26 may 2016 line lundsberg-nielsen, vibeke brun jensen ...€¦ · ifpac jan 2016 | implementing...
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Implementing CPV in Smaller Organizations
26 MAY 2016Line Lundsberg-Nielsen, Vibeke Brun Jensen & Monica Hueg
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Outline
CPV/OPV – regulatory expectations, differences and similarities
Challenges for smaller non-US companies
CPV/OPV Roadmap
Case study: OSD product
ISPE Nordic May 2016 | Implementing CPV | Lundsberg, Jensen & Hueg, NNE Pharmaplan
CPV/OPV expectations
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• Are there actually any real differences in expectations?
• Both FDA and EMA refer to a three stage life cycle approach to Process Validation that is science
and risk based and supported by ICH Q8, Q9, Q10 and Q11
• The FDA has, since 2011, required that CPV programmes should be emplaced for both new and
legacy products
• With Annex 15 coming into force Oct 2015, EMA also expect that OPV programmes for new and
legacy products will be emplaced
• So what is the problem in Europe? – If there even is a problem?
• Why is it so complex and difficult to implement CPV/OPV?
ISPE Nordic May 2016 | Implementing CPV | Lundsberg, Jensen & Hueg, NNE Pharmaplan
Lifecycle Approach to Process Validation - FDA and EMA
The Product Life Cycle
Scie
nce
& R
isk B
ase
d A
pp
roa
ch
Process Design
Stage 1
ICH Q8, Q11
(Inspection)
FD
A
Pharmaceutical
Development
ICH Q8, Q11
Dossier (Submission)
EM
A
Qualification (Equipment)
Annex 15
Process Validation (PV Guide,
Annex 15)
Traditional, Continuous Process
Verification (PAT) or Hybrid
(Submission, assessment,
GMP, Inspection)
During Development Before Sales During Commercial Manufacturing
DevelopmentTechnology
Transfer
Commercial
Manufacturing
Product
Discontinuation
Facility,
Utility &
Equipment
Qualification
Stage 2.1
Process Qualification
Stage 2
(Inspection)
Process
Performance
Qualification
Stage 2.2
Ongoing Process Verification
Annex 15
(GMP, Inspection)
ICH Q10
Link to Product Quality Review
Continued Process
Verification
Stage 3
(GMP, Inspection)
ICH Q10
Link to Annual Product
Review
PA
TIE
NT
& P
rod
uct F
ocu
s
Quality Risk Management (ICH Q9) & Pharmaceutical Quality System (ICH Q10)
4 ISPE Nordic May 2016 | Implementing CPV | Lundsberg, Jensen & Hueg, NNE Pharmaplan
FDA versus EMA expectations to CPV/OPV
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Ref.: Grace McNally, FDA, CDER, OPQ, OPF, FDA PDA Joint Reg Conf; Washington D.C., Sept 2015
ISPE Nordic May 2016 | Implementing CPV | Lundsberg, Jensen & Hueg, NNE Pharmaplan
The Challenges (maybe not only in Europe….)
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• Lack of lifecycle process validation concept
• Lack of the needed skill sets or in house training e.g.
statistical skills
• Do not know how to start the implementation of
CPV/OPV (particularly difficult for legacy products)
• Products not prioritized in terms of patient, quality and
supply risk.
Concepts and skills
• Minimal process understanding
• No overview of the real product and process risk
• Lack of QTPP, CQAs or CPPs
• Investigate process variation to and understand
sources, to control them
Process Understanding
• Lack of procedures or templates for the three PV
stages
• Lack of procedures for how to apply statistical tools in
PV and how to act on the outcome of the analysis
• Lack of procedures for data collections from manual
processes
• Unclear nomenclature
Procedures
• Lack of QRM procedures in place and if, they are not
operational (typically just copies of the standards and
guidelines)
• Very few useful risk assessments
• If they do risk analysis, it is often very complex with
lack of overview and done as a one off activity
Quality Risk Management (QRM)
ISPE Nordic May 2016 | Implementing CPV | Lundsberg, Jensen & Hueg, NNE Pharmaplan
More Challenges (… and still not only in Europe….)
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• Limited knowledge of the differences and similarities
between the FDA and EMA expectations on PV
• How to comply with them both?
Regulatory Expectations
• ‘We do PQR (APR) so why OPV (CPV)?’
