The final chemical transformation and isolation in the synthesis
of an active pharmaceutical ingredient (API), referred to as the Pure
Step, is often chemically simple but scientifically, operationally,
and strategically the most challenging. Pure Step development is critical
because it is used to determine and support the critical quality attributes
(CQAs) for the API, which will have lasting impacts on both the drug
substance and drug product processes. This paper will detail specific
challenges for the gefapixant (MK-7264) API, which is isolated as
a citrate salt crystallized out of methanol and isopropanol. This
citrate salt is then formulated via direct compression to make the
final dosage form for the patient. This salt crystallization is particularly
challenging due to (1) the propensity of the citrate salt crystal
to form solvates, (2) the particle size control requirements, and
(3) the variability in crude API purity during development (crude
API is the starting material for the Pure Step). The project team
had to simultaneously execute targeted, rapid process development
to support pilot plant API batches, which supplied clinical trials,
tech transfer the process to the manufacturing site overseas, and
provide requisite experimental data to support characterization and
mechanistic understanding. This work has required technical excellence,
streamlined collaboration, and flawless communication across the integrated
drug substance/drug product space. The comprehensive process development
work resulted in the development of a thermodynamically controlled
Pure Step crystallization that yields quality gefapixant API for successful
and robust drug product processing.