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CGTP governs the methods used in,
and the facilities and controls used for,
the manufacture of HCT/Ps including all
steps in recovery, donor screening,
donor testing, processing, storage,
labeling, packaging, and distribution.
ENVIRONMENTFACILITIES
EQUIPMENT
SUPPLIES
REAGENTS
PROCESSRECOVERY
LABELLING STORAGE
DONORSDISTRIBUTION
CURRENT
GOOD
TISSUE
PRACTICE
21 CFR 1271: CGTP
https://www.aretezoe.com/ 102/29/2016
21 CFR 1271: CGTP
CURRENT GOOD
TISSUE PRACTICE
PERSONNEL:
Manufacturer must have
sufficient, competent and
appropriately trained
personnel to ensure
compliance.
ENVIRONMENTFACILITIES
EQUIPMENT
SUPPLIES
REAGENTS
PROCESSRECOVERY
LABELLING STORAGE
DONORSDISTRIBUTION
https://www.aretezoe.com/ 202/29/2016
21 CFR 1271: CGTP
CURRENT GOOD
TISSUE PRACTICE
PROCEDURES:
Procedures appropriate to meet
core CGTP requirements for all
manufacturing steps and design
these procedures to prevent
circumstances that increase the
risk of the introduction,
transmission, or spread of
communicable diseases
ENVIRONMENTFACILITIES
EQUIPMENT
SUPPLIES
REAGENTS
PROCESSRECOVERY
LABELLING STORAGE
DONORSDISTRIBUTION
https://www.aretezoe.com/ 302/29/2016
ENVIRONMENTFACILITIES
EQUIPMENT
SUPPLIES
REAGENTS
PROCESSRECOVERY
LABELLING STORAGE
DONORSDISTRIBUTION
21 CFR 1271: CGTP
CURRENT GOOD
TISSUE PRACTICE
QUALITY PROGRAMS
• Manufacturer must establish and maintain a
quality program
• Procedures must be reviewed, approved
and revised as appropriate.
• Procedures for receiving, investigating,
evaluating, and documenting core CGTP
requirements, including complains and
possible contaminations
• Provisions on risk assessment and
appropriate follow-up (recall, FDA reporting)
• CAPA, audits, re-audits, deviations from
procedure, monitoring systems
• Training and education
• Validated performance of computer
software
https://www.aretezoe.com/ 402/29/2016
ENVIRONMENTFACILITIES
EQUIPMENT
SUPPLIES
REAGENTS
PROCESSRECOVERY
LABELLING STORAGE
DONORSDISTRIBUTION
21 CFR 1271: CGTP
CURRENT GOOD
TISSUE PRACTICE
FACILITIES:
• Suitable size, construction, and
location
• Clean, sanitary, and orderly
• Operations: control systems to
prevent improper labeling, mix-ups,
contamination, cross-
contamination, and accidental
exposure to communicable
disease agents.
https://www.aretezoe.com/ 502/29/2016
ENVIRONMENTFACILITIES
EQUIPMENT
SUPPLIES
REAGENTS
PROCESSRECOVERY
LABELLING STORAGE
DONORSDISTRIBUTION
21 CFR 1271: CGTP
CURRENT GOOD
TISSUE PRACTICE
ENVIRONMENTAL CONTROL:
• Temperature and humidity
controlled via ventilation and air
filtration
• Cleaning and disinfecting of
rooms and equipment to ensure
aseptic operations
• Maintenance of equipment
used to control aseptic
conditions
https://www.aretezoe.com/ 602/29/2016
ENVIRONMENTFACILITIES
EQUIPMENT
SUPPLIES
REAGENTS
PROCESSRECOVERY
LABELLING STORAGE
DONORSDISTRIBUTION
21 CFR 1271: CGTP
CURRENT GOOD
TISSUE PRACTICE
EQUIPMENT
• Appropriate design, suitable
location and installation
• Must produce valid results.
