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  • GLOBAL STANDARD OPERATING PROCEDURENumber

    GSOP-011-005

    Division: GLOBAL QUALITYPage

    1 of 20

    Revision

    1

    Title: ANNUAL PRODUCT QUALITY REVIEWS

    1.0 Purpose

    1.1 To establish a harmonized procedure for conducting Annual Product Quality Reviews of all

    pharmaceutical products per the applicable regulatory requirements.

    2.0 Scope

    2.1 This Global SOP applies to the Apotex group of companies producing finished dosage forms, as

    applicable to companys operation(s).

    2.2 This Global SOP may be used for the assessment and oversight of Apotex Third Party Organizations.

    2.3 This Global SOP establishes what shall be achieved by all parties planning for and carrying out Annual

    Product Reviews in compliance with the regulatory requirements.

    2.4 In some cases this Global SOP may address regulations and/or activities that do not apply to the

    Site/Centralized Functional area operations. Each Site/Centralized Function shall justify non-applicability

    during assessment and implementation of this Global SOP.

    2.5 Where needed and justified, a Site/Centralized Function may create/revise a site-specific/centralized

    function SOP on the subject of this Global SOP. The site-specific/centralized function SOP must not

    contradict the requirements in this Global SOP and shall fulfill the requirements of this Global SOP, as

    applicable to site/centralized function operations.

    3.0 Owner Organizational Unit

    AGO-QA-Global Policy and Systems

    4.0 General Training Requirements

    4.1 The following individuals of all Global, Corporate and Centralized functional areas (Quality, Compliance,

    Legal, Drug Safety and Pharmacovigilance, Manufacturing Operations, Research and Development,

    Engineering Services, Product Development and Technical Operations, Warehouse and Distribution and

    Finance, etc.) must be trained on this Global SOP:

    - Executive Management and members of the EOC

    - Directors

    - Senior Managers

    4.2 Site Quality Heads must be trained on this Global SOP, if applicable to Site Operations.

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    Title: ANNUAL PRODUCT QUALITY REVIEWS

    4.3 Training of other Site/Centralized function personnel on the applicable requirements of this Global SOP

    shall take place during site implementation of this Global SOP. This training will be executed on the

    Site/Centralized function level SOP(s).

    5.0 Associated Documents

    Document # Document Title Relationship

    GQM Global Quality Manual Governing Quality Manual

    GPOL-002 Management Controls Governance,

    Management Notification, Management

    Review

    Associated Global Policy

    GPOL-007 Manufacturing, Packaging and Labelling

    Controls

    Associated Global Policy

    GPOL-009 GMP Document Controls and Records

    Management

    Associated Global Policy

    GPOL-011 Regulatory Program Associated Global Policy

    GPOL-014 Quality Risk Management Associated Global Policy

    GPOL-017 Failure and Deviation Investigation

    Management

    Associated Global Policy

    GPOL-021 Corrective and Preventive Action (CAPA) Associated Global Policy

    GSOP-026-002 Product Recall and Market Action Associated Global Standard

    Operating Procedure

    GSOP-026-003 Regulatory Notification Associated Global Standard

    Operating Procedure

    6.0 Exhibits

    Exhibit Title

    Exhibit A Annual Product Quality Review Process Overview

    Exhibit B Annual Product Quality Review Relationship to the Quality System

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    7.0 Definitions

    Term Definition

    Apotex Apotex group of companies producing finished dosage forms. Term also

    includes the affiliates and distribution centers.

    Corrective and Preventive

    Action

    A systematic approach that includes actions needed to correct (correction), avoid

    recurrence (corrective action) and eliminate the cause of potential

    nonconforming product and other quality problems (preventive action).

    Out-of-Specification (OOS) Any examination, measurement or test value that does not conform to pre-

    established criteria.

    Out-of-Trend (OOT) Any analytical result that is within specification but is inconsistent with previously

    determined results for the same material or similar results for similar materials.

    For example, an in-specification result that is atypical outside the control limits

    for the test.

    Risk Assessment Determination of criticality based upon consideration of, but not limited to, the

    following factors:

    1. Compliance (QA/RA) Impact regulatory implications

    2. Safety Risk (PV) risk to human life (considering severity, occurrences, etc.)

    3. Distribution Pattern location of affected batches

    4. Speed to initiate action

    Third Party Manufacturer A universal term applied to a company under contract to manufacture products

    distributed by Apotex. This would include the following:

    - Contract Manufacturer/Packager a company under contract to manufacture

    and/or package Apotex-owned products.

