Validation 4 for Credible Pharma 4 a Keynote for Valconnect 2023.pdf

Ajaz Hussain
Ajaz HussainAdvisor, Board Member um Insight Advice & Solutions LLC
Validation 4 for Credible Pharma 4 a Keynote for  Valconnect 2023.pdf
Ajaz | Insights for ValConect 2023 2
VALIDATION 4.0 MAKES
PHARMA 4.0 CREDIBLE
The notion of Validation 4.0 in the title of this keynote relates to
the development and maturity of people and professionals,
which I will elaborate on in the context of the ValGenesis
experience of its users and service providers.
I wish to acknowledge and appreciate some of the ongoing
efforts at the International Society for Pharmaceutical
Engineering to dialogue, roadmap, and provide practical
guidance for Pharma 4.0™
Among other things, Pharma 4.0 is envisioned to encompass
the notions of a SMART [Pharmaceutical] Factory in the context
of the Industry 4.0 revolution accelerating outside the pharma
sector.
To succeed in this endeavor, we need to transform our old ways
of approaching compliance to a new mindset and, to do so,
break with tradition and lay a new foundation for validation,
“Validation 4.0,” which also is a core operational topic of
discussion and practical guidance within the ISPE community.
Validation 4.0 in this talk is about internal assurance, self-
assurance, and self-authoring policies, plans, and procedures,
ideally without the need [to wait] for FDA guidance.
Ajaz | Insights for ValConect 2023 3
MY ATTENTION IS ON
PROFESSIONAL DEVELOPMENT AND
SYSTEM MATURITY.
I draw inspiration from the Hermetic principle "As Above, So
Below - As Within, So Without" to consider the chaotic and
complex characteristics of socio-technical systems in which
we live and work.
I observe, make sense of, and seek a deeper understanding
of ways to empower minds in chaos to manage materials,
machines, and money.
In my understanding, I will elaborate on Validation 4.0 and
share some insights on SMART ways to achieve internal and
external validation of “people" and "professionals" in their
various roles and responsibilities, ensuring the integrity of
their data and experience.
In this sense, the title of my talk reads, Validation 4.0 of
professionals and corporations makes progress in Pharma
4.0 credible! This talk builds on a blog post I wrote many
years ago, Education, Training, Experience & 21 CFR 211.25:
Theory, Practice and Epistemology.
• ValGenesis VLMS 4.0 (2018)
• ValGenesis VLMS 3.0 (2014)
• …. ValGenesis November 2005
VLMS 4.2 (2023)
Ajaz | Insights for ValConnect 2023
4
“Built for modern
validation.”
But we live in a
post-modern, post-
truth world in an
experience
economy!
Validation 4.0
makes Pharma 4.0
credible.
Sustain and Build a Quality Culture in Today's Realities. KENX’s Computer Software Validation & Software Assurance University, (December 2021)
PAY AT T E N T I O N TO U X A N D V X .
WHEN
EXPERIENCE
MATTERS MORE
Validation 4.0
(IQ, OQ, PQ & CPV for Valid Experience)
Note: The genesis of “validation” stems from our need to control, and it evolves under the influences of our
“desires” and opinions. In a rule-based society, it is also a legal (mandate. In modernity, evidence-based practices
are highly valued, and impartial inspections confirm adherence to them. As a system matures and consistently
exhibits confident internal validation, its offerings create the sense of security we require, and the necessity for
external audits decreases and may even become discretionary, depending on an adequate level of objective risk
management. ValGenesis can be a SMART solution in this socio-technical context
Ajaz | Insights for ValConnect 2023
6
Ajaz | Insights for ValConect 2023 7
MANY [NEW] ASSOCIATES, ONE QUALITY VOICE?
HOW WE OPTIMALLY LEVERAGE DIVERSITY TO IMPROVE UX AND SX
MY VIEWPOINTS
Academia (1986-1994)
US FDA (January 1995-October 2005)
Advisor ValGenesis (November 2005- present)
Global Head Biosimilar Development, Sandoz/Novartis
CSO & VP Next Generation Products, Philip Morris
International
CSO President Biotechnology, Wockhardt, Ltd.
