Amendment No. 1 to Sodium Gamma Hydroxybutyrate Development and Supply Agreement




 EXHIBIT 10.32 
 Amendment No. 1 
 to 
 Sodium Gamma Hydroxybutyrate 
 Development and Supply Agreement 
 Amendment No. 1, dated February 7, 2005 (this “Amendment”), between Orphan Medical, Inc., a Delaware corporation
(“Orphan”), and Lonza, Inc., a New York corporation (“Supplier”). 
 Recitals 
 1. Orphan and Supplier are parties to a Sodium Gamma Hydroxybutyrate Development and Supply Agreement, dated November 6, 1996 (the
“Agreement”). 
 2. Orphan and Supplier wish to extend the term of the Agreement and to amend certain provisions of the Agreement.

 3. Each capitalized term used in this Amendment and not defined herein shall have the meaning ascribed to it in the Agreement. 

NOW, THEREFORE, for good and valuable consideration, the receipt and adequacy of which are hereby acknowledged, Orphan and Supplier agree as follows:

 1. Acknowledgments. Orphan and Supplier acknowledge and agree that the initial Contract Year of the Agreement commenced as of
August 1, 2002, and that each Contract Year consists of the twelve-month period commencing on August 1 and extending through the following July 31. 
 2. Amendments to the Agreement. Effective as of the date of this Amendment, the Agreement shall be amended and modified as follows: 
 a. Section 14.1 of the Agreement shall be amended in its entirety and shall hereafter read as follows: 
 14.1. Unless terminated pursuant to Article 15, the initial term of this Agreement shall commence on the Effective Date and end upon expiration of the third (3rd) Contract Year. Following the expiration of the
initial term and any renewal terms, this Agreement shall be automatically extended for an additional term of three (3) Contract Years unless either party delivers a written notice of termination at least eighteen (18) months prior to the
expiration of the initial or any renewal term. All references herein to the “term of the Agreement” shall be deemed to include both the initial and any renewal terms. 
 b. Appendix C {Required Drug Specifications} of the Agreement shall be amended in its entirety and shall be replaced by the Appendix C attached to this
Amendment. 
  








 c. Section 18.2 of the Agreement is amended to replace the address for Orphan set forth in
Section 18.2 with the following address: 
 Orphan Medical, Inc. 
 13911 Ridgedale Drive 
 Suite 250

 Minnetonka, MN 55305 
 Attn:
Vice President of Regulatory Affairs 
 d. Appendix H {Quality Agreement}. The Quality Agreement herein attached is incorporated within the
overall Development and Supply Agreement. 
 3. Ratification. As modified by this Amendment, the Agreement is hereby ratified and
confirmed in all respects. 
 IN WITNESS WHEREOF, each of Orphan and Supplier has caused this Amendment to be executed by a duly authorized
representative as of the date set forth in the first paragraph. 
  

					
	LONZA, INC.	  		 	ORPHAN MEDICAL, INC.
			
	 /s/ Simon Edwards Feb 7, 2005
	  		 	 /s/ John Howell Bullion

	By (print): Simon Edwards	  		 	By: John Howell Bullion
	Its VP Sales & Business Development	  		 	Its Chief Executive Officer









 APPENDIX C 
  

					
	Orphan Medical, Inc.	 		 	Specification: BDS-XYR-0400 Rev 13
	Bulk Drug Substance Specification	 		 	Effective Date: 02/16/05
		 		 	Supersede Date: 09/10/03
		 		 	             Page: 1 of 3

  

			
	Bulk Drug Substance:	 	Sodium Oxybate Powder
		
	RetestDate*:	 	56 months
		
	Storage Conditions:	 	15-30°C in packaging specified as follows
	
	Packaging Requirements:

  

			
	Closure:	 	Electrogalvanized Steel Lock Ring
		 	Cover: 24 Gauge Varnish/Precoated
		
	Chime Bands:	 	Electrogalvanized Steel Top and Bottom
		
	Gasket:	 	Urethane
		
	Supplier:	 	Grief Brothers or Berenfield Containers

  

			
	Container:	 	Polyethylene Bag
		 	Semi-Transparent Plastic Film
		 	EF603GU LDPE (95%), 100323 Anti-Stat (5%)
		 	0.004” thick, 36”wX68”L (± 1”)
		 	Stock #595131
		
	Supplier:	 	Target Industries

  

			
	Container:	 	Foil-lined Al-Fi
		 	44 gallons
		 	Leverpak, M4400-E7K3
		
	Supplier:	 	Grief Brothers, Lombard, IL

  

			
	Desiccant:	 	Desiccant Bag (Activated Clay)
		 	3767 Dessipak, 2 x 132 g
		 	Absorption Capacity: 16.00 wt/wt
		 	Residual Moisture : 3.00 wt/wt
		
	Supplier:	 	Sud-Chemie Performance Packaging, Belen, NM

 Each drum should be packaged with approximately 75 kg of Sodium Oxybate with a minimum of two desiccant bags
placed between the polyethylene bags and labeled with an approved label. 








