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Roohi B. Obaid
07 March 2020
2nd Version
Documentation
The First & Last Exit in GMP
Documents of US-FDA, Papers from
Pharmaceutical Technology & Review Scientific
Articles are used to construct presentation
Reference
Opening Case
Documentation
The First & Last Exit in GMP
A 10 year old child
experiencing 101ā„ƒ fever
was administered 1 TSP full
Paracetamol Suspension at
home by his mother. He
died
Goran Pharma
April 2018
Goran Pharma
April 2018
Identification of DEG or EG
was not done on each
lot of glycerin
Goran Pharma
April 2018
Identification of DEG or EG
was not done on each
lot of glycerin
Glycerin
Why it (excipient) requires
testing for each lot
Glycerin Impurities
Why these (DEG or EG)
requires testing for each lot
DEG
Death Tragedies
1938 ā€¦ 1995 ā€¦ going on
Suicide ā€¦ dosage incidence
Goran Pharma
April 2018
Identification of DEG or EG
was not done on
each lot of glycerin
Failed to assure
acceptability of lots
Goran Pharma
April 2018
Laboratory results will be
compared with supplierā€™s COA
to confirm the reliability of
testing for all lots
Revised SOP
Goran Pharma
April 2018
Not clear whether testing on each incoming
component lot for all attributes to verify the
accuracy of supplierā€™s COA will be done
OR
Supplierā€™s test results will be qualified
through an initial round of testing as well
as ongoing testing at appropriate intervals
FDA: Inadequate Response
Goran Pharma
April 2018
Not clear whether testing on each incoming
component lot for all attributes to verify the
accuracy of supplierā€™s COA will be done
OR
Supplierā€™s test results will be qualified
through an initial round of testing as well
as ongoing testing at appropriate intervals
FDA: Inadequate Response
Goran Pharma
April 2018
Not clear whether testing on each incoming
component lot for all attributes to verify the
accuracy of supplierā€™s COA will be done
OR
Supplierā€™s test results will be qualified
through an initial round of testing as well
as ongoing testing at appropriate intervals
FDA: Inadequate Response
Laboratory results will be
compared with supplierā€™s COA
to confirm the reliability of
testing for all lots
Laboratory results will be
compared with supplierā€™s COA
to confirm the reliability of
testing for all lots
Not clear whether testing on each incoming
component lot for all attributes to verify the
accuracy of supplierā€™s
OR
Supplierā€™s test results will be qualified through an
initial round of testing as well as ongoing testing at
appropriate intervals
Goran Pharma
April 2018
Provide an
Improved Procedure
FDA: Inadequate Response
Compliance
Finished dosage form will be
subject to end product testing
before release from the GMP zone
for the market
Write an instruction that may
diminish the regulatory intent if
written in SOP
Group Working
Compliance
Finished dosage form will be
subject to end product testing
before release from the GMP zone
for the market
Write an instruction that may
diminish the regulatory intent if
written in SOP
Group Working
Compliance
E.g. In case of Injectables
Sterility test: Product may be
released after 12 days upon
observing no growth. Two days
are consumed in distribution or to
reach market.
Group Working
Compliance
E.g. In case of Tablets
Every 5th batch of oral solid
dosage form will be subject
to dissolution test
Group Working
Compliance
E.g. In case of Tablets
Every 3rd batch of oral solid
dosage form will be subject
to microbial testing
Group Working
Compliance
E.g. In case of Oral Liquid
Solution
Assay will be performed
before filling of every solution
and not after packaging
Group Working
Documentation
The First & Last Exit in GMP
1 Regulatory Expectations
1
2
Regulatory Expectations
Policies and Procedures
1
3
2
Regulatory Expectations
Document Integrity
Policies and Procedures
1
3
2
4
Regulatory Expectations
Document Integrity
Policies and Procedures
Batch Documentation
1 Regulatory Expectations
If someone reads detail
procedure to swim
Can he swim independently?
Opening Question
100% 50% 10% 0%
1
If someone reads detail
procedure to swim
Can he swim independently?
