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cGMP’s for Pharmaceutical
     Manufacturing
Objectives

1.   To understand where the regulations
     come from, who has enforcement
     authority, and why you need to comply

2.   To understand the “Fundamentals”,
     “Benefits” and “Key Parts” of cGMPs
What are cGMPs?

Current Good Manufacturing Practices

Come from the Food Drug and Cosmetic
Act

Rules set up by the FDA that drug
manufacturers needs to follow in order to
ensure that a safe and effective product is
manufactured
Where Did the Food Drug and
 Cosmetic Act Come From?

 1906 book by Upton Sinclair
   The Jungle exposed the
   dangers involved in the meat
   packing industry
 Helped drive public opinion to
   support a new law passed by
   Congress

  Food Drug and Cosmetic Act
Provisions of the Law
          (FDC Act)

–   Creation of Federal Government agency
    to oversee food industry

–   Scope expanded later to medical
    industry
Who Interprets and Enforces
        This Law?


 The FDA (Food and Drug Administration) is
 an agency within the Department of Health
 and Human Services and consists of eight
 centers/offices.
FDA

       The FDA consists of eight branches
Center for Biologics Evaluation       Center for Devices and
   and Research (CBER)              Radiological Health (CDRH)

 Center for Drug Evaluation         Center for Food Safety and
   and Research (CDER)              Applied Nutrition (CFSAN)

 Center for Veterinary Medicine   National Center for Toxicological
             (CVM)                       Research (NCTR)
Office of the Commissioner (OC)     Office of Regulatory Affairs
                                               (ORA)
Interpretations of the Law

The Code of Federal Regulations is a
government publication where Federal Agencies
post regulations
–   Contain regulations enforced by the DOT, DEA,
    FCC, FDA, and all other agencies
Found in Code of Federal Regulations (CFR)
–   Drug (cGMP): Title 21, Part 210 & 211
–   Device (QSR): Title 21, Part 820
–   Combination Product: Title 21 CFR Part 3 Subpart
    A (section 3.2e)
Interpretations of the
          Regulations
Guidance documents published by FDA and
International Conference on Harmonization (ICH)
Draft guidance documents
Preamble documents published by government
FDA 483 inspectional observations documents
Warning letters from FDA to various companies


              www.fda.gov
What Happens if cGMP’s are
      not Followed?

–   Adulteration: “A drug is deemed to be
    adulterated if the methods used in or the facilities
    or controls used for its manufacture, processing,
    packing, or holding do not conform to or are not
    operated or administered in conformity with
    cGMP to assure that such drug meets the
    requirements of this act as to Safety and has the
    Identity and Strength, and meets the Quality
    and Purity characteristics which it purports or is
    represented to possess.”
Why Comply?

•   Food drug and cosmetic act is the law
•   When charged with a violation:
    –   Proof of criminal intent is not necessary. (Guilty
        until proven innocent)
    –   Actual harm from contamination does not need
        to be proven.
    –   (Passing product ≠ non-adulterated product)
•   Consequences are numerous
Consequences of
           Non-compliance

Legal Consequences
–   FDA 483s
–   FDA warning letters
–   Consent decree
–   Recall of product
–   Product seizure
– Plant        Injunction
– Company                 closure
– Debarment
Consequences of
         Non-compliance

Business Consequences

–   Expensive to do recalls
–   Loss of sales
–   Bad publicity
–   Potential harm to customers
Fundamentals of cGMPs?

–   Based on fundamental concepts of
    Quality Assurance Principles
      Control
      Quality, safety, and effectiveness must be
      designed and built into the product
      Quality cannot be inspected or tested into a
      finished product
      Each step of manufacturing must be
      controlled to maximize the chances that the
      Finished Good will be acceptable
What are the Benefits of cGMPs?

–   They outline a Quality System that reduces or
    prevents errors
–   Ensures products are safe for use in humans
–   Prevent/control contamination and cross-
    contamination
–   Minimizes variations in potency of the drug
–   Ensures reproducible physiological activity
–   Prevent side effects and toxicity due to
    variations in drug content and potency
–   Prevents mislabeling and adulteration
Key Parts of cGMP’s

Subpart B: Organization and Personnel
Subpart C: Buildings and Facilities
Subpart D: Equipment
Supbart E: Control of Components and Drug
  Product Containers and Closures
Subpart F: Production and Process Controls
Key Parts of cGMP’s

Subpart G: Packaging & Labeling Control
Subpart H: Holding & Distribution
Subpart I: Laboratory Controls
Subpart J: Records & Reports
Subpart K: Returned & Salvaged Drug
  Product
Organization and Personnel

