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FT - SM - ISPEIndonesiaAug2020 - 20200818 (Day 1)
FT - SM - ISPEIndonesiaAug2020 - 20200818 (Day 1)
ISPE Indonesia,
16 Jul 2020
Agenda – Part 1
1
7/16/2020
Cleaning
Optimization of cleaning
parameters /
process
methods
Residue detection
Minimized product cross‐
methods /
contamination
acceptance criteria
Regulations
• FDA 21 Code of Federal Regulations (CFR)
• US FDA, Biotech Inspection Guide (11/91)
• US FDA, Guide to Inspections Validation of Cleaning
Processes (1993)
• Pharmaceutical Inspection Convention/Co-operation
Scheme (PIC/S)
PE 009-14 Part I (2018) - Guide to Good Manufacturing Practice for
Medicinal Products Part I
PI 052-1 (Jun 2020) - Inspection of Health Based Exposure Limit (HBEL)
Assessment and Use In Quality Risk Management
PI 053-1 (Jun 2020) Questions and Answers on Implementation of Risk-
Based Prevention of Cross Contamination in Production and ‘Guideline
on Setting Health-Based Exposure Limits for Use in Risk Identification in
the Manufacture of Different Medicinal Products in Shared Facilities’
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Regulations
21 CFR 211.67
• Part 211.67 Equipment Cleaning and
Maintenance
• Written procedures shall be established and
followed for cleaning and maintenance of
equipment…
• A description in sufficient detail of the
methods, equipment, and materials used in
cleaning and maintenance operation…
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Chapter 5 - Production
• Prevention of cross-contamination in
production
• Cross-contamination should be prevented by
attention to design of the premises and
equipment as described in Chapter 3. This
should be supported by attention to process
design and implementation of any relevant
technical or organizational measures, including
effective and reproducible cleaning processes
to control risk of cross contamination.
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Warning Letter
Failure to have adequate cleaning procedures to prevent contamination
or carry-over of a material that would alter the quality of the API.
Your firm uses shared equipment for the API you manufacture. Data
from cleaning verification and validation studies found that your
cleaning procedures were ineffective. For example, our investigator
discovered that 105 of (b)(4) cleaning verification samples taken
between 2015 and the start of our 2016 inspection failed your firm’s
specification of no more than (b)(4) ppm for residual drug.
After obtaining failing cleaning verification results, you repeated
cleaning until you obtained passing verification results. Your firm failed
to investigate recurring cleaning procedure ineffectiveness and did not
remediate the deficient procedures.
Warning Letter 320-17-23 (Feb 2017)
Warning Letters
1. Your firm failed to establish and follow adequate written
procedures for cleaning and maintenance of equipment (21
CFR 211.67(b)).
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Lopolito and Rivera, “Cleaning Validation: Process Life Cycle Model”, Chapter 9 in Contamination Control in Healthcare Product Manufacturing, Volume 3,
PDA/DHI Publishing (2014)
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Lopolito and Rivera, “Cleaning Validation: Process Life Cycle Model”, Chapter 9 in Contamination
Control in Healthcare Product Manufacturing, Volume 3, PDA/DHI Publishing (2014)
13
Lopolito and Rivera, “Cleaning Validation: Process Life Cycle Model”, Chapter 9 in Contamination
Control in Healthcare Product Manufacturing, Volume 3, PDA/DHI Publishing (2014)
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Cleaning Methods
• Static immersion
• Agitated immersion
• Solvent reflux
• Automated parts washer
• Ultrasonic
• High pressure water jet
• Manual
• Sink scrub (brush)
• Wipe
• High pressure spray
• Foamers
• Clean-in-Place (CIP)
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CIP Solution
L/D < 2
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• Coverage
– Shadow areas
– Riboflavin Testing
• Riboflavin Procedure:
– Coat with riboflavin (0.2 g/L)
– Observe with UV light while wet
– Dry and then short rinse cycle with water
– Observe with UV light while wet
– If poor coverage, make changes and repeat until 100% coverage
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Product design
Continuous Improvement
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Process Knowledge
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Design Space
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Soil Characterization
25
Soil Characterization
Purpose: To understand characteristic of
soil
• Solubility in water/cleaning agent (pH ?)
