Shuanghe ★★ Spain, 2020-05-26 14:56 (1602 d 18:17 ago) Posting: # 21469 Views: 10,814 |
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Dear All, Recently we did a BE study and among dozens of analytical runs, there's a run where internal standard showed inconsistent response, as shown in the following figure. I removed several double blank samples where IS responses are zero. Apart from that, all samples in the run are included, where unknown samples are from 3 subjects. IS responses of unknown and QC after around 100th injection start to climb upwards. When asked why this run was accepted, the CRO said that the run fulfilled the criteria defined in their SOP so the run is acceptable and there is no need of repeat analysis. Now, the product is shitty so we are far away from BE criteria. Therefore it really doesn't matter what are the true PK values for those subjects. Repeated or not, there is no way the study conclusion will be changed. New formulation will be developed. However, from pure bioanalytical point of view, in my opinion, there's clearly something wrong here. If runs like this are deemed acceptable according to SOP and not even trig an investigation, I don't care what the creteria is, the SOP may need to be revised. At the least, the samples from 2nd half of the run should be repeated. I would repeat the whole run. What's your opinion/experience on that? Any suggestions? Thanks. — All the best, Shuanghe |
Sukalpa Biswas ☆ India, 2020-05-26 15:49 (1602 d 17:24 ago) @ Shuanghe Posting: # 21471 Views: 9,451 |
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❝ Clearly from that graph the instrument response has been increased gradually over a period of time. I think the acceptance criteria is +/- 25% of the IS response of the average of accepted CC and QC. The criteria fulfilled because the response of IS in CC and QC increased along with study samples, as per SOP. There might be many reasons behind the enhancement of the response of IS,
But personally speaking, I have come across this type of scenarios in the past. But possibilities of the change in concentrations are less, because we determine concentrations based on the area ratio. Looking at the data, I think the response of IS and analyte increased proportionally as the QC samples are passed resulting a successful analytical run. Edit: Full quote removed. Please delete everything from the text of the original poster which is not necessary in understanding your answer; see also this post #5! [Helmut] |
Shuanghe ★★ Spain, 2020-05-26 18:32 (1602 d 14:41 ago) @ Sukalpa Biswas Posting: # 21476 Views: 9,395 |
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Dear Sukalpa, Many thanks for your comments. ❝ ...The criteria fulfilled because the response of IS in CC and QC increased along with study samples, as per SOP. ❝ ... ❝ But personally speaking, I have come across this type of scenarios in the past. But possibilities of the change in concentrations are less, because we determine concentrations based on the area ratio. I don't doubt that the run fulfill certain criteria with certain nemerical values according to CRO's current SOP. What I'm not comfortable about is the fact that runs like this, with such obvious trends of response deviation, were not investigated. It's more about the studies in future instead of the past. ❝ Looking at the data, I think the response of IS and analyte increased proportionally as the QC samples are passed resulting a successful analytical run. Well, with the above figure in fornt of me, I wouldn't say this was a seccessful run just because it pass certain numeric values defined in the current SOP. Given the example like this happened, I would rather question if the current SOP is reasonable enough. — All the best, Shuanghe |
Ohlbe ★★★ France, 2020-05-26 19:46 (1602 d 13:26 ago) @ Sukalpa Biswas Posting: # 21480 Views: 9,368 |
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Dear Sukalpa, ❝ There might be many reasons behind the enhancement of the response of IS, ❝ 1. System may not stabilized while submitting the batch. ❝ 2. May be column is not saturated enough. ❝ 3. May be the category of the molecule require more stability runs to stabilize. etc. Could be, though not very likely if this is the only affected run amongst many others, and as the gradual increase is only seen after 100 injections (I would have agreed with you if after 20-30 injections, and stabilising afterwards at a new level). ❝ But there is always a possibility to investigate the reason of the enhancement of the response of IS. Absolutely, and like Shuanghe, I would have liked to see it done here. ❝ But possibilities of the change in concentrations are less, because we determine concentrations based on the area ratio. Yes. And