17 December 2013 Expert Advisory Group MC1: Medicinal Chemicals 1 BRITISH PHARMACOPOEIA COMMISSION EXPERT ADVISORY GROUP (EAG): MEDICINAL CHEMICALS 1 (MC1) SUMMARY MINUTES A meeting of Expert Advisory Group (EAG): Medicinal Chemicals (MC1) was held at 151 Buckingham Palace Road, London SW1W 9SZ on Tuesday, 17th December 2013. Present: Professor A G Davidson (Chairman), Professor D Cairns (Vice-chairman), Dr M Ahmed, Dr J C Berridge, Mr A J Caws, Dr V Loh and Mr P Fleming. Apologies: Mr M Broughton, Dr W J Lough and Mr D Malpas. In attendance: Mrs M Barrett, Ms H Corns, Mr S Humphreys and Mr A Panchal. INTRODUCTORY REMARKS 222 Welcome The Chairman welcomed everyone to the meeting. He informed members that, due to restructuring, Dr Holland had taken up new responsibilities within the BP Secretariat. Members recorded their thanks for her contribution to the expert group and wished her well in her new role. Members welcomed Ms H Corns as the new member of the EAG: MC1 Secretariat and Dr V Loh, a new expert, from the Licensing Division of the MHRA. Members also welcomed Mr A Panchal and Mr S Humphreys from the BP Laboratory. I MINUTES 223 The minutes of the meeting held on 3rd June 2013 were confirmed. 224 Emergency evacuation procedure MC1 (13) 26 The emergency evacuation procedure for Buckingham Palace Road was noted. 225 MC1 (13) 27 Declaration of interests Members had declared their interests prior to the meeting. 226 MC1 (13) 28 BP Website Development Members were informed that the BP website was under review. 227 MC1 (13) 29 New MHRA structure Members were given an overview of the new structure within the Medicines and Healthcare Products Regulatory Agency (MHRA) following the merger with the National Institute for Biological Standards and Control (NIBSC) which had become part of the Agency in April 2013. Members were informed that the Clinical Practice Research Datalink (CPRD) had become part of the Agency in 2012. In September 2013 Dr Ian Hudson had succeeded Professor Sir Kent Woods as the new Chief Executive of the MHRA. Dr Hudson had previously been the head of the MHRA Licensing Division. 1 17 December 2013 Expert Advisory Group MC1: Medicinal Chemicals 1 In October 2013 Professor Kevin Taylor had been appointed as the Chairman of the BP Commission. Professor Taylor was Head of Pharmaceutics at the School of Pharmacy at University College, London. 228 Issues arising from the BP Commission MC1 (13) 30 Members were provided with an update on matters recently discussed by the BP Commission. Inhaled Products Members were informed that the work of the Inhaled Products Working Party had been completed and that the inhaled products policy could be found on the BP website. Omitted Monographs Advice had been sought on the legal status of monographs omitted from the BP following the implementation of the Human Medicines Regulations. The advice received was that as there had been no substantive change in the Regulations and that the previously omitted monographs would remain in force in perpetuity. Good Pharmacopoeial Practices Members were informed that the BP Secretariat was contributing to the development of WHO guidelines on Good Pharmacopoeial Practices, particularly in relation to finished products. The work was on-going and the BP Secretariat would keep members updated with developments that might affect the work of the EAG. Disregard Limits It had been agreed by the BPC that a disregard limit could be based on a solution with a higher concentration than the limit of disregard provided that this solution was not more than 4 times the concentration. II MATTERS ARISING FROM THE MINUTES 229 Matters arising MC1 (13) 31 A list of ‘Matters Arising’ from the minutes of the meeting of EAG MC1 held in June 2013 and those outstanding from previous meetings was circulated with the papers for the meeting. A copy is appended (Annex 1). 230 MC1 (13) 32 Laboratory Work update A document outlining the BP Laboratory work schedule for BP 2015 was presented for information. The Secretariat had recently received comments on the draft monographs for Rizatriptan Tablets and Rizatriptan Orodispersible Tablets. Difficulties had been encountered in the BP Laboratory when developing methods for Terbinafine Tablets and that further work was being carried out. 2 17 December 2013 Expert Advisory Group MC1: Medicinal Chemicals 1 Work on the revision of Propofol Injection had been held up due to the lack of samples. The Secretariat would endeavour to source further samples. 