 APPENDIX C 
  

					
	Orphan Medical, Inc.	 		 	Specification: BDS-XYR-0400 Rev 13
	Bulk Drug Substance Specification	 		 	Effective Date: 02/16/05 Supersede
		 		 	Supersede Date: 09/10/03
		 		 	Date: 09/10/03 Page:2 of 3

 Sampling: 
 Follow SOP-QA-0095 for sampling process. The sample is divided into a testing sample and a lOOg retain sample. 
 * Denotes Minimum Retest
Requirements 
  

					
	 Test
	 	 Specification
	 	 Method

	*Appearance	 	White to off-white powder	 	Lonza-1006542
	*Assay - HPLC	 	98.0-102.0% (anhydrous basis)	 	Lonza-SXB-F002
	*Impurities - Total	 	NMT 1.0%	 	Lonza-SXB-F003 (HPLC)
	 *Impurities - Specified
 GBL-RRT1.6
GHBB-RRT4.3
	 	 NMT 0.05%
 NMT 0.05%
	 	Lonza-SXB-F003 (HPLC)
	*Impurities - Unspecified	 	md. Impurities NMT 0.05%	 	Lonza-SXB-F003 (HPLC)
	*Water Content	 	NMT 0.5% (w/w)	 	Lonza-1006542 USP<921>
	Residual Solvents - GC	 	Methanol NMT 1000 ppm	 	Lonza-SXB-FOOl
	Identification (HPLC)	 	0.95-1.05 RT of Reference Standard	 	Lonza-SXB-F002
	Identification (IR)	 	Matches Reference Spectrum	 	Lonza-1006542 USP<197M>
	Heavy Metals	 	NMT 20 ppm	 	Lonza-1006542, USP<231> Method E

 Contractual Release Specifications: 








 APPENDIX C 
  

					
	Orphan Medical, Inc.	 		 	Specification: BDS-XYR-0400 Rev 13
	Bulk Drug Substance Specification	 		 	Effective Date: 02/16/05
		 		 	Supersede Date: 09/10/03
		 		 	                    Page: 3 of 3

 Some specification requirements for release of the bulk drug substance will be more restrictive than those
approved in the NDA to ensure drug adequacy upon analytical retesting or anticipated degradation over time. Sodium Oxybate Powder must meet BP/EP/EC/Japan standards. Orphan Medical Quality Assurance will issue a certificate of analysis as the final
release for the bulk drug substance. 
 Approval: 
 Original Signatures on File 
  

			
	Regulatory Affairs:	 	Lisa Ylitalo 02/16/05
		
	Quality Assurance:	 	Kristine Goman 02/16/05

 Vendor Code: 17 








 APPENDIX H 
 QUALITY AGREEMENT 
 BY AND BETWEEN 
 ORPHAN MEDICAL, INC. 
 13911 Ridgedale
Drive, Suite 250 
 Minnetonka, Minnesota 55305 
 (hereafter called “ORPHAN”) 
 Approved by: Orphan Medical, Inc. 
  

					
	By:	 	 Illegible
	 	
			
	Date:	 	 April 25, 2005
	 	

 And 
 LONZA, INC. 
 900 River Road 
 Conshohocken, PA 19428 
 (hereafter called “LONZA”) 
 Approved by: Lonza, Inc. 
  

					
	By:	 	 Illegible
	 	
			
	Date:	 	 April
	 	









 APPENDIX H 
 TABLE OF CONTENTS 
  

							
	  1.	  	    QUALITY AGREEMENT	  	1
				
		  	  1.1	  	Purpose	  	1
		  	  1.2	  	Relationship to Supply Agreement	  	1
			
	  2.	  	    PRODUCT	  	1
			
	  3.	  	    ADMINISTRATIVE INFORMATION	  	1
				
		  	  3.1	  	ORPHAN Contact Names	  	1
		  	  3.2	  	LONZA Contact Names	  	1
			
	  4.	  	    TERM OF AGREEMENT	  	1
			
	  5.	  	    MANUFACTURING GMP COMPLIANCE	  	2
				
		  	  5.1	  	General	  	2
		  	  5.2	  	Premises	  	2
		  	  5.3	  	GMP Guidelines	  	2
		  	  5.4	  	Materials	  	2
		  	  5.5	  	Materials procured by ORPHAN	  	3
		  	  5.6	  	Materials Provided by ORPHAN for LONZA	  	3
		  	  5.7	  	Master Production Records	  	3
		  	  5.8	  	Standard Operating Procedures	  	3
		  	  5.9	  	Methods Validation	  	4
		  	  5.10	  	    Batch Numbers	  	4
		  	  5.11	  	    Dates of Manufacture and Expiration	  	4
		  	  5.12	  	    Manufacturing and Equipment Data	  	4
		  	  5.13	  	    Storage and Shipment	  	5
			
	  6.	  	    QUALITY CONTROL	  	5
				
		  	  6.1	  	General	  	5
		  	  6.2	  	In-Process and Finished Product Testing	  	5
		  	  6.3	  	Retain Samples	  	6
		  	  6.4	  	Routine Stability Program	  	6
		  	  6.5	  	Out-of-Specification (OOS) Investigations	  	6
		  	  6.6	  	Contract QC Laboratories	  	7
			
	  7.	  	    QUALITY ASSURANCE	  	7
				
		  	  7.1	  	Deviations and Investigations	  	7
		  	  7.2	  	Lot Disposition	  	7
		  	  7.3	  	Quality Assurance Certificate of Compliance/Analysis	  	7
		  	  7.4	  	Product Release	  	8
		  	  7.5	  	Product Complaints and Recalls	  	8

  

 Quality Agreement: Page (ii) 









 APPENDIX H 
  

							
		  	  7.6	  	Records Retention	  	9
		  	  7.7	  	Quality Assurance Presence in the Manufacturing Facility	  	9
			
	  8.	  	    REGULATORY COMPLIANCE	  	9
				
		  	  8.1	  	Regulatory Inspections	  	9
		  	  8.2	  	Regulatory Actions	  	10
		  	  8.3	  	Regulatory Affairs	  	10
		  	  8.4	  	Right to Audit	  	11
		  	  8.5	  	Audit Closeout	  	11
			
