Quality Assurance and Regulatory Compliance for Pharmaceutical Product Prof. Dr. Basavaraj K.
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Quality Assurance and Regulatory Compliance for Pharmaceutical Product Prof. Dr. Basavaraj K. Nanjwade M. Pharm., Ph. D Department of Pharmaceutics KLE University College of Pharmacy BELGAUM-590010, Karnataka, India E-mail: [email protected] Cell No: 00919742431000 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 1 Quality Assurance Quality assurance is a wide ranging concept covering all matters that individually or collectively influence the quality of a product. It is the totality of the arrangements made with the object of ensuring that pharmaceutical products are of the quality required for their intended use. QA is the heart and soul of quality control QA = QC + GMP 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 2 The System of Quality Assurance Pharmaceutical products are designed and developed in a way that takes account of the requirements of GMP and other associated codes such as those of good laboratory practice (GLP) and good clinical practice (GCP) Product and control operations are clearly specified in a written form and GMP requirements are adopted 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 3 The System of Quality Assurance Managerial responsibilities are clearly specified in job description Arrangements are made for the manufacture, supply and use of the correct starting and packaging materials. All necessary controls on starting materials, intermediate products, and bulk products and other in-process controls, calibrations, and validations are carried out. 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 4 The System of Quality Assurance The finished products is correctly processed and checked according to the defined procedures. Pharmaceutical products are not sold or supplied before the authorized persons have certified that each production batch has been produced and controlled in accordance with the requirements of the marketing authorization and any other regulations relevant to the production, control and release of pharmaceutical products 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 5 The System of Quality Assurance Satisfactory arrangements exist to ensure, as far as possible, that the pharmaceutical products are stored by the manufacturer, distributed and subsequently handled so that quality is maintained throughout their shelf-life. There is a procedure for self-inspection and/or quality audit that regularly appraises the effectiveness and applicability of the quality assurance system 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 6 The System of Quality Assurance Deviation are reported, investigated and recorded There is a system for approving changes that may have an impact on product quality Regular evaluations of the quality of pharmaceutical products should be conducted with the objective of verifying the consistency of the process and ensuring its continuous improvement. 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 7 Quality relationships QA GMP QC 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 8 Quality Assurance It is the sum total of the organized arrangements with the objective of ensuring that products will be of the quality required for their intended use 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 9 Good Manufacturing Practice Is that part of Quality Assurance aimed at ensuring that products are consistently manufactured to a quality appropriate to their intended use 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 10 Good Manufacturing Practice GMP Covers all aspects of production including • Raw or starting materials • Finished products • Premises and environment • Equipment • personnel • Training • Hygiene 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 11 Quality System with Traceable Documentation Approved Materials Trained Personnel Approved Manufacturing Facilities Validated Equipment Approved Manufacturing Instructions GOOD MANUFACTURING PRACTICE Validated Manufacturing Processes Validated Test Method 04th Oct. 2011 Controlled Environment Controlled Materials Handling, Storage, Segregation, Packaging & Labelling Internal Audits & Reviews Maharashtra College of Pharmacy, Nilanga Material, Intermediate & Finished Products Testing 12 Quality Control Is that part of GMP concerned with sampling, specification & testing, documentation & release procedures which ensure that the necessary & relevant tests are performed & the product is released for use only after ascertaining it’s quality 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 13 QA and QC • QA is the sum total of organized arrangements made with the