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ADVANCED GMPs for 21st Century
    Regulatory Perspective




Mr.J.Ramniwas
Founder and CEO
SAI PHARMA SOLUTIONS INC. VADODARA
Outline


 Changing Paradigm for GMPs
 21st Century Initiatives
 Concept of Modern Quality Systems
 Basis of Advanced GMPs
 Quality System Approach
 What’s new to meet challenges
 GMP Improvements
 Global Registration Requirements
 Expectations
 Summary                          J.Ramniwas   2
Changing Paradigm for GMPs



Product    Process       Systems
  -1970   1980 - 1990       21st
 [QC]        [QA]         Century
                           [QS]



                        J.Ramniwas   3
Background of FDA’s 21st
     Century Initiatives
Limited resources and increased volume of work
 August 2002 – FDA announced the Pharmaceutical
  cGMPs for the 21st Century – A Risk Based Approach
 Focus on the greatest potential risk to the public
 FDA’s intent to integrate quality systems and risk
  management approaches - to modernize FDA’s
 regulations
 Encourage industry to adopt modern and innovative
  manufacturing technologies as well as modern quality
 system approaches
 Necessary to harmonize the cGMPs with other non-
  U.S. pharmaceutical regulatory systems
 Need to harmonize with FDA’s own medical device
  quality systems regulations
                                           J.Ramniwas    4
Background of FDA’s 21st
     Century Initiatives contd...
Encourage Risk-Based approaches which focus on critical elements
     Ensure FDA’s Review, Compliance and Inspection
    Policies –based on state-of-art pharmaceutical
    science
! Risk-Based Approach to Manufacturing and
    Regulation
•#Pharmaceutical Inspectorate
– Experienced Field Investigators
•#Process Analytical Technology (PAT) Guidance
– Real-time measurements
•#Process Validation Guidance
– Life Cycle Approach - Built-in Quality, not tested into
  product
•#21 CFR 11 Electronic Records Guidance
•#Quality Systems Guidance - September 2006 – FDA issued the final
version of the “,-./0123#456#71/-896:#51#;-0<.9:#=:893>8#?@@6502A#95
Pharmaceutical cGMP Regulations”
•#Systems-Based Inspection
•#6 systems                                           J.Ramniwas       5
Philosophy of cGMP and
Modern Quality Systems

Quality should be built into
the product, and testing
alone cannot be relied
on to ensure product
quality.




                          J.Ramniwas   6
IA5-FA#,GH#.8#0#<3F0<#01/#63F-<0956:#
EA5-FA#,GH#.8#0#<3F0<#01/#63F-<0956:#
requirementK#.98#630<#.>@5690123#.8#.1#
requirementJ#.98#630<#.>@5690123#.8#.1#
protecting the health and ensuring the
confidence of those who use the
products we maL3
             maM3




                           J.Ramniwas     7
A. Management Responsibilities Contd..
 j    Structure the organization to ensure the
      assigned authorities and responsibilities
 l
 k    Organizational structure is documented
 n
 m    Support the total quality model
 p
 o    Quality Systems departments have equal
      standing with other departments within an
      organization
 r
 q   The Quality Manager has the authority to
     detect problems, implement solutions, and
     provide prompt feedback on quality issues to
     the organization.
         organization.

                                   J.Ramniwas
A. Management Responsibilities Contd..
      Play a key role in the design, implementation, and
      management of a robust quality systems.
 t
 s    Align quality plans with company’s visions and
      mission
 v
 u    Actively participate in Management Review meetings
     – to ensure continuing suitability, adequacy and
       effectiveness
 x
 w    Articulate their vision of and commitment to quality to
      all levels of the organization.
 z
 y    Advocate continuous improvement of the operation
      of Quality System
     •#Strong
     •#Strong and visible support for the quality system
     •#Internal
     •#Internal communication on quality issues at all levels
 €
 •    Commit necessary resources

                                            J.Ramniwas
A. Management Responsibilities Contd..

 ‚
 •   Management controls are always reviewed
     by FDA
 •#CAPA
 •#CAPA
 •#People
 •#People qualifications
 •#Change
 •#Change control
 •#Validation
 •#Validation




                                 J.Ramniwas
B. RESOURCES.

 Œ
 ‹   General Arrangements

     Personnel Development
                          – Communicative

     Facilities and Equipment
     Control Outsourced Operations




                                     J.Ramniwas
B. RESOURCES Contd...
•   Appropriate allocation of resources


     intended purpose

                                                – collection, storage,
     examination of in-process, stability, and reserve samples
                    in-
    Personnel

     knowledge
            -solving and communicative culture


    – Education, training and experience
                         – GMP

                                                 J.Ramniwas
C. MANUFACTURING

!  Design, develop and document Product and
    Processes
   •#$%&'()*
   •#-./01'2)3)4.2
   •#7(4)4/38#&(./'**'*
;
: Examine Inputs <#=3)'(438*
                     >#=3)'(438*
@
? Perform and Monitor A&'(3)4.2*
                           B&'(3)4.2*
  •#$2)4('#D(.E0/)#F4G'#7H/8'
  •#7(4)4/38#D(./'**'*#– N3(43M484)H
  •#7(4)4/38#D(./'**'*# – L3(43M484)H
  •#P)3)4*)4/38#D(./'**#7.2)(.8#QPD7R
  •#DUV#–
  •#DUV#– Monitor & reduce QC testing
Y
X Address Nonconformities             J.Ramniwas
C. MANUFACTURING Contd...

 •
 Ĺ˝   Address Nonconformities
     •#Investigations,
     •#Investigations, conclusion and follow -up must
                                      follow-
       be documented.
     •#
     •#CAPA
     •#CAPA




                                           J.Ramniwas   2
D. EVALUATION ACTVITIES
–   Analyze Data for Trends




    Conduct Internal Audits

    sustainability of Quality Systems

                                     – FDA is to refrain from
    both reviewing and copying reports or records that result
    from internal audits
                                         J.Ramniwas         2
D. EVALUATION ACTVITIES Contd...

     Quality Risk Management
 •#Understanding
 •#Understanding of quality issues
      Effective decision- making
                decision-
 •#Risk
 •#Risk assessment
    and the severity of harm
 •#Engage
 •#Engage appropriate parties in risk assessment, e.g.
   regulatory affairs, customers, appropriate manufacturing
    personnel, development scientist, other stakeholders
 •#Risk
 •#Risk management – as a tool in the development of
    product specifications and critical process parameters
 •#Repeat
 •#Repeat risk assessment – to improve processes
 •#Proactive
 •#Proactive approach to quality
      Mitigate risk

                                          J.Ramniwas          22
D. EVALUATION ACTVITIES Contd...
   Corrective Action

   significant problems do not recur


   Preventive Actions

  – Identify potential problems and root causes
  – Assess possible consequences
  – Consider appropriate actions
   CAPA



   level of detail of the evaluation process

                                                  J.Ramniwas   23
D. EVALUATION ACTVITIES Contd...

