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Good Manufacturing Practice

From Fundamentals to Applications

National Medicines and Poisons Board, Obaid Ali, R. Ph. Ph.D


Republic of Sudan June 2012
This communication constitutes an
informal communication that
represents the best judgment of the
speaker at this time but does not
constitute an advisory opinion and
also does not bind or otherwise
obligate or commit Agency, to the
views expressed.
Opening Message Material

Introduction Documentation

History and Background Complaints and Recalls

Premises Sanitation and Hygiene

Equipment Validation

Personnel API
Opening Message Material

Introduction Documentation

History and Background Complaints and Recalls

Premises Sanitation and Hygiene

Equipment Validation

Personnel API
Opening Message Material

Introduction Documentation

History and Background Complaints and Recalls

Premises Sanitation and Hygiene

Equipment Validation

Personnel API
What is GMP?

Ensures that products are consistently


produced and controlled
(State of Control)

Diminishes risks that cannot be controlled


by testing of products

e.g.
Contamination, Cross contamination
Mix-ups
GMP

Fundamental Principles of Quality Assurance

Quality, safety and effectiveness must be


designed and built into a finished drug
product;

Quality cannot be inspected or tested into


a finished drug product;

Each step of the manufacturing process


must be controlled to assure that the
finished drug product will meet its
specifications.
Why GMP

Pharmaceutical Manufacturers have the


responsibility of developing safe products
through the proper selection of
ingredients, product formulation and
manufacturing process.
To ensure identity, safety, strength,
quality and purity
To ensure traceability
GMP is good business practice , it provides
control, consistency and assurance about
the quality of the product.
GMP Scope

Pharmaceutical/
Biologicallyderived
products
Medical devices ………….
Opening Message Material

Introduction Documentation

History and Complaints and Recalls


Background
Premises Sanitation and Hygiene

Equipment Validation

Personnel API
GMP Scope

Already discussed by
Sultan Ghani Saheb
C in cGMP

C stands for current because the


interpretation is always
changing

(new details, dimension and


expectation are always added)
Basic Requirement for GMP

Facility design to control operations

Adequate documentation/records

Production and process controls

Quality control/assurance

Validation

Equipment calibrated/qualified

Personnel training & certification


Basic Requirement for GMP

Manufacturing processes are clearly


defined, validated and systematically
reviewed to ensure consistency and
compliance with specifications

Manufacturing processes are


controlled and changes to the
process that can impact on the
quality of the drug are validated
Basic Requirement for GMP

Instructions and procedures are written in


clear and unambiguous language

Operators are trained to carry out and


document procedures

Records are made, manually or by


instruments, during manufacture which
demonstrate that all the steps required by
the defined procedures and instructions
were in fact taken and that the quantity
and quality of the drug was as expected.
Deviations are investigated and
documented
Basic Requirement for GMP

Records of manufacture, including


distribution, which enable the complete
history of a batch to be traced are retained
in a comprehensible and accessible form

The distribution of the drugs minimizes


any risk to their quality

A system is available to recall any batch of


drug from sale or supply
Basic Requirement for GMP

Complaints about marketed drugs are


examined, the causes of quality defects
investigated and appropriate measures
taken in respect of the defective drugs and
to prevent re-occurrence
Opening Message Material

Introduction Documentation

History and Background Complaints and Recalls

Premises Sanitation and Hygiene

Equipment Validation

Personnel API
Premises

Premises must be located, designed,


constructed, adapted and maintained for
the operations:

Minimize risks of errors & cross-


contamination
Permit effective cleaning
Permit effective maintenance
Minimize build-up of dirt and dust
Eliminate any adverse effects on quality
Premises

Premises must be located, designed,


constructed, adapted and maintained for
the operations:

Minimize risks of errors & cross-


contamination
Permit effective cleaning
Permit effective maintenance
Minimize build-up of dirt and dust
Eliminate any adverse effects on quality
Premises

Principle

Premises must be located to


minimize risks of cross-
contamination.
Geography, climate, noise and economic factors

Neighbours
What do they do?
What impact can they have on the business?
Pollution/effluent control
Premises

Premises should be built to

Facilitate sanitation.
Be maintained and cleaned easily
Services availability
Protection against entry of insects or other
animals
Premises

Ancillary Areas

Rest and refreshment rooms

Changing, washing and toilet areas

Maintenance workshops

Animal houses
Premises

Design Principles

Process flow

Material flow

People flow
Premises

Warehouse
Storage areas of sufficient capacity for
Clean, dry and maintained within
acceptable temperature limits
Area under cover, protection from heat,
dirt, and rain
Areas clearly marked and access limited
for quarantine status good.
Premises

Warehouse
Storage areas of sufficient capacity for

QC sampling area with GMP standards


Segregated areas for rejected, recalled and
returned materials
Separate areas for highly active,
hazardous, narcotic materials
Printed materials storage
Premises

Weighing areas

Control systems

Environmental controls, dust control

Segregation

Smooth, impervious, durable, easy to


clean finishes

Cleaning and Documentation


Premises

Manufacturing and Packaging

Dedicated and self-contained facilities


for:

Logical flows of materials and people

Adequacy of working space & orderly


and logical positioning of equipment

Interior surfaces
smooth/crack-free/easy to clean
Premises

Other Areas
Personnel rest
areas/cafeterias/changing rooms:
away from operating areas
prevention of cross-contamination
prevention of operators going outside in
work clothes
provision of access control
prevention of visitors access to operating
areas
Premises