object of ensuring that product will be of the Quality required by their intended use. 04th Oct. 2011 QC is that part of GMP which is concerned with sampling, specifications, testing and with in the organization, documentation,and release procedures which ensure that the necessary and relevant tests are carried out Maharashtra College of Pharmacy, Nilanga 14 QA and QC • All those planned or systematic actions necessary to provide adequate confidence that a product will satisfy the requirements for quality 04th Oct. 2011 Operational laboratory techniques and activities used to fulfill the requirement of Quality Maharashtra College of Pharmacy, Nilanga 15 QA and QC • QA is company based 04th Oct. 2011 QC is lab based Maharashtra College of Pharmacy, Nilanga 16 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 17 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 18 Quality Assurance-Highlights In process quality checking in manufacturing Validation of facilities, equipments, process, products and cleaning Complaint handling Storage of quality records and control samples Stability studies 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 19 Quality Assurance Activities 1. Technology Transfer 2. Validation 3. Documentation Control 4. Assuring Quality of Products 5. Quality Improvement Plans 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 20 1. Technology Transfer Receipt of product design documents from R & D Department Distribution of documents to different departments Checking and approval of documents generated based on R & D documents i.e. batch manufacturing record Scale‐up and validation of product 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 21 2. Validation • Preparation of validation plans for equipments/process including cleaning facility, • Approval of protocol for validation of facility /equipment /product /process • Team member for execution of validation of facility/equipment/ product/process 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 22 3. Documentation Control Controlled distribution and archiving of documents Control of changes made by proper change control procedure Approval of all documents 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 23 4. Assuring Quality of Products cGMP training SOP compliance Audit of facility for compliance Line clearance In‐process counter checks Critical sampling Record verification Release of batch for marketing Investigation of market complaints 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 24 5. Quality Improvement Plans To take Feedback from different departments Proposals for corrective and preventive actions Annual Products review Trend analysis of various quality parameters for products, environment and water 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 25 FACTORS IN DRUG QUALITY ASSURANCE Legislative Framework -Regulations Import & Export Control Human ResourcesProfessionals Raw MaterialsActive & Inactive Manufacturing Processes & Procedures 04th Oct. 2011 Packaging Labeling & Product Information DRUG PRODUCT QUALITY Storage Maharashtra College of Pharmacy, Nilanga QC & Analysis Transport Distribution Dispensing & Use 26 Quality Assurance Cycle Research Development Raw Materials Facilities Documentation Equipment Personnel 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 27 Quality Assurance Highlights • In process quality checking in manufacturing • Validation of facilities, equipments, process, products and cleaning • Complaint handling • Storage of quality records and control samples • Stability studies 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 28 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 29 Equipment /Instrument Qualification Before a process can be validated the equipment, facilities & services used in that process must themselves be validated such an operation is referred to as qualification Qualification therefore, an integral part of process validation which in turn is part of GMP 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 30 Equipment /Instrument Qualification 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 31 Equipment /Instrument Qualification 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 32 Why to qualify If the instrument is not qualified prior to use & if a problem occurs, the source of problem will be difficult to identify. Qualification is the part of validation Begins at Vendor’s site Structural Validation Design/Development stage of equipment/instrument Produced in validated environment According to GLP, cGMP, GAMP, ISO 9000 etc. 