BEST PRACTICES TO IMPLEMENT AN
EFFECTIVE CHANGE CONTROL
PROGRAM COMPANY WIDE



 MIMI VIRLANY SYAHPUTRI
Syahputri2012-All Rights Reserved   IVT Singapore - 27 Feb 2012




INTRODUCTION




                    SINGAPORE
                    BUKIT BATOK
                    NATURE RESERVE PARK

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WHAT IS CHANGE CONTROL?
Free definition :
    Systematic approach to managing all changes made to a product
    or system


What GMP Guidance/Regulation says?
  CGMP concept :
    Managing change to prevent unintended consequences.


Certain major manufacturing changes (e.g., changes
that alter specifications, a critical product attribute or
bioavailability) require regulatory filings and prior
regulatory approval (21 CFR 314.70, 514.8, and
601.12). (US-FDA : Guidance for Industry Quality Systems Approach to Pharmaceutical
CGMP Regulations )

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WHAT IS CHANGE CONTROL?

•   What GMP Guidance/Regulation says?
    (cont’d)
    –   Change Management System through out
        Product Life Cycle
    –   Risk Based Approach     Pharmaceutical
        (ICH Q10 : Pharmaceutical Quality System)                            Development


                                                                 Product                     Technology
                                                             Discontinuation                  Transfer


                                                                              Commercial
                                                                             Manufacturing
                                                                                                                  4
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WHAT IS CHANGE CONTROL?
   Procedures shall be established and maintained for
    making changes to a process. Any such change shall be
    verified or validated to ensure that change does not
    create an adverse impact (Current Good Tissue Practices – 21 CFR 1271
    sec 1271.225: Process Changes)

   Making uncontrolled changes is a violation of several
    sections of the QSR (Quality System Regulatron,
    including section 820.30, 820.40, 820.70, 820.75 and
    820.181 (Change control procedure section, QSR Manual, FDA.gov home page)
   These written procedures, including any changes shall
    be drafted, reviewed, and approved by the appropriate
    organizational units and reviewed and approved by the
    Quality Control Unit (Subpart F – 21 CFR 211.00 Production and process control
    unit)
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WHO WILL BE RESPONSIBLE FOR CHANGE
CONTROL SYSTEM


 System     is owned by Quality

 Implementation      of the system :
   All   employee




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WHEN TO USE CHANGE CONTROL

If the change may impact to
 Registered/Critical Parameter

 Validated/Qualified state

 Direct Impact to Product Quality Attribute

 Non-Direct Impact to Product Quality but
   control must be in placed



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WHEN TO USE CHANGE CONTROL
Non-Direct Impact to Product Quality but
control must be in placed
I.E.
o Under work order with QA oversight or
o Under change control system (Categorized as
   minor type change)
o Document Management System


Focus :
Change Control System  To manage non routine
change

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DEFINE OR IMPROVE THE CHANGE
       CONTROL SYSTEM
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CHANGE CONTROL STEPS

                           Approved
                                                Implementat
 Initiation   Evaluation      for                                             Closure
                                                    ion
                           execution


                                                                   APR



                                                               Investigation



                                                                 Inspection



                                                           Further Improvement



                                                         Product/System/Process/
                                                           Facility Utility history
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HOW TO IMPLEMENT AN EFFECTIVE CHANGE
CONTROL :
                 • Mapping
                 • Review current process
       Define/   • Grouping
                 • Set up Hierarchy
      Improve    • Set Change Categorization




                 • SOP
      Set-up     • FORM
      System     • Database


                         • Training
   Implementation        • Monitoring/Improvement




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 CHANGE CONTROL

Provides :
 Traceability

 Historical data

 Measure of accountability

 Control variation

 Improve product reliability and customer
  satisfaction
 Protect patient from unintended consequences


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HOW TO IMPLEMENT AN EFFECTIVE CHANGE
CONTROL :

             •   Mapping
             •   Review current process
             •   Grouping
     Define/ •   Set up Hierarchy
    Improve •    Set Change
                 Categorization




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MAP ALL SYSTEM/PROCESS

Before defining/improving system :

  Map the processes/systems

  Time consuming but worth



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    MAP ALL SYSTEM/PROCESS

   Facility/Utility :
       Routine maintenance work (spare part replacement)
       Non Routine maintenance work
   Site Change :
       New product transfer/launch
   Laboratory :
       New Instrument
       New Method
   Manufacturing/Equipment :
       Manufacturing process



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MAP ALL SYSTEM/PROCESS

Mapping will help us to understand :
 Process
 Existing System that controlling the process (i.e
  electronic batch record, SAP Production Version
  Control, etc.)
 The criticality of each process/system

