Section. Products Covered. MOC * code R. Brand Code. Section. Manufacturing. listing the Q7 Good. Section CAS #: Page. 1 of 6
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1 Product Regulatory Data Sheet 1 Product Information Products Covered Brand J.T.Baker Product Code 4116 Product Description Polysorbate 20, N.F. Multi-Compendial. MOC * code R *MOC = Management of Change 2 Manufacturing, Packaging g and Release Site Information The products in 1 are manufactured according to current Good Manufacturing Practices (cgmps) as set forth by International Pharmaceutical Excipients Council (IPEC) guidelines. A number of the cgmp produced products thatt are sold by Avantor Performance Materials, Inc. may not be originally manufacturedd at our sites. However, we perform the analytical and stability testing for these products and repackage the products where applicable. With ISO and cgmp procedures in place at ourr facilities we can ensure, and take complete responsibility for, the traceability and quality of the finished, packaged product that we offer. The original manufacturer and address will be referenced on the Certificate of Analysiss as an alpha or alpha-numeric manufacturer code rather than listing the full name and address. This practice is compliant with both ICH Q7 Good Manufacturing Guidance for Active Pharmaceutical Ingredients s (APIs) and IPEC guidelines and it meets cgmp requirements. For instructions to decipher the manufacturer reference code please consult our website. Instructions cann be found in the Ask Avantor Q&A Center of the customer support section of our web site or by directly linking to Keyword: Manufacturer Code. 3 Physical/Chemical Information CAS #: of 6
2 Manufacturing Process: Synthesis, Batch process Raw Material Origin: Vegetable 4 Regulatory Information Compendial Compliance: Please see the current product specifications at DMF: Avantor Performance Materials, Inc. does not carry a Drug Master File for these products. BSE/TSE Status: The subject materials are manufactured from raw materials that contain NO animal parts, products, and/or by-products nor do they come in contactt with animal parts, products, and/or by-products. Allergen/Hypersensitivities Information: The products listed do not contain wheat, rye, oats, barley, spelt, malt, triticale, gluten, other grains, soy, eggs, yeast, canola, dairy products, seafood products, seed products, natural grape products, natural flavors, artificial flavors, celery, lactose, sulfites, elemental sulfur, preservatives, MSG, disodium guanylate/inosinate, artificial sweeteners, phenylalanine, additives, colorants, dyes, or natural rubber (latex). These products are manufactured using cgmp guidelines which provide controls that allow no potential for cross contamination of any allergens or other products. Please be advised that this product is produced from substances of vegetable origin (corn, coconut, palm). GMO Information: This product is manufactured from a fatty acid blend and sorbitol. The sorbitol product may be derivied from GM corn. Residual Solvents/Organic Volatile Impuritiess (OVI) Information: The subject materials (all lots) comply with the requirements of the ICH Q3C Residual Solvents Guideline and USP<467>Residual Solvents. Of thee solvents described as Class 1, 2, 3, and other Residual Solvents in USP <467>: Only Class 2 (1,4 Dioxane, Ethylene Glycol) and Class 3 (acetic acid, 2-propanol) solvents are likely to be present. Class 2 solventss are below the Option 1 limits and any Class 3 solventt is <0.5%. 2 of 6
3 Solvent 1, 4 Dioxane Ethylenee Glycol Acetic Acid 2-Propanol Ethylenee Oxide Class Concentration Level 5 ppm 620 ppm 0.5 % 0.5 % 1 ppm Elemental Impurities: Please see information for these products. attached Summary for Elemental Impurity Aflatoxin: Aflatoxins as defined by IPEC (International Pharmaceutical Excipient Council) are a group of structurally related toxic compounds produced by certain strains of the fungi Aspergillus flavus and A. parasiticus. Underr favorable conditions of temperature and humidity, these fungi grow on certain foods and feeds, resulting in the production of aflatoxins. The most pronounced contaminationn has been encountered in tree nuts, peanuts, and other oilseeds, including corn and cottonseed. Aflatoxicosis is poisoning that results from ingestion of aflatoxins inn contaminated food or feed. Avantor does not analyze this product for the presence of aflatoxin content, does not maintainn a specification for aflatoxin, and cannot not provide any guarantee of complete absencee in the