    - Private Label Manufacturer a company who manufactures their products for

    Apotex with an Apotex label.

    - Joint Venture Manufacturer a company, who manufactures products for

    Apotex that is jointly developed, owned and or marketed with Apotex.

    Third Party Contractor

    (TPC)

    Any external entity manufacturing active pharmaceutical ingredient (API), bulk or

    finished Apotex products.

    - Any external entity responsible for packaging or repackaging bulk or finished

    products (e.g. packagers, warehouses, distributors)

    - Any contract analysis organization (including laboratory involved in testing of

    APIs, API starting materials, bulk and finished Apotex products, development of

    analytical testing methods, local retesting and execution of follow-up stability

    studies)

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    8.0 Process Overview

    See Process Overview in Exhibit A.

    9.0 Roles and Responsibilities

    Role Responsibility

    EVP,

    Global Supply Operations

    - Review and Approve this Global SOP

    - Ensure the Deployment / Implementation of this Global SOP at

    applicable Global Apotex sites

    Executive Vice President,

    Global R&D

    - Review and Approve this Global SOP

    - Ensure the Deployment / Implementation of this Global SOP within

    Global R&D functions

    Senior VP,

    Scientific & Regulatory Affairs

    - Review and approve this Global SOP

    - Ensure the Deployment / Implementation of this Global SOP within

    Scientific & Regulatory Affairs functions

    Global Director,

    R&D QA

    - Review this Global SOP

    - Ensure the Deployment / Implementation of this Global SOP within

    R&D QA functions

    Global Director,

    External Quality

    - Review this Global SOP

    Global Director,

    QA Audit

    - Review this Global SOP

    VP,

    Global Quality Manufacturing

    Sites

    - Review this Global SOP

    - Ensure the Deployment / Implementation of this Global SOP at

    applicable Manufacturing sites

    Global Director,

    Quality Compliance

    - Review this Global SOP

    - Ensure the Deployment / Implementation of this Global SOP within

    Global Compliance functions

    Global Director, QA Policy and

    Systems- Review and Approve this Global SOP

    - Oversee the Management, Review, Approval, and Deployment /

    Implementation of this Global SOP at applicable Global Apotex sites

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    Role Responsibility

    QA Global Policy and Systems

    Department- Issue, review and revise this Global SOP according to current Health

    Authority regulation and guidance

    - Distribute this Global SOP

    - Orchestrate the Deployment / Implementation of this Global SOP at

    applicable Global Apotex sites

    Site Leadership Team

    (Site Operations Head,

    Site Quality Head)

    - Support Deployment / Implementation of this Global SOP at applicable

    Global Apotex sites

    - Coordinate Annual Product Quality Review activities across

    interdisciplinary teams and departments at the site

    - Ensure that Annual Product Quality Review processes are defined,

    deployed and reviewed, and that adequate resources are available at

    the site

    10.0 General Requirements US Market

    10.1 Apotex shall ensure that written records are maintained so that data therein can be used for evaluating,

    annually (at minimum), the quality standards of each drug product to determine the need for changes in

    drug product specifications, manufacturing or control procedures [CFR 211.180(e)]. This written

    procedure establishes the process for such evaluations including provisions for:

    - A review of a representative number of batches, whether approved or rejected and, where applicable,

    records associated with the batch.

    - A review of complaints recalls and returned drug products, and investigations conducted under CFR

    211.192 for each drug product.

    11.0 General Requirements - Health Canada

    11.1 Regular periodic or rolling quality reviews of all drugs should be conducted with the objective of verifying

    the consistency of the existing process, the appropriateness of current specifications for both raw

    materials and finished product to highlight any trends and to identify product and process improvements.

    Such reviews should normally be conducted and documented annually, taking into account previous

    reviews, and should include, at minimum, a review of:

    - Critical in-process controls, finished product testing results and specifications.

    - All batches that failed to meet established specification(s) and their investigation.

    - All significant deviations or non-conformances, their related investigations, and the effectiveness of

    resultant Corrective and Preventive Actions (CAPA) taken.

    - All changes carried out to the processes, analytical methods, raw materials, packaging materials, or

    critical suppliers.