 To minimize redundancy

 Differentiate main change vs action of change


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MAP ALL SYSTEM/PROCESS

Change Description :
“Update Manufacturing Instruction from version
A to version B”

Reason for change :
“Change on IPC range specification from X1-
Y1mm to X2-Y2mm
 What the first thing pop up in your mind if you receive
             this kind of change proposal?
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MAP ALL SYSTEM/PROCESS
                                                         Product
                                                         Transfer
  Product
                 BOM Change
  Transfer                                                      MI
                                                              Change

Manufacturing      Cleaning
                                          VS                Analytical
 Instruction       Portfolio
                   Change
                                                             Method
  Change

                                                               BOM
          Analytical                                          Change
           Method
          Creation
                                                             Cleaning
                                                             Portfolio

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MAP ALL SYSTEM/PROCESS

POINT TO REMEMBER :
IMPROVING CHANGE CONTROL SYSTEM
IS NOT MERELY ABOUT :
    CUT PROCESS STEP
    SIMPLIFY PROCESS
    REMOVE WASTE




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  MAP ALL SYSTEM/PROCESS

IT IS ABOUT : ROBUST
   “There is no easy way to properly control changes
   to devices, processes, device master records, etc.
   Change Control is a complex process. Failure to
   have an adequate change control system can
   cause equally “complex results”
(Introduction section, QSR Manual, FDA. Gov home page)




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HOW TO IMPLEMENT AN EFFECTIVE CHANGE
CONTROL :

             •   Mapping
             •   Review current process
             •   Grouping
     Define/ •   Set up Hierarchy
    Improve •    Set Change
                 Categorization




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REVIEW CURRENT CHANGE CONTROL

Assess current change control
system against the outcome
from mapping of current
process



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REVIEW CURRENT CHANGE CONTROL
Assess all change control that had been
issued
 How many change proposal annually? :
  hundreds?
 Criticality : was all critical? Did we treat
  all the same effort?
 Did we find recurrence change proposal?
  Were we raising change control for
  routine task?
 How many outstanding change control ?
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REVIEW CURRENT CHANGE CONTROL

Review your procedure from 1st version
of SOP till the current one.

 Wasthe improvement that had added
  proactive/reactive?

 How   to simplify it

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REVIEW CURRENT CHANGE CONTROL

   Does the SOP have proper guidance to
    perform impact assessment/evaluation
   Is the form user friendly (too much free
    text field or lack of important information)
   Is the data base sufficient to track back the
    historical data?
   Is routine refreshment training available?

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HOW TO IMPLEMENT AN EFFECTIVE CHANGE
CONTROL :

             •   Mapping
             •   Review current process
             •   Grouping
     Define/ •   Set up Hierarchy
    Improve •    Set Change
                 Categorization




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SYSTEM/PROCESS CHANGE GROUPING
•   Apply risk based approach (Q09 –
    Quality Risk Management)
Change management / Change control
• To manage changes based on knowledge and information
  accumulated in pharmaceutical development and during
  manufacturing
• To evaluate the impact of the changes on the availability of the
  final product
• To evaluate the impact on product quality of changes to the
  facility, equipment, material, manufacturing process or technical
  transfers
• To determine appropriate actions preceding the implementation of
  a change, e.g., additional testing, (re)qualification, (re)validation
  or communication with regulators

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SYSTEM/PROCESS CHANGE GROUPING

Ideally one change control system for all
system :
 Product related change (process, material,
  equipment
 Facility/Utility

 Supplier

 Analytical method

 Etc.

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SYSTEM/PROCESS CHANGE GROUPING
Manufacturing Plan with complex systems and with
interface  increase the complexity of Change
Control System

i.e.:
   Simple change : “like for like change”
   Change due to typographical
   Change with significant impact : “increase batch
    size, equipment change”
 Do you want to use same “bullet” to hit above
 “targets”?
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SYSTEM/PROCESS CHANGE GROUPING
How to group?
   Reason for change
        Must/Nice to have
   System wise (i.e. IT Change Control, Direct product
    impact change, Technical Change (Facility, Utility), Lab
    Change
   Complexity (Level of Impact)
   Regulatory/Non-regulatory impact
Note : Initial assessment must be in place to control whether the change may give direct
impact to product/quality, and conquered by Quality person



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SYSTEM/PROCESS CHANGE GROUPING

i.e. :
 Change to SCADA system which could
   impact equipment recipe control



   Manage under product related change



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SYSTEM/PROCESS CHANGE GROUPING

Note :
Initial assessment must be in place to
control whether the change may give
direct impact to product/quality, and
conquered by Quality person




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   Flow




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HOW TO IMPLEMENT AN EFFECTIVE CHANGE
CONTROL :

