Potency bioassays are used to measure biological activity. Consequently, potency is considered a critical quality attribute in manufacturing. Relative potency is measured by comparing the concentration-response curves of a manufactured test batch with that of a reference standard. If the curve shapes are deemed similar, the test batch is said to exhibit constant relative potency with the reference standard, a critical requirement for calibrating the potency of the final drug product. Outliers in bioassay potency data may result in the false acceptance/rejection of a bad/good sample and, if accepted, may yield a biased relative potency estimate. To avoid these issues, the USP<1032> recommends the screening of bioassay data for outliers prior to performing a relative potency analysis. In a recently published work, the effects of one or more outliers, outlier size, and outlier type on similarity testing and estimation of relative potency were thoroughly examined, confirming the USP<1032> outlier guidance. As a follow-up, several outlier detection methods, including those proposed by the USP<1010>, are evaluated and compared in this work through computer simulation. Two novel outlier detection methods are also proposed. The effects of outlier removal on similarity testing and estimation of relative potency were evaluated, resulting in recommendations for best practice. K E Y W O R D S bioassay, outlier, potency, ROUT, USP
| INTRODUCTIONICH Q6B defines the potency of a biotherapeutic product or vaccine as the measure of its capacity to achieve a defined biological effect. 1,2 Measuring potency directly is impossible. Instead, one must measure it relative to that of a reference preparation. [3][4][5] In the manufacturing of biotherapeutics, the potency of a new batch is calibrated relative to the potency of a reference standard by comparing the concentration-response curves of the two samples. For a given response value y 0 , the relative potency (RP) of the batch is calculated as the ratio of the concentrations from the reference standard and batch samples. If the RP is constant or nearly constant for all possible response values, then the two curves shapes are equivalent, except for a shift along the concentration axis. In such a case, the two curves are declared to be similar (or parallel), and the batch and reference standard are said to exhibit constant RP. In the context of biotherapeutic manufacturing, the computed RP value is only useful for calibration if those batch and reference standard curves are declared to be similar (parallel). [6][7][8][9][10][11][12] When statistical outliers are present in the measured concentration-response data for the batch and/or the reference standard, Sondag et al show that similarity testing may be compromised and RP estimates may be biased. 13 These findings agree with the USP<1032> recommendations to screen for outliers before RP analysis. 3 Some outlier testing guidance is provided in USP<1010> and, while there is no direct claim in that chapter that its outlier tests are i...