• Must be properly maintained,
sanitized, calibrated and
routinely inspected
https://www.aretezoe.com/ 702/29/2016
ENVIRONMENTFACILITIES
EQUIPMENT
SUPPLIES
REAGENTS
PROCESSRECOVERY
LABELLING STORAGE
DONORSDISTRIBUTION
21 CFR 1271: CGTP
CURRENT GOOD
TISSUE PRACTICE
SUPPLIES AND REAGENTS
• Verified supplies and reagents
that meet specifications
• Production of in-house reagents
must be validated
• Records and receipts of al
operations, equipment, supplies
and reagents
https://www.aretezoe.com/ 802/29/2016
ENVIRONMENTFACILITIES
EQUIPMENT
SUPPLIES
REAGENTS
PROCESSRECOVERY
LABELLING STORAGE
DONORSDISTRIBUTION
21 CFR 1271: CGTP
CURRENT GOOD
TISSUE PRACTICE
RECOVERY
Establishment that recover HCT/Ps,
must do so in a way that does not
cause contamination or cross-
contamination during recovery.
https://www.aretezoe.com/ 902/29/2016
ENVIRONMENTFACILITIES
EQUIPMENT
SUPPLIES
REAGENTS
PROCESSRECOVERY
LABELLING STORAGE
DONORSDISTRIBUTION
21 CFR 1271: CGTP
CURRENT GOOD
TISSUE PRACTICE
PROCESSING AND PROCESS CONTROLS
• Prevent contamination or cross-
contamination Do not pool cells or
tissue from different donors
• Representative in-process control and
testing Dura mater: validated process
to prevent CJD
• Any change to a process must be
verified or validated and approved
before implementation by a
responsible person.
• Changes have to be communicated
to staff.
https://www.aretezoe.com/ 1002/29/2016
ENVIRONMENTFACILITIES
EQUIPMENT
SUPPLIES
REAGENTS
PROCESSRECOVERY
LABELLING STORAGE
DONORSDISTRIBUTION
21 CFR 1271: CGTP
CURRENT GOOD
TISSUE PRACTICE
PROCESS VALIDATION
• Validation activities and
results must be documented
and signed off
• Any written representation
must be based on a fully
verified or validated process.
• Changes in process must be
validated, and process
revalidated.
https://www.aretezoe.com/ 1102/29/2016
ENVIRONMENTFACILITIES
EQUIPMENT
SUPPLIES
REAGENTS
PROCESSRECOVERY
LABELLING STORAGE
DONORSDISTRIBUTION
21 CFR 1271: CGTP
CURRENT GOOD
TISSUE PRACTICE
LABELLING
• Establish and maintain
procedures
• Ensure identification,
prevent mix-ups
• Verify accuracy, legibility
and integrity
• Donor eligibility
• Type of HCT/P
• Expiration date, storage
temperature
• Warnings if applicable
• Instructions for use
• Name and address of the
establishment
https://www.aretezoe.com/ 1202/29/2016
ENVIRONMENTFACILITIES
EQUIPMENT
SUPPLIES
REAGENTS
PROCESSRECOVERY
LABELLING STORAGE
DONORSDISTRIBUTION
21 CFR 1271: CGTP
CURRENT GOOD
TISSUE PRACTICE
STORAGE
• Control storage areas and
stock rooms to prevent mix-
ups, contamination, and
unapproved release
• Appropriate temperature
• Expiration dates
• Any corrective actions
documented
https://www.aretezoe.com/ 1302/29/2016
ENVIRONMENTFACILITIES
EQUIPMENT
SUPPLIES
REAGENTS
PROCESSRECOVERY
LABELLING STORAGE
DONORSDISTRIBUTION
21 CFR 1271: CGTP
CURRENT GOOD
TISSUE PRACTICE
RECEIPT, DISTRIBUTION
• Evaluate each incoming HCT/P
• Pre-established criteria  Determine:
• Accept
• Reject
• Quarantine
• Pre-distribution: HCT/P not available
for distribution must be shipped in
quarantine.
https://www.aretezoe.com/ 1402/29/2016
ENVIRONMENTFACILITIES
EQUIPMENT
SUPPLIES
REAGENTS
PROCESSRECOVERY
LABELLING STORAGE
DONORSDISTRIBUTION
21 CFR 1271: CGTP
CURRENT GOOD
TISSUE PRACTICE
RECEIPT, DISTRIBUTION
• Pre-distribution: HCT/P not available
for distribution must be shipped in
quarantine.