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  • GLOBAL STANDARD OPERATING PROCEDURENumber

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    - The results of the continuing stability program and any adverse trends.

    - All quality-related returns, complaints and recalls and the investigations performed at the time.

    - Adequacy of any previous corrective actions related to product process, or equipment.

    - The qualification status of relevant equipment and systems (e.g. HVAC, water, compressed gases,

    etc.); and

    - Agreements to ensure that they are up to date.

    Note: Quality reviews may be grouped by product type (e.g. solid dosage forms, liquid

    dosage forms, sterile products, etc. where scientifically justified).

    11.2 The Quality Assurance/ Control department of the importer or distributor should ensure that the annual

    product quality review is performed in a timely manner.

    11.3 Where required, there should be an agreement in place between the various parties involved (e.g.

    importer and fabricator) that defines their respective responsibilities in producing and assessing the

    Quality review and taking any subsequent CAPAs.

    11.4 The Quality Assurance/Control department should evaluate the results of this review and an assessment

    should be made whether CAPAs or any revalidation should be undertaken. Reasons for such corrective

    actions should be documented. Agreed upon CAPAs should be completed in a timely and effective

    manner. There should be procedures for the ongoing management and review of these actions and the

    effectiveness of these procedures verified during self-inspection.

    12.0 General Requirements European Market and PIC/s Countries

    12.1 Apotex shall ensure that regular periodic or rolling quality reviews of all licensed medicinal products,

    including export only products, are conducted with the objective of verifying the consistency of the

    existing process, the appropriateness of current specifications for both starting materials and finished

    product. Such reviews shall normally be conducted and documented annually taking into account

    previous reviews, and shall include, at minimum, a review of:

    - Starting materials and packaging material used for the product especially those from new sources.

    - Critical in-process controls and finished product results.

    - All batches that failed to meet established specification and their investigations.

    - All significant deviations or non-conformances, their related investigations, and the effectiveness of

    resultant CAPAs taken.

    - All changes carried out to the process or analytical methods.

    - Marketing Authorization variations submitted / granted / refused.

    - The results of the stability monitoring program and any adverse trends.

    - All quality related returns, complaints, recalls and investigations performed at the time.

    - Adequacy of any other previous product process or equipment corrective actions.

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  • GLOBAL STANDARD OPERATING PROCEDURENumber

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    - Post-marketing commitments for new marketing authorizations and variations to marketing

    authorizations.

    - The qualification status of relevant equipment and utilities (e.g. HVAC, water, compressed gases

    etc.).

    - Technical Agreements to ensure that they are up to date.

    12.2 The manufacturer and marketing authorization holder, where different shall evaluate the results of this

    review and an assessment shall be made whether CAPA(s) or any revalidation shall be undertaken.

    12.2.1 Reasons for such corrective actions shall be documented.

    12.2.2 CAPAs shall be completed in a timely and effective manner. There shall be management

    procedures for on-going management and review of these actions and the effectiveness of

    these procedures verified during self-inspections. Product Reviews may be grouped by product

    type (e.g. solid dosage forms, liquid dosage forms, sterile product, etc.) where scientifically

    justified.

    12.3 Where the marketing authorization holder is not the manufacturer, there shall be a Technical Agreement

    in place between the various parties that defines their respective responsibilities in producing the product

    quality review. The Qualified Person responsible for final batch certification together with the marketing

    authorization holder shall ensure that the product review is performed in a timely and accurate manner.

    13.0 Apotex Third Party Department Responsibilities:

    13.1 In coordination with the Third Party Manufacturer), determine schedule of APR/PQR quality review

    annually and communicate the schedule to the appropriate contractors / Apotex groups.

    13.2 Receive and review the reports as provided from the Third Party Manufacturer sites and require any

    necessary changes / corrections / additional information.

    13.3 Work closely with the Data Contributors, responsible to prepare the sections not submitted by the Third

    Party Manufacturer; assure that the format and content of the sections are as required in order to

    complete the report. These may include sections such as Stability Assessment, Regulatory Assessment,

    Technical Complaints, Medical Assessments, etc.

    13.4 Collect, review and analyze data elements to provide an assessment of the process / product and make

    recommendations for continuous improvement.