    ÂŁ Sources of recurring problems
    ¤
    – Non-conformance reports and re
      Non-
    – Product Returns
    – Complaints
    – Internal and External audits
    – Trending data and risk assessment
    – Management review decisions
      •#Effectiveness
      •#Effectiveness of CAPA




                              J.Ramniwas   24
D. EVALUATION ACTVITIES Contd...

     Promote Improvement
     •#´44329.µ31388#01/#344.2.312:#54#0#¶-0<.9:#8:893>
     •#=31.56#G010F3>319#–
     •#=31.56#G010F3>319#– involve in the evaluation of
        improvement process
     •#½33@#0¾63089#54#2A01F38#.1#82.319.4.2#/3µ3<5@>3198#####
       and regulatory requirements




                                            J.Ramniwas           25
System Based cGMP Inspection

 1. Quality System
 2. Facility



 6. Packaging
 Full Inspection
 the five systems
 Abbreviated Inspection
 system and one of the five systems



                                      J.Ramniwas   26
State of Control
 Á
 À FD
   are developed, manufactured and held in a state
   of control, i.e. contribute to SISPQ
   Identity, Strength, Purity, Quality
 Ã
 Â Detailed inspection of a system so that the
   findings reflect the state of control in that system
    for every product
 Å
 Ä If one of the six systems is out of control, the
    company is considered out-of-control
                              out-of-




                                           J.Ramniwas     27
It is not the strongest species that
surviveÇ
surviveÆ nor the most intelligentÈ but
                      intelligentÉ
the ones most responsive to
change”
Charles Ì06Í.1
         Î06Í.1

See today with the eyes of
tomorrow and change before the
change comes.
       comes.

                          J.Ramniwas     28
A Unique Feature of Indians


    ………#………Ð……#……Ñ#71/.01#
    Pharmaceutical Ó#71/.01#HA06>023-9.20<#
                    Ô#71/.01#HA06>023-9.20<#
    Community has got fantastic flexibility
    to accept any challenge Õ#0/0@9#95#
                             Ö#0/0@9#95#
    accept any challenge ×#0/0@9#95#
                           Ø#0/0@9#95#
    Change ………………#………………Ñ#



                               J.Ramniwas      29
The Plan

Ü1/368901/#9A3#63F-<09.518
Û1/368901/#9A3#63F-<09.518
•#´µ0<-093#ÍA363#:5-#063#µ368-8#ÍA363#:5-
  need to be
•#Ì3µ3<5@#0#@65F60>#54#63¶-.63/#029.µ.9.38
•#Ì3936>.13#ÍA363#:5-#133/#3â93610<#8-@@569
•#H65/-23#0#82A3/-<3
•#Ì3936>.13#9A3#2589



                              J.Ramniwas      3
Advantages

Quality by design
Logical movement of personnel and material
Control at every stage of manufacture
Reduced risk of cross-contamination
Science based approach
Risk based approach
Confidence building




                              J.Ramniwas     3
Number               ICH Guidelines
  Q7     Good Manufacturing Practice Guide for
         Active Pharmaceutical Ingredients
  Q8     Pharmaceutical Development
  Q9     Quality Risk Management
 Q10     Quality Management System
 Q11     Development and Manufacturing of Drug
         Substances
 FDA     Process Validation Guidelines

                                    J.Ramniwas   32
è.FA36#<3¾3<8#54#3â@32909.518#.1#9A3
following areas ĂŠ
 Quality function Road Maps
 êA565-FA#63µ.3Í#01/#96018@06312:#.1#
  exhibit batches
 Compliance and Audits
 ë60.1.1F##01/#344329.µ31388
                                J.Ramniwas   33
 ì31/56#?-/.98#01/#2369.4.209.51
 Environment controls and contamination
  control
 í3Í#25123@98#.1#80>@<.1FJ#9389.1FJ#
  contamination control and cleaning
  validation


                               J.Ramniwas   34
 Quality of Operation reflected
through SOPs.

 IQ, OQ, PQ and higher levels of
scientific skills in validations

 Plant upgradations to the latest
in Pharma standards.
                                   J.Ramniwas   35
Quality of Water and HVAC
 systems

Stringent controls for sterile
 products manufacture and
 asceptic manufactured products

                          J.Ramniwas   36
Recent Changes to PIC
Product Quality Review (new clause 1.
î Commenced on 1 ï01-06:#ðññòÑ
                          ó01-06:#ðññòÑ
Ăľ
Ă´ Requires annual quality reviews of all products to verify the
     consistency of the existing process to highlight trends Ăś#95
                                                             á#95
     identify the need for productø@652388#.>@65µ3>3198Ñ
                            productù@652388#.>@65µ3>3198Ñ
Ăť
Ăş Requires reviews ofĂź   ofĂ˝
•
þ Starting ‚ pacƒing materials„ especially from new sources…
• Critical in•process controls and finished product results…
           in•
• All batches that failed to meet specifications…
• All significant deviations…
• All changes to processes and analytical methods…
• Marƒeting Authorisation variations…
• Stability monitoring and any trends…
• Recalls„ complaints and returns…
• Qualification status of equipment ‚ utilities…
• †echnical agreements…                             J.Ramniwas      37
Upcoming Changes to PIC
On-
On-going stability (new clauses 6.2 – 6.
    Expected to commence on 1 June 2006 or soon after.
    Requires monitoring of stability after marketing, against
   a written protocol.
    Stability program should be extended to the end of the
    shelf life of the product.
    One batch per year of each product strength
    primary packaging type.
    Maintain a written summary of the data generated.




                                           J.Ramniwas           38
Upcoming Changes to PIC

Reference Samples "#$%&%'&()'#*+,-.%/#0'%1#2''%3#4 !
6
5 Expected to commence on 1 June 2006 or soon after.
8
7 Purpose and definitions.
:
9 Duration of storage.
<
; Size of samples.
>
= Storage conditions.
@ EB(&&%'#+CB%%,%'&/D
? AB(&&%'#+CB%%,%'&/D
G OI+&#&)#J)#('#&I%#%K%'&#)L#&I%#M.)/NB%#)L#+#
F HI+&#&)#J)#('#&I%#%K%'&#)L#&I%#M.)/NB%#)L#+#
manufacturer.




