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TI ON
                             E RA
                          OP
                    SI NG
                 ES
              OC
           PR
     PT IC
A SE                       shiva
What is Aseptic Processing?

   The production of sterile drug products by bringing together
    the product, container, and closure that have been subjected to
    different sterilization methods separately, and assembled them
    in an extremely high quality environment by skilled personnel
    using the right tools.
Aseptic Processing: Essential Elements

                           Facility

            Docume-
                                      Equipment
             ntation



                          Aseptic
         Finish Pro      Processing
            duct                             Process
          Testing


                  Control &
                                 Personnel
                 Verification
Aseptic Processing: Essential Elements

   Facility
     – Design
          Zoning, Differential Pressure
          Temperature
          Relative Humidity
          Personnel and Material Flow
     – Air Filtration
   Equipment
     – Material of Construction
     – Sanitization
     – Component Preparation/Sterilization
Aseptic Processing: Essential Elements

   Process
     – Product Formulation
     – Filtration
     – Filling
     – Lyophilization
     – Capping
   Personnel
     – Gowning Qualification
     – Aseptic Technique
   Control and Verification
     – Environmental and Personnel Monitoring
     – Aseptic Filling Simulations (Media Fills)
Aseptic Processing: Essential Elements

   Finished Product Testing
     – Sterility Testing
     – Particulate Testing
     – Container Closure Integrity Testing
     – Other Final Product/Release Testing
     – Stability Testing
   Documentation
     – Media Fill Records
     – Production Batch Records
     – EM Trend Data
     – Release Testing Batch Records
     – Investigation
          Response to Excursions
          Corrective Actions
Environmental Monitoring Components

   Airborne nonviable particulate monitoring
   Airborne viable contaminant monitoring
   Viable contaminant monitoring of surfaces
   Viable contaminant monitoring of personnel
   Temperature and humidity monitoring
   Pressure differential monitoring
Environmental Monitoring Components

                   Water monitoring:

–   Total organic carbon
–   Conductivity
–   Microbial Contaminants
–   Endotoxin

                     Air monitoring:
– Microbial Contaminants.
Regulatory Basis for Environmental Monitoring
                   Program


   CFR GMP regulations
   FDA Guidance Documents
   USP Informational Chapter
Controlled Area

   Preparation or manufacturing area where nonsterile product,
    in-process materials and product-contact equipment surfaces,
    containers and closures are exposed to the environment
   Control nonviable and viable contaminants to reduce
    product /process bioburden
   Class 100,000 or Class 10,000
   Capping areas are now considered controlled manufacturing
    areas
     – Should be supplied with HEPA filtered air
     – Should meet class 100,000 conditions during static
       conditions
Critical Area

   Aseptic processing area where sterile products, components or
    in-process products are exposed to the environment and no
    further processing will occur.
   Air quality must be Class 100 during processing
   Local Class 100 areas are often utilized during open
    processing steps during drug substance manufacture.
• The area just preceding the sterile core should be one
classification higher than the core.
Microbial testing of air and water

Types of water used in pharmaceutical processes
1.   Purified water
2.   Water for Injections – PFW & WFI
3.   Softened Water
4.   Water for Final Rinse
5.   Pure, or clean Steam
6.   Water for cooling Autoclaves
Why purify raw water?

1.   Although reasonably pure, it is always variable
2.   Seasonal variations may occur in water
3.   Some regions have very poor quality water
4.   Must remove impurities to prevent product
     contamination.
5.   Control microbes to avoid contaminating products
Contaminants of water (1)

   There is no pure water in nature, as it can contain up to 90
    possible unacceptable contaminants
   Contaminant groups:
    1. Inorganic compounds
    2. Organic compounds
    3. Solids
    4. Gases
    5. Micro-organisms
Contaminants of water (2)

Micro-organisms :
1. Algae
2. Protozoa
   – Cryptosporidium
   – Giardia
1. Bacteria
   – Pseudomonas
   – Gram negative, non-fermenting bacteria
   – Escherichia coli and coli forms
Contaminants of water (3)

Treatment depends on water’s chemistry and contaminants,
influenced by:
1. Rainfall
2. Erosion
3. Pollution
4. Dissolution
5. Evaporation
6. Sedimentation
7. Decomposition
Contaminants of water (4)

Problem minerals
1. Calcium and magnesium
2. Iron and manganese
3. Silicates
4. Carbon dioxide
5. Hydrogen sulfide
6. Phosphates
Contaminants of water (5)