Management Responsibility
–   Responsible for facility, quality system,
    organizational structure, ensuring adequate
    resources
–   Responsible for actions of those reporting to them
–   Responsible for reviewing products annually, and
    procedures routinely
–   Responsible for providing adequate resources to
    perform operations
      Facilities, personnel, training, equipment, etc
Quality Unit

Responsible for approval or rejection of
–   all components, raw materials, containers, closures,
    subassemblies, packaging, labeled finished
    products, process validation reports, procedures
    and product specifications
–   Investigative reports for non-conformances and out-
    of-specifications (OOS’s)
Quality Unit

Responsible for reviewing production records
and ensuring that no errors have occurred
(may include verification activities)

Responsible for releasing product for use

Must be independent of manufacturing
Buildings and Facilities

Buildings must be designed with adequate size and space
for operations (helps to eliminate mix-ups)
Facilities must be validated
There must be a good flow pattern for personnel,
materials, products and waste materials (flow from clean to
dirty)
The facility must be easy to clean and sanitize (surfaces,
equipment, exposed cords, floors, ceilings…)
Environmental controls must be in place (clean rooms)
Utilities must be validated (water systems, electrical, etc)
Buildings and Facilities

Must have engineering documents describing the layout of
the clean rooms – controlled documents
Changes to the layout of the room after it has been
validated must go through change control procedures and
may require revalidation of the room
Any changes that potentially impact the ventilation in the
room must be assessed for impact on the microbial levels
in the room
Microorganisms, particulates, and hazardous materials
must be controlled
Equipment

Equipment should be selected based on the
intended use and cleanability if it is to be in a
clean room
Equipment must be placed in an appropriate
location (temperature, humidity, etc.)
Equipment must be properly qualified (Design,
Installation, Operation, Performance)
Component/Materials Control

Suppliers must be evaluated and approved and
monitored for quality
Incoming Materials must be tested before they can be
accepted for use
Materials must be placed in stores or issued according
to FIFO (stock rotation)
Materials must be stored so that they are not mixed
up, damaged, or contaminated.
Production/Process Control

Have & Follow Procedures: A good
procedure is a written step-by-step
procedure that provides a roadmap for
Controlled and Consistent performance.
     Examples:
      –   (Manufacturing) Work Instructions
      –   Operating Procedures
      –   Testing Procedures
      –   Quality Manual
Deviations must be recorded and justified
Procedures should address…

…verification of critical steps by a second
 person
…line clearance
…monitoring of processes to make sure they
 are in control
…time limits and yield calculations as
 appropriate checks for critical processes
…gowning for controlled environments
 (cleanrooms)
Packaging and Labeling Control

Label is a display of a written, printed or graphic
matter upon the immediate container of any article
Labeling is the label and any other packaging material
or container that is printed (ex. IFU, advertising
materials)
Procedures must exist that document receiving,
identity, storage, handling, sampling, and testing of
labels and ensure that integrity is maintained
throughout production and use of product
Packaging and Labeling Control

Labeling must be separated physically in storage to
avoid mix-ups
Wording of labels cannot be changed unless the
FDA is notified
Labeling must be inspected prior to issuing to
production
All labels must be reconciled (accounted for) if not
100% inspected.
Label control begins with the design
Holding and Distribution

Warehousing procedures should address…
…Quarantine of drug products
…storage of products under appropriate conditions


Distribution procedures should address…
…FEFO (First Expiring First Out)
…traceability of product lots/batches
Laboratory Controls

Written procedures must be established & followed
All actions must be documented at the time of
performance
Calculations need to be recorded
Second person must review records
Data must be directly recorded into appropriate records
Equipment, software, and methods must be validated
An Out-of-Specification (OOS) result must be investigated
and a root cause identified
Laboratory data is considered to be a quality record
Records and Reports

Quality Records are the proof that the
procedures were followed and they show
traceability of product.
    Examples:
      –   Lot History Records
      –   Laboratory Notebooks
      –   Protocols
      –   Reports
      –   Logbooks
      –   Distribution Records
      –   Complaint Files
Quality Records

Records are legal documents and can be subpoenaed
in a court of law as evidence

Signatures on documentation have the same meaning
as on any kind of contract

Information must be recorded and signed for at the
time of performance on the original record
Website References

http://www.fda.gov (Food and Drug Administration)
http://www.fda.gov/foi/warning.htm (FDA Warning Letters)
http://www.access.gpo.gov/uscode/title21/chapter9_.html
  (Food Drug and Cosmetic Act)
http://www.gpoaccess.gov/fr/index.html (Federal Register)
http://www.fda.gov/opacom/morechoices/industry/guidedc.
   htm (Guidance Documents)
http://www.ich.org (International Conference on Harmonization)
http://www.pda.org (Parenteral Drug Association)
Q&A




Make GMP a lifestyle!!!