             •   Mapping
             •   Review current process
             •   Grouping
     Define/ •   Set up Hierarchy
    Improve •    Set Change
                 Categorization




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SET-UP CHANGE CONTROL SYSTEM HIERARCHIES

 Change   system grouping is applied:
   Provideguidance/policy/high level SOP
   explaining the hierarchies
 Give an overview to change
  management system
 Provide the link among systems




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SET-UP CHANGE CONTROL SYSTEM HIERARCHIES
(EXAMPLE)

                              Policy/Guideline


                       Change Management High
                       Level Document/Procedure


                         Operational Procedures



                                     Forms




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HOW TO IMPLEMENT AN EFFECTIVE CHANGE
CONTROL :

             •   Mapping
             •   Review current process
             •   Grouping
     Define/ •   Set up Hierarchy
    Improve •    Set Change
                 Categorization




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CHANGE CATEGORIZATION
(TYPE, COMPLEXITY, IMPORTANCE/URGENCY)
 Change Control Type :
     Help us on trending, traceability
     To put similar type of change together
      i.e. : Equipment change, supplier change, material (API
      and excipient) change, etc.


   Give management overview for assessment
    and evaluation for future improvement


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CHANGE CATEGORIZATION
(TYPE, COMPLEXITY, IMPORTANCE/URGENCY)
 Change   Control Complexity
   Potentialimpact
   Risk implication on product/process/end
    user/ and quality system
 Riskbased approach  define degree
 of evaluation and approval


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CHANGE CATEGORIZATION
(TYPE, COMPLEXITY, IMPORTANCE/URGENCY)
 Can be defined based on :
     Level  of impact to product/process/end user and
      quality system
     Investment

     Resources

   Risk Analysis tools :
        FMEA    RPN (Risk Priority Number)
        Fault Tree Analysis

        Etc.


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CHANGE CATEGORIZATION
(TYPE, COMPLEXITY, IMPORTANCE/URGENCY)
 Importance/Urgency
  o   Why we need to change this?
       o   Business driven (improvement, cost saving, etc.)
       o   Compliance driven (compulsory)
  o   Help on resource and time allocation – managing
      change is non routine activities




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CHANGE CATEGORIZATION
•    Simple Change Complexity categorization :
Major                           Moderate                             Minor
Investment more than S$         Isolated for one or multiple         Involve one or multiple
50,000.00                       products                             product
Full qualification/validation   Partial qualification/validation     No qualification/validation
                                                                     required (simple
                                                                     IQ/Commissioning only)
Impact Regulatory/              Direct impact to Product             No direct impact to
registration parameter          Quality/Critical Parameter           product/critical parameter

Direct impact to Product        Impact to packaging site             No direct impact to
Quality/Critical Parameter                                           packaging site
Impact to packaging site        Involve 2 or more
                                department
Involve 3 or more
department
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CHANGE CATEGORIZATION
 Highly recommended :
  Change control review board for change
   with multiple impact (Major change)
  Group of people from different department,
   Quality Representative, Subject matter
   expert (SME), Management team
   (Decision maker)



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SET-UP CHANGE CONTROL
         SYSTEM




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SET-UP CHANGE CONTROL SYSTEM

   Establish standard operation
    procedures
   Workflow and detail.
   Form  user friendly
       Not too much flex-field/less informative

   Database


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SET-UP CHANGE CONTROL SYSTEM

   SOP :
     > 1 Change Management System  1 SOP
      Change Management (High level) and its
      operation SOPs
     Workflow is preferred together with the
      responsible person information




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SET-UP CHANGE CONTROL SYSTEM

   FORM :
     Too  much tick box  standardize on input, but
      less informative
     Too much flex-field  More informative (depend
      on initiator), may vary from one initiator to
      another

    Must be balance


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SET-UP CHANGE CONTROL SYSTEM

   FORM :
     Minimum Flex-field :
       Short  description of the change
       Change description

       Current state and future proposed state

       Justification, Business Case and Risk
        Assessment
       Evaluation from related impacted area



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SET-UP CHANGE CONTROL SYSTEM
   FORM :
       Must capture :
         •   Impacted system/equipment/utilities/facilities
         •   Impacted document
         •   Impacted material and its lot number
         •   Initiator
         •   Assignee name for the actions
         •   List of actions
         •   Date of QA Approval for change execution
         •   Date of implementation
         •   Date of Closure


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SET-UP CHANGE CONTROL SYSTEM




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SET-UP CHANGE CONTROL SYSTEM
   FORM :
       List of actions :
          Must be in sequence
          To understand and define prerequisite action list before
           implementation (ICH Q9)
       To avoid overlooking actions that may be required
        before change can be implemented.

Recent HA question during audit :
    How do you know that any proposed change ready for
    implementation?