Other Areas
Maintenance service areas:
separated from production areas
whenever possible

Windows should not open to the


outside
Premises

Finish of Floors, Walls & Ceilings

Smooth, impervious, easy to clean

Resistant to operations and


materials in use

Windows not opening to the outside

Avoid sliding doors


Premises
Premises

Finish of Floors, Walls & Ceilings: Much better


Premises

Cross-contamination
1. Segregated areas
2. Airlocks and pressure differentials
3. Treatment of recirculated air
4. Protective clothing
5. Effective cleaning procedures
6. Closed production systems
7. Residue testing
8. Status labelling
Premises

Manufacturing and Packaging – I


Pipework and other fittings sited to avoid
recesses

Drain design:
equipped to prevent backflow
open channels avoided

Effective air handling to suit product


temperature
humidity
filtration
monitoring
Premises

Manufacturing and Packaging – II


Specifically designed and laid out to
avoid mix-ups and cross-
contamination
Changing facilities to provide segregated
access

Prevention of cross-contamination

Suitable lighting levels


Premises

In-Process and QC laboratories


Located separate from but near
manufacturing
prevention of cross-contamination
separate biological , microbiological,
radioisotopic areas

Designed for the operations


being carried out
suitable storage space
Opening Message Material

Introduction Documentation

History and Background Complaints and Recalls

Premises Sanitation and Hygiene

Equipment Validation

Personnel API
Equipment

Equipment
must be:
-located
-designed
-calibrated
-monitored
-maintained

to suit their intended use


Equipment

Equipment layout and design must


aim:
-to minimize risks of error
-to permit effective cleaning
-to permit effective maintenance
And to avoid:
-cross-contamination
-dust and dirt build-up
-any adverse effect on the quality of
products
Equipment must be installed to:
-minimize risks of error
-minimize risks of contamination
Equipment

Equipment:
Instrument Calibration
Frequency based on:
-Nature/type of equipment
-Type/frequency of use
-Importance of measurement

Written and approved procedures


documented
Equipment

Equipment: Monitoring

-Monitored for performance

-Ensure proper functioning

-documented

-Use log

-traceability
Equipment

Equipment: Maintenance
Preventative
Scheduled and based on SOPs &
usage

Corrective
Malfunction/breakdown

Documented
Maintain log books near equipment
and available
Equipment

Types of equipment maintenance


-Scheduled preventative maintenance
There must be a procedure (SOP) in place
for the frequency and extent of the
preventative maintenance

-Procedure should provide step-by-step


instructions on how to perform the
preventative maintenance.

Preventative maintenance must be


documented
Equipment

Types of equipment
maintenance
Non-scheduled maintenance
Performed as needed (in cases where
equipment malfunctions/breaks down)

Non-scheduled maintenance must


be documented
Equipment

Equipment:
Modifications/Changes
Corrective or planned (maintenance
or for improvement)
Evaluated (may require revalidation)
Approved

Documented
Effective date noted
Equipment

-Defective and unused equipment


are removed from production and
quality control areas or are at least
clearly labeled as such

-Equipment usage logs are


maintained
Equipment

Possible Issues
-Poor design
-Lack of safety
-Poor quality finishes
-Lack of cleaning
-Lack of maintenance
-No usage log or record
-Use of inappropriate weighing
equipment
-Open-plan location of
compressing machines
Opening Message Material

Introduction Documentation

History and Background Complaints and Recalls

Premises Sanitation and Hygiene

Equipment Validation

Personnel API
Personnel

GMP and Personnel


Each person… shall have
education, training, experience
or any combination thereof, to
enable that person to perform
the assigned function
Personnel

Personnel

85% of quality problems due to


management and systems
-Poor managers
-Lack of information/communication
-Unclear job responsibilities
-Lack of training of staff/inadequate
training
Personnel

Personnel
People are the most critical element
in ensuring the quality of the
product – and that the application of
Good Manufacturing Practices

Continuous training of personnel is


an essential function
-For knowledge of GMPs
-For knowledge of specific job duties
Personnel

Training
Company organization, policies, etc.

Job function

Review formal training written plan

-Short & long term schedule


-Standards of performance &
evaluation criteria
-development
Personnel

Maintenance

Ongoing performance evaluation


-Development
-Self evaluation
Records
-documented
Continuing education
Personnel

Regulatory Interpretation
5 interpretations
-Required qualifications of manufacturers,
packagers/labelers/testers in charge of
manufacturing and quality control
departments

-Required qualifications of those


responsible for packaging operations

-Required qualifications of those in QC


department of importers, distributors and
wholesalers
Personnel

Regulatory Interpretation
5 interpretations (cont’d)

-Adequate number of personnel with


necessary qualifications and practical
experience appropriate to their
responsibilities are available on site.

