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The USFDA has issued a draft guidance for Establishing Impurity Specifications for Antibiotics in April 2026. This guidance is applicable for antibiotics manufactured by fermentation and semi-synthesis processes. The guidance essentially clarifies that for listing impurities and setting specifications (identifying, qualifying and controlling impurities) in antibiotics, the same framework of ICH guidance’s shall apply
The guidance acknowledges that antibiotics produced by fermentation or semisynthetic processes are complex, and can introduce a wider variety of impurities compared to chemical synthesis. In these antibiotics active ingredient is generally not a single molecular entity but a collection of structurally related, biologically active analogues.
The qualification thresholds for the impurities in the antibiotics produced by fermentation or semi-synthetic process shall be same as that defined by the ICH Q3(R) guidance’s. For new impurities that exceed these qualification thresholds, justification should be provided based on repeat dose toxicity studies of 14-90 days duration.
If the impurity has structural alerts for mutagenicity, risk assessment as per ICH M7(R2): Assessment and Control of DNA Reactive (Mutagenic) Impurities in Pharmaceuticals to Limit Potential Carcinogenic Risk should be performed and impurities controlled as per the recommendations of the guidance.
The guidance applies only to related organic impurities. It does not apply to extraneous contaminants, microbiological controls, residual solvents, leachables, or cell substrate-derived impurities.
| Drug Substance | Drug Product |
| Each specified identified impurity | Each specified identified degradation product |
| Each specified unidentified impurity | Each specified unidentified degradation product |
| Any unspecified impurity with an acceptance criterion that does not exceed (i.e., ≤) the identification threshold | Any unspecified degradation product with an acceptance criterion that does not exceed (i.e., ≤) the identification threshold |
| Total impurities | Total degradation products |
| Maximum Daily Dosage (MDD) | Reporting TH | Identification TH | Qualification TH |
| ≤ 2 g | 0.05% | 0.10% (or 1 mg*) | 0.15% (or 1 mg*) |
| > 2 g | 0.03% | 0.05% | 0.05% |
| Maximum Daily Dosage (MDD) | Reporting TH | Identification TH | Qualification TH |
| < 1mg | 0.1% | 1% (or 5 µg*) | 1% (or 50 µg*) |
| >1–10 mg | 0.1% | 0.5% (or 20 µg*) | 1% (or 50 µg*) |
| 10 mg | 0.1% | 0.5% (or 20 µg*) | 0.5% (or 200 µg*) |
| >10–100 mg | 0.1% | 0.2% (or 2 mg*) | 0.5% (or 200 µg*) |
| >100 mg–1 g | 0.1% | 0.2% (or 2 mg*) | 0.2% (or 3 mg*) |
| >1–2 g | 0.05% | 0.2% (or 2 mg*) | 0.2% (or 3 mg*) |
| > 2 g | 0.05% | 0.10% | 0.15% |
(*): Total Daily Intake (if it is lower)
Reporting TH: Levels above which an impurity / degradation product should be reported
Identification TH: Levels above which an impurity / degradation product should be identified, structurally characterised
Qualification TH: Levels above which biological safety of an impurity / degradation product should be established.
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