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SET-UP CHANGE CONTROL SYSTEM




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SET-UP CHANGE CONTROL SYSTEM

Change Description :
“Batch size scale-up of XYZ FCT from 300kg to
500kg”

Question :
Could you list down the pre-requisite actions
before the change can be started to
implement?

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SET-UP CHANGE CONTROL SYSTEM

 Database   :
  Excel, Ms Access, Customized Database
   system, etc.
  To facilitate :
   Tracking

   Trending

   Reporting




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ESTABLISH GUIDELINE

 SOP   :
 Include guidance :
   Todefine the urgency/importance
   Complexity (i.e Major, Moderate, Minor)

   System

   Impact assessment




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SET-UP CHANGE CONTROL SYSTEM
                           Reason of Change


                                                          Quality/HA
                             Compliance?
                                                          HSE
          Must
                                                          Possible Plant Shutdown
                          Business Continuity
                                                          Production Process Stop




                          Process Improvement



  Business Improvement/       Productivity
        Economy


                              Cost Saving




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ESTABLISH GUIDELINE

                                                                      REGULATORY                                  TECHN
  Change Type                Example                                                    REG        LAB      IT
                                                                      CHANGE TYPE                                  ICAL

  Facilities and Utilities   Introduce new facilities             Site Change            X

                             Introduce new utilities              -                                                 X

                             Change on existing facilities        Site Change            X

                             Change on existing utilities         -                                                 X

  Changes in Computer
  systems and software
                             Change in Computer system and
  which may have an
                             software which impact directly       -                                         X
  impact on system
                             to the product
  validation, product
  quality or GXP

                             Change in Computer system and
                             software which impact indirectly     -                                         X
                             to the product




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        ESTABLISH GUIDELINE
        (IMPACT ASSESSMENT)




                                                                              Environmental Monitoring




                                                                                                                                                                                                                                                                            Manufacturing Lisence
                                                                                                                                                Cleaning Validation
                                                                                                                           Process Validation




                                                                                                                                                                                                                Quality Agreement
                                                                                                                                                                      Testing Method
                                                             Poison License




                                                                                                                                                                                                                                    Lab Worksheet
                                                                                                           Qualification




                                                                                                                                                                                                 Master Plan
                                                                                                                                                                                       AMT/AMV




                                                                                                                                                                                                                                                                 Training
                                                                                                                                                                                                                                                    P&ID



                                                                                                                                                                                                                                                           QRA
                        Change API/excipient to different
Product formulation     API/excipient
                                                              X                                                              X                                          X              X          X               X                  X                     X
                        Change total on composition
                                                                                                                             X                                          X              X          X               X                  X                     X
                        Change on discharge composition
                        but does not change total
                        composition
                                                                                                                             X                                          X              X          X               X                  X                     X
                        Total change on manufacturing
                        process concept (i.e wet
                        granulation to direct compression
Manufacturing process

                                                                                                            X                X                                                                    X                                                        X      X
                        Change on manufacturing step
                        process (non-registered/registered
                        item)
                                                                                                            X                X                                          X              X          X                                                        X      X




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ESTABLISH GUIDELINE

   NOTE :
     Byhaving guidance does not mean : everything
     become black and white

     Spacefor discussion in change control
     committee board, or during evaluation phase

     At   least : give the initiator a hint!


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        IMPLEMENT
THE CHANGE CONTROL SYSTEM




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CREATE INTERACTIVE TRAINING
 1st : System introduction and detail
  explanation
 2nd : Hands-on training :
     Attendee  need to fill in the form with case study
      (in groups)
     Cross check the correctness among groups

 3rd : Assessment
 4th : Periodic Refreshment Training (i.e. every
  4 months, 6 months)

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MONITORING AND CONTINUOUS IMPROVEMENT

   Monitoring on :
     Effectiveness on procedure/process
     Number of Change control annually (Open,
      closed, outstanding)
 To be evaluate and assess in periodic
  management review meeting/Internal Audit
  program
 Gather feedback for improvement


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SUMMARY :
   Understand the process/system
   Define how would you like to set your change control
    system based on process/system (one for
    all/grouping)
   Categorize it (risk based approach)
   Establish robust procedure with guidance
   Establish user friendly and informative form
   Establish robust data base
   Set up an effective training program
   Establish monitoring for continuous improvement
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KEY ON DEFINE/IMPROVE CHANGE CONTROL

 Gather feedback from the users
 Get team together to review current
  process/system
 Training is a key in Change Control system

 Compliance come first




IVT Singapore - 27 Feb 2012   Syahputri2012-All Rights Reserved
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THANK YOU FOR YOUR ATTENTION

       ANY QUESTION?