    13.5 Review and approve the final report within the established timeframes.

    13.6 Communicate overdue reports (or soon to be overdue reports) to Apotex-Management.

    13.7 Provide risk assessment when required for product that is to be released during the time that the

    APR/PQR review is overdue. Strong rationale must be provided to the Vice President, Global Quality and

    Compliance.

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    13.8 Ensure CAPAs defined in the outcome of the APR/PQR review are implemented at the Third Party

    Manufacturer or by Apotex as appropriate. CAPA should be recorded and tracked.

    13.9 Monitor implementation of the CAPAs defined in outcome of the APR/PQR and evaluate the effectiveness

    of CAPA in the next annual review period.

    13.10 Archive the final approved report in accordance with the local record retention requirements and the

    related procedures

    14.0 Annual Product Quality Review Responsibilities

    14.1 Any Apotex site supplying intermediate or bulk product to another site must perform an annual scheduled

    review of the supplied product.

    14.2 The site filling the primary containers used for marketing must perform a product review. It must use the

    results of any intermediate or bulk product supplying site review as part of the product review for which it

    is responsible.

    14.3 Sites or companies that carry out secondary packaging of filled primary containers, or import finished

    products, must review the conformance of supplying site data to local market regulations.

    14.4 Site Quality Head is responsible for:

    - Overall coordination of Annual Product Quality Review and shall identify a representative(s) from the

    Quality Assurance (QA) group for overall scheduling and management.

    - Ensuring that the Annual Product Quality Review is completed on time.

    - Overseeing the applicable processes listed in the SOP.

    - Ensuring investigations when adverse trends are observed during the Annual Product Quality

    Reviews.

    - Reviewing and Approving the Annual Product Quality Review Summary Report:

    Ensures a change record is created and agreeing with the recommended change(s).

    Ensuring commitments for changes and improvements are tracked and completed

    through the CAPA system.

    14.5 Operations, Technical Services and QA are responsible for:

    - Batch Record Review including In-process controls

    - Review of Rework, reprocessing, and reject information

    - Review of yields, deviations and product investigations

    - Process Validation Review

    - Product / Process related changes

    - Effectiveness of Corrective Actions (close outs)

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    - Follow-up from previous Annual Product Quality Review reports

    - Significant product related deviations and incidents

    14.6 Quality Control Laboratory and QA Heads are responsible for:

    - Review of Quality Control Test results including out-of-specification events, non-conformances and

    associated Laboratory Investigation Reports (LIR)

    - Finished product specification review and change history

    - Changes to Analytical Methods and Test Method Validation

    - Stability Data and program review

    - Retention Sample program review

    15.0 Product Grouping Strategy (Except for US Products)

    15.1 With the exception of the US products, grouping products by a particular characteristic/type is acceptable.

    The grouping strategy must be applied with caution and using the following justification criteria examples:

    - Common dose forms (sterile products, orals solutions, solid dosage, oral powders etc.)

    - Common container closure formats different container sizes may be grouped (e.g. 20 mL and 25

    mL of the same presentation).

    - Different strength may be grouped if they are in the same container closure system

    (e.g. 50 mg/100 mL and 100 mg/100 mL).

    - Common APIs within a dose form.

    - Products with substantially equivalent processing steps.

    - Products with substantially equivalent excipient/carrier bases (e.g. oily versus aqueous preparations).

    - Note: Products with different market authorization shall not be grouped together (e.g. OTC and

    prescription) Grouping shall be justified in writing with the criteria used.

    16.0 Scheduling

    16.1 The periodic quality review for all Apotex products is to be performed annually based on a twelve month

    review period. The responsible QA/APR/PQR Manager will generate the annual product review schedule

    by the first of November of each year for the following calendar year.

    16.2 All parties will mutually agree to an APR/PQR review reporting schedule by the end of November. The

    schedule must include a timeline that allows for the completion of the review process so that it is not

    longer than 90 days past the end of the 12 month data review period for Apotex products or not longer

    than 120 days past the end of the 12 month data review period for Third Party manufactured products.

    Typically, 30 days prior to the APR/PQR due date should be reserved to obtain approvals.

    16.3 The agreed upon annual product quality schedule will be submitted to QA for formal approval.

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    16.4 The approved product review schedule is a GMP document and should be maintained in the local

    document management system with a requirement for retention as defined by global document retention

    procedure.

    16.5 Periodic status reports will be submitted to the appropriate site management team detailing the

    compliance to the annual process.

