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This presentation is compiled by “ Drug Regulations”
a non profit organization which provides free online
resource to the Pharmaceutical Professional.
Visit http://www.drugregulations.org for latest
information from the world of Pharmaceuticals.
9/15/2015 1
 This presentation is compiled from freely
available resource like the website of FDA
specifically the “FDA Compliance Programme
Manual : Program 7356.002”
 “Drug Regulations” is a non profit organization
which provides free online resource to the
Pharmaceutical Professional.
 Visit http://www.drugregulations.org for latest
information from the world of Pharmaceuticals.
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 A primary mission
◦ Conduct comprehensive regulatory coverage
◦ All aspects of production and distribution
◦ Assure that products meet the 501(a)(2)(B)
requirements
◦ Two basic strategies
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1. Evaluating through Factory Inspections the
conditions and practices under which drugs
and drug products are
◦ Manufactured
◦ Packed
◦ Tested
◦ Held
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2. Monitoring the quality of drugs and drug
products through surveillance activities
such as
◦ Sampling and analyzing products in
distribution.
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This presentation deals with the First Strategy
of FDA
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 Products from production and
distribution facilities are
◦ Consistently of acceptable quality
◦ If the firm is operating in a state of
control.
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 Structured to provide for efficient use of resources
 In-depth coverage not possible on a biennial basis
◦ All systems
◦ All processes
◦ All firms
 Provides for follow-up compliance coverage as
needed
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 Goal
 Minimize consumers' exposure to adulterated drug
products.
 Inspections and investigations, sample collections
and analyses, and regulatory or administrative
follow-up are made to : ( following slides)
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1. To determine whether
◦ Inspected firms are operating in compliance with applicable
CGMP requirements
◦ If not, to provide the evidence for actions to prevent
adulterated products from entering the market and
◦ To remove adulterated products from the market and
◦ To take action against persons responsible as appropriate.
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2. To provide CGMP assessment for pre-approval review of
a facility for new drug applications;
3. To provide input to firms during inspections to improve
their compliance with regulations
4. To determine the adequacy of CGMP requirements,
Agency CGMP regulatory policy, and guidance documents
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 Products are manufactured using many physical operations
 This brings together components ,containers and closures
into a product that is released for distribution.
 Activities can be organized into systems
◦ Sets of operations and related activities
 Control of all systems will produce drugs
◦ That are safe,
◦ Have the identity and strength, and
◦ Meet the quality and purity characteristics as intended.
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 Biennial inspections (every two years) conducted
under this program:
◦ Reduce the risk that adulterated products are reaching the
marketplace;
◦ Increase communication between the industry and the Agency;
◦ Provide for timely evaluation of new manufacturing operations in
the firm; and,
◦ Provide for regular feedback from the Agency to individual firms
on the continuing status of the firm's GMP compliance.
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This program applies to all drug manufacturing
operations.
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 Inspection
◦ Defined as audit coverage of 2 or more systems
◦ Mandatory coverage of the Quality System
◦ Different numbers of systems could be covered depending
on the purpose of the inspection
◦ District office determines number of systems
◦ Provide the basis for an overall CGMP decision
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 FDA will Inspect and report using the system definitions
as per compliance program.
 Inspection will focus on systems, rather than profile
classes
 Systems are often applicable to multiple profile classes
 One biennial inspection will result in acceptability/non-
acceptability for all profile classes.
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 FDA will ensure that coverage would be representative
of all profile classes manufactured by the firm.
 Multiple visits to a firm will not be needed to cover all
profile classes;
 Will avoid delays in approval decisions
 Will increase efficiency of FDA in conducting inspections
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 FDA’s
◦ Coverage of a system would be sufficiently detailed
◦ Will select specific examples
◦ System inspection outcome reflects the state of control in that
system for every profile class.
 If a particular system is adequate, it should be adequate
for all profile classes manufactured by the firm.
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 For example,
◦ The way a firm handles "materials" (i.e., receipt, sampling, testing,
acceptance, etc.) should be the same for all profile classes.
◦ The investigator should not have to inspect the Material System
for each profile class.
◦ Likewise the Production System, can be evaluated through
selection of example products in various profile classes.
 (SOP use, charge-in of components, equipment identification,
in- process sampling and testing )
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 Under each system there may be something unique for
a particular profile class: e.g.
 Under the Materials System, the production of Water for
Injection USP for use in manufacturing.
 Selecting unique functions within a system will be at the
discretion of the lead investigator.
 Any given inspection need not cover every system.
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 Complete inspection of one system may necessitate
further follow up of some items within another/other
system(s)
 However, this coverage does not constitute nor require
complete coverage of these other systems.
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 A general scheme of systems consists of the following:
1. Quality System
2. Facilities & Inspection System
3. Material System
4. Production System
5. Packaging & Labeling System
6. Laboratory Control System
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 Assures overall compliance with
◦ cGMP's
◦ Internal procedures
◦ Specifications
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 The system includes
 Quality control unit
 All of its review and approval duties
◦ (e.g., change control, reprocessing, batch release, annual record
review, validation protocols, and reports, etc.).
 All product defect evaluations
 Evaluation of returned and salvaged drug products.
 (21 CFR 211 Subparts B, E, F, G, I, J, and K.)
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 Facilities and Equipment System.
 Includes
 The measures and activities which provide
◦ An appropriate physical environment and
◦ Resources used
 In the production of drugs or drug products.
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 It includes:
a) Buildings and facilities along with maintenance;
b) Equipment qualifications (installation and operation);
◦ Equipment calibration and preventative maintenance; and
◦ Cleaning and validation of cleaning processes as
appropriate.
◦ Overall process validation including Process performance
qualification
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 It includes:
c) Utilities that are not intended to be incorporated into
the product such as
◦ HVAC,
◦ Compressed gases
◦ Steam and water systems
◦ (See the CGMP regulation, 21 CFR 211 Subparts B, C,
D, and J)
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 This system includes measures and activities to control
 Finished products
 Components
 Including water or gases, that are incorporated into the
product
 Containers and closures
 Validation of computerized inventory control processes
 Drug storage, distribution controls, and records.
 (See the CGMP regulation, 21 CFR 211 Subparts B, E, H, and J.
)
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 This system includes measures and activities that control
 The packaging and labeling of drugs and drug products.
 It includes
 Written procedures
 Label examination and usage
 Label storage and issuance
 Packaging and labeling operations controls
 Validation of these operations
 (See the CGMP regulation, 21 CFR 211 Subparts B, G, and J.)
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 This system includes measures and activities related to
 Laboratory procedures
 Testing
 Analytical methods development and validation or verification
 The stability program
 (See the CGMP regulation, 21 CFR 211 Subparts B, I, J, and K.)
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 The overall theme in devising this scheme of systems was the
subchapter structure of the CGMP regulation.
 FDA made every effort to group whole subchapters together
in a rational set of six systems
 This incorporates the general scheme of pharmaceutical
manufacturing operations.
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 In any given system, following will be evaluated as part of
that system's operation.
 The organization and personnel
 Appropriate qualifications and training employed
 Production, control, or distribution records required to be
maintained by the CGMP regulation
 Inspections of contract companies should be within the
system for which the product or service is contracted as well
as their Quality System.
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 The Full Inspection Option is a surveillance or
compliance inspection
 Provides a broad and deep evaluation of the firm's
CGMP
 Done when little or no information is known about a
firm's CGMP compliance
◦ New firms
◦ Firms where there is doubt about the CGMP compliance
◦ Follow up to previous regulatory actions.
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 Verification of Quality System activities may require
limited coverage in other systems.
 This inspection includes audit of at least four
systems, including Quality System
 Based on findings of objectionable conditions
◦ A Full Inspection may revert to the Abbreviated Inspection
Option, with District concurrence.
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 The Abbreviated Inspection Option is a
surveillance or compliance inspection
 Meant to provide an efficient update evaluation
of a firm's CGMP.
 Provides documentation for continuing a firm
in a satisfactory CGMP compliance status.
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 Generally done when
◦ A firm has a record of satisfactory CGMP compliance
◦ No significant recall
◦ No Product defect
◦ No Alert incidents
◦ With little shift in the manufacturing profiles of the
firm within the previous two years.