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 33 Qualification Involves User Requirement Specification (USR) Functional Design Specification (FDS) Design Qualification (DQ) Factory Acceptance Tests (FAT) Installation Qualification (IQ) Site Acceptance Test (SAT) Operational Qualification (OQ) Performance Qualification (PQ) 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 34 Details Record in Change Control Request for change Change control No. Date Change related to product/document/system/facility Concerned documents with number Description of change Reason for change Impact of change 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 35 Details Record in Change Control Proposed methodology for implementation Category of change Type of change Comparison criteria for evaluation of the change Assessment of impact of change Approval of change Implementation of change Closure of change 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 36 Details Recorded in Deviation Approval Deviation no. Deviation related to Concerned identity number (Batch No., Code No. etc) Type of deviation (Planed/Unplaned) Description of deviation Reason/Investigation with document Category of deviation Root cause analysis 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 37 Details Recorded in Deviation Approval Impact of deviation (on batches, Products, Items, etc) Immediate action CAPA (Corrective and Preventive Action) Impact of CAPA Intimation to concerned Comments from concerned Periodic review Final review Deviation close-out Evaluation of implemented CAPA 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 38 Details Recorded In Out of Specification Report OOS No. (Out of Specification) Reporting of OOS Information of OOS to immediate senior Assessment of analytical data by immediate senior Discussion between analyst and immediate senior Sampling and analysis Data compilation Assignable cause identification Full scale OOS investigation (Cause not identified) Evaluation Conclusion CAPA OOS results summary 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 39 Area of Self Inspection Personal & Personal details Premises including personnel facilities Maintenance of building & equipment Storage of starting material & finished products (Stores) Equipment Production & In-process controls Cephalosporin Mfg & Packing Manufacturing Packing Quality control Documentation Sanitation & Hygiene Validation and revalidation program 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 40 Areas of Self Inspection Calibration of instruments or measurement system Recall procedure Complaints management Labels control Computerized system Engineering Documents related to regulatory affairs Discarding of residues Quality assurance Control on contract analysis Results of previous self inspection, quality audit and any corrective steps taken 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 41 Details Recorded in Complaint Investigation Report Complaint No. Product Name Manufacturing and Expiry of product Source of complaint Date of receipt of complaint Nature of complaint Category of complaint 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 42 Details Recorded in Complaint Investigation Report Investigation Impact of complaint on other batches/products Batches/Products Review CAPA Impact of CAPA Implementation of Preventive action Close out of complaint 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 43 Acceptance Criteria Sr. No. RPN Rating RPN Category 1. Up to 25 Minor 2. 26 to 50 Moderate 3. 51 to 75 Major 4. 76 to ≤125 Critical RPN: Risk Priority Number 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 44 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 45 ROOT CAUSE ANALYSIS 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 46 Regulatory Compliance For Pharmaceutical Product 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 47 Regulatory Requirements Regulatory requirements are part of the process of drug discovery and drug development. Regulatory requirements describe what is necessary for a new drug to be approved for marketing in any particular country. In the US, it is the function of the Food and Drug Administration (FDA) to establish these regulatory requirements. The European Medicines Agency (EMA) and Japanese Pharmaceuticals and Medical Devices Agency (PMDA) are also important regulatory authorities in drug development. These three agencies oversee the three largest markets for drug sales 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 48 Regulatory Compliance In general, compliance means conforming to a rule, such as a specification, policy, standard or law. Regulatory compliance describes the goal that corporations or public agencies aspire to in their efforts to ensure that personnel are aware of and take steps to comply with relevant laws and regulations. 