	  9.	  	    DISPUTE RESOLUTION	  	11
				
		  	  9.1	  	Non-Conformity Dispute	  	11
		  	  9.2	  	Other Disputes	  	12
			
	10.	  	    CHANGE MANAGEMENT	  	12
				
		  	10.1	  	Technical & cGMP Impact Assessment	  	12
			
	11.	  	    PRODUCT AND PROCESS VALIDATION	  	13
				
		  	11.1	  	Process Validation	  	13
		  	11.2	  	Cleaning Verification/Validation	  	13
		  	11.3	  	Equipment, Computer, Facility, and Utilities Qualification	  	13
		  	11.4	  	Laboratory Qualification	  	13
			
	12.	  	    ANNUAL PRODUCT REVIEW, ANNUAL REPORT AND DRUG LISTING	  	14
				
		  	12.1	  	Annual Product Review	  	14
		  	12.2	  	Drug Listing	  	14

  

 Quality Agreement: Page (iii) 









 APPENDIX H 
 1. QUALITY AGREEMENT 
  

	1.1	Purpose 

  

	 	1.1.1	This agreement (this “Agreement”) defines the roles and responsibilities for the Quality Assurance and Regulatory Affairs Department (“Quality Assurance”) of
Lonza (LONZA) when providing services for Orphan Medical, Inc. (“ORPHAN”). 

  

	 	1.1.2	This Agreement also defines how ORPHAN Quality Assurance and the LONZA Quality Department will interact with each other. 

  

	1.2	Relationship to Supply Agreement 

  

	 	1.2.1	This Agreement shall be incorporated within and constitute a part of the Supply Agreement by and between LONZA and ORPHAN. 

  

	 	1.2.2	In the event of a conflict between any of the provisions of this Quality Agreement and the Supply Agreement, the provisions of this Quality Agreement shall govern.


 2. PRODUCT 
 The PRODUCT
prepared for ORPHAN by LONZA are described in Appendix I. 
 3. ADMINISTRATIVE INFORMATION 
  

	3.1	ORPHAN Contact Names  

 See Appendix
II. 
  

	3.2	LONZA Contact Names  

 See Appendix II.

 4. TERM OF AGREEMENT 
 This Quality
Agreement will expire with termination of the Supply Agreement (except for quality issues that may extend past the Supply Agreement; i.e. complaints). This Agreement can be modified as needed with the written approval of both parties. 
  

 Quality Agreement: Page l 









 APPENDIX H 
 5. MANUFACTURING GMP COMPLIANCE 
  

	5.1	General 

 The manufacturing operations for the
PRODUCT to be performed by LONZA are defined in the Supply Agreement. 
  

	5.2	Premises 

  

	 	5.2.1	LONZA will perform required operations for manufacturing activities at approved sites. 

  


	 	5.2.2	The premises and equipment used to manufacture the PRODUCT will be maintained according to current regulatory requirements and in accordance with the controlled documentation
approved by ORPHAN. 

  

	 	5.2.3	The manufacture of the PRODUCT will be conducted in a suitably controlled environment and such facilities will be regularly monitored for parameters critical to the process to
demonstrate compliance with (i) applicable GMP guidelines and (ii) any conditions registered in the manufacturing authorization (NDA or investigational application). 

  

	 	5.2.4	LONZA will maintain controlled access to the premises. All visitors must sign in and are escorted during any visit to the areas of the premise. 

  

	5.3	GMP Guidelines 

 The principles detailed in the US
Current Good Manufacturing Practices (21 CFR 210 and 211) that govern the standards of manufacture for active pharmaceutical ingredients, as well as the product Guidance for Industry “Q7A Good Manufacturing Practice, Guidance for Active
Pharmaceutical Ingredients”, will govern (i) the standards of manufacture of the PRODUCT, (ii) the product specifications, (iii) any applicable product license, and (iv) the NDA/ANDA application, pharmacopoeia or formulatory
requirements. 
  

	5.4	Materials 

  

	 	5.4.1	LONZA will use only chemical materials, packaging, and labeling components approved by ORPHAN and tested and approved in accordance with the documentation reviewed and approved by
ORPHAN. 

  

 Quality Agreement: Page 2 









 APPENDIX H 
  

	 	5.4.2	Prior to commercial use, all materials used in the PRODUCT shall meet ORPHAN’S requirements for production use. 

  

	5.5	Materials procured by LONZA 

  

	 	5.5.1	LONZA is responsible for auditing and qualifying vendors of actives and raw materials used in PRODUCT and will provide ORPHAN with a Certificate of Conformance statement for such
vendors when requested. LONZA shall audit raw material vendors/suppliers at regular intervals according to a defined program; and the documentation of the vendors/suppliers audited and date of audit shall be available for review by ORPHAN upon
request. 

  

	 	5.5.2	LONZA is responsible for ensuring that all materials and components procured by LONZA for use in the PRODUCT are in full compliance with the specifications listed in documentation
reviewed and approved by ORPHAN. Raw Materials are given a repeat test date upon the satisfactory completion of all initial testing. Repeat testing will be performed at defined time intervals to ensure the chemical and physical stability of the raw
materials unless ORPHAN provides an official expiration date. 

  

	 	5.5.3	LONZA is responsible for ensuring that all materials are labeled (for ID and current status) and stored properly, used correctly, appropriately tested upon receipt, and traceable to
the relevant Certificate of Analysis for the materials. 