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 Includes an inspection audit of at least two of the systems,
one of which must be the Quality System
 A Full Inspection may revert to an Abbreviated Inspection
based on findings of objectionable conditions
 The District drug program managers ensure that the optional
systems are rotated in successive Abbreviated Inspections.
 Verification of quality system activities may require limited
coverage in other systems.
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 Some firms participate in a limited part of the production of a
drug or drug product,
◦ e.g., a contract laboratory.
 Such firms may employ only two of the systems defined.
 In these cases the inspection of the two systems will comprise
inspection of the entire firm
 This will be considered the Full Inspection Option.
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 The selection of the system(s) for coverage will be
made by the District Office
 Selection based on
◦ A firm's specific operation
◦ History of previous coverage
◦ History of compliance
◦ Other priorities determined by the District Office.
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 Inspections done to evaluate or verify compliance
corrective actions after a regulatory action has been
taken.
 Coverage given in compliance inspections is related to
areas found deficient and subjected to corrective
actions.
 FDA will give coverage to systems
 FDA will determine the overall compliance status of the
firm after the corrective actions are taken.
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 The firm is expected to address all of its operations in
its corrective action plan not just the deficiencies noted
in the FDA-483.
 FDA will use the Full Inspection Option for a compliance
inspection, especially if the Abbreviated Inspection
Option was used during the violative inspection.
 Compliance Inspections include For Cause Inspections.
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 Compliance inspections which are done to
investigate a specific problem that has come to the
attention of some level of the agency.
 The problems may be indicated in
◦ Field Alert Reports (FARs)
◦ Industry complaints
◦ Recalls
◦ Indicators of defective products, etc.
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 Coverage of these areas may be assigned
under other compliance programs
 Expansion of the coverage to a GMP inspection
is to be reported under this program
 For Cause Inspections may be assigned under
this program as the need arises.
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 A drug firm is considered to be operating in a state
of control when
◦ It employs conditions and practices that assure compliance with
the intent of Sections 501(a)(2)(B) of the Act and
◦ Portions of the CGMP regulations that pertain to their systems.
 A firm in a state of control produces finished drug
products for which there is an adequate level of
assurance of quality, strength, identity and purity.
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 A firm is out of control if any one system is out of
control.
 A system is out of control if the quality, identity,
strength and purity of the products resulting from
that/those system(s) cannot be adequately assured.
 Documented CGMP deficiencies provide the evidence for
concluding that a system is not operating in a state of
control.
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 Investigator will
◦ Review and use the CGMPs for Finished
Pharmaceuticals (21 CFR 210 and 211) to evaluate
manufacturing processes.
◦ Use Guides to Inspection published by the Office of
Regional Operations for information on technical
applications in various manufacturing systems.
◦ Conduct inspections according to the STRATEGY .
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 Investigator will
◦ Recognize that drug firms vary greatly in size and scope,
◦ Recognize that manufacturing systems are more or less
sophisticated,
◦ Carefully plan approach to inspecting each firm. e.g.
◦ Review the Quality System thoroughly before entering production
areas in some firms;
◦ In others, the Quality System review would take place concurrently
with inspection of another system or systems selected for
coverage.
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 Investigator will
◦ Be flexible depending on the complexity and variability of the firm
◦ Approach will allow the investigator to choose the inspection
focus and depth appropriate for a specific firm,
◦ Approach will direct the performance and reporting on the
inspection within a framework which will provide for a uniform
level of CGMP assessment.
◦ Furthermore, this inspection approach will provide for fast
communication and evaluation of findings.
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 Inspectional Observations noting CGMP deficiencies are
related to a requirement.
 Requirements for manufacture of drug products (dosage
forms) are in the CGMP regulation
 They are amplified by policy in the Compliance Policy Guides,
case precedents, etc.
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 CGMP requirements apply to the
◦ Manufacture of distributed prescription drug products
◦ OTC drug products
◦ Approved products
◦ Products not requiring approval
◦ Drug products used in clinical trials.
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 The CGMP regulations are not direct
requirements for manufacture of API's;
 The regulations should not be referenced as
the basis for a GMP deficiency in the
manufacture of Active Pharmaceutical
Ingredients (APIs),
 But they are guidance for CGMP in API
manufacture.
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 Guidance documents do not establish
requirements.
 They state examples of ways to meet
requirements.
 Guidance documents are not referred to as the
justification for an inspectional observation.
 The justification comes from the CGMPs.
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 Current Guides to Inspection and Guidance
to Industry documents provide
interpretations of requirements, which may
assist in the evaluation of the adequacy of
CGMP systems.
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 Current inspectional observation policy as stated in the
IOM
◦ FDA-483, when issued, should be specific and contain only
significant items.
◦ Inspection observations will be organized under separate captions
by the systems defined in this program.
◦ FDA will list observations in order of importance within each
system.
◦ Where repeated or similar observations are made, they would be
consolidated under a unified observation.
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◦ For those Districts utilizing Turbo EIR, a limited number of
observations can be common to more than one system
 (e.g. organization and personnel including appropriate qualifications
and training).
◦ In these instances, FDA will put the observation in the first system
reported on the FDA-483
◦ In the text of the EIR, FDA will reference the applicability to other
systems where appropriate.
◦ This is being done to accommodate the structure of Turbo EIR
which allows individual citation once per FDA-483.
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 FDA is bound to Refrain from using unsubstantiated
conclusions.
 FDA will not use the term "inadequate" without explaining why
and how.
 Refer to policy in the IOM, Chapter 5, Section 512 and
◦ Field Management Directive 120 for further guidance on the content of
Inspectional Observations.
◦ Specific specialized inspectional guidance may be provided as attachments to
this program, or in requests for inspection, assignments, etc.
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 Assessment of the Quality System is two phased.
 The first phase is to evaluate whether the Quality Control Unit
has fulfilled the responsibility to review and approve all
procedures related to
1. Production, quality control, and quality assurance and
2. Assure the procedures are adequate for their intended use.
◦ This also includes the associated recordkeeping systems.
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 The second phase
 Assess the data collected to identify quality problems
 Link to other major systems for inspectional coverage.
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 Firm should have written and approved procedures
and documentation resulting there from.
 Adherence to written procedures should be verified
through observation whenever possible.
 Areas are not limited to finished products, but may
also incorporate components and in-process
materials.
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 These areas may indicate deficiencies not only in
this system but also in other major systems
 This would warrant expansion of coverage.
 All areas under this system will be covered;
 Depth of coverage may vary depending upon
inspectional findings.
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 Product reviews:
◦ At least annually;
◦ Should include information from areas listed below as
appropriate;
◦ Batches reviewed, for each product, are representative of all
batches manufactured;
◦ Trends are identified;
◦ Refer to 21 CFR 211.180(e).
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 Complaint reviews (quality and medical):
◦ Documented
◦ Evaluated
◦ Investigated in a timely manner
◦ Includes corrective action where appropriate
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 Discrepancy and failure investigations
related to manufacturing and testing:
◦ Documented
◦ Evaluated
◦ Investigated in a timely manner
◦ Includes corrective action where appropriate.
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 Change Control:
◦ Documented
◦ Evaluated
◦ Approved
◦ Need for revalidation assessed
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 Product Improvement Projects:
◦ for marketed products
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 Reprocess/Rework:
◦ Evaluation
◦ Review and approval
◦ Impact on validation and stability
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 Returns/Salvages:
◦ Assessment;
◦ Investigation expanded where
warranted;
◦ Disposition.
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 Stability Failures:
◦Investigation expanded where
warranted;
◦Need for field alerts evaluated;
◦Disposition.
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Quarantine products.
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 Validation:
 status of required
◦ Validation/
◦ Revalidation
 (e.g., computer, manufacturing
process, laboratory methods).
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 Quality control unit
functions.
◦Training
◦Qualification of employees
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 Firm should have written and approved procedures and
documentation resulting therefrom.
 Investigator will verify adherence to written procedures through
observation whenever possible.
 This may indicate deficiencies not only in this system but also in
other systems.
 Investigator may expand coverage.