Further problem minerals
1. Copper
2. Aluminum
3. Heavy metals
   – Arsenic, lead, cadmium
1. Nitrates
Water For Injection

   Defined by USP
   Water purified by distillation or reverse osmosis
   Prepared from water complying with the U.S. EPA National
    Primary Drinking Water Regulations
   Contains no added substance
Purified Water

   Defined in USP
   Obtained by a suitable process, usually one of the following:
     – deionization
     – reverse osmosis
     – combination
Potable Water

   Meets National Drinking Water Regulations
   40 CFR Part 141
   Periodic monitoring in-house as well as periodic certificates
    from municipality (if applicable)
Microbiological Testing

Objectives
   To review microbiological environmental and quality
    control testing
     – Microbiological Environmental Monitoring
     – Container integrity testing
     – Pre-sterilization testing.
     – Media fill medium growth promotion testing
     – Sterility Testing
     – Other microbiological laboratory issues
Microbiological testing of water

Water
   Water should also be tested for presence of coli forms and/or
    pseudomonad's if appropriate (may cause biofilm)
   Water used for parenterals should be tested for pyrogens
    – limit is not more than 0.25 EU/ml
   Water should be tested using R2A agar (low nutrient for the
    recovery of water borne organisms) incubated for at least 5
    days at 30-35°C
   Sampling procedures should follow those used in production
Microbiological testing of Air

Sampling Locations
  – Should be based on risk of microbiological contamination
  – Should be clustered around areas where product or
    components are exposed e.g.
      at filling heads on filling lines
      loading of product into lyophilizers
      stopper bowls
      where aseptic connections are made
      where there are high levels of operator activity (but
       without impacting on production)
Methods
   Surface monitoring
     – Product contact surfaces, floors, walls, and equipment
       should be tested on a regular basis
     – Touch plates - used for flat surfaces
         sample area of 25cm2
         medium protrudes above sides
         medium contains neutralisers

    – Surface Swabs - used for irregular surfaces
        area approx 25cm2 is swabbed
        qualitative or quantitative
Active Air Monitoring:

    impaction, centrifugal and membrane (or gelatin)
     samplers
    a certain volume of air is sampled (volume and
     location should be meaningful)
    instruments should be calibrated
Passive Air Monitoring:

   • Settle plates exposed for 30-60 minutes (longer may
   result in agar drying out) and replaced for duration of
   filling
   • Media should be capable of growing a range of
   bacteria and moulds. e.g. Soybean Casein Digest Agar
   (SCDA)
   • Should consider use of medium specific for moulds if
   shown to be a problem in the environment
   • Only give qualitative or semi-quantitative results
   • Data generated considered in combination with active
   air sampling results
Media
• Media used for media fills should be able to support the
   growth of a wide range of microorganisms (bacteria
   and moulds)
• Soybean Casein Digest Medium is usually used. An
   anaerobic medium may also be substituted occasionally
   if environmental monitoring indicates presence.
• Media used for microbiological testing should be
  tested for its ability to support microbial growth
•After the media fill has been completed, it is important
to demonstrate that the media would have been able to
support the growth of organisms if they had been
present .

•containers with media should be inoculated with 10-
100 CFU of organisms such as Bacillus subtilis,
Staphylococcus aureus, Candida albicans, Aspergillus
niger. Environmental isolates should also be included
   Media types:
    – Soybean Casein Digest medium (SCD), (also knows as
      Trypticase Soy Broth(TSB)) and Fluid Thioglycollate
      medium (FTM) is usually used (to detect aerobic and
      anaerobic organisms)
    – validation studies should demonstrate that the media are
      capable of supporting growth of a range of low numbers of
      organisms in the presence of product. May need to
      incorporate inactivators
         growth should be evident after 3 days (bacteria), 5 days
          (moulds)
    – media may be purchased or made in-house using validated
      sterilization procedures
   Incubation Period
    – At least 14 days incubation
    – 20-25°C for SCD/TSB, 30-35°C for FTM
    – Test containers should be inspected at intervals
    – temperatures should be monitored and temperature
      monitoring devices should be calibrated
    – if product produces suspension, flocculation or deposit in
      media, suitable portions (2-5%) should be transferred to
      fresh media, after 14 days, and incubated for a further 7
      days
Shukriyaa friends…

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Aseptic Processing Essentials

