage appropriate scientific
study validation
Guideline assay appropriate scientific validation stage appropriate scientific validation
Acceptance criteriaAcceptance criteria QC – mean bias 20% 20% 25% 20% (25% at LLOQ)
Acceptance criteria 15% (20% at 20% 25% 20% (25% at LLOQ)QC (%CV per level) LLOQ) 20% 25% 20% (25% at LLOQ)
Inter assay variability 15% Use scientific judgment based upon P&A of 1‐ Use scientific judgment based Inter assay variability 15% run validation upon P&A of 1‐run validation
QC/Cal from N N Y (unless check equivalence) Y, unless accuracy of stock separate stocks N N Y (unless check equivalence) proven
Selectivity 6 Min. one source of blank matrix (as used for cals/QCs) 6
n=1 matrix source is still y cals/QCs) relevant
multiple sources
d didepending on practicality
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Metabolites in plasma (ICH‐ Urine Tissue Early
development Early development
In detail: pre-study validation plasma (ICH
M3) Urine homogenates development
clinical studiespreclinical studies
Guideline assay appropriate scientific validation stage appropriate scientific lid ti
study validation
y pp p validation
Extraction recovery N N
Carryover Y In study
Matrix effect Y N, assess within study runs via IS response
Dil ti i t it Y I t dDilution integrity Y In study
LLOQ
As defined by acceptable LLOQ CAL As defined by acceptable LLOQ CAL standardLLOQ CAL standard
Comed selectivity (in support of DDI Y N
studies)
Over the Counter (OTC) stability N N
Fixed Dose Combination
stabilityanticipated N
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Metabolites in Tissue Early
In detail: pre-study validation
plasma (ICH‐M3)
Urine Tissue homogenates development
clinical studies
Early development preclinical studies
stage appropriate scientific
study validation
Guideline assay appropriate scientific validation stage appropriate scientific validation
Processed sample stability/reproducibi Y N scientific judgmentstability/reproducibi
lityY N scientific judgment
Stock solution stability Y 20% ‐minimal
assessment If available previously Y, unless prepared the same daystability assessment day.
Bench top stability Y N
S l t bilit f
Consider combined stability experiment to cover
Sample stability for duration of storage Y Y (20%) N
F/T stability Y (3 cycles) N, consider ISS Y (1 cycle)experiment to cover unknown samples
Sampling conditions Y N
Y, consider including
d
Y, Specify conditions,
dSampling conditions Y N container and adsorption
consider EBF paper
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Metabolites in plasma (ICH‐ Urine Tissue Early
development Early development
In detail: pre-study validation plasma (ICH
M3) Urine homogenates development
clinical studiespreclinical studies
Guideline assay appropriate scientific validation stage appropriate scientific lid i
study validation
Guideline assay appropriate scientific validation validation
Whole bloodN, unless for
known N unless for known problemWhole blood stability N known
problem scaffolds
n/a N, unless for known problem scaffolds [22]
Hemolytic N (Y EMA) N n/a NHemolytic N (Y, EMA) N n/a N
Hyperlipidemic N (Y, EMA) N n/a N
Validation Y (SOP or at minimum SOP or short protocol summarizing scientific parameters to plan/protocol
(protocol)
p g pbe tested
Validation report Y (Extensive) At minimum a document summarizing scientific parameters tested
d
Misc.
Consider longer run time instead
# = during meth dev. Non
Specific Binding /
Calibration matrix may be
of specificity experiment
g /sampling
conditions & aliquoting
ya surrogate
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Early
In detail: in-study acceptance criteria
Metabolites in plasma (ICH‐
M3) Urine Tissue
homogenates
Early development clinical studies
Early development preclinical studies
acceptance criteria
Guideline assay appropriate scientific validation stage appropriate scientific validation
C lib ti Mi i 6Calibration curve: number of calibration samples
Minimum 6, covering the ranges of
incurred samples
Minimum 5, covering the ranges of incurred samples
Minimum 6, covering the ranges of incurred samples
p p
Acceptance criteria CAL
75% and at least 6 points within 15% (20% @
75% and at least 5 points within 20%
75% and at least 5 points within 25% (30% @ LLOQ)
75% and at least 6 points within 20% (25% @ LLOQ)
LLOQ) (25% @ LLOQ)
Inter assay variability Y Use scientific judgmentvariability
Matrix CAL/QC identical as study Y Y Y (or matrix matching) Y
Number of QC levels/replicates
5%, at least 3 (low/mid/high) ‐
2 reps3 (low/mid/high) ‐ 2 reps
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Metabolites in Tissue Early Early development
In detail: in-study acceptance criteria
plasma (ICH‐M3)
Urine Tissue homogenates development
clinical studies
development preclinical studies
Guideline assay appropriate scientific validation stage appropriate scientific
acceptance criteria
Guideline assay appropriate scientific validation validation
QC run acceptance (bias)
4‐6‐15, ½ of QC samples per level