 When this system is selected for coverage in addition to the Quality
System, all areas listed (subsequent slides) should be covered;
 Depth of coverage may vary depending upon inspectional findings.
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 Cleaning and maintenance
 Facility layout and air handling systems for
prevention of cross-contamination (e.g. penicillin,
beta-lactams, steroids, hormones, cytotoxics, etc.)
 Specifically designed areas for the manufacturing
operations performed by the firm to prevent
contamination or mix-ups
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 General air handling systems
 Control system for implementing changes in the
building
 Lighting, potable water, washing and toilet facilities,
sewage and refuse disposal
 Sanitation of the building, use of rodenticides,
fungicides, insecticides, cleaning and sanitizing agents
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 Equipment installation and operational qualification where
appropriate
 Adequacy of equipment design, size, and location
 Equipment surfaces should not be reactive, additive, or absorptive
 Appropriate use of equipment operations substances, (lubricants,
coolants, refrigerants, etc.) contacting products/containers/etc.
 Cleaning procedures and cleaning validation
 Controls to prevent contamination, particularly with any pesticides
or any other toxic materials, or other drug or non-drug chemicals
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 Qualification, calibration and maintenance of storage equipment,
◦ (such as refrigerators and freezers for ensuring that standards,
raw materials, reagents, etc. are stored at the proper
temperatures)
 Equipment qualification, calibration and maintenance, including
computer qualification/validation and security
 Control system for implementing changes in the equipment
 Equipment identification practices (where appropriate)
 Documented investigation into any unexpected discrepancy
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 Firm should have written and approved procedures and
documentation resulting therefrom.
 Investigator will verify adherence to written procedures through
observation whenever possible.
 This may indicate deficiencies not only in this system but also in
other systems.
 Investigator may expand coverage.
 When this system is selected for coverage in addition to the Quality
System, all areas listed (subsequent slides) should be covered;
 Depth of coverage may vary depending upon inspectional findings.
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 Training/qualification of personnel
 Identification of components, containers,
closures
 Inventory of components, containers, closures
 Storage conditions
 Storage under quarantine until tested or
examined and released
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 Representative samples collected, tested or examined
using appropriate means
 At least one specific identity test is conducted on each lot
of each component
 A visual identification is conducted on each lot of
containers and closures
 Testing or validation of supplier's test results for
components, containers and closures
 Rejection of any component, container, closure not
meeting acceptance requirements.
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 Investigate fully the firm's procedures for verification of
the source of components.
 Appropriate retesting/reexamination of components,
containers, closures
 First in-first out use of components, containers,
closures
 Quarantine of rejected materials
 Water and process gas supply, design, maintenance,
validation and operation
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 Containers and closures should not be additive,
reactive, or absorptive to the drug product
 Control system for implementing changes in the
materials handling operations
 Qualification/validation and security of computerized or
automated processes
 Finished product distribution records by lot
 Documented investigation into any unexpected
discrepancy
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 Firm should have written and approved procedures and
documentation resulting therefrom.
 Investigator will verify adherence to written procedures through
observation whenever possible.
 This may indicate deficiencies not only in this system but also in
other systems.
 Investigator may expand coverage.
 When this system is selected for coverage in addition to the Quality
System, all areas listed (subsequent slides) should be covered;
 Depth of coverage may vary depending upon inspectional findings.
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 Training/qualification of personnel
 Control system for implementing changes in processes
 Adequate procedure and practice for charge-in of
components
 Formulation/manufacturing at not less than 100%
 Identification of equipment with contents, and where
appropriate phase of manufacturing and/or status
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 Implementation and documentation of in-process controls,
tests, and examinations
◦ (e.g., pH, adequacy of mix, weight variation, clarity)
 Justification and consistency of in-process specifications and
drug product final specifications
 Prevention of objectionable microorganisms in non-sterile
drug products
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 Adherence to preprocessing procedures (e.g., set-
up, line clearance, etc.)
 Equipment cleaning and use logs
 Master production and control records
 Batch production and control records
9/15/2015 85
Drug Regulations : Online
Resource for Latest Information
 Process validation, including validation and security
of computerized or automated processes
 Change control; the need for revalidation evaluated
 Documented investigation into any unexpected
discrepancy
9/15/2015 86
Drug Regulations : Online
Resource for Latest Information
 Firm should have written and approved procedures and
documentation resulting therefrom.
 Investigator will verify adherence to written procedures through
observation whenever possible.
 This may indicate deficiencies not only in this system but also in
other systems.
 Investigator may expand coverage.
 When this system is selected for coverage in addition to the Quality
System, all areas listed (subsequent slides) should be covered;
 Depth of coverage may vary depending upon inspectional findings.
9/15/2015 87
Drug Regulations : Online
Resource for Latest Information
 Training/qualification of personnel
 Acceptance operations for packaging and labeling
materials
 Control system for implementing changes in
packaging and labeling operations
 Adequate storage for labels and labeling, both
approved and returned after issued
9/15/2015 88
Drug Regulations : Online
Resource for Latest Information
 Control of labels which are similar in size, shape, and
color for different products
 Finished product cut labels for immediate containers
which are similar in appearance without some type of
100 percent electronic or visual verification system or
the use of dedicated lines
 Gang printing of labels is not done, unless they are
differentiated by size, shape, or color
9/15/2015 89
Drug Regulations : Online
Resource for Latest Information
 Control of filled unlabeled containers that are later
labeled under multiple private labels
 Adequate packaging records that will include
specimens of all labels used
 Control of issuance of labeling, examination of
issued labels and reconciliation of used labels
9/15/2015 90
Drug Regulations : Online
Resource for Latest Information
 Examination of the labeled finished product
 Adequate inspection (proofing) of incoming
labeling
 Use of lot numbers, destruction of excess labeling
bearing lot/control numbers
 Physical/spatial separation between different
labeling and packaging lines
9/15/2015 91
Drug Regulations : Online
Resource for Latest Information
 Monitoring of printing devices associated with
manufacturing lines
 Line clearance, inspection and documentation
 Adequate expiration dates on the label
 Conformance to tamper-evident (TEP) packaging
requirements
◦ (see 21CFR 211.132 and Compliance Policy Guide, 7132a.17)
9/15/2015 92
Drug Regulations : Online
Resource for Latest Information
 Validation of packaging and labeling operations
including validation and security of computerized
processes
 Documented investigation into any unexpected
discrepancy
9/15/2015 93
Drug Regulations : Online
Resource for Latest Information
 Training/qualification of personnel
 Adequacy of staffing for laboratory operations
 Adequacy of equipment and facility for intended use
 Calibration and maintenance programs for analytical
instruments and equipment
 Validation and security of computerized or automated
processes
9/15/2015 94
Drug Regulations : Online
Resource for Latest Information
 Reference standards; source, purity and assay, and tests to
establish
 Equivalency to current official reference standards as
appropriate
 System suitability checks on chromatographic systems (e.g.,
GC or HPLC)
 Specifications, standards, and representative sampling plans
 Adherence to the written methods of analysis
9/15/2015 95
Drug Regulations : Online
Resource for Latest Information
 Validation/verification of analytical methods
 Control system for implementing changes in laboratory
operations
 Required testing is performed on the correct samples
 Documented investigation into any unexpected discrepancy
 Complete analytical records from all tests and summaries of
results
9/15/2015 96
Drug Regulations : Online
Resource for Latest Information
 Quality and retention of raw data (e.g., chromatograms and
spectra)
 Correlation of result summaries to raw data; presence of
unused data
 Adherence to an adequate Out of Specification (OOS)
procedure which includes timely completion of the
investigation
9/15/2015 97
Drug Regulations : Online
Resource for Latest Information
 Adequate reserve samples; documentation of reserve sample
examination
 Stability testing program, including demonstration of stability
indicating capability of the test methods
9/15/2015 98
Drug Regulations : Online
Resource for Latest Information
 The investigator will utilize Subchapter 590 of the IOM for guidance in
reporting of inspectional findings.
 Identify systems covered in the Summary of Findings.
 Identify and explain in the body of the report the rationale for inspecting the
profile classes covered.
 Report and discuss in full any adverse findings by systems under separate
captions.
