Given short expiration timelines, it is easy to imagine how strict regulations on storage and shelf life would force the Department of Defense (DOD) to constantly turn over and destroy huge stores of unused medications. This concept of bioequivalence usually is equated to sameness of the active pharmaceutical ingredient between the generic and innovator products. Bull World Health Organ. 13. QSL testing results with supply condition code 'A' may be used as the authority to extend Type II shelf-life materiel if it has been stored and packaged appropriately. 2 Shelf Life Extension Programme (SLEP) to perform stability testing on more than 100 medications. Following initial FDA authorization, FDA has extended and authorized shelf-life expiration dates after reviewing real-time data generated by the IVD manufacturer. June 3, 2020: On February 11, 2020, HHS issued a message(PDF, 162 KB) to state stakeholders holding antiviral drug products (Tamiflu and Relenza) about additional expiry dating extensions for properly held product. Relabeling. Pharmaceuticals and the strategic national stockpile program. Heart drugs: Enalapril maleate tablets * 34: 27 42 * Stomach drugs: Cimetidine tablets: 67: 59 75: Respiratory drugs: Albuterol inhalant** Guaifenesin ER tablets: 85: 39 122: Emergency drugs: Atropine sulfate autoinjector* 57: 12 135 * Diazepam autoinjector* 63: 12 100 * Eye ointments: Sulfacetamide eye cream * 39: 35 44 * Open markets. The use of ideal temperatures in shelf life studies is bad practice and likely to be misleading. May 12, 2022: Statement Regarding Shelf-Life Extension of Sotrovimab (from HHS/ASPR and FDA) On September 21, 2021, FDA and ASPR authorized an extension of the shelf-life from 12 months to 18 months for all lots of the refrigerated GSK monoclonal antibody, sotrovimab. Challenges associated with creating a pharmaceutical stockpile to respond to a terrorist event. June 1, 2020: FDA is alerting civilian health care professionals and emergency responders of 4 additional DuoDote lots that are no longer useable and should be properly disposed of. 1-Oct-2020. To avoid the need to replace entire stockpiles every few years at significant expense, and because it was recognized through testing that certain products remained stable beyond their labeled expiration dates when properly stored, the Shelf-Life Extension Program (SLEP) was established in 1986. An additional 6 DuoDote lots are no longer useable and should be properly disposed of. MQCSS is the authority for shelf-life extension when visible inspection only is required. Stability studies generally are sufficient to demonstrate an economically-viable stability period such as 2-3 years, yet rarely have such studies been carried out to demonstrate the success or failure of the medications stability at points later than the designated expiration period. In many cases . The Shelf Life Extension Program (SLEP) is a joint program of the United States Department of Defense and the Food and Drug Administration that aims to reduce the cost to the military of maintaining stockpiles of certain pharmaceuticals by researching the expiration of drugs. For additional information, consult the Guidance for Government Public Health and Emergency Response Stakeholders: Extending Expiration Dates of Doxycycline Tablets and Capsules in Strategic Stockpiles, page 3, or Guidance for Industry: Changes to an Approved NDA or ANDA. This finalizes the draft guidance published on April 25, 2017. The SLEP enables each program participant to provide adequate oversight, ensure effective inventory controls, and monitor stockpiles for shelf life extension opportunities. More generally for standard, common drugs used in the US, should there be an attempt to remedy the clear conclusion that expiration dating often underestimates the shelf life of products? For most drugs, however, stability beyond expiration showed considerable lot-to-lot variability such that periodic testing would be required to guarantee adequacy of the medications. The SLEP has been administered by the Food and Drug Administration for the United States Department of Defense (DOD) for 20 years. This document provides guidance to government stakeholders on testing to extend the shelf life (i.e., expiration date) under the FD&C Act of stockpiled doxycycline tablets and capsules for public health emergency preparedness and response purposes for an anthrax emergency. The .gov means its official.Federal government websites often end in .gov or .mil. The new findings are consistent with the efforts of the Shelf-Life Extension Program, which has extended the expiration dates on 88% of 122 drugs tested so far. On December 21, 2021, FDA and ASPR announced the authorization of an extension to the shelf-life from 12 months to 18 months for specific lots of the refrigerated Eli Lilly monoclonal antibodies, bamlanivimab and etesevimab. Contact ProPharma Group to get answers from our team of experts, who can help you with everything from FDA meetings to staying compliant with strict and sometimes confusing FDA regulations. Audit of the Centers for Disease Control and Prevention's Shelf-Life Extension Program, A-04-11-01001 Author: HHS Office of Inspector General \(OIG . 1 once the original container is opened, either by the patient or the health care provider who will dispense the drug, that original expiration date on the container can no longer be relied upon. Repackaging concerns have delayed the expansion of the Shelf Life Extension Program beyond the U.S. Department of Defense to include state and local membership. FDA granted this extension following a thorough review of data submitted by Eli Lilly. The federal Shelf Life Extension Program, a joint venture between the Department of Defense and the FDA, aims to extend the use of certain stockpiled medications in certain storage conditions to help allay the costs of replacing such stored quantities. The Shelf Life Extension Program (SLEP) extends the expiration dates for specific medications and supplies stored in Federal stockpiles. An official website of the United States government, : Shelf Life Extension Program. During the early stages of development, speci Looking