  • 1. TI ON E RA OP SI NG ES OC PR PT IC A SE shiva
  • 2. What is Aseptic Processing?  The production of sterile drug products by bringing together the product, container, and closure that have been subjected to different sterilization methods separately, and assembled them in an extremely high quality environment by skilled personnel using the right tools.
  • 3. Aseptic Processing: Essential Elements Facility Docume- Equipment ntation Aseptic Finish Pro Processing duct Process Testing Control & Personnel Verification
  • 4. Aseptic Processing: Essential Elements  Facility – Design  Zoning, Differential Pressure  Temperature  Relative Humidity  Personnel and Material Flow – Air Filtration  Equipment – Material of Construction – Sanitization – Component Preparation/Sterilization
  • 5. Aseptic Processing: Essential Elements  Process – Product Formulation – Filtration – Filling – Lyophilization – Capping  Personnel – Gowning Qualification – Aseptic Technique  Control and Verification – Environmental and Personnel Monitoring – Aseptic Filling Simulations (Media Fills)
  • 6. Aseptic Processing: Essential Elements  Finished Product Testing – Sterility Testing – Particulate Testing – Container Closure Integrity Testing – Other Final Product/Release Testing – Stability Testing  Documentation – Media Fill Records – Production Batch Records – EM Trend Data – Release Testing Batch Records – Investigation  Response to Excursions  Corrective Actions
  • 7. Environmental Monitoring Components  Airborne nonviable particulate monitoring  Airborne viable contaminant monitoring  Viable contaminant monitoring of surfaces  Viable contaminant monitoring of personnel  Temperature and humidity monitoring  Pressure differential monitoring
  • 8. Environmental Monitoring Components Water monitoring: – Total organic carbon – Conductivity – Microbial Contaminants – Endotoxin Air monitoring: – Microbial Contaminants.
  • 9. Regulatory Basis for Environmental Monitoring Program  CFR GMP regulations  FDA Guidance Documents  USP Informational Chapter
  • 10. Controlled Area  Preparation or manufacturing area where nonsterile product, in-process materials and product-contact equipment surfaces, containers and closures are exposed to the environment  Control nonviable and viable contaminants to reduce product /process bioburden  Class 100,000 or Class 10,000  Capping areas are now considered controlled manufacturing areas – Should be supplied with HEPA filtered air – Should meet class 100,000 conditions during static conditions
  • 11. Critical Area  Aseptic processing area where sterile products, components or in-process products are exposed to the environment and no further processing will occur.  Air quality must be Class 100 during processing  Local Class 100 areas are often utilized during open processing steps during drug substance manufacture. • The area just preceding the sterile core should be one classification higher than the core.
  • 12. Microbial testing of air and water Types of water used in pharmaceutical processes 1. Purified water 2. Water for Injections – PFW & WFI 3. Softened Water 4. Water for Final Rinse 5. Pure, or clean Steam 6. Water for cooling Autoclaves
  • 13. Why purify raw water? 1. Although reasonably pure, it is always variable 2. Seasonal variations may occur in water 3. Some regions have very poor quality water 4. Must remove impurities to prevent product contamination. 5. Control microbes to avoid contaminating products
  • 14. Contaminants of water (1)  There is no pure water in nature, as it can contain up to 90 possible unacceptable contaminants  Contaminant groups: 1. Inorganic compounds 2. Organic compounds 3. Solids 4. Gases 5. Micro-organisms
  • 15. Contaminants of water (2) Micro-organisms : 1. Algae 2. Protozoa – Cryptosporidium – Giardia 1. Bacteria – Pseudomonas – Gram negative, non-fermenting bacteria – Escherichia coli and coli forms
  • 16. Contaminants of water (3) Treatment depends on water’s chemistry and contaminants, influenced by: 1. Rainfall 2. Erosion 3. Pollution 4. Dissolution 5. Evaporation 6. Sedimentation 7. Decomposition
  • 17. Contaminants of water (4) Problem minerals 1. Calcium and magnesium 2. Iron and manganese 3. Silicates 4. Carbon dioxide 5. Hydrogen sulfide 6. Phosphates
  • 18. Contaminants of water (5) Further problem minerals 1. Copper 2. Aluminum 3. Heavy metals – Arsenic, lead, cadmium 1. Nitrates