APR/PQR
• Reluctant to move to the new lifecycle PV paradigm
and change PQS accordingly
• See the new OPV/CPV expectations as additional
elements to their existing Quality System.
• Patchwork – when new PV elements are added.
Becomes very complicated – requires lot of work with
limited value
Pharmaceutical Quality System (PQS)
• They will have to change their mind-set
Attitude
ISPE Nordic May 2016 | Implementing CPV | Lundsberg, Jensen & Hueg, NNE Pharmaplan
Fixed Mindset vs. Growth Mindset
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Growth MindsetFixed Mindset• Intelligence is static
• Leads to a desire to look
smart
• Avoid challenges
• Get defensive or give up
easily
• See effort as fruitless or
worse
• Ignore constructive
(negative) feedback
• Feel threatened by the
success of others
• Result: they may plateau
early and fail to reach
their full potential
• Intelligence can be
developed
• Leads to a desire to learn
• Embrace challenges
• Persist in the face of
obstacles
• See effort as the path
to mastery
• Learn from criticism
• Find lessons and
inspiration in the
success of others
• Result: they reach
even higher levels of
achievement
Based on ‘The Mindsets’: C. Dweck,
Professor of Psychology,
Stanford University
ISPE Nordic May 2016 | Implementing CPV | Lundsberg, Jensen & Hueg, NNE Pharmaplan
So what do we use a new Growth Mindset for?
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Process Validation Lifecycle
Is the commercial process capable of producing
reproducible products?
We must demonstrate being
In Control
Capable
Reproducible
Does the process remain in a state of control?
What is the Performance?
We must ensure the process is:
Predictable
Capable
Does the process remain in a state of control?
Predictable, Capable, Performance
Ongoing detection of
Process and Product Variability and Drift
Stage 2: PPQ/PV Stage 3A: CPV/OPV Stage 3B: CPV/OPV
ISPE Nordic May 2016 | Implementing CPV | Lundsberg, Jensen & Hueg, NNE Pharmaplan
Establishing a CPV/OPV Programme
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• The basis for making a CVP/OPV Programme depends on whether the CVP/OPV is
to be performed for a new product/process or an existing product/process
• For a new product the CVP/OPV is based on knowledge obtained during Process
Design and PPQ/PV
• For legacy products where CVP/OPV will be established for the first time, the
CVP/OPV will be based on prior knowledge from the years of commercial
manufacturing including the initial PV prior to product launch
ISPE Nordic May 2016 | Implementing CPV | Lundsberg, Jensen & Hueg, NNE Pharmaplan
CVP/OPV for legacy products – where do you start?
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• A good starting point for establishing
a CVP/OPV programme for legacy
products and thereby complying, is
to evaluate the products by
prioritising according to the risk to the
patient, quality and supply
• Based on that priority list, the
CVP/OPV programme for each
product can now start to be built
using a CPV/OPV roadmap
ISPE Nordic May 2016 | Implementing CPV | Lundsberg, Jensen & Hueg, NNE Pharmaplan
CPV/OPV Roadmap – new and legacy products
12 ISPE Nordic May 2016 | Implementing CPV | Lundsberg, Jensen & Hueg, NNE Pharmaplan
Case study – CPV/OPV for Product N
• A legacy wet granulated OSD product in two strengths, 10 and 20 mg tablets
• Around 50 batches manufactured per year with none or limited release problems
• Product assumed to be robust, no risk analysis has been performed
• The QTPP does not exists, CQAs and CPPs have not been identified
• Batch release data available for release attributes, including:
• Assay
• CU
• Dissolution
• Process performance and capabilities have not been calculated
THE GOAL is to establish a CPV/OPV PROGRAMME and demonstrate the product remains in a state of
control by monitoring relevant product and process data and, by evaluating the Cpk and Ppk
IFPAC Jan 2016 | Implementing CPV | Lundsberg & Hueg, NNE Pharmaplan13
Prior knowledge – current control strategy
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The existing control strategy is based on end product testing, IPCs and raw material
testing:
ISPE Nordic May 2016 | Implementing CPV | Lundsberg, Jensen & Hueg, NNE Pharmaplan
Initial product quality and performance baselineAssay
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Analysis of the Assay• A statistical evaluation of the
performance and capability of
the release attributes and the
IPCs were performed for the
last 50 batches
Assay
• No special cause variation
observed
• The process is shifted by
nearly 1% in assay but is
stable and well within the
specifications
• No additional monitoring
activities are required