-All personnel are aware of principles of


GMPs that affect them and receive initial
and continuing training relevant to their
job responsibilities
Personnel

Possible Issues-I

-Limited number of staff


-Inadequate qualifications

-Inadequate experience

-Lack of means to develop training


materials
Personnel

Possible Issues-II

-Unclear organisation diagram


-Staff movement

-Inadequate training records

-Illness
Opening Message Material
Introduction Documentation

History and Background Complaints and Recalls

Premises Sanitation and Hygiene

Equipment Validation

Personnel API
Material

Principle
Objective of the pharmaceutical
manufacturer:
-To produce finished products from a
combination of materials

Materials combined:
-Active Pharmaceutical Ingredients
-Auxiliary Materials(excipients)
-Packaging Materials
Material

General Requirements for Materials

All incoming materials and finished


products:
-quarantined after receipt,
until released for use or distribution
-stored
under appropriate conditions
orderly fashion (batch segregation)
materials management
stock rotation (FIFO)
Material

Starting Materials-I
Things to consider;
Purchasing of starting material
Suppliers of starting material
Delivery of starting material
Integrity
E.g. damaged containers
-seal
-order
-delivery note
-Supplier’s labels
Material

Starting Materials-II
Things to consider;
Cleaned and labelled
-name and internal code
-batch number(s), (supplier &
manufacturer on receipt)
-status
-expiry date or re-test date
Sampled containers identified
Material

Examples of Labelling of Starting Materials


Name of
Material and/or
internal code
Control/
Batch No.
Quarantined/Released/Rejected
Status
(Colors may be used)
Expiry date or
retest date
Date Sign a t u r e
Material

Starting Materials-III
Use only released material
Dispensing:
-designated persons
-written procedure
-accurately weighed
-clean, labelled containers
Independent checks
-material and weight
Dispensed material:
-kept together and labelled
Material

Packaging Materials-I

Primary and printed materials:


-as for starting materials
purchasing, handling and control
No unauthorized access
Storage and transport
-avoid mix-ups
-issue and return: SOP
Material

Packaging Materials-II

Specific reference number for batch


or consignment

Packaging department checks:


-quantity, identity and conformity

Outdated or obsolete material


Material

Intermediate and bulk products

Appropriate conditions

Purchased:
-as starting materials
Material

Finished Products

Quarantine until released

Storage conditions

Evaluation and documentation


-product release
Material

Rejected and Recovered Materials


Rejected materials
-Clearly marked
-Stored separately in restricted
areas
-Action
Reprocessing:
-exceptional
-procedure and records
-batch number
-additional testing
Recovery:
-prior authorization
-additional testing
Material

Recalled Products and Returned


Goods
Recalled products:
-identified
-stored separately
-access controlled
-fate
Returned goods:
-SOP: decision regarding the fate
-nature of product, storage conditions
-history, time lapse
-records
Material

Reagents

Recorded upon receipt or


preparation
-preparation in accordance with SOP
label:
concentration, standardisation factor,
shelf-life, date that re-standardisation is
due, storage conditions

signed and dated


Material

Reference Standards
Official reference standards
-use only as per monograph
-storage
Reference standards prepared by the
producer:
-tested, released
-stored in same way as official reference
standards
Secondary or working standards:
-appropriate checks and tests
-regular intervals
-based on official reference standards
Opening Message Material

Introduction Documentation
History and Background Complaints and Recalls

Premises Sanitation and Hygiene

Equipment Validation

Personnel API
Documentation

AN INSPECTOR ONCE ASKED…..


“Tell me….

WHAT you did and WHY you did it…

And then….

PROVE IT”
Documentation

What is proof?

DOCUMENTED EVIDENCE
“proof is evidence that tends to
establish the existence of a fact”

Canadian Law Dictionary


Documentation

Inspectors want to see…..


THE PROOF!!!
-Written standards (SOPs) & specifications

-Records

Work (BPRs, logs, worksheets, notebooks,


etc)

Qualifications (people, equipment,


building, materials, etc)
Documentation

Who is involved?
Anyone and everyone implicated in
any of the procedures noted

-Production, filling and packaging staff


-QC, QA & RA staff
-Maintenance, cleaning, shipping, receiving
staff
-Staff involved in storage and distribution
ANYONE WHO “TOUCHES” THE PRODUCT
Documentation

Why Document?
-to ensure that there are specifications for
all materials and methods of manufacture
and control

-ensure all personnel know what to do and


when to do it

-ensure that authorized persons have all


information necessary for release

-provide audit trail


Documentation

Document Hierarchy?

Quality Policy SOPs


-May also include procedures
-key quality/compliance rules &
responsibilities

Procedural SOPs
-Detailed work instructions

Records of Work
-Forms
-Logs
Documentation

Types of Documentation

Written Standards
-SOPs and Specifications (RM, pkg)
-Protocols (validation)

Blank Templates
-QC worksheets, log books, cleaning logs,
etc.
Documentation

Types of Documentation

Records
Completed templates (BPR)
Product protocols
-All relevant records for review and release

Reports
-Validation, audit, non-conformity, product
review/trending
-Signature verification
-Personnel training
Documentation

What are SOPs?


Canadian GMP definition:
“An authorized written procedure
for performing operations not necessarily
specific to a given product or material but
more general in nature (e.g., equipment
operation, maintenance and l\cleaning…)
Certain SOPs may be used to supplement
product-specific master and batch
production documents”
Documentation

What are SOPs?

Written Instructions

How to do something
-Describe WHAT is actually done
Performance/standards of
performance

To ensure consistency
Documentation

What are SOPs?


Required for both…
-specific tasks & other tasks affecting the
product

Authorized document

Act as official documents


-Promise to the regulatory authorities
-Entire SOPs and references to SOPs are
made in all license submissions
-Special handling requirements
Documentation

Why do we need SOPs?


Consistency and control

Document quality (clarity/


understandability)

Regulations and requirements are


met
-Ensures technical accuracy
Documentation

Why do we need SOPs?


Responsibilities/standards are clear
-Who does what & level of performance

Provides authority to implement


(once signed off)
Documentation

What SOPs are needed?


