EMA 2026 Reflection Paper on Non-Mutagenic Impurities

The EMA 2026 Reflection Paper on Non-Mutagenic Impurities introduces a new risk-based framework for the qualification of non-mutagenic impurities (NMIs) in chemically synthesised pharmaceuticals.

Furthermore, the updated guidance provides pharmaceutical manufacturers with clearer expectations for impurity assessment, including the use of New Approach Methodologies (NAMs), exposure-based evaluation and scientifically justified safety assessments.

The updated framework is particularly relevant when impurity levels exceed the qualification thresholds described in ICH Q3A and ICH Q3B, either because a new impurity is identified or because a known impurity increases above previously qualified levels.

For pharmaceutical manufacturers, the key message is clear: impurity qualification is moving towards a risk-based, exposure-driven approach that prioritises scientific justification and modern non-animal methods.

Flowchart illustrating the EMA 2026 risk-based process for non-mutagenic impurity (NMI) assessment, including qualification, Level of Concern evaluation, New Approach Methodologies (NAMs) and exposure-based safety assessment.

Key changes introduced by EMA for non-mutagenic impurity qualification

Specifically, the 2026 update introduces three major developments:

  1. A step-wise risk assessment framework
  2. Greater reliance on New Approach Methodologies (NAMs)
  3. More realistic exposure-based safety evaluation concepts

Overall, these changes reshape how manufacturers should approach NMI assessments and regulatory submissions.

1) Key Changes in the EMA 2026 Reflection Paper on Non-Mutagenic Impurities

Step 1: Determine whether the impurity is already qualified

First, before generating new data, assessors should first determine whether sufficient information already exists.

To achieve this, manufacturers should evaluate whether:

  • The impurity is covered by existing metabolite data
  • The impurity can be considered API-like based on structural and toxicological relevance
  • In this context, existing knowledge can support qualification without additional studies

As a result, this first step avoids unnecessary testing and ensures available scientific evidence is fully considered.

Step 2: Perform a Level of Concern (LoC) assessment

Next, EMA introduces a formal two-stage Level of Concern (LoC) evaluation:

  • Initial scientific triage
  • Final expert judgement

In addition, the assessment considers multiple factors, including:

  • Dose and patient exposure
  • Duration of treatment
  • Patient population
  • Route of administration
  • Physicochemical properties of the impurity

Consequently, this approach moves impurity qualification away from fixed limits and towards a patient-relevant risk assessment.

Step 3: Apply New Approach Methodologies (NAMs)

Importantly, before considering animal studies, EMA expects manufacturers to evaluate scientifically valid non-animal approaches.

These may include:

  • QSAR modelling
  • Read-across approaches
  • In vitro assays
  • Mechanistic toxicology data

In vivo studies should only be considered when non-animal approaches cannot adequately address the remaining uncertainty.

2) New Approach Methodologies (NAMs) in the EMA 2026 Impurity Framework

The updated EMA framework significantly strengthens expectations around modern toxicology approaches.

QSAR model evaluation for non-mutagenic impurity assessment

To ensure reliable interpretation, QSAR predictions should be supported by:

  • Clearly defined endpoints
  • A demonstrated applicability domain
  • Mechanistic scientific justification

In other words, simply generating a computational prediction is no longer sufficient; manufacturers must demonstrate why the model is appropriate for the impurity being assessed.

Structured read-across justification under EMA guidance

Similarly, EMA provides clearer expectations for read-across assessments, including:

  • Chemical similarity evaluation
  • Toxicophore analysis
  • Pharmacokinetic relevance
  • Reliability and quality of supporting data

As a result, this represents a shift from generic similarity arguments towards scientifically justified impurity-specific assessments.

Advanced in vitro methods and mechanistic toxicology

Futhermore, modern in vitro approaches can support impurity qualification by providing mechanistic and human-relevant information.

For instance, examples include:

  • Targeted cellular assays
  • Microphysiological systems
  • Adverse Outcome Pathway (AOP)-based evidence

Ultimately, these approaches help improve confidence while reducing unnecessary animal testing.

Role of QIVIVE in impurity risk assessment

Moreover, where scientifically appropriate, Quantitative In Vitro–In Vivo Extrapolation (QIVIVE) can help translate laboratory findings into human-relevant exposure estimates.

This supports more accurate risk characterisation and improves regulatory decision-making.

3) Exposure-Based Safety Evaluation Under the EMA 2026 Reflection Paper

The EMA 2026 update further aligns impurity qualification with actual patient exposure.

Route-specific Threshold of Toxicological Concern (TTC)

The revised framework provides greater clarity on TTC application across different administration routes, including:

  • Oral
  • Dermal
  • Inhalation
  • Parenteral routes

Therefore, this helps ensure that impurity limits reflect realistic exposure scenarios.

