[NOTE The relative retention times for calcitonin salmon and calcitonin salmon related compound A Change to read:

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. Mode: Revision Bulletin Official April 1, 2012 Calcitonin Salmon 1 LC Calcitonin Salmon Detector: UV 220 nm Column: 4.6-mm 25-cm; packing L1 Column temperature: 65 Flow rate: 1 ml/min Injection volume: 20 µl C 145H 240N 44O 48S 2 3432 daltons System suitability [47931-85-1]. Sample: System suitability solution DEFINITION [NOTE The relative retention times for calcitonin salmon and calcitonin salmon related compound A are 1.0 and 1.15, respectively.] Suitability requirements Calcitonin Salmon is a polypeptide that has the same se- Resolution: NLT 3 between calcitonin salmon and quence as that of the hormone that regulates calcium calcitonin salmon related compound A metabolism and is secreted by the ultimobranchial gland Tailing factor: NMT 2.5 for calcitonin salmon of salmon. It is produced from either synthetic processes Relative standard deviation: NMT 3% or microbial processes using recombinant DNA (rdna) technology. The host cell-derived protein content and Samples: Standard solution and Sample solution the host cell- or vector-derived DNA content of Calculate the percentage of calcitonin salmon Calcitonin Salmon produced from an rdna process are (C 145H 240N 44O 48S 2) in the portion of Calcitonin Salmon determined by validated methods. It contains NLT 90.0% taken: and NMT 105.0% of calcitonin salmon, calculated on an acetic acid-free and anhydrous (RB 1-Nov-2011) basis. Result = (r U/r S) (C S/C U) 100 [NOTE of acetic acid-free, anhydrous Calcitonin Salmon is equivalent to 6000 USP Calcitonin Salmon r U = peak response of calcitonin salmon from the Units. 1 USP Calcitonin Salmon Unit = 1 Calcitonin Sample solution r S = peak response of calcitonin salmon from the IU. (RB 1-Nov-2011)] Standard solution IDENTIFICATION C S = concentration of USP Calcitonin Salmon RS in A. The retention time of the major peak of the Sample the Standard solution (corrected for water solution corresponds to that of the Standard solution, ob- and acetic acid content) (mg/ml) tained as directed in the Assay. C U = concentration of the Sample solution ASSAY (corrected for water and acetic acid content) (mg/ml) Acceptance criteria: 90.0% 105.0% on an acetic acidfree and anhydrous basis OTHER COMPONENTS PROCEDURE ACETIC ACID CONTENT 503 Solution A: Dissolve 3.26 g of tetramethylammonium Sample solution: /ml of Calcitonin Salmon in hydroxide pentahydrate in 900 ml of water, and adjust Diluent, prepared as directed in the chapter with phosphoric acid to a ph of 2.5. Add 100 ml of Acceptance criteria: 4% 15% acetonitrile, and mix. Solution B: Dissolve 1.45 g of tetramethylammonium IMPURITIES hydroxide pentahydrate in 400 ml of water, and adjust HEAVY METALS, Method II 231 : NMT 50 µg/g with phosphoric acid to a ph of 2.5. Add 600 ml of acetonitrile, and mix. Mobile phase: See Table 1. Table 1 PROCEDURE: RELATED PEPTIDES AND OTHER RELATED SUBSTANCES Time Solution A Solution B Test 1 (min) (%) (%) [NOTE This test is performed on material produced by 0 72 28 both chemical synthesis processes and rdna 30 48 52 processes.] Solution A, Solution B, Mobile phase, System 32 72 28 suitability solution, Sample solution, 55 72 28, and System suitability: Standard solution: 1.0 mg/ml of USP Calcitonin Proceed as directed in the Assay. Salmon RS in Solution A System suitability solution: Prepare a solution in Solu- Sample: Sample solution tion A containing about 0.2 mg/ml of USP Calcitonin Calculate the percentage of each impurity in the Salmon Related Compound A RS and 0.2 mg/ml of USP portion of Calcitonin Salmon taken: Calcitonin Salmon RS. Sample solution: 1.0 mg/ml (RB 1-Apr-2012) of Calcitonin Salmon in Result = (r U/r T) 100 Solution A r U = peak area response of each impurity from the Sample solution (See Chromatography 621, System Suitability.) r T = sum of the area responses of all the peaks from the Sample solution Acceptance criteria Individual impurities: NMT 3.0% of the total area of all peaks