Unsure whether an SOP is needed?
-Ask yourself “If the task is performed
inconsistently, will there be an effect on
safety, quality or performance?”

Err on the safe side and write one


-Be prepared to justify your position either
way (especially for procedures not needing
SOPs – document why)

Speak to QA to get their opinion/advice


Documentation

WHO should write SOPs and


WHY?

-Supervisors/Managers?

-Consultants

-QA

-Technical Staff?
Documentation

SOP Format

SOP System Needs

-Standard format policy and handling


procedures

-Document control group

-Master document file (originals)


Documentation

SOP Format

-Identification and control (numbering)


-Cover page
-Distribution list
-Headers & pagination
-Fonts & multi-level bullets
-Text style
-Organization
Documentation

SOP Format
Identification & Control: SOP number and revision
1 QP - 001 - 02
-1 = Volume (dept. specific)
1 = QA, 2 = QC, 3 = RA, 4 = Filling

-QP = Section name (usually an acronym for the type of SOP)


CS = Compliance System, QP = Quality Policy, CT = Chemical Test, FP =
Filling Procedure

-001 = Document number (unique identifier)


-02 = Revision Number (change control)
Documentation

SOP Format

-Text Style
-Active verbs/direct statements
-Relevant procedures
-Simple wording
-Clear and concise
Can it be understood, will it be followed?
Focus on WHAT is to be done
Documentation

SOP Format

Organization
-Beginning
Title, introduction & lists (equipment,
materials, people)
-Body
procedures
-End
References, attachments/appendices
Documentation

SOP Format

Organization: Beginning

-Title (descriptive of the procedure)


-Introduction (overview, purpose)
-Scope (who does the procedure apply to)
-Lists (materials & equipment)
Note specifications
Details of reagent preparation
-Responsibilities (who does what)
Documentation

SOP Format
Organization: Body

Detailed procedures (critical tasks)


-Chronological/step by step
-Safety procedures
-Calculations
-Documentation requirements
-STANDARDS OF PERFORMANCE
Documentation

SOP Format-Standards of Performance


Poor Wording Examples

For a few minutes

Add a few drops at a time

Store in the freezer

Incubate

Spin down the sample


Documentation

SOP Format
Organization: End

-References
-Internal (other SOPs or documents)
-External (regulations, technical papers, etc.)
-Attachments/Appendices
Attach complex tables, flow charts, blank forms or
other blank documents, copies of completed
documentation, etc.
Documentation

RECAP

There is no perfect SOP

SOPs must describe what is actually done


-SOPs MUST be followed at ALL times
The technical staff should write the SOPs

SOPs must follow the corporate format


Documentation

Finishing the Process

-Printing
-Authorizations
Departmental
QA/RA
-Distribution and document control
-Life span
-Annual reviews/revisions
Documentation

Finishing the Process

Printing and Authorization


-Type the material into the computer
Original SOPs have a “-00” revision number

-Review the text internally


All the people involved in the process

-Sign off the cover page (authorization)


Originator (select one person) + supervisor
Documentation

Finishing the Process

-QA Authorization
-Single QA review by the relevant QA auditor

-Any comments are made in writing


Speed up the process with face to face
meetings
Documentation

Finishing the Process

Distribution & Document Control

Document Control:
-Makes copies
-Applies official stamp
-Distributes copies
Only “official” stamped copies can be
used?
Documentation

Finishing the Process

Distribution & Document Control

-Detailed records are kept of all recipients


A copy of the SOP must be in the work area
If additional official copies are made, this is documented

-All original documents and supporting information


is kept FOREVER!
Documentation

Finishing the Process

Life Span
-SOPs generally last for 2 years
Based on effective date

Unless there are changes to the procedure

All changes must go through the revision process


BEFORE the procedure changes
Documentation

Finishing the Process

Revisions
-If changes have occurred, the SOP must be revised
Regardless of the ”expiry date” of the SOP

-All changes must be:


Documented
Justified
Reviewed and approved
The basic SOP writing and approval procedures
are followed
Documentation

Finishing the Process

Revisions
-The old SOPs are recalled and destroyed
-All documentation is retained FOREVER
All previous SOP editions, review forms and
supporting documentation

The current outdated SOP, the SOP review form and


the newly revised SOP (original)

The distribution list


Documentation

Batch Production Records


The BPR is completed, as the information becomes
available during process:

-Name of the product


-Number of the batch being manufactured

-Dates and times of commencement and completion of significant


intermediate stages, such as blending, heating, etc
Documentation

Batch Production Records


BPR contents, continued

-Batch number and quantity of raw materials actually weighed and


dispensed

-Confirmation by a person of each ingredient added to a batch

-Identification of personnel performing each step of the process and


of the person who checked each of these steps
Documentation

Batch Production Records


BPR contents, continued

-Actual results of in-process quality checks performed at appropriate


stages of the process and identification of the person carrying them
out

-Actual yield of the batch at appropriate stages of processing and the


actual final yields, together with explanations for deviations from the
expected yield

-Notes on special problems with signed authorization


Documentation

Basic Documentation Procedures

-Common problems
Real citations
7 deadly sins

-Fixing these problems


Standards and training
Designing standard forms that work
Documentation

Common Documentation Problems

-Incomplete batch & test records


Steps not verified
Lab results not included
Equipment not identified

-Not reviewed or revised periodically

-Inadequate documentation of deviations


Source: The Gold Sheet – June 1997, pp. 11-12
Documentation

Common Documentation Problems

Other documentation issues


-SOPs missing, inadequate, out of date or not being
followed
-Equipment cleaning/use logs not maintained
-Missing or inaccurate logs
-Training records inadequate
Source: The Gold Sheet – June 1997, pp. 11-12
Documentation