Opening Question
100% 50% 10% 0%
1
How much you are sure that someone
can manufacture tablets if he follows
the written SOP and these tablets will
be of desired quality?
Opening Question
100% 50% 10% 0%
2
How much you are sure that someone
can manufacture tablets if he follows
the written SOP and these tablets will
be of desired quality?
Opening Question
100% 50% 10% 0%
2
Operation Documentation
Operation DocumentationDevelopment Process
Procedure Execution Recording
Procedure Execution Recording
Procedure Execution Recording
Documentation Documentation
Procedure Execution Recording
Documentation Documentation
Operations
Record that describes how an
activity, event or process was
actually performed
Procedure Execution Recording
Documentation Documentation
Procedure Execution Recording
Documentation Documentation
Operations
Record for describing activity,
event or process
(i.e. recordkeeping)
Procedure Execution Recording
Documentation Documentation
2 Policies and Procedures
Policies
ā€¢ Documents used to influence and dictate
actions / decisions
ā€¢ Broad in scope and affect typically
different organizational/ business/
geographical units
ā€¢ Describes requirements but NOT
specifics on how to accomplish tasks
Policies
ā€¢ Documents used to influence and dictate
actions / decisions
ā€¢ Broad in scope and affect typically
different organizational/ business/
geographical units
ā€¢ Describes requirements but NOT
specifics on how to accomplish tasks
Policies
ā€¢ Documents used to influence and dictate
actions / decisions
ā€¢ Broad in scope and affect typically
different organizational/ business/
geographical units
ā€¢ Describes requirements but NOT
specifics on how to accomplish tasks
Policies
Directions reflecting vision
ā€¦ā€¦Where to go ā€¦ā€¦
How to go? ā€¦
How to execute? ā€¦
How to move ? ā€¦
What not to do? ā€¦
Procedure
Set of instructions that describes a
task or process.
A specified way to perform an activity
Instructions
The specific, detailed requirements
for performing a particular task
Governance
Policy
Governance
Policy Procedure
Governance
Policy Procedure
Governance
Strategy
Policy Procedure
Governance
Strategy
Policy InstructionProcedure
Governance
Strategy
Consistent Construct Continuous
What, Why and How
Consistent Construct Continuous
Clear CompleteCorrect
Autonomous
Progressive
Learning Mode
Knowledge based
QMS
QMS
Policies
Strategies
SOPs
QMS
Policies
Strategies
SOPs Instructions
Question
A company has a Cleaning Policy in place but
donā€™t have a procedure to execute for
cleaning of water tank inside GMP zone
It is outsourced & performed by 3rd party,
company is unaware about the procedure of
cleaning used by them.
You are Inspector. Please write detail what
are your concerns with regard to Quality (Q)
& Compliance (C)
3
Question
If a mixer is run for 15 minutes, it
mixes the materials because it is
repeated 3 times and validated,
Is it logical to waive
in-process tests?