                                     J.Ramniwas        39
Upcoming Changes to PIC*#]^_
Sterile Products (changes to Annex 1)
Q
P Expected to commence on 1 June 2006 or soon after.
S
R Changes to some particle size limits for clean -room
                                              clean-
    classification purposes.
U
T Media fill limits specified for the validation of aseptic
    processing.
W Pre-
V Pre-sterilization bioburden assays required for aseptic
    processing and terminal sterilization.
Y
X Grade A environment required forZ for[
- Partially stoppered freeze drying vials.
- Area where aluminium caps on aseptically filled vials are
crimped.


                                          J.Ramniwas          4
Clean Room Environment Control

 Environment monitoring


 Scheduled programmes


 Establishment of limits and training.


 Sanitization, efficacy and monitoring
  methods.

                                J.Ramniwas   4
Activities for Advanced GMP Compliance

 Quality System Improvements
– Calibration
– Maintenance
– Change Control
– ZAP[#-'43)4.2#1323]'1'2)[#7UDU
  ^AP[#-'43)4.2#1323]'1'2)[#7UDU
– Training
– Complaints and recall procedures
– Critical utility and environmental monitoring and
  sampling
– Gowning, personnel monitoring
– Material control
– Cleaning , sterili_3)4.2#32E#*324)4_3)4.2
              sterili`3)4.2#32E#*324)4_3)4.2
                                                      42
Activities for Advanced GMP Compliance

 Documentation
– Site Master File
– Quality Manual
– Master Batch Records
– SOPs and associated forms
– Trending Records
– Log books
– Approved critical drawings
– Documentation to support CTD
•#a%K%.)-,%'&+.#-B)&)M)./#+'J#B%-)B&/
•#*&+d(.(&e#&%/&('C#-B)&)M)./#+'J#B%-)B&/
                                    J.Ramniwas   43
Activities for Advanced GMP Compliance


 Upgrading Environments
– layout of facility
– Classification of environment
– gh_2#L(.&%B#('&%CB(&e#&%/&('C
  ih_2#L(.&%B#('&%CB(&e#&%/&('C
– Room pressure differentials
– Air flows
– Air velocity and volume
– Monitoring and control
– Access of materials and personnel


                                 J.Ramniwas   44
Activities for Advanced GMP Compliance


•#Upgrading l+&%B#*e/&%,/
                   m+&%B#*e/&%,/
– Overall design
– Instrumentation
– Dead legs, Slopes
– Valves
– Backflow prevention
– Materials, finishes
– Spray balls, vent filters, sanitary heat
   exchangers
– Sanitisation and operation
– Recirculation, Flow rate
– Monitoring and control              J.Ramniwas   45
Activities for Advanced GMP Compliance

•#o-CB+J('C#p),-B%//%J#]+/#*e/&%,/
– Moisture
– reJB)M+Bd)'s#t(.#uB%%
  veJB)M+Bd)'s#t(.#uB%%
– Particles
– Filters
– Materials
– Monitoring




                          J.Ramniwas   46
Activities for Advanced GMP Compliance

 Upgrading Equipment
•#
– Equipment Capability – 6 sigma
– Materials, Finishes
– Local environment
– Cleaning, sanitisation
– Monitoring and control
– “x+.(J+&+d(.(&e”#– 21 CFR Part 11
  “x+.(J+&+d(.(&e”#–




                                      J.Ramniwas   47
The Common Technical Document (CTD)


•#|I%#p|a#(/#+#L)B,+&#+CB%%J#de#hos#o*2#+'J###
   Japan for submitting applications for new
   products.
•#•&#(/#)BC+'(/%J#('#€#,)JN.%/D#^)JN.%#4#(/#
  unique to each region. Modules 2 to ‚#+B%#
                                       ƒ#+B%#
  common across all regions
• Module 1 – Administrative Requirements
•#^)JN.%#…#– ‰(CI#.%K%.#/N,,+B(%/#)L#ˆN+.(&es#
•#^)JN.%#…#– ‡(CI#.%K%.#/N,,+B(%/#)L#ˆN+.(&es#
  Clinical and Non clinical



                                  J.Ramniwas     48
The Common Technical Document (CTD)



• Module Š#– Quality - Chemical, Pharmaceutical
          ‹#–
   and Biological Documentation
•#^)JN.%#•#–
•#^)JN.%#•#– Toxicological and Pharmacological
  (non clinical) study reports
•#^)JN.%#€#–
•#^)JN.%#€#– Clinical Study Reports




                                 J.Ramniwas       49
The Common Technical Document (CTD)


• Generally dossier must be in English or the
  language of the Reference Member State
• eCTD format was obligatory. But now
                      obligatory.
  mandatory
• Mock up of packaging, specimen of packaging
   and leaflet also required in language of
   Reference Member State




                                J.Ramniwas      5
VALIDATION

•#Usually a ma—)B#L+(.('C#L)B#,+'e#,+'NL+M&NB%B/
            ma˜)B#L+(.('C#L)B#,+'e#,+'NL+M&NB%B/
•#*&B+&%C(M#a)MN,%'&+&()'
– Production of an overall Validation Master Plan
  and Validation Plans for specific areas.
– Production of a validation schedule
– Production of System Boundary drawings
– System Impact Assessment




                                   J.Ramniwas       5
VALIDATION


• Design Qualification
– GMP review of Facility Design
– DQ (protocols execution and reports) of ma•)B
                                             maĹž)B
  Direct Impact Systems and Equipment
• Equipment Facilities and Utilities Qualification
– IQ, OQ, PQ Protocols execution and reports for
  Direct Impact Systems including ÂĄx2ps Critical
                                     ¢x2ps
  Utilities, Process Equipment and Laboratory
  Equipment




                                         J.Ramniwas   52
VALIDATION


• Validation
– Protocols execution and reports for
  Process Simulation (Media Fills),
  Cleaning Validation, Process
  Validation and Method
  Validation¤K%B(L(M+&()'
  ValidationÂŁK%B(L(M+&()'




                             J.Ramniwas   53
Environment Monitoring Sterile Areas

Monitoring Methods :

 Surface Monitoring
 Active Air Monitoring
 Passive Air Monitoring
 Particulate Monitoring


                           J.Ramniwas   54
Some of the points cited in the
Regulatory Inspections

  Restricted access to computers and
   data handling.


  Total traceability of Unit operation
   in BMR with respect to machine
   no., room no., time logs, operation
   logs and verification
                             J.Ramniwas   55
Some of the points cited in the
Regulatory Inspections Contd…..
  Risk assessment for critical facilities and
   equipments which can cause product
   quality to be altered e.g. air handling
   systems in sterile product manufacture


  Air handling system with single pass with
   HEPA filters not re-circulation type.

