2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource...

58
2005.03.03. Dr. Pogány - WHO, Shangha i 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant to WHO Shanghai, 01 March 2005 E-mail: [email protected] QUALIFICATION and VALIDATION I.

Transcript of 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource...

Page 1: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 1/58

Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines

János Pogány, pharmacist, PhD, consultant to WHO

Shanghai, 01 March 2005E-mail: [email protected]

QUALIFICATION and VALIDATION I.

Page 2: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 2/58

Subjects for Discussion

1. Regulatory background, definitions

2. Characteristics of processes

3. Validation master plan (VMP)

4. Pharmaceutical manufacturing process validation (tablet-making)

5. Concluding remarks

Page 3: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 3/58

WHO GMP and Guidelines Guideline on Submission of Documentation for

Prequalification of Multi-source (Generic) Finished Pharmaceutical Products (FPPs) Used in the Treatment of HIV/AIDS, Malaria and Tuberculosis.

WHO good manufacturing practices (GMP): main principles for pharmaceutical products – Section 4. Validation of manufacturing processes.

Supplementary guidelines on good manufacturing practices (GMP): Validation (2003) – Draft.

Page 4: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 4/58

Qualification QUALIFICATION is the „Action of proving that any

premises, (pharmaceutical utility) systems and items of equipment work correctly and actually lead to the expected results. The meaning of the word “validation” is sometimes extended to incorporate the concept of „qualification”.

REQUALIFICATION is the main part of the preventive maintenance programme of proving that any premises, (pharmaceutical utility) systems and items of equipment work correctly and keep on leading to the expected results. (normal wear and tear)

Page 5: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 5/58

Validation VALIDATION is the „Action of proving, in

accordance with the principles of GMP, that any procedure, process, equipment, material, activity or (pharmaceutical utility) system actually leads to the expected results (see also qualification)”.

REVALIDATION is a part of the change control system of proving that any procedure, process, equipment, material, activity or (pharmaceutical utility) system actually keeps on leading to the expected results.

Page 6: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 6/58

Qualification - Validation

Regulatoryrequirements

DQ,IQ,OQ inputs

DQ,IQ,OQ process

DQ,IQ,OQ outputs Process

Qualification Verification

Validation

Premises, equipment and supporting utilities must be qualified to operate in a validated process.

Page 7: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 7/58

Technical pharmacy Pharmaceutical production system

(from purchasing API to packaging FP) Utility support system (HVAC, water, HPLC, etc.

equipment containing many items) Process (tablet making) (Unit) operation (granulation, compression) Step (sifting, sizing) Procedure, method, technique (SOP)

Page 8: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 8/58

4.10 Scientific approach „Processes and procedures should be established on the basis

of the results of the validation performed.”

Objectives To prove that the tests, measurements, results and

interpretation of formal studies on (manufacturing) processes and procedures/methods are appropriate and accurate.

To stabilize new processes (to reduce variability, to increase batch to batch consistency of quality attributes of products).

To reduce defect levels (standardize yields). To reduce production costs.

Page 9: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 9/58

Measure of variation (spread of data)

95.46%68.26%

Page 10: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 10/58

Mean (average) chart

Normal variation

due to common causes

UCL Upper control limit

LCL Lower control limit

Abnormal variation of process – special causes

Abnormal variation of process – special causes

average = mean

Page 11: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 11/58

Causes of variation Man (different operators - lack of proper training)

Machine / equipment (variation of tablet weight)

Measurement (lack of calibration)

Method (accuracy of validated analytical methods)

Material (batch-to-batch variation of the same crystal

form – different crystal forms (ASA)]

Environment (OoS T and RH in capsule filling)

Page 12: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 12/58

Process under control Most points fall near the central line (68% within

one σ) A few points fall near the control limits (5% in

the third σ) Points shold balance on both sides of the mean Points should cross the mean line often. Points should show a random pattern (no trends,

cycles, clustering)