 Add additional information as needed or desired, for example, a description
of any significant changes that have occurred since previous inspections.
 Report with specific, specialized information required should be prepared as
instructed within the individual assignment/attachment
9/15/2015 99
Drug Regulations : Online
Resource for Latest Information
 When a firm is not operating in a state of control
FDA will use Inspection findings to take
appropriate action
 Advisory
 Administrative and/or
 Judicial actions.
9/15/2015
10
0
Drug Regulations : Online
Resource for Latest Information
 FDA will recommend for action when
◦ The management of the firm is unwilling
or unable to provide adequate corrective
actions
◦ In an appropriate time frame
9/15/2015
10
1
Drug Regulations : Online
Resource for Latest Information
 FDA will recommend type of Action
based on
◦ Initial decision based on the seriousness
of the problem and
◦ Most effective way to protect consumers
9/15/2015
10
2
Drug Regulations : Online
Resource for Latest Information
 Classification of all profile classes as
unacceptable.
◦ Issuance of a Warning Letter
◦ Other regulatory actions
 Inspection findings will be used as the basis
for updating profile classes in FACTS.
9/15/2015
10
3
Drug Regulations : Online
Resource for Latest Information
 Significant / trend of deficiencies within a system
could demonstrate the failure of a system
 This will result in issuance of a Warning Letter or
other regulatory action.
 Type of action taken will depend on the seriousness
and/or the frequency of the problem. Examples
(Subsequent slides)
9/15/2015
10
4
Drug Regulations : Online
Resource for Latest Information
 Quality System:
◦ Pattern of failure to review/approve procedures.
◦ Pattern of failure to document execution of operations as
required.
◦ Pattern of failure to review documentation.
◦ Pattern of failure to conduct investigations and resolve
discrepancies/failures/deviations/complaints.
◦ Pattern of failure to assess other systems to assure compliance
with GMP and SOPs.
9/15/2015
10
5
Drug Regulations : Online
Resource for Latest Information
 Facilities and Equipment
◦ Contamination with
◦ Filth
◦ Objectionable microorganisms
◦ Toxic chemicals
◦ Other drug chemicals
◦ A reasonable potential for contamination, with
demonstrated avenues of contamination, such as airborne
or through unclean equipment
9/15/2015
10
6
Drug Regulations : Online
Resource for Latest Information
 Facilities and Equipment
◦ Pattern of failure to validate cleaning procedures for non-
dedicated equipment.
◦ Lack of demonstration of effectiveness of cleaning for dedicated
equipment.
◦ Pattern of failure to document investigation of discrepancies.
◦ Pattern of failure to establish/follow a control system for
implementing changes in the equipment.
◦ Pattern of failure to qualify equipment, including computers.
9/15/2015
10
7
Drug Regulations : Online
Resource for Latest Information
 Materials System
◦ Release of materials for use or distribution that do
not conform to established specifications.
◦ Pattern of failure to conduct one specific identity
test for components.
◦ Pattern of failure to document investigation of
discrepancies.
9/15/2015
10
8
Drug Regulations : Online
Resource for Latest Information
 Production System
◦ Pattern of failure to establish/follow a control system
for implementing changes in the production system
operations.
◦ Pattern of failure to document investigation of
discrepancies
◦ Lack of process validation.
9/15/2015
10
9
Drug Regulations : Online
Resource for Latest Information
 Packaging and Labeling
◦ Pattern of failure to establish/follow a control system
for implementing changes in the packaging and/or
labeling operations.
◦ Pattern of failure to document investigation of
discrepancies.
◦ Lack of validation of computerized processes.
9/15/2015
11
0
Drug Regulations : Online
Resource for Latest Information
 Packaging and Labeling
◦ Lack of control of packaging and labeling
operations that may introduce a potential
for mislabeling.
◦ Lack of packaging validation.
9/15/2015
11
1
Drug Regulations : Online
Resource for Latest Information
 Laboratory Control System
◦ Pattern of failure to establish/follow a control system for
implementing changes in the laboratory operations.
◦ Pattern of failure to document investigation of
discrepancies.
◦ Lack of validation of computerized and/or automated
processes.
◦ Pattern of inadequate sampling practices.
9/15/2015
11
2
Drug Regulations : Online
Resource for Latest Information
 Laboratory Control System
◦ Lack of validated analytical methods.
◦ Pattern of failure to follow approved analytical
procedures.
◦ Pattern of failure to follow an adequate OOS
procedure.
◦ Pattern of failure to retain raw data.
9/15/2015
11
3
Drug Regulations : Online
Resource for Latest Information
 Laboratory Control System
◦ Lack of stability indicating methods.
◦ Pattern of failure to follow stability
programs.
9/15/2015
11
4
Drug Regulations : Online
Resource for Latest Information
 This presentation is compiled from freely
available resource like the website of FDA
specifically the “FDA Compliance Programme
Manual : Program 7356.002”
 “Drug Regulations” is a non profit organization
which provides free online resource to the
Pharmaceutical Professional.
 Visit http://www.drugregulations.org for latest
information from the world of Pharmaceuticals.
9/15/2015
11
5
Drug Regulations : Online
Resource for Latest Information

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FDA Guidance on Facing Manufacturing Inspections

  • 1. This presentation is compiled by “ Drug Regulations” a non profit organization which provides free online resource to the Pharmaceutical Professional. Visit http://www.drugregulations.org for latest information from the world of Pharmaceuticals. 9/15/2015 1
  • 2.  This presentation is compiled from freely available resource like the website of FDA specifically the “FDA Compliance Programme Manual : Program 7356.002”  “Drug Regulations” is a non profit organization which provides free online resource to the Pharmaceutical Professional.  Visit http://www.drugregulations.org for latest information from the world of Pharmaceuticals. 9/15/2015 2 Drug Regulations : Online Resource for Latest Information
  • 3.  A primary mission ◦ Conduct comprehensive regulatory coverage ◦ All aspects of production and distribution ◦ Assure that products meet the 501(a)(2)(B) requirements ◦ Two basic strategies 9/15/2015 3 Drug Regulations : Online Resource for Latest Information
  • 4. 1. Evaluating through Factory Inspections the conditions and practices under which drugs and drug products are ◦ Manufactured ◦ Packed ◦ Tested ◦ Held 9/15/2015 4 Drug Regulations : Online Resource for Latest Information
  • 5. 2. Monitoring the quality of drugs and drug products through surveillance activities such as ◦ Sampling and analyzing products in distribution. 9/15/2015 5 Drug Regulations : Online Resource for Latest Information
  • 6. This presentation deals with the First Strategy of FDA 9/15/2015 6 Drug Regulations : Online Resource for Latest Information
  • 7.  Products from production and distribution facilities are ◦ Consistently of acceptable quality ◦ If the firm is operating in a state of control. 9/15/2015 7 Drug Regulations : Online Resource for Latest Information
  • 8.  Structured to provide for efficient use of resources  In-depth coverage not possible on a biennial basis ◦ All systems ◦ All processes ◦ All firms  Provides for follow-up compliance coverage as needed 9/15/2015 8 Drug Regulations : Online Resource for Latest Information
  • 9.  Goal  Minimize consumers' exposure to adulterated drug products.  Inspections and investigations, sample collections and analyses, and regulatory or administrative follow-up are made to : ( following slides) 9/15/2015 9 Drug Regulations : Online Resource for Latest Information
  • 10. 1. To determine whether ◦ Inspected firms are operating in compliance with applicable CGMP requirements ◦ If not, to provide the evidence for actions to prevent adulterated products from entering the market and ◦ To remove adulterated products from the market and ◦ To take action against persons responsible as appropriate. 9/15/2015 10 Drug Regulations : Online Resource for Latest Information
  • 11. 2. To provide CGMP assessment for pre-approval review of a facility for new drug applications; 3. To provide input to firms during inspections to improve their compliance with regulations 4. To determine the adequacy of CGMP requirements, Agency CGMP regulatory policy, and guidance documents 9/15/2015 11 Drug Regulations : Online Resource for Latest Information
  • 12.  Products are manufactured using many physical operations  This brings together components ,containers and closures into a product that is released for distribution.  Activities can be organized into systems ◦ Sets of operations and related activities  Control of all systems will produce drugs ◦ That are safe, ◦ Have the identity and strength, and ◦ Meet the quality and purity characteristics as intended. 9/15/2015 12 Drug Regulations : Online Resource for Latest Information