                                  J.Ramniwas     56
Some of the points cited in the
Regulatory Inspections Contd…..
  Validation Master Plan, detailed
   execution through protocols and
   executive summary on the study.
  100% identification of Raw Materials in
   QC
  TSE/BSE certification and SOP for
   incoming materials assessment through
   vendor approval system
                                J.Ramniwas   57
Some of the points cited in the
Regulatory Inspections Contd…..
  Pest control, procedure with schematic
   diagrams, effectiveness of chemicals and
   disposal of dead rodents.


  Water systems with respect to plant
   design, system validation, chemical and
   microbial attributes and monitoring of
   pesticides and radioactive traces.
                               J.Ramniwas     58
Laboratory
 Reference standards, working
 standards, instrument logs, column
 register, calibration, stability
 monitoring and instrument audit
 trials.

 Annual Reports on each product is
 scrutinized.
                          J.Ramniwas   59
Laboratory Contd…
 Deviations and change control
  mechanism thoroughly
  investigated.

 Approved suppliers list and its tally
  with vendor approval system.

 OOS handling.
                             J.Ramniwas   6
Laboratory Contd…

Technical agreements and its
 executions.
Sterility assurance in bulk APIs
 and dosage forms.
Media simulation trials and its
 applicability to production run.
                        J.Ramniwas   6
Some of the USFDA Inspections
and Non-compliance
Deficiency in validation work.

Process validation as well as
 analytical validation.

Process validation not done on
 worst case simulation.
                          J.Ramniwas   62
 In a multiple product manufacturing site,
  effectiveness of cleaning validation not
  demonstrated through worst case in a
  multiproduct matrix.
 Back-up system of stability chamber
  inadequate.
 Inadequate temperature mapping in
  warehouses.
                               J.Ramniwas     63
 Inadequate validation of vacuum
  transfer system for cleaning operations.
 Changes in production, QC and
  warehouse without change control.
 Complaint investigation lacking depth,
  tracebility and time frame commitment.



                               J.Ramniwas    64
ADVANCED GMPs CONCERNS
 Lab Controls           SOPs
 Records and Reports    Reprocessing /
 Process Controls        Reworks
 Equipment Cleaning     Ingredients controls
 Process Validation     Buildings and
 Water Systems           Facilities

 Stability Programs     Training
                         Investigations
                                     J.Ramniwas   65
ÂŤÂŹDp+&%C)B(%/#)L#$%CN.+&)Be#p)'M%B'


1. API -#a)/+C%#^LC    Pending corrective actions
                         ÂĽ
2. Change of Site
                        6. Previous deviations
ÂŽD##u+M(.(&e#1(&IJB+1'#    persist
   and not informed
¯D##u(B,#')&#B%+Je#)'# ŒD##A+B'('C#§%&&%B
   inspection call
°D##•'+J%±N+&%#         ¨D##*%(©NB%
   ²/N-%BL(M(+.³#####
    response            ªD##•'—N'M&()'             66
                                      J.Ramniwas
10. Insufficient           1´D##p),-)'%'&#)B#
    development data            intermediate controls

11. Buildings š#L+M(.(&(%/ 1¾D##a%K(+&()'#LB),#a^u#####
                                NDA œ#2¡a2
12. Inadequate change
     control procedure     16. Deviation from
                                monograph
1ÂşD##p)'&+,('+&()'
                           1¸D##h'K(B)',%'&+.#
                             controls               67
1ÂD##g).J('C##+'J##       2»D##tBC+'(©+&()'
     distribution
                          2ÂźD##$%M)BJ/##B%-)B&/
1ÃD##§+d#M)'&B)./
20. Master record non- 26. Reprocessing
    specific or deficient
                          2½D##*-%M(L(M+&()'/
21. Packaging and
    labeling controls     2žD##*&+d(.(&e#-B)CB+,
22. Production Ä#####     2¿D##*t_/#.+MÀ('C#)B####
    process controls           inadequate
2ÅD##ˆ2#LN'M&()'/         Á¬D##|B+('('C
                                          J.Ramniwas   68
Ì4D##2_•#_B)M%//#          ÆÇD##^%J(+#L(../
     validation
                           ȦD##*e/&%,#•ˆ##tˆ
Í…D##p),-N&%B#K+.(J+&()'
                          ɨD##*M+.%-up validation
ΊD##h±N(-,%'&#M.%+'('C##      failure
     validation
                          Ê D##x+.(J+&()'#-B)&)M).#
Ï•D Equipment                  inadequate
    qualification
                          ˬD#A+&%B#/e/&%,####
ЀD##gx2p#K+.(J+&()'          validation

                                         J.Ramniwas   69
GMP -Improvements

Renovation of facilities
Ò
Ñ Plant
Ô Ö+&%B
Ó Õ+&%B
Ø Úx2p
× Ùx2p
Ü
Û Storage
Þ
Ý Disposal
Ă 
ß Training of personnel
â
ĂĄ Upgrading equipment
ä
ĂŁ Identifying critical steps
ĂŚ In-
ĂĽ In-process parameters
è
ç Validation
ĂŞ
ĂŠ Self inspection              J.Ramniwas   7
Global Registration Requirements

  GMP •Basic prerequisite
  ˆ Semi•regulated countries also need GMP compliant
    Semi•
    facilities
  ˆ Many countries require pre•approved facilities
                            pre•
  ˆ General GMP inspection of the facility
  ˆ Some countries inspect the product manufacturing line
     before granting marƒeting authorisation
  ˆ Product specific GMP inspection




                                               J.Ramniwas   7
†he Expectations

The evaluation of the risk should ultimately link back to
  the potential risk to the patient.
                            patient.
The extent of the risk management process should be
 commensurate with the level of risk associated with the
 decision.
 decision.
A more robust data set will lead to lower uncertainty.
                                             uncertainty.
It is essential to have a clear delineation of the risk
 question.
 question.
Risk management should be an iterative process.
                                             process.