Insight Advise and Solutions, LLC
President National Institute for Pharmaceutical Technology
& Education
Presently advisor at ValGenesis and others such as Applied
SmartFactory, and CONTINUUS Pharmaceuticals, ….
The Nation Needs a Comprehensive Pharmaceutical Engineering Education and Research System (September 2005) (ISPE.org)
4 Life Sciences Lessons from the PAT to QbD Journey (Valgenesis.com)
Ajaz | Insights for ValConect 2023 8
Assuring “integrity of
experience.” A personal
VLMS perspective.
4 Life Sciences Lessons from
the PAT to QbD Journey
(Valgenesis.com)
Hone Quality through Research
before and after “approval.”
Education and Training Alone Cannot Overcome
Displacement by AI, Experience Integrity Matters
Facilitating Adult Human Development Empowers
Our SMART Future
Continual Professional Development is Essential
Seek a holistic view from different viewpoints:
Practice transitioning from intricate details to the bigger picture and vice versa. Get good (=
valid) at doing so effortlessly and with seamless precision.
Validation 4 for Credible Pharma 4 a Keynote for  Valconnect 2023.pdf
A legacy of lingering errors of omission
Critical Path Initiative Challenges: FDA ACPS Meeting 19 October 2004
SMART MINDS
SMART machines, materials, and
money aligning with critical
[Pharma] 4.0 directional vectors
The FD&C Act (1938), CGMP Regulations, and
“Predicate rule” (Part 11)
Scientific training and experience to assess
evidence of “substantial effectiveness” fairly
and responsibly (Kefauver Harris Amendment,
1962)
21 CFR § 211.25 Personnel qualifications –
“education, training [and] experience”
Legacy, responsibility to adhere to and improve
In Over Our Heads — Robert Kegan | Harvard University
BioPhorum Resource - Digital plant maturity model
Ajaz | Insights for ValConnect 2023 14
HOW TO BREAK THE PHARMACEUTICAL 2-3 SIGMA BARRIER (LIKE
AMGEN) (PHARMACEUTICALONLINE.COM) 2017
“One Quality Voice” amidst variable qualia, systems
maturity, and quality culture.
FDA’s White Paper (2015): One Quality Voice and CDER’s Quality Management Maturity (QMM) Program (August 2023 update)
Ajaz | Insights for ValConect 2023 16
DON’T FORGET THE LEGACY OF “FDA
APPROVED,” VALIDATED PROCESS!
• “Doing more is recognizing that our systems
are socio-technical systems. [System] maturity
is our maturity, to be suitable and capable of
moving from “don’t use and don’t tell” and “if I
don’t look, there is no problem” and “fail and
fix” to be able to “predict and prevent” harm.”
Pharmaceutical Quality, Team Science, and Education
Themes: Observations and Commentary on a Remarkable
AAPS PharmSciTech Theme Issue | SpringerLink (4 March
2021)
• “A grain of wise subjectivity tells us more
about the real world than any amount of
objectivity.” ― Judea Pearl, The Book of Why:
The New Science of Cause and Effect (2018)
“Root cause unknown” can point
to legacy “common causes”
To critically risk assess “common cause
variations,” make “common sense.”
Physicochemical failure modes for Narrow Therapeutic Index (NTI) drugs (europeanpharmaceuticalreview.com)
Ajaz | Insights for ValConect 2023 17
HOW TO MAKE COMMONSENSE GOOD?
• Expand and share awareness to make sense in
a way that bridges the differences in
understanding
• Do so with the integrity of experience!
• Note that understanding is shared more
efficiently within a technical discipline (a
downside of ‘group think” poses a risk of
shared biases) than across disciplines; shared
sensemaking to mind the gaps fairly and
responsibly generates Team Science.
• In Team Science, we ask questions that induce
critical thinking without criticism, scientific
questions, not scientism
Validate sensemaking process? VLMS for good sensemaking
Adapted from Dennis K. Leedom. Final Report, Sensemaking Symposium, October 2001. Command and Control Research
Program, Office of the Assistant Secretary of Defense, for Command, Control, Communications, and Intelligence.