Common Documentation Problems

-Raw data not recorded in an accountable fashion


-Inadequate manufacturing directions
-Inadequate traceability
-Batch records do not state reason for deviation
-No documentation indicating time limits
-In-process lab results not kept with BPRs
-Inadequate QA review of records
Source: BioQuality 1997 (all vol.)
Documentation

Common Documentation Problems


-Training records lack information on specifics
-No formal training program for micro lab workers
-Training not documented as required in SOP
-No records kept of failing WFI chemical tests
-Data from contract lab not reviewed or evaluated
-Yearly SOP reviews not carried out
-Inadequate change history
-Substitution of a method without supporting doc.
Source: BioQuality 1997 (all vol.)
Documentation

Common Documentation Problems


-Use of uncontrolled documents
-Discrepancies noted but not explained
-Calculations not signed for or checked
-Missing signatures/dates
-Blanks on BPRs
-BPRs not detailed enough/not sequential
-Too many corrections
Documentation

Common Documentation Problems

7 “Deadly Sins” of Documentation


-Non-concurrent entries
-_____ (missing information)
-Improper corrections
-Illegible writing
-Improper documentation
-Inconsistencies within documents
-Poorly designed BPRs/worksheets
Documentation

Non-Concurrent Entries

-Hard to find
Documents filled in before the event
Documents filled in after the event

-Re-audit after finding blanks

-Inconsistencies in the records


Different writing “perfect” data
Documentation

Fixing Non-Concurrent Entries


-Have the people who did the work fill in the information
Only if they remember the work

-Note the reason why

-Initial and date

-Have the supervisor review, sign & date

-Write a deviation report


Documentation

Missing Information

-Signatures/initials

-Dates/times (am/pm)

-Information/explanations

-Steps not carried out were left blank


Documentation

Forgotten Entries

-Leave the information blank

-Inform the appropriate people


Supervisor, QA, etc.

-File a deviation report


QA/RA review of the product in question
Documentation

Blank Areas

-Acceptable but make sure it is clear that no information is


expected

-Put a diagonal line through the area


Initial and date

-Or design the form to make it clear


Documentation

Improper Corrections

-Missing initials and dates

-The “write over”

-The “scribbler”
Documentation

Making Proper Corrections

-Cross out the error with a single line


It is necessary to see the incorrect data
-Enter the correct information
As close as possible to the proper place
-Initial and date the correction (+ time)
Provide an explanation if necessary
Documentation

Illegible Writing

-Tricky issue to deal with

-The “bottom line”


If it can’t be understood = no record

-Illegible initials & signatures are OK


Have a signature verification sheet
Printed name, employee ID, signature, initials, date
For the entire department & verified by the
supervisor
Documentation

Improper Documentation Practices

-Use of “white-out” or “liquid Paper”

-Erasure of incorrect entries

-Use of pencil on official documents

-Use of colored and/or water based inks

-Use of “post-it” notes, paper towels, etc


Documentation

Prevention

-Training

-Restrict access

-Have a specification for pens


Black/blue permanent ink

-Well designed BPRs/worksheets


Documentation

Inconsistencies

-Different date/time formats


i.e. Feb 17, 1998 vs. 02/17/98 vs. 17/02/98
i.e. 7:00 pm vs. 19:00

-Decimal places & rounding off


i.e. pH 7.2 vs. 7.23

-Dates/times don’t match


Dates/times don’t match
Documentation

Prevention

-Policy SOP
Clear standards of performance

-Training

-Adequate resources

-Have good forms


Keep them updated
Documentation

Documentation Policy SOP

-Ensures consistency
Clear procedures for documentation

-Procedures on how to deal with problems

-Foundation for training


One of the primary QA SOPs
Documentation

Documentation Policy SOP

Suggest to include:
-Scope (types of records)
-Basics (pens, legibility, completeness, concurrent,
data/time formats, etc.)
-Dealing with problems (making corrections and
non-concurrent entries)
-Record reviews
-Record keeping, retention & retrieval
Documentation

Documentation Policy SOP

-Ensure it references back to the GMPs

-Cross reference other related SOPs


Change control, writing SOPs, deviations, etc.

-Involve production, packaging & testing staff in its


development

-Have all major divisions sign it


Documentation

Essential Systems/ Policies

-Basic documentation practices

-Control of
Written standards
Blank templates
Work records/reports
Documentation

Document Control

-Writing/updating
Change control

-Review and approval


Includes effective date

-Distribution and storage


Copy control
Documentation

Any System

-Policy SOP
Clear standards of performance
Responsibilities clear

-Procedure SOPs

-Standard Forms
Easy to fill out
checklists
Documentation

Change Control

-Purpose: to ensure the most current element is in use


Multiple copies of documents on site
Documents on file with Regulatory Agencies

-Ensures changes are:


Reviewed, justified, documented and approved
Implemented after a review of its implications
Documentation

Summary

-Documentation should be everyone’s primary activity


Proof the work was performed
Proof of meeting specifications/compliance
Proof of product quality
Documentation

Proper Documentation Practices

-Document your work in full at the time it occurs

-The person(s) doing the work must do the documentation


Double check all critical entries
Including calculations

-Sign & date as required


Documentation

Proper Documentation Practices


-Document any deviations
Note why it occurred and sign & date it
Including any unusual observations (SPC)