  

	5.6	Materials Provided by ORPHAN for LONZA 

 ORPHAN is
responsible for ensuring that all materials and components provided by ORPHAN for use in the PRODUCT are in full compliance with the specifications registered, ORPHAN will provide LONZA with a Certificate of Compliance statement for the vendors that
ORPHAN is responsible for qualifying. 
  

	5.7	Master Production Records 

 LONZA may transcribe the
manufacturing information (i.e., bulk manufacturing) into its own fonnat and will obtain written approval from ORPHAN for major changes to the process before manufacturing. Additionally Lonza will provide Orphan with all changes to process
documentation, analytical methods, and specifications. Agreed upon changes to documentation will be handled as outlined by Change Management (see Section 10) of this agreement. 
  

 Quality Agreement: Page 3 









 APPENDIX H 
  

	5.8	Standard Operating Procedures 

 LONZA is responsible
for writing and approval of any SOPs required to manufacture, test, and store the PRODUCT in accordance with applicable GMP guidelines. 
  

	5.9	Methods Validation 

  

	 	5.9.1	ORPHAN is responsible for providing to LONZA approved copies of the most current and complete filed analytical methods relating to the PRODUCT for receipt of API and raw materials,
in-process product testing, product lot release, and drug and product stability and cleaning validation. 

  

	 	5.9.2	ORPHAN is responsible for providing to LONZA a Certification of Methods Validation for all critical methods practiced by LONZA (raw materials testing, in-process product testing,
product lot release, and drug and product stability) . The certifications should state, “The methods are appropriate for the intended purpose, are validated per relevant regulatory guidelines, and are readily available in case of a
regulatory inspection.” 

  

	5.10	Batch Numbers 

  

	 	5.10.1	The convention for LONZA “Batch Identification Number” (BIN) is as follows: 

  

	 	•	 	 1-4 SXB 


  

	 	•	 	 The first digit is the batch number sequence within a campaign. 


  

	 	•	 	 The second digit is year the batch was produced. 


  

	 	•	 	 The three letters of the BIN are the product designator (SXB: Sodium Oxybate). 


  

	5.11	Dates of Manufacture and Expiration 

  

	 	5.11.1	Date of Manufacture: LONZA will allocate the Date of Manufacture based on the date that drying is complete for the PRODUCT. 

  

	 	5.11.2	Expiration Date: LONZA will calculate the expiry date from the Date of Manufacture using the currently approved expiry period. The expiration date will be the last day of the
month assigned. Changes to the expiration date will be handled by Change Management (see Section 10). 

  

 Quality Agreement: Page 4 









 APPENDIX H 
  

	5.12	Manufacturing and Equipment Data 

 LONZA is
responsible for keeping records of equipment usage (previous PRODUCT produced in non-dedicated equipment), cleaning, and any maintenance/calibration performed. 
  

	5.13	Storage and Shipment 

  

	 	5.13.1	Storage: LONZA will store the PRODUCT under conditions approved by ORPHAN. LONZA will ensure that during storage before shipping of the PRODUCT, appropriate controls are in
place to insure that there is no interference, theft, product contamination, or mixture with any other product or materials. ORPHAN will provide details of any labeling requirements and storage and shipping conditions for the PRODUCT.


  

	 	5.13.2	Packaging and Labeling for Transit: The PRODUCT will be labeled and packaged for transit pursuant to instructions timely provided to LONZA in writing by ORPHAN and complying
with cGMP. 

  

	 	5.13.3	Segregation of PRODUCT: LONZA will maintain proper segregation of the PRODUCT according to systems reviewed and approved by ORPHAN. Different lots of a single product or
different types of product will not be mixed on a pallet. 

  

	 	5.13.4	Shipment of Product to ORPHAN: Only approved, finished (unless required by ORPHAN), labeled PRODUCT will be shipped by LONZA to ORPHAN. LONZA will not ship any product that
is unapproved or under quarantine without prior written approval from Orphan Medical, Inc. 

 6. QUALITY CONTROL 
  

	6.1	General 

 The testing of the PRODUCT is to be
performed by LONZA as defined in the PRODUCT Specification, see Appendix I. Following LONZA’s release of the PRODUCT to ORPHAN, the ORPHAN Quality Control Unit shall be responsible for approving or rejecting drug product manufactured,
processed, or packed by LONZA. 
  

	6.2	In-Process and Finished Product Testing 

  

	 	6.2.1	A method transfer of any validated test method developed by ORPHAN will be completed prior to product release by LONZA. 

  

 Quality Agreement: Page 5 









 APPENDIX H 
  

	 	6.2.2	LONZA will perform all in-process and finished product testing using approved specifications and methods of analysis. Laboratory notebook pages and representative sample
chromatograms can be reviewed on LONZA’s site by ORPHAN. 

  

	 	6.2.3	A LONZA Qualified Person/QA Representative will sign a Certificate of Conformity confirming that the lots produced in a campaign have been manufactured, packaged, tested, and meets
the requirements of the Master Batch Record and Drug Product Specification. The current release documentation information can be found in Appendix III. 

  

	 	6.2.4	Any reference standards that are supplied by ORPHAN or its Affliates must be accompanied by a COA listing the expiration date and any correction factors that need to be applied.


  

	 	6.2.5	ORPHAN may perform testing to confirm the LONZA data. ORPHAN may perform confirmatory testing during the initial term of this Agreement to validate the LONZA data. Periodically
thereafter, ORPHAN may test material to confirm the LONZA data. Dispute resolutions in conflicting test data will be handled according to the provisions of Section 9. 