  • 13.  Biennial inspections (every two years) conducted under this program: ◦ Reduce the risk that adulterated products are reaching the marketplace; ◦ Increase communication between the industry and the Agency; ◦ Provide for timely evaluation of new manufacturing operations in the firm; and, ◦ Provide for regular feedback from the Agency to individual firms on the continuing status of the firm's GMP compliance. 9/15/2015 13 Drug Regulations : Online Resource for Latest Information
  • 14. This program applies to all drug manufacturing operations. 9/15/2015 14 Drug Regulations : Online Resource for Latest Information
  • 15.  Inspection ◦ Defined as audit coverage of 2 or more systems ◦ Mandatory coverage of the Quality System ◦ Different numbers of systems could be covered depending on the purpose of the inspection ◦ District office determines number of systems ◦ Provide the basis for an overall CGMP decision 9/15/2015 15 Drug Regulations : Online Resource for Latest Information
  • 16.  FDA will Inspect and report using the system definitions as per compliance program.  Inspection will focus on systems, rather than profile classes  Systems are often applicable to multiple profile classes  One biennial inspection will result in acceptability/non- acceptability for all profile classes. 9/15/2015 16 Drug Regulations : Online Resource for Latest Information
  • 17.  FDA will ensure that coverage would be representative of all profile classes manufactured by the firm.  Multiple visits to a firm will not be needed to cover all profile classes;  Will avoid delays in approval decisions  Will increase efficiency of FDA in conducting inspections 9/15/2015 17 Drug Regulations : Online Resource for Latest Information
  • 18.  FDA’s ◦ Coverage of a system would be sufficiently detailed ◦ Will select specific examples ◦ System inspection outcome reflects the state of control in that system for every profile class.  If a particular system is adequate, it should be adequate for all profile classes manufactured by the firm. 9/15/2015 18 Drug Regulations : Online Resource for Latest Information
  • 19.  For example, ◦ The way a firm handles "materials" (i.e., receipt, sampling, testing, acceptance, etc.) should be the same for all profile classes. ◦ The investigator should not have to inspect the Material System for each profile class. ◦ Likewise the Production System, can be evaluated through selection of example products in various profile classes.  (SOP use, charge-in of components, equipment identification, in- process sampling and testing ) 9/15/2015 19 Drug Regulations : Online Resource for Latest Information
  • 20.  Under each system there may be something unique for a particular profile class: e.g.  Under the Materials System, the production of Water for Injection USP for use in manufacturing.  Selecting unique functions within a system will be at the discretion of the lead investigator.  Any given inspection need not cover every system. 9/15/2015 20 Drug Regulations : Online Resource for Latest Information
  • 21.  Complete inspection of one system may necessitate further follow up of some items within another/other system(s)  However, this coverage does not constitute nor require complete coverage of these other systems. 9/15/2015 21 Drug Regulations : Online Resource for Latest Information
  • 22.  A general scheme of systems consists of the following: 1. Quality System 2. Facilities & Inspection System 3. Material System 4. Production System 5. Packaging & Labeling System 6. Laboratory Control System 9/15/2015 22 Drug Regulations : Online Resource for Latest Information
  • 23.  Assures overall compliance with ◦ cGMP's ◦ Internal procedures ◦ Specifications 9/15/2015 23 Drug Regulations : Online Resource for Latest Information
  • 24.  The system includes  Quality control unit  All of its review and approval duties ◦ (e.g., change control, reprocessing, batch release, annual record review, validation protocols, and reports, etc.).  All product defect evaluations  Evaluation of returned and salvaged drug products.  (21 CFR 211 Subparts B, E, F, G, I, J, and K.) 9/15/2015 24 Drug Regulations : Online Resource for Latest Information
  • 25.  Facilities and Equipment System.  Includes  The measures and activities which provide ◦ An appropriate physical environment and ◦ Resources used  In the production of drugs or drug products. 9/15/2015 25 Drug Regulations : Online Resource for Latest Information
  • 26.  It includes: a) Buildings and facilities along with maintenance; b) Equipment qualifications (installation and operation); ◦ Equipment calibration and preventative maintenance; and ◦ Cleaning and validation of cleaning processes as appropriate. ◦ Overall process validation including Process performance qualification 9/15/2015 26 Drug Regulations : Online Resource for Latest Information
  • 27.  It includes: c) Utilities that are not intended to be incorporated into the product such as ◦ HVAC, ◦ Compressed gases ◦ Steam and water systems ◦ (See the CGMP regulation, 21 CFR 211 Subparts B, C, D, and J) 9/15/2015 27 Drug Regulations : Online Resource for Latest Information
  • 28.  This system includes measures and activities to control  Finished products  Components  Including water or gases, that are incorporated into the product  Containers and closures  Validation of computerized inventory control processes  Drug storage, distribution controls, and records.  (See the CGMP regulation, 21 CFR 211 Subparts B, E, H, and J. ) 9/15/2015 28 Drug Regulations : Online Resource for Latest Information
  • 29.  This system includes measures and activities that control  The packaging and labeling of drugs and drug products.  It includes  Written procedures  Label examination and usage  Label storage and issuance  Packaging and labeling operations controls  Validation of these operations  (See the CGMP regulation, 21 CFR 211 Subparts B, G, and J.) 9/15/2015 29 Drug Regulations : Online Resource for Latest Information
  • 30.  This system includes measures and activities related to  Laboratory procedures  Testing  Analytical methods development and validation or verification  The stability program  (See the CGMP regulation, 21 CFR 211 Subparts B, I, J, and K.) 9/15/2015 30 Drug Regulations : Online Resource for Latest Information
  • 31.  The overall theme in devising this scheme of systems was the subchapter structure of the CGMP regulation.  FDA made every effort to group whole subchapters together in a rational set of six systems  This incorporates the general scheme of pharmaceutical manufacturing operations. 9/15/2015 31 Drug Regulations : Online Resource for Latest Information
  • 32.  In any given system, following will be evaluated as part of that system's operation.  The organization and personnel  Appropriate qualifications and training employed  Production, control, or distribution records required to be maintained by the CGMP regulation  Inspections of contract companies should be within the system for which the product or service is contracted as well as their Quality System. 9/15/2015 32 Drug Regulations : Online Resource for Latest Information
  • 33.  The Full Inspection Option is a surveillance or compliance inspection  Provides a broad and deep evaluation of the firm's CGMP  Done when little or no information is known about a firm's CGMP compliance ◦ New firms ◦ Firms where there is doubt about the CGMP compliance ◦ Follow up to previous regulatory actions. 9/15/2015 33 Drug Regulations : Online Resource for Latest Information
  • 34.  Verification of Quality System activities may require limited coverage in other systems.  This inspection includes audit of at least four systems, including Quality System  Based on findings of objectionable conditions ◦ A Full Inspection may revert to the Abbreviated Inspection Option, with District concurrence. 9/15/2015 34 Drug Regulations : Online Resource for Latest Information
  • 35.  The Abbreviated Inspection Option is a surveillance or compliance inspection  Meant to provide an efficient update evaluation of a firm's CGMP.  Provides documentation for continuing a firm in a satisfactory CGMP compliance status. 9/15/2015 35 Drug Regulations : Online Resource for Latest Information
  • 36.  Generally done when ◦ A firm has a record of satisfactory CGMP compliance ◦ No significant recall ◦ No Product defect ◦ No Alert incidents ◦ With little shift in the manufacturing profiles of the firm within the previous two years. 9/15/2015 36 Drug Regulations : Online Resource for Latest Information
  • 37.  Includes an inspection audit of at least two of the systems, one of which must be the Quality System  A Full Inspection may revert to an Abbreviated Inspection based on findings of objectionable conditions  The District drug program managers ensure that the optional systems are rotated in successive Abbreviated Inspections.  Verification of quality system activities may require limited coverage in other systems. 9/15/2015 37 Drug Regulations : Online Resource for Latest Information
  • 38.  Some firms participate in a limited part of the production of a drug or drug product, ◦ e.g., a contract laboratory.  Such firms may employ only two of the systems defined.  In these cases the inspection of the two systems will comprise inspection of the entire firm  This will be considered the Full Inspection Option. 9/15/2015 38 Drug Regulations : Online Resource for Latest Information