4‐6‐20, ½ of QC samples per level
4‐6‐25, ½ of QC samples per level
4‐6‐20, ½ of QC samples per level p p p per level
Acceptance criteria QC –mean bias (for 15% 20% 25% 20%n>1 batch study
sizes)
ISR EMA paper N Y, once Y, once per speciesspecies
Carry over Y Y, Assess impactDilution integrity (may be QC) Y If required
IS variability with criteria Y Scientific judgment Refer to EBF paper
Hemolytic N (Y EMA) N n/aN, is part of IS tracking,–interrogate anomalousHemolytic N (Y, EMA) N n/a interrogate anomalous
resultsobservation recorded by yclinical Unit
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Metabolites in Tissue Early Early development
In detail: in-study acceptance criteria
plasma (ICH‐M3)
Urine Tissue homogenates development
clinical studies
development preclinical studies
stage appropriate scientific
acceptance criteria
Guideline assay appropriate scientific validation stage appropriate scientific validation
Hyperlipidemic N (Y, EMA) N n/a N, is part of IS tracking n/atracking
Anomalous result repeats Y N Yes, as requested in duplicate
ExtrapolationExtrapolation beyond curve N scientifically based extrapolation justified
Selectivity by dilution of Protocol &
Misc. dilution of incurred samples
report QA’d if claiming GLP
Repeat if drug in d lRepeat if drug in placebo/control Y Yes in duplicate
In-study validation as part of study sample analysis: if only in-studyIn study validation as part of study sample analysis: if only in study validation is performed (no pre-validation), include (with predefine acceptance criteria) those relevant missing parameters from scientific validation above mentioned (e g relevant stability)mentioned (e.g. relevant stability)
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Documentation/reportingDocumentation/reportingKeep it brief and relevantp Include reference to Study Number, Protocol or SOP
– signed by sponsor ??? Template scope of scientific validation to frame the context
– maybe with reference to EBF recommendation paper or other? B d Body:
– (reference to) assay description– short summary table providing evidence of assay performance– short summary table providing evidence of assay performance,
range and stability– More detail in appendix as required or as per company desire pp q p p y
(e.g. sponsor-vendor relationship) No need to include chromatograms No GLP claim on validation Signature of study responsible person
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Finally “4 6 20” vs “4 6 15”Finally….. 4-6-20 vs. 4-6-15
I th i t d lib l tIs the anxiety around more liberal acceptance criteria a valid worry or are we over-reacting?– For SMOL BA current practice = 4-6-15, but most
studies come in @ better acc&prec.@ p– In practice, also with more liberal criteria, most
studies will be coming in at better acc&prec, thanstudies will be coming in at better acc&prec, than 4-6-20, and likely even 4-6-15.
– Having more pre-agreed liberal acceptance criteria– Having more pre-agreed liberal acceptance criteria, will prevent undue repeat for those studies which fall outside (too) stringent criteria for the purpose offall outside (too) stringent criteria for the purpose of the study
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A teaser Why all this effort for my study? Once my compound progresses IOnce my compound progresses, I
need to redo the validation. So, I am doubling my workload g y
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Let’s make the math for what’s is worthLet s make the math…for what s is worthUsing the attrition rate reported by the Tufts CSDD 2014 model, refined to match BA-attrition:refined to match BA-attrition:
– preGLP 250 compounds– GLP 25 compounds – FIM 12 compoundsFIM 12 compounds– > MIST 5 compounds– POC 2 compounds– > POC 1 compound
Current approach:To get 1 compound to the market we need 3720 validation days*g p y 319 regulatory validations
Alternative approachAlternative approachTo get 1 compound to the market we need 1393 validation days* 29 regulatory validations 209 i tifi lid ti 209 scientific validations* assumptions: 12/5 days for RV/SV, 1 metabolite/project from GLP onwards
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Cpds # RV #SV R D M Ra H R D M Ra H R DMRa H R DMRa H
Active Metabolite Urine Tissue
ppreGLP 250GLP 25 250 1 1 1 1 1 1 1 3FIM 12 36 1 1 1> MIST 5 20 1 1 1 1POC 2 2 1> POC 1 2 1 1
310 0310 03720
Active Metabolite Urine Tissue
Cpds # RV #SV R D M Ra H R D M Ra H R DMRa H R DMRa HpreGLP 250GLP 25 125 1 1 3FIM 12 84 1 1 1 1 1 1 1FIM 12 84 1 1 1 1 1 1 1> MIST 5 25 1 1 1 1 1POC 2 2 1> POC 1 2 1 1
29 209348 10451393
assumptionattrition rate cfr. Tufts model CSDD 2014 model1 Regulatory full validation = 12 days1 scientific validation = 5 days for plasma/urine/tissue/metabolites
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Next stepsNext stepsRecommendationRecommendation can serve as a toolbox for the bioanalyst It is not intended as an endpoint of the discussion It is not intended as an endpoint of the discussion.