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Good Manufacturing Practices

  • 2. Objectives 1. To understand where the regulations come from, who has enforcement authority, and why you need to comply 2. To understand the “Fundamentals”, “Benefits” and “Key Parts” of cGMPs
  • 3. What are cGMPs? Current Good Manufacturing Practices Come from the Food Drug and Cosmetic Act Rules set up by the FDA that drug manufacturers needs to follow in order to ensure that a safe and effective product is manufactured
  • 4. Where Did the Food Drug and Cosmetic Act Come From? 1906 book by Upton Sinclair The Jungle exposed the dangers involved in the meat packing industry Helped drive public opinion to support a new law passed by Congress Food Drug and Cosmetic Act
  • 5. Provisions of the Law (FDC Act) – Creation of Federal Government agency to oversee food industry – Scope expanded later to medical industry
  • 6. Who Interprets and Enforces This Law? The FDA (Food and Drug Administration) is an agency within the Department of Health and Human Services and consists of eight centers/offices.
  • 7. FDA The FDA consists of eight branches Center for Biologics Evaluation Center for Devices and and Research (CBER) Radiological Health (CDRH) Center for Drug Evaluation Center for Food Safety and and Research (CDER) Applied Nutrition (CFSAN) Center for Veterinary Medicine National Center for Toxicological (CVM) Research (NCTR) Office of the Commissioner (OC) Office of Regulatory Affairs (ORA)
  • 8. Interpretations of the Law The Code of Federal Regulations is a government publication where Federal Agencies post regulations – Contain regulations enforced by the DOT, DEA, FCC, FDA, and all other agencies Found in Code of Federal Regulations (CFR) – Drug (cGMP): Title 21, Part 210 & 211 – Device (QSR): Title 21, Part 820 – Combination Product: Title 21 CFR Part 3 Subpart A (section 3.2e)
  • 9. Interpretations of the Regulations Guidance documents published by FDA and International Conference on Harmonization (ICH) Draft guidance documents Preamble documents published by government FDA 483 inspectional observations documents Warning letters from FDA to various companies www.fda.gov
  • 10. What Happens if cGMP’s are not Followed? – Adulteration: “A drug is deemed to be adulterated if the methods used in or the facilities or controls used for its manufacture, processing, packing, or holding do not conform to or are not operated or administered in conformity with cGMP to assure that such drug meets the requirements of this act as to Safety and has the Identity and Strength, and meets the Quality and Purity characteristics which it purports or is represented to possess.”
  • 11. Why Comply? • Food drug and cosmetic act is the law • When charged with a violation: – Proof of criminal intent is not necessary. (Guilty until proven innocent) – Actual harm from contamination does not need to be proven. – (Passing product ≠ non-adulterated product) • Consequences are numerous
  • 12. Consequences of Non-compliance Legal Consequences – FDA 483s – FDA warning letters – Consent decree – Recall of product – Product seizure – Plant Injunction – Company closure – Debarment
  • 13. Consequences of Non-compliance Business Consequences – Expensive to do recalls – Loss of sales – Bad publicity – Potential harm to customers
  • 14. Fundamentals of cGMPs? – Based on fundamental concepts of Quality Assurance Principles Control Quality, safety, and effectiveness must be designed and built into the product Quality cannot be inspected or tested into a finished product Each step of manufacturing must be controlled to maximize the chances that the Finished Good will be acceptable
  • 15. What are the Benefits of cGMPs? – They outline a Quality System that reduces or prevents errors – Ensures products are safe for use in humans – Prevent/control contamination and cross- contamination – Minimizes variations in potency of the drug – Ensures reproducible physiological activity – Prevent side effects and toxicity due to variations in drug content and potency – Prevents mislabeling and adulteration
  • 16. Key Parts of cGMP’s Subpart B: Organization and Personnel Subpart C: Buildings and Facilities Subpart D: Equipment Supbart E: Control of Components and Drug Product Containers and Closures Subpart F: Production and Process Controls
  • 17. Key Parts of cGMP’s Subpart G: Packaging & Labeling Control Subpart H: Holding & Distribution Subpart I: Laboratory Controls Subpart J: Records & Reports Subpart K: Returned & Salvaged Drug Product
  • 18. Organization and Personnel Management Responsibility – Responsible for facility, quality system, organizational structure, ensuring adequate resources – Responsible for actions of those reporting to them – Responsible for reviewing products annually, and procedures routinely – Responsible for providing adequate resources to perform operations Facilities, personnel, training, equipment, etc