                                              J.Ramniwas     72
†he Expectations Contd……

People who apply risƒ management should have
 the appropriate training„ sƒills and experience…
                                      experience…
†he risƒ management process should be
 appropriately documented and verifiable…
                                   verifiable…
Šefining specifically the risƒ management problem
 or question„ including the assumptions leading to
 the question…
     question…
Assembling bacƒground information and data on
 the ha‹ard„ harm or human health impact relevant
 to the assessment…
        assessment…

                                       J.Ramniwas    73
†he Expectations Contd……

Identifying the necessary resources„ members of
  the team who have the appropriate expertise„ with
 the leader clearly identified…
                    identified…
Asƒing the right risƒ assessment questions…
                                   questions…
Stating clearly the assumptions in the risƒ
  assessment…
  assessment…
Assessing the quality and sufficiency of relevant
  data…
  data…
Specifying and deliverables for the risƒ
   assessment…
   assessment…

                                        J.Ramniwas    74
Summary

Use regular internal audits to identify those areas
  that require attention to comply with the GMP Guides.
                                                  Guides.
  Utilise external consultant(s) if necessary.
                                    necessary.
Prioritise implementation of corrective actions using a
  risk based approach.
              approach.
 Establish a budget to enable appropriate corrective
  actions to be implemented.
                implemented.
 Í%%- watch on Regulatory authority websites for
  ĂŹ%%-
  changes in GMPs coming up in the future.
                                        future.
 Establish industry networking system to monitor and
  report on inspection trends by GMP regulators.
                                         regulators.



                                                            75
†hanƒ you for your attentionŒ

                   Any Questions•
Contact for consulting or technical advisory servicese
J.RAMNIWAS
Founder & CEO
SAI PfUg=U#PAFhViAjP#ij7k


