Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance...

35
Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance and Safety: Medicines Medicines Policy and Standards Health Technology and Pharmaceuticals Cluster World Health Organization

Transcript of Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance...

Page 1: Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance and Safety: Medicines Medicines Policy and Standards.

Good Manufacturing Practices

Dar Es Salaam, TanzaniaAugust 2006Dr AJ van Zyl

for Quality Assurance and Safety: Medicines

Medicines Policy and StandardsHealth Technology and Pharmaceuticals Cluster

World Health Organization

Page 2: Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance and Safety: Medicines Medicines Policy and Standards.

ProgramProgramGood Manufacturing Practices

• Presentation on GMP (Production

focus)• Product specific focus• Group session

• Presentation on GMP (QC focus)• Product specific focus• Group session

Page 3: Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance and Safety: Medicines Medicines Policy and Standards.

Guidelines and referencesGuidelines and references

GMP: World Health Organization

WHO Technical Report Series, No. 908, 2003, Annex 4. Good Manufacturing Practices for pharmaceutical products: main principles

WHO Technical Report Series, No. 917, Annex 3. Water

WHO Technical Report Series, No. 937HVAC and others (2006)

Page 4: Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance and Safety: Medicines Medicines Policy and Standards.

Good Manufacturing Good Manufacturing Practices (GMP)Practices (GMP)

1. Quality assurance2. Good manufacturing practices for

pharmaceutical products (GMP)3. Sanitation and hygiene4. Qualification and validation5. Complaints6. Product recalls7. Contract production and analysis

GeneralThe contract giverThe contract accepterThe contract

Page 5: Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance and Safety: Medicines Medicines Policy and Standards.

Good Manufacturing Good Manufacturing Practices (GMP)Practices (GMP)

8. Self-inspection and quality auditsItems for self-inspectionSelf-inspection teamFrequency of self-inspectionSelf-inspection reportFollow-up actionQuality auditSuppliers’ audits and approval

9. PersonnelGeneralKey personnel

Page 6: Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance and Safety: Medicines Medicines Policy and Standards.

Good Manufacturing Good Manufacturing Practices (GMP)Practices (GMP)

10. Training11. Personal hygiene12. Premises

GeneralAncillary areasStorage areasWeighing areasProduction areasQuality control areas

Page 7: Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance and Safety: Medicines Medicines Policy and Standards.

Good Manufacturing Good Manufacturing Practices (GMP)Practices (GMP)

13. Equipment14. Materials

GeneralStarting materialsPackaging materialsIntermediate and bulk productsFinished productsRejected, recovered, reprocessed and reworked materialsRecalled productsReturned goodsReagents and culture mediaReference standardsWaste materialsMiscellaneous

15. DocumentationGeneralDocuments required

Page 8: Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance and Safety: Medicines Medicines Policy and Standards.

Good Manufacturing Good Manufacturing Practices (GMP)Practices (GMP)

16. Good practices in productionGeneralPrevention of cross-contamination and bacterial contamination during productionProcessing operationsPackaging operations

17. Good practices in quality controlControl of starting materials and intermediate, bulk and finished productsTest requirementsBatch record reviewStability studies

Page 9: Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance and Safety: Medicines Medicines Policy and Standards.

Good Manufacturing Good Manufacturing Practices (GMP)Practices (GMP)

Production

•Utilities

•Equipment

•Dosage form and data

verification (development,

validation, biobatch, stability,

BMR and specification)

Quality control

•API, excipients

•Packaging material

•Data verification (e.g. stability)

Page 10: Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance and Safety: Medicines Medicines Policy and Standards.

Good Manufacturing Good Manufacturing Practices (GMP)Practices (GMP)

Production

•Product focus

•Premises

•Utilities

•Equipment

•Dosage form and data

verification (development,

validation, biobatch, stability,

BMR and specification)

•Documentation

Page 11: Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance and Safety: Medicines Medicines Policy and Standards.

Good Manufacturing Good Manufacturing Practices (GMP)Practices (GMP)

Where to start the inspection?