  • 19. Quality Unit Responsible for approval or rejection of – all components, raw materials, containers, closures, subassemblies, packaging, labeled finished products, process validation reports, procedures and product specifications – Investigative reports for non-conformances and out- of-specifications (OOS’s)
  • 20. Quality Unit Responsible for reviewing production records and ensuring that no errors have occurred (may include verification activities) Responsible for releasing product for use Must be independent of manufacturing
  • 21. Buildings and Facilities Buildings must be designed with adequate size and space for operations (helps to eliminate mix-ups) Facilities must be validated There must be a good flow pattern for personnel, materials, products and waste materials (flow from clean to dirty) The facility must be easy to clean and sanitize (surfaces, equipment, exposed cords, floors, ceilings…) Environmental controls must be in place (clean rooms) Utilities must be validated (water systems, electrical, etc)
  • 22. Buildings and Facilities Must have engineering documents describing the layout of the clean rooms – controlled documents Changes to the layout of the room after it has been validated must go through change control procedures and may require revalidation of the room Any changes that potentially impact the ventilation in the room must be assessed for impact on the microbial levels in the room Microorganisms, particulates, and hazardous materials must be controlled
  • 23. Equipment Equipment should be selected based on the intended use and cleanability if it is to be in a clean room Equipment must be placed in an appropriate location (temperature, humidity, etc.) Equipment must be properly qualified (Design, Installation, Operation, Performance)
  • 24. Component/Materials Control Suppliers must be evaluated and approved and monitored for quality Incoming Materials must be tested before they can be accepted for use Materials must be placed in stores or issued according to FIFO (stock rotation) Materials must be stored so that they are not mixed up, damaged, or contaminated.
  • 25. Production/Process Control Have & Follow Procedures: A good procedure is a written step-by-step procedure that provides a roadmap for Controlled and Consistent performance. Examples: – (Manufacturing) Work Instructions – Operating Procedures – Testing Procedures – Quality Manual Deviations must be recorded and justified
  • 26. Procedures should address… …verification of critical steps by a second person …line clearance …monitoring of processes to make sure they are in control …time limits and yield calculations as appropriate checks for critical processes …gowning for controlled environments (cleanrooms)
  • 27. Packaging and Labeling Control Label is a display of a written, printed or graphic matter upon the immediate container of any article Labeling is the label and any other packaging material or container that is printed (ex. IFU, advertising materials) Procedures must exist that document receiving, identity, storage, handling, sampling, and testing of labels and ensure that integrity is maintained throughout production and use of product
  • 28. Packaging and Labeling Control Labeling must be separated physically in storage to avoid mix-ups Wording of labels cannot be changed unless the FDA is notified Labeling must be inspected prior to issuing to production All labels must be reconciled (accounted for) if not 100% inspected. Label control begins with the design
  • 29. Holding and Distribution Warehousing procedures should address… …Quarantine of drug products …storage of products under appropriate conditions Distribution procedures should address… …FEFO (First Expiring First Out) …traceability of product lots/batches
  • 30. Laboratory Controls Written procedures must be established & followed All actions must be documented at the time of performance Calculations need to be recorded Second person must review records Data must be directly recorded into appropriate records Equipment, software, and methods must be validated An Out-of-Specification (OOS) result must be investigated and a root cause identified Laboratory data is considered to be a quality record
  • 31. Records and Reports Quality Records are the proof that the procedures were followed and they show traceability of product. Examples: – Lot History Records – Laboratory Notebooks – Protocols – Reports – Logbooks – Distribution Records – Complaint Files
  • 32. Quality Records Records are legal documents and can be subpoenaed in a court of law as evidence Signatures on documentation have the same meaning as on any kind of contract Information must be recorded and signed for at the time of performance on the original record
  • 33. Website References http://www.fda.gov (Food and Drug Administration) http://www.fda.gov/foi/warning.htm (FDA Warning Letters) http://www.access.gpo.gov/uscode/title21/chapter9_.html (Food Drug and Cosmetic Act) http://www.gpoaccess.gov/fr/index.html (Federal Register) http://www.fda.gov/opacom/morechoices/industry/guidedc. htm (Guidance Documents) http://www.ich.org (International Conference on Harmonization) http://www.pda.org (Parenteral Drug Association)
  • 34. Q&A Make GMP a lifestyle!!!