PHARMACEUTICAL “NEW PRIOR KNOWLEDGE”:
TWENTY-FIRST CENTURY ASSURANCE OF
THERAPEUTIC EQUIVALENCE | AAPS PHARMSCITECH (SPRINGER.COM)
• [A] No ANDA has been submitted for 10% of all FDA-
approved NDAs (100%) despite expired patents and
exclusivities.
• [B] Quoting an FDA-issued Federal Register notice—
“The drugs described in more than half of all FDA-
approved ANDAs are never marketed, marketed
only after a substantial delay after approval, or
marketed only intermittently. Such failures to
market contribute to drug shortages and hinder
consumer access to approved products.”
• [C] Percentage of approved and commercialized
ANDA’s
Ajaz | Insights for ValConect 2023 18
Ajaz | Insights for ValConect 2023 19
VALGENESIS: A SMART SOLUTION
CRITICAL WITHOUT CRITICISM, SCIENTIFIC, NOT SCIENTISM
• I am eager to learn about the ValGenesis user
experience at Valconnect 2023 and learn what the
ValGenesis UX Research Team is up to now
• Dexcom’s experience migrating from a paper-based
system
• The story of using the Project Module in ValGenesis
VLMS to manage all validation deliverables for
projects and changes at Cardinal Health.
• Other experiences
• Satisfying individual needs and aspirations for
continual improvement, development, and
maturity
• Satisfying continual improvement,
development, and maturity of the VLMS
platform
• Satisfying aspirations of ValGenesis
development and maturity to remain a de facto
VLMS standard in life science
Satisfying UX Satisfying VX
VALGENESIS SMART
• Machines: Self-monitoring, analyzing and reporting
technologies
• Minds: Self-monitoring, analyzing, researching, and
testing [to detect and correct errors of omission]
• Integrating SMART machines and minds is crucial to
managing material variability and for the credibility
of efforts and outcomes while navigating in reality
with a Pharma 4.0 roadmap
• Attention to the integrity of UX and SX necessary
for Validation 4.0
• Validation 4.0 personally is self-assuring valid
sensemaking via self-authoring, making internal
validation normal, easy, and rewarding
• Externally, VLMS 4.0 opened the door to ValGenesis
SMART; now VLMS 4.2 helps place critical thinking
upfront and move towards an improved scientific
basis for risk management
SMART dimensions Validation 4.0 ([n the context of] Pharma 4.0
Ajaz | Insights for ValConect 2023 20
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Validation 4 for Credible Pharma 4 a Keynote for Valconnect 2023.pdf

  • 2. Ajaz | Insights for ValConect 2023 2 VALIDATION 4.0 MAKES PHARMA 4.0 CREDIBLE The notion of Validation 4.0 in the title of this keynote relates to the development and maturity of people and professionals, which I will elaborate on in the context of the ValGenesis experience of its users and service providers. I wish to acknowledge and appreciate some of the ongoing efforts at the International Society for Pharmaceutical Engineering to dialogue, roadmap, and provide practical guidance for Pharma 4.0™ Among other things, Pharma 4.0 is envisioned to encompass the notions of a SMART [Pharmaceutical] Factory in the context of the Industry 4.0 revolution accelerating outside the pharma sector. To succeed in this endeavor, we need to transform our old ways of approaching compliance to a new mindset and, to do so, break with tradition and lay a new foundation for validation, “Validation 4.0,” which also is a core operational topic of discussion and practical guidance within the ISPE community. Validation 4.0 in this talk is about internal assurance, self- assurance, and self-authoring policies, plans, and procedures, ideally without the need [to wait] for FDA guidance.
  • 3. Ajaz | Insights for ValConect 2023 3 MY ATTENTION IS ON PROFESSIONAL DEVELOPMENT AND SYSTEM MATURITY. I draw inspiration from the Hermetic principle "As Above, So Below - As Within, So Without" to consider the chaotic and complex characteristics of socio-technical systems in which we live and work. I observe, make sense of, and seek a deeper understanding of ways to empower minds in chaos to manage materials, machines, and money. In my understanding, I will elaborate on Validation 4.0 and share some insights on SMART ways to achieve internal and external validation of “people" and "professionals" in their various roles and responsibilities, ensuring the integrity of their data and experience. In this sense, the title of my talk reads, Validation 4.0 of professionals and corporations makes progress in Pharma 4.0 credible! This talk builds on a blog post I wrote many years ago, Education, Training, Experience & 21 CFR 211.25: Theory, Practice and Epistemology.
