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Case Study
Initial OOS Invalidation without adequate investigation
and addressing potential manufacturing causes
November 2017
US-FDA
Obaid Ali, RPh. M.Phil, Ph.D.
Civil Service Officer, Government of Pakistan
Assay goes out
Assay goes out Investigation found comparable results of multiple tests
Assay goes out Investigation found comparable results of multiple tests
2nd Analyst found 3 same results
Assay goes out Investigation found comparable results of multiple tests
2nd Analyst found 3 same results But, tested again, not the retest
Assay goes out Investigation found comparable results of multiple tests
2nd Analyst found 3 same results But, tested again, not the retest
Last sample have different result
Assay goes out Investigation found comparable results of multiple tests
2nd Analyst found 3 same results But, tested again, not the retest
Last sample have different result It is compliant
Assay goes out Investigation found comparable results of multiple tests
2nd Analyst found 3 same results But, tested again, not the retest
Last sample have different result It is compliant
Firm rejected multiple values close to the original OOS
result …. Declared initial result as an outlier and released
batch on the basis of last sample …. Investigation failed to
identify laboratory root cause
Assay goes out Investigation found comparable results of multiple tests
2nd Analyst found 3 same results But, tested again, not the retest
Last sample have different result It is compliant
Firm rejected multiple values close to the original OOS
result …. Declared initial result as an outlier and released
batch on the basis of last sample …. Investigation failed to
identify laboratory root cause
Assay goes out Investigation found comparable results of multiple tests
2nd Analyst found 3 same results But, tested again, not the retest
Last sample have different result It is compliant
Firm rejected multiple values close to the original OOS
result …. Declared initial result as an outlier and released
batch on the basis of last sample …. Investigation failed to
identify laboratory root cause
Don’t declare the original OOS as an “outlier” and use
the retest without establishing the root cause
Such statistical treatments can’t always identify the
cause of an extreme observation
Take Home Message
Set the Tone on Full Compliance Mode
Retesting into compliance was never
encouraged, now it is intolerable and have
regulatory consequences
Take Home Message
Set the Tone on Full Compliance Mode
Review critically every decision & actual
practice to record every data value …..
Save yourself from being a victim of testing
into compliance with sincere intentions
Take Home Message
Set the Tone on Full Compliance Mode

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Case Study 1

  • 1. Case Study Initial OOS Invalidation without adequate investigation and addressing potential manufacturing causes November 2017 US-FDA Obaid Ali, RPh. M.Phil, Ph.D. Civil Service Officer, Government of Pakistan
  • 2.
  • 4. Assay goes out Investigation found comparable results of multiple tests
  • 5. Assay goes out Investigation found comparable results of multiple tests 2nd Analyst found 3 same results
  • 6. Assay goes out Investigation found comparable results of multiple tests 2nd Analyst found 3 same results But, tested again, not the retest
  • 7. Assay goes out Investigation found comparable results of multiple tests 2nd Analyst found 3 same results But, tested again, not the retest Last sample have different result
  • 8. Assay goes out Investigation found comparable results of multiple tests 2nd Analyst found 3 same results But, tested again, not the retest Last sample have different result It is compliant
  • 9. Assay goes out Investigation found comparable results of multiple tests 2nd Analyst found 3 same results But, tested again, not the retest Last sample have different result It is compliant Firm rejected multiple values close to the original OOS result …. Declared initial result as an outlier and released batch on the basis of last sample …. Investigation failed to identify laboratory root cause
  • 10. Assay goes out Investigation found comparable results of multiple tests 2nd Analyst found 3 same results But, tested again, not the retest Last sample have different result It is compliant Firm rejected multiple values close to the original OOS result …. Declared initial result as an outlier and released batch on the basis of last sample …. Investigation failed to identify laboratory root cause
  • 11. Assay goes out Investigation found comparable results of multiple tests 2nd Analyst found 3 same results But, tested again, not the retest Last sample have different result It is compliant Firm rejected multiple values close to the original OOS result …. Declared initial result as an outlier and released batch on the basis of last sample …. Investigation failed to identify laboratory root cause
  • 12. Don’t declare the original OOS as an “outlier” and use the retest without establishing the root cause Such statistical treatments can’t always identify the cause of an extreme observation Take Home Message Set the Tone on Full Compliance Mode
  • 13. Retesting into compliance was never encouraged, now it is intolerable and have regulatory consequences Take Home Message Set the Tone on Full Compliance Mode
  • 14. Review critically every decision & actual practice to record every data value ….. Save yourself from being a victim of testing into compliance with sincere intentions Take Home Message Set the Tone on Full Compliance Mode