Page 13: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 13/58

Page 14: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 14/58

Page 15: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 15/58

UNDER CONTROL

OUT OF CONTROL

Page 16: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 16/58

Page 17: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 17/58

Page 18: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 18/58

Innovator FPPs

Well-established, multisource, generic FPPs

Page 19: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 19/58

GMP, QUALIFICATION and

VALIDATION STARTS WITH

DESIGN + CONSTRUCTION

OF FACILITIES AND

PURCHASING EQUIPMENT

Page 20: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 20/58

Qualification Stage Validation Stage

Key elements Design Installation Operation Prospective Concurrent

Premises and Engineering phase Manufacturing Start-Up

Equipment

VMP Validation Protocols Validation Reports

Product and Process Developmental Phase Scale-Up Phase Manufacturing Phase

Validation of Critical variables Process Process & cleaning

analytical and Process optimization validation

methods selection Revalidation

Quality Development

Page 21: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

VALIDATION MASTER PLAN (VMP)

ILLUSTRATIVE ISSUES

Page 22: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 22/58

4.1-4.2 Validation master plan

1. „In accordance with GMP, each pharmaceutical company should identify what qualification and validation work is required to prove that the critical aspects of their particular operation are controlled.

2. The key elements of a qualification and validation programme of a company should be clearly defined and documented in a validation master plan (VMP).”

Page 23: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 23/58

Project oriented VMP Construction of new premises

Major renovation or additions to existing premises

First time validation of previously unvalidated processes (ARV FPPs)

Automation or computerized implementations that span a number of applications

Page 24: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 24/58

Validation master plan The VMP is a summary document and should

therefore be brief, concise and clear. It should not repeat information documented elsewhere but refer to existing documents such as Policy Documents (Quality Manual), SOP's and Validation Protocols/Reports.

Page 25: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 25/58

Content of VMP Approval (top management and all participating

departmental heads) Scope [separate VMPs for manufacturing processes,

pharmaceutical utility systems (e.g. HVAC, water)]. Responsibilities Production and QC premises (including controlled

environments)

Process and QC equipment

Pharmaceutical air (HVAC) and water systems

Page 26: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 26/58

Content of VMP All critical utilities (such as compressed air, steam and

cooling liquids)

Computer control systems

Manufacturing processes

Product specifications including prospective IPC acceptance criteria

QC and IPC methods

Page 27: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 27/58

Content of VMP Equipment cleaning

Validation requirements

Worker and environment safety

Change Control/Revalidation

Training requirements

Documentation requirements

Security plans

Page 28: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

DESIGN,INSTALLATION and

OPERATION

QUALIFICATION

Page 29: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 29/58

4.3 Documentary evidence

(a) the premises, supporting utilities, equipment and processes have been designed in accordance with the requirements for GMP (design qualification or DQ);

(b) the premises, supporting utilities and equipment have been built and installed in compliance with their design specifications (installation qualification or IQ);

Page 30: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 30/58

DQ and IQ DQ protocols and reports

GMP VMP National law Engineering design and construction documents

Do not start IQ before DQ has been completed! IQ/OQ protocols and reports

Above inputs + machine manuals Separate VMPs for HVAC and water systems

Do not start OQ before IQ has been completed!

Page 31: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 31/58

4.3 Documentary evidence

(c) the premises, supporting utilities and equipment operate in accordance with their design specifications (operational qualification or OQ);

(d) a specific process will consistently produce a product meeting its predetermined specifications and quality attributes (process validation or PV, also called performance qualification or PQ).

Page 32: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 32/58

Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines

Tablets

MANUFACTURING PROCESS VALIDATION

Page 33: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 33/58

Risks in manufacturing processes Small quantity of waste creates serious danger to

health (1/3 of 5% dextrose infusion was not sterile, Evans Medical, 1972)

Low chance that patient or doctor recognizes non-conformance to specification in time (DEG in glycerol, 1996 - Haiti)

Limitations of sampling Percent of nonconformance:

0,1 1,0 5,0 10,0 Percent probability of release:

98 82 36 12

Page 34: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 34/58

SAMPLING PROBLEM

The whole batch is released to the patient

But only the sample is tested

BATCH

Sample

Page 35: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 35/58

Types of process validation

EXPERIMENTAL APPROACHPROSPECTIVE VALIDATION (R&D)

CONCURRENT VALIDATION (FIRST ≥3 BATCHES)

ANALYSIS OF HISTORICAL DATARETROSPECTIVE VALIDATION

(DIFFERS CONCEPTUALLY FROM THE EXPERIMENTAL APPROACH)

Page 36: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 36/58

4.4 What should be validated?

„Any aspect of operation, including significant changes to the premises, facilities, equipment or processes, which may affect the quality of the product, directly or indirectly, should be qualified and validated.”