this triggers several questions: are the analyte and the IS affected in the same proportion, at all levels of concentration (in which case the accuracy will be maintained), or not ? Is there a risk of detector saturation, due to the increased response ? What about ion suppression of the analyte by the IS and vice-versa ? What about the linearity of the response and of the calibration curve ? ❝ Looking at the data, I think the response of IS and analyte increased proportionally as the QC samples are passed resulting a successful analytical run. Well, Shuanghe had not provided this information yet when you posted this message. All we knew was that the run passed, meaning that at least 67% of the QCs passed, including 50% at each level of concentration. Looking at the number of QCs and how they are spread over the run, all QCs in the affected region could have failed and the run would have remained acceptable. What made you say that the analyte increased proportionally ? Such variations in IS can be perfectly fine, without any influence on the reliability of the data. In other cases, they can ruin your results, even with a stable isotope labelled IS. You don't know until you understand what's going on, or until you demonstrate there is no impact. — Regards Ohlbe |
Ohlbe ★★★ France, 2020-05-26 16:42 (1602 d 16:31 ago) @ Shuanghe Posting: # 21472 Views: 9,423 |
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Dear Shuanghe, ❝ However, from pure bioanalytical point of view, in my opinion, there's clearly something wrong here. Agreed. ❝ If runs like this are deemed acceptable according to SOP and not even trig an investigation, I don't care what the creteria is, the SOP may need to be revised. Agreed. ❝ At the least, the samples from 2nd half of the run should be repeated. I would repeat the whole run. I would try and understand what happened first, and look at the whole set of information very closely. Anything else that varied here, such as retention times ? It doesn't look like a subject-specific phenomenon: the QC samples are affected the same way. By the way, how are the results of the last 6 QC samples ? If even the last ones are passing, you could conclude that whatever is happening does not appear to have a large effect on accuracy. I'd still be concerned, until I understand what's going on. The calibration curve is not repeated at the end of the run, so there is no way to check what's happening at the ULOQ, where you may get linearity issues due to detector saturation or ion suppression of the analyte by the IS. — Regards Ohlbe |
Helmut ★★★ Vienna, Austria, 2020-05-26 17:35 (1602 d 15:38 ago) @ Ohlbe Posting: # 21473 Views: 9,416 |
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Dear Ohlbe & Shuanghe, I agree with all of your points. ❝ The calibration curve is not repeated at the end of the run, so there is no way to check what's happening at the ULOQ, where you may get linearity issues due to detector saturation or ion suppression of the analyte by the IS. Yep. Many CROs have the CC in duplicates only at the start of the run. IMHO, that should be avoided. I prefer to have one set of singlets at the start and another at the end. — Dif-tor heh smusma 🖖🏼 Довге життя Україна! Helmut Schütz The quality of responses received is directly proportional to the quality of the question asked. 🚮 Science Quotes |
Shuanghe ★★ Spain, 2020-05-26 18:32 (1602 d 14:41 ago) @ Helmut Posting: # 21477 Views: 9,393 |
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Dear Helmut and Ohlbe, Many thanks for your response. ❝ Anything else that varied here, such as retention times ? As far as I can tell from the excel file that was exported from Analyst, retention times are very consistent. ❝ By the way, how are the results of the last 6 QC samples ? The last 6 QCs are high/medium/low/high/medium/low QCs. ULOQ is 3500 ng/ml and HQC is 2660 ng/ml, 76% of ULOQ. Actually, last 6 QCs all passed accuracy criterion with the range 93–95%. There were 2 failed QCs in the early injections (1 HQC around 82% and 1 LQC just lower than 85%). ❝ If even the last ones are passing, you could conclude that whatever is happening does not appear to have a large effect on accuracy. I'd still be concerned, ... Yes, no large effect on accuracy for this study is expected. But as I said, I am not really concerned for this study since the formulation is crappy anyway and we are developing the new one as we speak. What concerns me is those studies in the future. Certainly I don't want the studies conducted with this same SOP in force where runs such as the one above being accepted without any further investigation. ❝ ❝ The calibration curve is not repeated at the end of the run, so there is no way to check what's happening at the ULOQ, where you may get linearity issues due to detector saturation or ion suppression of the analyte by the IS. ❝ ❝ Yep. Many CROs have the CC in duplicates only at the start of the run. IMHO, that should be avoided. I prefer to have one set of singlets at the start and another at the end. I would make a suggestion to the CRO for the modification of their SOP to take incidence like this into consideration. One way is like you said, repeat another set of CC at the end. What else can we do to improve it? — All the best, Shuanghe |