                                                                              65

Best Practices to Implement an Effective Change Control Program Company Wide

  • 1.
    BEST PRACTICES TOIMPLEMENT AN EFFECTIVE CHANGE CONTROL PROGRAM COMPANY WIDE MIMI VIRLANY SYAHPUTRI
  • 2.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 INTRODUCTION SINGAPORE BUKIT BATOK NATURE RESERVE PARK 2
  • 3.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 WHAT IS CHANGE CONTROL? Free definition : Systematic approach to managing all changes made to a product or system What GMP Guidance/Regulation says? CGMP concept : Managing change to prevent unintended consequences. Certain major manufacturing changes (e.g., changes that alter specifications, a critical product attribute or bioavailability) require regulatory filings and prior regulatory approval (21 CFR 314.70, 514.8, and 601.12). (US-FDA : Guidance for Industry Quality Systems Approach to Pharmaceutical CGMP Regulations ) 3
  • 4.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 WHAT IS CHANGE CONTROL? • What GMP Guidance/Regulation says? (cont’d) – Change Management System through out Product Life Cycle – Risk Based Approach Pharmaceutical (ICH Q10 : Pharmaceutical Quality System) Development Product Technology Discontinuation Transfer Commercial Manufacturing 4
  • 5.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 WHAT IS CHANGE CONTROL?  Procedures shall be established and maintained for making changes to a process. Any such change shall be verified or validated to ensure that change does not create an adverse impact (Current Good Tissue Practices – 21 CFR 1271 sec 1271.225: Process Changes)  Making uncontrolled changes is a violation of several sections of the QSR (Quality System Regulatron, including section 820.30, 820.40, 820.70, 820.75 and 820.181 (Change control procedure section, QSR Manual, FDA.gov home page)  These written procedures, including any changes shall be drafted, reviewed, and approved by the appropriate organizational units and reviewed and approved by the Quality Control Unit (Subpart F – 21 CFR 211.00 Production and process control unit) 5
  • 6.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 WHO WILL BE RESPONSIBLE FOR CHANGE CONTROL SYSTEM  System is owned by Quality  Implementation of the system :  All employee 6
  • 7.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 WHEN TO USE CHANGE CONTROL If the change may impact to  Registered/Critical Parameter  Validated/Qualified state  Direct Impact to Product Quality Attribute  Non-Direct Impact to Product Quality but control must be in placed 7
  • 8.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 WHEN TO USE CHANGE CONTROL Non-Direct Impact to Product Quality but control must be in placed I.E. o Under work order with QA oversight or o Under change control system (Categorized as minor type change) o Document Management System Focus : Change Control System  To manage non routine change 8
  • 9.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 DEFINE OR IMPROVE THE CHANGE CONTROL SYSTEM 9
  • 10.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 CHANGE CONTROL STEPS Approved Implementat Initiation Evaluation for Closure ion execution APR Investigation Inspection Further Improvement Product/System/Process/ Facility Utility history 10
  • 11.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 HOW TO IMPLEMENT AN EFFECTIVE CHANGE CONTROL : • Mapping • Review current process Define/ • Grouping • Set up Hierarchy Improve • Set Change Categorization • SOP Set-up • FORM System • Database • Training Implementation • Monitoring/Improvement 11
  • 12.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 CHANGE CONTROL Provides :  Traceability  Historical data  Measure of accountability  Control variation  Improve product reliability and customer satisfaction  Protect patient from unintended consequences 12
  • 13.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 HOW TO IMPLEMENT AN EFFECTIVE CHANGE CONTROL : • Mapping • Review current process • Grouping Define/ • Set up Hierarchy Improve • Set Change Categorization 13
  • 14.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 MAP ALL SYSTEM/PROCESS Before defining/improving system : Map the processes/systems Time consuming but worth 14
  • 15.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 MAP ALL SYSTEM/PROCESS  Facility/Utility :  Routine maintenance work (spare part replacement)  Non Routine maintenance work  Site Change :  New product transfer/launch  Laboratory :  New Instrument  New Method  Manufacturing/Equipment :  Manufacturing process 15
  • 16.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 MAP ALL SYSTEM/PROCESS Mapping will help us to understand :  Process  Existing System that controlling the process (i.e electronic batch record, SAP Production Version Control, etc.)  The criticality of each process/system  To minimize redundancy  Differentiate main change vs action of change 16
  • 17.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 MAP ALL SYSTEM/PROCESS Change Description : “Update Manufacturing Instruction from version A to version B” Reason for change : “Change on IPC range specification from X1- Y1mm to X2-Y2mm What the first thing pop up in your mind if you receive this kind of change proposal? 17
  • 18.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 MAP ALL SYSTEM/PROCESS Product Transfer Product BOM Change Transfer MI Change Manufacturing Cleaning VS Analytical Instruction Portfolio Change Method Change BOM Analytical Change Method Creation Cleaning Portfolio 18
  • 19.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 MAP ALL SYSTEM/PROCESS POINT TO REMEMBER : IMPROVING CHANGE CONTROL SYSTEM IS NOT MERELY ABOUT :  CUT PROCESS STEP  SIMPLIFY PROCESS  REMOVE WASTE 19
  • 20.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 MAP ALL SYSTEM/PROCESS IT IS ABOUT : ROBUST “There is no easy way to properly control changes to devices, processes, device master records, etc. Change Control is a complex process. Failure to have an adequate change control system can cause equally “complex results” (Introduction section, QSR Manual, FDA. Gov home page) 20
  • 21.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 HOW TO IMPLEMENT AN EFFECTIVE CHANGE CONTROL : • Mapping • Review current process • Grouping Define/ • Set up Hierarchy Improve • Set Change Categorization 21
  • 22.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 REVIEW CURRENT CHANGE CONTROL Assess current change control system against the outcome from mapping of current process 22