  • 39.  The selection of the system(s) for coverage will be made by the District Office  Selection based on ◦ A firm's specific operation ◦ History of previous coverage ◦ History of compliance ◦ Other priorities determined by the District Office. 9/15/2015 39 Drug Regulations : Online Resource for Latest Information
  • 40.  Inspections done to evaluate or verify compliance corrective actions after a regulatory action has been taken.  Coverage given in compliance inspections is related to areas found deficient and subjected to corrective actions.  FDA will give coverage to systems  FDA will determine the overall compliance status of the firm after the corrective actions are taken. 9/15/2015 40 Drug Regulations : Online Resource for Latest Information
  • 41.  The firm is expected to address all of its operations in its corrective action plan not just the deficiencies noted in the FDA-483.  FDA will use the Full Inspection Option for a compliance inspection, especially if the Abbreviated Inspection Option was used during the violative inspection.  Compliance Inspections include For Cause Inspections. 9/15/2015 41 Drug Regulations : Online Resource for Latest Information
  • 42.  Compliance inspections which are done to investigate a specific problem that has come to the attention of some level of the agency.  The problems may be indicated in ◦ Field Alert Reports (FARs) ◦ Industry complaints ◦ Recalls ◦ Indicators of defective products, etc. 9/15/2015 42 Drug Regulations : Online Resource for Latest Information
  • 43.  Coverage of these areas may be assigned under other compliance programs  Expansion of the coverage to a GMP inspection is to be reported under this program  For Cause Inspections may be assigned under this program as the need arises. 9/15/2015 43 Drug Regulations : Online Resource for Latest Information
  • 44.  A drug firm is considered to be operating in a state of control when ◦ It employs conditions and practices that assure compliance with the intent of Sections 501(a)(2)(B) of the Act and ◦ Portions of the CGMP regulations that pertain to their systems.  A firm in a state of control produces finished drug products for which there is an adequate level of assurance of quality, strength, identity and purity. 9/15/2015 44 Drug Regulations : Online Resource for Latest Information
  • 45.  A firm is out of control if any one system is out of control.  A system is out of control if the quality, identity, strength and purity of the products resulting from that/those system(s) cannot be adequately assured.  Documented CGMP deficiencies provide the evidence for concluding that a system is not operating in a state of control. 9/15/2015 45 Drug Regulations : Online Resource for Latest Information
  • 46.  Investigator will ◦ Review and use the CGMPs for Finished Pharmaceuticals (21 CFR 210 and 211) to evaluate manufacturing processes. ◦ Use Guides to Inspection published by the Office of Regional Operations for information on technical applications in various manufacturing systems. ◦ Conduct inspections according to the STRATEGY . 9/15/2015 46 Drug Regulations : Online Resource for Latest Information
  • 47.  Investigator will ◦ Recognize that drug firms vary greatly in size and scope, ◦ Recognize that manufacturing systems are more or less sophisticated, ◦ Carefully plan approach to inspecting each firm. e.g. ◦ Review the Quality System thoroughly before entering production areas in some firms; ◦ In others, the Quality System review would take place concurrently with inspection of another system or systems selected for coverage. 9/15/2015 47 Drug Regulations : Online Resource for Latest Information
  • 48.  Investigator will ◦ Be flexible depending on the complexity and variability of the firm ◦ Approach will allow the investigator to choose the inspection focus and depth appropriate for a specific firm, ◦ Approach will direct the performance and reporting on the inspection within a framework which will provide for a uniform level of CGMP assessment. ◦ Furthermore, this inspection approach will provide for fast communication and evaluation of findings. 9/15/2015 48 Drug Regulations : Online Resource for Latest Information
  • 49.  Inspectional Observations noting CGMP deficiencies are related to a requirement.  Requirements for manufacture of drug products (dosage forms) are in the CGMP regulation  They are amplified by policy in the Compliance Policy Guides, case precedents, etc. 9/15/2015 49 Drug Regulations : Online Resource for Latest Information
  • 50.  CGMP requirements apply to the ◦ Manufacture of distributed prescription drug products ◦ OTC drug products ◦ Approved products ◦ Products not requiring approval ◦ Drug products used in clinical trials. 9/15/2015 50 Drug Regulations : Online Resource for Latest Information
  • 51.  The CGMP regulations are not direct requirements for manufacture of API's;  The regulations should not be referenced as the basis for a GMP deficiency in the manufacture of Active Pharmaceutical Ingredients (APIs),  But they are guidance for CGMP in API manufacture. 9/15/2015 51 Drug Regulations : Online Resource for Latest Information
  • 52.  Guidance documents do not establish requirements.  They state examples of ways to meet requirements.  Guidance documents are not referred to as the justification for an inspectional observation.  The justification comes from the CGMPs. 9/15/2015 52 Drug Regulations : Online Resource for Latest Information
  • 53.  Current Guides to Inspection and Guidance to Industry documents provide interpretations of requirements, which may assist in the evaluation of the adequacy of CGMP systems. 9/15/2015 53 Drug Regulations : Online Resource for Latest Information
  • 54.  Current inspectional observation policy as stated in the IOM ◦ FDA-483, when issued, should be specific and contain only significant items. ◦ Inspection observations will be organized under separate captions by the systems defined in this program. ◦ FDA will list observations in order of importance within each system. ◦ Where repeated or similar observations are made, they would be consolidated under a unified observation. 9/15/2015 54 Drug Regulations : Online Resource for Latest Information
  • 55. ◦ For those Districts utilizing Turbo EIR, a limited number of observations can be common to more than one system  (e.g. organization and personnel including appropriate qualifications and training). ◦ In these instances, FDA will put the observation in the first system reported on the FDA-483 ◦ In the text of the EIR, FDA will reference the applicability to other systems where appropriate. ◦ This is being done to accommodate the structure of Turbo EIR which allows individual citation once per FDA-483. 9/15/2015 55 Drug Regulations : Online Resource for Latest Information
  • 56.  FDA is bound to Refrain from using unsubstantiated conclusions.  FDA will not use the term "inadequate" without explaining why and how.  Refer to policy in the IOM, Chapter 5, Section 512 and ◦ Field Management Directive 120 for further guidance on the content of Inspectional Observations. ◦ Specific specialized inspectional guidance may be provided as attachments to this program, or in requests for inspection, assignments, etc. 9/15/2015 56 Drug Regulations : Online Resource for Latest Information
  • 57.  Assessment of the Quality System is two phased.  The first phase is to evaluate whether the Quality Control Unit has fulfilled the responsibility to review and approve all procedures related to 1. Production, quality control, and quality assurance and 2. Assure the procedures are adequate for their intended use. ◦ This also includes the associated recordkeeping systems. 9/15/2015 57 Drug Regulations : Online Resource for Latest Information
  • 58.  The second phase  Assess the data collected to identify quality problems  Link to other major systems for inspectional coverage. 9/15/2015 58 Drug Regulations : Online Resource for Latest Information
  • 59.  Firm should have written and approved procedures and documentation resulting there from.  Adherence to written procedures should be verified through observation whenever possible.  Areas are not limited to finished products, but may also incorporate components and in-process materials. 9/15/2015 59 Drug Regulations : Online Resource for Latest Information
  • 60.  These areas may indicate deficiencies not only in this system but also in other major systems  This would warrant expansion of coverage.  All areas under this system will be covered;  Depth of coverage may vary depending upon inspectional findings. 9/15/2015 60 Drug Regulations : Online Resource for Latest Information
  • 61.  Product reviews: ◦ At least annually; ◦ Should include information from areas listed below as appropriate; ◦ Batches reviewed, for each product, are representative of all batches manufactured; ◦ Trends are identified; ◦ Refer to 21 CFR 211.180(e). 9/15/2015 61 Drug Regulations : Online Resource for Latest Information
  • 62.  Complaint reviews (quality and medical): ◦ Documented ◦ Evaluated ◦ Investigated in a timely manner ◦ Includes corrective action where appropriate 9/15/2015 62 Drug Regulations : Online Resource for Latest Information