  

	 	6.2.6	ORPHAN may perform release testing at a contract laboratory. Copies of all related documentation will be provided to LONZA upon request to support final disposition by LONZA.


  

	6.3	Retain Samples 

  

	 	6.3.1	LONZA will retain samples of the active ingredients for a minimum of five (5) years beyond the ingredient date manufactured. LONZA will retain samples of raw materials for a
minimum of two (2) years. The amount of sample retained will be twice the quantity required to carry out all of the tests required to determine if the material meets its specifications, with the exception of sterility and pyrogen testing (CFR
211.170a). 

  

	6.4	Routine Stability Program 

  

	 	6.4.1	ORPHAN is responsible for maintaining a Stability Program and will request samples from Drug Product lots to be placed on stability as required. 

  

 Quality Agreement: Page 6 









 APPENDIX H 
  

	6.5	Out-of-Specification (OOS) Investigations 

 LONZA is
responsible for investigating any testing performed that fails to meet specifications. Each investigation will be reviewed by LONZA’s Quality Assurance designee, and will follow internal procedures that are in accordance with regulatory
guidelines. LONZA will inform ORPHAN of OOS results and any subsequent retest results. 
  

	6.6	Contract OC Laboratories 

 ORPHAN is responsible for
ensuring the compliance and documented qualification of any QC lab contracted to perform testing of the Raw Materials and PRODUCT used in the manufacture of the finished PRODUCT through an appropriate laboratory audit for compliance. 
 7. QUALITY ASSURANCE 
  

	7.1	Deviations and Investigations 

  

	 	7.1.1	Deviations: Any deviation from the process during manufacture or OOS result must be carefully documented and approved by LONZA Quality Assurance and appropriate area
management. ORPHAN will be informed at the time of all Pharmaceutical Process/Formulation Exception Reports (PFERs) and reserves the right to participate in the investigation. A copy of the final investigation report will be included in the Release
Documentation package provided to ORPHAN. 

  

	 	7.1.2	LONZA will notify ORPHAN of the disposition of any rejected PRODUCT within 5 working days. 

  

	 	7.1.3	LONZA will notify ORPHAN immediately, in writing, if any problems are discovered that may impact PRODUCT lots previously shipped to ORPHAN. 

  

	 	7.1.4	Some investigations may require additional testing, stability, or validation to be conducted. This work will be performed by LONZA as agreed by both parties.


  

	7.2	Lot Disposition 

 For each lot, LONZA will provide
the release documentation required in Appendix III. 
  

 Quality Agreement: Page 7 









 APPENDIX H 
  

	7.3	Quality Assurance Certificate of Compliance/Analysis 

  

	 	7.3.1	LONZA will provide a standard Certificate of Analysis indicating the test results of each test performed as well as a signed Certificate of Compliance for the campaign confirming
that the PRODUCT has been manufactured, tested, and stored according to the requirements of the Master Production Record. 

  

	 	7.3.2	LONZA will provide complete copies to ORPHAN of the lot documentation (Executed batch record and analytical data). Shipment of the lots will require written prior authorization by
ORPHAN. 

  

	7.4	Product Release 

  

	 	7.4.1	Shipment of the PRODUCT, once dispositioned as “Approved” by LONZA, is the absolute responsibility of ORPHAN’S quality department. ORPHAN’S approval will be
undertaken by ORPHAN, based on ORPHAN’S internal procedures, the full document package provided by LONZA, and completion of any release testing required by ORPHAN Quality Control for their internal release criteria. 

  

	 	7.4.2	Any problem discovered by ORPHAN likely to cause rejection of the PRODUCT will be communicated to LONZA within thirty (30) days from receipt of the full release documentation
package (see Appendix III). 

  

	7.5	Product Complaints and Recalls 

  

	 	7.5.1	Product Complaints: ORPHAN is responsible for receiving and initially investigating any PRODUCT complaints. ORPHAN will notify LONZA of any problems thought to be due to
manufacture which are found during the distribution of the PRODUCT. When LONZA receives notice of manfuacturing problems from ORPHAN, LONZA will promptly perform investigations for alleged problems. Investigation reports will be forwarded to ORPHAN
within thirty (30) days from the receipt of the compliant by LONZA. ORPHAN is responsible for reporting any complaint to the appropriate regulatory authority including adverse drug events reports. Any PRODUCT complaint received by LONZA will be
immediately forwarded to ORPHAN. 

  

	 	7.5.2	Product Recall: ORPHAN, with data and assistance provided by LONZA, is responsible for filing Field Alerts and initiating PRODUCT recalls due to any defect considered
sufficiently serious. ORPHAN will provide LONZA with a copy of any regulatory correspondence related to field alerts or recalls. ORPHAN will notify LONZA of any recall. LONZA will provide a rapid initial response and a full report within ten
(10) working days and will provide recommendations for recall as needed. 

  

 Quality Agreement: Page 8 









 APPENDIX H 
  

	7.6	Records Retention 

  

	 	7.6.1	LONZA will retain, at a minimum, lot production records for the PRODUCT and materials for seven (7) years from manufacture of lots. Validation records may need to be held for
longer than seven (7) years. 

  

	 	7.6.2	LONZA will retain lot records for the expiry date of the Clinical Trial Materials for a minimum of three (3) years unless notified of a shorter retention period by ORPHAN, but
at a minimum of one (1) year past the stop use date. 