Ohlbe ★★★ France, 2020-05-26 19:27 (1602 d 13:46 ago) @ Shuanghe Posting: # 21478 Views: 9,491 |
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Dear Shuanghe, ❝ I would make a suggestion to the CRO for the modification of their SOP to take incidence like this into consideration. One way is like you said, repeat another set of CC at the end. What else can we do to improve it? They should read the FDA Q&A, but it does not help much here (there are some QC samples with an IS response tracking that of the subject samples). They should also look at the special issue of Bioanalysis on this topic. It includes papers from both regulators and industry, with nice case studies. The overall conclusion is: acceptance criteria such as mean ± x% are useful, but not in all situations. Plotting the IS response to look for trends and systematic differences is a must. Also a nice review, just published in the same journal, free access . — Regards Ohlbe |
Ohlbe ★★★ France, 2020-05-26 19:32 (1602 d 13:40 ago) @ Helmut Posting: # 21479 Views: 9,365 |
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Dear Helmut, ❝ Many CROs have the CC in duplicates only at the start of the run. IMHO, that should be avoided. I prefer to have one set of singlets at the start and another at the end. Really ? I usually see only singlets, not duplicates (in the past many labs analysed the LLOQ and ULOQ samples in duplicate, with only one of the results being used following an SOP, but all others were singlets). If duplicate samples are used, it is indeed rather strange to put both at the beginning. — Regards Ohlbe |
Helmut ★★★ Vienna, Austria, 2020-05-26 21:03 (1602 d 12:10 ago) @ Ohlbe Posting: # 21481 Views: 9,359 |
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Dear Ohlbe, ❝ Really ? Really. ❝ I usually see only singlets, not duplicates … That’s risky. If a calibrator at the LLOQ or ULOQ is out of range, you are in trouble. ❝ (in the past many labs analysed the LLOQ and ULOQ samples in duplicate, with only one of the results being used following an SOP, but all others were singlets). I see. How does such an SOP look like? Pick out the best? — Dif-tor heh smusma 🖖🏼 Довге життя Україна! Helmut Schütz The quality of responses received is directly proportional to the quality of the question asked. 🚮 Science Quotes |
Ohlbe ★★★ France, 2020-05-26 21:43 (1602 d 11:30 ago) @ Helmut Posting: # 21482 Views: 9,359 |
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Dear Helmut, ❝ ❝ (in the past many labs analysed the LLOQ and ULOQ samples in duplicate, with only one of the results being used following an SOP, but all others were singlets). ❝ ❝ I see. How does such an SOP look like? Pick out the best? Some just picked the one they liked best. I heard they ran into trouble Most frequent: use the first result only. If, and only if it fails (more than 20% deviation at the LLOQ, 15% at the ULOQ): exclude it and use the second. The aim being of course to avoid having to truncate the curve in case of failure. I see this less and less often. Not sure why (guess: some FDA inspectors did not like it). — Regards Ohlbe |
Helmut ★★★ Vienna, Austria, 2020-05-27 18:30 (1601 d 14:42 ago) @ Ohlbe Posting: # 21484 Views: 9,232 |
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Dear Ohlbe, ❝ Most frequent: use the first result only. If, and only if it fails (more than 20% deviation at the LLOQ, 15% at the ULOQ): exclude it and use the second. The aim being of course to avoid having to truncate the curve in case of failure. ❝ ❝ I see this less and less often. Not sure why (guess: some FDA inspectors did not like it). Count me in. If you analyzed duplicates, use them. — Dif-tor heh smusma 🖖🏼 Довге життя Україна! Helmut Schütz The quality of responses received is directly proportional to the quality of the question asked. 🚮 Science Quotes |
ElMaestro ★★★ Denmark, 2020-05-26 17:44 (1602 d 15:29 ago) @ Shuanghe Posting: # 21474 Views: 9,425 |