  • 19. Water For Injection  Defined by USP  Water purified by distillation or reverse osmosis  Prepared from water complying with the U.S. EPA National Primary Drinking Water Regulations  Contains no added substance
  • 20. Purified Water  Defined in USP  Obtained by a suitable process, usually one of the following: – deionization – reverse osmosis – combination
  • 21. Potable Water  Meets National Drinking Water Regulations  40 CFR Part 141  Periodic monitoring in-house as well as periodic certificates from municipality (if applicable)
  • 22. Microbiological Testing Objectives  To review microbiological environmental and quality control testing – Microbiological Environmental Monitoring – Container integrity testing – Pre-sterilization testing. – Media fill medium growth promotion testing – Sterility Testing – Other microbiological laboratory issues
  • 23. Microbiological testing of water Water  Water should also be tested for presence of coli forms and/or pseudomonad's if appropriate (may cause biofilm)  Water used for parenterals should be tested for pyrogens – limit is not more than 0.25 EU/ml  Water should be tested using R2A agar (low nutrient for the recovery of water borne organisms) incubated for at least 5 days at 30-35°C  Sampling procedures should follow those used in production
  • 24. Microbiological testing of Air Sampling Locations – Should be based on risk of microbiological contamination – Should be clustered around areas where product or components are exposed e.g.  at filling heads on filling lines  loading of product into lyophilizers  stopper bowls  where aseptic connections are made  where there are high levels of operator activity (but without impacting on production)
  • 25. Methods  Surface monitoring – Product contact surfaces, floors, walls, and equipment should be tested on a regular basis – Touch plates - used for flat surfaces  sample area of 25cm2  medium protrudes above sides  medium contains neutralisers – Surface Swabs - used for irregular surfaces  area approx 25cm2 is swabbed  qualitative or quantitative
  • 26. Active Air Monitoring:  impaction, centrifugal and membrane (or gelatin) samplers  a certain volume of air is sampled (volume and location should be meaningful)  instruments should be calibrated
  • 27. Passive Air Monitoring: • Settle plates exposed for 30-60 minutes (longer may result in agar drying out) and replaced for duration of filling • Media should be capable of growing a range of bacteria and moulds. e.g. Soybean Casein Digest Agar (SCDA) • Should consider use of medium specific for moulds if shown to be a problem in the environment • Only give qualitative or semi-quantitative results • Data generated considered in combination with active air sampling results
  • 28. Media • Media used for media fills should be able to support the growth of a wide range of microorganisms (bacteria and moulds) • Soybean Casein Digest Medium is usually used. An anaerobic medium may also be substituted occasionally if environmental monitoring indicates presence. • Media used for microbiological testing should be tested for its ability to support microbial growth
  • 29. •After the media fill has been completed, it is important to demonstrate that the media would have been able to support the growth of organisms if they had been present . •containers with media should be inoculated with 10- 100 CFU of organisms such as Bacillus subtilis, Staphylococcus aureus, Candida albicans, Aspergillus niger. Environmental isolates should also be included
  • 30. Media types: – Soybean Casein Digest medium (SCD), (also knows as Trypticase Soy Broth(TSB)) and Fluid Thioglycollate medium (FTM) is usually used (to detect aerobic and anaerobic organisms) – validation studies should demonstrate that the media are capable of supporting growth of a range of low numbers of organisms in the presence of product. May need to incorporate inactivators  growth should be evident after 3 days (bacteria), 5 days (moulds) – media may be purchased or made in-house using validated sterilization procedures
  • 31. Incubation Period – At least 14 days incubation – 20-25°C for SCD/TSB, 30-35°C for FTM – Test containers should be inspected at intervals – temperatures should be monitored and temperature monitoring devices should be calibrated – if product produces suspension, flocculation or deposit in media, suitable portions (2-5%) should be transferred to fresh media, after 14 days, and incubated for a further 7 days