Page 37: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 37/58

4.8-4.9 Protocols and reports Validation studies are an essential part of GMP

and should be conducted in accordance with predefined and approved protocols.

A written report summarizing the results recorded and the conclusions reached should be prepared and stored.

Page 38: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 38/58

Essential parts of the process validation protocol

Short description of the process with a summary of the critical processing steps or critical parameters to be monitored during validation.

Additional testing intended to be carried out (e.g. with proposed acceptance criteria and analytical validation as appropriate).

Sampling plan — where, when, how and how many samples are taken.

Details of methods for recording and evaluation of results.

Page 39: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 39/58

Illustrative variables of wet granulationProcess step Control or manipulate

(independent) variablesMeasured responses or output (dependent) variables

CrystallizationMicronization

Particle sizeBulk density

Dissolution timeGranulation and granule variables

Pre-mixing Speed, time, order of addition

Blend uniformity

Wet kneading Batch (load) sizeSpeed Impeller Chopper Spraying rateVolume of binder solutionGranulation time

End-point amperage Impeller Chopper Additional solvent volume

Page 40: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 40/58

Illustrative variables of wet granulationProcess step Control or manipulate

(independent) variablesMeasured responses or output (dependent) variables

Drying Inlet air temperature (seasonal variation)Drying time (seasonal variation)Cooling time (if applicable)

Outlet air temperatureLODMoisture content

Sizing Screen type and size

Feed rate

Granule size distribution (variation of sub-batches)

Blending Batch size (sub-batches)SpeedBlending time

Blend uniformityBulk density untapped tappedFlowabilityYield

Page 41: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 41/58

Illustrative variables of compression and film-coating

Process step Control or manipulate (independent) variables

Measured responses or output (dependent) variables

Compression

Machine speedGranule feed ratePrecompression forceCompression forcePunches and dies

Weight variationContent uniformityFriabilityHardnessThicknessDisintegrationDissolution time and profileYield

Film-coating Inlet air temperature (season)

Inlet air flow

Spray rate

Spray atomizing pressure

Outlet air temperature

Tablet-bed temperature

Coat quality

Yield

Page 42: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 42/58

Illustrative variables of tablet packagingProcess step Control or manipulate

(independent) variablesMeasured responses or output (dependent) variables

Blistering Machine speedMachinability of blister materialForming temperatureForming pressureSealing temperatureSealing pressure

Leak testingAppearanceMinimum information is legibleYield

Bulk packing

Tablet counter

Incomplete tablets

Machine speed

Number of tablets

Detection, counting

Pilfer-proof

Labeling

Yield

Page 43: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 43/58

Validation batches Process validation reports should be submitted in the

application for prequalification. Formal studies of production scale batches (not less

than three) are required to identify the critical variables.

Provisional equipment control parameters and the corresponding in-process acceptance criteria must be deduced from the results of experiments with the validation batches.

Critical parameters are to be monitored, non-critical ones should be tested occasionally.

Page 44: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 44/58

4.5-4.7 Validation policy5. Qualification and validation should not be considered

as one-off exercises. An on-going programme should follow their first implementation and should be based on an annual review.

6. The commitment to maintain continued validation status should be stated in the relevant company documentation, such as the quality manual or validation master plan.