4
Workshop
Write instruction how to clean a pipe
piece used in filling of water in
manufacturing unit
Write instructions to hang a wall
clock, adjust its time, change of its
battery periodically, and its
monitoring
OR
Workshop
What others aspects should be
included in SOP other than
instructions
Workshop
How to write SOP
ā€¢ Concept ā€¦begin with the end in mind
ā€¢ Select a format (approved)
ā€¢ Collect the inputs
ā€¢ Define scope
ā€¢ Identify the audience
ā€¢ Write SOP
ā€¢ Send for review
ā€¢ Answer the questions
ā€¢ Get it authorized
Workshop
How to write SOP
ā€¢ Concept ā€¦begin with the end in mind
ā€¢ Select a format (approved)
ā€¢ Collect the inputs
ā€¢ Define scope
ā€¢ Identify the audience
ā€¢ Write SOP
ā€¢ Send for review
ā€¢ Answer the questions
ā€¢ Get it authorized
Workshop
How to write SOP
ā€¢ Concept ā€¦begin with the end in mind
ā€¢ Select a format (approved)
ā€¢ Collect the inputs
ā€¢ Define scope
ā€¢ Identify the audience
ā€¢ Write SOP
ā€¢ Send for review
ā€¢ Answer the questions
ā€¢ Get it authorized
Workshop
How to write SOP
ā€¢ Concept ā€¦begin with the end in mind
ā€¢ Select a format (approved)
ā€¢ Collect the inputs
ā€¢ Define scope
ā€¢ Identify the audience
ā€¢ Write SOP
ā€¢ Send for review
ā€¢ Answer the questions
ā€¢ Get it authorized
Workshop
How to write SOP
ā€¢ Concept ā€¦begin with the end in mind
ā€¢ Select a format (approved)
ā€¢ Collect the inputs
ā€¢ Define scope
ā€¢ Identify the audience
ā€¢ Write SOP
ā€¢ Send for review
ā€¢ Answer the questions
ā€¢ Get it authorized
Workshop
How to write SOP
ā€¢ Concept ā€¦begin with the end in mind
ā€¢ Select a format (approved)
ā€¢ Collect the inputs
ā€¢ Define scope
ā€¢ Identify the audience
ā€¢ Write SOP
ā€¢ Send for review
ā€¢ Answer the questions
ā€¢ Get it authorized
Workshop
How to write SOP
ā€¢ Concept ā€¦begin with the end in mind
ā€¢ Select a format (approved)
ā€¢ Collect the inputs
ā€¢ Define scope
ā€¢ Identify the audience
ā€¢ Write SOP
ā€¢ Send for review
ā€¢ Answer the questions
ā€¢ Get it authorized
Workshop
How to write SOP
ā€¢ Concept ā€¦begin with the end in mind
ā€¢ Select a format (approved)
ā€¢ Collect the inputs
ā€¢ Define scope
ā€¢ Identify the audience
ā€¢ Write SOP
ā€¢ Send for review
ā€¢ Answer the questions
ā€¢ Get it authorized
Workshop
How to write SOP
ā€¢ Concept ā€¦begin with the end in mind
ā€¢ Select a format (approved)
ā€¢ Collect the inputs
ā€¢ Define scope
ā€¢ Identify the audience
ā€¢ Write SOP
ā€¢ Send for review
ā€¢ Answer the questions
ā€¢ Get it authorized
Workshop
How to write SOP
ā€¢ Concept ā€¦begin with the end in mind
ā€¢ Select a format (approved)
ā€¢ Collect the inputs
ā€¢ Define scope
ā€¢ Identify the audience
ā€¢ Write SOP
ā€¢ Send for review
ā€¢ Answer the questions
ā€¢ Get it authorized
Written By
ā€¢ Performer
Reviewed By
ā€¢ Supervisor
Approved By
ā€¢ Operational
Head
Authorized By
ā€¢ Mgmt.
Representative
SOP Writing
Written By
ā€¢ Performer
Reviewed By
ā€¢ Supervisor
Approved By
ā€¢ Operational
Head
Authorized By
ā€¢ Mgmt.