231 Gastro-resistant Omeprazole Capsules MC1 (13) 33 Assay In the published BP assay method for Gastro-resistant Omeprazole Capsules the analyst was required to grind the contents of the capsule to a fine powder before carrying out the test. At the June 2013 meeting members were informed that a manufacturer had requested a revision to the assay method to test the capsule contents ‘as is’ as they had observed that grinding the capsule contents before dissolution produced low assay results. Laboratory assessment The BP Laboratory had carried out the Assay as instructed in the BP 2013 and had also extracted the active from the whole contents. Members commented that the differences between the two sets of laboratory results were statistically not significant but that the monograph would be revised for BP 2015 to include the whole contents of the capsules. This would remove a step in the sample preparation which could potentially produce lower assay results. Publication The revised monograph would be published in BP 2015. 232 MC1 (13) 34 Colchicine Tablets A manufacturer had previously provided information on the methods and data to enable the BP Secretariat to revise the monograph for Colchicine Tablets. Content of Colchicine The manufacturer had further reviewed batch and stability data for their product and had agreed that the revised limits of ‘95.0% to 105.0%’ were suitable for their product. Identification The manufacturer had advised that they had not been able to devise an infrared test that they were in the process of developing a UV method for identification. The results would be circulated to members when they became available. 233 Dipyridamole Infusion Prolonged-release Dipyridamole Capsules MC1 (13) 35 Samples of impurities Members were informed that samples of dipyridamole ditartaric acid ester and dipyridamole tartaric acid monoester, impurities 1 and 2 respectively, which were required for the impurity standard BPCRS for the two monographs had been synthesised by a contract laboratory. Establishment of the reference material The BP Laboratory would carry out tests to verify the structures of the two impurities and establish the impurity standard at the earliest opportunity. The response factors for these impurities relative to Dipyridamole would also be determined. 234 MC1 (13) 36 Fentanyl (Citrate) Injection Identification test for Citrate At the June 2013 meeting members had queried whether an identification test for citrate was necessary, in the monograph for Fentanyl Citrate, as citrate had no pharmacological effect in solution. In this instance members agreed that the test for identification of citrate would be removed from the monograph by means of BP 2015. 3 17 December 2013 Expert Advisory Group MC1: Medicinal Chemicals 1 III REPORTS AND CORRESPONDENCE 235 Anti-epileptics: Guidance received from the MHRA on interchangeability MC1 (13) 37 In November 2013 guidance had been circulated by the MHRA to prescribers, pharmacists and patients on the interchangeability of anti-epileptic drugs (AEDs). The Committee on Human Medicines (CHM) had reviewed evidence on patients switching between different manufacturers’ products and had concluded that, although there was no clear evidence of harm associated with switching products, an effect on some patients could not be ruled out. CHM had classified the various AEDs into three categories. Category 1: Practitioners were advised to ensure that the patient was maintained on a specific product. This category included the AEDs Phenytoin, Carbamazepine and Primidone for which EAG: MC1 had responsibility. Category 2: The need to maintain a specific product would be based on clinical judgement and consultation with the patient or carer and taking into account seizure frequency and treatment history. This category included the AEDs Valproate, Lamotrigine, Oxcarbazine and Topiramate for which EAG: MC1 had responsibility. Category 3 It was unnecessary to maintain a single manufacturer’s product. Opening statement in monographs for AEDs Members discussed whether an opening statement on non-interchangeability should be included in any of the MC1 monographs in the various categories. They bore in mind that the monograph for Carbamazepine Tablets already contained the statement Carbamazepine Tablets from different manufacturers, whilst complying with the requirements of the monograph, are not interchangeable which had been agreed by the Pharmacy Expert Group and MC1 members in 2003. Members agreed that a precedent had been set in the case of Carbamazepine Tablets and a comparable statement should be included in all of the MC1-related Category 1 products - Phenytoin, Carbamazepine and Primidone. Members had a wide-ranging discussion on Category 2 products. It was noted that it was a clinical decision whether a specific product would be maintained for a patient. The therapeutic window to avoid seizures was small and also the emotional and psychological aspects would also need to be taken into account by the clinician. The consensus was that MC1 members would not recommend an opening statement for category 2 products as in this case the decision should be made on clinical judgement. BP Commission MC1 Experts’ views would be forwarded to the BP Commission who would be asked to make the decision on opening statements for the various categories. 