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 49 Pharmaceutical Product Quality Cannot Be Tested in - It Is Built in Pharmaceutical product quality is assured by Comprehensive development program Extensive manufacturing and environmental controls Rigorous validation procedures and requirements Compliance to regulatory requirements The high quality thus built into the final product is ensured through in-process controls and verified in a series of confirmatory tests before each manufactured batch is released to the market 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 50 Composition of Quality Manpower Materials Means Product / Service Media Methods Quality = Quality of Manpower (Qualification, Training…) + Quality of Materials (Specifications, Approved Suppliers...) + Quality of Means (Qualified equipments, maintenance…) + Quality of Media (GMP premises, Controlled environment…) + Quality of Methods (Calibration, Validation…) 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 51 Functions of a Quality Unit Quality Control – Sampling and testing of components (raw materials, Packing materials), intermediates and finished products – Compliance to Good Laboratory Practices (GLPs) 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 52 Functions of a Quality Unit Quality Assurance – Designing robust quality systems – Ensure compliance to relevant regulatory requirements – Ensure compliance to requirements of Good Manufacturing Practices (GMP) 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 53 Value addition in QA function Quality Assurance: – Perform structured selfinspection audits at regular intervals to prevent any failure or non-conformance – Critically analyze the quality non-conformance issues and suggest corrective and preventive actions 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 54 Value addition in QA function Quality Assurance: – Perform documentation audit to ensure realistic recording of all the relevant process parameters – Review the adequacy of inprocess control checks to prevent any potential failures 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 55 Value addition in QA function Quality Assurance: – Training & Knowledge Management – Perform literature survey of FDA / ICH / ISO guidelines, revisions in the Pharmacopoeial specifications and the current regulatory requirements and provide training to the production personnel. 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 56 Value addition of Regulatory function to enhance Quality Assurance Regulatory Compliance: – Knowledge of the current international regulatory requirements – Comprehensive compilation of the ‘Product Registration Dossiers’ for the specific customer countries 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 57 Regulatory Compliance API API Drug Product Regulatory Approval Manufacturing Plant CRO Regulatory dossiers Drug Product Bioequivalenc e Clinical Trials Nationa l Regional Re-registration/Renewal Global Post Approval Changes 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 58 Regulatory Compliance Regulatory Compliance National 04th Oct. 2011 Regional Maharashtra College of Pharmacy, Nilanga Global 59 National (India) Compliance to (Drugs & Cosmetics Act 1940 & Rules under) License Application Receipt Manufacturing license Form No. 24 Form No. 25 Test license Form No. 30 Form No. 29 Import license Form No. 12 Form No.11 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 60 National (India) Drug Regulatory approval Schedule Y Compliance Form 44 Manufacturing Schedule M Compliance Documentation Schedule U Compliance Packaging Schedule P Compliance API/Excipients/FP/PM IP Inputs if not BP/USP/ or IH 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 61 Regional (US) Parameters API Excipients Packaging materials US USP (US DMF Type II) USP Complying to USP (Type III DMF) Finished Product USP Submission batch 1 Submission batch size Stability 100,000 units or 1/10th of commercial batch Zone II requirement 25º+2ºC/60+5%RH & 40º+2ºC/75+5%RH Reference product Bioequivalence study Compliance to Generic application 04th Oct. 2011 US RLD (Orange book listed) Generally both fast & fed condition 21 CFR and its sub parts such as part 210 – 211, part 11, part 314, part 350, ICH etc., FDA form 356h 62 Regional (Europe) Parameters API Europe Ph.Eur. [COS (CEP) / EDMF] Excipients Ph.Eur. Packaging materials Ph.Eur. Finished Product As per Ph.Eur. General requirement Submission batch 2 Submission batch size Stability 100,000 units or 1/10th of commercial batch Zone II requirement 25º+2ºC/60+5%RH & 40º+2ºC/75+5%RH Reference Product Bioequivalence study Compliance to Generic application 04th Oct. 2011 Europe Generally fasting condition Orange guide, EDQM, CHMP, CPMP guidelines, ICH AS per Article 10 and its