    17.0 Procedure

    Note: Refer to Exhibit B for establishment of the relationship between the Annual Product Quality Review and

    the Quality System.

    17.1 An Annual Product Quality Review shall be compiled based on the approval date of the product. The

    approved Annual Product Quality Review shall be available within 90 business days after the end of the

    review period.

    17.2 A cross-functional team based approach shall be used. While the overall coordination and preparation of

    the Annual Product Quality Review dossier will reside with Site Quality Head, the individual section

    preparation must be completed by the Subject Matter Experts in the respective departments as defined in

    the responsibilities section of this procedure.

    17.3 All batches of all the commercial products manufactured, packed and distributed during the review period

    shall be included in the evaluation.

    17.4 Along with the Annual Product Quality Review, implementation of previous years recommendations shall

    be reviewed.

    17.5 Site Quality Head or designee shall arrange a meeting with the concerned Department Heads to finalize

    the action plan, responsibilities and deliverables (if any), based on the recommendations made in the

    Conclusion section of the Annual Product Quality Review.

    17.6 Site Quality Head or authorized designee shall approve the Annual Product Quality Review.

    17.7 Details of any CAPAs (as required), shall be forwarded to the concerned Department Heads for

    necessary actions.

    17.8 Manager, QA or designee shall follow-up on the corrective action to ensure compliance of the comments /

    recommendations.

    17.9 The complete and approved Annual Product Quality Review shall be maintained by Quality Assurance as

    per the retention period specified within applicable Global Policy [GPOL-009 - GMP Document Controls

    and Records Management] and site procedures.

    17.10 For products distributed in Europe, an electronic copy of the approved Annual Product Quality Review

    (preferably in .pdf format) shall be shared with the Qualified Person at Apotex Netherlands within 30

    business days from completion.

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    17.11 Products that are discontinued will be periodically reviewed through the expiration date of the last batch

    manufactured or the end of the stability study, whichever is longer.

    18.0 Annual Product Quality Reviews Report Format

    18.1 The Annual Product Quality Review report package must include (at minimum) the following information

    and sections:

    - Cover Page: Including Name of the product, Strength, Review Period, Market and Manufacturing

    site.

    - Summary Section

    - Table of Contents

    - Executive Summary Report: This shall include a section by section summary of the entire review,

    along with a synopsis of any comments or concerns made in the individual section. It shall also

    include a conclusion and rating identifying the corresponding action (Refer to Table 1).

    Table 1: Conclusion Rating and Action

    Rating Action

    Acceptable No Risk assessment is warranted.

    Acceptable with conditions Risk assessment shall be performed.

    Unacceptable A risk assessment is warranted, and notification to

    Regulatory Agencies shall be considered as a part of

    mitigation and communication.

    18.1.1 Batch Record Review

    18.1.1.1 This section covers the results of the batch record review and a list of Batches

    Released for commercial distribution, rejected / failed batches that failed to meet

    established specifications.

    18.1.1.2 Confirm that all batch records for commercial product have been reviewed as per the

    Disposition process, including all batch records for rejected batches.

    18.1.1.3 Where information is available via validated ERP system, batch disposition can be

    retrieved electronically.

    18.1.2 Starting Material and API Reviews

    18.1.2.1 This section includes the review of API, excipients and primary packaging materials

    used in the product. Also includes the API batches released and rejected / failed

    during the review period. Trend analysis of API, excipients and primary packing

    materials shall be part of this section as well as any changes to the suppliers.

    18.1.3 Process Control Review

    18.1.3.1 This section covers the review of critical in-process controls (In-process and finished

    product acceptable quality levels). The results obtained shall be compared with the

    standard values / range. For each batch, compile the percentage yield obtained at all

    critical stages.

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    18.1.4 Laboratory Test Results and Trends

    18.1.4.1 This section evaluates the analytical test results of finished products and in-process

    data of all relevant critical parameters including trend analysis of these critical

    parameters.

    18.1.5 Laboratory Out-of-Specification (OOS) and CAPA

    18.1.5.1 This section summarizes all deviations, incidents, notifications, OOS, Out-of-Trend

    (OOT), LIR, AQRS (CAPA, Investigation and Excursion) and related detailed

    investigations including the effectiveness of CAPAs executed.

