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Annual Product Reviews: How to Conduct an Effective Annual Product


Quality Review

Article · February 2012

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cGMPs

Now advanced by global regulators,


the APR offers an opportunity to better
understand and improve processes

By Ajay Pazhayattil,
Director, Quality and Regulatory Affairs,
Jarvis Street Pharma, Inc.

FDA’S CURRENT good manufacturing practices controls, and review: failed batches, deviations, CAPA
(cGMPs) require that the quality standards of a drug effectiveness, changes, stability studies, returns,
product be evaluated each year to determine whether complaints, recalls, critical equipment qualifications,
there is a need to adjust drug product specifications, and quality agreements. CAPA’s from annual product
manufacturing and control procedures. Subpart J of 21 reviews need to be communicated to senior management
CFR 211.180 mandates establishing a written procedure and completed in a timely and effective manner, with
for the annual product review process, and recommends effectiveness verified via self-inspections.
the review of a representative number of batches, both In the EU, Product Quality Review, as well as the PIC/S
approved as well as rejected. These guidelines stress the GMP guide, requires a review of:
importance of analyzing the results of investigations, tTUBSUJOHNBUFSJBMTJODMVEJOHQBDLBHJOHNBUFSJBMTVTFE
any deviations found and product complaints received. tNBSLFUJOHBVUIPSJ[BUJPOWBSJBUJPOT
The APR report must explore, in depth, the reasons for tQPTUNBSLFUJOHDPNNJUNFOUT
any product recalls and returns. They also make the qualified person at the
No doubt, FDA’s goal with the APR is to get facility responsible for the review’s accuracy and
manufacturers to look at their processes thoroughly and timely completion. Although these requirements are
systematically, and to focus on areas where they might be “harmonized” and, for the most part, somewhat similar,
improved. Other regulators are also on board with APR’s. there are a few unique exceptions, as shown in Table 1.
Canadian GMP’s were updated in 2009 to include
an explicit section for Annual Product Quality Review STRUCTURE OF AN APR REPORT
(C.02.011). Health Canada’s regulations require The structure of a review report may vary, based on the
manufacturers to analyze previous reviews, examine products involved and manufacturer’s documentation re-
finished product testing results and critical in-process quirements. However, companies should follow a standard

DIFFERENCES IN GLOBAL APR REQUIREMENTS


US FDA Health Canada EU
Management review/notification Nonprescription Category IV Review of starting materials
drugs not exempted including packaging materials
Review of returned or salvaged
drug products Review of Marketing
Authorization variations
Review of regulatory GMP observa-
tions Assessment of whether revalidation
should be undertaken

Table 1.

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cGMPs

template to ensure that they aren’t with minimal requirements to an


FIGURE 1. APR GENERAL leaving out any requirements. elaborate document with addenda.
CONTENTS An APR is also an evolving Each numbered sub-section (batch
1. Scope document. It can range from a document review, for example) is
2. Manufactured Batches, Batch document containing a few sections typically followed by a summary. A
Record, Yield Review
3. Change Control Review Long Term Stability Study
4. Label and Artwork Change 6
Review
5. Analytical Data Review 5 Legend
6. Stability Data Review
Data
4
7. Validation and Qualification
Upper
Review Confidence
%

3 Limit 95%
8. Non-Conformances and LI
Review Upper
2 Acceptance
9. Rejected Batches Review Criterion 3.0
10. Re-Packaged Batches Review
1 Linear (data)
11. Compliant Review
12. Field Alert and Recall Review
13. Retain Sample Review 0 10 20 30 40 50
14. GMP Agreement Time Point (Months)
15. Review of Previous APR
16. Conclusions and Figure 3. Long-term Stability Study
Recommendations
17. References
Yield (Range)
18. Approval

XXXXX

FIGURE 2. COMMON TABLES XXXX


AND CHARTS
Typical items to be included in an XXX
annual product review:

t4VNNBSZPG-PU&OVNFSBUJPO XX
for Bulk Batches
X
t4VNNBSZPG-PU&OVNFSBUJPO
for Finished Product
180 185 190 195 200 205
t4VNNBSZPG#BUDI:JFME
t4VNNBSZPG"OBMZUJDBM3FTVMUT Figure 4. Batch-to-Batch Variation (Yield, Critical Parameters)
t4VNNBSZPG*O1SPDFTT3FTVMUT
&ODBQTVMBUJPO
Tablet Weight
t3FTFSWF4BNQMF"OOVBM
Inspection 1002.5
1002
t4VNNBSZPG$IBOHFT
1001.5
t%FTDSJQUJPOPG%FWJBUJPOTBOE
1001
Non-Conformances
1000.5
t#BUDIFTJOUSPEVDFEUPUIF
1000
Stability Program During
999.5
Review Period
999
t0OHPJOH4UBCJMJUZ#BUDIFTJO-
1 2 3 4 5 6 7 8 9 10 11 12 13
troduced Prior to Review Period
Figure 5. Inter Batch Variations (Critical Parameter/s)