  • 23.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 REVIEW CURRENT CHANGE CONTROL Assess all change control that had been issued  How many change proposal annually? : hundreds?  Criticality : was all critical? Did we treat all the same effort?  Did we find recurrence change proposal? Were we raising change control for routine task?  How many outstanding change control ? 23
  • 24.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 REVIEW CURRENT CHANGE CONTROL Review your procedure from 1st version of SOP till the current one.  Wasthe improvement that had added  proactive/reactive?  How to simplify it 24
  • 25.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 REVIEW CURRENT CHANGE CONTROL  Does the SOP have proper guidance to perform impact assessment/evaluation  Is the form user friendly (too much free text field or lack of important information)  Is the data base sufficient to track back the historical data?  Is routine refreshment training available? 25
  • 26.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 HOW TO IMPLEMENT AN EFFECTIVE CHANGE CONTROL : • Mapping • Review current process • Grouping Define/ • Set up Hierarchy Improve • Set Change Categorization 26
  • 27.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 SYSTEM/PROCESS CHANGE GROUPING • Apply risk based approach (Q09 – Quality Risk Management) Change management / Change control • To manage changes based on knowledge and information accumulated in pharmaceutical development and during manufacturing • To evaluate the impact of the changes on the availability of the final product • To evaluate the impact on product quality of changes to the facility, equipment, material, manufacturing process or technical transfers • To determine appropriate actions preceding the implementation of a change, e.g., additional testing, (re)qualification, (re)validation or communication with regulators 27
  • 28.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 SYSTEM/PROCESS CHANGE GROUPING Ideally one change control system for all system :  Product related change (process, material, equipment  Facility/Utility  Supplier  Analytical method  Etc. 28
  • 29.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 SYSTEM/PROCESS CHANGE GROUPING Manufacturing Plan with complex systems and with interface  increase the complexity of Change Control System i.e.: Simple change : “like for like change”  Change due to typographical  Change with significant impact : “increase batch size, equipment change”  Do you want to use same “bullet” to hit above “targets”? 29
  • 30.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 SYSTEM/PROCESS CHANGE GROUPING How to group?  Reason for change  Must/Nice to have  System wise (i.e. IT Change Control, Direct product impact change, Technical Change (Facility, Utility), Lab Change  Complexity (Level of Impact)  Regulatory/Non-regulatory impact Note : Initial assessment must be in place to control whether the change may give direct impact to product/quality, and conquered by Quality person 30
  • 31.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 SYSTEM/PROCESS CHANGE GROUPING i.e. :  Change to SCADA system which could impact equipment recipe control  Manage under product related change 31
  • 32.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 SYSTEM/PROCESS CHANGE GROUPING Note : Initial assessment must be in place to control whether the change may give direct impact to product/quality, and conquered by Quality person 32
  • 33.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012  Flow 33
  • 34.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 HOW TO IMPLEMENT AN EFFECTIVE CHANGE CONTROL : • Mapping • Review current process • Grouping Define/ • Set up Hierarchy Improve • Set Change Categorization 34
  • 35.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 SET-UP CHANGE CONTROL SYSTEM HIERARCHIES  Change system grouping is applied:  Provideguidance/policy/high level SOP explaining the hierarchies  Give an overview to change management system  Provide the link among systems 35
  • 36.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 SET-UP CHANGE CONTROL SYSTEM HIERARCHIES (EXAMPLE) Policy/Guideline Change Management High Level Document/Procedure Operational Procedures Forms 36
  • 37.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 HOW TO IMPLEMENT AN EFFECTIVE CHANGE CONTROL : • Mapping • Review current process • Grouping Define/ • Set up Hierarchy Improve • Set Change Categorization 37
  • 38.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 CHANGE CATEGORIZATION (TYPE, COMPLEXITY, IMPORTANCE/URGENCY)  Change Control Type :  Help us on trending, traceability  To put similar type of change together i.e. : Equipment change, supplier change, material (API and excipient) change, etc.  Give management overview for assessment and evaluation for future improvement 38
  • 39.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 CHANGE CATEGORIZATION (TYPE, COMPLEXITY, IMPORTANCE/URGENCY)  Change Control Complexity  Potentialimpact  Risk implication on product/process/end user/ and quality system  Riskbased approach  define degree of evaluation and approval 39
  • 40.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 CHANGE CATEGORIZATION (TYPE, COMPLEXITY, IMPORTANCE/URGENCY)  Can be defined based on :  Level of impact to product/process/end user and quality system  Investment  Resources  Risk Analysis tools :  FMEA  RPN (Risk Priority Number)  Fault Tree Analysis  Etc. 40
  • 41.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 CHANGE CATEGORIZATION (TYPE, COMPLEXITY, IMPORTANCE/URGENCY)  Importance/Urgency o Why we need to change this? o Business driven (improvement, cost saving, etc.) o Compliance driven (compulsory) o Help on resource and time allocation – managing change is non routine activities 41
  • 42.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 CHANGE CATEGORIZATION • Simple Change Complexity categorization : Major Moderate Minor Investment more than S$ Isolated for one or multiple Involve one or multiple 50,000.00 products product Full qualification/validation Partial qualification/validation No qualification/validation required (simple IQ/Commissioning only) Impact Regulatory/ Direct impact to Product No direct impact to registration parameter Quality/Critical Parameter product/critical parameter Direct impact to Product Impact to packaging site No direct impact to Quality/Critical Parameter packaging site Impact to packaging site Involve 2 or more department Involve 3 or more department 42