sub sections 63 Regional (Others) Parameters API Other markets USP / Ph.Eur. (DMF requirement depends on the target market) Excipients USP / Ph.Eur. Packaging materials USP / Ph.Eur. Finished Product USP / Ph.Eur. Submission batch 2 or 3 Submission batch size Stability Reference Product Bioequivalence study Compliance to Generic application 04th Oct. 2011 Depends on the target market Depends on the Target market (E.g.: ASEAN: Zone IVb) Depends on the Target market Generally fasting condition Respective country guidelines AS per respective country guidelines 64 Global Parameters Global API Harmonization of specification Excipients Harmonization of specification Packaging materials Harmonization of specification Finished Product Harmonization of specification Submission batch 3 Submission batch size Stability Reference Product Bioequivalence study Compliance to Generic application 04th Oct. 2011 100,000 units or 1/10th of commercial batch Zone III & IV Multiple region Fasting & Fed condition Global Standards AS per respective country guidelines 65 Regulatory Dossier CTD dossier component Module 1- Administrative & prescribing information (Region specific) Module 2: CTD summaries (Quality overall summary, the non-clinical overview/summaries, clinical overviews/Summaries) Module 3: Quality (CMC) Module 4: Non clinical study reports (Documentation on Toxicological and pharmacological tests) Module 5: Clinical study reports (For Generics: Bioequivalence study) CTD ORGANIZATION IS BASED ON M4: Organization of the CTD M4E: The CTD — Efficacy M4Q: The CTD — Quality M4S: The CTD — Safety 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 66 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 67 Regulatory Dossier Regulatory approach: Parameters US Europe Other markets India USP Ph.Eur. USP / Ph.Eur. IP USDMF COS (CEP) / EDMF DMF requirement depends on the target market USP Ph.Eur. USP / Ph.Eur. IP US Europe Depends on the target market Indian (if not available, then US or Europe) Complying to USP Ph.Eur. USP / Ph.Eur. IP Finished product USP As per Ph.Eur. General requirement USP / Ph.Eur. IP Submission batch 1 2 2 or 3 - Submission batch size 100,000 units or 1/10th of commercial batch 100,000 units or 1/10th of commercial batch Depends on the target market No such requirement API Excipients Reference product Packaging materials 04th Oct. 2011 68 Regulatory Dossier Regulatory approach: Parameters US Europe Other markets India 1 batch 2 batches 2 or 3 batches 3 batches Stability condition Zone I & II condition Zone I & II condition Depends on the target market Zone IV condition Comparative dissolution study 3 media 3 media Depends on the target market 1 to 3 media TSE/BSE, OVI statements TSE/BSE Depends on the target market No such requirement Food grade certificate Food grade certificate Depends on the target market No such requirement Method validation data As per ICH ICH ICH No such guideline Process validation data Not required Not required Depends on the target market Not required for submission Bioequivalence study US reference product under fast and fed condition European reference product (generally under fasting condition) Generally fasting bio study Fasting bio study Bioequivalence study In USFDA approved CRO anywhere in the world MHRA/EU approved CRO anywhere Depends on the target market Indian study required Stability data Input materials Packaging materials 04th Oct. 2011 69 Specific requirements of an US ANDA QOS: in QbR format (Quality overall summary:Question-based review) Exhibit batches (1 batch) Stability data at the time of submission (3 Months) TSE/BSE certificate (Transmissible spongiform encephalopatics/Bovine spongiform encephalopathy) Structured Product Labeling (SPL) & side by side labeling comparison OVI statement (Organic volatile impurities) Financial certification / disclosure statement (Bioequivalence study) Environmental assessment or claim for categorical exclusion Declaration under Generic Drug Enforcement Act (Debarment certification & conviction statement) Patent certification & exclusivity statement Appointment of US agent & letter of US agent authorization Copy of executed batch records 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 70 Specific requirements of an EU dossier Release testing in EU (QP) Exhibit batches (2 batches) Stability data (6 Months) Process validation study Release and shelf life specification Microbiological considerations TSE/BSE certificate SPC (Summary of product characteristics) Braille labeling (Just another way to read and write English) Readability testing 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 71 Regulatory Approval Product Approval / Authorization Successful registration of the product in the target