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API Inspections: the EDQM experience 29 March 2010 Florence Benoit-Guyod, EDQM Inspector Certification of substances Division, EDQM

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Page 1: API Inspections: the EDQM experience 29 March 2010 Florence Benoit-Guyod, EDQM Inspector Certification of substances Division, EDQM

API Inspections: the EDQM experience29 March 2010

API Inspections: the EDQM experience29 March 2010

Florence Benoit-Guyod, EDQM InspectorCertification of substances Division, EDQM

Page 2: API Inspections: the EDQM experience 29 March 2010 Florence Benoit-Guyod, EDQM Inspector Certification of substances Division, EDQM

Dr Florence Benoit-Guyod, March 2010 ©2010 EDQM, Council of Europe, All rights reserved2

Overview:Overview:• The certification procedures and EU

regulation framework• The EU GMP for APIs• The EDQM inspection program• Statistics: activity review, compliance

trends

Page 3: API Inspections: the EDQM experience 29 March 2010 Florence Benoit-Guyod, EDQM Inspector Certification of substances Division, EDQM

Dr Florence Benoit-Guyod, March 2010 ©2010 EDQM, Council of Europe, All rights reserved3

The Certification ProcedureThe Certification Procedure• Intended to be applied for the assessment of the

quality of pharmaceutical substances with regards to the criteria of the Ph. Eur. monograph(s)

• It ensures that all possible impurities and contamination can be fully controlled by the requirements of the monograph(s)

Additional benefits: • centralised assessment for APIs, attractive to

applicants and National Competent Authorities• Identification of potential divergent practices by

national assessors may contribute to more consistent assessment approaches across Europe

Page 4: API Inspections: the EDQM experience 29 March 2010 Florence Benoit-Guyod, EDQM Inspector Certification of substances Division, EDQM

Dr Florence Benoit-Guyod, March 2010 ©2010 EDQM, Council of Europe, All rights reserved4

InspectionInspection

• Optional part of the Certification Procedure (Article 111 of Directive 2001/83/EC and Article 80 of Directive 2001/82/EC, Compilation of Community Procedures: EMEA/INS/GMP/313538/2006 )

• Performed before or after the CEP is granted • Aim: to verify the compliance with

submitted dossierEU GMP Part IIEU GMP Annexes (e.g. Annex 1 / sterile substances)

Page 5: API Inspections: the EDQM experience 29 March 2010 Florence Benoit-Guyod, EDQM Inspector Certification of substances Division, EDQM

Dr Florence Benoit-Guyod, March 2010 ©2010 EDQM, Council of Europe, All rights reserved5

Role of the National Competent Authority Role of the National

Competent Authority • The Competent Authority may inspect an API

manufacturer in order to ensure that the manufacturing authorisation holder of a medicinal product has fulfilled its obligations under Article 46 (f) and/or Article 50 (f) of the below mentioned Directives (Article 111 of Directive 2001/83/EC and Article 80 of Directive 2001/82/EC)

• NB: in contrast to medicines, inspections are not carried out systematically

Page 6: API Inspections: the EDQM experience 29 March 2010 Florence Benoit-Guyod, EDQM Inspector Certification of substances Division, EDQM

Dr Florence Benoit-Guyod, March 2010 ©2010 EDQM, Council of Europe, All rights reserved6

Responsibility of the marketing authorisation holder (MAH) of the medicine

Responsibility of the marketing authorisation holder (MAH) of the medicine

• APIs must be produced according to EU GMP (Directives 2001/83/EC and 2001/82/EC)

• It is the responsibility of the manufacturer to ensure EU GMP compliance of the active substance manufacturer

• Declaration from the Qualified Person (QP) of the manufacturer in the marketing application (and subsequent variation)

Page 7: API Inspections: the EDQM experience 29 March 2010 Florence Benoit-Guyod, EDQM Inspector Certification of substances Division, EDQM

Dr Florence Benoit-Guyod, March 2010 ©2010 EDQM, Council of Europe, All rights reserved7

Responsibility of the manufacturerResponsibility of the manufacturer

• In the CEP procedure the manufacturer has to declare:

- Compliance to Good Manufacturing Practices (GMP)

- Willingness to be inspected

Page 8: API Inspections: the EDQM experience 29 March 2010 Florence Benoit-Guyod, EDQM Inspector Certification of substances Division, EDQM

Dr Florence Benoit-Guyod, March 2010 ©2010 EDQM, Council of Europe, All rights reserved8

Conditions for an inspectionConditions for an inspection

• When requested by a member State, EMA (formerly EMEA), European Commission or EDQM (if there are grounds for suspicion of non-compliance, need to verify data submitted)

• When requested by the manufacturer itself

Page 9: API Inspections: the EDQM experience 29 March 2010 Florence Benoit-Guyod, EDQM Inspector Certification of substances Division, EDQM

Dr Florence Benoit-Guyod, March 2010 ©2010 EDQM, Council of Europe, All rights reserved9

EDQM Inspection ProgramEDQM Inspection Program

• In application of Directives 2001/82/EC and 2001/83/EC as amended, the European Commission gave a mandate to the EDQM to establish an annual program for inspections

• Inspections are performed inside and outside Europe and involve manufacturing sites and brokers/distributors holding CEP(s)

Page 10: API Inspections: the EDQM experience 29 March 2010 Florence Benoit-Guyod, EDQM Inspector Certification of substances Division, EDQM

Dr Florence Benoit-Guyod, March 2010 ©2010 EDQM, Council of Europe, All rights reserved10

EDQM Inspection ProgramEDQM Inspection Program

• The draft program is circulated to the Member States for comments and presented to the GMP/GDP Inspectors Working Group at EMA for discussion.