2 Calcitonin Salmon Official April 1, 2012 Total impurities: NMT 5.0% of the sum of the areas Acceptance criteria of all the peaks including the principal peak Individual impurities: See Table 3. [NOTE Disregard any peaks due to the solvent and any peaks whose area is less than 0.1% of the Table 3 principal peak.] Test 2 Relative Acceptance [NOTE This test needs to be performed only on Retention Criteria material produced using rdna technology.] Name Time NMT (%) Buffer A: Dissolve 2.72 g of monobasic potassium [1,7 Bis(3-sulfo-Lphosphate in 1000 ml of water. alanine)] calcitonin Buffer B: Dissolve 2.72 g of monobasic potassium salmon-glycine 0.4 0.2 phosphate and 29.2 g of sodium chloride in 1000 ml [1,7 Bis(3-sulfo-Lof water. alanine)] calcitonin Buffer C (ph 3.0 citrate buffer): Dissolve 4.8 g of citric salmon 0.6 0.2 acid in 80 ml of water. Adjust with 1 M sodium Calcitonin salmon hydroxide to a ph of 3.0, and dilute with water to related compound B 0.9 0.6 100.0 ml. (RB 1-Nov-2011) Solution A: Acetonitrile and Buffer A (15:85). Adjust with 45% (w/w) potassium hydroxide to a ph of 5.0. Solution B: Acetonitrile and Buffer B (15:85). Adjust with 45% (w/w) potassium hydroxide to a ph of 4.6. Mobile phase: See Table 2. SPECIFIC TESTS AMINO ACID PROFILE (See Biotechnology-Derived Articles Amino Acid 1052.) Table 2 [NOTE This test needs to be performed only on material of synthetic origin. The concentration of Time Solution A Solution B amino acids in the Internal standard solution, Standard (min) (%) (%) stock solution, Standard solution, and the amount of 0 100 0 material used to prepare the Sample solution can be r U r T Result = (r U/r T) 100 = peak response for each impurity = sum of the responses of all the peaks 10 0 100 15 0 100 15.1 100 0 22.1 100 0 Resolution solution: Prepare a solution in water containing about 0.5 mg/ml each of USP Calcitonin Salmon RS and USP Calcitonin Salmon Related Compound B RS. To 1 ml of this solution add 100 µl of ph 3.0 citrate buffer. (RB 1-Apr-2012) Sample solution: To 1 ml of a 0.5-mg/mL solution of of Calcitonin Salmon add 100 ml of Buffer C. (See Chromatography 621, System Suitability.) Mode: LC Detector: UV 220 nm Column: 4.6-mm 20-cm; packing L9 Flow rate: 1.2 ml/min Injection volume: 50 µl System suitability Sample: System suitability solution [NOTE The relative retention times for [1,7-bis(3-sulfo- L-alanine)]calcitonin salmon-glycine, [1,7-bis(3-sulfo-L- alanine)]calcitonin salmon, and calcitonin salmon related compound B (calcitonin salmon-glycine) are 0.4, 0.6, and 0.9, respectively; and the retention time for calcitonin salmon is about 9 min.] Suitability requirements Resolution: NLT 3.0 between calcitonin salmon and calcitonin salmon related compound B Sample: Sample solution Calculate the percentage of each impurity in the portion of Calcitonin Salmon taken: adjusted depending on the method used for amino acid analysis. The concentrations given are based on analysis using Method 1.] Internal standard solution: 1 mm solution of γ-aminobutyric acid Standard stock solution: Prepare a mixture containing equimolar amounts of ammonia and the L form of lysine, histidine, arginine, aspartic acid, threonine, serine, proline, valine, glutamic acid, glycine, leucine, and tyrosine, together with half the equimolar amount L-cystine, in 0.1 M hydrochloric acid. The final concentration is about 2.5 mm for each amino acid. Standard solution: Transfer 5 ml of the Internal standard solution and 2 ml of the Standard stock solution into a 50-mL volumetric flask, and dilute with 0.1 M hydrochloric acid to volume. Sample solution: Place 1.5 mg of Calcitonin Salmon into a heavy-wall ignition tube. Add 1.0 ml of 6 N hydrochloric acid, and allow to cool. Immerse the lower half of the tube in a freezing mixture until the contents are frozen, then evacuate to approximately 10 µm of Hg, purge with nitrogen (repeat the evacuation and nitrogen purge three times), and seal the tube while it is under a 10 µm of Hg vacuum. Heat for 16 h at 110 115 in an air oven. Cool, open the tube, dry in a vacuum desiccator, remove the contents, and allow to cool to room temperature. Dissolve in 0.1 M hydrochloric acid. Transfer to a 10-mL volumetric flask, add 1 ml of Internal standard solution, and dilute with 0.1 M hydrochloric acid to volume. Samples: Standard solution and Sample solution Standardize the amino acid analyzer, using the Standard solution. Inject the Sample solution into the amino acid analyzer, and determine the relative proportion of amino acids. Express the content of each amino acid in moles, using an internal standard calibration technique. Calculate the relative proportions of the amino acids by taking as equivalent to 1 the sum of the number of moles of aspartic acid, glutamic acid, proline, glycine, valine, leucine, histidine, arginine, and lysine divided by 20.