    18.1.6 Change Control Review

    18.1.6.1 This section covers the summary of any changes carried out to the product, process

    (manufacturing, packaging, labelling and specification), system or methods specific to

    the product.

    18.1.7 Validation Review

    18.1.7.1 This section summarizes the validation study details of manufacturing process

    (completed and on-going process validation studies).

    18.1.8 Facilities and Equipment Review (Product Specific)

    18.1.8.1 This section reviews the qualification status of equipment and utilities (e.g. HVAC,

    Water, compressed air etc.). This section also covers the review of the Qualification

    status of new / existing and re-qualification of the equipment and utilities.

    18.1.9 Specifications Review

    Note: This section is applicable only to the sites that do not have established regular

    Compendia review program.

    18.1.9.1 Material and Product Specification Review

    18.1.9.1.1 This section covers the review of current specifications (API, In-process,

    stability and finished product) to be in line with the approved

    manufacturing documentation.

    18.1.9.1.2 Summarize the results of the verification and highlight any gaps.

    18.1.9.2 Compendia Specification Review

    18.1.9.2.1 This section covers the review of current specifications (API, In-process,

    stability and finished product) with respect to appropriate product

    monograph.

    18.1.9.2.2 Summarize the results of the verification and highlight any gaps.

    18.1.10 Customer Complaints Review

    18.1.10.1 This section summarizes the market complaint investigation and planned

    CAPAs.

    18.1.11 Medical Complaints (Adverse Events)

    18.1.11.1 Drug Safety / Pharmacovigilance shall include in their assessment report input

    on Adverse Events with possible technical background. This should be

    available for the Apr/PQR technical writer.

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    18.1.11.2 Manufacturing sites that include this information as part of their complaint trend

    report do not need to include this within the APR/PQR, but must provide the

    appropriate link to the information.

    18.1.12 Regulatory Actions Review

    18.1.12.1 This section covers the field alerts, product recalls and returned goods (if any).

    Also includes, reasons and corrective actions planned.

    18.1.13 Marketing Authorization Variations and Post-Marketing Commitments

    18.1.13.1 Regulatory team shall provide a summary of the marketing authorization

    variations submitted, granted, or refused during the reporting period, the filed

    document reference, and post-marketing commitments for markets as

    applicable, as per the local GMP requirements for those markets e.g. EU and

    Aus require a summary of variations and commitments. Include the report as

    an attachment to the APR/PQR.

    18.1.14 Returned Products

    18.1.14.1 Gather information for all returned products related to quality issues which

    occurred during the review period; including the reason for return.

    18.1.14.2 Using the table in the APR/PQR report, provide the following information:

    - Type - Issue Category (Product Returned)

    - Number of actions

    - Associated batch numbers

    - Trend (Yes/No)

    - Comments and/or corrective actions taken

    18.1.14.3 If investigations were initiated, the results and the decision on the final use

    should also be listed.

    18.1.14.4 Any products that were returned as a result of a customer complaint should

    also be evaluated.

    18.1.15 Technical Agreements

    18.1.15.1 This section reviews the technical agreements between Apotex and the third

    party manufacturer or contractor to ensure that they are up to date (as

    applicable).

    18.1.16 Retention Sample Program Review

    18.1.16.1 This section covers the retention sample review of the product.

    18.1.16.2 Sites shall have site specific SOP for the collection, storage, retrieval; review

    and disposition of reserved/control samples for drug products with delineation

    of retention period(s) and visual inspection requirements.

    18.1.16.3 Visual inspection with the opening of the primary packaging shall be performed

    at least once a year against visual appearance specifications.

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    18.1.17 External Manufacturing / Testing Services Review

    18.1.17.1 Review of the Third Party Manufacturers APQR (if any) and the comment /

    suggestions will be included in this section. Comments / Suggestions (if any)

    will be forwarded to the Third Party manufacturer by the External

    Manufacturing Quality group.

    18.1.18 Stability Program

    18.1.18.1 This section covers the review of results of the stability monitoring program

    including the available raw data for stability and references to full stability

    reports.

    18.1.19 Review of Previous Annual Product Quality Review

    18.1.19.1 The Technical Writer or data contributor (as appropriate) will obtain a copy of

    the previous APR/PQR.