Representative
SOP Writing
Development & Approval of
Training Plan & Training
Material
Development & Approval of
Training Plan & Training
Material
Effectiveness of Training
Material ā€“ Identified
Development & Approval of
Training Plan & Training
Material
Effectiveness of Training
Material ā€“ Identified
Performance Indicators of
Trainer - Developed
Development & Approval of
Training Plan & Training
Material
Implementation of SOP
following
Authorization
Implementation of
SOP following
Authorization
Monitored ā€¦
Amendment or
Modification
Standard Operating Procedure
enables
Uniform working
among different individuals
for a Consistent output
Workshop
Write Cleaning Policy
(An outline)
ā€¢ Statement
ā€¢ Principle, values, philosophy
ā€¢ Detail objectives
ā€¢ Strategy to achieve objectives
ā€¢ Specific actions when required
ā€¢ Desired outcome of specific actions
ā€¢ Performance indicators
ā€¢ Review program
Workshop
Write Cleaning Policy
(An outline)
ā€¢ Statement
ā€¢ Principle, values, philosophy
ā€¢ Detail objectives
ā€¢ Strategy to achieve objectives
ā€¢ Specific actions when required
ā€¢ Desired outcome of specific actions
ā€¢ Performance indicators
ā€¢ Review program
Workshop
Write Cleaning Policy
(An outline)
ā€¢ Statement
ā€¢ Principle, values, philosophy
ā€¢ Detail objectives
ā€¢ Strategy to achieve objectives
ā€¢ Specific actions when required
ā€¢ Desired outcome of specific actions
ā€¢ Performance indicators
ā€¢ Review program
Workshop
Write Cleaning Policy
(An outline)
ā€¢ Statement
ā€¢ Principle, values, philosophy
ā€¢ Detail objectives
ā€¢ Strategy to achieve objectives
ā€¢ Specific actions when required
ā€¢ Desired outcome of specific actions
ā€¢ Performance indicators
ā€¢ Review program
Workshop
Write Cleaning Policy
(An outline)
ā€¢ Statement
ā€¢ Principle, values, philosophy
ā€¢ Detail objectives
ā€¢ Strategy to achieve objectives
ā€¢ Specific actions when required
ā€¢ Desired outcome of specific actions
ā€¢ Performance indicators
ā€¢ Review program
Workshop
Write Cleaning Policy
(An outline)
ā€¢ Statement
ā€¢ Principle, values, philosophy
ā€¢ Detail objectives
ā€¢ Strategy to achieve objectives
ā€¢ Specific actions when required
ā€¢ Desired outcome of specific actions
ā€¢ Performance indicators
ā€¢ Review program
Workshop
Write Cleaning Policy
(An outline)
ā€¢ Statement
ā€¢ Principle, values, philosophy
ā€¢ Detail objectives
ā€¢ Strategy to achieve objectives
ā€¢ Specific actions when required
ā€¢ Desired outcome of specific actions
ā€¢ Performance indicators
ā€¢ Review program
Workshop
Write Cleaning Policy
(An outline)
ā€¢ Statement
ā€¢ Principle, values, philosophy
ā€¢ Detail objectives
ā€¢ Strategy to achieve objectives
ā€¢ Specific actions when required
ā€¢ Desired outcome of specific actions
ā€¢ Performance indicators
ā€¢ Review program
Workshop
Write Cleaning Policy
(An outline)
ā€¢ Statement
ā€¢ Principle, values, philosophy
ā€¢ Detail objectives
ā€¢ Strategy to achieve objectives
ā€¢ Specific actions when required
ā€¢ Desired outcome of specific actions
ā€¢ Performance indicators
ā€¢ Review program
Lupin 2019
Cleaning process for
manufacturing equipment was
inadequate
FDA Observation
Lupin 2019
Cleaned as per label
But dirt was visible
Lupin 2019
Non-dedicated tablet press
labeled as ā€œcleaned,ā€ observed
with unknown XXX residues on
multiple product contact
surfaces.
FDA explained
Lupin 2019
Procedure was not followed or
the required post-cleaning
checks were inadequate
Firmā€™s Response - 1
Lupin 2019 Tablet press was re-cleaned, and
operators were retrained.
Firmā€™s Response - 2
Lupin 2019 Inadequate Response
FDA Stance
Lupin 2019
A comprehensive, independent
retrospective assessment of your
cleaning processes, practices, and
validation studies to evaluate the scope
of cross-contamination hazards.
FDA asked for
Lupin 2019
Identity of residues
FDA asked for
Lupin 2019 Other manufacturing equipment
that may have
been improperly cleaned
FDA asked for
Lupin 2019
An assessment whether cross-
contaminated products may
have been released for
distribution.
FDA asked for
Lupin 2019
The assessment should cover each
piece of equipment used to
manufacture more than one product,
including API and finished products.
