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Exposure Control Validation at a
    Supply Chain in India


              Ganesh Desai and Toral Mehta, CIH
                International Safety Systems, Inc.
                       Ganesh.Desai@issehs.com
                                 www.issehs.com
Supply Chain In India-Pharma
Companies
 India identified as most desirable country for
  supplying dosage form and API to Phrama
  corporations
 Low cost of production and pool of scientific
  talents
 More than 200 suppliers
Objective of Study

 Determine containment efficiency
 Determine the degree of exposure to the Active
   Pharmaceutical Ingredients (APIs)
 Recommend exposure controls to reduce exposures to API
   below OEL
 Determine type of respiratory protection needed
 Determine contribution of workpractices
Sampling Protocol

 ISPE Good Practice Guide Assessing The Particulate
   Containment Performance of Pharmaceutical Equipment

 Standardized Measurement of Equipment Particulate
   Airborne Concentration (SMEPAC) committee
Sampling and Analytical Methods
 Sampling Methodology and Instrumentation
       Air sampling pump - flow rate ranging 2 liters/min to 5 liters/min
       Primary Calibrator
       Sampling media – 5 micron 25 mm diameter PTFE fiter

 Analytical Methods
       American Industrial Hygiene Association (AIHA) accredited laboratory
        analyzed the sample
       High Pressure Liquid Chromatographic and an Electrochemical detector
       Limit of Quantification: 5 nanogram

 Training of operators to explain objectives of study
Surrogate Specifications
 Lactose as surrogate
 Factors considered in selection of Lactose:
       Particle size of target Active Pharmaceutical Ingredient (API)
       Detection sensitivity (5 nanogram)
       Pharmacological activity (no effect on testing personnel or risk of cross-
        contamination)
       Available particle size range giving a worst case of dustiness
       Ease of disposal (environmental consideration)
       Solubility in water (post-test cleaning)
       Stability (test material and sampled material storage)
Surrogate Sampling Locations

 Area – 5 feet, 6 inches above the floor.
 Transfer points – Within 6 inches (15 centimeters) of a pass
    in/pass out transfer point.
 Operator (lead) – The lead operator, (i.e. the operator
    performing the majority of the tasks). The preferred location is
    attached to the collar as close to the breathing zone as possible
 Other operators – The other operators performing tasks for the
    test provided with shift equivalence samplers.
Equipment Tested with Surrogate
Monitoring
       Sifter

       Rapid Mixer Granulator

       Fluid Bed Dryer

       Co Mill

       Bin Blender

       Compression Machine

       Coating Machine
Equipment Tested with Surrogate
Monitoring




  Sifter     Rapid Mixer Granulator




                                      Fluid Bed Dryer
Equipment Tested with Surrogate
Monitoring              Compression


Co-Mill
          Bin Blender




                        Coating




                           Bin Blender
Personal and Emission Sample
  20 Personal samples   27 Area samples
Findings

The Highest Personal Exposure was in the following activities
    Sifting

    Milling

    Compression of the tablets

    Compression machine cleaning
Contributory Factors - Containment

 Leakage from flange joints (sieve, mill)
 De-dusting and tablet filling area of compression without a local
    exhaust ventilation (LEV)
 Significant emissions at all discharge points (Sieve, RMG, Mill,
    Blender)
 Manual scooping in Compression machine instead of using an
    Intermediate Bowl Container (IBC)
 Manual scooping in the Mill instead of vacuum transfer
Contributory Factors – Work Practices

 Material leaking from flange joints on Sieve, RMG, Mill

 Over filling of scoop while manual charging

 Shaking while emptying of Lactose with plastic bags

 Compressed air used for cleaning

 Dry sweeping in place of using a vacuum equipped with a
   HEPA filter.
Recommendations

 Upgrade respiratory protection to Powered Air Purifying
   Respirator (PAPR).
 Provide a Local Exhaust Ventilation with elephant trunk at
   the discharging point
 Ensure all the joints are tightened and inspected by an
   authorized person before commencement of the activity
 Avoid manual scooping of Lactose instead vacuum transfer
   directly in to the mill
Recommendations

 Ensure all the flange joints are sealed using rubber
   gaskets to avoid leakage.

 Use intermediate bowl container (IBC) for transferring
   and collecting blend.

 Provide a plexi-glass cover that covers the de-dusting
   and tablet filling area.

 Use a vacuum equipped with a HEPA filter.
Strengths of Containment Validation
Study
  Evaluate containment performance without potential exposures to
     potent Active Pharmaceutical Ingredients (APIs)
  Evaluate containment performance in situations where an analytical
     method has not been developed for the API of interest
  Extrapolate data for similar equipments and for multiple APIs with
     similar characteristics
  Containment validation data applicable to the APIs for which
     Occupational Exposure Limits are not established and analytical
     methods are not developed
Limitations of Containment Validation
Study
  Simulated condition and not the actual working conditions

  Does not evaluate exposures to gases or vapors which may
    escape the containment

  Employees work practices may be positively or negatively
    biased knowing the purpose of the study

  Results are indicative and not confirmative
Lessons Learned

 Surrogate containment validation is effective in
  determining degree of exposure
 Best of the containments or engineering controls
  are not effective when safe work practices are not
  followed
 Parent companies expecting suppliers to
  demonstrate (through containment validation) that
  API is exposure below OEL is the most effective
  way of reducing exposure to API