• Toxicity, concentrations
• Excipients, degradants
• Verify suitability of current cleaning
methods / parameters
• Cleanability
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pH solubility profile, pH 1 – 12
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Type of Soils
Potential Residues for consideration:
• API (Drug substance)
• Excipients / Colorants / Dyes / Fragrances / Flavors
• Preservatives
• Degradants / Impurities
• Starting materials / Processing aids
• Mother liquors / Solvents
• Lubricants / antifoams - silicates
• Bioburden
• Mycoplasma / Prions / Viral particles
• Endotoxin
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How Do We Choose ?
Which materials represent the greatest risk to the next
process?
• High potency; high toxicity; allergenic
• Creates condition that is unacceptable to consumer (e.g.
off-color, abnormal fragrance, particulates)
• Hardest to clean / remove.
Is there justification to look for one residue as a “worst
case” when compared to other selected residues?
• Cleanability
• Toxicity
• Solubility
Based on risk assessment, perform qualification on
most difficult to clean products & product with the
lowest limit
Connecting Pharmaceutical Knowledge ispe.org
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Cleanability in
Potency ‐ RDA Toxicity Total RPN
Oral Dosage Form Solubility (active) Alkaline
(mg) Oral LD50 (mg/kg) (S×P×T×C)
Detergent
Practically
Calcium 7
insoluble
1 800‐1200 1 6450 2 14
0.050‐
Chromium 4 Not specified 5
0.200
2 100‐400 2 80
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7/16/2020
Warning Letter
5. A summary of updates to your cleaning validation
protocol to better incorporate conditions identified as worst
case. This should include but not be limited to evaluating
drugs that are of highest toxicity, drugs that are lowest
solubility in their cleaning solvents, drugs that have
characteristics that make them difficult to clean, and
swabbing of various equipment locations that are most
difficult to clean.
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Water
Commodity Chemicals
Formulated Cleaners
Organic Solvents
35
Water • Solubility
Commodity • Solubility
Chemicals • Hydrolysis
• Solubility Emulsification
Formulated • Hydrolysis Dispersion
Chemistry • Wetting Chelation
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Cleaning Agent –
Formulated Detergent e.g. CIP100
Components Function
Water
- Reverse Osmosis
- De-Ionized Solvent - Dissolve
- Purified Water
- Water For Injection
37
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SURSRUWLRQDOWRWLP HDQG
Concentration WHP SHUDWXUH
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• $ONDOLQH
• $FLGLF
Chemistry • 1 HXWUDOS+
• $GGLWLYH
• 6XUIDFH
• 6RLOFRQGLWLRQV
Others • : DWHUTXDOLW\
• (QYLURQP HQWDOIDFWRUV
39
Direct Impingement
by Spray Ball/
Spindle
Cascading Flow
CIP SKID
Agitated Immersion
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Action
• Physical Removal: related to force on surface
• Helps to dislodge residues
• Limited in static spray balls
– Distribution device, not an impingement device
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Direct
Impingement
by Spray Arm
Cascading Flow
Direct Impingement by
Spray Ball/Spindle
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Rinsability
Analytical methods (specific and non-specific)
Active components and non active components
Percent residue removal as a function of the number of rinses
120
100
80
60
40
20 Analyzable Surfactant
TOC
0
0 1 2 3 4 5
45
Rinsability
Percent residue removal
120
100.0
95.0
10090.0
85.0
80.0
75.0
TOC
8070.0 Sodium (IC)
65.0
60.0 Potassium (IC)
%Removed
Titration
6055.0
50.0 Organic Acid
45.0 Chelant
40.0
4035.0
30.0
25.0 Analyzable Surfactant
2020.0
15.0
10.0 TOC
5.0
0 0.0
0 1 2 3 4 5
15
30
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Formulated Chemistries
• Why use formulated cleaner?