• Availability for distribution: release
criteria have been met, shipment
signed off
• Packaging and shipping: establish
appropriate shipping conditions
• Procedures: release criteria,
identification, audit trail for all
activities, quantity of HCT/P subject,
disposition of the HCT/P, and return to
inventory.
• Traceability: HCT/P must be traceable.
https://www.aretezoe.com/ 1502/29/2016
ENVIRONMENTFACILITIES
EQUIPMENT
SUPPLIES
REAGENTS
PROCESSRECOVERY
LABELLING STORAGE
DONORSDISTRIBUTION
21 CFR 1271: CGTP
CURRENT GOOD
TISSUE PRACTICE
RECORDS
• Maintain records of each step as
required
• Accurate, indelible, and legible,
identifiable and retrievable
• Identify Responsible Person
• Records management system
• Records must be retained for 10
years
• Contracts and agreements must
be kept.
https://www.aretezoe.com/ 1602/29/2016
ENVIRONMENTFACILITIES
EQUIPMENT
SUPPLIES
REAGENTS
PROCESSRECOVERY
LABELLING STORAGE
DONORSDISTRIBUTION
21 CFR 1271: CGTP
CURRENT GOOD
TISSUE PRACTICE
EXEMPTIONS AND ALTERNATIVES
• Exemptions may be requested
• Provide justification and
alternative Operation under
exemption or alternative can only
begin once granted.
https://www.aretezoe.com/ 1702/29/2016
ENVIRONMENTFACILITIES
EQUIPMENT
SUPPLIES
REAGENTS
PROCESSRECOVERY
LABELLING STORAGE
DONORSDISTRIBUTION
21 CFR 1271: CGTP
CURRENT GOOD
TISSUE PRACTICE
COMPLAINT FILE
Maintain, record, and
review complaints
https://www.aretezoe.com/ 1802/29/2016
ADVERSE REACTIONS
• Non-reproductive only
• Manufacturers must investigate and
follow-up any adverse reaction involving a
communicable disease related to an
HCT/P that it made available for
distribution.
• Adverse reactions are reportable to FDA if:
• fatal;
• life-threatening;
• result in permanent impairment or
permanent damage
• necessitate medical or surgical
intervention, including hospitalization.
Form FDA-3500A within 15 calendar days
(Guidance for industry)
21 CFR 1271: CGTP
REPORTING, IMPORT, INSPECTIONS
https://www.aretezoe.com/ 1902/29/2016
BIOLOGICAL PRODUCT
DEVIATION REPORT
Manufacturers must report
HCT/P deviations relating to the
core CGTP requirements within
45 days of discovery
21 CFR 1271: CGTP
REPORTING, IMPORT, INSPECTIONS
Form FDA-3486
Guidance for industry
https://www.aretezoe.com/ 2002/29/2016
21 CFR 1271: CGTP
REPORTING, IMPORT, INSPECTIONS
INSPECTIONS
Establishment that manufactures HCT/Ps must permit the
FDA to inspect its facilities, equipment, finished and
unfinished materials, containers, processes, HCT/Ps,
procedures, labeling, records, files, and papers.
https://www.aretezoe.com/ 2102/29/2016
21 CFR 1271: CGTP
REPORTING, IMPORT, INSPECTIONS
IMPORT
The importer must notify the FDA which the HCT/P is offering for
import
Exceptions include reproductive HCT/Ps of the PHSA and to
peripheral blood stem/progenitor cells regulated solely under
section 361.