Phone No

                                                         76
l0(#=.)).m#P)3()#).#G424*n[#''(H)n42]#42#M')o''2mk

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ADVANCED GMPs FOR 21ST CENTURY REGULATORY PERSPECTIVE

  • 1. ADVANCED GMPs for 21st Century Regulatory Perspective Mr.J.Ramniwas Founder and CEO SAI PHARMA SOLUTIONS INC. VADODARA
  • 2. Outline  Changing Paradigm for GMPs  21st Century Initiatives  Concept of Modern Quality Systems  Basis of Advanced GMPs  Quality System Approach  What’s new to meet challenges  GMP Improvements  Global Registration Requirements  Expectations  Summary J.Ramniwas 2
  • 3. Changing Paradigm for GMPs Product Process Systems -1970 1980 - 1990 21st [QC] [QA] Century [QS] J.Ramniwas 3
  • 4. Background of FDA’s 21st Century Initiatives Limited resources and increased volume of work  August 2002 – FDA announced the Pharmaceutical cGMPs for the 21st Century – A Risk Based Approach  Focus on the greatest potential risk to the public  FDA’s intent to integrate quality systems and risk management approaches - to modernize FDA’s regulations  Encourage industry to adopt modern and innovative manufacturing technologies as well as modern quality system approaches  Necessary to harmonize the cGMPs with other non- U.S. pharmaceutical regulatory systems  Need to harmonize with FDA’s own medical device quality systems regulations J.Ramniwas 4
  • 5. Background of FDA’s 21st Century Initiatives contd... Encourage Risk-Based approaches which focus on critical elements Ensure FDA’s Review, Compliance and Inspection Policies –based on state-of-art pharmaceutical science ! Risk-Based Approach to Manufacturing and Regulation •#Pharmaceutical Inspectorate – Experienced Field Investigators •#Process Analytical Technology (PAT) Guidance – Real-time measurements •#Process Validation Guidance – Life Cycle Approach - Built-in Quality, not tested into product •#21 CFR 11 Electronic Records Guidance •#Quality Systems Guidance - September 2006 – FDA issued the final version of the “,-./0123#456#71/-896:#51#;-0<.9:#=:893>8#?@@6502A#95 Pharmaceutical cGMP Regulations” •#Systems-Based Inspection •#6 systems J.Ramniwas 5
  • 6. Philosophy of cGMP and Modern Quality Systems Quality should be built into the product, and testing alone cannot be relied on to ensure product quality. J.Ramniwas 6
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  • 14. A. Management Responsibilities Contd.. j Structure the organization to ensure the assigned authorities and responsibilities l k Organizational structure is documented n m Support the total quality model p o Quality Systems departments have equal standing with other departments within an organization r q The Quality Manager has the authority to detect problems, implement solutions, and provide prompt feedback on quality issues to the organization. organization. J.Ramniwas
  • 15. A. Management Responsibilities Contd.. Play a key role in the design, implementation, and management of a robust quality systems. t s Align quality plans with company’s visions and mission v u Actively participate in Management Review meetings – to ensure continuing suitability, adequacy and effectiveness x w Articulate their vision of and commitment to quality to all levels of the organization. z y Advocate continuous improvement of the operation of Quality System •#Strong •#Strong and visible support for the quality system •#Internal •#Internal communication on quality issues at all levels € • Commit necessary resources J.Ramniwas
  • 16. A. Management Responsibilities Contd.. ‚ • Management controls are always reviewed by FDA •#CAPA •#CAPA •#People •#People qualifications •#Change •#Change control •#Validation •#Validation J.Ramniwas
  • 17. B. RESOURCES. Œ ‹ General Arrangements Personnel Development – Communicative Facilities and Equipment Control Outsourced Operations J.Ramniwas
  • 18. B. RESOURCES Contd... • Appropriate allocation of resources intended purpose – collection, storage, examination of in-process, stability, and reserve samples in- Personnel knowledge -solving and communicative culture – Education, training and experience – GMP J.Ramniwas
  • 19. C. MANUFACTURING ! Design, develop and document Product and Processes •#$%&'()* •#-./01'2)3)4.2 •#7(4)4/38#&(./'**'* ; : Examine Inputs <#=3)'(438* >#=3)'(438* @ ? Perform and Monitor A&'(3)4.2* B&'(3)4.2* •#$2)4('#D(.E0/)#F4G'#7H/8' •#7(4)4/38#D(./'**'*#– N3(43M484)H •#7(4)4/38#D(./'**'*# – L3(43M484)H •#P)3)4*)4/38#D(./'**#7.2)(.8#QPD7R •#DUV#– •#DUV#– Monitor & reduce QC testing Y X Address Nonconformities J.Ramniwas
  • 20. C. MANUFACTURING Contd... • Ĺ˝ Address Nonconformities •#Investigations, •#Investigations, conclusion and follow -up must follow- be documented. •# •#CAPA •#CAPA J.Ramniwas 2
  • 21. D. EVALUATION ACTVITIES – Analyze Data for Trends Conduct Internal Audits sustainability of Quality Systems – FDA is to refrain from both reviewing and copying reports or records that result from internal audits J.Ramniwas 2
  • 22. D. EVALUATION ACTVITIES Contd... Quality Risk Management •#Understanding •#Understanding of quality issues Effective decision- making decision- •#Risk •#Risk assessment and the severity of harm •#Engage •#Engage appropriate parties in risk assessment, e.g. regulatory affairs, customers, appropriate manufacturing personnel, development scientist, other stakeholders •#Risk •#Risk management – as a tool in the development of product specifications and critical process parameters •#Repeat •#Repeat risk assessment – to improve processes •#Proactive •#Proactive approach to quality Mitigate risk J.Ramniwas 22
  • 23. D. EVALUATION ACTVITIES Contd... Corrective Action significant problems do not recur Preventive Actions – Identify potential problems and root causes – Assess possible consequences – Consider appropriate actions CAPA level of detail of the evaluation process J.Ramniwas 23
  • 24. D. EVALUATION ACTVITIES Contd... ÂŁ Sources of recurring problems ¤ – Non-conformance reports and re Non- – Product Returns – Complaints – Internal and External audits – Trending data and risk assessment – Management review decisions •#Effectiveness •#Effectiveness of CAPA J.Ramniwas 24
  • 25. D. EVALUATION ACTVITIES Contd...  Promote Improvement •#´44329.Âľ31388#01/#344.2.312:#54#0#Âś-0<.9:#8:893> •#=31.56#G010F3>319#– •#=31.56#G010F3>319#– involve in the evaluation of improvement process •#½33@#0ž63089#54#2A01F38#.1#82.319.4.2#/3Âľ3<5@>3198##### and regulatory requirements J.Ramniwas 25
  • 26. System Based cGMP Inspection 1. Quality System 2. Facility 6. Packaging Full Inspection the five systems Abbreviated Inspection system and one of the five systems J.Ramniwas 26
  • 27. State of Control Á À FD are developed, manufactured and held in a state of control, i.e. contribute to SISPQ Identity, Strength, Purity, Quality à  Detailed inspection of a system so that the findings reflect the state of control in that system for every product Å Ä If one of the six systems is out of control, the company is considered out-of-control out-of- J.Ramniwas 27
  • 28. It is not the strongest species that surviveÇ surviveÆ nor the most intelligentÈ but intelligentÉ the ones most responsive to change” Charles Ì06Í.1 Î06Í.1 See today with the eyes of tomorrow and change before the change comes. comes. J.Ramniwas 28
  • 29. A Unique Feature of Indians ………#………Ð……#……Ñ#71/.01# Pharmaceutical Ó#71/.01#HA06>023-9.20<# Ô#71/.01#HA06>023-9.20<# Community has got fantastic flexibility to accept any challenge Õ#0/0@9#95# Ö#0/0@9#95# accept any challenge ×#0/0@9#95# Ø#0/0@9#95# Change ………………#………………Ñ# J.Ramniwas 29