market involves: Successful review of API DMF / COS Successful audit of API plant (wherever applicable) Successful review of Drug Product Dossier (ANDA, MAA etc.) • CMC data review • Bioequivalence study data review • Administrative data review Successful audit of the drug product manufacturing plant Successful audit of the bioequivalence study CRO 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 72 Quality Assurance: Common Regulatory Compliance Issues API Infringing route of synthesis Not consistent with respective Pharmacopoeial requirement Impurity profile out of limit Residual solvents not meeting the requirements Unapproved site of manufacture (by concerned regulatory body) Unacceptable physico-chemical properties (particle size, polymorphism, bulk density, etc.) From manufacturer who does not assure uninterrupted supply of API Unapproved vendor (by drug product manufacturer) Use of non DMF / COS material (e.g.: US, Europe etc.) High cost (commercial viability) 04th Oct. 2011 73 Quality Assurance: Common Regulatory Compliance Issues Excipient Use of rarely available / or commonly not used excipients Use of Non GRAS materials (Generally recognized as safe) Incompatible Not consistent with respective Pharmacopoeial requirement Residual solvents not meeting the requirements TSE / BSE / GMO (Genetically modified organisms) Unapproved vendor Unacceptable physico-chemical and functional properties (particle size, bulk density, viscosity grade, surface area, degree of polymerization etc.) From manufacturers who do not assure uninterrupted supply High cost (commercial viability) 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 74 Quality Assurance: Common Regulatory Compliance Issues Formulation development Pre-formulation Improper API characterization • Intrinsic solubility • pH dependent solubility • Saturation solubility • Particle size • Polymorph • Bulk density • Hygroscopicity study • Impurity profile etc., Wrong choice of reference product (e.g. Not selecting innovator product) Reference product not matching with the proposed market (e.g.: European product selected for US market) Inadequate drug excipient compatibility studies 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 75 Quality Assurance: Common Regulatory Compliance Issues Formulation development Use of overages without proper justification Use of banned / unapproved colours (in target market) Use of excipients without proper justification (e.g.: surfactants etc.) Use of excipients not consistent with the proposed route of administration Use of Pharmacopoeial grade not consistent with the target market Infringing process Lack of proper development report Inadequate optimization study data on process controls Complex / costly process / lengthy operating cycle Use of non-aqueous solvents (to be avoided) 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 76 Quality Assurance: Common Regulatory Compliance Issues Formulation (Finished product) Dissolution profile not matching with the reference product Dissolution profile not matching with the bio strength in case of multi strength products (for bio waiver purpose) Not meeting Pharmacopoeial requirement Dissolution – Lack of justification for selection of: • Media • Apparatus • RPM • Volume of media • Sampling point • Dissolution limit • Justification for addition of surfactant (e.g.: SLS), enzymes (e.g.: Pepsin, Pancreatin etc.) in the dissolution medium 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 77 Quality Assurance: Common Regulatory Compliance Issues Formulation (Finished product specification) Not meeting Pharmacopoeial requirement / ICH Q6A Lack of second identification test (for non specific test) Inadequate impurities & residual solvent specification (ICH Q3A, B, Q3C) Lack of testing for preservatives, anti-oxidants wherever used Lack of test for breakability / content uniformity for half tablets (when functional score line exists) Lack of test for establishing polymorphic conversions Color identification test (e.g.: Europe) Test for water content in solid dosage form (e.g.: US) Missing of microbiological tests Lack of specification for testing after reconstitution 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 78 Quality Assurance: Common Regulatory Compliance Issues Packaging Materials Improper justification for the selection of packaging materials Lack of data on release / sorption / leaching study (specially for those used in liquid / parenteral preparations) Lack of study to demonstrate integrity of container closure system (where applicable) Primary packaging material not suitable for its intended performance (e.g.: child resistant) Lack of identification test in the specification Lack of food grade certification for the