  • 4. • ValGenesis VLMS 4.0 (2018) • ValGenesis VLMS 3.0 (2014) • …. ValGenesis November 2005 VLMS 4.2 (2023) Ajaz | Insights for ValConnect 2023 4
  • 5. “Built for modern validation.” But we live in a post-modern, post- truth world in an experience economy! Validation 4.0 makes Pharma 4.0 credible. Sustain and Build a Quality Culture in Today's Realities. KENX’s Computer Software Validation & Software Assurance University, (December 2021)
  • 6. PAY AT T E N T I O N TO U X A N D V X . WHEN EXPERIENCE MATTERS MORE Validation 4.0 (IQ, OQ, PQ & CPV for Valid Experience) Note: The genesis of “validation” stems from our need to control, and it evolves under the influences of our “desires” and opinions. In a rule-based society, it is also a legal (mandate. In modernity, evidence-based practices are highly valued, and impartial inspections confirm adherence to them. As a system matures and consistently exhibits confident internal validation, its offerings create the sense of security we require, and the necessity for external audits decreases and may even become discretionary, depending on an adequate level of objective risk management. ValGenesis can be a SMART solution in this socio-technical context Ajaz | Insights for ValConnect 2023 6
  • 7. Ajaz | Insights for ValConect 2023 7 MANY [NEW] ASSOCIATES, ONE QUALITY VOICE? HOW WE OPTIMALLY LEVERAGE DIVERSITY TO IMPROVE UX AND SX
  • 8. MY VIEWPOINTS Academia (1986-1994) US FDA (January 1995-October 2005) Advisor ValGenesis (November 2005- present) Global Head Biosimilar Development, Sandoz/Novartis CSO & VP Next Generation Products, Philip Morris International CSO President Biotechnology, Wockhardt, Ltd. Insight Advise and Solutions, LLC President National Institute for Pharmaceutical Technology & Education Presently advisor at ValGenesis and others such as Applied SmartFactory, and CONTINUUS Pharmaceuticals, …. The Nation Needs a Comprehensive Pharmaceutical Engineering Education and Research System (September 2005) (ISPE.org) 4 Life Sciences Lessons from the PAT to QbD Journey (Valgenesis.com) Ajaz | Insights for ValConect 2023 8 Assuring “integrity of experience.” A personal VLMS perspective.
  • 9. 4 Life Sciences Lessons from the PAT to QbD Journey (Valgenesis.com) Hone Quality through Research before and after “approval.” Education and Training Alone Cannot Overcome Displacement by AI, Experience Integrity Matters Facilitating Adult Human Development Empowers Our SMART Future Continual Professional Development is Essential
  • 10. Seek a holistic view from different viewpoints: Practice transitioning from intricate details to the bigger picture and vice versa. Get good (= valid) at doing so effortlessly and with seamless precision.
