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Mapping Challenges & Strategy to Move Smartly
(Good Manufacturing Practices & Quality Management System)
Obaid Ali, R. Ph., Ph. D.
18 Feb 2018
CCK - Lahore
Lack of experience in working in an internationally
compliant environment
Lack of experience facing inspectors of
international world
Passion and motivation is not enough protected
Pre
registration
applications
Sound
science
Risk
based
Robust Consistent
Inspections
Consistent Purity
Integrity Dignity
Post
marketing
Recall Safety
Trend Complain
ProcessValidation
Process control
Understanding of Variability
Use of statistical method
Design your process
Build
knowledge &
understanding
Development
& Scale up
experience
Establish
strategy for
process control
1/3
Qualify your process
Expect
certainty on
commercial
manufacturing
Extensive
sampling,
monitoring
Sufficient
statistical
confidence
2/3
Continued Process Verification
Assurance that
process is in
state of control
Regularly
collect &
analyze
product &
process data
Impact of
variability &
Knowledge
Management
3/3
Product Lifecycle
Development
Technology
Transfer
Commercial
Manufacturing
Product
discontinuation
Product Lifecycle (Process)
F
D
A
E
M
A
Design
Q8, Q11,
Inspections
Qualification
Facility, Utility, Equipment
Performance Qualification
Contd. Verification
GMP inspection, Q10,
Quality Review
Development
Q8, Q11,
Submission
Qualification
Traditional Cont. Verification
Assessment in Inspection
Contd. Verification
GMP inspection, Q10,
Quality Review
Science the only answer
Integrity above all
Culture of Quality
When life is everything
Risk
P A R E N T E R A L S
IV
IM
IG
SC
.
.
.
Tiny
Living
things
Microorganisms that exist
as single cells capable of
growth, respiration,
reproduction independent
of other cells of the same
or different kind.
G
R
O
W
T
H
Cannot swim itself
Cannot move itself
Good Luck
Good Luck
Sensitive to heat
Sensitive to radiation
Sensitive to chemicals
Challenges
Aerobe
Facultative aerobe
Anaerobe
O2
No
O2
O2 or no O2
Spore formation
Thermophilic
(40-70℃)
Mesophilic
(15-45℃)
Psychrophilic
(0-20℃)
Challenges
Volcanic
Vents
• High
temperature
Antarctica
• Low
temperature
• Low
nutrients
Mount
Everest
• O2, low
temperature,
low nutrients
Sahara
Desert
• low moisture,
high
temperature,
low nutrients
WFI
Systems
• Low
nutrients
Challenges (Extremes)
Dormant, tough,
non-reproductive
structure
Forms in response
to environmental
stress
Can survive for
extended periods
of time
Produced by
Gram Positive (+)
Bacillus (rod)
Challenges (Endospores)
Water borne
Air borne
Human
Challenges
Skill to handle
Knowledge
Ability
Challenges
From where vulnerability begins
Nutrients Respiration Temperature Humidity pH
Water also carry the microorganisms
and supports growth too
Putting it all to use
Cocci, Gram +ve
Small/
medium
colony
White,
beige to
yellow
Circular
and
convex
Buttery
Human
Operation/ skin/
hands & hair
Staphylococcus
species
1
Putting it all to use
Rods, Gram +ve
Medium/
large
colony
Off white
to beige
Circular/
irregular
and
convex/
raised
Mucoid,
dry to
grainy
Environment such
as soil (seasonal
factor)
Through shoe, air
etc.
Clostridium
species
2
Putting it all to use
Rods, Gram -ve
Small to
medium
colony
White,
off
white to
beige
Circular/
irregular
and
convex
Mucoid
to
buttery
Generally found in
water (equipment
piping )
Pseudomonas, E.
coli species
3
Staphylococcus
aureus
• Aerobic
• Gram +ve
• Coccus
Pseudomonas
aeruginosa
• Aerobic
• Gram -ve
• Rod
Bacillus subtilis
• Aerobic
• Gram +ve
• Rod
• Spore forming
Clostridium
sporogenese
• Anaerobic
• Gram +ve
• Rod
• Spore forming
Candida albicans
• Yeast
Aspergillus
brasiliensis
• Mold
Compendial Organisms USP …ICH
Sterility Test-Growth Promotion
(support the growth of wide range of organisms)
Particulates and
Sterility ….?
Horrible sometimes …
There were 55 recalls
in the United States
in 2014 due to
foreign particles
Sources of Particulate Matter in Injectable Drug Products
Environment
Packaging
materials
Solution &
formulation
components
Product-
packaging
interactions
Process
generated
particles
Take an area as an example of challenge
2m2
• Protects body from
pathogens
• Prevents loss of
moisture
• Body temperature
regulation
Diversity
• Considerable diversity
in species
• Variation b/w different
locations on body
• Variation b/w
individuals
30 million
• Average person
sheds 1 billion skin
cells/ day
• 10% have micro-
organisms on them
Human Skin
Go in clean rooms They touch, shed, do things wrong sometimes
ORAL CAVITY
High population
High diversity
SKIN
Variable population
Low diversity
URETHRA/VAGINA
High population
Low diversity
GUT
High population
High diversity
People
Ecology
Clinical Effects of Injected Particulate Matter
Phlebitis
Pulmonary
emboli
Pulmonary
granulomas
Immune
system
dysfunction
Pulmonary
dysfunction
Infarction Death
Patient Population
Patients with
existing tissue
damage e.g. trauma,
surgery or sepsis
Critically ill patients Neonates
At highest
risk
Sterility: complete absence of life or
inability to reproduce
• Cont’d
In pharmaceutical industry ?
Sterility: More Complex & Technical
• Cont’d
Sterility: Expressed in Quantitative Terms
The probability definition for sterility derives
from the fact that microbial death follows a
geometric progression .i.e. the cells do not all
die at once when exposed to lethal conditions
• Cont’d
The US-FDA defines sterilization as the
“reduction of a microbial population to 10° (or
one cell) plus an additional 6 log-cycles”
Sterility : Probability of a non-sterile unit in a lot or
Sterility Assurance Level
A product is considered sterile when the probability of a
non-sterile unit is < 1 in 1, 000, 000 units; or a SAL of
10-6
Microorganisms
die at a constant
rate over a
period of time
For e.g. one
million
bacteria with
a 90% death
rate/ min
1st min
9 Lac dead/ 1
lac survivors
2nd min
90, 000 dead/
10, 000
survivors
Constant set of lethal conditions develop resistance
3rd min
9, 000
dead/
1, 000
survivors
4th min
900 dead/
100
survivors
5th min
90 dead/
10
survivors
6th min
9 dead/ 1
survivor
7th min
• ?
Particles Matter in oral dosage form too,
See rational and discuss what would be the strategy?
Type of Particle
Size of Particle
Shape of Particle
Number of Particle
Infant
Adult
Particles Matter in oral dosage form too,
See rational and discuss what would be the strategy?
Particles Matter in oral dosage form too,
See rational and discuss what would be the strategy?
Let’s Identify
What can not be avoidable in
GMP?
Does it pose risk on patient
safety?

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3 - Mapping Challenges & Strategy to move Smartly (GMP & QMS) Lahore