https://www.aretezoe.com/ 2202/29/2016
21 CFR 1271: CGTP
REPORTING, IMPORT, INSPECTIONS
RETENTION, RECALL, DESTRUCTION, CESSATION OF
MANUFACTURING
• written order that the HCT/P be recalled and/or destroyed
• take possession of and/or destroy the violative HCT/P
https://www.aretezoe.com/ 2302/29/2016

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current Good Tissue Practice

  • 1. CGTP governs the methods used in, and the facilities and controls used for, the manufacture of HCT/Ps including all steps in recovery, donor screening, donor testing, processing, storage, labeling, packaging, and distribution. ENVIRONMENTFACILITIES EQUIPMENT SUPPLIES REAGENTS PROCESSRECOVERY LABELLING STORAGE DONORSDISTRIBUTION CURRENT GOOD TISSUE PRACTICE 21 CFR 1271: CGTP https://www.aretezoe.com/ 102/29/2016
  • 2. 21 CFR 1271: CGTP CURRENT GOOD TISSUE PRACTICE PERSONNEL: Manufacturer must have sufficient, competent and appropriately trained personnel to ensure compliance. ENVIRONMENTFACILITIES EQUIPMENT SUPPLIES REAGENTS PROCESSRECOVERY LABELLING STORAGE DONORSDISTRIBUTION https://www.aretezoe.com/ 202/29/2016
  • 3. 21 CFR 1271: CGTP CURRENT GOOD TISSUE PRACTICE PROCEDURES: Procedures appropriate to meet core CGTP requirements for all manufacturing steps and design these procedures to prevent circumstances that increase the risk of the introduction, transmission, or spread of communicable diseases ENVIRONMENTFACILITIES EQUIPMENT SUPPLIES REAGENTS PROCESSRECOVERY LABELLING STORAGE DONORSDISTRIBUTION https://www.aretezoe.com/ 302/29/2016
  • 4. ENVIRONMENTFACILITIES EQUIPMENT SUPPLIES REAGENTS PROCESSRECOVERY LABELLING STORAGE DONORSDISTRIBUTION 21 CFR 1271: CGTP CURRENT GOOD TISSUE PRACTICE QUALITY PROGRAMS • Manufacturer must establish and maintain a quality program • Procedures must be reviewed, approved and revised as appropriate. • Procedures for receiving, investigating, evaluating, and documenting core CGTP requirements, including complains and possible contaminations • Provisions on risk assessment and appropriate follow-up (recall, FDA reporting) • CAPA, audits, re-audits, deviations from procedure, monitoring systems • Training and education • Validated performance of computer software https://www.aretezoe.com/ 402/29/2016
  • 5. ENVIRONMENTFACILITIES EQUIPMENT SUPPLIES REAGENTS PROCESSRECOVERY LABELLING STORAGE DONORSDISTRIBUTION 21 CFR 1271: CGTP CURRENT GOOD TISSUE PRACTICE FACILITIES: • Suitable size, construction, and location • Clean, sanitary, and orderly • Operations: control systems to prevent improper labeling, mix-ups, contamination, cross- contamination, and accidental exposure to communicable disease agents. https://www.aretezoe.com/ 502/29/2016
  • 6. ENVIRONMENTFACILITIES EQUIPMENT SUPPLIES REAGENTS PROCESSRECOVERY LABELLING STORAGE DONORSDISTRIBUTION 21 CFR 1271: CGTP CURRENT GOOD TISSUE PRACTICE ENVIRONMENTAL CONTROL: • Temperature and humidity controlled via ventilation and air filtration • Cleaning and disinfecting of rooms and equipment to ensure aseptic operations • Maintenance of equipment used to control aseptic conditions https://www.aretezoe.com/ 602/29/2016
  • 7. ENVIRONMENTFACILITIES EQUIPMENT SUPPLIES REAGENTS PROCESSRECOVERY LABELLING STORAGE DONORSDISTRIBUTION 21 CFR 1271: CGTP CURRENT GOOD TISSUE PRACTICE EQUIPMENT • Appropriate design, suitable location and installation • Must produce valid results. • Must be properly maintained, sanitized, calibrated and routinely inspected https://www.aretezoe.com/ 702/29/2016