-Make corrections properly

-Follow standard date/time formats


Documentation

Proper Documentation Practices

-Maintain all records (including training)


-Review the work in a timely manner (24 hrs?)
-Update your documents
(BPRs, specifications, worksheets, SOPs, etc)

-Communicate issues with your supervisor and QA


-Use a permanent ink pen
Preferably black
-Be consistent (i.e. decimal places)
Opening Message Material

Introduction Documentation

History and Background


Complaints and
Recalls
Premises Sanitation and Hygiene

Equipment Validation

Personnel API
Complaints

Complaints
-General comments & questions
Unrelated to product quality (late delivery)

-Product quality related problems


Abnormal appearance, packaging component
deficiencies

-Adverse events
Side effects (expected and unexpected)
pharmacovigilance
Complaints

Complaints
Why does a Company Respond?
-Regulatory requirement (due diligence)

-Provide assurance of product safety/quality

-Act on and investigate problems


Minimize risk (injury and legal)
Minor through to product recall
-Identify areas for improvement/customer service

-REPUTATION
Complaints

Complaints

What should we do?

-Have a formal complaints handling system


Ensures uniform processing of information

Document and investigate

Report & trend


Complaints

Complaints

Elements
-Defined program
Designated complaint handling unit
Written procedure

-Complaint documentation
Logs and reporting forms
Complaints

Complaints

Elements (cont’d)
-Regulatory Review
-Investigation
Returned product review

-Customer follow-up
-Trending
Complaints

Complaint Handling System

Designated Handling Unit


Receipt
Maintain logs
Monitor progress
Create reports & trending
Monitoring/metrics
RA or QA group
Customer service, marketing and/or sales may be
primary contact/reporters
Medical departments may also be involved
Complaints

Complaint Handling System


Complaint Procedure

Policy SOP
Departments and responsibilities
Classifications
Time limits for procedures
Specifications for reporting to regulatory authorities
Complaints

Complaint Handling System


Procedural SOPs

Receipt & log-in


Investigation and reporting
Testing and reporting
Trending and reporting
Feedback to complainant
Documentation requirements
Complaints

Complaint Handling System

Complaint Documentation

Standard blank template


Ensures all relevant data collected
Date and time received
Product and lot# involved
Name/address/phone # of complainant
Nature and details
Complaints

Complaint Handling System

RA/ QA Review

Review & evaluate course of action


Investigation
If no, document only
Medical involvement
Notification to regulatory bodies (FDA field reports)
Complaints

Complaint Handling System

Adverse Events/side effects


Unexpected/severe events

Close monitoring required

Minor/major/critical
Dependent on the drug involved
Parenteral example;
Minor: redness/swelling at injection site
Major: fever & convulsions
Critical: death
Complaints

Complaint Handling System


Investigation

Root cause ID
Time limits for completion

Testing

Auditing
Records and/or process
Complaints

Complaint Handling System


Follow up

Monitoring of Progress

Notification and reporting


• QA/ RA/ Medical
• Customer/ Complainant

Decisions/ Actions
• Nothing thru to recall
Recalls

Recalls
Removal of product from the market
Due to quality, safety, efficacy, etc. problems.
Suspected or confirmed
Reduce/remove risk/hazard to consumers

From complaint/adverse event/stability failure

Regulatory requirement

Destroy affected product


Recalls

Recalls
Mandatory

Actual or probable risk


Complaints/adverse events

Quality/safety risk
Labeling problems (#1)
Stability failures (dissolution testing)
Sterility/contamination
Recalls

Recalls
Voluntary

Potential risk
-Complaint but not a hazard

-Expiry dating issue


Projected failure to meet expiry potency but still fine now

-Asthetic issues
Recalls

Recalls
System Requirements (C.02.012)
-Prompt action

-Formal recall plan


Implementation regardless of the time of day

-Detailed distribution records

-Special handling of returned goods


Recalls

Recalls
Formal Plan

-Key responsible individual)s) identified

-Crisis/recall team membership


QA/QC/RA + Medical + Legal (trained staff)

-Communication requirements

-In writing (SOP)


Recalls

Recalls
Communication

-Regulatory Agency
Informed early
Review of plan and letters

-Wholesalers, importers, distributors


Stop distribution/sales

-Customers (everyone who received the product)


Press releases
Standard questions and answers
Recalls

Recalls
-Detailed documentation of every vial, bottle,
tablet/capsule, device, etc
Who received what, how much and when
Manufacturer, wholesaler, importer and distributor records
Customer level: print or media notices
Health Canada alerts to Doctors, Pharmacists, etc

-Request return of all in-stock material


Authorized destruction and documented
Recalls

Recall Process
-Monitoring
Close scrutiny by the regulatory bodies
Clear documentation requirements
Enforcement action (inspections) may result

-Closure
Return of all product possible
Complete documentation & destruction
Final report prepared
Recalls

Summary: Recalls

Formal system required


Regulatory requirement
Recalls vs. withdrawals

Prompt removal product from market


Remove risk to consumer
Generally return of all stock to manufacturer
Destruction of returned material
Recalls

Top Reasons for Drug Recalls

-Stability Data does not support expiration date


-Super-potent Product
-Labeled mix up
-GMP deviation
-Sub-potent products
-Microbial contamination
Opening Message Material