  • 43.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 CHANGE CATEGORIZATION Highly recommended :  Change control review board for change with multiple impact (Major change)  Group of people from different department, Quality Representative, Subject matter expert (SME), Management team (Decision maker) 43
  • 44.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 SET-UP CHANGE CONTROL SYSTEM 44
  • 45.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 SET-UP CHANGE CONTROL SYSTEM  Establish standard operation procedures  Workflow and detail.  Form  user friendly  Not too much flex-field/less informative  Database 45
  • 46.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 SET-UP CHANGE CONTROL SYSTEM  SOP :  > 1 Change Management System  1 SOP Change Management (High level) and its operation SOPs  Workflow is preferred together with the responsible person information 46
  • 47.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 SET-UP CHANGE CONTROL SYSTEM  FORM :  Too much tick box  standardize on input, but less informative  Too much flex-field  More informative (depend on initiator), may vary from one initiator to another Must be balance 47
  • 48.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 SET-UP CHANGE CONTROL SYSTEM  FORM :  Minimum Flex-field : Short description of the change Change description Current state and future proposed state Justification, Business Case and Risk Assessment Evaluation from related impacted area 48
  • 49.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 SET-UP CHANGE CONTROL SYSTEM  FORM :  Must capture : • Impacted system/equipment/utilities/facilities • Impacted document • Impacted material and its lot number • Initiator • Assignee name for the actions • List of actions • Date of QA Approval for change execution • Date of implementation • Date of Closure 49
  • 50.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 SET-UP CHANGE CONTROL SYSTEM 50
  • 51.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 SET-UP CHANGE CONTROL SYSTEM  FORM :  List of actions :  Must be in sequence  To understand and define prerequisite action list before implementation (ICH Q9)  To avoid overlooking actions that may be required before change can be implemented. Recent HA question during audit : How do you know that any proposed change ready for implementation? 51
  • 52.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 SET-UP CHANGE CONTROL SYSTEM 52
  • 53.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 SET-UP CHANGE CONTROL SYSTEM Change Description : “Batch size scale-up of XYZ FCT from 300kg to 500kg” Question : Could you list down the pre-requisite actions before the change can be started to implement? 53
  • 54.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 SET-UP CHANGE CONTROL SYSTEM  Database :  Excel, Ms Access, Customized Database system, etc.  To facilitate : Tracking Trending Reporting 54
  • 55.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 ESTABLISH GUIDELINE  SOP : Include guidance : Todefine the urgency/importance Complexity (i.e Major, Moderate, Minor) System Impact assessment 55
  • 56.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 SET-UP CHANGE CONTROL SYSTEM Reason of Change Quality/HA Compliance? HSE Must Possible Plant Shutdown Business Continuity Production Process Stop Process Improvement Business Improvement/ Productivity Economy Cost Saving 56
  • 57.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 ESTABLISH GUIDELINE REGULATORY TECHN Change Type Example REG LAB IT CHANGE TYPE ICAL Facilities and Utilities Introduce new facilities Site Change X Introduce new utilities - X Change on existing facilities Site Change X Change on existing utilities - X Changes in Computer systems and software Change in Computer system and which may have an software which impact directly - X impact on system to the product validation, product quality or GXP Change in Computer system and software which impact indirectly - X to the product 57
  • 58.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 ESTABLISH GUIDELINE (IMPACT ASSESSMENT) Environmental Monitoring Manufacturing Lisence Cleaning Validation Process Validation Quality Agreement Testing Method Poison License Lab Worksheet Qualification Master Plan AMT/AMV Training P&ID QRA Change API/excipient to different Product formulation API/excipient X X X X X X X X Change total on composition X X X X X X X Change on discharge composition but does not change total composition X X X X X X X Total change on manufacturing process concept (i.e wet granulation to direct compression Manufacturing process X X X X X Change on manufacturing step process (non-registered/registered item) X X X X X X X 58
  • 59.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 ESTABLISH GUIDELINE  NOTE :  Byhaving guidance does not mean : everything become black and white  Spacefor discussion in change control committee board, or during evaluation phase  At least : give the initiator a hint! 59
  • 60.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 IMPLEMENT THE CHANGE CONTROL SYSTEM 60
  • 61.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 CREATE INTERACTIVE TRAINING  1st : System introduction and detail explanation  2nd : Hands-on training :  Attendee need to fill in the form with case study (in groups)  Cross check the correctness among groups  3rd : Assessment  4th : Periodic Refreshment Training (i.e. every 4 months, 6 months) 61
  • 62.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 MONITORING AND CONTINUOUS IMPROVEMENT  Monitoring on :  Effectiveness on procedure/process  Number of Change control annually (Open, closed, outstanding)  To be evaluate and assess in periodic management review meeting/Internal Audit program  Gather feedback for improvement 62
  • 63.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 SUMMARY :  Understand the process/system  Define how would you like to set your change control system based on process/system (one for all/grouping)  Categorize it (risk based approach)  Establish robust procedure with guidance  Establish user friendly and informative form  Establish robust data base  Set up an effective training program  Establish monitoring for continuous improvement 63
  • 64.
    KEY ON DEFINE/IMPROVECHANGE CONTROL  Gather feedback from the users  Get team together to review current process/system  Training is a key in Change Control system  Compliance come first IVT Singapore - 27 Feb 2012 Syahputri2012-All Rights Reserved 64
  • 65.
    Syahputri2012-All Rights Reserved IVT Singapore - 27 Feb 2012 THANK YOU FOR YOUR ATTENTION ANY QUESTION? 65