236 MC1 (13) 38 Trihexphenidyl Tablets The Secretariat had been informed that the quantity of powdered tablet to be used in Identification test A was not specified in the monograph for Trihexphenidyl Tablets. The quantity had been accidently omitted during restyling of the monograph. The monograph had been revised to include a direction to use 20 mg of the powdered tablets. Members agreed that the amendment would be published in the BP 2015. It was noted that chloroform was used within Identification test A and that this would be reviewed in line with BPC policy to replace chloroform where possible. Members 4 17 December 2013 Expert Advisory Group MC1: Medicinal Chemicals 1 agreed that a suitable replacement would be investigated. 237 MC1 (13) 39 Tenoxicam for Injection A manufacturer had asked for the limits for Tenoxicam, in the BP monograph for Tenoxicam for Injection, to be reviewed. The current monograph had skewed limits of 104.5% to 115.5%. Members noted that the monograph for Tenoxicam Injection instructed the user to dilute the lyophilised powder with the requisite amount of water for injections. It was usual practice for the water for injections at the correct volume to be supplied in a sealed vial along with the vial of lyophilisate. It was stated that the overage was supplied so that when the solution was prepared there was sufficient of the solution present for the correct volume to be removed easily from the vial. Members agreed that the current limits would be retained. The manufacturer to be informed that no changes would be made to the published limits. 238 MC1 (13) 40 Domperidone (Maleate) Tablets A manufacturer had requested that a statement be included in the Related substances test for Domperidone Tablets to disregard the peak due to Maleic Acid as the inclusion of the peak area in the calculation of impurities present could give falsely high results. Members agreed that a statement would be included in the related substances test similar to that of the Ph. Eur. monograph for the active substance – disregard any peak due to maleic acid at the beginning of the chromatogram. The revised monograph would be published in BP 2015. 239 MC1 (13) 41 Methotrexate Injection Members were informed that the Pharmacy Expert Advisory Group: EAG PCY had requested the removal of the labelling statement regarding preservatives from the monograph for Methotrexate Injection. The Labelling statement instructed the user not to use the injection for intrathecal administration when preservatives were present but there were currently no licensed products marketed in the UK containing preservatives. In addition, EAG PCY had stated that negative Labelling statements should not be used as they could increase the risk of administration via an incorrect route. Members agreed that the labelling statement would be removed from the monograph in the BP 2015. IV REVISION OF MONOGRAPHS 240 Carbimazole Tablets MC1 (13) 42 Thiamazole and other related substances A request had been submitted by a manufacturer to revise the test for Thiamazole and other related substances in the monograph for Carbimzole Tablets. Members reviewed the report and agreed to that the revisions proposed by the manufacturer would be adopted. 241 Aspirin Preparations Dispersible Aspirin Tablets Effervescent Soluble Aspirin Tablets Aspirin and Caffeine Tablets Co-codaprin Tablets Dispersible Co-codaprin Tablets MC1 (13) 43 Test for Salicylic Acid At the December 2012 meeting members were informed that a manufacturer had queried the use of water to dissolve salicylic acid in the reference 5 17 December 2013 Expert Advisory Group MC1: Medicinal Chemicals 1 solution when 96% ethanol was used to dissolve the sample solution. It was noted that by definition salicylic acid is ‘slightly soluble in water’ (1g dissolving in 100 mL to 1000 mL of solvent) and the analyst should have been able to prepare a 0.050% w/v solution of salicylic acid in water. Laboratory assessment The BP Laboratory had evaluated the effectiveness of water and 96% ethanol to prepare the 0.050% w/v solution of salicylic acid. Although salicylic acid dissolved in water with sonication and stirring, it dissolved immediately in 96% ethanol. The laboratory recommended that the tests were revised to include 96% ethanol for the initial dissolution. Members agreed that the tests for Salicylic Acid would be revised in BP 2015. Replacement of chloroform with dichloromethane The BP Laboratory had also confirmed that chloroform could be replaced by dichloromethane as the extraction solvent. Review of the Related substances test The Secretariat had drafted a Related substances test for Aspirin Tablets, based on the method in the Ph. Eur. monograph for Aspirin, to replace the test for Salicylic Acid. The BP Laboratory would assess the draft test at the earliest opportunity and if successful the test would be assessed for the other Aspirin preparations. 