| slide 1 of 37 april 2007 training workshop on pharmaceutical development with focus on paediatric...

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| Slide 1 of 37 April 2007 Training Workshop on Pharmaceutical Development with focus on Paediatric Formulations Protea Hotel Victoria Junction, Waterfront Cape Town, South Africa Date: 16 to 20 April 2007 Pharmaceutical Development

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| Slide 1 of 37 April 2007

Training Workshop on Pharmaceutical Development

with focus on Paediatric Formulations

Protea Hotel

Victoria Junction, Waterfront

Cape Town, South Africa

Date: 16 to 20 April 2007

Pharmaceutical DevelopmentPharmaceutical Development

| Slide 2 of 37 April 2007

Pharmaceutical DevelopmentPharmaceutical Development

Good Manufacturing Practices (GMP) and Inspections

Presenter: Dr AJ van Zyl

Prequalification Programme: Priority Essential Medicines, HTP/PSM/QSM

World Health Organization, 20 Ave Appia, 1211 Geneve, 27 Switzerland

[email protected]

| Slide 3 of 37 April 2007

Good Manufacturing Practices (GMP) and InspectionsGood Manufacturing Practices (GMP) and Inspections

Outline and Objectives of presentation

Introduce WHO GMP texts– Main principles– Supplements– Others

In the context of Prequalification

Current and future approaches

| Slide 4 of 37 April 2007

Good Manufacturing Practices (GMP) and InspectionsGood Manufacturing Practices (GMP) and Inspections

WHO GMP text: Main principles

WHO Technical Report Series, No. 908, 2003– Annex 4

Regularly reviewed and updated

Divided into "chapters" or "quality systems"

Quality assurance

| Slide 5 of 37 April 2007

Good Manufacturing Practices (GMP) and InspectionsGood Manufacturing Practices (GMP) and Inspections

1. Quality assurance

2. Good manufacturing practices for pharmaceutical products (GMP)

3. Sanitation and hygiene

4. Qualification and validation

5. Complaints

6. Product recalls

7. Contract production and analysis

8. Self-inspection and quality audits

| Slide 6 of 37 April 2007

Good Manufacturing Practices (GMP) and InspectionsGood Manufacturing Practices (GMP) and Inspections

9. Personnel

10. Training

11. Personal hygiene

12. Premises

13. Equipment

14. Materials

15. Documentation

16. Good practices in production

17. Good practices in quality control

| Slide 7 of 37 April 2007

Good Manufacturing Practices (GMP) and InspectionsGood Manufacturing Practices (GMP) and Inspections

Supplements:

Sterile products

Herbal medicines

Radiopharmaceuticals

HVAC

Water systems

Sampling etc

| Slide 8 of 37 April 2007

Good Manufacturing Practices (GMP) and InspectionsGood Manufacturing Practices (GMP) and Inspections

Others:

PIC/S guidelines

ISO guidelines– Sampling– Risk management– Clean rooms

ICH guidelines– ICH Q9

USA FDA– Guidelines and guidance

| Slide 9 of 37 April 2007

Good Manufacturing Practices (GMP) and InspectionsGood Manufacturing Practices (GMP) and Inspections

Context in Prequalification

Product specific (dosage form) inspections

SOPs followed:– Planning, preparation, conduct, report– Inspection team

Appropriate guidelines used

Report with references to text, and rating – Critical, major, minor

| Slide 10 of 37 April 2007

Good Manufacturing Practices (GMP) and InspectionsGood Manufacturing Practices (GMP) and Inspections

A critical deficiency was defined as a deficiency which had produced, or led to a significant risk of producing, either a product which was harmful to the human patient or a product which could result in a harmful residue in a food producing animal.

A major deficiency was defined as a non-critical deficiency, which had produced or might produce a product which did not comply with its marketing authorisation.

A minor deficiency was defined as a deficiency where an observation made could improve the quality system and quality assurance approach of the manufacturer, but which did not have a major impact on the quality of the product.

| Slide 11 of 37 April 2007

Good Manufacturing Practices (GMP) and InspectionsGood Manufacturing Practices (GMP) and Inspections

Inspection approach

Normally a "routine type" of GMP inspection

Opening meeting, follow the flow, closing meeting

On site inspection (production and quality control) and documentation review

Quality systems approach

Modern challenges including risk assessment

| Slide 12 of 37 April 2007

Good Manufacturing Practices (GMP) and InspectionsGood Manufacturing Practices (GMP) and Inspections

Guiding principles:

Risk based orientation

Science based policies and standards

Integrated quality systems

International standards

Public interest

| Slide 13 of 37 April 2007

Good Manufacturing Practices (GMP) and InspectionsGood Manufacturing Practices (GMP) and Inspections

Product quality and performance ensured through– design (manufacturing processes)

Product and process specifications– Understanding of affect of formulation and process factors

on product quality and performance

Quality by design (build quality into the product)

Interaction between review, compliance and inspection

| Slide 14 of 37 April 2007

Good Manufacturing Practices (GMP) and InspectionsGood Manufacturing Practices (GMP) and Inspections

Quality by design (QbD)

Means designing and developing formulations and manufacturing processes to ensure predefined product quality

Understanding and controlling formulation and manufacturing process variables affecting the quality of a product

| Slide 15 of 37 April 2007

Good Manufacturing Practices (GMP) and InspectionsGood Manufacturing Practices (GMP) and Inspections