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ISS - Exposure Control Validation

  • 1. Exposure Control Validation at a Supply Chain in India Ganesh Desai and Toral Mehta, CIH International Safety Systems, Inc. Ganesh.Desai@issehs.com www.issehs.com
  • 2. Supply Chain In India-Pharma Companies  India identified as most desirable country for supplying dosage form and API to Phrama corporations  Low cost of production and pool of scientific talents  More than 200 suppliers
  • 3. Objective of Study  Determine containment efficiency  Determine the degree of exposure to the Active Pharmaceutical Ingredients (APIs)  Recommend exposure controls to reduce exposures to API below OEL  Determine type of respiratory protection needed  Determine contribution of workpractices
  • 4. Sampling Protocol  ISPE Good Practice Guide Assessing The Particulate Containment Performance of Pharmaceutical Equipment  Standardized Measurement of Equipment Particulate Airborne Concentration (SMEPAC) committee
  • 5. Sampling and Analytical Methods  Sampling Methodology and Instrumentation  Air sampling pump - flow rate ranging 2 liters/min to 5 liters/min  Primary Calibrator  Sampling media – 5 micron 25 mm diameter PTFE fiter  Analytical Methods  American Industrial Hygiene Association (AIHA) accredited laboratory analyzed the sample  High Pressure Liquid Chromatographic and an Electrochemical detector  Limit of Quantification: 5 nanogram  Training of operators to explain objectives of study
  • 6. Surrogate Specifications  Lactose as surrogate  Factors considered in selection of Lactose:  Particle size of target Active Pharmaceutical Ingredient (API)  Detection sensitivity (5 nanogram)  Pharmacological activity (no effect on testing personnel or risk of cross- contamination)  Available particle size range giving a worst case of dustiness  Ease of disposal (environmental consideration)  Solubility in water (post-test cleaning)  Stability (test material and sampled material storage)
  • 7. Surrogate Sampling Locations  Area – 5 feet, 6 inches above the floor.  Transfer points – Within 6 inches (15 centimeters) of a pass in/pass out transfer point.  Operator (lead) – The lead operator, (i.e. the operator performing the majority of the tasks). The preferred location is attached to the collar as close to the breathing zone as possible  Other operators – The other operators performing tasks for the test provided with shift equivalence samplers.
  • 8. Equipment Tested with Surrogate Monitoring  Sifter  Rapid Mixer Granulator  Fluid Bed Dryer  Co Mill  Bin Blender  Compression Machine  Coating Machine
  • 9. Equipment Tested with Surrogate Monitoring Sifter Rapid Mixer Granulator Fluid Bed Dryer
  • 10. Equipment Tested with Surrogate Monitoring Compression Co-Mill Bin Blender Coating Bin Blender
  • 11. Personal and Emission Sample 20 Personal samples 27 Area samples
  • 12. Findings The Highest Personal Exposure was in the following activities  Sifting  Milling  Compression of the tablets  Compression machine cleaning
  • 13. Contributory Factors - Containment  Leakage from flange joints (sieve, mill)  De-dusting and tablet filling area of compression without a local exhaust ventilation (LEV)  Significant emissions at all discharge points (Sieve, RMG, Mill, Blender)  Manual scooping in Compression machine instead of using an Intermediate Bowl Container (IBC)  Manual scooping in the Mill instead of vacuum transfer
  • 14. Contributory Factors – Work Practices  Material leaking from flange joints on Sieve, RMG, Mill  Over filling of scoop while manual charging  Shaking while emptying of Lactose with plastic bags  Compressed air used for cleaning  Dry sweeping in place of using a vacuum equipped with a HEPA filter.
  • 15. Recommendations  Upgrade respiratory protection to Powered Air Purifying Respirator (PAPR).  Provide a Local Exhaust Ventilation with elephant trunk at the discharging point  Ensure all the joints are tightened and inspected by an authorized person before commencement of the activity  Avoid manual scooping of Lactose instead vacuum transfer directly in to the mill
  • 16. Recommendations  Ensure all the flange joints are sealed using rubber gaskets to avoid leakage.  Use intermediate bowl container (IBC) for transferring and collecting blend.  Provide a plexi-glass cover that covers the de-dusting and tablet filling area.  Use a vacuum equipped with a HEPA filter.
  • 17. Strengths of Containment Validation Study  Evaluate containment performance without potential exposures to potent Active Pharmaceutical Ingredients (APIs)  Evaluate containment performance in situations where an analytical method has not been developed for the API of interest  Extrapolate data for similar equipments and for multiple APIs with similar characteristics  Containment validation data applicable to the APIs for which Occupational Exposure Limits are not established and analytical methods are not developed
  • 18. Limitations of Containment Validation Study  Simulated condition and not the actual working conditions  Does not evaluate exposures to gases or vapors which may escape the containment  Employees work practices may be positively or negatively biased knowing the purpose of the study  Results are indicative and not confirmative
  • 19. Lessons Learned  Surrogate containment validation is effective in determining degree of exposure  Best of the containments or engineering controls are not effective when safe work practices are not followed  Parent companies expecting suppliers to demonstrate (through containment validation) that API is exposure below OEL is the most effective way of reducing exposure to API