  • 12. A legacy of lingering errors of omission Critical Path Initiative Challenges: FDA ACPS Meeting 19 October 2004
  • 13. SMART MINDS SMART machines, materials, and money aligning with critical [Pharma] 4.0 directional vectors The FD&C Act (1938), CGMP Regulations, and “Predicate rule” (Part 11) Scientific training and experience to assess evidence of “substantial effectiveness” fairly and responsibly (Kefauver Harris Amendment, 1962) 21 CFR § 211.25 Personnel qualifications – “education, training [and] experience” Legacy, responsibility to adhere to and improve In Over Our Heads — Robert Kegan | Harvard University BioPhorum Resource - Digital plant maturity model
  • 14. Ajaz | Insights for ValConnect 2023 14 HOW TO BREAK THE PHARMACEUTICAL 2-3 SIGMA BARRIER (LIKE AMGEN) (PHARMACEUTICALONLINE.COM) 2017
  • 15. “One Quality Voice” amidst variable qualia, systems maturity, and quality culture. FDA’s White Paper (2015): One Quality Voice and CDER’s Quality Management Maturity (QMM) Program (August 2023 update)
  • 16. Ajaz | Insights for ValConect 2023 16 DON’T FORGET THE LEGACY OF “FDA APPROVED,” VALIDATED PROCESS! • “Doing more is recognizing that our systems are socio-technical systems. [System] maturity is our maturity, to be suitable and capable of moving from “don’t use and don’t tell” and “if I don’t look, there is no problem” and “fail and fix” to be able to “predict and prevent” harm.” Pharmaceutical Quality, Team Science, and Education Themes: Observations and Commentary on a Remarkable AAPS PharmSciTech Theme Issue | SpringerLink (4 March 2021) • “A grain of wise subjectivity tells us more about the real world than any amount of objectivity.” ― Judea Pearl, The Book of Why: The New Science of Cause and Effect (2018) “Root cause unknown” can point to legacy “common causes” To critically risk assess “common cause variations,” make “common sense.” Physicochemical failure modes for Narrow Therapeutic Index (NTI) drugs (europeanpharmaceuticalreview.com)
  • 17. Ajaz | Insights for ValConect 2023 17 HOW TO MAKE COMMONSENSE GOOD? • Expand and share awareness to make sense in a way that bridges the differences in understanding • Do so with the integrity of experience! • Note that understanding is shared more efficiently within a technical discipline (a downside of ‘group think” poses a risk of shared biases) than across disciplines; shared sensemaking to mind the gaps fairly and responsibly generates Team Science. • In Team Science, we ask questions that induce critical thinking without criticism, scientific questions, not scientism Validate sensemaking process? VLMS for good sensemaking Adapted from Dennis K. Leedom. Final Report, Sensemaking Symposium, October 2001. Command and Control Research Program, Office of the Assistant Secretary of Defense, for Command, Control, Communications, and Intelligence.
  • 18. PHARMACEUTICAL “NEW PRIOR KNOWLEDGE”: TWENTY-FIRST CENTURY ASSURANCE OF THERAPEUTIC EQUIVALENCE | AAPS PHARMSCITECH (SPRINGER.COM) • [A] No ANDA has been submitted for 10% of all FDA- approved NDAs (100%) despite expired patents and exclusivities. • [B] Quoting an FDA-issued Federal Register notice— “The drugs described in more than half of all FDA- approved ANDAs are never marketed, marketed only after a substantial delay after approval, or marketed only intermittently. Such failures to market contribute to drug shortages and hinder consumer access to approved products.” • [C] Percentage of approved and commercialized ANDA’s Ajaz | Insights for ValConect 2023 18
  • 19. Ajaz | Insights for ValConect 2023 19 VALGENESIS: A SMART SOLUTION CRITICAL WITHOUT CRITICISM, SCIENTIFIC, NOT SCIENTISM • I am eager to learn about the ValGenesis user experience at Valconnect 2023 and learn what the ValGenesis UX Research Team is up to now • Dexcom’s experience migrating from a paper-based system • The story of using the Project Module in ValGenesis VLMS to manage all validation deliverables for projects and changes at Cardinal Health. • Other experiences • Satisfying individual needs and aspirations for continual improvement, development, and maturity • Satisfying continual improvement, development, and maturity of the VLMS platform • Satisfying aspirations of ValGenesis development and maturity to remain a de facto VLMS standard in life science Satisfying UX Satisfying VX
  • 20. VALGENESIS SMART • Machines: Self-monitoring, analyzing and reporting technologies • Minds: Self-monitoring, analyzing, researching, and testing [to detect and correct errors of omission] • Integrating SMART machines and minds is crucial to managing material variability and for the credibility of efforts and outcomes while navigating in reality with a Pharma 4.0 roadmap • Attention to the integrity of UX and SX necessary for Validation 4.0 • Validation 4.0 personally is self-assuring valid sensemaking via self-authoring, making internal validation normal, easy, and rewarding • Externally, VLMS 4.0 opened the door to ValGenesis SMART; now VLMS 4.2 helps place critical thinking upfront and move towards an improved scientific basis for risk management SMART dimensions Validation 4.0 ([n the context of] Pharma 4.0 Ajaz | Insights for ValConect 2023 20