    18.1.19.2 The report will be reviewed to determine whether there were any actions and/or

    recommendations that should be considered for the current review period. The

    reviewer will determine the status of the recommended actions and include the

    information pertaining to recommendations and status of actions in the relevant

    section of the report.

    18.1.20 Recommendations and Conclusions

    18.1.20.1 Include any recommendations generated during the review and analysis of the

    data. During the review process, any changes, additional information or

    corrections will be communicated to the author of the section or to the Third

    Party contractor or manufacturer as applicable. The holistic review will be

    completed once all sections are deemed appropriate.

    18.1.20.2 The authors are to provide specific statements (as applicable to their section)

    on the compliance and validation status and include any new knowledge

    gained during the review process and defining corrective actions to be taken to

    remediate any issues observed.

    18.1.20.3 The executive summary will be generated by QA following the holistic review

    and will include the necessary detail to assess the current status of the product

    with the recommendations as noted above for any areas of improvement or

    concern.

    18.1.20.4 The recommendations must include supporting evidence that will provide a

    reference as to why the recommendation is necessary and why it is considered

    to be appropriate. Any follow-up actions required for Apotex products

    manufactured by or on behalf of Apotex will be coordinated and supervised by

    the appropriate Quality Unit. For Third Party manufacturers, the Apotex Quality

    unit responsible for the oversight of the product or manufacturer will

    communicate the information to the third party manufacturer and provide

    oversight of the follow-up measures.

    18.1.20.5 Any critical issue identified should be escalated as per GPOL-002 -

    Management Controls - Governance, Management Notification, and

    Management Review.

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    18.1.20.6 Quality Assurance will monitor and update the status of the follow-up activities

    related and/or required from the APR/PQR review report. A compliance record

    will be generated for recommendations (as appropriate) with any required

    CAPAs produced as child records of the associated recommendation

    compliance record. The status updates of the activities will be communicated

    to the appropriate management group periodically (but not less than quarterly)

    until they are completed.

    18.1.21 Approvals Page

    18.1.21.1 This section documents Reviewer and Approver signatures.

    Note: Completed APR/PQR reports should be made available to Third Party

    Customers who require the document as outline in Quality Agreements with

    that customer.

    19.0 Data Analysis and Trending

    19.1 Appropriate statistical analysis must be applied to the review of relevant quality data.

    19.2 Non-statistical analysis such as reviews of graphs shall be interpreted for the reviewer as to its

    explanations and conclusion.

    19.3 The data generated from the batch or product shall be trended using the appropriate statistical techniques

    such as time series plots, control charts, etc to draw the conclusions, if any. This will help the

    manufacturer to take any corrective or preventive action, should manufacturer find the process to be out

    of control.

    19.4 The data should be trended and analyzed to determine if (i) if the process is in control, (ii) whether the

    process continues to be in validated state and (iii) if any improvements are indicated based on process

    trends.

    19.5 Appropriate graphical and statistical tools and methodologies shall be applied to demonstrate valid

    quantitative and qualitative interpretations. Such tools and methodologies may include, statistical control

    charting, and process capability studies.

    19.6 Statistical analysis must be conducted and interpreted by qualified individuals.

    20.0 System Monitoring

    20.1 Key Performance Indicators (KPIs) of the APR/PQR program, including on time completion, must be

    established and monitored through monthly reporting with escalation as needed. Corrective actions must

    be implemented if required by KPIs.

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    21.0 Differences Between FDA and European Product Reviews

    21.1 Refer to Table 2 for guidance when preparing two separate Annual Product Quality Reviews for different

    Regulatory Agencies.

    Table 2: Differences between FDA and European Product Reviews

    Objective FDA EU / PIC/s / Canada

    Determine appropriateness, or need to change, product

    specifications

    Required Required

    Determine appropriateness, or need to change,

    specification for starting materials

    Not specified Required

    Review the need to change manufacturing procedures Required Not specified

    Review the need to change in-process controls Required Not specified

    Verify consistency of existing process Not specified Required

    Need for re-validation of processes Not specified Required

    Highlight trends Expected Required

    Identify product/process improvements Not specified Required

    Identify corrective actions Expected Required

    Consider previous reviews Expected Required

    Grouping of products Not allowed Allowed

    22.0 Risk Assessment and Revalidation Programs

    22.1 Risk assessments must be conducted for all products where the final conclusion is Acceptable with

    conditions or Unacceptable. The risk assessment must be conducted per appropriate tools described

    in the Quality Risk Management Global Policy [GPOL-014] and Global SOP. The outputs of the risk

    assessment shall include conclusions and recommendations for risk reduction, risk avoidance, or risk

    mitigation. CAPA activities generated as a result of the risk assessment must be approved by Quality

    Assurance. For all product reviews receiving an Unacceptable rating, Site and Corporate Quality and

    Regulatory Management must be promptly notified as per the Management Control Global Policy [GPOL-

    002].