  

	7.7	Quality Assurance Presence in the Manufacturing Facility 

  

	 	7.7.1	LONZA will maintain adequate Quality Assurance presence in the manufacturing facility during the manufacture of the PRODUCT to ensure compliance with GMPs. 


 

	 	7.7.2	LONZA will permit ORPHAN’S presence in the manufacturing facility during the manufacture of the PRODUCT if requested by ORPHAN’S quality group. 


8. REGULATORY COMPLIANCE 
 8.1 Regulatory Inspections

  

	 	8.1.1	LONZA will immediately inform ORPHAN of any regulatory inspections that may involve the PRODUCT and permit a representative from ORPHAN Quality to be present, if required by ORPHAN.


  

	 	8.1.2	LONZA will secure ORPHAN’S agreement prior to making any commitment to a regulatory agency regarding ORPHAN’S PRODUCT. 

  

	 	8.1.3	Additionally, LONZA will immediately forward to ORPHAN any regulatory correspondence on the PRODUCT or on other system related issues that support manufacturing, packaging, or
testing for ORPHAN’S PRODUCT. 

  

	 	8.1.4	ORPHAN will immediately inform LONZA in writing of any regulatory issue that impacts LONZA’s ability to manufacture the PRODUCT. 

  

 Quality Agreement: Page 9 









 APPENDIX H 
  

	8.2	Regulatory Actions 

  

	 	8.2.1	ORPHAN will notify LONZA of any regulatory actions on the PRODUCT that may impact LONZA. 

  

	 	8.2.2	LONZA is responsible for supporting all lot record investigations associated with regulatory actions. 

  

	 	8.2.3	LONZA agrees to supply ORPHAN with any manufacturing, testing, or storage data within 48 hours, if requested, as the result of a regulatory inspection, or a potential regulatory
exposure such as a recall or significant product complaint. 

  

	8.3	Regulatory Affairs 

  

	 	8.3.1	ORPHAN is responsible for ensuring all appropriate regulatory filings and import/export documentation are filed with regulatory agencies prior to shipment/human administration.


  

	 	8.3.2	LONZA Quality Assurance will act as the point of contact between ORPHAN’S regulatory affairs staff or consultant regarding issues that impact the CMC registration information
for the drug substances and/or drug product. 

  

	 	8.3.3	LONZA Quality Assurance will perform a technical/regulatory review of all documentation provided to ORPHAN to support regulatory submission. 

  

	 	8.3.4	ORPHAN will be responsible for making final decisions regarding CMC regulatory strategy. 

  

	 	8.3.5	ORPHAN will provide a copy of final regulatory submissions to LONZA Quality Assurance for reference during inspections. 

  

	 	8.3.6	LONZA will provide support for ORPHAN with respect to proposing appropriate CMC regulatory strategies and identifying potential regulatory consequences for issues involving drug
substance. 

  

 Quality Agreement: Page 10 









 APPENDIX H 
  

	8.4	Right to Audit 

  

	 	8.4.1	LONZA will allow representatives from ORPHAN Quality to have access to their manufacturing, warehousing, laboratory premises, and records for audit purposes pursuant to this
Section 8.4. ORPHAN representatives will be escorted at all times by LONZA personnel. 

  

	 	8.4.2	ORPHAN will provide a thirty (30) days notification for all planned audits. 

  

	 	8.4.3	LONZA will permit ORPHAN Quality to conduct preparatory audits either for initiation of GMP manufacture of the PRODUCT or for pre-approval inspections (PAI).


  

	 	8.4.4	LONZA will permit ORPHAN Quality to conduct audits to address significant product quality or safety problems. 

  

	 	8.4.5	LONZA will permit ORPHAN Quality to perform one standard GMP compliance audit per year not to exceed three working days and two groups of two auditors each. This includes audits
required by ORPHAN’S commercial partners. 

  

	8.5	Audit Closeout 

  

	 	8.5.1	An exit meeting will be held with representatives from LONZA and ORPHAN to discuss significant audit observations. 

  

	 	8.5.2	ORPHAN will provide a written report of all observations within thirty (30) days to LONZA. Within thirty (30) days of the audit report receipt, LONZA will provide a
written response to all findings that details corrective action to be implemented. LONZA will follow up to ensure that all corrective actions are implemented. 

 9. DISPUTE RESOLUTION 
  

	9.1	Non-Conformity Dispute 

 In the event that a dispute
arises between LONZA and ORPHAN in the nonconformity of a lot of the PRODUCT, the supervisors of the Quality departments from both companies shall in good faith promptly attempt to reach an agreement. ORPHAN may only dispute a lot of PRODUCT which
has been dispositioned and released by LONZA. Whatever the outcome, ORPHAN Quality retains the absolute right to determine product release status. Financial liability shall be determined according to the Supply Agreement. 
  

 Quality Agreement: Page 11 









 APPENDIX H 
  

	9.2	Other Disputes 

 Other disputes shall be resolved in
accordance with the Supply Agreement. 
 10. CHANGE MANAGEMENT 
  

	10.1	Technical & cGMP Impact Assessment 

  

	 	10.1.1	All changes shall proceed through a technical and cGMP impact assessment by the LONZA expert groups coordinated by LONZA’s Quality Assurance change management personnel. The
documents that contain ORPHAN’S intellectual property or changes that may affect (i) ORPHAN’S regulatory submissions or (ii) the support system that has a direct impact on the quality systems that will affect ORPHAN’S
product, will also go through ORPHAN’S assessment for regulatory advice and implementation requirements, as per the agreements between ORPHAN and LONZA. 