Introduction Documentation

History and Background Complaints and Recalls

Premises
Sanitation and
Hygiene
Equipment Validation

Personnel API
Sanitation and Hygiene

Scope

-All aspects of manufacturing


-Personnel
-Premises
-Equipment
-Apparatus
-Production materials and container
-Products for cleaning and disinfection
-All potential sources of cross-contamination
Sanitation and Hygiene

Design of Premises
Design
Walls, floors, ceilings, ledges, drains, air supply, dust
extraction

Prevention of build-up of dirt and dust to avoid


unnecessary risks of contamination
Cleaning programme, appropriate cleaning, cleaning records
Sanitation and Hygiene

Design of Premises
Effective cleaning and disinfection
choice of materials and chemicals, validation

Drains

Protection from insects, vermin and weather


from receipt of raw materials to despatch of released product
Sanitation and Hygiene

Avoidance of Cross-contamination-I

-Segregated areas
-Ventilation systems and airlocks
-Clothing
-Closed processing systems
-Cleaning and decontamination
Sanitation and Hygiene

Avoidance of Cross-contamination-II

Segregated areas and separate facilities for

-live vaccines and other biological materials

-penicillin products
Sanitation and Hygiene

Avoidance of Cross-contamination-III

Ventilation systems

-design of ventilation system


-incoming air should be filtered
-pressure differentials and air extraction
-airflow patterns and equipment design
-recirculation versus 100% fresh air supply
Sanitation and Hygiene

Avoidance of Cross-contamination-IV
Clothing
-protection of operator and product

-highly potent products or those of particular risk - need for


special protective clothing

-personnel should not move between areas producing different


products

-garments need to be cleaned


Sanitation and Hygiene

Avoidance of Cross-contamination-V

Closed Processing Systems

-For example: totally enclosed water purification systems

-tanks fitted with appropriate filtration - without


removable lids

-present special cleaning difficulties, sometimes use


clean-in-place (CIP)
Sanitation and Hygiene

Avoidance of Cross-contamination-VI

Cleaning and Decontamination

-procedure for removing soil and dirt

-remove all cleaning chemical residues or disinfectant


residues

-must remove or reduce micro-organisms


Sanitation and Hygiene

Production Operations – Sanitation – II

Simultaneous operations
-not permissible to process different products in different
areas with a common ventilation system

-permissible to carry out secondary packaging activities for


different products within a packing hall with adequate
physical separation
Sanitation and Hygiene

Production Operations – Sanitation – III

Area clearance checks

Process of checking
-all materials and documentation from the previous batch removed

-all plant and equipment thoroughly cleaned and appropriate status


labelling

-checklist useful
Sanitation and Hygiene

Production Operations – Sanitation – IV


Area clearance checks

The area clearance check should be carried out by two people


-between batches of same product, acceptable for both
checks to be carried out by production personnel

-for product changeover, second check carried out by QC staff

-all checks carried out in accordance with written SOP and


results recorded on the batch documentation.
Sanitation and Hygiene

Production Operations – Sanitation – V


Cleaning and cleaning validation
-degree of cleaning depends on whether consecutive batches
are of same or different product
Check cleaning agent is fully removed
-If possible hot water alone used for cleaning
all cleaning and disinfecting solutions carefully prepared and expiry dated

-Final rinse with purified water, or water for injection (for sterile
products)

-Full records kept


Sanitation and Hygiene

Production Operations – Sanitation – VI


Maintenance and repair
-activities inevitable in manufacturing area.
-Should present no risk to product

-Whenever possible, all planned maintenance outside normal


operating hours

-Emergency work in working area followed by thorough clean down


and disinfection before manufacturing recommences

-Area clearance by QC
Sanitation and Hygiene

Personal Hygiene-I
Health examinations
On recruitment for direct operators , repeated on regular basis

Training - check
induction training for new operators includes basic personal hygiene
training

written procedures - to wash hands before entering a


manufacturing area

signs in changing rooms to reinforce hand washing


Sanitation and Hygiene

Personal Hygiene-II

Illness
staff with illness or open lesions should not handle starting materials,
intermediates or finished products

Adverse conditions
operators trained to recognize risks
willingness to report illness to the area supervisor
Sanitation and Hygiene

Personal Hygiene-III

Contact between product and operator


-avoid direct contact

-if direct handling unavoidable, gloves should be worn

-check glove disinfection (for sterile production) and disposal


Sanitation and Hygiene

Personal Hygiene-IV
-Smoking, eating and drinking should not be allowed in any
manufacturing area, including laboratories and storage rooms.

-Chewing of gum should be banned.

-There should be no plants kept inside any factory areas.

-Rest and refreshment areas should be separate from manufacturing


areas.

-Toilets should not open directly into production or storage areas.


Opening Message Material

Introduction Documentation

History and Background Complaints and Recalls

Premises Sanitation and Hygiene

Equipment Validation
Personnel API
Validation

Definition

Validation is the documented act of proving that any


procedure, process, equipment, material, activity or system
actually leads to the expected result
Validation

Types of Process Validation


-Experimental approach
Prospective validation
Concurrent validation

-Analysis of historical data


Retrospective validation

-Revalidation
Periodic revalidation
Revalidation after change
Validation

Stages of Validation

-Design qualification (DQ)

-Installation qualification (IQ)

-Operational qualification (OQ)

-Performance qualification (PQ)


Validation

Priorities for Process Validation

Type of Process Requirement


New
Every new process before approval for routine

Existing
Start with major processes, equipment

All critical functions/parameters


Validation

Types of Documentation

Validation Master Plan (VMP)

Validation protocols (VP)

Validation reports (VR)