  • 63.  Discrepancy and failure investigations related to manufacturing and testing: ◦ Documented ◦ Evaluated ◦ Investigated in a timely manner ◦ Includes corrective action where appropriate. 9/15/2015 63 Drug Regulations : Online Resource for Latest Information
  • 64.  Change Control: ◦ Documented ◦ Evaluated ◦ Approved ◦ Need for revalidation assessed 9/15/2015 64 Drug Regulations : Online Resource for Latest Information
  • 65.  Product Improvement Projects: ◦ for marketed products 9/15/2015 65 Drug Regulations : Online Resource for Latest Information
  • 66.  Reprocess/Rework: ◦ Evaluation ◦ Review and approval ◦ Impact on validation and stability 9/15/2015 66 Drug Regulations : Online Resource for Latest Information
  • 67.  Returns/Salvages: ◦ Assessment; ◦ Investigation expanded where warranted; ◦ Disposition. 9/15/2015 67 Drug Regulations : Online Resource for Latest Information
  • 68.  Stability Failures: ◦Investigation expanded where warranted; ◦Need for field alerts evaluated; ◦Disposition. 9/15/2015 68 Drug Regulations : Online Resource for Latest Information
  • 69. Quarantine products. 9/15/2015 69 Drug Regulations : Online Resource for Latest Information
  • 70.  Validation:  status of required ◦ Validation/ ◦ Revalidation  (e.g., computer, manufacturing process, laboratory methods). 9/15/2015 70 Drug Regulations : Online Resource for Latest Information
  • 71.  Quality control unit functions. ◦Training ◦Qualification of employees 9/15/2015 71 Drug Regulations : Online Resource for Latest Information
  • 72.  Firm should have written and approved procedures and documentation resulting therefrom.  Investigator will verify adherence to written procedures through observation whenever possible.  This may indicate deficiencies not only in this system but also in other systems.  Investigator may expand coverage.  When this system is selected for coverage in addition to the Quality System, all areas listed (subsequent slides) should be covered;  Depth of coverage may vary depending upon inspectional findings. 9/15/2015 72 Drug Regulations : Online Resource for Latest Information
  • 73.  Cleaning and maintenance  Facility layout and air handling systems for prevention of cross-contamination (e.g. penicillin, beta-lactams, steroids, hormones, cytotoxics, etc.)  Specifically designed areas for the manufacturing operations performed by the firm to prevent contamination or mix-ups 9/15/2015 73 Drug Regulations : Online Resource for Latest Information
  • 74.  General air handling systems  Control system for implementing changes in the building  Lighting, potable water, washing and toilet facilities, sewage and refuse disposal  Sanitation of the building, use of rodenticides, fungicides, insecticides, cleaning and sanitizing agents 9/15/2015 74 Drug Regulations : Online Resource for Latest Information
  • 75.  Equipment installation and operational qualification where appropriate  Adequacy of equipment design, size, and location  Equipment surfaces should not be reactive, additive, or absorptive  Appropriate use of equipment operations substances, (lubricants, coolants, refrigerants, etc.) contacting products/containers/etc.  Cleaning procedures and cleaning validation  Controls to prevent contamination, particularly with any pesticides or any other toxic materials, or other drug or non-drug chemicals 9/15/2015 75 Drug Regulations : Online Resource for Latest Information
  • 76.  Qualification, calibration and maintenance of storage equipment, ◦ (such as refrigerators and freezers for ensuring that standards, raw materials, reagents, etc. are stored at the proper temperatures)  Equipment qualification, calibration and maintenance, including computer qualification/validation and security  Control system for implementing changes in the equipment  Equipment identification practices (where appropriate)  Documented investigation into any unexpected discrepancy 9/15/2015 76 Drug Regulations : Online Resource for Latest Information
  • 77.  Firm should have written and approved procedures and documentation resulting therefrom.  Investigator will verify adherence to written procedures through observation whenever possible.  This may indicate deficiencies not only in this system but also in other systems.  Investigator may expand coverage.  When this system is selected for coverage in addition to the Quality System, all areas listed (subsequent slides) should be covered;  Depth of coverage may vary depending upon inspectional findings. 9/15/2015 77 Drug Regulations : Online Resource for Latest Information
  • 78.  Training/qualification of personnel  Identification of components, containers, closures  Inventory of components, containers, closures  Storage conditions  Storage under quarantine until tested or examined and released 9/15/2015 78 Drug Regulations : Online Resource for Latest Information
  • 79.  Representative samples collected, tested or examined using appropriate means  At least one specific identity test is conducted on each lot of each component  A visual identification is conducted on each lot of containers and closures  Testing or validation of supplier's test results for components, containers and closures  Rejection of any component, container, closure not meeting acceptance requirements. 9/15/2015 79 Drug Regulations : Online Resource for Latest Information
  • 80.  Investigate fully the firm's procedures for verification of the source of components.  Appropriate retesting/reexamination of components, containers, closures  First in-first out use of components, containers, closures  Quarantine of rejected materials  Water and process gas supply, design, maintenance, validation and operation 9/15/2015 80 Drug Regulations : Online Resource for Latest Information
  • 81.  Containers and closures should not be additive, reactive, or absorptive to the drug product  Control system for implementing changes in the materials handling operations  Qualification/validation and security of computerized or automated processes  Finished product distribution records by lot  Documented investigation into any unexpected discrepancy 9/15/2015 81 Drug Regulations : Online Resource for Latest Information
  • 82.  Firm should have written and approved procedures and documentation resulting therefrom.  Investigator will verify adherence to written procedures through observation whenever possible.  This may indicate deficiencies not only in this system but also in other systems.  Investigator may expand coverage.  When this system is selected for coverage in addition to the Quality System, all areas listed (subsequent slides) should be covered;  Depth of coverage may vary depending upon inspectional findings. 9/15/2015 82 Drug Regulations : Online Resource for Latest Information
  • 83.  Training/qualification of personnel  Control system for implementing changes in processes  Adequate procedure and practice for charge-in of components  Formulation/manufacturing at not less than 100%  Identification of equipment with contents, and where appropriate phase of manufacturing and/or status 9/15/2015 83 Drug Regulations : Online Resource for Latest Information
  • 84.  Implementation and documentation of in-process controls, tests, and examinations ◦ (e.g., pH, adequacy of mix, weight variation, clarity)  Justification and consistency of in-process specifications and drug product final specifications  Prevention of objectionable microorganisms in non-sterile drug products 9/15/2015 84 Drug Regulations : Online Resource for Latest Information
  • 85.  Adherence to preprocessing procedures (e.g., set- up, line clearance, etc.)  Equipment cleaning and use logs  Master production and control records  Batch production and control records 9/15/2015 85 Drug Regulations : Online Resource for Latest Information
  • 86.  Process validation, including validation and security of computerized or automated processes  Change control; the need for revalidation evaluated  Documented investigation into any unexpected discrepancy 9/15/2015 86 Drug Regulations : Online Resource for Latest Information
  • 87.  Firm should have written and approved procedures and documentation resulting therefrom.  Investigator will verify adherence to written procedures through observation whenever possible.  This may indicate deficiencies not only in this system but also in other systems.  Investigator may expand coverage.  When this system is selected for coverage in addition to the Quality System, all areas listed (subsequent slides) should be covered;  Depth of coverage may vary depending upon inspectional findings. 9/15/2015 87 Drug Regulations : Online Resource for Latest Information
  • 88.  Training/qualification of personnel  Acceptance operations for packaging and labeling materials  Control system for implementing changes in packaging and labeling operations  Adequate storage for labels and labeling, both approved and returned after issued 9/15/2015 88 Drug Regulations : Online Resource for Latest Information