• The program is finally adopted by the CEP Steering Commitee.

• The final program is circulated to all EEA

Member States Competent Authorities

Page 11: API Inspections: the EDQM experience 29 March 2010 Florence Benoit-Guyod, EDQM Inspector Certification of substances Division, EDQM

Dr Florence Benoit-Guyod, March 2010 ©2010 EDQM, Council of Europe, All rights reserved11

Selection of the sitesSelection of the sites

• Done in accordance with the EU guidance published by EMA: EMEA/INSP/GMP/313538/ 2006

• According to a risk-based approach:- main criteria: request from the assessors- sterile substances- inspection by equivalent authority- several triggers involved- regulatory environment of the manufacturing site

Page 12: API Inspections: the EDQM experience 29 March 2010 Florence Benoit-Guyod, EDQM Inspector Certification of substances Division, EDQM

Dr Florence Benoit-Guyod, March 2010 ©2010 EDQM, Council of Europe, All rights reserved12

How the system worksHow the system works

• Inspection performed by team composed of an EDQM inspector and an inspector coming from an EU/EEA or MRA National Competent Authority

• The compliance to the submitted dossier and to the EU Good Manufacturing Practices Part II is verified

• An inspection report is issued within 6 weeks• Immediate actions are taken in case of major or

critical deficiencies

Page 13: API Inspections: the EDQM experience 29 March 2010 Florence Benoit-Guyod, EDQM Inspector Certification of substances Division, EDQM

Dr Florence Benoit-Guyod, March 2010 ©2010 EDQM, Council of Europe, All rights reserved13

Inspection OutcomeInspection Outcome

• According to the inspection results the Company is quoted as compliant, borderline or non compliant.

• Borderline status is only a provisional status: after assessment of the corrective action plan, the outcome is upgraded or downgraded to compliant or non-compliant.

• Companies found compliant may be re-inspected/re-evaluated within 2-5 years depending on the numbers and classification of deficiencies found.

Page 14: API Inspections: the EDQM experience 29 March 2010 Florence Benoit-Guyod, EDQM Inspector Certification of substances Division, EDQM

Dr Florence Benoit-Guyod, March 2010 ©2010 EDQM, Council of Europe, All rights reserved14

Inspection follow-upInspection follow-up

• The company must reply to the deficiencies found within one month from the receipt of the inspection report

• The replies should be fully documented and reflect actual measures in place

• Discrepancies with the certification dossier are specifically addressed and managed by the revision process at DCEP

Page 15: API Inspections: the EDQM experience 29 March 2010 Florence Benoit-Guyod, EDQM Inspector Certification of substances Division, EDQM

Dr Florence Benoit-Guyod, March 2010 ©2010 EDQM, Council of Europe, All rights reserved15

Positive OutcomePositive Outcome

• In case of positive conclusion of the inspection,and if any expected changes for CEP revision have been submitted, an inspection attestation is delivered, stating the compliance with the CEP and with the GMP

• A GMP Certificate may be issued by the participating Inspectorate (EMEA/INS/GMP/871/04)

Page 16: API Inspections: the EDQM experience 29 March 2010 Florence Benoit-Guyod, EDQM Inspector Certification of substances Division, EDQM

Dr Florence Benoit-Guyod, March 2010 ©2010 EDQM, Council of Europe, All rights reserved16

Negative OutcomeNegative Outcome• In case of critical/major GMP deficiencies or in case of

major deviation compared to the dossier (failure in the declarations and commitments) – CEP(s) suspended or withdrawn– on-going CEP application(s) rejected

• Suspension/Application rejection is – Advised by the inspectors– Discussed within the Certification Division– Endorsed by an Ad Hoc Committee

• PhEur Member States, EMA, EU Commission and local Inspectorate are informed

Page 17: API Inspections: the EDQM experience 29 March 2010 Florence Benoit-Guyod, EDQM Inspector Certification of substances Division, EDQM

Dr Florence Benoit-Guyod, March 2010 ©2010 EDQM, Council of Europe, All rights reserved17

Negative OutcomeNegative Outcome

• Information published on the EDQM website (CEP database and Certification webpages)

• Holder and manufacturer are informed and a possibility of hearing is given

• Statement of GMP non-compliance is issued by the EEA Inspectorate

Page 18: API Inspections: the EDQM experience 29 March 2010 Florence Benoit-Guyod, EDQM Inspector Certification of substances Division, EDQM

Dr Florence Benoit-Guyod, March 2010 ©2010 EDQM, Council of Europe, All rights reserved18