product due the nature of aflatoxins. Our supplier does not test each batch; however, they have tested 3 batches of product for aflatoxins and found that all 3 batches have less than 0.1 ppb. They would expect other batches of this material to have similar aflatoxin results, Kosher Status: The subject materials are not Kosher Certified. Please refer to the customer support section of our website for our most up to date listing of Kosher products. ( Keyword: Kosher) Halal Status: The subject materials are not Halal Certified. Please refer to the customer support section of our website for our most up to date listing of Halal products. ( Keyword: Halal) 5 Miscellaneous Product Information Certificate of Analysis Date Format: The Manufactured Date and Expiration/Retest Date on the C of A are reported as YYYY/MM/DD from our ERP system effective April 30, For example, the Manufactured Date for October 1, 2012 would be reported as 2012/10/01. 3 of 6
4 Prior to ERP implementation, the Release Datee on the C of A was reported as MM/DD/ /YYYY. For example, the Release Date for October 1, 2012 would have been reported as 10/01/2012. Lot Numbering System and Batch Description: Please refer to the customer support section of our website for information concerning our lot/batch numbering system. ( Keyword: Lot Number) Batch Definition: A batch is a homogeneous unitt of production; each batch of is from one single batch of the source supplier. Shelf Life Information: If a product has an assigned expiration or retest period, the date will appear on the certificate of analysis. Forr products that do not have assigned dates please contact Technical Support through the customer support section of our website for our product stability profiles. ( Keyword: Expiration) Management of Change: Please refer to the customer support section of our website for information concerning our Management of Change program. ( Keyword: MOC) Country of Origin Statement: Country of Origin iss indicated on the product Certificate of Analysis. Pleasee contact our Trade Compliance if you require further r documentation (Trade.Compliance@Avantormaterials.com). Storage Requirements: In the absence of specific storage conditions listed on the Avantor specification sheet or certificatee of analysis, our products are to be stored in ambient conditions of temperature and humidity. We do not formally tie any specific temperature or humidity range with the ambient storage designation, but an example of a common temperature interpretation is C. Our products are also packaged to protect from the normal variation in humidity during storage and shipment. Further handling and storage information may be found in 7 off the product SDS sheet. 4 of 6
5 6 Revision History Rev. 0; Oct. 1, 2007 IPEC EIP format Rev. 1; Jan. 2, : Residual Solvents statement updated to mention other solvents and specifically reference USP chapter <467> >. Identifiedd the Class 3 solvents; 7: updated telephone # for Customer Servicee Director; Entire Document: added keywords to Solv It Center links. (KES) Rev. 2; Oct. 1, Entire document: new letterhead and changed all references of Solv IT Center to AskMBI. ; 4: Added Residual Metallic Catalysts statement; Rev. 3; June 17, Entire document: new letterhead and changed all references of AskMBI to AskAvantor. Updated website links for new website; 1: added MOC codes, removed delistedd product J.T. Baker 4034; 2: addedd GMP statement; 4: updatedd Residual Solvents statement; 7: updated contact information; minor formatting. MCH Rev. 4; Jan. 9, 2012 Entire Document: Headquarters address changed to new location; minor formatting; 4: added residual solvents max concentration levels; 7: updated titles/phone numbers in contact list. (JLW) Rev. 5; March 3, : Updated Residual Metallic Catalysts statement; separated Kosher/Halal statuss and added certification statement; 5: separated Kosher/ Halal statuss and added certification statement; added Management of Change information; 7: removed contact list table and added CS/TS contact information. (MCH) Rev 6; January 19, 2017 Entire document: new letterhead format (company name and headquarters address); 3: updated manufacturing information; 4: Updatedd GMO statement to supplier's statement. Removed Residual Metallic Catalyst statement, added Elemental Impurities information; added Aflatoxin Statement; 5: added Storage Requirement, Batch Definition,, and Country of Origin Statements (MCH) This electronic document is valid without a signature. 5 of 6