for abbreviations of LEP? An official website of the United States government. Control costs. A medical product is typically labeled by the manufacturer with an expiration date. This guidance and any resulting expiration date extensions authorized by FDA do not apply to doxycycline available commercially or otherwise held for any other non-emergency purpose. Primarily FDA-approved prescription drug (not biological) products are nominated by program participants as SLEP candidates. https://www.astho.org//Federal-Shelf-Life-Extension-Program-Fact-Sheet Results from the shelf life extension program (SLEP) have been evaluated to provide extensive data to address this issue. Topics similar to or like Shelf Life Extension Program Joint program of the United States Department of Defense and the Food and Drug Administration that aims to reduce the cost to the military of maintaining stockpiles of certain pharmaceuticals by researching the expiration of drugs. Therefore, this drug may not be administered for treatment of COVID-19 under the EUA until further notice by the Agency. To help prepare for public health emergencies, medical countermeasures (MCMs) may be stockpiled by governments and even by some private sector partners. This program with the U.S. Food and Drug Administration (FDA). July 2, 2021:FDA is alerting civilian health care professionals and emergency responders of 1 pralidoxime chloride and 5 CANA (diazepam) auto-injector lots for which the new use date has passed; however, FDA recommends that stakeholders retain such lots in the event that additional scientific information becomes available to support additional extensions. They are expected to deteriorate or become unstable to the degree that a storage period must be assigned to assure that the material will perform satisfactorily in service. In addition, conformance to pre-expiry in vitro release testing would assure acceptable bioavailability. This site needs JavaScript to work properly. This document provides guidance to government stakeholders on testing to extend the shelf life (i.e., expiration date) under the FD&C Act of stockpiled doxycycline tablets and capsules for public health emergency preparedness and response purposes for an anthrax emergency. 2,7,11 Since the latter cost eats up a significant portion of the Air Force budget, the Shelf Life Extension Program (SLEP) was proposed and undertaken by the FDA in 1985 to determine the actual shelf life of stockpiled drugs. He says that if the agency extended an expiration date by 36 months, it had concluded the lot would retain all of its safety and efficacy for at least 72 months. September 20, 2017: CDC and FDA hosted a webinar to discuss FDAs April 2017 draft guidance Extending Expiration Dates of Doxycycline Tablets and Capsules in Strategic Stockpiles. Leading with strategy, our RCO model delivers bespoke / custom solutions that deliver results. In the first year of the testing program, the FDA tested 58 different prescription drugs, representing 157 different manufacturing lots. 7, July 2006.. (Federal stockpiles are stores. Our results support the effectiveness of broadly extending expiration dates for many drugs, the researchers conclude. The .gov means its official.Federal government websites often end in .gov or .mil. A summary of the services and requirements for pharmacists can be found here. Some medications, such as naloxone, halothane, fentanyl and others had 100% demonstrable stability of lots for at least 4-5 years after expiration. In addition to SLEP, there are other ways that, when appropriate, FDA can allow certain medical products to be used beyond their manufacturer-labeled expiration dates. Based on FDA's review of scientific data, FDA has concluded for emergency responses that, provided the products have been stored under labeled storage conditions, it is scientifically supportable for certain lots of Tamiflu 75 mg capsules held in strategic stockpiles to be used for a maximum of 15 years beyond their date of manufacture[and] for certain lots of Relenza inhalation powder held in strategic stockpiles to be used for a maximum of 10 years beyond their date of manufacture CDC has clarified that states should contact their MCM Specialist or email preparedness@cdc.gov to confirm extended dates for antiviral drug inventories eligible for extension. Following are several examples of how FDA has addressed expiry dating challenges following PAHPRAs enactment and before PAHPRA: Vaccines authorized for emergency use as products that are not approved under a biologics license application and are still being studied under investigational new drug applications do not have fixed expiry dates. An additional 1 DuoDote lot is no longer useable and should be properly disposed of. Some state and local governments and private sector entities also stockpile MCMs to have ready access to them if an emergency were to occur. Program participants are U.S. Federal agencies that sign a Memorandum of Agreement with the Department of Defense, and SLEP remains limited to federal stockpiles at this time. Pharmacokinetic comparability for the generic is defined by the 90% confidence interval around the ratio of the generic to innovator being within 80-125% for critical blood level parameters. The .gov means its official. The current SLEP process requires that extended product be turned over to a state-licensed, drug-repackaging firm to have the product relabeled with new expiration dates. There are studies that have demonstrated that most drug products retain at least 90% of their potency for several years. The https:// ensures that you are connecting to the There is, in actual fact, a program known as The Shelf Life Extension Program. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. (6 days ago) The program was established in 1986 through an interagency agreement between the DoD and the FDA in response to a Congressional directive to address U.S. Air Force drug stockpiles. /N The Shelf Life Extension Program: The Militarys Answer to Expiration Dates. Private sector entities also stockpile MCMs to have ready access to them if an emergency were to.. 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