• Facility layout

•Flow of personnel and

material, activities

• Product list

•Type of products, dosage

forms, activities

• Utilities (HVAC, water, etc)

• Validation status

Page 12: Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance and Safety: Medicines Medicines Policy and Standards.

Q C

Offices Gowning

Canteen

Incoming goods

Corridor

Corridor

Shipping

Corridor

Packaging

Weighing Processing

Filling

Raw Materials

& Packaging Storage

Washing

Machine

Shop

Finished Products Storage

Corridor Utilities and Services Waste Treatment

Zone: Clean Zone: Packaging Zone: Controlled

Example of Materials and People Flow

Page 13: Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance and Safety: Medicines Medicines Policy and Standards.

Facility layoutFlow of personnel and material,

activities• Sampling (starting materials and

packaging materials)• Weighing• Mixing• Milling• Sieving/sifting/screening• Granulation• Drying• Sieving• Blending• Compression

Page 14: Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance and Safety: Medicines Medicines Policy and Standards.

Facility layoutFlow of personnel and material,

activities

• In process bulk stores• Packaging areas (primary and

secondary packaging)• Finished product

Page 15: Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance and Safety: Medicines Medicines Policy and Standards.

Product listType of products, dosage forms,

activities

• Multi-product

• Various tablets

• Uncoated artesunate

• Risk of cross-contamination and

contamination

• Non dedicated areas and

equipment

• Batch to batch consistency

Page 16: Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance and Safety: Medicines Medicines Policy and Standards.

Facility layoutFlow of personnel and material,

activities

Batch Manufacturing Document

• Formula and manufacturing steps

• API and excipients

• Properties and requirements for

temperature or RH control

• Material quantities, batch size

• Sub lots

• Equipment and utilities

• Production areas

Page 17: Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance and Safety: Medicines Medicines Policy and Standards.

Equipment and utilities (1)

Sieving/sifting – sifter (e.g. vibrosifter)Mixing – mixerGranulation - granulatorDrying – fluid bed drierBlending – octagonal blenderCompression – compression machinePackaging - blister machine

Others include Metal detector, sieves, punches and dies

In process quality control instruments and equipment may include hardness tester, disintegration tester, balance, caliper

Page 18: Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance and Safety: Medicines Medicines Policy and Standards.

Equipment and utilities (2)

• HVAC – air supply and extraction

• Compressed air – machine

operation, drying of equipment and

parts

• Water – washing, rinsing,

manufacture

• Steam – cleaning

Page 19: Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance and Safety: Medicines Medicines Policy and Standards.

UtilitiesUtilities

The environment may be influenced by: • Light• Temperature• Humidity• Air movement• Microbial contamination• Particulate contamination

• Uncontrolled environments can lead to:• Product degradation• Product contamination • Loss of Product & Profit

Page 20: Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance and Safety: Medicines Medicines Policy and Standards.

UtilitiesUtilities

HVAC: GMP and GEP

• Effective ventilation

• Cross-contamination and

contamination

• Qualification/validation

• Design

• Installation

• Operation

• Performance

Page 21: Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance and Safety: Medicines Medicines Policy and Standards.

Q C

Offices Gowning

Canteen

Incoming goods

Corridor

Corridor

Shipping

Corridor

Packaging

Weighing Processing

Filling

Raw Materials

& Packaging Storage

Washing

Machine

Shop

Finished Products Storage

Corridor Utilities and Services Waste Treatment

Red: Supply Green: Exhaust

Air supply and extraction

Page 22: Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance and Safety: Medicines Medicines Policy and Standards.

Problems with componentsProblems with components

FiltersFilters

FanFan

Flow rate controllerFlow rate controller

Control damperControl damper

HumidifierHumidifier

Cooling Cooling coilcoil

DuctsDucts

Incorrect retention rate/leaking/badly installed Low air flow ® loss of pressure cascade

Blocked ® poor pressure cascade ® cross-contamination Poorly adjusted, bad pressure differential

system Bad water/steam quality/poor drainage/

No elimination of condensed water/poor drainage/stagnating water

Inappropriate material/internal insulationLeaking ducts

Page 23: Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance and Safety: Medicines Medicines Policy and Standards.

