The SLEP has been administered by the Food and Drug Administration for the United States Department of Defense (DOD) for 20 years. FDAs Office of Regulatory Affairs (ORA) Field Science Laboratories centrally manages the program, including interacting with DoD and coordinating laboratory work. Adapting Drug Approval Pathways for Bacteriophage-Based Therapeutics. Copyright 2023. One could pose the following argument loosely based on the precedent of the presumed safety of generic drug products, which are formulations that can be marketed without long-term human safety testing: It seems reasonable to postulate that re-analyses of expired drugs could identify some for which expiration could be re-established and thus qualify for recycling into clinical use. The site is secure. 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? MCM Legal, Regulatory and Policy Framework, Recalls, Market Withdrawals and Safety Alerts, MCM Legal, Regulatory and Policy Framework, MCM-Related Legal and Policy Presentations, Publications and Q&As, State, Tribal, Local, and Territorial Public Health Preparedness, Guidance and Other Information of Special Interest to MCM Stakeholders, Availability of Regulatory Management Plans, Vaccine EUA Questions and Answers for Stakeholders. Identification #: 6430.05 Date: 10/5/2021 Type: DHA Procedures Manual Topics: Shelf Life Extension Program DOD Shelf-Life Management Program: Program Administration Policy All sotrovimab vials may continue to be retained regardless of the current labeled expiry date or the previously provided extension dates, unless otherwise notified by the Agency. Advertisement. This reflects the time period during which the product is expected to remain stable, or retain its identity, strength, quality, and purity, when it is properly stored according to its labeled storage conditions. For several decades, the program has found that the actual shelf life of many drugs is well beyond the original expiration dates. It is a fresh start to really get stuff done and we have a full 12 months to do it all. Porcine blood product was the only effective treatment at the time for this clinical situation in which factor replacement with human material was pointless. SLEP is coordinated through multiple agencies. Services offered include: Procurement of pharmaceutical, medical, and dental equipment and supplies. FDA will not take enforcement action with regard to the storage or emergency use of these lots of Relenza, provided that the products have been stored under labeled storage conditions. September 14, 2020 Uncategorized. No further extensions are anticipated beyond 10 years.Also see, from FDA: Influenza (Flu) Antiviral Drugs and Related Information, and from HHS/ASPR:HHS Increases Access to Tamiflu through the Strategic National Stockpile (December 21, 2022), andImproving Access to Influenza Countermeasures for U.S. Jurisdictions. 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.it tests medications for safety and stability for extended periods of The use of ideal temperatures in shelf life studies is bad practice and likely to be misleading. SLEP is administered by the U.S. Department of Defense (DoD) in cooperation with the U.S. Food and Drug Administration (FDA). 3 relations. This would not only benefit the overall cost of medications in the US, but would also help address the problem of drug shortages all too common these days. To help reduce this problem, the Food and Drug Administration administers the shelf-life extension program (SLEP) for the U.S. military as a testing and evaluation program designed to justify an extension of the shelf life of stockpiled drug products. The purpose of SLEP is to prevent the need to replace stockpiles of medications every few years. To confirm extension dates, recipients should provide the following information: Drug name, National Drug Code (NDC), strength, lot number, and original expiration date. Our fit-for purpose global solutions span across the full product lifecycle. If appropriate, FDA can also choose to not take enforcement action with respect to products that are held or used beyond their labeled expiration date. 0000033599 00000 n Through expiration dating extensions, SLEP helps to defer the replacement costs of certain products in critical federal stockpiles. 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. xref SLEP is administered by the U.S. Department of Defense (DoD) in cooperation with the U.S. Food and Drug Administration (FDA).1The program is an acknowledgement that the actual shelf life of drugs It is Life Extension Program. However, it is the recommendation of the U.S. Government that product be retained in the event that future SARS-CoV-2 variants, which may be susceptible to bamlanivimab and etesevimab, emerge and become prevalent in the United States. Careers. Through expiration dating extensions, SLEP helps to defer the replacement costs of certain products in critical federal stockpiles. In the first year of the testing program, the FDA tested 58 different prescription drugs, representing 157 different manufacturing lots. An official website of the United States government, : dating markedly underestimates the actual shelf life of drug products. Providers and patients that have the lot numbers in stock will be able to use them through the corresponding new use dates to help with supply. A very few drugs aren't retested. 