36 FEBRUARY 2012  1)"3."$&65*$"-."/6'"$563*/(t8881)"3."."/6'"$563*/($0.


cGMPs

graphical or tabular representation will help to dissect market. But more than this, the review helps the
data and detect adverse trends. Figure 1 shows a sample manufacturer to understand processes better and to
list of contents; Figure 2 shows a typical list of tables. gather additional information for further improvements.
The scope of the review needs to explain the purpose It greatly helps in determining whether a product still
and the product SKU’s covered. Information from the meets the needs of patients, or whether it needs a change
batch processing and packaging records can follow. This JOGPSNVMBUJPO QBDLBHJOH TQFDJĕDBUJPOPSQSPDFTT
includes review of in-process, statistical process control FDA’s Process Validation guidelines call for continued
(SPC) charts, yields, and analytical results, as applicable. QSPDFTTWFSJĕDBUJPOćVT BO"13QSPHSBNDBOTFSWFBT
an ongoing system to collect and analyze product and
CHANGES AND CORRECTIONS process data that relate to product quality. The APR must
Change review can be broken down to changes in: be an integral part of the risk management/mitigation
tSBXNBUFSJBMT plan developed, per ICH Q9 recommendations.
tQBDLBHJOHDPNQPOFOUT The APR’s conclusion section is really a stepping stone
tNBTUFSEPDVNFOUT toward the future of the product, so it should be backed
tTQFDJĕDBUJPOT up by adequate, and accurate, data. This data should be
The non-conformances/deviations section must review distributed to all relevant and interesting stakeholders.
non-conformances, but also any corrective actions The information gathered and trends spotted can aid
taken and their effectiveness. Inneffective or overdue new product development as well, and so it is essential to
CAPAs must be discussed in the summary. The crux of distribute the report to all relevant and interested parties.
the APR document is the Conclusions and Corrective The effort can also be reviewed and shared with Lean
Actions/Recommendations section. This section should process improvement teams, while the CAPA’s developed
include summaries of each of the prior sections, and out of an APR are critical in avoiding potential risks to a
appropriate corrective/preventive measures necessary product in the future.
for each observation made. Any trend observed must be
addressed. Figures 3, 4, and 5 are representative charts.

STREAMLINING DATA SOURCES


AND APR ADMINISTRATION
Streamlining the entire process requires an APR sched-
ule, based upon key regulatory submission dates. (For

:
contract manufactured products, it’s critical to prioritize
etic Field
Caution e
and negotiate feasible reporting dates.)
Xtrem Magn ®

Compiling APR raw data is a team effort, but the


Tube Magnets
Compliance/QA department should take the lead $
4-Inch Tube 29
and be ultimately responsible. An APR committee
would typically include a representative from QA, QC, Round Grate
Magnets
Validation, Operations, Stability, Engineering, and $
6-Inch Diameter 85
Materials Management. A draft report is completed upon
critical analysis of the raw data, then discussed in APR Grate Magnets
$
committee meetings to determine effective CAPA’s. 6x6-Inch Grate 99
Another challenge for the APR administrator is data Plate Magnets
$
SFUSJFWBMGPSSFWJFXQVSQPTFT'JSNTXJUIRVBMJĕFEEBUB 6-Inch Plate 248
acquisition systems can use their database, whereas paper- Eriez’ is #1 Grate In-Housing
based manufacturers may have to review individual batch selling Trap 6x8-Inch Diameter
$
985
documents for processing parameters, in-process testing, Magnet!
ĕOJTIFEUFTUJOH ZJFMET BOETPPO Ships Next Day!
Data must be provided to the APR administrator in a
timely manner, and if they have been gathered manually, PROGRADE
UIFZXJMMOFFEUPCFWFSJĕFECZBTFDPOEQFSTPO*G Liquid-Line Traps
are your best defense against
TQSFBETIFFUTBSFVTFE UIFZNVTUCFRVBMJĕFEJOBEWBODF metal contamination.
Performing an APR is a requirement for the regulated

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