  • 30. The Plan Ü1/368901/#9A3#63F-<09.518 Û1/368901/#9A3#63F-<09.518 •#´¾0<-093#ÍA363#:5-#063#Âľ368-8#ÍA363#:5- need to be •#Ì3Âľ3<5@#0#@65F60>#54#63Âś-.63/#029.Âľ.9.38 •#Ì3936>.13#ÍA363#:5-#133/#3â93610<#8-@@569 •#H65/-23#0#82A3/-<3 •#Ì3936>.13#9A3#2589 J.Ramniwas 3
  • 31. Advantages Quality by design Logical movement of personnel and material Control at every stage of manufacture Reduced risk of cross-contamination Science based approach Risk based approach Confidence building J.Ramniwas 3
  • 32. Number ICH Guidelines Q7 Good Manufacturing Practice Guide for Active Pharmaceutical Ingredients Q8 Pharmaceutical Development Q9 Quality Risk Management Q10 Quality Management System Q11 Development and Manufacturing of Drug Substances FDA Process Validation Guidelines J.Ramniwas 32
  • 33. è.FA36#<3Âľ3<8#54#3â@32909.518#.1#9A3 following areas ĂŠ  Quality function Road Maps  ĂŞA565-FA#63Âľ.3Í#01/#96018@06312:#.1# exhibit batches  Compliance and Audits  ĂŤ60.1.1F##01/#344329.Âľ31388 J.Ramniwas 33
  • 34.  ĂŹ31/56#?-/.98#01/#2369.4.209.51  Environment controls and contamination control  Ă­3Í#25123@98#.1#80>@<.1FJ#9389.1FJ# contamination control and cleaning validation J.Ramniwas 34
  • 35.  Quality of Operation reflected through SOPs.  IQ, OQ, PQ and higher levels of scientific skills in validations  Plant upgradations to the latest in Pharma standards. J.Ramniwas 35
  • 36. Quality of Water and HVAC systems Stringent controls for sterile products manufacture and asceptic manufactured products J.Ramniwas 36
  • 37. Recent Changes to PIC Product Quality Review (new clause 1. ĂŽ Commenced on 1 ĂŻ01-06:#ðññòÑ Ăł01-06:#ðññòÑ Ăľ Ă´ Requires annual quality reviews of all products to verify the consistency of the existing process to highlight trends Ăś#95 á#95 identify the need for productø@652388#.>@65Âľ3>3198Ñ productĂš@652388#.>@65Âľ3>3198Ñ Ăť Ăş Requires reviews ofĂź ofĂ˝ • Ăž Starting ‚ pacƒing materials„ especially from new sources… • Critical in•process controls and finished product results… in• • All batches that failed to meet specifications… • All significant deviations… • All changes to processes and analytical methods… • Marƒeting Authorisation variations… • Stability monitoring and any trends… • Recalls„ complaints and returns… • Qualification status of equipment ‚ utilities… • †echnical agreements… J.Ramniwas 37
  • 38. Upcoming Changes to PIC On- On-going stability (new clauses 6.2 – 6. Expected to commence on 1 June 2006 or soon after. Requires monitoring of stability after marketing, against a written protocol. Stability program should be extended to the end of the shelf life of the product. One batch per year of each product strength primary packaging type. Maintain a written summary of the data generated. J.Ramniwas 38
  • 39. Upcoming Changes to PIC Reference Samples "#$%&%'&()'#*+,-.%/#0'%1#2''%3#4 ! 6 5 Expected to commence on 1 June 2006 or soon after. 8 7 Purpose and definitions. : 9 Duration of storage. < ; Size of samples. > = Storage conditions. @ EB(&&%'#+CB%%,%'&/D ? AB(&&%'#+CB%%,%'&/D G OI+&#&)#J)#('#&I%#%K%'&#)L#&I%#M.)/NB%#)L#+# F HI+&#&)#J)#('#&I%#%K%'&#)L#&I%#M.)/NB%#)L#+# manufacturer. J.Ramniwas 39
  • 40. Upcoming Changes to PIC*#]^_ Sterile Products (changes to Annex 1) Q P Expected to commence on 1 June 2006 or soon after. S R Changes to some particle size limits for clean -room clean- classification purposes. U T Media fill limits specified for the validation of aseptic processing. W Pre- V Pre-sterilization bioburden assays required for aseptic processing and terminal sterilization. Y X Grade A environment required forZ for[ - Partially stoppered freeze drying vials. - Area where aluminium caps on aseptically filled vials are crimped. J.Ramniwas 4
  • 41. Clean Room Environment Control  Environment monitoring  Scheduled programmes  Establishment of limits and training.  Sanitization, efficacy and monitoring methods. J.Ramniwas 4
  • 42. Activities for Advanced GMP Compliance Quality System Improvements – Calibration – Maintenance – Change Control – ZAP[#-'43)4.2#1323]'1'2)[#7UDU ^AP[#-'43)4.2#1323]'1'2)[#7UDU – Training – Complaints and recall procedures – Critical utility and environmental monitoring and sampling – Gowning, personnel monitoring – Material control – Cleaning , sterili_3)4.2#32E#*324)4_3)4.2 sterili`3)4.2#32E#*324)4_3)4.2 42
  • 43. Activities for Advanced GMP Compliance Documentation – Site Master File – Quality Manual – Master Batch Records – SOPs and associated forms – Trending Records – Log books – Approved critical drawings – Documentation to support CTD •#a%K%.)-,%'&+.#-B)&)M)./#+'J#B%-)B&/ •#*&+d(.(&e#&%/&('C#-B)&)M)./#+'J#B%-)B&/ J.Ramniwas 43
  • 44. Activities for Advanced GMP Compliance Upgrading Environments – layout of facility – Classification of environment – gh_2#L(.&%B#('&%CB(&e#&%/&('C ih_2#L(.&%B#('&%CB(&e#&%/&('C – Room pressure differentials – Air flows – Air velocity and volume – Monitoring and control – Access of materials and personnel J.Ramniwas 44
  • 45. Activities for Advanced GMP Compliance •#Upgrading l+&%B#*e/&%,/ m+&%B#*e/&%,/ – Overall design – Instrumentation – Dead legs, Slopes – Valves – Backflow prevention – Materials, finishes – Spray balls, vent filters, sanitary heat exchangers – Sanitisation and operation – Recirculation, Flow rate – Monitoring and control J.Ramniwas 45
  • 46. Activities for Advanced GMP Compliance •#o-CB+J('C#p),-B%//%J#]+/#*e/&%,/ – Moisture – reJB)M+Bd)'s#t(.#uB%% veJB)M+Bd)'s#t(.#uB%% – Particles – Filters – Materials – Monitoring J.Ramniwas 46
  • 47. Activities for Advanced GMP Compliance Upgrading Equipment •# – Equipment Capability – 6 sigma – Materials, Finishes – Local environment – Cleaning, sanitisation – Monitoring and control – “x+.(J+&+d(.(&e”#– 21 CFR Part 11 “x+.(J+&+d(.(&e”#– J.Ramniwas 47
  • 48. The Common Technical Document (CTD) •#|I%#p|a#(/#+#L)B,+&#+CB%%J#de#hos#o*2#+'J### Japan for submitting applications for new products. •#•&#(/#)BC+'(/%J#('#€#,)JN.%/D#^)JN.%#4#(/# unique to each region. Modules 2 to ‚#+B%# ƒ#+B%# common across all regions • Module 1 – Administrative Requirements •#^)JN.%#…#– ‰(CI#.%K%.#/N,,+B(%/#)L#ˆN+.(&es# •#^)JN.%#…#– ‡(CI#.%K%.#/N,,+B(%/#)L#ˆN+.(&es# Clinical and Non clinical J.Ramniwas 48
  • 49. The Common Technical Document (CTD) • Module Ĺ #– Quality - Chemical, Pharmaceutical ‹#– and Biological Documentation •#^)JN.%#•#– •#^)JN.%#•#– Toxicological and Pharmacological (non clinical) study reports •#^)JN.%#€#– •#^)JN.%#€#– Clinical Study Reports J.Ramniwas 49
  • 50. The Common Technical Document (CTD) • Generally dossier must be in English or the language of the Reference Member State • eCTD format was obligatory. But now obligatory. mandatory • Mock up of packaging, specimen of packaging and leaflet also required in language of Reference Member State J.Ramniwas 5
  • 51. VALIDATION •#Usually a ma—)B#L+(.('C#L)B#,+'e#,+'NL+M&NB%B/ ma˜)B#L+(.('C#L)B#,+'e#,+'NL+M&NB%B/ •#*&B+&%C(M#a)MN,%'&+&()' – Production of an overall Validation Master Plan and Validation Plans for specific areas. – Production of a validation schedule – Production of System Boundary drawings – System Impact Assessment J.Ramniwas 5
  • 52. VALIDATION • Design Qualification – GMP review of Facility Design – DQ (protocols execution and reports) of ma•)B maĹž)B Direct Impact Systems and Equipment • Equipment Facilities and Utilities Qualification – IQ, OQ, PQ Protocols execution and reports for Direct Impact Systems including ÂĄx2ps Critical ¢x2ps Utilities, Process Equipment and Laboratory Equipment J.Ramniwas 52