materials Non use of virgin Maharashtra gradeCollege polymers 04th Oct. 2011 of Pharmacy, Nilanga 79 Quality Assurance: Common Regulatory Compliance Issues Manufacturing of submission batches Inadequate batch size (e.g.: less than 100,000 units or 1/10th of the commercial batch size whichever is higher) Inadequate number of batches (e.g.: minimum 1 batch for US, 2 batches for Europe etc.) Inadequate packaging quantity (e.g.: minimum 100,000 units packed quantity for US) Lack of process validation (applicable to many Asia Pacific countries) Lack of stratified sampling during in-process test (e.g.: US) Hold time study 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 80 Quality Assurance: Common Regulatory Compliance Issues Analytical methods Analytical methods not validated Analytical methods not stability indicating (for stability studies) Forced degradation studies not performed Inadequate justification for choice / selection of method (UV vs HPLC) Inadequate justification for selection of conditions (column, wavelength, run time, mobile phase, flow rate, temperature etc.) Non availability of method development report In adequate method validation parameters (e.g.: LOD, LOQ in RS method) 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 81 Quality Assurance: Common Regulatory Compliance Issues Stability Study Inadequate batch size (e.g.: less than 100,000 units or 1/10th of the commercial batch size whichever is higher) Inadequate number of batches (e.g.: minimum 1 batch for US, 2 batches for Europe etc.) Chamber temperature and humidity condition not appropriate to the target market (e.g.: Zone I & II and Zone III and Zone IV conditions are different) Inadequate data at the time of submission (e.g.: 3 months data for US, 6 months data for Europe) 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 82 Quality Assurance: Common Regulatory Compliance Issues Stability Study Photo stability study not considered Improper container orientation (specially for liquid products) Inadequate stability study on bulk shipment pack (if intended to ship it for repackaging) Inadequate parameters covered under stability protocol (e.g.: microbial testing) Not charging samples under fall back condition 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 83 Stability Global climatic zones Mean Kinetic Temperature (ºC) Yearly average RH (%) Zone I (Moderate) 21 45 Zone II (Mediterranean) 25 60 Zone III (Hot & Dry) 30 35 Zone IV (Hot & humid) 30 70 Zone 04th Oct. 2011 84 Stability Distribution of nations into different climatic zones: Region Zones I & II Zone III & IV European All countries - American Chile, Canada, United States Brazil, Jamaica, Venezuela Asian China, Japan, Turkey India, Philippines, Sri Lanka African South Africa, Zambia, Zimbabwe Botswana, Ghana, Uganda Australia, New Zealand Fiji, Papua - New Guinea Australian / Oceanic 04th Oct. 2011 85 Quality Assurance: Common Regulatory Compliance Issues Bioequivalence study Use of wrong strength (in case of multiple strength products) Use of inappropriate reference product (e.g.: US reference product for Europe study) Inadequate number of volunteers Inadequate sampling intervals to capture tmax / cmax (maximum time points should be there around the expected tmax/cmax) Inadequate wash out period Design fault in deciding what to test (e.g. testing of parent compound or active metabolite or both) Choice of study (Fast / Fed study or both) 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 86 Quality Assurance: Common Regulatory Compliance Issues Bioequivalence study Use of non validated method for testing Stability of plasma samples not established Inadequate number of reserve samples (e.g.: 5 times of the sample required for complete analysis) Use of unapproved CRO Inappropriate documentation [IEC / IRB approval of protocol, informed consent, CRF, pharmacokinetic data, statistical data (SAS), etc] Bioequivalence study sample formula different from commercial batch formula Bioequivalence study samples are not from GMP pivotal batch 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 87 Quality Assurance: Common Regulatory Compliance Issues Regulatory audits Training of personnel Facility upkeep Equipment upkeep and preventive maintenance program Area and environmental monitoring QA systems, documentation control and traceability Vendor approval procedure Inventory control and storage Change controls, deviations OOS 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 88 Quality Assurance: Common Regulatory Compliance Issues Regulatory audits Qualification / validation of system, facility, equipment etc. Water system HVAC system (Heating, ventilation and air conditioning) Stability program Process validation Laboratory