  • 8. ENVIRONMENTFACILITIES EQUIPMENT SUPPLIES REAGENTS PROCESSRECOVERY LABELLING STORAGE DONORSDISTRIBUTION 21 CFR 1271: CGTP CURRENT GOOD TISSUE PRACTICE SUPPLIES AND REAGENTS • Verified supplies and reagents that meet specifications • Production of in-house reagents must be validated • Records and receipts of al operations, equipment, supplies and reagents https://www.aretezoe.com/ 802/29/2016
  • 9. ENVIRONMENTFACILITIES EQUIPMENT SUPPLIES REAGENTS PROCESSRECOVERY LABELLING STORAGE DONORSDISTRIBUTION 21 CFR 1271: CGTP CURRENT GOOD TISSUE PRACTICE RECOVERY Establishment that recover HCT/Ps, must do so in a way that does not cause contamination or cross- contamination during recovery. https://www.aretezoe.com/ 902/29/2016
  • 10. ENVIRONMENTFACILITIES EQUIPMENT SUPPLIES REAGENTS PROCESSRECOVERY LABELLING STORAGE DONORSDISTRIBUTION 21 CFR 1271: CGTP CURRENT GOOD TISSUE PRACTICE PROCESSING AND PROCESS CONTROLS • Prevent contamination or cross- contamination Do not pool cells or tissue from different donors • Representative in-process control and testing Dura mater: validated process to prevent CJD • Any change to a process must be verified or validated and approved before implementation by a responsible person. • Changes have to be communicated to staff. https://www.aretezoe.com/ 1002/29/2016
  • 11. ENVIRONMENTFACILITIES EQUIPMENT SUPPLIES REAGENTS PROCESSRECOVERY LABELLING STORAGE DONORSDISTRIBUTION 21 CFR 1271: CGTP CURRENT GOOD TISSUE PRACTICE PROCESS VALIDATION • Validation activities and results must be documented and signed off • Any written representation must be based on a fully verified or validated process. • Changes in process must be validated, and process revalidated. https://www.aretezoe.com/ 1102/29/2016
  • 12. ENVIRONMENTFACILITIES EQUIPMENT SUPPLIES REAGENTS PROCESSRECOVERY LABELLING STORAGE DONORSDISTRIBUTION 21 CFR 1271: CGTP CURRENT GOOD TISSUE PRACTICE LABELLING • Establish and maintain procedures • Ensure identification, prevent mix-ups • Verify accuracy, legibility and integrity • Donor eligibility • Type of HCT/P • Expiration date, storage temperature • Warnings if applicable • Instructions for use • Name and address of the establishment https://www.aretezoe.com/ 1202/29/2016
  • 13. ENVIRONMENTFACILITIES EQUIPMENT SUPPLIES REAGENTS PROCESSRECOVERY LABELLING STORAGE DONORSDISTRIBUTION 21 CFR 1271: CGTP CURRENT GOOD TISSUE PRACTICE STORAGE • Control storage areas and stock rooms to prevent mix- ups, contamination, and unapproved release • Appropriate temperature • Expiration dates • Any corrective actions documented https://www.aretezoe.com/ 1302/29/2016
  • 14. ENVIRONMENTFACILITIES EQUIPMENT SUPPLIES REAGENTS PROCESSRECOVERY LABELLING STORAGE DONORSDISTRIBUTION 21 CFR 1271: CGTP CURRENT GOOD TISSUE PRACTICE RECEIPT, DISTRIBUTION • Evaluate each incoming HCT/P • Pre-established criteria  Determine: • Accept • Reject • Quarantine • Pre-distribution: HCT/P not available for distribution must be shipped in quarantine. https://www.aretezoe.com/ 1402/29/2016