Editor's Notes

  • #3 As English is not my native, should you found unclear on my word, as I may not pronounce it correctly, please do not hesitate to ask for clarification.Should you have a question, we could do it at the end of session.Should one of you have better answer from mine or had different answer due to different circumstances. It will be a great opportunity to all of us here to be able to learn each other as well.
  • #5 Quality Risk Management Guideline is to offer a systematic approach to quality risk management. It specifically provides guidance on the principles and some of the tools of quality risk management that can enable more effective and consistent risk-based decisions, both by regulators and industry, regarding the quality of drug substances and drug (medicinal) products across the product lifecycle.An effective quality risk management approach can:Ensure the high quality of the drug (medicinal) product to the patient by providing a proactive means to identify and control potential quality issues during development and manufacturing.Improve the decision making if a quality problem arises. Effective quality risk management can facilitate better and more informed decisions.Provide regulators with greater assurance of a company’s ability to deal with potential risks.Beneficially affect the extent and level of direct regulatory oversight.
  • #7 responsible to notify Quality person for any proposed change, reviewed by Subject Matter Expert (SME), and approved for change execution.Training to all employee to ensure all of them understand the concept of change control system.
  • #8 Give an example for each aspect
  • #25 Proactive improvement : well plan and address the main issueRe-active improvement : quick fix, increase the load of change control system
  • #28 It specifically provides guidance on the principles and some of the tools of quality risk management that can enable more effective and consistent risk-based decisions, both by regulators and industry, regarding the quality of drug substances and drug (medicinal) products across the product lifecycle.An effective quality risk management approach can:Ensure the high quality of the drug (medicinal) product to the patient by providing a proactive means to identify and control potential quality issues during development and manufacturing.Improve the decision making if a quality problem arises. Effective quality risk management can facilitate better and more informed decisions.Provide regulators with greater assurance of a company’s ability to deal with potential risks.Beneficially affect the extent and level of direct regulatory oversight.
  • #32 SCADA : Supervisory Control and Data acquisition.