242 Cetirizine Oral Solution Cetirizine Tablets MC1 (13) 44 A UK manufacturer had supplied data which showed that a correction factor of 0.7 was necessary to estimate impurity A in the Related substances tests for Cetirizine Oral Solution and Cetirizine Tablets. Both BP monographs limited each of the impurities A, B and G at not more than 0.3%. It was noted that the Ph. Eur. Related substances test in the monograph for the active material had been revised to include correction factors for five impurities, impurity A 0.7; impurity C 1.9; impurity D 0.6; impurity E 1.3 and impurity F 1.9. The tests used in the BP preparation monographs were different to the Ph. Eur. monograph and it was not clear if impurities C, D, E and F would be detected by this method. Correction for unspecified impurities Members discussed the consequences of omitting a correction figure for unspecified impurities where the related substances method for the preparation was different to the active material. Impurity A Members agreed that a correction figure of 0.7 for impurity A would be included in both monographs. Unspecified impurities Manufacturers’ data and laboratory reports would be reviewed to see if information on the unspecified impurities C, D, E and F was available for the BP published methods. The corrections would be included in the monographs if the information was found. 243 MC1 (13) 45 Doxepin Capsules The BP Laboratory had assessed the use of a capillary GC column in place of a packed column when determining the Z isomer content in Doxepin in the reference material. A DB-624 capillary column adequately resolved the Z and E isomers. Members agreed that the revision would be adopted subject to the inclusion of a resolution criterion between the E and Z isomers. The laboratory agreed to calculate a resolution factor from laboratory data. Members requested that the inconsistent use 6 17 December 2013 Expert Advisory Group MC1: Medicinal Chemicals 1 of mg and g in the monograph was also amended. It was noted that chloroform was used within Identification test A and this should be reviewed in-line with BP policy to replace chloroform where possible. Members agreed that this would be added to the BP Laboratory work programme. 244 MC1 (13) 46 Paracetamol Preparations Limits for 4-chloroacetanilide and 4-aminophenol Members had agreed, at a previous meeting, the need to harmonise the limits for 4′-chloroacetanilide (Ph. Eur. Impurity J) and 4-aminophenol (Ph. Eur. impurity K) in BP monographs relating to Paracetamol preparations. Members reviewed the current limits for the 19 BP Paracetamol-containing products, taking into account a draft chapter in the US Pharmacopeial Forum <227> 4-aminophenol in acetaminophen-containing drug products and a toxicological report received from an assessor at the MHRA. 4-chloroacetanilide 4-Chloracetanilide was a synthetic impurity of Paracetamol and it was agreed that the Ph. Eur. Limit of not more than 10 ppm would be applied to the preparation monographs. 4-aminophenol Members stated that if an allowance of not more than 1500 ppm had been agreed by licensing authorities for the liquid products then it would be hard to justify tightening the limits for the solid products. Further information The EDQM would be asked to provide any toxicological data received during the certification of suitability procedure (CEP) to show genotoxicity and the UK expert on the European Pharmacopoeia group with responsibility for Paracetamol would be asked to share the data used when the Ph. Eur. monograph was revised to include the tighter limit for 4-aminophenol. 245 MC1 (13) 47 Fenthion BP Assay The BP Laboratory had demonstrated that a ZB-5 capillary column was a suitable replacement for the packed column specified in the assay method for Fenthion. Members agreed that that the assay method would be revised to include a capillary GC column. Assay – use of dibutyl phthalate and chloroform The BP Laboratory had also established that the internal standard (dibutyl phthalate) could be deleted from the test, as this chemical was restricted by the REACH directive and also that dichloromethane could be used as a replacement for chloroform. Members agreed that the revisions would be adopted. A system suitability requirement to test the reproducibility of the injections of ‘the RSD on 6 injections is not greater than 2.0%’ was covered in BP Appendix III, Chromatographic Separation Techniques. Identification test B and C and Related substances Members discussed whether Identification tests B and C were required in addition to the infrared test and whether the revised capillary GC method for assay could be used to update the TLC Related substances test. It was also noted that the content limits of 90.0% to 100.5% were wide for an API and that the impurity limits were out of line with current VICH guidance. Members concurred that the whole monograph would benefit from a review. The VMD would be contacted regarding the usage of Fenthion prior to further review of the monograph, as it was noted that this compound had been banned from use in some countries. (Please see Secretariat note following minute 262). 