FDA asked for
Lupin 2019
A CAPA plan, based on the
retrospective assessment, that includes
appropriate remediations to your
cleaning processes and practices, and
timelines for completion.
FDA asked for
Lupin 2019
A detailed summary of
your process for lifecycle
management of
equipment cleaning
FDA asked for
Lupin 2019
Describe provisions for ongoing
verification that proper cleaning is
consistently executed for all products,
and any improvements to be
implemented
FDA asked for
Lupin 2019
Appropriate improvements to
your cleaning validation program,
with special emphasis on incorporating
conditions identified as worst case in
your drug manufacturing operation.
FDA asked for
Lupin 2019
This should include but not be limited to
identification and evaluation of all worst-
case:
1. drugs with higher toxicities
2. drugs with higher drug potencies
FDA asked for
Lupin 2019 3. Drugs of lower solubility in
their cleaning solvents
4. Drugs with characteristics that
make them difficult to clean
FDA asked for
Lupin 2019 5. Swabbing locations for areas
that are most difficult to clean
6. Maximum hold times before
cleaning
FDA asked for
Lupin 2019
Describe the steps that must be
taken in change management system
before introducing new
mfg equipment or a new product
FDA asked for
Lupin 2019
A summary of updated SOPs that
ensure an appropriate program is in
place for verification and validation of
cleaning procedures for products,
processes, and equipment.
FDA asked for
3 Document Integrity
Complete
Complete Accurate
Complete Accurate Consistent
Complete Accurate Consistent
Safety
Complete Accurate Consistent
Safety
Quality
Attributable
Legible
Contemporaneously
Original
Accurate
Attributable
Legible
Contemporaneously
Original
Accurate
Traceable to a unique individual
Attributable
Legible
Contemporaneously
Original
Accurate
Data must be recorded
permanently and be readable
Attributable
Legible
Contemporaneously
Original
Accurate
Activities must be recorded at the
time they occur
Attributable
Legible
Contemporaneously
Original
Accurate
First capture of data (not
transcribed data), must review the
original record, must retain the
original or certified copy of the
original record
Attributable
Legible
Contemporaneously
Original
Accurate
Records must be accurate, which is
achieved through the Quality
Management System
Attributable Legible Contemporaneous AccurateOriginal
A L AOC
Explanation was recorded by pencil
Attributable Legible Contemporaneous AccurateOriginal
A L AOC
Explanation was recorded by pencil
Attributable Legible Contemporaneous AccurateOriginal
A L AOC
No editing performed without documented amendment
Attributable Legible Contemporaneous AccurateOriginal
A L AOC
No editing performed without documented amendment
Attributable Legible Contemporaneous AccurateOriginal
A L AOC
True copy was not sent to the Regulatory Agency
Attributable Legible Contemporaneous AccurateOriginal
A L AOC
True copy was not sent to the Regulatory Agency
Attributable Legible Contemporaneous AccurateOriginal
A L AOC
QA performed particular activity as documented
Attributable Legible Contemporaneous AccurateOriginal
A L AOC
QA performed particular activity as documented
Attributable Legible Contemporaneous AccurateOriginal
A L AOC
Real time was recoded in raw data, while this raw data
is not kept as a metadata
Attributable Legible Contemporaneous AccurateOriginal
A L AOC
Real time was recoded in raw data, while this raw data
is not kept as a metadata
Lets review and have a grip on ALCOA
AttributableA
Attributable means information
is captured in the record
So that it is uniquely identified
as executed by the originator of
the data (e.g. a person or a
computer system).
LegibleL
The terms legible, traceable and
permanent refer to the requirements
that data are readable, understandable,
and allow a clear picture of the
sequencing of steps or events in the
record so that all activities conducted
can be fully reconstructed by the
people reviewing these records at any
point during the records retention
period.
Traceable
Permanent
ContemporaneousC
Contemporaneous data are data
recorded at the time they are
generated or observed.
OriginalO
Original data include the first or source
capture of data or information and all
subsequent data required to fully
reconstruct the conduct of the activity.