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It is a great example of something being or going out of whack, thanks, Shuanghe. Perhaps the plot shows why it is such a good idea to use an IS. It saves the day. And yes, that run may be acceptable by many standards for exactly that reason. Yet, it is also appearing sick to the bone. It may be that instrument sensitivity varies (check the level of IS across runs, try and plot means or medians for the types of interest), contrast this run with the subsequent and prior ones on the same instrument (most informative if they were done using the same working/spiking/stock solutions). If the trend is not a one-off case then one of the next runs may face issues with saturation or other. The between-runs IS plots whichever way you create them can be very, very informative and highly predictive for the purpose of telling if the method or instrument is about to quit on you, but note I started a tread on this some months ago and no-one on this forum acknowledged what a genius I am If another instrument on the same power line in the lab was active at the time this happened, even if it was on another project and with other transitions, try and look if you saw a fluctuation there, too. the lab may not grant you permission to look at this if they are independent. The injector may be unstable. From this plot it cannot be determined if the injected volume has an upward trend or if is the instrument sensitivity which varies (or, both, or hypothetically a case of within-run variations in (matrix effect on) ionisation properties, something I have not manifestly faced ever). At the investigation stage, I do not recommend to speculate too heavily into the root cause when defining what to investigate, because then you might be restricting yourself a bit in terms of the data collected. But I know this is difficult and certainly impossible to completely avoid. And check the various temperatures over time, as applicable (vaporiser, heat block, etc). That info may not be easily accessible but it is usually extractable on systems provided by the big vendors. If you figure the cause out, I'd love to learn of the outcome. Edit: Merged with a later (now deleted) post. [Helmut] — Pass or fail! ElMaestro |
ksreekanth ☆ India, 2020-07-06 15:37 (1561 d 17:35 ago) @ Shuanghe Posting: # 21653 Views: 8,179 |
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In agreement with all the opinions of the panel. To keep my views
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dshah ★★ India, 2020-08-01 09:32 (1535 d 23:41 ago) @ Shuanghe Posting: # 21815 Views: 6,982 |
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Dear All! If we consider the recent FDA guideline or ICH M10, i believe trend analysis for IS response, CC and QCs is also required. FDA does ask if there is upward or downward trend observed. The important point for SOP of CRO should be - allowed limit for IS response. If this not limited for that 3 subjects, then i believe CRO's practice and SOP needs to be revised. Regards, Dshah Edit: Guidelines linked. [Helmut] |
Helmut ★★★ Vienna, Austria, 2020-08-01 16:13 (1535 d 16:59 ago) @ dshah Posting: # 21816 Views: 6,899 |
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Hi dshah, ❝ If we consider the recent FDA guideline or ICH M10, i believe trend analysis for IS response, CC and QCs is also required. Only for QCs and not required but encouraged (FDA page 30, ICH page 46). However, Shuanghe’s batch passed the criteria and hence, possibly we will not see any trend of back-calculated concentrations. But of course, the shift in IS-responses is obvious. @Shuanghe: Can you send me a file (CSV preferred) by PM with this columns? injection, type of sample (containing B, Q, C, U), back-calculated concentration, IS response I will upload it to have sumfink to play with. Bland-Altman plots might be an option. An idea: Set limits based on the one batch of the method validation which was performed in the anticipated maximum size of a run. If you have data of this batch, please give it as well.— Dif-tor heh smusma 🖖🏼 Довге життя Україна! Helmut Schütz The quality of responses received is directly proportional to the quality of the question asked. 🚮 Science Quotes |
dshah ★★ India, 2020-08-03 11:17 (1533 d 21:55 ago) @ Helmut Posting: # 21818 Views: 6,844 |
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Hi Helmut! As per standard SOP - "If the response of internal standard in a sample varies by more than 60% for the isotopically labeled internal standard from the mean ISTD response of CC and QC samples of a particular entire run, then repeat the analysis of the sample under reason Significant variations in response of internal standard" However - there is no guideline which specifies the limit for variation for IS. Thus, it could be 30/40/50/60 - as per CRO's SOP/requirement/Experience. The interesting thing could be - whether the QC's analyte/IS standard response are within acceptable range - i.e. whether the QC's were acceptable? if the IS standards response are high, there is possibilities that the QC will be on lower side. I am wondering what other things can be directly correlated and what can be the reason for CRO's acceptability of variation in IS response? Regards, Dshah |