7, July 2006.. 0000036537 00000 n Program Extends Drug Shelf-Life. Nullam malesuada erat ut turpis. Please refer to the table on this page for updates. Improve taste. We suggest that governments undertake a systematic program for iterative shelf-life extension, ideally cooperatively. The FDA says: Based on stability data provided by the manufacturers and reviewed by FDA, the following extended use dates are supported for specific lot numbers indicated in the searchable table below. An official website of the United States government. The Department of Defense (DoD)-United States Food and Drug Administration (FDA) shelf-life extension program (SLEP) was established in 1986 through an intra-agency agreement between the DoD and the FDA to extend the shelf life of product nearing expiry. 100,000/g within the shelf life of many chilled foods. All sotrovimab vials may continue to be retained regardless of the current labeled expiry date or the previously provided extension dates, unless otherwise notified by the Agency. Therefore, if an expired drug product was subsequently found to have near-labeled potency, acceptable in vitro release, and a profile of degradants/contaminants similar to products within expiration, it should be possible to conclude that the expired drug would have the expected efficacy and safety profile of that formulation within expiration. FDA is not requiring or recommending that the identified lot numbers in the following table be relabeled with their new use dates. Results from the shelf life extension program (SLEP) have been evaluated to provide extensive data to address this issue. Some newly mailed Covid tests from the government expire imminently even with extensions. Shelf-Life Extension Program Policy Establishes the DHA procedures to manage and provide guidance on the SLEP within the Military Health System and contingency operations. doi: 10.1016/j.cden.2007.06.001. 2006 Aug;171(8):698-702. doi: 10.7205/milmed.171.8.698. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. /L 136023 0000019485 00000 n 0000019977 00000 n 0000059512 00000 n An official website of the United States government: 0000026675 00000 n Minocyclin is one of them. A major study was done by the Department of Defense and FDA Shelf Life Extension Program. Theoretically, small levels of degradation products could gradually accumulate, including some degradants which had been either undetected or quantified within acceptance criteria during the time of shorter-term (e.g., 2-4 years) stability analyses following original production of the drug product. Please enable it to take advantage of the complete set of features! Services offered include: Procurement of pharmaceutical, medical, and dental equipment and supplies. Please refer to the table on this page for updates. FDA is not requiring or recommending that such stockpiled Tamiflu or Relenza product be relabeled with the new use date. LEP - Life Extension Program. The truth is, quite a number of drugs are still in good condition long past their expiry date. /N The Shelf Life Extension Program: The Militarys Answer to Expiration Dates. The U.S. Food & Drug Administration has extended the shelf life of the Johnson & Johnson single-dose Covid-19 vaccine from four-and-a-half months to - shelf life extension program drug list exelon -. This 0000000015 00000 n 0000003080 00000 n. 564. I know thatHi. Tablets and capsules have the longest shelf life, according to McClusky, who says on pharmacy shelves many are good for as long as five years. As a result of this extension, some batches may be stored for an additional 6 months from the labeled date of expiry. The American Medical Association has questioned whether expiration dating markedly underestimates the actual shelf life of drug products. The SLEP has been administered by the Food and Drug Administration for the United States Department of Defense (DOD) for 20 years. Challenges associated with creating a pharmaceutical stockpile to respond to a terrorist event. The U.S. government's own Shelf Life Extension Program extends the dates on some drugs in federal stockpiles to save the military from the cost of replacing them. Data from the US Department of Defense/FDA Shelf Life Extension Program, which tests the stability of drug products past their expiration date, have shown that 2650 of 3005 lots (~88%) of 122 different products stored in their unopened original containers remained stable for an average of 66 months after their expiration date. Due to the high frequency of the omicron BA.2 variant, sotrovimab is not currently authorized in any U.S. region. The U.S. government's own Shelf Life Extension Program extends the dates on some drugs in federal stockpiles to save the military from the cost of replacing them. 