  

	 	10.1.2	Any changes to documentation will be coordinated with ORPHAN by the responsible project scientist or project leader. 

  

	 	10.1.3	The scope of such a Change Management process includes Chemical Manufacturing, Pharmaceutical Manufacturing and Packaging processes. The associated changes may relate to: the Master
Production Control Records (e.g. Master Formulas, Filling Work Orders, Packaging Work Orders); Bills of Materials; Analytical Standards and Test Methods (for Raw Materials and Finished Product); Stability Protocols; Purchase Specifications (for Raw
Materials and Packaging Components); and ORPHAN specific Validated Equipment, Facilities, Utilities or Computer Systems. 

  

	 	10.1.3.1	All manufacturing, testing, and storage operations performed by LONZA for the PRODUCT will have ORPHAN Quality review and written approval within five business days of notification.
ORPHAN’S Quality review and approval signifies the conformance of LONZA documents to ORPHAN’S CMC regulatory submissions. 

  

	 	10.1.3.2	Any significant changes will be mutually agreed upon in writing prior to implementation. All required regulatory approvals will be obtained prior to implementation.


  

 Quality Agreement: Page 12 









 APPENDIX H 
  

	 	10.1.3.3	Changes to the controlled documents or to validated equipment and systems specific to the PRODUCT must have ORPHAN Quality written approval, prior to implementation.


  

	 	10.1.3.4	Administration changes to the controlled documents (e.g., typo corrections, formatting) do not require ORPHAN Quality written approval prior to implementation, but these changes
must be submitted to ORPHAN Quality in a timely manner for review and approval. 

 11. PRODUCT AND PROCESS VALIDATION 
  

	11.1	Process Validation 

 LONZA is responsible for
ensuring that the manufacturing process is validated. The validation should ensure that the process is capable of consistently achieving the PRODUCT acceptance specification. 
  

	11.2	Cleaning Verification/Validation 

 LONZA is
responsible for ensuring that adequate cleaning is carried out between lots of different product to prevent contamination. Data should be available to support the campaign of lots of the same product and the type of cleaning that will be performed
in between manufacturing of the same product. ORPHAN will provide information (i.e. LD50, toxicity, solubility, lot size, fill volume, product min dose/70Kg patient) to establish cleaning limits. The cleaning procedure and analytical methodology
will be reviewed before the first product lots are made. 
  

	11.3	Equipment. Computer. Facility, and Utilities Qualification 

 LONZA is responsible for all equipment, computer, facility, and utility qualification activities associated with the PRODUCT. 
  

	11.4	Laboratory Qualification 

 LONZA is responsible for
ensuring that all laboratories are in compliance with applicable cGMP’s guidelines. If analytical work is performed at LONZA then ORPHAN will also provide any existing analytical documentation to assist in methods transfer or methods
validation. In addition, if analytical work is not performed at the Conshohocken, Pennsylvania site, LONZA may elect to perform an audit on vendors to be used for analytical testing. LONZA will be responsible for insuring that the vendor is
practicing within cGMP compliance. 
  

 Quality Agreement: Page 13 









 APPENDIX H 
 12. ANNUAL PRODUCT REVIEW, ANNUAL REPORT AND DRUG LISTING 
  

	12.1	Annual Product Review 

  

	 	12.1.1	LONZA will perform an Annual Product Review for the PRODUCT and will issue a report to ORPHAN. This report will cover all manufacturing, testing, and storage activities performed by
LONZA. It will be a review of any changes at LONZA in the manufacturing, testing, storage or validation of the PRODUCT in the previous calendar year and a summary of lots made, released, and rejected. Also, control charting or trend analysis of key
product parameters will be performed. Any abnormalities will be explained in the annual review. 

  

	 	12.1.2	ORPHAN is responsible for preparing any Annual Report as required by applicable regulations, including 21 CFR 314.70, 314.81, and/or 601.12. At least ninety (90) calendar days
before the Annual Report due date, ORPHAN shall request in writing from LONZA the chemistry, manufacturing, and controls data required for submission of the Annual Report. LONZA will provide the requested information to ORPHAN within thirty
(30) days. 

  

	12.2	Drug Listing 

  

	 	12.2.1	LONZA is responsible for drug listing as the manufacturer of the PRODUCT for ORPHAN, while ORPHAN is responsible for drug listing as the distributor of the PRODUCT. ORPHAN will
provide LONZA with all required information needed to register the PRODUCT. ORPHAN will notify LONZA of the scheduled PRODUCT launch. 

 {Appendices are attached} 
  

 Quality Agreement: Page 14 









 APPENDIX H 
 APPENDIX I: PRODUCT - SODIUM OXYBATE Specification 
  

			
	Bulk Drug Substance:	 	Sodium Oxybate Powder
		
	Retest Date*:	 	56 months
		
	Storage Conditions:	 	15-30°C in packaging specified as follows
	
	Packaging Requirements:

  

			
	Closure:	 	Electrogalvanized Steel Lock Ring
		 	Cover: 24 Gauge Varnish/Precoated
		 	Chime Bands: Electrogalvanized Steel Top and Bottom
		 	Gasket: Urethane
		
	Supplier:	 	Grief Brothers or Berenfield Containers

  

			
	Container:	 	Polyethylene Bag
		 	Semi-Transparent Plastic Film EF603GU
		 	LDPE (95%), 100323 Anti-Stat (5%)
		 	0.004” thick, 36”wX68”L (± 1”) Stock #595131
		
	Supplier:	 	Target Industries

  

			
	Container:	 	Foil-lined Al-FiDrum
		 	44 gallons Leverpak, M4400-E7K3
		
	Supplier:	 	Grief Brothers, Lombard, IL Berenfield Containers, Inc.
		 	Easton, Pa. 18045

  

			
	Desiccant:	 	Desiccant Bag (Activated Clay)3767 Dessipak, 2 x 132 g
		 	Absorption Capacity: 16.00 wt/wt
		 	Residual Moisture : 3.00 wt/wt
		
	Supplier:	 	Sud-Chemie Performance Packaging, Belen, NM

 Each drum should be packaged with approximately 75 kg of Sodium Oxybate with a minimum of two desiccant bags
placed between the polyethylene bags and labeled with an approved label. 
  