  • 53. VALIDATION • Validation – Protocols execution and reports for Process Simulation (Media Fills), Cleaning Validation, Process Validation and Method Validation¤K%B(L(M+&()' ValidationÂŁK%B(L(M+&()' J.Ramniwas 53
  • 54. Environment Monitoring Sterile Areas Monitoring Methods :  Surface Monitoring  Active Air Monitoring  Passive Air Monitoring  Particulate Monitoring J.Ramniwas 54
  • 55. Some of the points cited in the Regulatory Inspections  Restricted access to computers and data handling.  Total traceability of Unit operation in BMR with respect to machine no., room no., time logs, operation logs and verification J.Ramniwas 55
  • 56. Some of the points cited in the Regulatory Inspections Contd…..  Risk assessment for critical facilities and equipments which can cause product quality to be altered e.g. air handling systems in sterile product manufacture  Air handling system with single pass with HEPA filters not re-circulation type. J.Ramniwas 56
  • 57. Some of the points cited in the Regulatory Inspections Contd…..  Validation Master Plan, detailed execution through protocols and executive summary on the study.  100% identification of Raw Materials in QC  TSE/BSE certification and SOP for incoming materials assessment through vendor approval system J.Ramniwas 57
  • 58. Some of the points cited in the Regulatory Inspections Contd…..  Pest control, procedure with schematic diagrams, effectiveness of chemicals and disposal of dead rodents.  Water systems with respect to plant design, system validation, chemical and microbial attributes and monitoring of pesticides and radioactive traces. J.Ramniwas 58
  • 59. Laboratory  Reference standards, working standards, instrument logs, column register, calibration, stability monitoring and instrument audit trials.  Annual Reports on each product is scrutinized. J.Ramniwas 59
  • 60. Laboratory Contd…  Deviations and change control mechanism thoroughly investigated.  Approved suppliers list and its tally with vendor approval system.  OOS handling. J.Ramniwas 6
  • 61. Laboratory Contd… Technical agreements and its executions. Sterility assurance in bulk APIs and dosage forms. Media simulation trials and its applicability to production run. J.Ramniwas 6
  • 62. Some of the USFDA Inspections and Non-compliance Deficiency in validation work. Process validation as well as analytical validation. Process validation not done on worst case simulation. J.Ramniwas 62
  • 63.  In a multiple product manufacturing site, effectiveness of cleaning validation not demonstrated through worst case in a multiproduct matrix.  Back-up system of stability chamber inadequate.  Inadequate temperature mapping in warehouses. J.Ramniwas 63
  • 64.  Inadequate validation of vacuum transfer system for cleaning operations.  Changes in production, QC and warehouse without change control.  Complaint investigation lacking depth, tracebility and time frame commitment. J.Ramniwas 64
  • 65. ADVANCED GMPs CONCERNS  Lab Controls  SOPs  Records and Reports  Reprocessing /  Process Controls Reworks  Equipment Cleaning  Ingredients controls  Process Validation  Buildings and  Water Systems Facilities  Stability Programs  Training  Investigations J.Ramniwas 65
  • 66. ÂŤÂŹDp+&%C)B(%/#)L#$%CN.+&)Be#p)'M%B' 1. API -#a)/+C%#^LC Pending corrective actions ÂĽ 2. Change of Site 6. Previous deviations ÂŽD##u+M(.(&e#1(&IJB+1'# persist and not informed ÂŻD##u(B,#')&#B%+Je#)'# ÂŚD##A+B'('C#§%&&%B inspection call °D##•'+J%ÂąN+&%# ¨D##*%(ŠNB% ²/N-%BL(M(+.Âł##### response ÂŞD##•'—N'M&()' 66 J.Ramniwas
  • 67. 10. Insufficient 1´D##p),-)'%'&#)B# development data intermediate controls 11. Buildings š#L+M(.(&(%/ 1ÂľD##a%K(+&()'#LB),#a^u##### NDA Âś#2¡a2 12. Inadequate change control procedure 16. Deviation from monograph 1ÂşD##p)'&+,('+&()' 1¸D##h'K(B)',%'&+.# controls 67
  • 68. 1ÂD##g).J('C##+'J## 2ÂťD##tBC+'(Š+&()' distribution 2ÂźD##$%M)BJ/##B%-)B&/ 1ÃD##§+d#M)'&B)./ 20. Master record non- 26. Reprocessing specific or deficient 2½D##*-%M(L(M+&()'/ 21. Packaging and labeling controls 2žD##*&+d(.(&e#-B)CB+, 22. Production Ä##### 2ÂżD##*t_/#.+MÀ('C#)B#### process controls inadequate 2ÅD##ˆ2#LN'M&()'/ ÁD##|B+('('C J.Ramniwas 68
  • 69. Ì4D##2_•#_B)M%//# ÆÇD##^%J(+#L(../ validation ȌD##*e/&%,#•ˆ##tˆ Í…D##p),-N&%B#K+.(J+&()' ɨD##*M+.%-up validation ΊD##hÂąN(-,%'&#M.%+'('C## failure validation Ê D##x+.(J+&()'#-B)&)M).# Ï•D Equipment inadequate qualification ˬD#A+&%B#/e/&%,#### ЀD##gx2p#K+.(J+&()' validation J.Ramniwas 69
  • 70. GMP -Improvements Renovation of facilities Ò Ñ Plant Ô Ö+&%B Ó Õ+&%B Ø Úx2p × Ùx2p Ü Û Storage Þ Ý Disposal Ă  ß Training of personnel â ĂĄ Upgrading equipment ä ĂŁ Identifying critical steps ĂŚ In- ĂĽ In-process parameters è ç Validation ĂŞ ĂŠ Self inspection J.Ramniwas 7
  • 71. Global Registration Requirements GMP •Basic prerequisite ˆ Semi•regulated countries also need GMP compliant Semi• facilities ˆ Many countries require pre•approved facilities pre• ˆ General GMP inspection of the facility ˆ Some countries inspect the product manufacturing line before granting marƒeting authorisation ˆ Product specific GMP inspection J.Ramniwas 7
  • 72. †he Expectations The evaluation of the risk should ultimately link back to the potential risk to the patient. patient. The extent of the risk management process should be commensurate with the level of risk associated with the decision. decision. A more robust data set will lead to lower uncertainty. uncertainty. It is essential to have a clear delineation of the risk question. question. Risk management should be an iterative process. process. J.Ramniwas 72
  • 73. †he Expectations Contd…… People who apply risƒ management should have the appropriate training„ sƒills and experience… experience… †he risƒ management process should be appropriately documented and verifiable… verifiable… Šefining specifically the risƒ management problem or question„ including the assumptions leading to the question… question… Assembling bacƒground information and data on the ha‹ard„ harm or human health impact relevant to the assessment… assessment… J.Ramniwas 73
  • 74. †he Expectations Contd…… Identifying the necessary resources„ members of the team who have the appropriate expertise„ with the leader clearly identified… identified… Asƒing the right risƒ assessment questions… questions… Stating clearly the assumptions in the risƒ assessment… assessment… Assessing the quality and sufficiency of relevant data… data… Specifying and deliverables for the risƒ assessment… assessment… J.Ramniwas 74
  • 75. Summary Use regular internal audits to identify those areas that require attention to comply with the GMP Guides. Guides. Utilise external consultant(s) if necessary. necessary. Prioritise implementation of corrective actions using a risk based approach. approach.  Establish a budget to enable appropriate corrective actions to be implemented. implemented.  ĂŤ%%- watch on Regulatory authority websites for ĂŹ%%- changes in GMPs coming up in the future. future.  Establish industry networking system to monitor and report on inspection trends by GMP regulators. regulators. 75
  • 76. †hanƒ you for your attentionŒ Any Questions• Contact for consulting or technical advisory servicese J.RAMNIWAS Founder & CEO SAI PfUg=U#PAFhViAjP#ij7k Phone No 76 l0(#=.)).m#P)3()#).#G424*n[#''(H)n42]#42#M')o''2mk