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. This authority is limited to medical products for CBRN emergencies. The https:// ensures that you are connecting to the Medical Countermeasures Initiative (MCMi), Guidance for Government Public Health and Emergency Response Stakeholders: Extending Expiration Dates of Doxycycline Tablets and Capsules in Strategic Stockpiles, Guidance for Industry: Changes to an Approved NDA or ANDA, Office of Counterterrorism and Emerging Threats, Public Readiness and Emergency Preparedness, Previous COVID-19 vaccine shelf-life extensions, Fact Sheet for Healthcare Providers Administering Vaccine (Vaccination Providers), Letter of Authorization for Emergency Use Authorization (EUA) 104 for Evusheld, Table 1: Extended Expiry Dating for Evusheld (Tixagevimab Co-Packaged with Cilgavimab) Authorized under EUA 104, announced the authorization of an additional extension, Table 1: Extended Expiry Dating for Bebtelovimab Authorized under EUA 111, Table 1: Extended Expiry Dating for Lagevrio Authorized under EUA 108, Table 1: Extended Expiry Dating for Paxlovid Authorized under EUA 105, Table 1: Extended Expiry Dating for Sotrovimab Authorized under EUA 100, announced the authorization of an extension to the shelf-life, Letter of Authorization for Emergency Use Authorization (EUA) 091, Previous COVID-19 therapeutic shelf-life extensions, Letter of Authorization for Emergency Use Authorization (EUA) 105 for Paxlovid, Table 1: Extended Expiry Dating for Paxlovid (nirmatrelvir tablets and ritonavir tablets co-packaged for oral use) Authorized under EUA 105, Statement Regarding Shelf-Life Extension of Sotrovimab, Statement Regarding Shelf-Life Extension of Bamlanivimab and Etesevimab, announcedthe authorization of an extension to the shelf-life, At-Home COVID-19 Diagnostic Tests: Frequently Asked Questions, Influenza (Flu) Antiviral Drugs and Related Information, HHS Increases Access to Tamiflu through the Strategic National Stockpile, Improving Access to Influenza Countermeasures for U.S. Jurisdictions, Additional Expiration Date Extensions of Certain Lots of Doxycycline Hyclate 100 mg Capsules Held in Strategic Stockpiles, Extending Expiration Dates of Doxycycline Tablets and Capsules in Strategic Stockpiles, Expiration date extensions of certain lots of doxycycline hyclate 100 mg capsules held in strategic stockpiles, recording of this webinar, slides and Q&A, Expiry date extensions of certain lots of doxycycline hyclate 100mg capsules held in strategic stockpiles, Guidance for Federal Agencies and State and Local Governments: Potassium Iodide Tablets Shelf Life Extension, Search List of Extended Use Dates to Assist with Drug Shortages, On June 10, 2021, based on data and information received from the manufacturer, FDA, Pandemic and All-Hazards Preparedness Reauthorization Act of 2013 (PAHPRA), Public Readiness and Emergency Preparedness Act of 2005 (PREP Act). 2 Shelf Life Extension Programme (SLEP) to perform stability testing on more than 100 medications. It must be noted that that model predictions are based on observations made in artificial growth media and available product studies. Disclaimer, National Library of Medicine 1 Extend shelf life. Our results support the effectiveness of broadly extending expiration dates for many drugs, the researchers conclude. Shelf Life Extension Program. No change to the container closure system in direct contact with the drug product or to the recommended storage conditions of the drug product. For several decades, the programme has found that the actual shelf life of many drugs is well beyond The shelf life of a pharmaceutical product is the maximum time at which the true mean response of a stability limiting characteristic crosses th e acceptance criterion. basis for the current ICH/FDA shelf life estimation procedure limited assurance that individu al test results will comply with the specification up to m months /O 62 0000019485 00000 n 0000001621 00000 n program with the U.S. Food and Drug Administration (FDA). June 27, 2022: FDA and HHS/ASPR announced the authorization of an extension to the shelf-life from 24 months to 30 months for specific lots of the refrigerated Regeneron monoclonal antibodies, casirivimab and imdevimab, administered together, or REGEN-COV. "The best evidence indicating that medications can last longer than their labeled expiration date comes from the Shelf Life Extension Program (SLEP) Whereas the shelf life of most medications in the United States is 1 to 5 years, the average additional extension length by SLEP was 5.5 years, and some lots were extended by more than 20 . This program is known as the DoD/FDA Shelf-Life Extension Program (SLEP). 