Helmut ★★★ Vienna, Austria, 2020-08-07 15:28 (1529 d 17:45 ago) @ dshah Posting: # 21832 Views: 6,496 |
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Hi dshah, ❝ As per standard SOP - "If the response of internal standard in a sample varies by more than 60% for the isotopically labeled internal standard from the mean ISTD response of CC and QC samples of a particular entire run, then repeat the analysis of the sample under reason Significant variations in response of internal standard" Let’s try that with Shuanghe’s example:
❝ However - there is no guideline which specifies the limit for variation for IS. Thus, it could be 30/40/50/60 - as per CRO's SOP/requirement/Experience. Correct. Here only your 30% would “work”. IMHO, this approach is problematic. It depends on many things: The number of CCs and QCs, where they are placed within the run, etc. In Shuanghe’s example we have 22 before troubles started (according to the broken-stick regression at injection 107) and 6 after. Hence, the overall mean of 490892 is misleading (closer to the 466434 in the 1st limb than to the 580570 in the 2nd). You would have to be very restrictive to set the maximum deviation. Little bit less restrictive if we look only at the QCs (acc. to the FDA’s guidance and the ICH draft):
❝ The interesting thing could be - whether the QC's analyte/IS standard response are within acceptable range - i.e. whether the QC's were acceptable? In Shuanghe’s example the run passed. AFAIK, the CRO didn’t assess the IS response at all. ❝ I am wondering what other things can be directly correlated … Some possibilities were discussed before. ❝ … and what can be the reason for CRO's acceptability of variation in IS response? I can only guess (arbitrary order):
— Dif-tor heh smusma 🖖🏼 Довге життя Україна! Helmut Schütz The quality of responses received is directly proportional to the quality of the question asked. 🚮 Science Quotes |
Shuanghe ★★ Spain, 2020-08-03 15:56 (1533 d 17:17 ago) @ Helmut Posting: # 21819 Views: 6,844 |
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Hi Helmut, ❝ @Shuanghe: Can you send me a file (CSV preferred) by PM with this columns? ❝ injection, type of sample (containing B, Q, C, U), back-calculated concentration, IS response I will upload it to have sumfink to play with. Bland-Altman plots might be an option.I sent 2 emails with csv and excel file, the latter has much more columns in case you needed it. ❝ An idea: Set limits based on the one batch of the method validation which was performed in the anticipated maximum size of a run. Damn, that's a nice idea. I didn't thought about it during discussion with CRO about the modification of their SOP. ❝ If you have data of this batch, please give it as well. Sorry, I don't have it. — All the best, Shuanghe |
Helmut ★★★ Vienna, Austria, 2020-08-04 20:04 (1532 d 13:09 ago) @ Shuanghe Posting: # 21822 Views: 6,891 |
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Hi Shuanghe, ❝ I sent 2 emails with csv and excel file, the latter has much more columns in case you needed it. THX! ❝ ❝ An idea: Set limits based on the one batch of the method validation which was performed in the anticipated maximum size of a run. ❝ ❝ Damn, that's a nice idea. I didn't thought about it during discussion with CRO about the modification of their SOP. We can perform a broken-stick regression:
Which gives
The fit is fine, you can try
1st residual plot: No trend, no funnel shape, similar spread in the two limbs (in the second a bit larger). 2nd residual plot: The two clusters are evident which, of course, we know from looking at the entire batch (fit, 95% confidence and prediction intervals, breakpoint and its 95% confidence interval): It doesn’t need a spectacled rocket scientist to see that the slopes are different. Well, we can test that.* H0 is that the difference of slopes = 0.
❝ ❝ If you have data of this batch, please give it as well. ❝ Sorry, I don't have it. I will try to simulate some stuff based on the first part. Then we could set control limits based on Bland-Altman. Edit: I was asking myself how sensitive this approach is, i.e., how much can the slopes differ to get a significant p-value. Crude method: I fitted the 2nd limb and gradually decreased the slope until it was equal to the one of the 1st limb.
TODO: Scale the noise (which was higher in the 2nd than in the 1st limb.
— Dif-tor heh smusma 🖖🏼 Довге життя Україна! Helmut Schütz The quality of responses received is directly proportional to the quality of the question asked. 🚮 Science Quotes |