– Free-rinsing: less water usage; less total process time
120
Rinse Comparison using Titration Data
98.6
80.6
80
60
CIP100
NaOH
40
18.4
20
47
Cleaning Performance
48
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Lab Evaluation
T – Temperature
C - Chemistry
C - Concentration
Visual Check
T - Time
Waterbreak Free Test
Gravimetric Test
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Acceptance Criteria
51
Acceptance Criteria
• Visual Inspection
• Water-break Free (WBF)
• Gravimetric (± 0.1 mg)
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1% 60 30
1% 80 30
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7/16/2020
CASE Study
Cell culture medium
Agitated Immersion 1
Sodium
0.5% v/v 60 min/ 60°C Light residue No
Hydroxide
Sodium
5% v/v 60 min/ 60°C Light residue No
Hydroxide
Acid detergent 1% v/v 60 min/ 60°C Light residue No
Alkaline
1% v/v 10 min/ 60°C Visually clean Yes
detergent
Alkaline
0.5% v/v 10 min/ 60°C Visually clean Yes
detergent
55
Formulated Chemistries
• Harvest material, air-dried
– Proteins, salts, Antifoam, Tropolone, MHX
Water
Visual
Cleaner Conc. Time/Temp Break
Observation
Free
Sodium
5% v/v 90 min/ 60°C Visually Clean Yes
Hydroxide
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7/16/2020
• Titanium dioxide
Alkaline cleaner + Booster/Additive
• Enteric coating
Alkaline / acidic cleaner
• Opadry
Alkaline cleaner
Spray wash
Pre-soaked followed by manual scrub
• Paraffin Waxes
Alkaline cleaner + Booster/Additive
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Agenda – Part 2
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Swab Sampling
Swab pattern directions
Non-flat surfaces
Flat surfaces
Flip Swab
Flip Swab
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Case 1 Case 2
Pipette with
rinse solution Spike
bottom of
SS beaker
directly
spiked
coupon
Recovery factor to be applied to
Clean collection Lab shaker
vessel • Acceptance limit, or
> 90% excellent with no recovery factor • Actual result
> 70 - 90% is good with recovery factor
> 50 - 70% may be okay with recovery factor
< 50% is questionable
If recovery > 100%, default to 100%
63
Lighting
Viewing angle
Viewing distance
Contrast of residue and surface
Inspector’s eyesight
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PDE: (mg/day)
MBS: Minimum batch size of next product
manufactured in same equipment
TDDN: Maximum daily dose of next product
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, µ ,
Maximum Allowable Carryover, MAC (µg) =
MAC (µg) = 50,000,000 µg
Limit / Surface Area (µg/cm2) = MAC (µg) / Total Surface Area (cm2)
= 50,000,000 µg / 500,000 cm2
= 100 µg/cm2
Limit / swab (µg Product A): = Limit / surface area (µg/cm2) X Area
Swabbed (cm2)
= 100 µg/cm2 x 25 cm2
= 2,500 µg
69
TOC method
Limit per swab (ppb TOC) = Limit per swab (ppb Product A) x 0.1
[Carbon content is 10%]
= 100 ppm x 0.1
= 10 ppm
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STV “A”
Residue Level
Action Limit
Process Capability (Cpk)
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Identical
equipment of Same cleaning
same sizes / procedure
different sizes
75
Cleaning SOP 3
Product 1
Equipments group
Product 2
Cleaning SOP 1
Product 3
3 runs?
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Equipment Train
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Microbial
Micro-Pitting
Contamination
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Cleaning Challenge #1
SLIP AGENTS
81
Slip Agents
Raw material impurities
• Hydrocarbons (Steramide, Erucamide, Oleamide)
– Mold release agents used in processing of bags & and
equipment
– Prevents caking of powders
– Found on bags used for storage and transport
• Polymers (Teflon, Nylon, PTFE, Silicone, etc.)