ISPE Nordic May 2016 | Implementing CPV | Lundsberg, Jensen & Hueg, NNE Pharmaplan
Initial product quality and performance baselineDissolution
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Dissolution
• Dissolution is within
specification but the variation
could lead to a dissolution
value below target
• The root cause of this variation
must be explored and action
taken to improve
Analysis of the Dissolution
ISPE Nordic May 2016 | Implementing CPV | Lundsberg, Jensen & Hueg, NNE Pharmaplan
Initial product quality and performance baselineGranule particle size
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Granule particle size
• The particle size varies
significantly
• The process is not in control
• OOSs are observed
• The impact of this variability on
the product quality must be
understood
• Further investigation to find the
root cause of this variability
must be made
Analysis of IPC granule particle size
ISPE Nordic May 2016 | Implementing CPV | Lundsberg, Jensen & Hueg, NNE Pharmaplan
Initial baseline for Product N
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Analysis summary
• See table
• A Cpk and Ppk of more than 1.6 is
classified as the process being
robust (green), between 1 and 1.6
being average (yellow) and below 1
weak and non-robust (red)
• The CPV/OPV Programme will
focus on what is critical (red)
ISPE Nordic May 2016 | Implementing CPV | Lundsberg, Jensen & Hueg, NNE Pharmaplan
The CPV/OPV Programme (I)
19 ISPE Nordic May 2016 | Implementing CPV | Lundsberg, Jensen & Hueg, NNE Pharmaplan
The CPV/OPV Programme (II)
20 ISPE Nordic May 2016 | Implementing CPV | Lundsberg, Jensen & Hueg, NNE Pharmaplan
CVP/OPV Report
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• The outcome of the CPV/OPV
activities must be documented in an
CPV/OPV report
• The report will cover the data
presentation, plots and analysis
• Conclusions based on the analysis
in terms of:
• Root cause analysis
• Improvement activities
• Change to the control strategy
• Changes to the CPV/OPV
programme
Analysis of IPC granule particle size
Batch 392015
ISPE Nordic May 2016 | Implementing CPV | Lundsberg, Jensen & Hueg, NNE Pharmaplan
CPV/OPV Report, granule particle size
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• The variability of the granulate particle
size shows an insufficient robustness of
the granulation process
• A correlation between the granulation
fluid spray rate and the granulate particle
size could not be demonstrated
• The root cause for variations in the
granulate particle size needs to be further
evaluated
• It has been proposed that other process
parameters must be monitored during
granulation, such as air flow rate. As well
as additional sampling during granulation
process to increase process
understanding
ISPE Nordic May 2016 | Implementing CPV | Lundsberg, Jensen & Hueg, NNE Pharmaplan
CVP/OPV Report, assay
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Analysis of Assay
Batch 392015
• Based on the evaluation of the 50 batches
and the acknowledging the process is very
robust, the control limits have been defined
to:
• LCL: 98.9 % label claim and UCL: 103.0 %
label claim
• These control limits will be used for the
ongoing monitoring programme – used as
basis for levels and frequency of routine
sampling and monitoring
ISPE Nordic May 2016 | Implementing CPV | Lundsberg, Jensen & Hueg, NNE Pharmaplan
Lifecycle CPV/OPV Approach
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• The initial risk assessment can now
be updated
• The CPV/OPV Programme must be
updated if any changes are proposed
in the report in relation to:
• The Control Strategy
• Monitoring programme
• Monitoring Frequency
• Review Frequency
• As with the case of granule particle
size, knowledge about critical steps
and potential CPPs will evolve during
the CPV/OPV
IFPAC Jan 2016 | Implementing CPV | Lundsberg & Hueg, NNE Pharmaplan
Conclusion
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• Establishing a CPV/OPV programme requires a change in mindset and acknowledgment of the
growth potential in process robustness and product quality – the PQR/APQR is a status report
and does not provide the same growth opportunities
• All the elements (data, information, knowledge) needed to set up a CPV/OPV programme are
present (GMP data) – it is just a matter of combining them in the right order to get the puzzle to
fit.
ISPE Nordic May 2016 | Implementing CPV | Lundsberg, Jensen & Hueg, NNE Pharmaplan
Thank you for your attention and remember
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Line Lundsberg-Nielsen
Monica Hueg
ISPE Nordic May 2016 | Implementing CPV | Lundsberg, Jensen & Hueg, NNE Pharmaplan
Vibeke Brun Jensen