Voluntary recalls of prescription drugs owing to quality issues have recently increased in Japan and are contributing to a large-scale drug shortage. In this study, we investigated and examined drug recall information to identify potential quality-related issues.
We investigated class I and class II recalls of prescription drugs (class I: 43 items; class II: 1232 items) from 2016 to 2022. We found that among class I recalls, 95% of the drugs was recalled for quality-related reasons, whereas in class II recalls, 44%, 46%, and 5% of the items were recalled for quality-related reasons, violation-related reasons, and both quality-related and violation-related reasons, respectively. Among quality-related reasons for class II recalls, non-conformance to approved specifications, such as dissolution, content, and purity, was the most common (387 items), and approximately 80% of these cases were identified through stability monitoring or other stability tests, suggesting a decrease in stability. Among them, 53 items failed to comply with approved specifications within one year of manufacture, suggesting that they are not manufactured at sufficient quality levels that guarantee shelf life. Furthermore, the investigation of violation-related reasons suggested that there may be cases where release specifications were unmet owing to violation-related reasons, such as insufficient verification leading to retest.
Such quality problems are considered to be resulting from insufficient consideration of critical quality attributes and critical process parameters at the development stage, in addition to various changes during the lifecycle. Therefore, sufficient consideration must be given to maintain consistency in quality for each item.
View full abstract