control, testing and release of materials Documentation review (Batch records, analytical records, etc.) Batch release by QA 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 89 Quality Assurance in Life Cycle Management Tasks to be performed Pharmacovigilance Safety reports Post Approval Changes / Variations To implement necessary up-dates and changes of the dossier Line extensions (major changes, requiring new MAA) To implement necessary up-dates and changes of the dossier Renewal / Re-registration 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 90 Quality Assurance in Life Cycle Management Post Approval Changes Formula Batch size Process Site Change Equipment Change Source / Spec & test procedure API / Excipients / Pkg Materials Multiple Changes 04th Oct. 2011 91 Quality Assurance in Life Cycle Management Post Approval Changes (US SUPAC) Post approval changes Level 1 Reporting Annual Report Changes Being Effected (CBE) Level 2 Changes Being Effected in 30 days (CBE-30) Level 3 Changes Being Effected (CBE) Changes Being Effected in 30 days (CBE-30) "Scale-Up and Post-Approval Changes" 04th Oct. 2011 Prior Approval Supplement (PAS) Maharashtra College of Pharmacy, Nilanga 92 Quality Assurance in Life Cycle Management Post Approval Changes (Europe) Category Reporting Minor Type 1A Moderate Type 1B Major Type II standard Critical Type II complex 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 93 Quality Assurance in Life Cycle Management Post Approval Changes (Other markets) Other markets Notifications e.g. Australia India No such requirement Part A: Non-assessable changes Part B: Self-assessable changes Part C: Changes requiring approval 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 94 Quality Assurance in Life Cycle Management Registration validity US: Annual report every year Europe: Re-registration once in 5 years India: License renewal every 5 years Other countries: Generally 5 years 04th Oct. 2011 95 Quality Assurance: The most important element of regulatory compliance The most important element for compliance is….. Manpower … Manpower … Manpower It is the people who ensure Regulatory compliance at every stage of product life cycle i.e. starting from product development to life cycle management The best way to enhance their capability is through ……. Training…….Training ……. Training 04th Oct. 2011 96 Quality Assurance: The state of compliance Everything is likely to undergo change during the life cycle of a product……. Formula, Process, Equipment, Batch size, Suppliers, Manufacturing site, Trade dress, Indications, Regulatory requirements, Specifications & test procedures, People and so on ……… The only thing that can not be changed is the…. “State of Compliance” 04th Oct. 2011 97 Regulatory Authorities India: DCGI & State Drug Administration European Union: EMEA and national USA : Food and Drug Administration (FDA) Australia : Therapeutic Goods Administration Newzeland : Medsafe South Africa: Medicines council control Japan : Ministry of Health & Labour Welfare Switzerland : Swissmedic Brazil : ANVISA (The National Health Surveillance Agency) Mexico: COFEPRIS (The Federal Commission for the Protection against Sanitary Risk) Chile : ISP - Instituto de Salud Pública de Chile Columbia: INVIMA – Instituto Nacional de Vigilancia de Medicamentos Alimentos Carrera 68 D No. 17 - 11 / 21 Argentina: ANMAT - set in 1992 Argentine National Administration of Drugs, Food & Medical Technology France: Agence Française de Sécurité Sanitaire des Produits de Santé Germany: Federal Institute for Drugs and Medical Devices 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 98 Important sites Regulatory sites: www.fda.gov www.tga.gov.au http://www.emea.europa.eu/ www.ministeriodesalud.go.cr www.mspas.gob.gt http://www.minsa.gob.pa/minsa2006/inicio.php http://www.minsa.gob.ni http://www.salud.gob.hn/ www.cssp.gob.sv http://www.sns.gov.bo/ http://www.inh.gov.ec/ http://www.mspbs.gov.py/ http://www.msp.gub.uy/index_1.html http://digemid.minsa.gob.pe http://www.inhrr.gov.ve http://pharmacos.eudra.org 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 99 Important sites (http://pharmacos.eudra.org/F2/eudralex/index.htm) www.bfarm.de/de/index.php agmed.sante.gouv.fr/htm/5/repec/repec0.htm www.nam.fi http://heads.medagencies.org/mrfg/sops 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 100 Important sites Useful links: www.usp.org www.pheur.org www.jpdb.nihs.go.jp www.picscheme.org www.pda.org www.phrma.org www.pharmacy.org www.elsevier.com www.ich.org www.ijpsonline.com www.pharmj.com www.scripnews.com 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 101 Thank You E-mail: [email protected] Cell No: 00919742431000 04th Oct. 2011 Maharashtra College of Pharmacy, Nilanga 102