7. The responsibility of performing validation should be clearly defined.

Page 45: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 45/58

Process approachCONTINUOUS IMPROVEMENT OF THE QUALITY MANAGEMENT SYSTEM

CUSTOMER

REQUIREMENTS

CUSTOMER

SATISFACTION

Management responsibility

Resourcemanagement

Monitoring,improvement

Manufacture ProductInputs

Page 46: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 46/58

Annual FPP quality review (1) Starting materials used in the product, especially those

from new sources. Critical in-process controls and finished product results. All batches that failed to meet established specification(s). All critical deviations or non-conformances and related

investigations. All changes carried out to the processes or analytical

methods. Marketing Authorisation variations submitted, or granted,

or refused, including those for third country dossiers.

Page 47: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 47/58

Annual FPP quality review (2) Results of the stability monitoring programme. All quality-related returns, complaints and recalls,

including export only medicinal products. Adequacy of previous corrective actions. For new marketing authorisations, a review of post-

marketing commitments. A list of validated procedures and their revalidation

dates. A list of qualified equipment, support utility systems

and their requalification dates, including calibration programs.

Page 48: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 48/58

Case summary of 20 batches (1)Statistics Av. wt. mg Dissolution % Assay %

Mean 347,6 99,6 98,2

Median 346,9 100,0 97,5

SD 5,2 2.5 2.2

Range 22.3 10.0 8.8

Minimum 337.0 95.6 95.0

Maximum 359.3 105.6 103.8

Conf. level, 95% 2.4 1.3 1.0

Accept. Crit. 350±5% 75%, 40' 90-110

Page 49: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 49/58

Case summary of 20 batches (2)

1. Acceptance criteria for assay and dissolution

rate are loose and should be tightened.

2. Potential degradation products were not tested.

3. IPC data were not included in the retrospective

analysis of batch records.

4. Failures were not reported, etc.

Page 50: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 50/58

4.11 Analytical methods, computers and cleaning procedures

It is of critical importance that particular attention is paid to the validation of analytical test methods, automated systems and cleaning procedures.

Page 51: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 51/58

AUTOMATED SYSTEMS Protection of records, backups Access controls (use, read, write, execute,

delete, or create) Authentication (user ID and static passwords;

user ID and dynamic passwords; and biometric devices)

Audit-trail controls, and many other issues.

Page 52: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 52/58

Current WHO GMP

Pro

cess

per

form

ance

Time

1992 version of WHO GMP

Without/before GMPPar

amet

ric re

lease

Problems

Stages of process validation

Page 53: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 53/58

BEST PROCESS

MINIMUM REQUIRED INPUT

MAXIMUM OUTPUT

AT NO COST TO SOCIETY (industrial safety, labour safety, internal and external environment protection)

Page 54: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 54/58

Costs of qualityVisible costs, e.g., waste and returned goods

Hidden costs, e.g., wrong decisions, non-competitive manufacturing process,low yield, maintenance, idle machine time, workers attitude, etc.

Page 55: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 55/58

Main points again High quality FPPs can be manufactured only with

high quality processes under control. Premises, equipment and supporting utilities must

be qualified to operate in validated processes. Testing QC samples of FPPs does not guarantee

the quality of the whole batch, or the batch-to-batch consistency of quality.

Validation activities must be organized (VMP) and documented (protocols, records, reports, etc.)

Page 56: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 56/58

Main points again Prospective and concurrent validations help to

understand what is critical for quality and shows the level of quality, which can be achieved with the available resources.

Qualification and validation should not be considered as one-off exercises.

Quality of FPPs should be reviewed annually. The best process is the most efficient both from

technical and economic/financial points of view.

Page 57: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 57/58

Literature Pharmaceutical Process Validation, edited by: R. A.

Nash; Alfred H. Wachter, An International Third Edition, Revised and Expanded, Marcel Dekker, Inc. New York, Basel, Hong Kong (2003).

Marjo-Riitta Helle et al.: A literature review of pharmaceutical process validation, 52 references, Pharmaceutical Technology Europe, August 2003.

Page 58: 2005.03.03. Dr. Pogány - WHO, Shanghai 1/58 Workshop on Quality Assurance and GMP of Multisource HIV/AIDS medicines János Pogány, pharmacist, PhD, consultant.

2005.03.03. Dr. Pogány - WHO, Shanghai 58/58

THANK YOU

谢谢 !