7 17 December 2013 Expert Advisory Group MC1: Medicinal Chemicals 1 246 MC1 (13) 48 Hydroxycarbamide Capsules The BP Laboratory had contacted the Secretariat to query the different TLC stationary phases used in the tests for Urea in the Ph. Eur. monograph for Hydroxycarbamide and BP monograph for Hydroxycarbamide Capsules. It had been found that the Urea test from the Ph. Eur. monograph had been assessed for the BP monograph and its inclusion, along with a test for Hydroxylamine, had been agreed. The amended monograph had not been published at that time. Members agreed that the amendments would be published and to include a direction to shake the mobile phase before using the upper layer would be included under mobile phase in the Urea test. 247 MC1 (13) 49 Ondansetron Tablets Assay A manufacturer had provided data to show that more consistent assay results had been achieved when the extraction solvent, acetonitrile, used in the assay method for Ondansetron tablets, had been replaced by a 50:50 mixture of acetonitrile and the mobile phase. They had also claimed that it was not necessary to evaporate to a residue before dissolving in a smaller about of solvent. The BP Laboratory had confirmed the manufacturer’s findings. Members agreed that the test would be revised in BP 2015 to include a 50:50 mixture of acetonitrile and mobile phase. 248 MC1 (13) 50 Mianserin Tablets Assay The BP Laboratory had demonstrated that a HP-5 capillary column was a suitable replacement for the packed column specified in the Assay method for Mianserin Tablets. Members agreed that the test would be revised for BP 2015. Related substances It was highlighted that the Related substances test in the monograph was a TLC method and that the Ph. Eur. monograph for Mianserin Hydrochloride used a LC method for the determination of impurities. It was agreed that the BP Laboratory would assess the Ph. Eur. LC method for use for both the Related substances test and Assay in the capsules monograph. Identification It was noted that the Mianserin Capsules monograph contained 3 identification tests and that confirmation of identification by IR (Identification test A) was normally considered sufficient as a standalone identification test. Members discussed whether it was necessary to retain all of the identification tests and agreed that this should be reviewed by the Secretariat. Content Members noted that the 90.0 to 110.0% content limits for the capsules were wider than the standard limits of 95.0 to 105%. Members agreed that manufacturers would be asked to justify the wide limits. 249 MC1 (13) 51 Procyclidine Hydrochloride Related substances test B The BP Laboratory had demonstrated that a DB-Wax capillary column was suitable as a replacement for the packed column specified in the Related substances B test in the monograph for Procyclidine Hydrochloride. Members accepted the revision to Related substances B to include the capillary GC column. It was noted that Procyclidine Hydrochloride was an old product and that the monograph would benefit from a full review. Members agreed that the monograph 8 17 December 2013 Expert Advisory Group MC1: Medicinal Chemicals 1 should be reviewed and added the laboratory work programme. 250 MC1 (13) 52 Minoxidil Scalp Application Assessment of the revised monograph At the December 2012 meeting members had agreed that the revised monograph for Minoxidil Scalp Application would be published subject to comment from manufacturers. Members were informed that, following the meeting, the revised draft monograph had been assessed by an MSc student and it had been found to be a suitable method. The revised monograph would be published in BP 2015. 251 MC1 (13) 53 Ranitidine Oral Solution An error in Identification A in the monograph for Ranitidine Oral Solution had been raised by a user of the BP. method and the consequential amendment to Identification test. The error had been corrected by adapting the previous TLC Related substances method and members accepted the revision of Identification A. 252 Gastro-resistant Lansoprazole Capsules Gastro-resistant Lansoprazole Tablets MC1 (13) 54 A manufacturer had queried the use of a Supelcosil LC-ABZ 25cm x 3mm, 5μm column in the dissolution, assay and related substances tests in the monographs for Gastro-resistant Lansoprazole Capsules and Gastro-resistant Lansoprazole Tablets as the chromatogram supplied with the reference material had been run on a column with a 4.6 mm diameter. Members were informed that the monographs would be amended for BP 2015 to include a 4.6 mm diameter column. 