– Equipment used in raw material manufacturing
– Bags or containers used for raw material storage
– Impurities from source material
• Mineral Silicates (Silica, Talc, Kaolin)
• Lubricants
• Valves, gaskets and tubing – (source for siloxanes)
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• Stable molecules
– In highly acidic or basic conditions, terminal amide group can deamidate to
form the parent fatty acid. The conversion of the fatty acid does not change
the solubility in water.
– rest of molecule is aliphatic and remains intact under these conditions, with
no production of smaller soluble fragments.
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Cleaning Challenge #2
AIR LIQUID INTERFACE (ALI)
85
Air Liquid
Interface (ALI) Air
Product
86
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Cleaning Challenge #3
DEROUGING & PASSIVATION
89
Types of Rouge
• Type 1
– Oxidized metal particles generated from external
sources by erosion or corrosion
– Easier to remove, can often be wiped off
90
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7/16/2020
Types of Rouge
• Type 2
– Rouge formed from in situ oxidation of stainless
steel
– Tightly adhered, could have underlying damage.
91
Types of Rouge
• Type 3
– Black oxide rouge generated from high
temperature or steam
– Non-reactive, behaves like a passive layer
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Causes of Rouge
93
Conventional Method
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Importance of Pre-Cleaning
Organic
Residue
Organic residues covering the
Stainless Steel rouge. Derouging will be ineffective
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Case Study # 1
Rouge Remediation :
•15 – 20% Acidic based
detergent CIP200 at 70°C
for 3 – 4 hours.
Preventive Maintenance
•Now performed annually
•5 – 10% Acidic based
detergent CIP200 at 70°C
for 1 hour.
97
Case Study # 2
– Multi-Effect Water Still Generator
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Case Study # 3
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Case Study
#4 -
Mannual
Derouging
100
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Case Study # 6
103
Cleaning Challenge #4
Corrosion in Buffer Tanks
Connecting Pharmaceutical Knowledge ispe.org
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Chlorides
• 300 Series Stainless Steel alloys are prone to
corrosion in the presence of chlorides
• Pitting corrosion is an electrochemical
oxidation-reduction process, which occurs in
the absence of the passive layer
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Micro-Pitting
• Pitting corrosion is the localized corrosion of a
metal surface confined to a point or small
area.
• Pitting is one of the most damaging forms of
corrosion.
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Micro-Pitting
107
Passivation
Over time, chromium oxide layer will
Chromium react with air to form deplete and stainless steel is prone to
chromium oxide – a passive protective attack by chemicals and corrosive
layer product, causing rouge
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111
Cleaning Challenge #5
Microbial Contamination Control
– Biofilm
Connecting Pharmaceutical Knowledge ispe.org
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Biofilm Definition
Biofilm is generally composed of multiple microorganism
encased in matrix extracellular polymetric susbstance
(EPS):
Conceptual drawing: Biofilm generation
113
BIOFILM GENERATION
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Biofilm Remediation
I. Biofilm remediation will always use a combine strategy:
1. Use of alkaline cleaning chemistry to penetrate/denature EPS
5% CIP100 at 60°C for 3 hours
2. Derouging & passivation, if required
Acid cleaning and passivation using 15% acidic cleaner at 80 °C for 5
hours – CIP 200
3. Use of the sporicidal chemistry to sanitize the system
Sanitization using sporicidal agent at 25 °C for 30 minutes, or
Steam in place
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• Product category
• Slip agent
• Air Liquid Interface • Engineering design (sanitary)
• Trending
• Effective cleaning and
sanitization process
•
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Richard Chai
Technical Service
Manager
STERIS Corporation
Richard_chai@steris.com
16 Oct 2018
Thank you !
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