 Quality Agreement: Page 15 









 APPENDIX H 
 Sampling: 
 Follow SOP (QA-095) for sampling process. The sample is divided into a testing sample and a lOOg retain sample. 
 * Denotes Minimum Retest Requirements 
  

					
	 Test
	 	 Specification
	 	 Method

	*Appearance	 	White to off white powder	 	Lonza-1006542
	*Assay - HPLC	 	98.0-102.0%(anhydrousbasis)	 	Lonza-SXB-F002
	*Impurities - Total	 	NMT1.0%	 	Lonza-SXB-F003 (HPLC)
	 *Impurities - Specified
 GBL-RRT1.6
GHBB-RRT4.3
	 	 NMTO.05%
 NMT 0.05%
	 	Lonza-SXB-F003 (HPLC)
	*Impurities - Unspecified	 	Ind. Impurities NMT 0.05%	 	Lonza-SXB-F003 (HPLC)
	*Water Content	 	NMT 0.5% (w/w)	 	Lonza-1006542 USP<921>
	Residual Solvents - GC	 	Methanol NMT 1000 ppm	 	Lonza-SXB-FOOl
	Identification (HPLC)	 	0.95 - 1.05 RT of Reference Standard	 	Lonza-SXB-F002
	Identification (IR)	 	Matches Reference Spectrum	 	Lonza-1006542 USP<197M>
	Heavy Metals	 	NMT 20 ppm	 	Lonza-1006542, USP<231> Method II

  

 Quality Agreement: Page 16 









 APPENDIX H 
 Contractual Release Specifications: 
 Some specification requirements for release of the bulk drug substance will be more restrictive than
those approved in the NDA to ensure drug adequacy upon analytical retesting or anticipated degradation over time. Sodium Oxybate Powder must meet BP/EP/EC/Japan standards. Orphan Medical Quality Assurance will issue a certificate of analysis as the
final release for the bulk drug substance. 
  

 Quality Agreement: Page 17 









 APPENDIX H  
 APPENDIX II: LIST OF QUALITY CONTACTS 
  

					
	 ISSUE
	 	 ORPHAN
	 	 LONZA

	Product Release	 	Kristine Goman Associate Manager Quality Assuance (952)513-6978 kgoman@orphan.com	 	 Thomas M. Harvey QA
 Documentation Supervisor

(610)-292-4395

			
	QC Testing	 	Kristine Goman Associate Manager Quality Assuance (952)513-6978 kgoman@orphan. com	 	 Qun Jiang Senior
 Analytical Chemist
 (610)-292-4435

			
	Investigations	 	Kristine Goman Associate Manager Quality Assuance (952)513-6978 kgoman@orphan.com	 	 Thomas M. Harvey QA
 Documentation Supervisor

(610)-292-4395

			
	Regulatory Affairs	 	 Dayton Reardan Ph.D
 V.P.Regulatory Affairs
 (952)513-6969
 dreardan@orphan.com
	 	 Susan Mijares
 QA/QC Manager
 (610)-292-4306

			
	Validation	 	Kristine Goman Associate Manager Quality Assuance (952)513-6978 kgoman@orphan.com	 	 *Garrett Burch
 Product Manager
 (610)-292-4313

			
	Compliance Audits	 	Kristine Goman Associate Manager Quality Assuance (952)513-6978 kgoman@orphan.com	 	 Thomas M. Harvey QA
 Documentation Supervisor

(610)-292-4395

			
	Product Complaints	 	Kristine Goman Associate Manager Quality Assuance (952)513-6978 kgoman@orphan.com	 	 Thomas M. Harvey QA
 Documentation Supervisor

(610)-292-4395

			
	Change Management	 	 Christy Frantzeskakis QA
 Documentation
Specialist
 (952)513-6976 Cfrantzeskakis@orphan.com
	 	 Thomas M. Harvey QA
 Documentation Supervisor

(610)-292-4395



 Note: *Garrett Burch, as the Product Manager for SXB
is the backup for all contacts. 
  

 Quality Agreement Appendix: Page 1 









 APPENDIX H 
 APPENDIX III: RELEASE DOCUMENTATION 
 The lot release document package will include copies of the batch record prior to release, analytical
test data, a-Certificate of Analysis (“CO A”) and a campaign Certificate of Compliance (“COC”) and any deviations (manufacturing or laboratory). 
 Certificate of Analysis: A COA which is automatically generated by LONZA Quality Assurance will be provided and will include the name of the PRODUCT, lot number, date of manufacture, retest date, and analytical
specifications. The COA will list the release tests performed by LONZA laboratories and actual test results. 
 Certificate of Compliance: The COC
will attest to the fact that the PRODUCT lots produced during a campaign was performed in accordance with all applicable regulations, licenses, and company policies. 
  

 Quality Agreement Appendix: Page 2