1) Extending the shelf life is based on developing a based on shelf life extension data (relative history of real-time stability data for each lot of number of lots initially extended and number of drug product. It is a partnership between FDA and the US Department of Defence. SLEP is administered by the U.S. Department of Defense (DoD) in cooperation with the U.S. Food and Drug Administration (FDA).1 The program is an acknowledgement that the actual shelf life of drugs and other medical products may be longer than 8 The SNS may use the federal Shelf Life Extension Program to help maintain its supply. Dr. Cantrell and the other authors of the aforementioned study are careful to acknowledge that their retained potency data do not address whether the drugs safety profiles may have become altered over time. Pfizer. 1 The U.S. Food and Drug Administration (FDA) requires that an active ingredient in a medication must be present in 90 to 110 percent of the amount indicated on a drugs label. Could such medications, if shown by evaluation such as SLEP to retain adequate potency, be donated to developing countries in which the usual commercial product is either prohibitively expensive or not readily available, or be used in the US during periods of critical drug shortages? Relenza inhalation powder (reminder of previous extension) https://en.wikipedia.org/w/index.php?title=Shelf_Life_Extension_Program&oldid=1095593245, Articles needing additional references from June 2022, All articles needing additional references, Creative Commons Attribution-ShareAlike License 3.0, This page was last edited on 29 June 2022, at 07:32. 0409-1638-02. Most extensive source of pharmaceutical stability data. A 2006 study of 122 drugs tested by the program showed that two-thirds of the expired medications were stable every time a lot was tested. As a result of this extension, some batches may be stored for longer from the labeled date of expiry (see Table 1 below). A known hemophiliac patient, with a potent inhibitor to human factor VIII was bleeding uncontrollably, and all available porcine factor VIII in the pharmacy was out-of-date. Shelf Life Extension Program. The intended outcome of the SLEP is measurable cost avoidance returned to program participants and continued availability of potency-dated contingency stocks. The manufacturer of an approved drug product may extend the expiration date for the drug product based on acceptable data from full, long-term stability studies on at least three pilot or production batches in accordance with a protocol approved in the NDA or ANDA. Bangladesh Is A Developing Country Paragraph, Reg No: 03671574, Registered in England and Wales. Details for each of the authorized services is located below. Please contact CDER Drug Shortage Staff at drugshortages@fda.hhs.gov with questions regarding this table. The Shelf Life Extension Program 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. Furthermore, a 2012 study by Dr. Lee Cantrell and researchers involved testing drugs that were a whopping 28-40 years past expiration. 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. In this article, we review the Israeli experience with the national ciprofloxacin stockpile procurement and shelf-life extension program. Shelf-Life Extension Program Policy Establishes the DHA procedures to manage and provide guidance on the SLEP within the Military Health System and contingency operations. Identification #: 6430.05 Date: 10/5/2021 Type: DHA Procedures Manual Topics: Shelf Life Extension Program DOD Shelf-Life Management Program: Program Administration Policy 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. FDA acknowledges the stockpiling challenges of federal and SLTT stakeholders (for example, related to doxycycline, ciprofloxacin, Tamiflu, and certain auto-injector products) and remains committed to finding appropriate solutions to address such challenges. Bookshelf Evaluation of a future extension of shelf-life for sotrovimab is ongoing. Also see: Expiration date extensions of certain lots of doxycycline hyclate. Shelf-life extension program (SLEP) as a significant contributor to Strategic National Stockpile Maintenance: the Israeli experience with ciprofloxacin In the past decade, the 2001 anthrax incident in the U.S. and the 2003 SARS epidemic have highlighted the biological threat to civilian populations. When shelf-life expiration dates are extended for devices that have already been distributed, the IVD manufacturer typically sends a notice to customers to inform them of the extension so they are aware of how long they can continue to use in-stock devices. Following initial FDA authorization, FDA has extended and authorized shelf-life expiration dates after reviewing real-time data generated by the IVD manufacturer. July 26, 2022 When FDA first issued the EUA authorizing Paxlovid (nirmatrelvir tablets and ritonavir tablets co-packaged for oral use), it established a 12-month product shelf-life. However, if replacement product becomes available during the extension period, then the agency expects the lots in these tables will be replaced and properly disposed of as soon as possible. Advertisement. However, to reduce the expense of such a stockpile and to make it worthwhile, there is also a need for a shelf-life extension program (SLEP) through which pharmaceuticals could be extended beyond manufacturer-ascribed shelf life, as long as they meet regulation standards. 