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    23.0 External References

    Document Title Reference Type

    Health Canada - C.02.011 Manufacturing Control, Section 51 Annual

    Product Quality Review Section 51 55

    (www.hc-sc.gc.ca)

    Health Canada Regulation

    Code of Federal Regulations, Title 21, Volume 4, Revised April 1, 2012

    "Title 21, Food And Drugs, Chapter I-Food And Drug Administration,

    Department Of Health And Human Services,

    Subchapter C-Drugs: General

    Part 211, Current Good Manufacturing Practice For Finished

    Pharmaceuticals"

    Subpart J, Records and Reports

    Sec 211.180(e), General Requirements

    Sec 211.192, Production Record Review

    (www.fda.gov)

    US FDA Regulation

    EudraLex, The Rules Governing Medicinal Products in the European

    Union, Volume 4, EU Guidelines for Good Manufacturing Practice for

    Medicinal Products for Human and Veterinary Use

    Part 1, Basic Requirements for Medicinal Product

    Section 1 Quality Management Product Quality Review,

    (www.ec.europa.eu)

    European Commission

    Guidance

    (EMEA,MHRA)

    Pharmaceutical Inspection Convention, Pharmaceutical Inspection Co-

    Operation Scheme, Guide To Good Manufacturing Practice For

    Medicinal Products, 15 January 2009

    Chapter 1, Quality Management

    Section 1.4, Product Quality Review

    (www.picscheme.org)

    PIC/S Guidance

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    24.0 Revision History

    Revision

    No.

    Effective

    Date

    Change

    Control

    No.

    Description / Reason for ChangeAuthor of

    Revision

    1 Current 75529 1. Updated the 'Scope', General

    Training Requirements and Roles and

    Responsibilities sections of the

    document to align with the current

    GPOL/GSOP template.

    2. Update Document references where

    applicable for consistency with new

    referenced document numbers and

    titles.

    3. Updated Regulatory Department

    responsibilities; Update product

    grouping strategy and exclude

    salvaged product term for clarity.

    4. Excluded redundant Specification

    content comparison with the product

    dossier requirement.

    5. Updated additional sections

    throughout the documents where

    applicable as appropriate for

    compliance and alignment with

    established process.

    Elaine Leong,

    Manager, QA

    Global Policy and

    Standards

    0 10/03/2013 52820 New Global Standard Operating

    Procedure GSOP-011-005 Annual

    Product Quality Reviews

    Elaine Leong,

    Manager, QA

    Global Policy &

    Standards

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    Exhibit A: Annual Product Quality Review Process Overview

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    Exhibit B: Annual Product Quality Review Relationship to the Quality System

    APR

    CAPA and

    Improvement

    Compliance to

    license, and

    applications

    Validation,

    Re-Validation

    and VMP

    Specifications

    and Controls

    Product Risk

    Management

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  • APPROVALS AND SIGNATURES

    UserName: Ross Maclean (apotexmaclean) Title: Senior VP, Scientific & Regulatory Aff Date: Thursday, 17 July 2014, 02:27 PM Eastern Time Meaning: Approval ================================================

    UserName: Brian Magerkurth (apotex\bmagerku) Title: EVP, Global Supply Operations Date: Thursday, 17 July 2014, 02:34 PM Eastern Time Meaning: Approval ================================================

    UserName: Pradeep Sanghvi (apotex\psanghvi) Title: Executive Vice President, Global R&D Date: Thursday, 17 July 2014, 07:47 PM Eastern Time Meaning: Approval ================================================

    UserName: Victoria Chester (apotex\vchester) Title: Global Director, QA Policy and Systems Date: Friday, 18 July 2014, 12:38 AM Eastern Time Meaning: QA Approval ================================================

    GSOP-011-005 rev. 1 Effective Date: 09/05/2014 Page incl. Approval: 21 of 21

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