Official April 1, 2012 Calcitonin Salmon 3 Acceptance criteria: The requirements are met if the Mode: LC values fall within the limits in Table 4. Detector: UV 214 nm Column: 4.6-mm 25-cm; packing L1 Table 4 Flow rate: 1.2 ml/min Injection volume: 20 µl Acceptance Name Criteria Samples: Standard solution and Sample solution Aspartic acid 1.8 2.2 [NOTE Condition the chromatographic system by Glutamic acid 2.7 3.3 running a blank gradient program before injecting the Proline 1.7 2.3 digests.] Acceptance criteria: The chromatographic profile of the Glycine 2.7 3.3 Sample solution is similar to that of the Standard solution. Valine 0.9 1.1 Leucine 4.5 5.3 Histidine 0.9 1.1 BIOIDENTITY Arginine 0.9 1.1 RPMI 1640 with L-glutamine: Prepare a mixture of the Lysine 1.8 2.2 ingredients, in the quantities shown in Table 6, in Serine 3.2 4.2 sufficient water to obtain 1 L of RPMI 1640 with L- Threonine 4.2 5.2 glutamine solution, and sterilize by filtration. Tyrosine 0.7 1.1 Half cystine 1.4 2.1 Table 6 Calcium nitrate 100.00 mg PEPTIDE MAPPING (See Biotechnology-Derived Articles Peptide Mapping Potassium chloride 400.00 mg 1055.) Magnesium sulfate, anhydrous 48.84 mg [NOTE This test needs to be performed only on Potassium chloride 400 mg material produced using rdna technology.] Sodium chloride 6000 mg Solution A: Water and trifluoroacetic acid (1000:1) Sodium phosphate, dibasic, anhydrous 800 mg Solution B: Acetonitrile, water, and trifluoroacetic acid Sodium bicarbonate 2000 mg (800: 200: 0.85) Mobile phase: See Table 5. Glucose 2000 mg Glycine 10 mg Table 5 L-Arginine 200 mg L-Asparagine Time Solution A Solution B L-Aspartic acid 20 mg (min) (%) (%) L-Cystine dihydrochloride 65 mg 0 100 0 L-Glutamic acid 20 mg 50 65 35 L-Glutamine 300 mg 60 40 60 L-Histidine 15 mg 60.1 0 100 L-Hydroxyproline 20 mg 65.1 0 100 L-Isoleucine 65.2 100 0 L-Leucine 80.2 100 0 L-Lysine hydrochloride 40 mg Trypsin solution: Freshly prepare a solution containing L-Methionine 15 mg 0./mL of trypsin (previously treated with L-1- L-Phenylalanine 15 mg tosylamido-2-phenylethyl chloromethyl ketone [TPCK] to L-Proline 20 mg remove chymotrypsin activity) in water. L-Serine 30 mg Tris buffer: 1 M tris(hydroxymethyl) aminomethane and 10 mm calcium chloride. Adjust with hydrochloric acid L-Threonine 20 mg to a ph of 8.0. L-Tryptophan 5 mg Stopping solution: Water and trifluoroacetic acid (1:1) L-Tyrosine disodium salt dihydrate 29 mg Standard solution: Prepare a 1.0-mg/mL solution of L-Valine 20 mg USP Calcitonin Salmon RS. Transfer 1 ml of this solution Biotin 0.2 mg to a clean vial. Add 100 µl of Tris buffer and 50 µl of Choline chloride 3 mg Trypsin solution. Mix, and incubate at 2 8 for 16 20 h. Quench the digestion by adding 10 µl of Stopping D-Calcium pantothenate 0.25 mg solution. Folic acid Sample solution: 1.0 mg/ml of Calcitonin Salmon. i-inositol 35 mg Transfer 1 ml of this solution to a clean vial. Add 100 Niacinamide µl of Tris buffer and 50 µl of Trypsin solution. Mix, and para-aminobenzoic acid incubate at 2 8 for 16 20 h. Quench the digestion by Pyridoxine hydrochloride adding 10 µl of Stopping solution. Riboflavin 0.2 mg (See Chromatography 621, System Suitability.) Thiamine hydrochloride Vitamin B 12 0.005 mg Medium A (growth medium): Using aseptic technique, prepare the following tissue culture medium.