New Acceptable Level (AL) calculations

EMA introduces a more refined approach for establishing Acceptable Levels (ALs).

More specifically, AL calculations incorporate assessment factors (AF1–AF7), considering uncertainties such as:

  • Species differences
  • Human variability
  • Exposure duration
  • Severity of potential effects
  • Confidence in read-across conclusions

Overall, this represents a move beyond traditional impurity percentage limits towards scientifically justified exposure-based evaluations.

When Are Animal Studies Justified Under EMA 2026 Non-Mutagenic Impurity Guidance?

EMA reinforces the principles of the 3Rs (Replacement, Reduction and Refinement).

Therefore, animal studies should only be performed when necessary and when remaining uncertainties cannot be addressed through alternative methods.

Where required, studies should:

  • Use the neat impurity
  • Include appropriate dose groups
  • Incorporate toxicokinetic evaluation
  • Generate data suitable for regulatory interpretation

 

How Agirad Supports Compliance with the EMA 2026 Reflection Paper on Non-Mutagenic Impurities

The EMA 2026 Reflection Paper introduces new expectations for non-mutagenic impurity qualification. To successfully implement these requirements, manufacturers need a combination of regulatory understanding, toxicology expertise and practical dossier experience.

Agirad helps pharmaceutical manufacturers translate the updated EMA framework into clear, scientifically justified and submission-ready impurity assessments.

Our support includes:

Gap Analysis
Review and upgrade existing impurity dossiers to align with EMA 2026 expectations.

NMI Risk Assessment
Develop impurity-specific scientific justifications covering Acceptable Levels, exposure assessment and read-across strategies.

Study Oversight
Support CRO selection, protocol development, study monitoring and generation of regulatory-ready documentation.

Ultimately, with the right strategy, manufacturers can meet evolving EMA expectations while reducing unnecessary testing and strengthening regulatory confidence.

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Frequently
Asked Questions

The EMA 2026 Reflection Paper on Non-Mutagenic Impurities provides updated guidance on how pharmaceutical manufacturers should assess and qualify non-mutagenic impurities (NMIs) in chemically synthesised active pharmaceutical ingredients (APIs) and medicinal products. The framework introduces a more structured, risk-based approach that considers patient exposure, toxicological relevance and the use of modern non-animal methods.

The EMA framework applies when non-mutagenic impurity levels exceed the qualification thresholds described in ICH Q3A/Q3B, either because a new impurity is identified or because a previously known impurity increases to a higher level requiring additional assessment.

The key changes include:

  • A step-wise risk-based approach for impurity qualification
  • Greater use of New Approach Methodologies (NAMs)
  • Increased expectations for QSAR and read-across justification
  • More exposure-based evaluation using concepts such as Threshold of Toxicological Concern (TTC) and Acceptable Levels (ALs)
  • Clearer criteria for when animal studies may be scientifically justified

No. The EMA 2026 framework emphasises that non-animal approaches should be considered before in vivo studies. Manufacturers should first apply scientifically valid methods such as QSAR, read-across, in vitro testing and mechanistic toxicology approaches. Animal studies should only be performed when remaining uncertainties cannot be addressed through alternative methods.

New Approach Methodologies (NAMs) support impurity qualification by providing mechanistic and human-relevant information without relying solely on traditional animal testing. Examples include:

  • QSAR modelling
  • Read-across approaches
  • In vitro assays
  • Microphysiological systems
  • Adverse Outcome Pathway (AOP)-based assessments

These methods can help demonstrate safety while improving scientific justification.

The EMA 2026 approach expects manufacturers to provide scientifically robust justification when using QSAR or read-across. This includes demonstrating chemical similarity, relevance of toxicological endpoints, applicability of models, mechanistic plausibility and reliability of supporting data

Acceptable Levels (ALs) represent exposure-based impurity limits derived through a structured assessment process. The calculation considers uncertainty factors related to issues such as species differences, human variability, exposure duration, effect severity and confidence in available data.

Manufacturers should review existing impurity assessments and identify potential gaps against the updated framework. Preparation may include:

  • Reviewing impurity qualification strategies
  • Assessing the suitability of existing toxicological data
  • Evaluating opportunities for NAMs, QSAR and read-across approaches
  • Updating regulatory documentation and scientific justifications

Agirad supports pharmaceutical manufacturers in implementing the updated EMA expectations through scientific and regulatory expertise. Services include impurity dossier gap assessments, NMI risk assessments, read-across strategies, exposure evaluations and study oversight to support submission-ready documentation.