– E.g. the CC-I, II, III,…. were no endpoints either.– As science progresses and experience builds proposals– As science progresses and experience builds, proposals
can be a step stone for future refinements
Continued need for intensified global discussion and Continued need for intensified global discussion and feedback from the regulatory agencies:– A cross-regional team (EBF, AAPS/IQ, JBF) is being formedA cross regional team (EBF, AAPS/IQ, JBF) is being formed
to take the discussion further– consideration an EBF/AAPS/JBF organized ‘CC-VII’ type
meeting – Further discussions on how to approach ICH
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Clinical & Pharmaceutical Solutions through AnalysisOctober 5 - 8, 2015Sheraton Bucks County Hotel Langhorne PASheraton Bucks County Hotel, Langhorne, PA
Where Technology and Solutions Meet!Panel discussion
Questions to focus on:1 Wh t i d d t f th i l t1. What is needed to further implement
scientific validation in the areas proposed?2. Are there other areas where the principles
of tiered approach add value?of tiered approach add value?
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R ’t b ilt i d b t thRome wasn’t built in a day, but they
built itbuilt it.after John Heywoody
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AcknowledgementsAcknowledgements
M f i d d ll i i d t ithMany friends and colleagues in industry, with special thanks to AAPS BFG DV-DMDG CPSA EBF GBC JBF
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Publications1. Fit-for-Purpose Method Development and Validation for Successful Biomarker Measurement, Pharmaceutical Research Vol. 23,
No. 2, Feb 2006, 312-3282. Workshop/Conference Report — Quantitative Bioanalytical Methods Validation and Implementation: Best Practices for
Chromatographic and Ligand Binding Assays. The AAPS Journal 2007; 9 (1)g p g g y ; ( )3. Bringing new technologies into regulatory space. Bioanalysis, Vol. 4, No. 23, Pages 2763-27644. Managing scientific, technical and regulatory innovation in regulated bioanalysis: a discussion paper from the European
Bioanalysis Forum. Bioanalysis, Jan 2013, Vol. 5, No. 2, Pages 139-1455. When do you need a validated assay? Bioanalysis, Vol. 3, No. 24, Pages 2729-27306. Generic approach to validation of small-molecule LC-MS/MS biomarker assays Bioanalysis. 2009 Nov;1(8):1365-747. Best practices in a tiered approach to metabolite quantification: views and recommendations of the European Bioanalysis Forum.
Bioanalysis, July 2010, Vol. 2, No. 7, Pages 1185-11948. European Bioanalysis Forum recommendation: scientific validation of quantification by accelerator mass spectrometry..
Bioanalysis Nov 2012 Vol 4 No 22 Pages 2669-2679Bioanalysis, Nov 2012, Vol. 4, No. 22, Pages 2669 26799. Bioanalysis for plasma protein binding studies in drug discovery and drug development: views and recommendations of the
European Bioanalysis Forum. Bioanalysis. 2014 Mar;6(5):673-68210. Recommendations from the European Bioanalysis Forum on method establishment for tissue homogenates. Bioanalysis, Vol. 6,
No. 12, Pages 1647-165611. Tiered Approaches to Chromatographic Bioanalytical Method Performance Evaluation: Recommendation for Best Practices and
Harmonization from the Global Bioanalysis Consortium Harmonization Team. AAPS Journal, January 2015, Volume 17, Issue 1, pp 17-23
12. Reflecting on a decade of metabolite screening and monitoring. Bioanalysis, Vol. 6, No. 5, Pages 651-664.13 Measuring soluble biomarkers in clinical trials: do tiered approaches to the analysis and validation of assays provide an answer13. Measuring soluble biomarkers in clinical trials: do tiered approaches to the analysis and validation of assays provide an answer
to the fit-for-purpose challenge? Bioanalysis, Vol. 6, No. 5, Pages 605-60914. Feedback from the European Bioanalysis Forum Workshop: Taking tiered approach to the next level. Bioanalysis. Vol. 6, No. 19,
Pages 2593-259815. Timmerman P. Tiered Approach revisited: introducing Stage-Appropriate or Assay-Appropriate Scientific Validation, Bioanalysis,
V l 6 N 5 P 599 604Vol. 6, No. 5, Pages 599-604.16. Scientific or regulated validation: a tiered approach? Meeting report from a joint EBF/DVDMDG workshop. Bioanalysis 7:14,
1703-1710.17. Tiered approach into practice - scientific validation for chromatography-based assays in early development: a recommendation
from the European Bioanalysis Forum. Bioanalysis, Vol 7p y y ,
hTT-sp://www.europeanbioanalysisforum.eu 3804/12/2015