4 Calcitonin Salmon Official April 1, 2012 Table 7 min, pour off the supernatant, and resuspend the cell pellet in 10 ml of Medium A. Count the cells, and adjust RPMI 1640 with L-glutamine 500 ml the cell density through dilution, using Medium A, to Fetal bovine serum 50 ml 2.5 10 4 cells/ml. 1 M HEPES 5 ml Procedure: Place 200 µl of the Cell suspension into each Penicillin/streptomycin solution well of a 96-well culture plate (the tissue culture plate), (10,000 IU/mL per 10 mg/ml) 5 ml and incubate for 18 24 h at 37 and 5% carbon Human insulin 10 IU dioxide. Fill each well of an empty, round-bottomed, 96-well culture plate (the prepared plate) with 150 µl Hydrocortisone 0.5 mg of one of the following solutions: Positive control Medium B (stimulation medium): Dissolve 5 g of bovine solution, Negative control solution, Standard solutions serum albumin (BSA) in 500 ml of 2 mm RPMI 1640 A D, and Sample solutions A D, so that each solution fills with L-glutamine. at least five wells on the prepared plate. After Solution A (0.2% BSA solution): Dissolve of BSA incubation, remove the culture medium from the tissue in 25 ml of water. [NOTE Use within one day.] culture plate. Using an 8-channel or 12-channel pipet, Solution B (formic acid/bsa solution): Add 25 ml of rapidly transfer 100 µl of solution from each well of the 0.1 M formic acid and 5 ml of Solution A to a 50-mL prepared plate to each well of the tissue culture plate. volumetric flask, dilute with water to volume, and mix. Incubate for 15 min at ambient temperature, remove [NOTE Use within two days.] the solution from each well, stop stimulation by Solution C (trypsin/edta solution): Prepare a sterile immediately adding an appropriate cell-lysis buffer, and filtered solution containing 0.25% trypsin and 0.53 mm quantitate camp produced within the cells, using a EDTA (tetrasodium ethylenediaminetetraacetate). validated kit. Perform the test three times, using three Solution D (Dulbecco s phosphate buffered saline): different 96-well culture plates. [NOTE Some kits Dissolve 8 g of sodium chloride, 1.15 g of dibasic include a cell-lysis reagent and a sequestering agent for sodium phosphate, 0.2 g of monobasic potassium the cell-lysis reagent. The range of the test kit is phosphate, 0.2 g of potassium chloride, 0.1 g of between 0.05 and 10 ng/ml of camp. The number of calcium chloride, and 0.1 g of magnesium chloride in 1 cells used in the assay may vary, depending on the L of water. validated kit used to quantitate camp.] Standard stock solution: 20 µg/ml of USP Calcitonin : Potency is determined by a 3-dose, 6-point Salmon RS in Solution B parallel-line assay, using standard statistical methods. Positive control solution: Quantitatively dilute the The calculation is carried out using both the lower three Standard stock solution in Medium B to obtain a 1-ng/mL concentrations and the upper three concentrations. For solution of USP Calcitonin Salmon RS. the assay to be valid, the requirements for regression, Negative control solution: Medium B parallelism, and difference of quadratics must be met. If [NOTE Prior analysis should be performed to identify the requirements for validity are met to the same extent the linear portion of the dose response curve. For in both assessments (the lower and the higher example, the Standard solutions and Sample solutions assessments), the final result is determined from the given concentration range that shows the higher value when below.] (RB 1-Nov-2011) Standard solution A: 0.8 ng/ml of USP Calcitonin the common slope is divided by the