Editor's Notes

  1. Water used as an ingredient in the formulation of pharmaceutical products must be either of the purified water type or must be water for injections. The most common type of water in use in a pharmaceutical factory is p urified water . This is used as an ingredient for manufacture of non-sterile pharmaceuticals. It is described in pharmacopeias. The highest quality is Water For Injections. Water for Injection s is used in parenteral products. It is also described in pharmacopeias . In bulk, this type of water is also called Pyrogen Free Water, or PFW, and if sterilized, it is called Sterilized Water for Injection s. For other purposes, other types of water may also be used. Besides potable water, there is s oftened water , which has had its Calcium and Magnesium removed. Such a water can be used e.g. for first washing steps. Certain processes require special well-defined qualities of water. “ Water for Final Rinse” is used for rinsing equipment after washing. It must be of the same quality as the water used for manufacturing the product. In some countries this can be prepared using different equipment to the ingredient water . For example, ultra-filtered water may be used for rinsing equipment for parenteral use, but WFI must be used as the parenteral ingredient. Pure, pyrogen-free steam (called Clean Steam) is needed for sterilization, if the steam comes into contact with parenteral product or equipment that is going to be used for preparing parenteral products. Steam, and Water for Cooling Autoclaves , are also used and must be properly prepared if they have the potential to come into contact with sterile or non-sterile product.
  2. (The trainer should emphasize that raw water, even from municipal supplies, needs to be purified before use for manufacture of pharmaceuticals, because the quality varies over time, according to seasonal variations and potable standards are not always met.) Although reasonably pure, raw water from the sources described previously can be of variable quality with potable water from some regions of very poor quality , by pharmaceutical standards . Seasonal variations may occur and contamination may vary. In some areas there are droughts and floods, in other areas winter, spring, autumn and summer weather can have an affect on raw water quality . In many countries even tap water is not safe to drink. Water from municipal reticulation systems needs to be purified because of variation in quality, microbial loads and natural seasonal variations. Manufacturers must remove impurities to prevent product contamination. It is also important to control microbes to avoid contaminating products .
  3. Contaminants of water: Because of the wide variation in source and because of water’s unique chemical properties, which makes it the “universal solvent”, there is no pure water in nature. A wide variety of compounds may be present. There are more than 90 possible unacceptable contaminants of potable water listed by health authorities. The trainer can expand on other contaminants that are important , or on any local requirements that are relevant. For example, in some areas hormone-like compounds may be a problem. Contaminants can be put into the following groups: Inorganic contaminants, such as chloramines, magnesium carbonate, calcium carbonate and sodium chloride; Organic contaminants, such as detergent residues, solvents and plasticizers ; Solids, such as clays, sols, cols and soils; Gases, such as nitrogen, carbon dioxide and oxygen; and Micro-organisms. These can be particularly troublesome because of the numbers that can grow in nutrient-depleted conditions. Bacteria may even multiply in pure water.
  4. Contaminants of water: (Contd.) One of the major obstacles to successful treatment of water is the presence of micro-organisms. These are usually found in biofilms that develop on wet surfaces in almost any condition. The next slide explains how biofilm forms. The major groups of contaminating micro-organisms are: Algae: These arrive from raw water but can also grow where water is uncovered and there is a light source. Sometimes algae grow when UV lights lose their lethal effect and are emitting only visible light. Protozoa: These include Cryptosporidium and Giardia. They can usually be easily filtered out since they are relatively large organisms. Bacteria. Of these, the normal aquatic microflora cause the most problems. Most of these belong to the Pseudomonas family or are Gram negative, non-fermenting bacteria. Some of them easily pass through 0.2 micrometer filters and are known to cause disease. Other Gram negative bacteria that are objectionable are Escherichia coli and coli forms. These are indicator organisms pointing to faecal contamination.
  5. Contaminants of water: (Contd.) The type of treatment is influenced by the impurities in water. These vary because of effects such as: Rainfall, which can dissolve acid from the atmosphere and pick up other contaminants, such as fouling from roofs upon which it collects; Erosion , which introduces minerals, clays and soils; Pollution, from the atmosphere and from groundwater contamination; Dissolution, whereby minerals and solids slowly dissolve in the stored water; Evaporation, which can concentrate and precipitate minerals; Sedimentation , whereby dissolved minerals re-precipitate and block pipes and filters; Decomposition, for example when contaminants arise from degraded pollutants.
  6. Contaminants of water: (Contd.): Calcium and magnesium are probably the two most common mineral contaminants. They cause water hardness discussed in another slide. Heating or boiling water can precipitate these minerals leaving behind a scale deposit. Iron and manganese discolour water and can react with drug products, or act as catalysts in decomposition processes. Silicates may interfere with distillation equipment. Carbon dioxide picked up in the atmosphere can change the pH and hence the conductivity of water. Carbonates can cause precipitation of calcium, and carbonic acid can cause corrosion of water treatment systems. In areas of thermal activity, the water may be contaminated with sulphides, which even at low levels cause a rotten egg odour. Phosphates can also cause precipitation of metal ions and scaling, e.g. in boilers. (The trainer can also point out any local mineral-related contaminants that may be relevant in the region. For example, in some areas radioactive minerals may be a problem. )
  7. Contaminants of water: (Contd.): Copper contamination can arise from corrosion of copper piping. Aluminium can pose a problem in the manufacture of dialysis products. It can be introduced from the flocculation treatment used to reduce sols and clays. Heavy metals, particularly arsenic, may be problematic in wells in certain areas. Lead contamination can arise from tanks which have had lead solder repairs. Lead pipes are not recommended. Cadmium can also be an issue depending on the where the aquifer percolates. Nitrates are an increasing problem for drinking water, but are easily removed by de-ionizers.