Where to start in the inspection to assess GMP compliance?

| Slide 16 of 37 April 2007

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

PremisesPremises

Example of Materials and People Flow

Arrival of goods Entrance for visitors Entrance for Workers Shipment of goods

Material Flow

People Flow

Zone: Clean

Zone: Packaging

Zone: Controlled

| Slide 17 of 37 April 2007

Premises and personnel entryPremises and personnel entry

TOILETS

AIRLOCK

CANTEEN

FACTORY CHANGEROOM

| Slide 18 of 37 April 2007

Material entryMaterial entry

Separate receiving and dispatch bays

Materials and products protected from weather

Area to clean incoming materials provided

| Slide 19 of 37 April 2007

Basic Principles of GMPBasic Principles of GMP

| Slide 20 of 37 April 2007

EquipmentEquipment

Contents and direction of flow indicated

e.g. water lines, equipment components, air-handling systems

| Slide 21 of 37 April 2007

EquipmentEquipment

All aspects including

Design, installation, operation, performance, specifications, logs, maintenance, use, cleaning, qualification, calibration etc…

| Slide 22 of 37 April 2007

Qualification and ValidationQualification and Validation

| Slide 23 of 37 April 2007

DocumentationDocumentation

| Slide 24 of 37 April 2007

Good Manufacturing Practices (GMP) and InspectionsGood Manufacturing Practices (GMP) and Inspections

Utilities

HVAC

Water

Compressed air

Steam . . .

| Slide 25 of 37 April 2007

PrefilterAir flow patterns

AHU

Main filter

Uni-directional TurbulentTurbulent

1 2 3

HVAC

| Slide 26 of 37 April 2007

+

Production Room

Exhaust air treatment

Central air handling unit

Terminal air treatmentat production room level

Fresh air treatment (make-up air)

HVAC Main subsystems

| Slide 27 of 37 April 2007

Qualification – examples of aspects to consider in qualification (OQ, PQ)

Test

Differential pressure on filters

Turbulent / mixed airflow

Description Uni-directional airflow / LAF

Room differential pressure

Airflow velocity / uniformity

Airflow volume / rate

Parallelism

Air flow pattern

2 2

N/A 2, 3

2, 3 Optional

2 2

2 N/A

2 3

1 := As built (ideally used to perform IQ)

2 = At rest (ideally used to perform OQ)

3 = Operational (ideally used to perform PQ)

HVAC

| Slide 28 of 37 April 2007

raw water in

« S” trap to sewer

Water is kept circulating

To water softener & DI plant

Pretreatment – schematic drawing

cartridgefilter

5 micrometers

activatedcarbon

filter

spray ball

break tank

air break to draincentrifugal pump

air filter

floatoperated

valvesand filter

excess water recycledfrom deioniser

Water for Pharmaceutical Use

| Slide 29 of 37 April 2007

Separate guideline in addition to basic GMP

Part 1: Management and organization

Part 2: Materials, equipment, instruments and devices

Part 3: Working procedures and documents, and safety in the laboratory

Part 4: Inspecting the laboratory

Quality ControlQuality Control

| Slide 30 of 37 April 2007

Dissolution

Testing errors are caused by:

Temperature variations

Rotational speed variations

Vibration

Wobble

Shaft perpendicularity

Tension on the chain or belt

Bubbles

Shaft centering

Quality ControlQuality Control

| Slide 31 of 37 April 2007

Good Manufacturing Practices (GMP) and InspectionsGood Manufacturing Practices (GMP) and Inspections

Quality control (also micro, water, environment…)

Sampling and testing

Reference Standards

Specifications

Stability testing

Source/raw data

Qualification and validation

| Slide 32 of 37 April 2007

Good Manufacturing Practices (GMP) and InspectionsGood Manufacturing Practices (GMP) and Inspections

Other aspects to look at include:

Validation (process, cleaning etc)

CAPA, failure investigation

Change control

Deviations

Complaints

Product quality review

| Slide 33 of 37 April 2007

Good Manufacturing Practices (GMP) and InspectionsGood Manufacturing Practices (GMP) and Inspections

Unlimited resources ?

Inspectors ?

Days ?

Guidelines ?

| Slide 34 of 37 April 2007

Good Manufacturing Practices (GMP) and InspectionsGood Manufacturing Practices (GMP) and Inspections

Planning and conduct of inspection

Type of product(s)

Type of material(s)

Premises

Changes (deviations, additional products, cleaning procedure, campaigns etc)

Utilities and applications

| Slide 35 of 37 April 2007

Formal process of risk managementFormal process of risk management

Ref. ICH Q9, Quality Risk Management

| Slide 36 of 37 April 2007

Good Manufacturing Practices (GMP) and InspectionsGood Manufacturing Practices (GMP) and Inspections

Summary

GMP remains important component of ensuring QA and quality

New approaches in quality (including risk management, CAPA, PAT)

Impact on total approach including– Product design, product development, pilot batches,

production batches

Quality systems and quality assurance

| Slide 37 of 37 April 2007

Good Manufacturing Practices (GMP) and InspectionsGood Manufacturing Practices (GMP) and Inspections

Acknowledgements

WHO Training modules – Basic and supplementary

ICH Q9

S Galson and LX Yu (USA FDA presentations)