Tasmin Stock, Wickham Laboratories, explains the preservative efficacy test (PET), the specific challenges in preventing microbial growth and how partnering with experienced laboratories allows companies to comply with international regulations
When considering the regulation and validation of drug products, the efficacy of the active pharmaceutical ingredient (API) is often a concern; ensuring the compound elicits the appropriate effect at the correct target site is crucial. Another regulatory requirement of drug development and manufacturing is guaranteeing that no inappropriate organisms can sustain themselves within the product or its packaging.
Antimicrobial preservatives are added to pharmaceuticals, medical devices, personal care products, cosmetics and food products to inhibit the growth of microorganisms inadvertently introduced during the manufacturing process or during the use of products with multiple-dose containers. Preservative efficacy testing (PET) (also known as antimicrobial effectiveness testing) is undertaken to ensure that the preservative maintains its ability to inhibit microorganisms, and is required by British Pharmacopoeia (BP), European Pharmacopoeia (Ph. Eur.) and the United States Pharmacopoeia (USP) standards.
Limiting the growth of microorganisms in various products helps to prevent them from spoilage and protects patients/users from possible infection. Many factors determine the efficacy of a preservative, including the active component of the product, the formulation in which it is incorporated, or the container/packaging in which the product is enclosed.
For example, a topical cream contained in a pot (which the user dips fingers into) will be affected differently to a cream contained in a tube applied directly to the skin. If any of the components change, it is necessary to re-evaluate how the preservatives will continue to perform. The PET method is relatively straightforward. Efficacy is evaluated by challenging the preparation (in its final container wherever possible) with a suitable range of microorganisms. Samples are taken at set time intervals and the surviving organisms are enumerated. The preservative properties are adequate if there is no increase, or there is a significant reduction in the number of organisms, according to a certain time frame. The specific criteria depend on the type of product.
The challenge organisms used are representative of a wide range of microbial types, encompassing Gram-negative and Gram-positive bacteria, yeasts and moulds. Ph. Eur./BP and USP regulations differ slightly in the test organisms required for certain pharmaceutical product preparations (see Table 1). PET should be conducted as soon as possible after the manufacture of a new product, to ensure the preservative is compatible with the formulation. A second challenge test is recommended after manufacture, often a few months later, to make sure the preservative has not broken down and lost effectiveness over time. It is also crucial to revisit PET whenever the formulation, manufacturing process or packaging of an existing product changes, as any of these can impact preservative performance.
Due to the unique set up and the manual requirements of PET, testing is often carried out in dedicated laboratories. For example, Wickham Laboratories has the space required for large-scale PET, which involves numerous plates for multiple organism challenges across many time points.
PET can be conducted at the same time as a stability test, which provides the information necessary to demonstrate that a product’s efficacy lasts throughout the storage process. When samples are pooled at specific time points in a stability test, PET is carried out as well to track the action of the preservative over the course of the stability programme.
Some companies request their testing laboratory to use environmental isolates as the challenge organism. These isolates can be recovered from raw materials, finished products or production equipment surfaces. In this case, there are no pass/fail criteria, as there would be with challenge organisms in the standard protocol, but the customer can gain insights into how their product might behave in the manufacturing suite during the 28-day standard. Ph. Eur./BP and USP methods require organism counts to be made at various time points up to 28 days, with the interval depending on the type of product preparation.
When the testing laboratory receives a new sample from a company for PET, method suitability/validation must be carried out before the routine PET test. The sample is purposefully inoculated with the challenge organism, to check if there is a suitable recovery against a control. If recovery is insufficient, PET cannot be completed because there is no way to tell if what has happened to the organism is due to the action of the preservative.
Neutralisation of antimicrobial properties of the test solution with different neutralisers is required before estimating the number of viable microorganisms, to ensure the results are a true reflection of the number of viable microorganisms present in the sample.
Validation can be carried out by chemical inhibition (preferred method), filtration and washing, dilution, or a combination of these. The neutraliser must inhibit the action of the antimicrobial without itself being toxic to the microorganisms. The validation can be repeated using different neutralisers to accommodate for this potential toxicity (see Table 2). Method transfers from a previous laboratory may take place if it is still suitable for the product.
Certain factors can complicate the effectiveness of PET. Cough medicines in multi-dose containers are a good example of where patient compliance implicates the efficacy of the preservative.
The recommendation is to take the dose using a measuring spoon, however, many individuals may drink the medicine directly from the bottle, therefore potentially introducing unwanted microorganisms to the product, which is likely to be used again. Manufacturers should take these factors into account when assessing the preservative component of a formulation and requesting PET.
Cough medicines also provide an example of how changes in packaging require new PET. Recent developments in product packaging mean that some manufacturers have introduced child-friendly, multi-dose syringes for administering the syrup, which plug into the top of the bottle rather than relying on the syrup being poured onto a spoon. This change warrants a new PET, particularly because the syringe is re- introduced to the bottle after being in the individual’s mouth. The preservative requirements are likely to change, too.
Testing laboratories contend with a wide range of products for PET. For example, even if there is no current standard for a product, these facilities are able to use in- house experience to develop a new procedure to establish preservative efficacy.
Food, pharma and cosmetics companies are continuously revising and streamlining the ingredients in formulations, for optimised efficacy and cost. Preservative levels are likely to be re-evaluated and therefore require retesting for their ability to inhibit microbial growth in the product to a satisfactory level, according to regulation.
Although the BP, Ph. Eur. and USP set out clear requirements for PET of pharmaceutical products, the regulations are less clear for other industries. EU legislation pushed for more PET to be conducted in the cosmetics industry, outlined by the replacement of the Cosmetics Directive by the new EU Cosmetic Regulation in July 2013, showing that there are ongoing improvements to be made.
By sending products for PET to experienced testing laboratories, manufacturers can be confident that almost every new product or formulation will be tested to make sure it is safe for consumers and meets regulatory standards.
Research and development departments are constantly trying to optimise products, and as novel innovations in formulations and packaging are developed, PET requirements will change and could become more complex.
This article is featured in the November 2018 issue of Cleanroom Technology. The digital edition is available online.