  • 89.  Control of labels which are similar in size, shape, and color for different products  Finished product cut labels for immediate containers which are similar in appearance without some type of 100 percent electronic or visual verification system or the use of dedicated lines  Gang printing of labels is not done, unless they are differentiated by size, shape, or color 9/15/2015 89 Drug Regulations : Online Resource for Latest Information
  • 90.  Control of filled unlabeled containers that are later labeled under multiple private labels  Adequate packaging records that will include specimens of all labels used  Control of issuance of labeling, examination of issued labels and reconciliation of used labels 9/15/2015 90 Drug Regulations : Online Resource for Latest Information
  • 91.  Examination of the labeled finished product  Adequate inspection (proofing) of incoming labeling  Use of lot numbers, destruction of excess labeling bearing lot/control numbers  Physical/spatial separation between different labeling and packaging lines 9/15/2015 91 Drug Regulations : Online Resource for Latest Information
  • 92.  Monitoring of printing devices associated with manufacturing lines  Line clearance, inspection and documentation  Adequate expiration dates on the label  Conformance to tamper-evident (TEP) packaging requirements ◦ (see 21CFR 211.132 and Compliance Policy Guide, 7132a.17) 9/15/2015 92 Drug Regulations : Online Resource for Latest Information
  • 93.  Validation of packaging and labeling operations including validation and security of computerized processes  Documented investigation into any unexpected discrepancy 9/15/2015 93 Drug Regulations : Online Resource for Latest Information
  • 94.  Training/qualification of personnel  Adequacy of staffing for laboratory operations  Adequacy of equipment and facility for intended use  Calibration and maintenance programs for analytical instruments and equipment  Validation and security of computerized or automated processes 9/15/2015 94 Drug Regulations : Online Resource for Latest Information
  • 95.  Reference standards; source, purity and assay, and tests to establish  Equivalency to current official reference standards as appropriate  System suitability checks on chromatographic systems (e.g., GC or HPLC)  Specifications, standards, and representative sampling plans  Adherence to the written methods of analysis 9/15/2015 95 Drug Regulations : Online Resource for Latest Information
  • 96.  Validation/verification of analytical methods  Control system for implementing changes in laboratory operations  Required testing is performed on the correct samples  Documented investigation into any unexpected discrepancy  Complete analytical records from all tests and summaries of results 9/15/2015 96 Drug Regulations : Online Resource for Latest Information
  • 97.  Quality and retention of raw data (e.g., chromatograms and spectra)  Correlation of result summaries to raw data; presence of unused data  Adherence to an adequate Out of Specification (OOS) procedure which includes timely completion of the investigation 9/15/2015 97 Drug Regulations : Online Resource for Latest Information
  • 98.  Adequate reserve samples; documentation of reserve sample examination  Stability testing program, including demonstration of stability indicating capability of the test methods 9/15/2015 98 Drug Regulations : Online Resource for Latest Information
  • 99.  The investigator will utilize Subchapter 590 of the IOM for guidance in reporting of inspectional findings.  Identify systems covered in the Summary of Findings.  Identify and explain in the body of the report the rationale for inspecting the profile classes covered.  Report and discuss in full any adverse findings by systems under separate captions.  Add additional information as needed or desired, for example, a description of any significant changes that have occurred since previous inspections.  Report with specific, specialized information required should be prepared as instructed within the individual assignment/attachment 9/15/2015 99 Drug Regulations : Online Resource for Latest Information
  • 100.  When a firm is not operating in a state of control FDA will use Inspection findings to take appropriate action  Advisory  Administrative and/or  Judicial actions. 9/15/2015 10 0 Drug Regulations : Online Resource for Latest Information
  • 101.  FDA will recommend for action when ◦ The management of the firm is unwilling or unable to provide adequate corrective actions ◦ In an appropriate time frame 9/15/2015 10 1 Drug Regulations : Online Resource for Latest Information
  • 102.  FDA will recommend type of Action based on ◦ Initial decision based on the seriousness of the problem and ◦ Most effective way to protect consumers 9/15/2015 10 2 Drug Regulations : Online Resource for Latest Information
  • 103.  Classification of all profile classes as unacceptable. ◦ Issuance of a Warning Letter ◦ Other regulatory actions  Inspection findings will be used as the basis for updating profile classes in FACTS. 9/15/2015 10 3 Drug Regulations : Online Resource for Latest Information
  • 104.  Significant / trend of deficiencies within a system could demonstrate the failure of a system  This will result in issuance of a Warning Letter or other regulatory action.  Type of action taken will depend on the seriousness and/or the frequency of the problem. Examples (Subsequent slides) 9/15/2015 10 4 Drug Regulations : Online Resource for Latest Information
  • 105.  Quality System: ◦ Pattern of failure to review/approve procedures. ◦ Pattern of failure to document execution of operations as required. ◦ Pattern of failure to review documentation. ◦ Pattern of failure to conduct investigations and resolve discrepancies/failures/deviations/complaints. ◦ Pattern of failure to assess other systems to assure compliance with GMP and SOPs. 9/15/2015 10 5 Drug Regulations : Online Resource for Latest Information
  • 106.  Facilities and Equipment ◦ Contamination with ◦ Filth ◦ Objectionable microorganisms ◦ Toxic chemicals ◦ Other drug chemicals ◦ A reasonable potential for contamination, with demonstrated avenues of contamination, such as airborne or through unclean equipment 9/15/2015 10 6 Drug Regulations : Online Resource for Latest Information
  • 107.  Facilities and Equipment ◦ Pattern of failure to validate cleaning procedures for non- dedicated equipment. ◦ Lack of demonstration of effectiveness of cleaning for dedicated equipment. ◦ Pattern of failure to document investigation of discrepancies. ◦ Pattern of failure to establish/follow a control system for implementing changes in the equipment. ◦ Pattern of failure to qualify equipment, including computers. 9/15/2015 10 7 Drug Regulations : Online Resource for Latest Information
  • 108.  Materials System ◦ Release of materials for use or distribution that do not conform to established specifications. ◦ Pattern of failure to conduct one specific identity test for components. ◦ Pattern of failure to document investigation of discrepancies. 9/15/2015 10 8 Drug Regulations : Online Resource for Latest Information
  • 109.  Production System ◦ Pattern of failure to establish/follow a control system for implementing changes in the production system operations. ◦ Pattern of failure to document investigation of discrepancies ◦ Lack of process validation. 9/15/2015 10 9 Drug Regulations : Online Resource for Latest Information
  • 110.  Packaging and Labeling ◦ Pattern of failure to establish/follow a control system for implementing changes in the packaging and/or labeling operations. ◦ Pattern of failure to document investigation of discrepancies. ◦ Lack of validation of computerized processes. 9/15/2015 11 0 Drug Regulations : Online Resource for Latest Information
  • 111.  Packaging and Labeling ◦ Lack of control of packaging and labeling operations that may introduce a potential for mislabeling. ◦ Lack of packaging validation. 9/15/2015 11 1 Drug Regulations : Online Resource for Latest Information
  • 112.  Laboratory Control System ◦ Pattern of failure to establish/follow a control system for implementing changes in the laboratory operations. ◦ Pattern of failure to document investigation of discrepancies. ◦ Lack of validation of computerized and/or automated processes. ◦ Pattern of inadequate sampling practices. 9/15/2015 11 2 Drug Regulations : Online Resource for Latest Information
  • 113.  Laboratory Control System ◦ Lack of validated analytical methods. ◦ Pattern of failure to follow approved analytical procedures. ◦ Pattern of failure to follow an adequate OOS procedure. ◦ Pattern of failure to retain raw data. 9/15/2015 11 3 Drug Regulations : Online Resource for Latest Information
  • 114.  Laboratory Control System ◦ Lack of stability indicating methods. ◦ Pattern of failure to follow stability programs. 9/15/2015 11 4 Drug Regulations : Online Resource for Latest Information
  • 115.  This presentation is compiled from freely available resource like the website of FDA specifically the “FDA Compliance Programme Manual : Program 7356.002”  “Drug Regulations” is a non profit organization which provides free online resource to the Pharmaceutical Professional.  Visit http://www.drugregulations.org for latest information from the world of Pharmaceuticals. 9/15/2015 11 5 Drug Regulations : Online Resource for Latest Information