OriginalO
Original data
original data should be
original data and/or true and verified copies that preserve the
content and meaning of the original data should be
as such, original records should be complete, enduring &
readily retrievable & readable throughout the records
retention period.
reviewed
retained
AccurateA
The term ā€œaccurateā€ means data are
correct, truthful, complete, valid and
reliable.
Lets have an insight on ALCOA & understand ALCOA+
Complete
All data are available, nothing has
been deleted
(evidence: audit trail)
Available in order one by one & traceable
Consistent
Data are recorded chronologically
with date and time
(evidence: audit trail)
Enduring
Data are accessible for an
extended period of time ā€“ after 20
years.
Available
Data are accessible over the
lifetime of the product.
Static
Dynamic
Static
Dynamic
Fix data document such as
paper record or an electronic
image
Static
Dynamic
Record format allows
interaction b/w the user &
record content
Question
Please write 9 different
expectations of regulators
from your documents
5
4 Batch Documentation
Batch history is
imperative to tracking,
sustaining product
quality, viability &
safety
Itā€™s a high risk data
Itā€™s a matter of
life & lives
Check Verify Review
Why do we review Batch Record?
Why we do not believe on real time data?
Why do we review Batch Record?
Why we do not believe on real time data?
Why do we review Batch Record?
What we expect from Batch Record Review?
How it is performed?
Lets have a hypothesis outline to make decision
clear & consistent
Minor
health or
regulatory
suffering
Reversible
life crisis
Irreversible
life crisis
Limited to discussion on todayā€™s session
2
1
3
Certificate of Analysis of API
Review
Dispensing Document Review
Dispensing Document Review
Dispensing Document Review
A
Dispensing Document Review
L
Dispensing Document Review
C
Dispensing Document Review
O
Dispensing Document Review
A
Dispensing Document Review
Complete
Dispensing Document Review
Consistent
Dispensing Document Review
Enduring
Dispensing Document Review
Available
Supplier
Program1
Personnel
Training 2
Instrument
Qualification3
Environment
Monitoring4
Validation
Practices 5
Change
Management6
Commonly recorded errors
Documentation not
contemporaneous
Handwritten change but
date of change was not
traceable
Use of ditto mark
Use of signature stamp
Ink color is not
specified & multi color
is used without reason
Log book correction
failed to identify the
person who made the
change
Use of pencil
Traces of erasing pencil
marks
Inaccurate record copied
Meta data not available
for verification
Correction of
documentation error
should include
Correction of
documentation error
should include
Draw a single line through the error1
Correction of
documentation error
should include
Draw a single line through the error
Make the correction next to the error2
1
Correction of
documentation error
should include
Draw a single line through the error
Make the correction next to the error
Write an explanation for the error
2
1
3
Correction of
documentation error
should include
Draw a single line through the error
Signature & date the correction
Make the correction next to the error
Write an explanation for the error
2
1
4
3
Check Verify Review
Question
What are the 3 basic intents of
Batch Document Review
6
Batch Record Challenges
Manual recording are
inherently slow & prone
to error
Manual recording are
inherently slow & prone
to error
Incorrect data entry
Manual recording are
inherently slow & prone
to error
Blindness & failure to recognize OOS
Incorrect data entry
Manual recording are
inherently slow & prone
to error
Blindness & failure to recognize OOS
Missing signatures
Incorrect data entry
Manual recording are
inherently slow & prone
to error
Blindness & failure to recognize OOS
Missing signatures
Used incorrect form
Incorrect data entry
Manual recording are
inherently slow & prone
to error
Blindness & failure to recognize OOS
Sending wrong form to wrong person
Missing signatures
Used incorrect form
Incorrect data entry
Manual recording are
inherently slow & prone
to error
Blindness & failure to recognize OOS
Sending wrong form to wrong person
Missing signatures
Used incorrect form
Incorrect data entry
Form left incomplete
Data located in separate
positions
What documentation was missed & what
reviews missed. List the deficiencies
Pakistan
150 deaths case
Thank You

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