253 MC1 (13) 55 Aciclovir Infusion Aciclovir Tablets Dispersible Aciclovir Tablets A manufacturer of Aciclovir Infusion had highlighted that the Related substances test in the BP monograph had a tighter limits for impurities A, G, J, K, N and P than in the Ph. Eur. API monograph. In the Ph. Eur. Aciclovir monograph, these impurities were limited at not more than (NMT) 0.2% but because they were not specified in the BP monograph, the ‘any other impurities’ limit of NMT 0.1% applied. When the Related substances tests had been revised the 0.1% limit had been applied as the maximum daily dose was above 2g per day in-line with ICH guidance. The Secretariat had also identified the issue in the Aciclovir Tablets and Dispersible Aciclovir Tablets monographs. Members discussed whether the impurities should be specified at NMT 0.2% and to retain the unspecified impurities limit of NMT 0.1% or whether to increase the unspecified impurities limit to NMT 0.2%. It was noted that EDQM produced reference standards that could be used to identify the impurities, if they were specified. Members stated that there was a low risk of increased toxicity when increasing the limits for unspecified impurities to NMT 0.2% from NMT 0.1%. In the absence of strong views against raising the unspecified impurities limit, it was agreed that the monograph would be revised with any other impurities limited at 0.2%. It was recognised that it was unusual to go against ICH guidelines, but as the maximum daily doses were just over the 2g per day boundary given in the ICH guidelines, that it could be justified in this case. 9 17 December 2013 Expert Advisory Group MC1: Medicinal Chemicals 1 V MONOGRAPHS IN PROGRESS 254 Abacavir , Zidovudine and Lamivudine Tablets MC1 (13) 56 The draft monograph would be included in a future BP publication, subject to comments from manufacturers. VI NEW MONOGRAPHS 255 Abacavir and Lamivudine Tablets MC1 (13) 57 The draft monograph would be included in a future BP publication, subject to comments from manufacturers. 256 MC1 (13) 58 Cetirizine Capsules The draft monograph would be included in a future BP publication, subject to comments from manufacturers. 257 MC1 (13) 59 Zidovudine Infusion The draft monograph would be included in a future BP publication, subject to comments from manufacturers. 258 MC1 (13) 60 Loperamide Oral Solution The draft monograph would be included in a future BP publication, subject to comments from manufacturers. 259 MC1 (13) 61 Loperamide Tablets The draft monograph would be included in a future BP publication, subject to comments from manufacturers. 260 Loperamide Orodispersible Tablets MC1 (13) 62 The draft monograph would be included in a future BP publication, subject to comments from manufacturers. MC1 (13) 63 VII ANY OTHER BUSINESS 261 Members were informed that requests for revision for the monographs for Sumatriptan Tablets and Paroxetine Tablets had been received. The Secretariat would circulate the information to members at the earliest opportunity. 262 Date of next meeting Wednesday, 11th June 2014 SECRETARIAT NOTES Minute 245 Fenthion: Following the meeting the VMD had confirmed that there were no licensed products which contained Fenthion in the UK. 10 17 December 2013 Expert Advisory Group MC1: Medicinal Chemicals 1 BRITISH PHARMACOPOEIA COMMISSION EXPERT ADVISORY GROUP MC1: Medicinal Chemicals 2.1. MATTERS ARISING FROM PREVIOUS MEETINGS OTHER THAN THOSE MENTIONED ON THE AGENDA Rizatriptan Tablets Orodispersible Rizatriptan Tablets The BP laboratory has received sufficient reference material from the innovator to establish Rizatriptan Benzoate assay standard. The lab will examine the draft infrared tests at the earliest opportunity. Terbinafine Tablets The BP Laboratory will assess the draft tablets monograph with a view to harmonising with the Ph. Eur. monograph for the active at the earliest opportunity. Flunixin Injection Flunixin Paste Flunixin Tablets (Minute 684, 674 refer) The BP Laboratory has been asked to assess the suitability of the Ph. Eur. method for Related substances to limit the impurities 2hydroxy nicotinic acid and 2-(6-nicotinoyloxy)nicotinic acid. The work will be progressed at the earliest opportunity. Dihydrocodeine Injection Dihydrocodeine Tablets The BP Laboratory was asked to assess the suitability of the revised draft method for Related substances and Assay in order to advise on suitability for purpose. The results of the analysis will be presented to this EAG at the earliest opportunity. Metformin Tablets The BP Laboratory will assess the draft revised Related substances test and Assay at the earliest opportunity. Propofol Injection – test for Lysolecithin The BP Laboratory will reassess the robustness of the lysolecithin test method at the earliest opportunity. Brompheniramine Tablets The BP Laboratory will assess the suitability of the draft revised Related substances test method. 11
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