Suspension of the CEPSuspension of the CEP

• CEPs are suspended for a period of two years (effect 2009)

• Company is requested to apply within this timeframe for a re-inspection

• Based on a valid justification, the company may ask for an extension of this period

• Lifting the suspension can only be done after an inspection with positive outcome

Page 19: API Inspections: the EDQM experience 29 March 2010 Florence Benoit-Guyod, EDQM Inspector Certification of substances Division, EDQM

Dr Florence Benoit-Guyod, March 2010 ©2010 EDQM, Council of Europe, All rights reserved19

Statistics 1999-2009Statistics 1999-2009

195 inspections performed in 24 countries since 1999

Page 20: API Inspections: the EDQM experience 29 March 2010 Florence Benoit-Guyod, EDQM Inspector Certification of substances Division, EDQM

Dr Florence Benoit-Guyod, March 2010 ©2010 EDQM, Council of Europe, All rights reserved20

Statistics 2004-2009: locationsStatistics 2004-2009: locations

Page 21: API Inspections: the EDQM experience 29 March 2010 Florence Benoit-Guyod, EDQM Inspector Certification of substances Division, EDQM

Dr Florence Benoit-Guyod, March 2010 ©2010 EDQM, Council of Europe, All rights reserved21

Participation of InspectoratesParticipation of InspectoratesEEA:AustriaCzech RepublicDenmark FinlandFrance Germany HungaryIrelandItalyLatvia

NetherlandRomaniaUKSwedenSpain

MRA partners:

Switzerland

Australia

Other partners:

WHO

Page 22: API Inspections: the EDQM experience 29 March 2010 Florence Benoit-Guyod, EDQM Inspector Certification of substances Division, EDQM

Dr Florence Benoit-Guyod, March 2010 ©2010 EDQM, Council of Europe, All rights reserved22

General compliance trendsGeneral compliance trends

Non compliant sites:• 2007: 18%• 2008: 21%• 2009: 34%

This is seen as the result of the ability of EDQM to identify sites with higher risk of non-compliance and to focus on them

Page 23: API Inspections: the EDQM experience 29 March 2010 Florence Benoit-Guyod, EDQM Inspector Certification of substances Division, EDQM

Dr Florence Benoit-Guyod, March 2010 ©2010 EDQM, Council of Europe, All rights reserved23

2009 Review2009 Review• 29 sites inspected (16 China, 10 India, 1 EEA, 1

Asia)• 10 sites non compliant

• CEPs suspended: 10• Dossier closed: 8• CEPs withdrawn : 2

Page 24: API Inspections: the EDQM experience 29 March 2010 Florence Benoit-Guyod, EDQM Inspector Certification of substances Division, EDQM

Dr Florence Benoit-Guyod, March 2010 ©2010 EDQM, Council of Europe, All rights reserved24

2009 main GMP deficiencies2009 main GMP deficiencies

Page 25: API Inspections: the EDQM experience 29 March 2010 Florence Benoit-Guyod, EDQM Inspector Certification of substances Division, EDQM

Dr Florence Benoit-Guyod, March 2010 ©2010 EDQM, Council of Europe, All rights reserved25

Main GMP deficienciesMain GMP deficiencies• Quality related mattersValidation of processes, qualification of equipment,

quality review, change control

• Process equipment, buildings and facilitiesCleanliness, maintenance

• Materials management Traceability, key starting material vendor approval,

storage

Page 26: API Inspections: the EDQM experience 29 March 2010 Florence Benoit-Guyod, EDQM Inspector Certification of substances Division, EDQM

Dr Florence Benoit-Guyod, March 2010 ©2010 EDQM, Council of Europe, All rights reserved26

PerspectivesPerspectives• Further develop the risk-based approach when elaborating

the programme• Reinforce collaboration and sharing of information with EU

and International InspectoratesAim: optimise inspection ressources

– Pilot program for exchange of information on API (EMA): France, Germany, Italy, UK, EDQM, Australia, USFDA

– Inspector working group GMP/GDP (EMA): EEA members – Comitee of officials of PIC Scheme (PIC/S): 36 members, 4 partners– Confidentiality agreement with PIC/S, TGA Australia, USFDA– EUDRA GMP database

Page 27: API Inspections: the EDQM experience 29 March 2010 Florence Benoit-Guyod, EDQM Inspector Certification of substances Division, EDQM

Dr Florence Benoit-Guyod, March 2010 ©2010 EDQM, Council of Europe, All rights reserved27

ConclusionsConclusions

• Finished products manufacturers must improve their ability to – Select GMP compliant pharmaceutical ingredients suppliers– Audit/monitor them accordingly

• Inspection remains a powerful tool to detect non-compliances and take necessary actions

• Optimising inspection ressources is of paramount importance

Page 28: API Inspections: the EDQM experience 29 March 2010 Florence Benoit-Guyod, EDQM Inspector Certification of substances Division, EDQM

Dr Florence Benoit-Guyod, March 2010 ©2010 EDQM, Council of Europe, All rights reserved28

THANK YOU FOR YOUR ATTENTIONTHANK YOU FOR YOUR ATTENTION