  • 15. ENVIRONMENTFACILITIES EQUIPMENT SUPPLIES REAGENTS PROCESSRECOVERY LABELLING STORAGE DONORSDISTRIBUTION 21 CFR 1271: CGTP CURRENT GOOD TISSUE PRACTICE RECEIPT, DISTRIBUTION • Pre-distribution: HCT/P not available for distribution must be shipped in quarantine. • Availability for distribution: release criteria have been met, shipment signed off • Packaging and shipping: establish appropriate shipping conditions • Procedures: release criteria, identification, audit trail for all activities, quantity of HCT/P subject, disposition of the HCT/P, and return to inventory. • Traceability: HCT/P must be traceable. https://www.aretezoe.com/ 1502/29/2016
  • 16. ENVIRONMENTFACILITIES EQUIPMENT SUPPLIES REAGENTS PROCESSRECOVERY LABELLING STORAGE DONORSDISTRIBUTION 21 CFR 1271: CGTP CURRENT GOOD TISSUE PRACTICE RECORDS • Maintain records of each step as required • Accurate, indelible, and legible, identifiable and retrievable • Identify Responsible Person • Records management system • Records must be retained for 10 years • Contracts and agreements must be kept. https://www.aretezoe.com/ 1602/29/2016
  • 17. ENVIRONMENTFACILITIES EQUIPMENT SUPPLIES REAGENTS PROCESSRECOVERY LABELLING STORAGE DONORSDISTRIBUTION 21 CFR 1271: CGTP CURRENT GOOD TISSUE PRACTICE EXEMPTIONS AND ALTERNATIVES • Exemptions may be requested • Provide justification and alternative Operation under exemption or alternative can only begin once granted. https://www.aretezoe.com/ 1702/29/2016
  • 18. ENVIRONMENTFACILITIES EQUIPMENT SUPPLIES REAGENTS PROCESSRECOVERY LABELLING STORAGE DONORSDISTRIBUTION 21 CFR 1271: CGTP CURRENT GOOD TISSUE PRACTICE COMPLAINT FILE Maintain, record, and review complaints https://www.aretezoe.com/ 1802/29/2016
  • 19. ADVERSE REACTIONS • Non-reproductive only • Manufacturers must investigate and follow-up any adverse reaction involving a communicable disease related to an HCT/P that it made available for distribution. • Adverse reactions are reportable to FDA if: • fatal; • life-threatening; • result in permanent impairment or permanent damage • necessitate medical or surgical intervention, including hospitalization. Form FDA-3500A within 15 calendar days (Guidance for industry) 21 CFR 1271: CGTP REPORTING, IMPORT, INSPECTIONS https://www.aretezoe.com/ 1902/29/2016
  • 20. BIOLOGICAL PRODUCT DEVIATION REPORT Manufacturers must report HCT/P deviations relating to the core CGTP requirements within 45 days of discovery 21 CFR 1271: CGTP REPORTING, IMPORT, INSPECTIONS Form FDA-3486 Guidance for industry https://www.aretezoe.com/ 2002/29/2016
  • 21. 21 CFR 1271: CGTP REPORTING, IMPORT, INSPECTIONS INSPECTIONS Establishment that manufactures HCT/Ps must permit the FDA to inspect its facilities, equipment, finished and unfinished materials, containers, processes, HCT/Ps, procedures, labeling, records, files, and papers. https://www.aretezoe.com/ 2102/29/2016
  • 22. 21 CFR 1271: CGTP REPORTING, IMPORT, INSPECTIONS IMPORT The importer must notify the FDA which the HCT/P is offering for import Exceptions include reproductive HCT/Ps of the PHSA and to peripheral blood stem/progenitor cells regulated solely under section 361. https://www.aretezoe.com/ 2202/29/2016
  • 23. 21 CFR 1271: CGTP REPORTING, IMPORT, INSPECTIONS RETENTION, RECALL, DESTRUCTION, CESSATION OF MANUFACTURING • written order that the HCT/P be recalled and/or destroyed • take possession of and/or destroy the violative HCT/P https://www.aretezoe.com/ 2302/29/2016