Standard Operating Procedures (SOPs)


Validation

The Validation Master Plan could consist of:

-Approval page and table of contents


-Introduction and objectives
-Facility and process description
-Personnel, planning and scheduling
-Responsibilities of committee members
-Process control aspects
-Equipment, apparatus, processes and systems to be validated
-Acceptance criteria
-Documentation e.g. validation protocols and reports
-SOPs
-Training requirements
Validation

Protocol

-Objectives of the validation and qualification study


-Site of the study
-Responsible personnel
-Description of the equipment
-SOPs
-Standards
-Criteria for the relevant products and processes
Validation

Report

-Title
-Objective of the study
-Refer to the protocol
-Details of material
-Equipment
-Programmes and cycles use
-Details of procedure and test methods
Validation

Possible situation-I

-Refurbishment of a liquids department, producing a single product


on an established site with an existing purified water system.

-Ventilation system
Equipment and process
Training
Validation

Possible situation-II

-New product introduced into an existing tablet manufacturing site,


with 20 products already being produced
Process Cleaning
Training
Validation

Possible situation-III
A new liquids manufacturing building on an existing site
which will produce 2 products.

-Ventilation
-Equipment and process
-Cleaning
-Training
Validation

Possible situation-IV
An existing sterile suite producing 5 products that are
terminally sterilized

-Sterilizers
-Ventilation and other environmental aspects
-Equipment and process
-Cleaning
-Training
Opening Message Material

Introduction Documentation

History and Background Complaints and Recalls

Premises Sanitation and Hygiene

Equipment Validation

Personnel API
Active Pharmaceutical Ingredients

General Considerations

-Overall control
-Consistent uniform batches
-Compliance with GMP
production
quality control
-General guidelines
-Co-operation in production
-Human and veterinary preparations
Active Pharmaceutical Ingredients

Personnel
-Qualified and competent
production and quality control
sufficient number
education, knowledge, experience

-Organizational chart with responsibilities

-Written job description or instructions


-Trained
-Health
diseases
open lesions
Active Pharmaceutical Ingredients

Premises
General
-suitable construction and environment

-adequately adapted and sufficient size

-mix-ups or contamination

-logical work flow


Active Pharmaceutical Ingredients

Premises
Hygiene

-clothes, washing, toilets

-eating, drinking, smoking


Active Pharmaceutical Ingredients

Equipment

Design, construction, location and maintenance


intended use, cleaning, contamination
validated operation

Cleaning
sterilised, used, maintained: SOPs, records and checks
Active Pharmaceutical Ingredients

Equipment

Process monitoring and control


calibrated, checked
records

Defective equipment
removed or labelled
repaired, documented
Active Pharmaceutical Ingredients

Sanitation
-Written programmes
validated for premises and equipment
quality standard for water
hygiene , health and clothing practices
waste disposal

-Implementation and training


-Practices not permitted:
eating, smoking
unhygienic practices
Active Pharmaceutical Ingredients

Documentation
Master formulae
written instructions
master formula contents
authorisation
outdated documents
amendments

Batch documentation
batch manufacturing record contents
contract production
data recording
Active Pharmaceutical Ingredients

Record and Reference Sample Retention

Activities are traceable


production and quality control

Retention of records and samples


retention period
Active Pharmaceutical Ingredients

Production

Processing procedures
-master formula
-critical steps defined and validated
-supervision
-labelling
vessels, containers, equipment
Active Pharmaceutical Ingredients

Production (continued)
Starting materials
receiving, quarantine, sampling
testing
release, reject, storage, labelling
dispensing SOP
exceptions for hazardous materials

Intermediates
testing
labelling
storage
Active Pharmaceutical Ingredients

Production (continued)

Active pharmaceutical ingredients


meet specifications
limits for residue and reactants
sterile APIs
Active Pharmaceutical Ingredients

Production (continued)
Packaging
-packaging material selection
-procedures to prevent error
-labelling, including:
Product name
Quality
Batch number
Expiry or retest date
Warnings, if required
Storage conditions
Names of manufacturers and suppliers
Active Pharmaceutical Ingredients

Quality Control
Independent unit
Duties: Approve, reject or release
specifications and methods
sampling, sanitation and hygiene
reprocessing
stability
complaints
Laboratory access and requirements
Contract laboratories
Active Pharmaceutical Ingredients

Stability Studies

Written programme
stability indicating methods

Samples
containers
storage conditions

Expiry or retest date


Active Pharmaceutical Ingredients

Self-Inspection and Quality Audits

Regular independent inspection


expert or team of experts
production and quality control

Records
Active Pharmaceutical Ingredients

Storage

-Suitable conditions based on stability studies

-Distribution records for each batch


written SOP
facilitate recalls
Active Pharmaceutical Ingredients

Complaints and Defects


Written instructions
Prompt action and investigation
record facts
Product review system

Reject materials
Written procedures
starting materials, intermediates, packaging materials
identified
storage pending fate
Active Pharmaceutical Ingredients

Possible Issues

Manufacturers supplying various types of industries

Imports through brokers

Hazardous processes

Commercial secrecy

Unsatisfactory final facilities


Active Pharmaceutical Ingredients

Possible Issues

-The interpretation of the meanings of expiry dates and re-test dates


-The use of APIs close to their expiry date
-Blending of rejected APIs
-Reprocessing, recovery and/or reworking of APIs
-Recycling and treatment of solvents
-Addition of impurities to batches of APIs
-Trace-ability, repacking and re-labelling

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