6 7 Contact Information Customer Service Phone: (outside U.S.) Fax: Technical Service Phone: (outside U.S.) Fax: While the above informationn is provided in good faith and believed to be accurate as of the date provided, Avantor Performance Materials ( Avantor ) makes no representations or warranties as to the accuracy or completeness of such information. All Avantor products are subject to Avantor s terms and conditions of sale including the limitations of liability contained therein and any contrary terms and conditions are expressly rejected. As Avantor has no control over purchasers uses of its products, Avantor expressly disclaims alll liability with respect to same. The most current revision off this document is maintained on our website. Reviews and revisions are performed as warranted due to product changes or as part of the supplier audit cycle Trademarks are owned by Avantor Performance Materials, LLC. or its affiliates unless otherwise noted Avantor Performancee Materials, LLC. 6 of 6
7 Material Name: Polysorbate 20 Product codes: : 4116 Date: May 3, 2016 Source/Type of Excipient: Mineral; Mineral derived; Plant; Plant derived; Synthetic; Fermentation derived Other (explain): Elemental Impurity Arsenic (inorganic) Class Likely to be Present If Known, Please Identify the Expected Concentration /Units (or Range) Analytical Method Used (and Limit of Detection if Available) Comments regarding source of information (i.e.; number of lots tested, frequency of testing, process understanding, etc.) As 1 Yes No Unknown <0.05 ppm ICP-MS (MRL=0.05 ppm) Avg. of 3 batches Cadmium Cd 1 Yes No Unknown <0.05 ppm ICP-MS (MRL=0.05 ppm) Avg. of 3 batches Mercury (inorganic) Hg 1 Yes No Unknown <0.05 ppm ICP-MS (MRL=0.05 ppm) Avg. of 3 batches Lead Pb 1 Yes No Unknown <0.05 ppm ICP-MS (MRL=0.05 ppm) Avg. of 3 batches Cobalt Co 2A Yes No Unknown <0.05 ppm ICP-MS (MRL=0.05 ppm) Avg. of 3 batches Nickel Ni 2A Yes No Unknown <0.05 ppm ICP-MS (MRL=0.05 ppm) Avg. of 3 batches Vanadium V 2A Yes No Unknown <0.05 ppm ICP-MS (MRL=0.05 ppm) Avg. of 3 batches 1 of 3
8 Elemental Impurity Class Likely to be Present If Known, Please Identify the Expected Concentration /Units (or Range) Analytical Method Used (and Limit of Detection if Available) Comments regarding source of information (i.e.; number of lots tested, frequency of testing, process understanding, etc.) Silver Ag 2B Yes No Unknown <0.05 ppm ICP-MS (MRL=0.05 ppm) Avg. of 3 batches Gold Au 2B Yes No Unknown <0.05 ppm ICP-MS (MRL=0.05 ppm) Avg. of 3 batches Iridium Ir 2B Yes No Unknown <0.05 ppm ICP-MS (MRL=0.05 ppm) Avg. of 3 batches Osmium Os 2B Yes No Unknown <0.05 ppm ICP-MS (MRL=0.05 ppm) Avg. of 3 batches Palladium Pd 2B Yes No Unknown <0.05 ppm ICP-MS (MRL=0.05 ppm) Avg. of 3 batches Platinum Pt 2B Yes No Unknown <0.05 ppm ICP-MS (MRL=0.05 ppm) Avg. of 3 batches Rhodium Rh 2B Yes No Unknown <0.05 ppm ICP-MS (MRL=0.05 ppm) Avg. of 3 batches Ruthenium Ru 2B Yes No Unknown <0.05 ppm ICP-MS (MRL=0.05 ppm) Avg. of 3 batches Selenium Se 2B Yes No Unknown <0.05 ppm ICP-MS (MRL=0.05 ppm) Avg. of 3 batches Thallium Tl 2B Yes No Unknown <0.05 ppm ICP-MS (MRL=0.05 ppm) Avg. of 3 batches Barium Ba 3 Yes No Unknown <0.05 ppm ICP-MS (MRL=0.05 ppm) Avg. of 3 batches Chromium Cr 3 Yes No Unknown <0.05 ppm ICP-MS (MRL=0.05 ppm) Avg. of 3 batches Copper Cu 3 Yes No Unknown <0.05 ppm ICP-MS (MRL=0.05 ppm) Avg. of 3 batches Lithium Li 3 Yes No Unknown <0.05 ppm ICP-MS (MRL=0.05 ppm) Avg. of 3 batches Molybdenum Mo 3 Yes No Unknown <0.05 ppm ICP-MS (MRL=0.05 ppm) Avg. of 3 batches Antimony Sb 3 Yes No Unknown <0.05 ppm ICP-MS (MRL=0.05 ppm) Avg. of 3 batches Tin Sn 3 Yes No Unknown <0.05 ppm ICP-MS (MRL=0.05 ppm) Avg. of 3 batches Reference: ICH Q3D Guideline for Elemental Impurities, Step 4 version, September of 3
9 David L. Cugini, Sr. QA Analyst Prepared by the Technical Service Department Avantor Performance Materials, Inc Corporate Parkway Suite #200 Center Valley, PA Avantor Performance Materials, Inc provides the information contained herein in good faith but makes no representations or warranties, either expressed or implied, including without limitation any warranties of merchantability or fitness for a particular purpose with respect to the information set forth herein or the product(s) to which the information refers. Accordingly, Avantor Performance Materials, Inc will not be responsible for damages resulting from the use of or reliance upon this information. Trademarks are owned by Avantor Performance Materials, Inc. or its affiliates unless otherwise noted Avantor Performance Materials, Inc. 3 of 3
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