root mean square Salmon RS, from the Standard stock solution in Medium B error. Standard solution B: 0.4 ng/ml of USP Calcitonin Acceptance criteria: Combine the three potency values Salmon RS, from Standard solution A in Medium B by using an unweighted mean on the log scale. Standard solution C: 0.2 ng/ml of USP Calcitonin Determine a 95% confidence interval in the log scale Salmon RS, from Standard solution B in Medium B using standard statistical methods. Convert the average Standard solution D: 0.1 ng/ml of USP Calcitonin and confidence interval to the potency scale using Salmon RS, from Standard solution C in Medium B antilogs to obtain a geometric mean and its confidence Sample stock solution: 20 µg/ml of Calcitonin Salmon interval. The potency levels determined from all three in Solution B performances of the test are valid if the data analysis Sample solution A: 0.8 ng/ml of Calcitonin Salmon, indicates the three determinations to be homogeneous, from the Sample stock solution in Medium B and the confidence interval is fully contained within 64% and 156% of the geometric mean. Sample solution B: 0.4 ng/ml of Calcitonin Salmon, If the from Sample solution A in Medium B confidence interval requirement is not met, additional Sample solution C: 0.2 ng/ml of Calcitonin Salmon, assays may be performed to increase the number of from Sample solution B in Medium B assays and make the confidence interval narrower. The Sample solution D: 0.1 ng/ml of Calcitonin Salmon, determination of whether it meets the identity from Sample solution C in Medium B requirement should be done only after the confidence Cell culture preparation: Prepare a cell culture of the interval requirement is met. The acceptance criterion for human mammary tumor cell line T-47D. Cells are propagated using Medium A at 37 and 5% carbon dioxide. The medium is changed every 2 days, and cells are passaged every 5 9 days, using Solution C with a 1:4 identity is that the geometric mean is within 80% and 125% of the Assay value. (RB 1-Nov-2011) subculture. Cell suspension: For the test, use a cell culture that is MICROBIAL ENUMERATION TESTS 61 and TESTS FOR 5 9 days old. Remove the cell culture medium from the SPECIFIED MICROORGANISMS 62 flask by aspiration, add 10 ml of Solution D, and rock Sample: 25 mg (RB 1-Nov-2011) the culture flask to rinse the entire monolayer. Remove Acceptance criteria: The total aerobic microbial count the liquid by aspiration, add 2 ml of Solution C, spread is NMT 10 2 cfu/g, and the total combined molds and over the entire monolayer, allow to stand for 3 5 min, yeasts count is NMT 10 cfu/g. 2 (RB 1-Apr-2012) and add 10 ml of Medium A. Homogenize the cell STERILITY TESTS 71 : Where the label states that suspension using a pipet, transfer to a 15-mL Calcitonin Salmon is sterile, it meets the requirements polypropylene tube, centrifuge at about 220 g for 5

Official April 1, 2012 Calcitonin Salmon 5 when tested as directed for Test for Sterility of the Product to Be Examined, Membrane Filtration. WATER DETERMINATION, Method Ic 921 : NMT 10% ADDITIONAL REQUIREMENTS PACKAGING AND STORAGE: Preserve in tight containers. Store in a refrigerator or maintain in a frozen state, protected from light. LABELING: The labeling states that the material is synthetic or of recombinant DNA origin. USP REFERENCE STANDARDS 11 USP Calcitonin Salmon RS C 145H 240N 44O 48S 2 3432 daltons USP Calcitonin Salmon Related Compound A RS N-Acetyl-cys 1 -calcitonin salmon. USP Calcitonin Salmon Related Compound B RS (calcitonin salmon-glycine) Calcitonin salmon-glycine.