Utilities: Water systemsUtilities: Water systems

• Type of water

• Intended use

• Quality (specification)

• Design of the system

• Qualification and validation

• Ongoing monitoring and quality

control

• Sampling, testing, trends

Page 24: Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance and Safety: Medicines Medicines Policy and Standards.

Validation statusValidation status

• Validation Master Plan

• Manufacturing areas

• Utilities

• Equipment

• Manufacturing process

• Cleaning validation

• Computer systems

• Others…

Page 25: Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance and Safety: Medicines Medicines Policy and Standards.

On site verificationOn site verification

• From receiving to stores

• Sampling and weighing

• Manufacturing areas

• Utilities

• Documentation review

Page 26: Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance and Safety: Medicines Medicines Policy and Standards.

Sampling and weighingSampling and weighing

P ow derC ontainer

F loor S cale

Page 27: Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance and Safety: Medicines Medicines Policy and Standards.

Examples of control measures:Examples of control measures:

TemperatureTemperature Cooling coilCooling coil

Relative humidityRelative humidity DehumidifierDehumidifier

Particulate matterParticulate matter FiltersFilters

Air movement and Air movement and pressure pressure differentialsdifferentials

FanFan

Page 28: Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance and Safety: Medicines Medicines Policy and Standards.

Re-circulation Air SystemRe-circulation Air System

ISPE Baseline Vol. 2 #6.3.3 (d)

WHO HVAC Guideline

ProductionR oom

F

HEP

AFI

LTER

SEC

ON

DAR

YFI

LTER

CO

OLI

NG

CO

IL

PRIM

ARY

FILT

ER

SUPP

LYAI

R F

AN

AIR HANDLING UNIT

R

S

HEPA filters installed?

Page 29: Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance and Safety: Medicines Medicines Policy and Standards.

Cationic column Anionic column

Hygienic pump

Outlets or storage.

Ozone generator

UV light

HCl NaOH

Eluates toneutralization

plant

Air break to sewer

Drain line

from water softener

Water must be kept circulating

Typical de-ionizer schematic

12345

6

12345

6

Return to de-ioniser

Cartridgefilter 5 µm

Cartridgefilter 1 µm

Page 30: Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance and Safety: Medicines Medicines Policy and Standards.

Documentation reviewDocumentation review

HVAC

• DQ, IQ, OQ, PQ

• Important aspects including air

flow direction, filtration, air

changes, pressure differentials

Water

• DQ, IQ, OQ, PQ

• Sampling and testing

Page 31: Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance and Safety: Medicines Medicines Policy and Standards.

Documentation reviewDocumentation review

Equipment and utilities

• SOPs (operation, cleaning,

calibration)

• Records and use logs

• Calibration records/certificates

• Preventative maintenance and

maintenance

• Qualification

Page 32: Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance and Safety: Medicines Medicines Policy and Standards.

Documentation reviewDocumentation review

Product related

• Batch Manufacturing document as

per product dossier

• Process Validation protocol and

report

• Bio-batch records

• Stability batches

• Batch records

Page 33: Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance and Safety: Medicines Medicines Policy and Standards.

Documentation reviewDocumentation review

Other documents

• SOPs including:

•Cleaning

•Complaints

•Recalls

• Validation protocols and reports

including:

•Cleaning validation

•Computer validation

Page 34: Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance and Safety: Medicines Medicines Policy and Standards.

Documentation reviewDocumentation review

• Inspection of the quality control

laboratory…

Page 35: Good Manufacturing Practices Dar Es Salaam, Tanzania August 2006 Dr AJ van Zyl for Quality Assurance and Safety: Medicines Medicines Policy and Standards.

Group sessionGroup session

• Group 1

• Group 2