2017 Aug 1;95(8):594-598. doi: 10.2471/BLT.16.186650. Primarily FDA-approved prescription drug (not biological) products are nominated by program participants as SLEP candidates. 1-Oct-2021. 3 relations. Results from the shelf life extension program (SLEP) have been evaluated to provide extensive data to address this issue. January 1, 2020: FDA is alerting civilian health care professionals and emergency responders of 2 additional DuoDote lots that are no longer useable and should be properly disposed of. April 25, 2017: FDA announced the availability of a draft guidance for government public health and emergency response stakeholders entitled Extending Expiration Dates of Doxycycline Tablets and Capsules in Strategic Stockpiles. It tests medications for safety and stability for extended periods of time in controlled storage conditions. July 29, 2022: FDA and HHS/ASPR authorized an additional extension to the shelf-life for all lots of the refrigerated GSK monoclonal antibody, sotrovimab, from 18 months to 24 months. The Department of Defense (DoD)-United States Food and Drug Administration (FDA) shelf-life extension program (SLEP) was established in 1986 through an intra-agency agreement between the DoD and the FDA to extend the shelf life of product nearing expiry. 2.4 Data Evaluation for Retest Period or Shelf Life Estimation for Drug Substances or Products Intended for Room Temperature Storage A systematic evaluation of the data from formal stability studies should be performed as illustrated in Shelf Life Extension Program Last updated January 06, 2020. program with the U.S. Food and Drug Administration (FDA). Eighty-eight percent of 122 different drugs stored under ideal environmental conditions had their expiration dates extended more than 1 year, with an average extension of 66 months and a maximum extension of 278 months. LEP - Life Extension Program. November 26, 2019: This posting and FDAs November 18, 2019, memorandum (PDF, 230 KB) provide expiration dating updates for health care professionals and emergency responders for certain lots of MMT AtroPen (atropine), CANA (diazepam), DuoDote, Morphine Sulfate, and Pralidoxime Chloride auto-injectors for use during nerve agent emergencies. The U.S. Food and Drug Administration (FDA) requires that an active ingredient in a medication must be present in 90 to 110 percent of the amount indicated on a drug's label.Tablets and capsules have the longest shelf life, according to McClusky, who says on pharmacy shelves many are good for as long as five years. 1 The program is an acknowledgement that the actual shelf life of drugs and 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. Investigative Report: Do Antibiotic Expiration Dates Matter? Chemical comparability means that the generic and innovator products have similar active ingredient potencies and similar minor components of impurities and degradation products. An additional 1 DuoDote lot is no longer useable and should be properly disposed of. Please see the most recent updates above for the latest information. Please refer to the table on this page for the new updates. This concept of bioequivalence usually is equated to sameness of the active pharmaceutical ingredient between the generic and innovator products. This program is known as the DoD/FDA Shelf-Life Extension Program (SLEP). Chocolate Chip Macadamia Nut Cookies, Disaster Manag Response. 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. Discover the remarkable things we do with microencapsulation technology. The Defense Health Agency (DHA), in coordination with the Food and Drug The program allows extensions to the expiration date on medications after testing for safety and efficacy. 2016 Aug 3;7:1209. doi: 10.3389/fmicb.2016.01209. Results from the shelf life extension program (SLEP) have been evaluated to provide extensive data to address this issue. Some medications, such as naloxone, halothane, fentanyl and others had 100% demonstrable stability of lots for at least 4-5 years after expiration. For more than 30 years, federal agencies that stockpile drugs including the military, the CDC and the Department of Veterans Affairs have used technically expired drugs under the Shelf-Life Extension Program (SLEP) in collaboration with FDA. SLEP is the federal, fee-for-service program through which the labeled shelf life of certain federally stockpiled medical materiel (e.g., in the SNS) can be extended after select products undergo periodic stability testing conducted by FDA. The FDA has a shelf life extension program to test drugs stored in stockpiles for emergency usedrugs that are worth as much as $1 billion are salvaged every year. 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 . 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. This posting and memorandum replace FDAs March 23, 2018, posting and all previous FDA web postings and memoranda notifying health care professionals and emergency responders about the expiration dating of such auto-injectors. 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